Inspection on 19/01/06 for Nada Nursing Home

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Nada Nursing Home 05/04/07

Nada Nursing Home 04/09/06

Nada Nursing Home 26/06/06

Nada Nursing Home 07/06/05

Nada Nursing Home 27/10/04

Nada Nursing Home 29/04/04

Nada Nursing Home 09/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Nada Nursing Home 451 Cheetham Hill Road Cheetham Hill Manchester M8 9PA Lead Inspector Geraldine Blow Unannounced Inspection 19th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Nada Nursing Home Address 451 Cheetham Hill Road Cheetham Hill Manchester M8 9PA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 720 7728 Mr Pierre Grenade Mr Pierre Grenade Care Home 28 Category(ies) of Dementia - over 65 years of age (0), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (0) Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home is registered for a maximum of 28 service users of either sex over 60 years of age suffering from either mental disorder or dementia. The maximum number of service users requiring nursing care shall be 17 and the maximum number of service users requiring personal care only shall be 11. Registration is subject to compliance with the minimum staffing levels indicated in the Notice served in accordance with Section (25) 3 of the Registered Homes Act 1984 issued on 6th March 2002. Staffing for the service users assessed as requiring personal care only must comply with the minimum levels set out in the Residential Forum Guidelines for Staffing in Care Homes for Older People. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th June 2005 Date of last inspection Brief Description of the Service: The Nada nursing and residential home provides accommodation with nursing and personal care for a maximum of 28 older people. The care home is able to offer accommodation to 17 older people assessed as requiring nursing care and 11 service users assessed as requiring personal care only. The home is owned and operated by Mr Pierre Grenade, who is both the registered person and the manager. The home is situated in the Cheetham Hill area of North Manchester close to local shops, Manchester City centre, social, cultural and recreational amenities. The home was first registered with the National Care Standards Commission, now CSCI, on 30th July 2002 and it consists of a converted large detached house with a large, modern extension within its own small grounds. The home is able to offer off-the-road parking for approximately five vehicles in addition to the homes mini-bus. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, conducted by 2 inspectors and took place on Thursday 19 January 2006. During the course of the inspection time was spent talking to the manager, the nurse in charge, the Clerical Officer and several residents. Documents including staff and residents files, records and other relevant documentation were also examined. A tour of the building was conducted. It was of some concern that a large number of requirements made at the last 2 inspections had not been done. They have been made again in this report. Since the last inspection the Commission for Social Care Inspection (CSCI) has not received any complaints about the service. The previous inspection looked at the majority of the standards. As this inspection only looked at a very limited number of standards and the areas for improvement identified at the last inspection the report should be read together with the previous reports to gain a full picture of how the home is meeting the needs of the people living there. What the service does well: During the inspection a member of staff was seen playing dominos with a couple of residents. The member of staff and the residents appeared to be enjoying the game and a lot of chatting and laughter was observed. From observations during the inspection it appeared that residents were given choice about their day-to-day lives and daily routines. A resident was heard asking for a bath after his tea. Screens are provided in double rooms to ensure the residents privacy and dignity is protected. The manager said that mail is given to residents unopened or with resident’s permission a member of staff would open the mail and read it to the resident. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: All potential residents must have a pre-admission assessment to make sure that the home can meet all of their needs. Following this assessment the home must respond in writing to the potential resident stating that they can or cannot meet their needs. Evidence must be provided that staff have received the appropriate training. This has been a requirement from the last 2 inspections and has not been met. The staff induction programme must be reviewed and updated to include new guidance. Evidence must be provided that the home has updated the Service User Guide and the Statement of Purpose so that potential residents have relevant information about the home in order to support them in making a decision about where they wish to live. The recruitment and vetting procedures of staff must be improved to ensure the safety of the residents. This has been a requirement from the last 2 inspections and has not been met. The systems and procedures for dealing with medicines needed some improvements to protect residents, for example, some prescribed medications were not signed as being given. There was some evidence of limited activities in the home, which included music and dominos. However as stated in the previous 2 inspection reports there was no evidence that the residents were involved in the planning of activities and the home had not recorded the interests or hobbies of residents. The last 2 inspection reports have stated that the home must provide furniture in the smoking lounge that is fit for its intended purpose. The requirements had not been met. The chairs in the smoking lounge were heavily stained and had a large number of cigarette burns. The home provided a pay phone for residents use. However this was situated on the main corridor and did not allow for a private call to be made. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 The home did not provide up to date information so that prospective residents could make an informed decision about where to live. The home did not undertake an assessment of prospective resident’s care needs prior to their admission. EVIDENCE: The Statement of Purpose and the Service User Guide were available for inspection and the manger said that all residents had been given a copy of the Service User Guide. However the last inspection report dated 7th June 2005 stated, the “Statement of Purpose and Residents’ Guide contained a number of inaccuracies. The information provided did not enable prospective residents to make an informed choice about possible admission to the home”. The manager said he had been updated both documents but the date on both documents was March 2005. Evidence was seen that the home were not conducting a pre-admission assessment of prospective residents needs. This requirement was made at the last inspection and has been reiterated in this report. Following the pre Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 10 admission assessment the provider/manager must confirm in writing to the prospective resident that the home is able/not able to meet their assessed needs. The provider/manager said that the home did not offer intermediate care services. The remaining core standards were assessed during the previous inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 & 10 The systems and procedures for dealing with medicines needed improvement to protect residents. The privacy and dignity of residents was not always protected. EVIDENCE: The home did not have a policy relating to privacy and dignity. It is recommended that one be implemented. From observations during the inspection it appeared that staff respected the privacy and dignity of residents during day-to-day interactions. Screens were seen in double bedrooms. The manager said that residents preferred term of address was documented in the care file. The manager said that mail was given to residents unopened or if this were not possible due to their mental state, staff would, with the permission of the resident, open the mail and read it to the resident. This must be clearly documented in the resident’s care plan. Private telephone facilities must be made available to residents. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 12 The homes policies and procedure relating to medication must be reviewed and updated to reflect current good practise. As identified in a letter sent to the home following an inspection by the Pharmacist Inspector, the home did not have all the required policies and procedures in place relating to the safe administration and recording of medication. On examination of the Medicine Administration Record (MAR) sheets it was noted that some prescribed medication e.g. inhalers and paracetamol had not been signed for. All prescribed medication must be signed for by the person administrating them to facilitate audits and to ensure that the records are clear and accurate. The symbol ‘F’ meaning ‘other’ was used on the MARs but no explanation of ‘other’ was made. The nurse in charge said the the home had a current record of residents medication. It was noted that the record of residents medication was not dated and therefore was not evidenced as up to date. One of the records examined did not include some current prescribed medication. Not all the medication received by the home had been signed. There did not appear to be a system in place to record medication awaiting collection for destruction by the contracted waste disposal company. A previous letter to the home, following an inspection by the pharmist inspector stated “the original FP 10 Prescription is never seen by the home and therefore the original instructions of the prescriber can not be known. After discussion it was recommended that the home ask the supplying pharmacy to fax the prescriptions back to the home after collection from the doctors surgery. It must also be noted that the FP10 is the property of the service user and should be signed either by them or by the designated person in the home and not by the pharmacy”. The requirement made in that letter stated the home must “arrange to have sight of the original prescription”. This requirement had not been met. In accordance with the Royal Pharmaceutical Guidelines the manager/designated person must sign the exemption declaration on the back of the prescription form on behalf of the resident if the resident is uanble to do this themselves, prior to the prescription being submitted to the pharmacy for dispensing. The remaining core standards were assessed during the previous inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Residents were able to maintain contact with family and friends. EVIDENCE: The manager said that visitors were made welcome into the home at any time and that visitors could be received in the resident’s own room or in any of the communal areas. The previous requirement made at the last 2 inspections that residents’ interests must be recorded and social interests encouraged had not been met. The requirement has been reiterated in this report. It has been recommended that that the home appoints a designated member of staff to assume responsibility to act as an activity co-ordinator. The requirement made at the last inspection that the provider/manager must take precaution against unnecessary risks to the health or safety of the residents and maintain satisfactory records relating to the kitchen had been met. However it was noted that the food probe thermometer was stored in a general cutlery drawer and had encrusted food on it. The inspector was told that after use the probe was wiped with a piece of kitchen paper. The probe must be appropriately cleaned and stored in a separate container. The remaining core standards were assessed during the previous inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The system used to record complaints needs further work. EVIDENCE: The last report documented “home’s recording methods in relation to complaint reporting was poor. The outcomes of complaints and the action taken by the home to address any shortfalls were not clearly recorded and should be revised”. This is reiterated in this report. The remaining core standards were assessed during the previous inspection Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Some areas of the home did not provide clean, well-maintained furnishings and fittings to promote a healthy environment for the residents. EVIDENCE: As already stated in this report since the last inspection some areas of the home had been re-painted and some new chairs had been bought. However, as stated in the last 3 inspection reports the chairs in the smoking lounge were badly worn and required recovering or replacement. The chairs were seen to be heavily stained and the majority of chairs contained numerous cigarette burns. On the day of inspection the smoking lounge did not have any curtains in place. The manager said that they had gone for washing and replaced them before the end of the inspection. The manager also said that the smoking lounge was due for re-decoration in February 2006. During a tour of the building it was noted that several areas of the home appeared ‘worn’ in appearance. For example the wallpaper in some of the bedrooms was ripped and torn in places, some bedroom furniture appeared old Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 16 and scratched in places and in one bedroom the curtains were ill fitted. It is recommended that an audit of the homes furnishings and decoration be conducted and a programme of maintenance and renewal be implemented with timescales. The requirement made at the last 2 inspections that risk assessments must be conducted in respect of the aids, adaptations and equipment required to more fully meet the residents assessed needs had not been met. It was noted in one residents care file that bed rails were insitu yet no risk assessment for their use had been undertaken. The requirement has been reiterated in this report. The remaining core standards were assessed during the previous inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30 The recruitment and training policies and procedures are not adhered to. EVIDENCE: The requirement made at the last 2 inspections that the provider must ensure that all necessary recruitment checks are undertaken on prospective staff prior to their employment at the home had not been met. On one of the files inspected it was clearly documented that a carer had commenced employment at the home on 5/9/05, his CRB had been applied for on 7/11/05 and to date no clearance had been received by the home. The requirement has been reiterated in this report. Some evidence was seen of an induction process. However, the organisation that set the standards of training for all social care services and workers recently introduced new guidance on what an induction programme for new staff should include. These new standards will be compulsory in September 2006. Training certificates were seen on some staff files. However, due to the lack of recording it was impossible to determine if staff were appropriately trained. Each member of staff must have their own training and development plan, which includes details of the study attended, the date of attendance and the date it is next due. The remaining core standards were assessed during the previous inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 & 38 Some areas relating to the management of the home are not done so in the best interests of the residents. EVIDENCE: The home had a policy file provided by CARED 4, which was dated 2004. None of the policies had been reviewed and the file was not accessible to staff. It was kept in the locked office on the first floor, although the nurse in charge did have a key to the room. Since the last inspection a quality questionnaire had been sent out to residents, relatives and the GP. The staff had completed the returned residents’ questionnaire. However the manager said that the staff had written what the residents had instructed them to do. At the time of inspection the manager said that none of the relatives or the GP had returned the questionnaire. It is recommend that the questionnaire is given to all visiting Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 19 professionals in order to gain their views of the service. Once all the results of the questionnaires have been reviewed the results must be published. Some evidence was seen that staff supervision was now being undertaken. The recommendation made at the last inspection that the manager should embark on a course of study leading to the Registered Manager Award had been met. The manager said that he had started the training in September 2005. During the inspection it was noted that numerous fire doors were wedged open either with wedges or items of furniture. At the inspectors request these were removed. Fire doors must not be wedged open. The remaining core standards were assessed during the previous inspection. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 2 x x x x 2 Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4&5 Requirement Evidence must be provided that the provider/manager has an up to date Service User Guide and Statement of Purpose that is in keeping with the Care Homes Regulation 2001. Copies of both updated documents must be submitted to the Commission for Social Care Inspection. The provider/manager must not provide accommodation to a resident unless a suitably qualified or trained person has appropriately assessed their needs. Any assessment must be kept under review and revised appropriately. Previous timescale of 08/12/04 and 07/07/05 had not been met. The provider/manager must not admit any resident to the home without first ensuring that the home is fully able to meet that persons assessed needs. In addition, confirmation must be given to the prospective resident, in writing, that the DS0000021566.V278617.R01.S.doc Timescale for action 28/02/06 2. OP3 14 28/02/06 3. OP4 12, 14 28/02/06 Nada Nursing Home Version 5.1 Page 22 home is able to meet their assessed needs. Previous timescale of 8.12.04 and 7/7/05 had not been met. 4. OP9 13 1. The provider/manager must 01/03/06 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Previous timescale of 8.12.04 and 7/7/05 had not been met. 2. In accordance with the Royal Pharmaceutical Guidelines the manager/designated person must sign the exemption declaration on the back of the prescription form on behalf of the resident if the resident is uanble to do this themselves, prior to the prescription being submitted to the pharmacy for dispensing. 3. The provider/manager must arrange to have sight of the original prescription. 4. Policies and procedures must be reviewed and revised to reflect safe practice. Where there is no policy one must be developed and implemented. 5. OP10 16 & 12 1. The provider/manager must provide telephone facilities for residents to use in private. 2. If mail is opened on behalf of a resident the reason why must be clearly documented in the resident’s care plan. 31/03/05 Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 23 6. OP12 16 The provider/manager must record the residents social interests and encourage their participation in such activities. Previous timescale of 8.12.04 and 07/08/05 had not been met. 28/02/06 7. OP15 13 & 16 The provider/manager must ensure that the food probe is appropriately cleaned after use and stored separately from the general cutlery. The provider/manager must keep a record of all complaints made which includes details of investigations and any action taken. The provider/manager must provide furnishings in the smoking lounge that are fit for their intended purpose. Previous timescale of 8.12.04 and 07/08/05 had not been met. 09/02/06 8. OP16 22 09/02/06 9. OP20 16, 23 01/03/06 10. OP22 23 A risk assessment must be conducted in respect of the aids, adaptations and equipment required to more fully meet the residents assessed needs. Previous timescale of 8.12.04 and 7/8/05 had not been met. 07/08/05 11. OP29 19 Schedule 2 The provider must ensure that all necessary recruitment checks are undertaken on prospective staff prior to their employment at the home as specified in Schedule 2 of the Care Homes Regulations 2001. Previous timescale of 8.12.04 and 22/6/05 had not been met. 09/02/06 Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 24 12. OP30 12,13,18 1. Skills for Care have introduced 14/04/06 new requirements for staff induction and training. The provider/manager must take account of the new requirements and review and revise their induction process. 2. Each member of staff must have an individual training and development plan. 1. The provider/manager must publish the results of any resident surveys. Previous timescale of 31.1.05 and 7/8/05 had not been met. 2. The provider/manager must review and update all the homes policies and procedures to reflect changing legislation and current good practise. 3. All policies and procedures must be made accessible to all staff members. 13. OP33 24 & 12 31/03/06 14. OP38 13 Fire doors must not be wedged open 19/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP10 Good Practice Recommendations It is recommended that the home implement a policy on privacy and dignity. Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 25 2. OP12 1. Residents should be consulted about their social and leisure interests. This recorded consultation should contribute to the development of the homes activity programme. 2. It is recommended that the home appoint a designated member of staff to assume responsibility to act as an activity co-ordinator. It is recommended that the provider/manager conducts an audit of the homes furnishings and decoration. A programme of maintenance and renewal of fabric and decoration with timescales should be produced and implemented. It is recommended that the manager continues and successfully achieve the Registered Managers Award. It is recommend that the questionnaire is given to all visiting professional in order to gain their views of the service. 3. OP19 4. 5. OP31 OP33 Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Nada Nursing Home DS0000021566.V278617.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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