Inspection on 22/01/08 for Nether Place Nursing Home

This inspection was carried out on 22nd January 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Nether Place Nursing Home 20/01/10

Nether Place Nursing Home 29/06/09

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Nether Place Nursing Home Chestnut Hill Keswick Cumbria CA12 4LS Lead Inspector Jenny Donnelly Unannounced Inspection 22nd January 2008 10:30 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 Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 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. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nether Place Nursing Home Address Chestnut Hill Keswick Cumbria CA12 4LS 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) 017687 73269 017687 73269 Hometrust Care Limited Mrs Jane Marjorie Clarke Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. The maximum number of people who can be accommodated is: 32 Date of last inspection New Service Brief Description of the Service: Homecare Trust Ltd purchased Nether Place in July 2007. Mrs Jane Clarke is the registered manager. The home is registered to provide nursing care for up to 32 older people. Nether Place is a traditional stone building, with a newer extension, situated in a residential area on the outskirts of Keswick. Although the home is registered for 32 people, occupancy is generally around 26, as some double rooms are let singly. Accommodation is over two floors, served by two passenger lifts, one at each end of the building. There are three lounges and a conservatory for shared use, and the home retains many of its period features. There is a well-kept garden with spectacular views over the Lakeland fells. Bedrooms vary in size and shape, and many have ensuite facilities. There are assisted bathing facilities and an on site laundry and kitchen. There is an informative enquiry pack available from the home for anyone interested. The weekly fees at the time of this visit ranged from £497.00 to £635.00 including the government registered nursing care contribution payment. Fees were dependant on care needs and the bedroom occupied. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was the main or ‘key’ inspection of the service. Jenny Donnelly inspector, made an unannounced visit to the service on 22nd January 2008. During the visit we (the commission) toured the building, spoke with residents, staff and the management. We looked at care, medication, staffing and management records. We saw how people were spending their day, and observed lunch and the day’s activities. Prior to this inspection the manager had completed and returned an Annual Quality Assessment Audit (AQAA) that we had requested. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We sent surveys out to half of the people who live in the home and their relatives. The findings of the surveys are included in this report. Homecare Trust Ltd purchased the care home from Wardour Services Ltd in July 2007. The last inspection took place in August 2006, so this is the first inspection report for Nether Place under the ownership of the new company. What the service does well: Nether Place provides very good information for people about the services available and what the costs are. The admission arrangements for new people are thorough, and help people settle into the home quickly. The standard of personal and health care provided is very good, and people felt well looked after. The staff were active in accessing health care treatment when people needed it. One family especially praised the quality of care given to dying people as well as the support offered to the family. There was evidence that people were able to choose how to spend their days and how they liked to be cared for. There was a good range of entertainment, and people enjoyed the choice and variety of meals served. The premises were warm, clean and comfortable, with ongoing decoration and replacement of furniture, furnishings and equipment. There was a very stable staff group, who were dedicated to the people they cared for and received a lot of training to help them do their jobs well. The management structure, both within and external to the home, was sound and provided good leadership and vision for future improvements. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 7 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 Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates sound admission procedures and provides people with good information. EVIDENCE: Since Hometrust Care Ltd purchased Nether Place last summer, the statement of purpose and the brochure had been updated. These provided good information for people about the care home and the services provided. People told us they had been able to look around the home and make enquiries before deciding to move in. The home manager assessed prospective residents prior to offering them a place. This was to make sure Nether Place could meet people’s individual needs, and enabled the manager to organise any special equipment needed. We saw copies of these assessments on file along with information gathered from any other health professionals involved, and the person’s social worker. The care home does not provide intermediate care. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were receiving a good standard of health and personal care, which benefited their quality of life. EVIDENCE: Each person had a written plan of care in place, which covered all health, personal and social care needs. We inspected the plans for three people, one of whom was quite new to the service. The plans were kept under regular review so they provided up to date information and accounted for any changes in people’s needs or condition. The care plans reflected people’s individual wishes, such as what time they liked to get up in the morning, how people liked to be dressed and what sort of food they liked to eat. Risk assessments had also been completed showing additional safety needs where people had difficulties with mobility, swallowing or were at risk of developing pressure sores. Care records showed what preventative action was being taken to reduce the risk of falls, choking and skin breakdown. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 10 There was evidence that people had good access to healthcare services, including being able to see their doctor, the chiropodist and an optician as needed. The staff kept good records of tests undertaken, swabs or specimens sent, the results of these, and any subsequent changes in treatment or care. People told us: • “I had excellent care and support when I returned from hospital” • “The high quality medical and pastoral care is its greatest asset” • “If the doctor is needed, the staff just ‘phone the surgery and they come”. People appeared well cared for, being smartly dressed in clean clothes, wearing appropriate footwear, and the ladies had their handbags with them. People told us they were well cared for, saying; • “Personal care and hygiene is good” • “I’m well looked after and happy” • “The care and attention by staff is superb, you couldn’t ask for more” • “All levels of staff very supportive” One family told us how well their dying mother had been cared for, and how supportive the staff were to them during this time. Another person felt that a specific carer should be allocated to keep peoples drawers and clothes tidy. In response to this suggestion, the manager stated that over the last two weeks, care staff rather than the laundry staff had been responsible for putting washed clothes away and checking cupboards. People’s privacy and dignity was protected. There were locks on bedroom and bathroom doors. People, who liked to keep their door open when they were in their bedroom, had a door magnet that held the door open unless the fire alarm sounded. The management of medicines was inspected and found to be in good order. Medicines were mostly supplied in a monthly pre-packed system with printed administration record charts. The receipt, administration or destruction of each medicine was recorded, giving a clear audit trail to account for each medicine in the home. There was evidence that all types of medicine were managed well, including those given at infrequent intervals and in short courses. Staff were aware of those medicine dosages given according to latest blood test results, and the records for these were clear. People if they wished, were enabled to manage their own medicines within a risk assessment framework, to ensure they were safe. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were able to choose how to spend their time, there was regular entertainment, and the provision of meals was good. EVIDENCE: The manager reported that for a while, activities in the home had lapsed, due to staff sickness, but this had been rectified, and there was a dedicated activity person for two hours a day. The new owners have placed an importance on social care and have employed an occupational therapist to assess people’s abilities / interests and help staff to plan suitable activities. In the mean time, activities tend to be individually based and include chatting, nail care and hand massage. The home booked regular visiting entertainers, including singers, harpists, organists and a choir. There were notices advertising the forthcoming events, and visitors said they also attended these events and enjoyed them. Visitors told us they were made very welcome in the home and felt there was a ‘real community feel’. Visitors and surveys told us: • “The visiting entertainers are very good, everyone enjoys them and people really perk up and join in with the songs” • “All the relatives were invited to a Christmas party, which was lovely” Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 12 “More activities would be good” “I enjoy the musicians who come” “I have never been discouraged from taking exercise”. We saw that people could choose whether to spend time in their own bedrooms or in the communal lounges, as they wished. Visiting could take place in the main lounge, the quiet lounge or in people’s bedrooms. • • • The manager had recently undertaken a survey of when and where people liked to have their breakfast. This gave people the opportunity to choose whether to breakfast early or late, and whether to have it in bed or in the dining room/ lounge. The home has a number of people who enjoy an early breakfast provided by the night staff, but for those who like a slower start to the day, this has been accommodated. The manager said some people who had previously not eaten breakfast, were now enjoying it. Visitors told us they had been aware of this survey and were pleased that their relatives were given this option. There was a choice of main meals and people chose in advance from printed menus. Special diets were catered for satisfactorily, and people were seen to get the help they needed to eat. People told us the following about the meals: • “I appreciate the choice of meals given, and the opportunity to ask for something else” • “The ‘good’ cooking varies” • “Meals are fine, mum eats well, there are always cakes in the afternoon”. One person had recently complained about the portion size, and there was evidence on file to show this matter had been addressed through discussion with the manager. Peoples weight was monitored regularly, and where nutrition had been identified as a risk area, a plan of action had been put in place to ensure the person received enough suitable food and drink. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People felt safe and listened to at Nether Place and believed any complaint they had would be acted on appropriately. EVIDENCE: Each person had been issued with a copy of the complaints procedure when they moved into the care home, and a reminder copy had been sent out to relatives in the last year. There was also was a copy of the procedure on display in the entrance for any visitors to see. The surveys we received told us that people knew how to complain if they needed to. The manager reported having received one complaint since the last inspection, which was about meals. We saw this letter of complaint and the manager’s response, which showed the matter, had been dealt with swiftly and satisfactorily. The home has experienced a very low level of complaints over the years, and the manager has a history of responding positively to any made. The manager had run a number of training sessions for staff in protecting vulnerable adults from abuse, and nineteen staff of all grades had completed this. The manager had also obtained a lot of information on the Mental Capacity Act, and was preparing to share this with her team. People told us they felt safe and well looked after at Nether Place. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live a clean, warm and comfortable home, where the quality of decoration and provision of equipment is being improved. EVIDENCE: The home is situated in a residential area in the outskirts of Keswick, and is registered to accommodate 32 older people. In reality the home operates to 26 people as some double rooms are let singly. Accommodation is provided over two floors served by two passenger lifts, one at each end of the building. There are three adjoined lounges and a conservatory for shared use. The bedrooms vary greatly in size and shape, and many of them have en-suite facilities. There are assisted bathing facilities and toilets with disabled access, and the home was well equipped with hoists, nursing beds and pressure reducing mattresses. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 15 Since the new owners took over, some improvements have been made to the premises, these include, new dining furniture, a number of new bedroom carpets, some magnetic door closures, new bedding and pillows, and a new hoist and suction machine had been purchased. Re-decoration had been completed in one bedroom to repair the damage caused by a water leak. We were told that there are plans to upgrade the conservatory, after which new carpets will provided throughout the lounges. On the day we visited, two bedrooms were being re-decorated ready for new people to move into. The home was warm, clean, tidy and fresh smelling throughout, and the corridors were clear of clutter. Laundry bags and cleaning materials had been re-located into store cupboards to achieve this. New equipment had been provided in the laundry, and there were dedicated laundry and domestic staff. Care staff were newly responsible for returning laundered clothes to peoples bedrooms. The sluice for washing bedpans and commode pots is a manual shower type, which just rinses out the utensils causing splashing and possible spread of infection. It has been recommended on a number of occasions, that the home install a mechanical sluice for thorough enclosed washing and sterilising of these utensils. The manager told us that the new owners were intending to provide this. Sixteen staff had completed infection control training, and the home had not reported any infectious outbreaks. People told us “cleaning staff are excellent”. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and caring team of staff look after the people living at Nether Place. EVIDENCE: Nether Place continues to meet the nursing and care staffing levels expected, and experiences very little staff turnover. There is ample provision of housekeeping, maintenance and administrative staff. The managers’ time is divided between management duties and acting as the nurse in charge of the shift. On the day we visited, she was the nurse in charge until 2pm when the afternoon nurse arrived. Since the new owners purchased the home, the staff shift patterns had been altered to better suit the residents’ day. Staff now start and finish their shifts at the same time, reducing the need for repeated information handovers to staff arriving on duty at different times. There was better staff cover over lunchtime when people need more help. Staff also had uninterrupted breaks in the newly created staff room, away from work. The home supports care staff to achieve a National Vocational Qualification (NVQ) in care, and approximately 70 of care staff (including overseas nurses working as carers) have achieved this, which is excellent. Since the last inspection a lot of staff training had taken place, and this had been well supported by the new owners. Staff attendance at training was displayed on Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 17 the notice board for visitors to look at, and a number of people commented positively on being able to see this. Training had included the mandatory subjects of fire, moving and handling and safeguarding (abuse), as well as a lot of direct care related training on swallowing difficulties, wound care, infection control and food hygiene. There were plans to provide first aid training and a medicines update next. We checked the homes’ recruitment procedures by looking at three sets of staff files, including those for a newly employed person. The files showed that thorough recruitment checks including references and criminal records bureau checks had been completed before people started work. This is good practise and protects people from having unsuitable persons working in the home. Staff had completed an induction programme and received regular supervision sessions with the manager. People spoke very positively about the staff, saying: • “The cheerfulness of staff and their willingness to talk and befriend residents is good” • “All staff are at high standard and are totally dedicated to residents” • “The staff are lovely” • “Staff have obviously had good training”. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care home is well managed, and run in the best interests of the people who live there. EVIDENCE: Mrs Jane Clarke, the registered manager, is a registered nurse and is suitably qualified and experienced to manage the home. She has been in post for a number of years. She feels well supported by the new owners, Hometrust Care Ltd. The owner, Mrs Joyce, visits Nether Place monthly and provides us (the commission) with detailed reports of these visits. There is also an operations manager who visits the home at least weekly to support the manager. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 19 Some relatives told us they had not formally met the new owners and were concerned about this. The manager stated that the owners have had informal contact with some relatives, when they have visited, and do plan to hold a formal meeting at a later date. There is quality assurance system in operation comprising of management audits and surveys. Since the last inspection, there had been a general survey of residents and relatives that takes place annually, and a recent specific survey on breakfast and getting up times. The homes’ annual development plan had been audited and updated this month setting out the priority areas for the coming year. All of this information was made available to us and we could see that the manager had acted on people’s suggestions and comments. The homes’ management of records was good, all those records required under regulation were available, and people’s private information was stored securely. The manager and administrator held money on behalf of some people, and we looked at the way this was managed. The money was held separately for each person, along with a balance sheet showing each transaction. There were receipts for any spending, and the money and records were audited regularly. We found this system was well managed. Staff received regular formal supervision sessions from the manager, which were documented, and showed that care practices and training needs were addressed. The homes’ policies and procedures, which guide staff, were up to date, and staff were expected to read five policies each month, so as to be familiar with them. The manager promoted the health, safety and welfare of people, through the provision of mandatory health and safety training for staff, and regular checks and servicing on the building and equipment. The maintenance man carried out checks on the fire equipment and monitored the homes’ water systems. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X X 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 OP26 Good Practice Recommendations It is recommended that a mechanical sluice be provided for the thorough enclosed cleaning and sterilising of commode pots and bedpans. Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Nether Place Nursing Home DS0000070338.V354062.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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