Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 17/11/05 for Newquay Nursing Home

Also see our care home review for Newquay Nursing Home for more information

This inspection was carried out on 17th November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff ensure that specialist input is sought on an individual basis as required and work closely with the Primary healthcare team. The home provides a comfortable, homely environment that is clean, warm and ventilated. Generally the Service Users speak very highly about the food. Service Users informed the Inspector that the nursing and care staff work very hard. The Acting Manager has completed a survey supplying questionnaires to Service Users, their family and other stakeholders, this is due to be formalised into a report and made available to Service Users and the Commission for Social Care Inspection.

What has improved since the last inspection?

The Provider has continued a refurbishment plan. A new pergola has been put up. Magnetic door closers are fitted where required. Several nutrition tools have been developed and these are due to be introduced.

What the care home could do better:

The Registered Provider must ensure that minimum staffing levels are maintained. The deployment of staff and staffing ratio of care staff to qualified nurse should be explored. There is only one qualified nurse on at all times of the day with an exception of 7.00 to 08.00 for a handover, this reduces the level of specialist, supervisory, induction, training and documentation review work that can be undertaken. Privacy and dignity of the Service Users must be highlighted as area needing attention, incorporating moving and handlingtraining and accompanying Service Users to the bathroom. An annual training programme to include First Aid, Protection of Vulnerable Adults, Health and Safety and Infection Control issues should be prioritised. Qualified nurses must be involved in the review and evaluation of the care plan and risk assessments. The Inspector observed a gap between the administrative/managerial aspects and the clinical delivery of care, these need to be integrated.

CARE HOMES FOR OLDER PEOPLE Newquay Nursing Home 55 Pentire Avenue Newquay Cornwall TR7 1PD Lead Inspector Kerensa Livingstone Unannounced Inspection 17th November 2005 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 Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 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. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newquay Nursing Home Address 55 Pentire Avenue Newquay Cornwall TR7 1PD 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) 01637 873314 Mrs M E Roy Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (41), Terminally ill (10) of places Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of service users not to exceed a maximum of 41 Date of last inspection 22nd March 2005 Brief Description of the Service: Newquay Nursing Home is registered to provide accommodation and nursing care for up to 41 Service Users who fall into the categories of Old Age (OP), Old Age nursing (OP (N)), Physical Disability (PD) and Terminally Ill (TD). The home is situated on Pentire Avenue in Newquay and the location offers some of the service users a scenic view over the beach and out to sea, others can enjoy distant countryside views. Service user rooms are situated on the ground floor and the first floor. The registered provider is Mrs M E Roy. Mr T Roy is currently acting as manager as an interim arrangement, the permanent post is being advertised. There is a shaft lift, which can take wheelchair users to the first floor. There is a small patio area to the rear of the building where Service Users can sit with a pergola. There is a small parking area to the front and rear of the building. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection that took place over a full day. The Inspector looked at records, care plans, Policies and Procedures and the environment. The Inspector met with the Acting Manager, staff and spoke with the Service Users. Newquay Nursing Home provides a comfortable environment. What the service does well: What has improved since the last inspection? What they could do better: The Registered Provider must ensure that minimum staffing levels are maintained. The deployment of staff and staffing ratio of care staff to qualified nurse should be explored. There is only one qualified nurse on at all times of the day with an exception of 7.00 to 08.00 for a handover, this reduces the level of specialist, supervisory, induction, training and documentation review work that can be undertaken. Privacy and dignity of the Service Users must be highlighted as area needing attention, incorporating moving and handling Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 6 training and accompanying Service Users to the bathroom. An annual training programme to include First Aid, Protection of Vulnerable Adults, Health and Safety and Infection Control issues should be prioritised. Qualified nurses must be involved in the review and evaluation of the care plan and risk assessments. The Inspector observed a gap between the administrative/managerial aspects and the clinical delivery of care, these need to be integrated. 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. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 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 Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 & 6 Service Users are provided with the information that they need to make an informed choice about where to live. EVIDENCE: The statement of purpose complies with the standards and regulations. The Service Users Guide observed in Service Users rooms does not include the last inspection report. The Service Users guide must include all the required information. All service users are provided with a copy of the service users guide to enable them to make an informed choice about whether the home meets their needs. All Service Users are provided with a contract of terms and conditions, since the last inspection any Service User admitted for respite or by the Rapid Access Team sign one too. The statement of purpose and the service users guide contain information about trial visits. There is a clear policy and procedure on trial visits. In practice, the level of frailty of many prospective service users is such that Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 9 family members often visit a number of care homes in making a choice on the service user’s behalf. However, there is an initial trial period for service users following admission. An assessment is arranged, to meet and assess prospective service users in their own home or in hospital. The Inspector was informed that there is a flexible approach to introductory visits. Newquay Nursing Home is not currently providing Intermediate Care. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 10 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): 7, 8 & 10. The Inspector believes that the Service Users health needs are being met. The documentation directing care must be reviewed and evaluated by the practitioners who are delivering the care. EVIDENCE: Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 11 All Service Users have a plan of care that cover aspects of their care, there is evidence that these have been discussed with the Service User and/or their representative. However, these are not being reviewed monthly or sooner as required. The plan of care should be planned, reviewed and evaluated by the qualified nurses. Currently the Acting Manager writes the plan of care and the qualified staff are delivering the care. Concern was expressed about the number of staff on duty, therefore there maybe a resourcing issue. A daily record is kept. A copy of the care plan is kept in the Service Users room and the plan is for carers to sign the care delivered, the Inspector was informed and observed that this is not happening. Risk assessments have been completed as recommended at the last inspection for the high number of service users who have cot sides on their beds. The use of cot sides must be kept under review. Risk assessments must be regularly reviewed by the qualified nurses, including after there has been a fall or incident. Independent nutritional needs assessments are being completed with additional nutritional tools, these documents need to be integrated into the plan of care and kept under review by the qualified nurses. On the day of the Unannounced Inspection a District Nurse was undertaking a needs assessment on some of the Service Users. A domiciliary Dentist, Optician and Chiropodist visit the home. The Inspector discussed concerns over some observed moving and handling practices, where a Service User was transferred without using a hoist. All Service Users are registered with a General Practitioner. Information gathered covers physical and psychological health, in addition to social history. Advice is sought from Clinical Specialists such as the Community Psychiatric Nurse, Tissue Viability Nurse, as required. The Inspector observed that practice of footrests being removed from wheelchairs was happening as identified at previous inspections. Screening is provided in double rooms. Staff are instructed on how to treat Service Users with dignity and respect their privacy. Some Service Users who the Inspector spoke with felt that this was an area that could be improved. The Inspector observed the leaving of the bathroom door ajar whilst a Service User was using the facilities. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 12 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): 12, 13 & 14 Service Users are enabled to make choices about how they live their lives. Visitors are welcomed to the home. EVIDENCE: The Inspector was informed that there is a part time member of staff who does activities with the Service Users on an individual basis. On the day of the Unannounced Inspection there was an organist playing in the afternoon in the main lounge. Service Users have been consulted about the programme of activities in the past this must be kept under review. Several Service Users thought there could be more activities/entertainment within the home. A list of services is available on the notice board in the reception area, this includes a hairdresser and beauty therapist/manicurist. Visitors are welcomed to the home at any reasonable time. There is a lounge area where relatives can visit if they are occupying a shared room. No volunteers are employed within the home. The Inspector was informed that there is a separate lounge/dining area where Service Users may invite a family member for a meal. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 13 Service Users are encouraged to handle their own finances for as long as they wish. Service Users are entitled to bring in personal possessions with them and this is agreed during the admission process. The personal choices and wishes of Service Users documented in the records should be reflected in the routines of the home. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 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, 17 & 18 The Registered Provider must ensure that the staff are aware of the action to take if a Service User has a complaint or to ensure that they protected from the risk of abuse. Service Users legal rights are protected. EVIDENCE: There is an up to date complaints procedure that includes timescales and the right to approach the Commission at any stage of the process. A record is kept of all complaints and the action taken. Service Users informed the Inspector that they knew who to speak to if they were unhappy about anything. A couple of Service Users did not seem sure that their complaints would be acted upon. There is evidence of arrangements for service users to have their financial affairs managed by family and other representatives. There is a policy statement on the legal rights of service users. The Registered Provider does not act as appointee or agent for any service users for their benefits. The Provider reported that most service users had arranged a postal vote. The Protection of Vulnerable Adults policy and procedure meets the standard. One member of staff has attended the training provided by Cornwall Social Services, the importance of the rest of the staff attending was discussed. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 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, 20, 21, 22, 23, 24 & 26 The environment meets the needs of the Service User in a homely, hygienic and comfortable way. Specialist equipment must be utilised to reduce the risks to Service Users. The sluice facility should be functioning to reduce the risk of infection. EVIDENCE: The home is accessible and generally well maintained. The location on the edge of Newquay, and the layout of the home are suitable for its stated purpose. Many rooms have excellent sea views. The Provider has continued a programme of redecoration, refurnishing and refurbishment. There is a maintenance record book. The grounds were tidy. There are two small paved areas outside for service users. The home provides a range of shared facilities. These comprise the dining room, a large main lounge, a smaller lounge, a conservatory and an activity area. The entrance hall is spacious and also provides a small seating area. The furniture in communal areas is generally of a good standard and domestic in Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 16 nature. Lighting appeared sufficiently bright. There are two small paved areas outside for Service Users and a pergola. There are two bathrooms with assisted baths on the ground floor. On the first floor is a bathroom with assisted bath and a recently installed level entry shower. There is a shower chair for this facility. Most of the rooms have a toilet and wash hand basin. An occupational therapist has visited the premises and provided a full assessment of the facilities. There was evidence of the use of disability equipment. There are three hoists within the home. The Inspector was concerned to see Service Users using wheelchairs without foot rests and care staff moving a Service User without using a hoist. Two shared rooms are slightly below 16 square metres. As this home was registered before 31 March 2004, this is acceptable under the amendments to the standards. Service users’ rooms generally contain the furniture and fittings required. The Provider has a programme of redecorating and renewing carpets in the service users’ rooms. All doors are lockable from the inside and this can be overridden from the outside. Rooms have a lockable drawer. Screening was provided in double rooms. The majority of the rooms have adjustable hospital type beds. Service users were satisfied with the facilities. The premises were clean and generally free from odours. Toilets, basins, baths and the shower were clean and hygienic. Hand-washing facilities for staff provide liquid soap and paper towels were available throughout the home. Protective clothing was provided for infection control purposes. There are several policies and procedures relating to this area including one for infection control. There is a sterilising sluice facility on the ground floor; the sluice machine on the first floor should be rendered in working order. There are two industrial standard washing machines. The laundry is sited well away from the kitchen and has an impermeable floor. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 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): 27, 28 & 30 The Registered Provider is committed to service user safety and comfort, however minimum staffing levels must be maintained and staff must be provided with the training that they require to protect the health and safety of the service user. EVIDENCE: Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 18 There is a rota, which records the staff on duty. Due to the reduced levels of occupancy, on the day of the inspection there were 29 Service Users, staffing levels have dropped to one qualified nurse and five carers in the morning, however at times on the morning of the inspection this was down to four carers. The Acting Manager and Administrator were on duty, in addition to a cook, maintenance person and housekeeper. Previously when the home was fully occupied there had been one trained nurse, seven carers, two administrative staff and ancillary staff. There is one qualified nurse and three carers until 22.00, which was identified as short staffed at times. At night there is one qualified nurse and two carers. The Inspector discussed concerns about staffing levels with staff and the Acting Provider. The Registered Provider is required to maintain minimum staffing levels. The Inspector observed staff to be very busy on the morning of the unannounced inspection. There is no qualified nurse overlap at the main handover between the morning and afternoon shift. At the last inspection service users raised a concern and staff was that when a member of staff is absent at short notice through sickness, and the full staffing level is not maintained, the quality of service provided to service users suffers noticeably. This was repeated at this inspection. One Service User described staffing as ‘not good’. The Inspector queried how able the qualified nurses were to respond to all the demands made upon them if they are the only qualified nurse on duty. On the day of the inspection the levels of dependency were high including dressings, feeds, Service Users who required all care, pressure area care, infection control issues and generally immobile Service Users. Five out of seventeen staff have their National Vocational Qualification Level 2 and one has their National Vocational Qualification Level 3. Six staff are doing their National Vocational Qualification Level 2. The home is staffed with one qualified nurse on duty at all times. Service users generally felt that the staff worked hard. Staff stated that it was a good team and the managers are approachable and listen and respond to issues raised by staff. There did not seem to be a clear training programme. Supervision and training records are kept together. The induction format is from a training consultancy and based on the Training Organisation for the Personal Social Services (TOPSS) standards. The Inspector discussed with the Acting Manager that there appeared to be gaps in Infection Control, Health and Safety and First Aid training. Individual training records for staff have been commenced, however these required further development. Protection of Vulnerable Adults Training is required for all staff. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 19 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): 31, 32, 33 & 36 The home would benefit from a permanent manager who offers strong leadership, however the home is being managed by someone who is fit to manage the home at this time. Staff are supervised formally and informally. Service Users and stakeholders views are gathered these must be formalised. EVIDENCE: Mr T Roy is currently covering the day-to-day management of the home and Acting Manager. He is a first level nurse. The providers are in the process of recruiting a registered manager and are advertising the post. There are clear lines of accountability, however the clinical and managerial aspects will need to more integrated to ensure effective care. Staff meetings have not been held for some time (April 2005 last one), these should be restarted. The Registered Provider must ensure that there are strategies for enabling staff, Service Users and stakeholders to effective the Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 20 way the service is delivered. All staff are provided with a copy of the General Social Care Code of Practice. The atmosphere was friendly and welcoming. The Registered Provider has carried out a quality survey and gathered feedback from Service Users, their relatives and other stakeholders. A copy of the results will be published, made available to Service Users in the Service Users Guide and sent to the Commission for Social Care Inspection. A file of ‘thank you’ and compliment letters is retained. Staff reported that reliable and accessible informal advice and guidance was provided. There is regular formal supervision for all care staff. The records detail meetings but do not record the content or an action plan. The Inspector was advised that all staff have had an appraisal. Suitable records are maintained that detail performance, skills and training needs. No volunteers are employed in the home. Magnetic door closers have been fitted to doors as required. A Radon test has been completed on the advice of the Environmental Health Officer and no action is required. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 21 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 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 2 3 3 X 2 STAFFING Standard No Score 27 2 28 2 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 X X 3 X X Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 22 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 5 Requirement The Registered Provider must ensure that the information required is included in the Service Users Guide. The Registered Provider shall keep the Service Users plan under review and notify the Service User of any such revision. The Registered Provider shall make suitable arrangements to ensure that the care home is conducted in a manner, which respects the privacy and dignity of the Service Users. The Registered Provider shall ensure unnecessary risks are identified and so far as possible eliminated e.g. footrests fitted to wheelchairs. The Registered Provider is required to maintain minimum staffing levels. The Registered Manager is required to provide an Annual training and development plan for all the staff, records of training must be kept and it must comply with the National DS0000041356.V252300.R01.S.doc Timescale for action 01/01/06 2. OP7 15(2) 01/01/06 3. OP10 12(4a) 01/12/05 3. OP22 13(4b &c) 01/12/05 4. 5. OP27 OP30 18(1a) 18(1c) 01/12/05 01/02/06 Newquay Nursing Home Version 5.0 Page 23 6. OP31 9 (1)(2b) 7. OP33 24 8. OP38 13(5) Training Organisation requirements (TOPSS). The Registered Provider or Manager who has or is working towards the National Vocational Qualification Level 4 in Management. The Registered Provider shall supply the Commission with a report of any review conducted and make this available to Service Users. The Registered Provider shall make suitable arrangements for the moving and handling of service users. 01/02/06 01/02/06 01/01/06 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. 2. 3. 4. 5. Refer to Standard OP8 OP18 OP26 OP28 OP32 Good Practice Recommendations For the nutritional assessments to be integrated into the Service Users plan of care. For all staff to receive training in the Protection of Vulnerable Adults to ensure that they have understood the action to be taken. The sluice facilities on the first floor should be made available for all staff to reduce the risk of infection being spread within the home. For there to be a minimum of 50 National Vocational Qualification Level 2 staff. For staff meetings to be recommenced, to provide an opportunity for staff to contribute to the running of the home. Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Newquay Nursing Home DS0000041356.V252300.R01.S.doc Version 5.0 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!