Inspection on 19/09/07 for Nightingales Residential Home

This inspection was carried out on 19th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 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

Nightingales Residential Home 16/08/06

Nightingales Residential Home 31/10/05

Nightingales Residential Home 03/05/05

Nightingales Residential Home 09/12/04

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

CARE HOMES FOR OLDER PEOPLE Nightingales Residential Home 24 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT Lead Inspector Martin Bayne Key Unannounced Inspection 19th September 2007 9:00 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 Nightingales Residential Home DS0000061189.V351038.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. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nightingales Residential Home Address 24 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT 01202 429515 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) rhodescarehome@aol.com Rhodes Care Home Ltd Mr Geoffrey Rhodes Care Home 11 Category(ies) of Dementia - over 65 years of age (11), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (11) Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2006 Brief Description of the Service: Nightingales is a care home for 11 older people with dementia or a mental disorder. It is situated in a quiet residential road, within walking distance of local shops and approximately half a mile from the cliff top and coastal walks. The main centre of Southbourne with all its amenities, such as post office, shops, churches, GP surgeries, library etc, is about one mile away. There is limited off-road car parking available at the front of the home, with further parking on the road outside. Buses are available nearby to and from Southbourne, Bournemouth, Christchurch and beyond. Nightingales is a large detached house that has been converted to a care home, offering accommodation on the ground and first floors. A stair lift is available to assist access between floors. There are nine bedrooms for residents in the home, two of which are shared by two people. Three of the bedrooms have ensuite facilities and there is sufficient bathroom and toilet provision on both floors. The home also has a lounge, separate dining room and porch area where some residents like to sit. There is an attractive rear garden that is accessible to residents and garden furniture is available. The accommodation is comfortable and homely. 24-hour personal care is provided. Laundering of personal clothing, bed linen etc is carried out on the premises. All meals are prepared and cooked within the home. Although a choice of menu is not offered for the lunchtime meal, a variety of alternatives are available to suit individual taste and preference. The current fees are as follows: £490 per week for all residents. Rhodes Care Home Ltd also owns one other care home in Dorset. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place between 9.00 and 1.35 PM. The aim of the inspection was to follow up on the seven requirements and two recommendations made at the last key inspection in of August 2006, and also to evaluate the home against the key National Minimum Standards for older people. Mr. Rhodes, the Registered Provider and Manager of the home assisted throughout the inspection providing records and informing of how the needs of residents were met. A tour of the premises was made and time was spent speaking with the residents about life in the home. Prior to the inspection, Mr. Rhodes had completed and returned an Annual Quality Assurance Assessment (AQAA) document, which was also used to inform the judgements contained within this report. At the time of inspection the home was full with 11 residents accommodated, eight of the residents being funded through Social Services contracting arrangements and three residents privately funded. What the service does well: Prospective residents needs are assessed to ensure that the home only admits those people whose needs can be met. Residents’ health and social needs are met through good care planning. Residents are treated with respect and dignity. The home has a well-established staff team trained to meet the needs of the residents. Nightingales provides a ‘homely’ environment. The home was found to be well managed in the interests of meeting residents’ needs. Nightingales Residential Home DS0000061189.V351038.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 Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 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 Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their needs being assessed prior to being offered a place at the home. EVIDENCE: Mr. Rhodes informed of the procedure for admitting a person into the home. Usual practice is for Mr. Rhodes and the deputy manager to go and visit the person and carry out a pre-admission assessment of need. The person referred and/or their relatives are invited to visit the home to assist them in making a decision about moving to the home. An assessment form is completed at the time of the pre-admission assessment that uses the topics detailed within the National Minimum Standards. If a decision is made that the Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 10 person’s needs can be met at the home, they are informed of this in writing and an offer of a place at the home is made. Prospective residents or their relatives are also provided with a copy of the Service User Guide, which provides comprehensive details about the home. A sample of residents’ files for two people who had moved into the home since the last key inspection were used to track paperwork that the home is required to maintain as evidence of the care provided in the home. It was found that for both residents an assessment of their needs had taken place and been recorded prior to their being offered a place at the home. It was found that as well as carrying out their own assessment, the home had obtained copies of the Social Services care management assessment and care plan that were also used as part of the assessment process. Letters were seen that had been sent out informing that needs could be met and of a formal offer of a place at the home being made. The home does not provide an intermediate care service. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being treated with respect and their health needs being met through care planning. Medication is also administered safely. EVIDENCE: Mr. Rhodes informed that once a person is admitted to the home the assessment process continues so that a plan of care can be developed with the person on how their needs can be met. The care plans for the two residents tracked through the inspection were seen. These were easy to read being well set out, covering all the areas of need detailed within the assessments. Life histories are also completed with the assistance of relatives, so that person centred care can be provided for residents. On the front page of each person’s Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 12 file there was a recent photograph of the person and the name of their GP. There was also a key information sheet providing information about key contacts and other important information. It was found that care plans were being reviewed each month or when the needs of the person changed. In the case of both residents, their relatives had signed their care plan to inform that they had been involved in developing the plans, as the residents did not have the mental capacity to do so. There was also a separate file for staff to record daily notes and within this file there was also a summary sheet of each person’s care plan. There was evidence within the care plans and daily recording for the two residents tracked through the inspection that health needs were being met and attended to. Visits by GPs, chiropodists, dentists, district nurses and other health professionals were being recorded. In the case of one person there was a record of the arrangements made for the person’s hearing aid to be replaced. In the case of the other resident, there was a record of how the home was working with the Community Psychiatric Nurse to meet this person’s needs. During the inspection one person was seen within their room and a group of eight residents were spoken with in the main lounge. Due to the mental frailty of many of the residents accommodated, they were not able to provide much of an account of life at the home. One resident who was able to inform about the home, said that the staff had always treated them with courtesy, respecting their right to privacy and dignity. Staff were observed interacting with the residents in the main lounge and there appeared to be good relationships between the two. The medication administration records for all of the residents were seen. and it was found that these were being completed correctly with no gaps within the records. At the front of each person’s medication record was a photograph of the person and any known allergies. Where hand entries had had to be made to the medication administration records, a second person had checked and signed that the record was accurate. The home has a locked cabinet where medications are stored, with the senior member of staff on duty holding the key. There is therefore accountability for medications within the home. Within the medicine cabinet there is a separate inner lockable facility for the storing of controlled drugs. At the time of inspection there were no residents prescribed controlled drugs however there was a controlled drugs register available should controlled drugs be prescribed. Medications were being stored correctly with topical medications kept separately from oral medications. All of the staff who administer medication had received training in safe administration of medication. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their leisure, recreational, spiritual and social needs being met and through being able to exercise choice and being provided with a good standard of food. EVIDENCE: Mr. Rhodes informed that one member of staff is specifically employed to carry out activities with residents and records were seen of activities undertaken with residents. By obtaining information about a person’s life history, the home tries to provide both communal and individual activities to meet their needs. A list of daily activities was on display in the lounge with an ‘extend’ group being held in the afternoon of the inspection. Other communal activities included arts and handicrafts, quizzes, bingo and music. On the morning of the inspection old time music was being played in the lounge to the clear enjoyment of the residents. Staff were seen providing reassurance to one Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 14 resident who had recently moved to the home and who was unsettled. On the notice board at the front reception there were minutes of the last residents meeting when it had been suggested that residents would like a Chinese meal and also to have fish and chips from a fish and chip shop. And Mr. Rhodes informed that since the meeting both meals had been provided to residents. Concerning spiritual needs, a visiting member of the clergy attends the home to carry out a Holy Communion service and also to give pastoral support to residents. One resident goes out to church with their daughter and Mr. Rhodes informed that on occasion staff had accompanied this resident. One resident spoken with informed that they could receive visitors whenever they chose. They also said that their visitors were made welcome at the home. Mr. Rhodes informed that there were no restrictions on visitors and that relatives were actively encouraged to be involved in the home. As part of the assessment process residents’ likes and dislikes with regards to food are noted and recorded. The home works to a four weekly menu cycle, which was seen and this provided evidence that there was a varied and balanced diet being provided at the home. A bowl of fresh fruit was provided in the living room. On the day of inspection a roast chicken meal was provided to residents at midday. Mr. Rhodes informed that although there was not a formal choice of two dishes being provided each day, should it be known that a resident did not like the meal, an alternative would be provided. The residents spoken with said that the food was to their liking and there were no complaints made that the food. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 15 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 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-publicised complaints procedure and through the staff being trained in adult protection. EVIDENCE: The complaints procedure for the home is displayed at the front reception and is also detailed within the Service User Guide. Residents and their relatives are provided with a copy of the Guide when the person is admitted to the home. Since the time of the last inspection in August 2006 there have been no complaints made to the management of the home and none have been brought to the attention of CSCI. All of the staff receive training in adult protection as part of their induction. The home has full policies and procedures including ‘No Secrets’, for the protection of vulnerable adults. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 16 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): 19 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-maintained and ‘homely’ environment, however plans should be made for improvement to the laundry area to promote better infection control. EVIDENCE: On account of the mental frailty of the residents and the risk of them getting lost should they wander from the home, the front door is kept locked and there is a keypad linked to the fire alarm system. The home has a secure and wellmaintained garden that residents can access. Mr. Rhodes informed that staff Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 17 supervise residents if they use the garden as there is a pond which could constitute a hazard. A tour of the premises was made and it was found that the home was clean and fresh with no adverse odours. The home was in reasonable decorative order throughout and furniture and fittings in a good state of repair. Mr. Rhodes informed that over the next year there were plans to re-carpet and to repaint all residents’ bedrooms. Residents’ bedrooms were seen and there was evidence that they could personalise their rooms with furniture and their own possessions. It was seen that for the two residents tracked through the inspection, an inventory had been recorded of all furniture and possessions brought into the home. A specialist bed had been provided for one lady who was bed bound and the home had also purchased a hoist and ‘stand aid’ to meet residents’ needs. At the last inspection a requirement was made concerning dignity of residents as many bedrooms had continent’s products on view. To meet this requirement the home is in the process of replacing vanity units below sinks that will provide adequate storage area for storing continence products. Mr. Rhodes informed that currently four bedrooms had had the new units installed and that this work would be carried through as soon as possible. Continence products were not on view in bedrooms at this inspection. A recommendation was made at the last inspection that risk assessments be carried out where residents do not have secondary lighting in their bedrooms for reasons of safety. Mr. Rhodes informed that all residents have now been provided with bedside lighting to meet this recommendation. Concerning infection-control it was noted that alcohol gel dispensers were sited at the front reception and in strategic areas. It was agreed that an alcohol gel dispenser would be placed in the laundry area as there are no hand washing facilities within the laundry room. It is recommended that long-term the home should plan for fitting a hand washing sink and also a sluice. In the meantime, it was agreed that procedures for maintaining infection control, especially the cleaning of commodes could be expanded and developed to reduce the risk of cross infection. It was found that staff are provided with protective clothing such as gloves and aprons. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 18 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 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-trained staff team who have been recruited in line with good practice. EVIDENCE: The home continues to provide the same staffing levels as found at the last key inspection in August 2006. Between the hours of 8.00 AM and 8.00 PM there are two care assistants on duty. During weekdays between 8.00 AM and 4 PM, the deputy manager is also on duty and available in the home. During the nighttime period there is one member of staff on an awake duty and one person who carries out a sleeping-in duty. Sleeping-in facilities are provided in rooms at the top of the home. A cook is employed between 9.00 AM and 1.00 PM seven days a week and domestic assistants employed for five or six days a week, also between 9.00 AM and 1.00 PM. An activities organiser is employed between 1.30 PM and 4.30 PM. each day. Mr. Rhodes, who is responsible for the management of the home, maintains a high presence but is not formally on the duty roster. Mr. Rhodes was satisfied that the levels of staff met the needs of the residents. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 19 At the last inspection it was recommended that a ratio of 50 of staff to be trained to the level of NVQ level two. The AQAA submitted prior to the inspection informed that the home has now achieved this ratio. At the last inspection a requirement been made concerning recruitment procedures as it had been found that two written references had not been taken up in respect of a member of staff who had been employed at the home. Since the time of the last inspection there has been one new member of staff recruited and their records were seen at this inspection. It was found that all the requirements of Schedule 2 of the Regulations concerning recruitment had been met, including a recent photograph, proof of identity, a criminal record bureau check, a check against the register of adults deemed unsuitable to work with vulnerable adults, two written references, full employment history and a health declaration. On occasion the home employs agency staff, and it was found that a letter is obtained from the agency to inform that their staff have been subject to recruitment checks in line with Schedule 2. The requirement was therefore met. At the last inspection a requirement was made concerning training in that staff should receive training in care of people with dementia, mental disorders and challenging behaviour. It was found at this inspection that staff had been provided with this training in collaboration with the local mental health team. A requirement had also been made that staff receive fire training at appropriate intervals. Mr. Rhodes was able to provide a record of training demonstrating that all staff had received fire safety training twice in a 12 month period, thus meeting this requirement. The training audit also demonstrated that staff have been trained in key areas such as health and safety, moving and handling, adult protection, basic food hygiene and infection control. The recruitment files seen during this inspection contained training certificates that tallied with the training record seen. It was also noted that the staff had been provided with some training concerning the new Mental Capacity Act 2005 and booklets and advice on the new Act were on display in the front reception area. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 20 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 37 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the interest of residents with regards to health and safety. EVIDENCE: Mr. Rhodes informed that he has now completed the Registered Managers award, NVQ level four in management, although he is now awaiting certification for the award. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 21 There was evidence that the home is run in the interests of residents through action being taken on suggestions raised at residents’ meetings, through person centred care planning and from feedback from the residents able to give an account of life at the home. At the last inspection a requirement was made that the home be more pro active in carrying out quality assurance surveys. Since that time residents and relatives surveys have been sent out and information collated. As reported at the last inspection, the home prefers wherever possible to have no involvement in residents’ personal finances. The home however does keep small amounts of money on behalf of one resident. Detailed records were seen for all transactions concerning this resident. It was recommended that the home develop a policy in the event of a person having to be admitted to hospital as an emergency under the Mental Health Act 1983. The fire log book was seen that provided evidence that tests and inspections of fire safety system were being carried out to the required timescales. The returned AQAA provided information of tests and inspections for other equipment and systems within the home. A current employers liability insurance certificate was displayed at the front reception. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 22 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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. 2. Refer to Standard OP26 OP37 Good Practice Recommendations It is recommended that the home make plans for improvement to the laundry area concerning hand washing facilities and the installation of a sluicing area. It is recommended that the home develop a procedure for emergency admissions to hospital under the Mental Health Act 1983. Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Nightingales Residential Home DS0000061189.V351038.R01.S.doc Version 5.2 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. 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