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Inspection on 11/10/05 for Norman Hudson Nursing Home

Also see our care home review for Norman Hudson Nursing Home for more information

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 information obtained in pre- admission assessments is good and provides a base on which the service users care plan can be developed. During the inspection one of the inspectors spoke to some recently bereaved relatives who advised the care and communication provided by staff during the last days of their relatives life was good.

What has improved since the last inspection?

Some improvements to the standard of care planning was noted, four out of the five care plans audited were of a good standard. The fifth care plan was poor and work is still needed to ensure all care records meet the service user`s needs. Since the last inspection an activities coordinator has been employed and activities are now being offered in the home. Although some of the carpets in the home require changing the general cleanliness and odour control has improved since the last visit.

What the care home could do better:

Information provided by the home about its services must be updated to reflect the current staff team and the services offered in the home. Work is required to ensure all service user plans meet the service users` needs. The home`s policy and practice regarding service users self medicating must be reviewed to ensure safe practice. Staff must be trained and supervised to ensure that service user`s privacy and dignity are respected at all times. Staff must be trained to communicate with relatives and keep them informed of any changes in service users` health care and treatment. The arrangements in place for the provision of meals to service users with differing cultural needs should be reviewed. There is an urgent need for all staff to receive training about abuse and adult protection procedures. A whistle blowing policy must also be developed. Some carpets need replacing and the laundry system needs to be monitored to ensure it is effective. Work must be done to ensure there are sufficient numbers of suitably skilled and experienced staff on duty at all times. Staff retention and supervision must be improved. Some stable and permanent management must be provided at the home and steps should be taken to recommence service user and relatives meetings. The records held relating to service user`s finances must be improved. Action must be taken to ensure there are safe systems in place for the movement and handling of service users.

CARE HOMES FOR OLDER PEOPLE Norman Hudson Nursing Home Meltham Road Lockwood Huddersfield West Yorkshire HD1 3XH Lead Inspector Sally McSharry Announced Inspection 11th October 2005 09:20 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 Norman Hudson Nursing Home DS0000045225.V250983.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. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Norman Hudson Nursing Home Address Meltham Road Lockwood Huddersfield West Yorkshire HD1 3XH 01484 451669 01484 426960 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) Park Homes UK Ltd Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and nursing care for one named service user under 65 years. 4th May 2005 Date of last inspection Brief Description of the Service: Norman Hudson Care Home is a stone, purpose built home set back from the main road in the Lockwood area of Huddersfield. The home provides care and nursing for up to forty two older people. All the bedrooms have ensuite facilities. Thirty four of the places in the home are in single rooms, with the remaining beds provided in four double rooms. Bedroom accommodation is provided on the first and second floor, with lounge and dining areas on the ground floor. All floors are accessed via a passenger lift. The home is within a few minutes walk of the local amenities, including the bus route. There is a garden to the rear of the building which service users can use. There is ample parking at the front of the home. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced visit carried out by two inspectors. The inspectors arrived at the home at 9.20am and the inspection was completed at 5pm. During the visit three senior staff from Park Homes Ltd assisted the inspectors, as the current acting manager at the home was on sick leave. During the visit the inspectors spoke to some service users, informally interviewed some staff, carried out a brief tour of the building and checked health and safety records. A selection of five care records was audited, including service user’s medication and financial records. Staff records, training and staffing levels were also reviewed. A selection of the core standards was inspected during this visit. Some weeks prior to the visit service user and relative/visitor feed back cards were forwarded to the home and circulated. The CSCI received a good level of response. Seventeen feedback forms and letters were received from relatives/visitors. Comments from the feedback cards will be included in this report. It is fair to say information received in comment cards included a high proportion of negative comments. Some respondents acknowledged that action was being taken to resolve many of the issues identified and that new staff recruited to the home had improved their confidence in the homes ability to care for their relative. What the service does well: What has improved since the last inspection? Some improvements to the standard of care planning was noted, four out of the five care plans audited were of a good standard. The fifth care plan was poor and work is still needed to ensure all care records meet the service user’s needs. Since the last inspection an activities coordinator has been employed and activities are now being offered in the home. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 6 Although some of the carpets in the home require changing the general cleanliness and odour control has improved since the last visit. 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. Norman Hudson Nursing Home DS0000045225.V250983.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 Norman Hudson Nursing Home DS0000045225.V250983.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 and 3. There is some information available at the home to enable prospective service users make a choice as to whether they wish to live at the home, however this information needs to be up dated. Detailed pre admission assessments are carried out before a prospective service user is admitted to the home. EVIDENCE: A copy of the statement of purpose is available in the entrance of the home. The information held in the statement of purpose is out of date and must be updated to reflect current staffing and practice in the home. There is evidence in service users’ records that a detailed pre admission assessment is carried out before a prospective service user is admitted to the home. The home does not provide intermediate care. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9. and 10. The care planning system needs attention in terms of consistency, frequency and detail in order to ensure that service users needs are met. Service users receive medical care and the medication processes generally protect service users, although some attention is necessary to ensure safe practice is followed when service users self medicate. Service users do not always have their dignity and privacy respected. EVIDENCE: Some training on writing care plans has been provided since the last inspection and four care plans seen were of a good standard but lacked some specific detail. The fifth care plan observed failed to identify all the service users health and welfare needs and risks, or advise staff how to appropriately care for the service user. This must be addressed with staff. There is some evidence in recent weeks that some staff are communicating with service users and relatives about changes in service users care. There were some positive comments made by visiting relatives on the day of the inspection, however several relative/ visitor feed back cards and letters said that staff do not keep relatives informed of care issues and changes in medications. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 10 There was evidence in the care records that when needed, staff call in other health care professionals and assist service users to access NHS facilities. The management of medications was of a satisfactory standard. Medications audited were found to correspond to the records. Service users are able to self medicate at the home; some work is needed on the policy around self-medication to ensure the pharmacist dispenses medications directly into the dosette box if used. Service users were generally complimentary about staff and the care they provide, however one inspector noted two members of staff talking through a toilet door which was ajar whilst a service users was in the toilet, this is not acceptable and does not afford the service user privacy or dignity. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15. Service users now have good access to a range of activities that satisfies their needs and have unlimited contact with family and friends. Service users have access to some choices in their lives. A good wholesome and appealing diet is provided to most service users, however provision for those with cultural needs is not as comprehensive. EVIDENCE: Although feed back received before the inspection indicated that little social activity is provided, the level of activities has improved. Since the last inspection an activities coordinator has been employed. Both service users and staff commented positively on the provision of activities. There was some concern raised about how some activities such as entertainers are being funded, the registered provider later advised that the activities organiser had suggested to relatives they may like to make a voluntary donation toward the cost of providing entertainers in the home. On the day of the visit one visitor said she was please to see a member of staff sat with her relative reading extracts out of the local paper to them. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 12 Service users are able to maintain contact with their relatives and contact with the local churches is to be re established by the new activities organiser. There are choices offered in the home, such as where service users spend their time, meals provided and when they rise in a morning and go to bed at night. Comments about the meals provided were positive. There is a set main menu and alternatives are offered. There is no record made if a service user has had an alterative to the main menu. A record must be maintained. The relatives of one service user from a different cultural background bring meals in daily. There was some confusion whether the relatives are doing this by choice or because they believe the homes kitchen cannot provide suitable food. This should be reviewed with the family involved. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. An up to date complaints procedure is in place. Service users need to be protected from abuse; staff must be trained to ensure all service users are protected from abuse. EVIDENCE: There is an up to date complaints procedure in the home. Two complaints have been made to the provider since the last inspection. One has been resolved and one is ongoing. One complaint has been investigated by the CSCI; this complaint remains unresolved. Feed back from relatives, about complaints, is varied. One relative said they were confident to raise any concerns with staff at the home and that they would be addressed. One comment card said that the management of the home did not take complaints seriously. Staff who were interviewed by the inspectors were confident that if service users raised a complaint with them that they would report this directly to the nurse in charge. Service users and relatives must be confident that concerns raised will be addressed. Although there is an adult protection procedure in the home there is no whistle blowing policy and procedure, this should be developed. Staff were not clear about what to do if they suspected any abuse had taken place. This must be addressed urgently through staff training, particularly as the inspectors identified two adult protection issues during this visit. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Work is required to ensure service users live in a safe well maintained environment. The home was clean at the time of the inspection; steps should be taken to improve the infection control practice in the home. EVIDENCE: The home is generally well maintained, however the lounge carpet has been identified in the last two reports as being worn in places. Whilst temporary repairs have been made, this carpet must be replaced to avoid it becoming a trip hazard. The main corridor carpets are also very worn and the lack of pile on these carpets is making them slippery in places. These must be replaced. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 15 Since the last inspection some new bedroom carpets have been provided and there were less odour problems noticed during the visit. A feed back card included comments about the poor cleanliness of the home. Some comment cards also identified the management of the laundry as an issue; this should be monitored closely. The laundry at the time of the visit looked organised and service users clothes were folded neatly and hung on coat hangers. It is recommended staff are provided with alcohol hand gel as an extra precaution against the spread of infection. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 28 and 30. There are not always sufficient staff provided to met the needs of service users. Further training and supervision is required to ensure that service users are in safe and competent hands at all times. The home’s recruitment policies and practice has improved and now provides better protection to service users. EVIDENCE: Thirteen feed back cards stated that there were insufficient staff on duty at the home to meet service users needs. Duty rotas are written in pencil and show that on an occasions in September 2005 two staff rang in sick with short notice and left the home very short of staff, agency cover was sought but cover was only obtained after several hours. Since the last inspection there has been some staff turn over. Some new staff have been employed, further staff recruitment and retention needs to take place to ensure sufficient staff are provided to meet the needs of the service users. New staff have had some induction and training but further training is required to ensure that staff are skilled and competent to meet service users needs. Training is required in movement and handling, health and safety, first aid and adult protection procedures. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 17 Staff recruitment records and practice has improved since the last inspection, however shortfalls still remain and require addressing. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. There has been no permanent manager at the home for sixteen months. Some steps have been taken to ensure the home is run in the best interest of the service users, however these must be improved. Service users financial interests are not being protected. Staff are not being appropriately supervised. The health and safety of service users’ and staff are not being protected. EVIDENCE: The home has lacked a permanent manager for the past sixteen months. Acting managers have been appointed for short periods but little continuity has been provided for service users or staff. During this inspection a new proposed manager was introduced to the inspectors. A manager’s application needs to be forwarded to the CSCI. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 19 Some quality assurance measures have been undertaken, however monthly management visits required under Regulation 26 have ceased. Feed back cards stated that regular relatives meetings held in the home had stopped. Mr Jason Sykes advised these are to be recommenced; the inspector would support this proposal. Some financial records were available in the home relating to money held on behalf of two service users, however there was no history or detail to these records, which appear to have started only recently. The financial records kept by the home must be improved. There is no staff supervision at present. Staff supervision must be implemented, particularly for new staff. Maintenance staff carries out routine maintenance checks and keeps good records. The passenger lift certificate was not available at the time of the inspection. A copy of the certificate must be forwarded with the action plan required to address the issues identified in this report. It is recommended that movement and handling slings be checked weekly to ensure they are safe to use. A record of these checks should be maintained. During this inspection some poor movement and handling practices were observed, some new staff had not received movement and handling training at the home. Action must be taken to ensure that all staff are trained and supervised to ensure they are moving and handling service users safely. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 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 1 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 1 1 X X X X X X 2 STAFFING Standard No Score 27 1 28 X 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 1 1 X 1 Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4&5 Requirement Timescale for action 30/11/05 2 OP7 15,13 & 12 3 OP7 15 4 OP9 13 Information and details in the statement of purpose must be updated to reflect the current staff team, their experience and training and current practice in the home. All service users’ health and 31/12/05 welfare needs and risks must be identified in a care plan. The care plan must then advise staff how those needs are to be met and any risks identified managed safely. Timescale of 30/09/05 not met. The registered person shall make 30/12/05 the service user’s plan available to the service user; keep the service user’s plan under review; where appropriate and unless it is impracticable to carry such consultation, after consultation with the service user or a representative of his, revise the service user’s plan; and notify the service user of any such revisions. Timescale of 30/06/05 not met. Arrangements must be made for 01/11/05 the pharmacist to load the DS0000045225.V250983.R01.S.doc Version 5.0 Norman Hudson Nursing Home Page 22 5 OP10 12 6 OP15 17(2) Schedule 4(13) 7 OP18 13 8 OP19 13 9 10 11 OP27 OP29 OP30 18 Sch 2 Reg7,9 19 18 12 OP33 26 13 OP35 17 schedule 4(9) dosette box of the service user who is self-mediacting. All staff must receive training to ensure they understand how respect service users and maintain their privacy and dignity. Records of the food provided for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. All staff must receive training to ensure they recognise abuse and know how to report any suspicion of abuse. Staff must be able to instigate adult protection procedures. Timescale of 30/09/05 not met. The lounge and corridor carpets must be replaced, as they are potentially hazardous to service users and staff. There must be sufficient staff on duty at all times to meet the needs of the service users. Staff recruitment records must include a complete application form and employment history. Staff must be trained and competent to meet the needs of service users. Timescale of 30/09/05 not met. Monthly management visits must be carried out, a report produced and a copy forwarded to the CSCI. A record of all money or valuables deposited by a service user for safekeeping must be maintained including the date on which it was received, the date on which it was returned or DS0000045225.V250983.R01.S.doc 31/12/05 30/11/05 31/12/05 30/11/05 12/09/05 31/12/05 31/12/05 30/11/05 30/11/05 Norman Hudson Nursing Home Version 5.0 Page 23 14 OP36 18 15 OP38 13 used, at the request of the service user and the purpose it was used and any receipts available. The registered provider shall ensure that persons working at the care home are appropriately supervised. The registered person must ensure staff are trained and supervised to ensure they move and handle service users safely. 31/12/05 30/11/05 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 OP7 OP7 Good Practice Recommendations All information in care plans should be clear, detailed and specific. You should avoid the use of the terms “regularly” etc. Staff should communicate with service users and their relatives, keeping them informed of changes to the service user’s care and treatment. Informing them of accidents and incidents. Staff at the home should review the arrangements in place for the provision of one service users special meals to ensure they continue to be happy to provide them daily. Action should be taken to ensure all service users and their representatives are confident when raising concerns that they will be taken seriously. A whistle blowing policy and procedure should be developed. The cleanliness of the home and the service provided by the laundry should be closely monitored. It is recommended that staff are provided with alcohol hand gel as an extra precaution against the spread of infection. Staff rotas should be written in permanent ink. The inspector recommends relatives meetings be recommenced; with a clear agenda, a chair and that minutes are produced. DS0000045225.V250983.R01.S.doc Version 5.0 Page 24 3 4 5 6 7 8 9 OP15 OP16 OP18 OP26 OP26 OP27 OP33 Norman Hudson Nursing Home 10 11 OP38 OP38 Weekly checks of hoist slings should be carried out and recorded. A copy of the current lift certificate should be forwarded with the action plans required for this report. Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Norman Hudson Nursing Home DS0000045225.V250983.R01.S.doc Version 5.0 Page 26 - 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. 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