Inspection on 16/05/06 for Norman Hudson Nursing Home

This inspection was carried out on 16th May 2006.

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

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

Other inspections for this house

Norman Hudson Nursing Home 16/10/07

Norman Hudson Nursing Home 03/04/07

Norman Hudson Nursing Home 11/10/05

Norman Hudson Nursing Home 04/05/05

Norman Hudson Nursing Home 14/10/04

Norman Hudson Nursing Home 05/05/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Norman Hudson Nursing Home Meltham Road Lockwood Huddersfield West Yorkshire HD1 3XH Lead Inspector Sally McSharry Key Unannounced Inspection 16th May 2006 08:05 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.V291038.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. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norman Hudson Nursing Home Address Meltham Road Lockwood Huddersfield West Yorkshire HD1 3XH 01484 451669 01484 426960 normhuds@aol.com 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.V291038.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and nursing care for one named service user under 65 years. 11th October 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 en suite 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. The provider informed the Commission for Social Care Inspection on 12/05/06 that fees range from £344.71 to £578.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced site visit carried out by two inspectors. The inspectors arrived at the home at 8:05 am and left the home at 3:30pm. Since the last inspection carried out on the 11th October 2005 a further two additional visits have been carried out by the Commission for Social Care Inspection as there were some serious concerns about the standard of care and management of the home. During this visit the inspectors spoke to some of the service users, visiting relatives, some of the staff and the home’s management. The inspectors read care records, audited a sample of medications, reviewed staff recruitment and training records, carried out a brief tour of the building and had lunch with the service users. Prior to the inspection thirty five service user questionnaires were sent to Norman Hudson Nursing Home to obtain service users’ views about living at the home. Eleven completed questionnaires were returned. Some service users in the home are very frail and would not be able to complete a questionnaire. There were thirty three service users resident in the home on the day of this visit. Relative surveys were sent out to 25 of the service users’ relatives or friends. Two GPs attend the home and questionnaires were sent to both. Five social workers that have placed service users at the home were also sent a questionnaire. When the inspector wrote this report 50 of the relatives had responded. No responses had been received from GPs or social workers. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider, minutes of resident and relatives meetings, information about two complaints investigated by the provider and a pre inspection questionnaire completed by the provider and manager. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. The provider informed the Commission for Social Care Inspection on 12/05/06 that fees range from £344.71 to £578.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 6 Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. What the service does well: What has improved since the last inspection? What they could do better: The management of medications remains a problem. Staff must sign when medications have been given and be able to account for all medications entering the home. This helps to ensure the health and safety of service users. Movement and handling training has taken place and practice has improved. However there are still some issues about the layout of some parts of the home, which are not ideal when the hoist has to be used. Staff must also take care to ensure the use of movement and handling belts are appropriate to the individual service user and maintain their safety. Financial records must be audited regularly to ensure records are clear and amounts held are correct. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 7 Plans to fit new carpeting in the lounge have not been implemented, however the manager advised this work is due to take place within the next few weeks. The manager should make formal application to the Commission for Social Care Inspection to be registered as the permanent manager of Norman Hudson Nursing Home. 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.V291038.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 Norman Hudson Nursing Home DS0000045225.V291038.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Where possible no service user moves into the home with out having had their needs assessed and been assured their needs can be met. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Service users confirmed when spoken to and in questionnaires that they had information about the home before they came to live there and that their needs had been assessed. This is not always possible where service users are admitted at short notice or live along way from the home. However as much information is obtained about the service user as possible. The sample of case records audited showed that service users admitted to the home recently had been assessed prior to admission. One service user confirmed that they had had opportunity to visit the home before they made the decision to stay at the home. The home has admitted service users with a diverse range of needs and from a variety of cultural backgrounds. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 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, 9 and 10. Service users’ health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and are being monitored. Service users are able to make decisions about their lives with the support of staff. Medications are not being managed safely. Service users are treated with respect and their privacy and dignity is maintained by the staff in the home. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Since the last visit to the home the standard of care planning has improved. The care records of eight service users were checked and the care and records of four service users were case tracked and followed through from admission to the present date. All eight-service users had a detailed care plan and risk assessments. The care plans identified the service users’ health and welfare needs and how these were to be met in the home. Risk assessments are in place and since February of this year care plans and risk assessments have been reviewed monthly. Care plans contain some documentation that has not Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 11 been completed and the daily record in some cases is brief and does not clearly reflect the care provided on that day. It is recommended that all documentation is completed fully and that the daily record reflects the actual care provided on that day. Risk assessments are now in place. Care staff are now starting to record what action has been taken where a risk has been identified. This is good progress and should be continued. Some service users and their relatives are aware of their care plan. Relatives advised that staff keep them updated about any changes to service users health and welfare needs. Staff, when asked, were familiar with the service users’ needs and how they were to be met. Care plans included information about service users’ abilities and disabilities but failed to fully reflect cultural and social diversity. An audit of medications showed that staff are failing to record the quantity of all medications entering the home. Some staff have failed to sign when a medication has been given. The amount of senna syrup held for one service user could not be reconciled against the records. The use of a medications syringe is recommended with some liquid medications, such as oromorph to ensure accuracy when measuring doses and avoid wastage. Since the inspection in October 2005 there have been concerns raised about how some of the care staff speak to some service users and how staff protect service users’ privacy and dignity when using the hoist in communal areas. Service user questionnaires provided mixed feedback. Some service users were extremely complimentary about staff, stating all the staff were kind and helpful. Others said staff were very busy, failed to respond to requests for assistance to go to the toilet and failed to listen to what service users were saying. All service users and relatives who spoke with the inspectors during the visit were satisfied with the care and attention the staff provided. They said that to their knowledge, staff were always polite and helpful. Both service users and relatives said that in the recent past the home had experienced staff shortages and that at times staff had been very busy. During this visit the members of staff on duty were seen to work well as a team. They were attentive and caring towards the service users. The members of staff on duty were from a varied racial back ground and related well to the service users from diverse ethnic backgrounds. The concerns and comments raised regarding staff were discussed with both the management of the home and members of staff interviewed during the visit. All felt this may have been an issue during recent staff shortages and high use of agency staff. However, the use of agency staff has declined; staffing levels have increased and staff training ahs been provided. It is recommended that the manager and registered provider continue to monitor staff performance in relation to maintaining service users’ privacy and dignity. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 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, and 15. Service users’ social, cultural, religious and recreational needs are being met and they are helped to maintain contact with their families and the local community. Service users are able to exercise choice and control over their lives. Meals provided are varied, wholesome and appealing. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Activities are offered in the home and some service users clearly enjoy and take part enthusiastically. Service users had recently enjoyed a trip out to the circus and a visit to the local park. Some service users choose not to take part in activities. Service users and relatives confirmed that visitors to the home are welcomed at anytime. Some efforts are made to meet some of the service users’ religious needs, however work could be done to meet the wider and more diverse religious and cultural needs of some of the service users. Meals are varied and all feed back both in questionnaires and verbally from the service users and relatives at the time of the visit confirmed that the meals Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 13 provided at the home were good. Service users from differing cultural back grounds are offered a variation to the standard choice, taking into account cultural differences. During the visit the inspectors sat with the service users at lunchtime. Service users were assisted to maintain their independence with eating. Staff assisted service users sensitively. Staff reported that it has not always been easy to assist service users with meals as in the recent past there has been staff shortages and a large number of service users who needed assistance with their meals. When asked, some staff said, at times, mealtimes needed to be better organised. It is recommended that the manager monitor the serving of meals closely, to ensure all service users are assisted appropriately. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 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 and 18. Service users and their relatives and friends are confident to make complaints. Service users are protected from abuse. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The majority of service users and relatives confirmed that they were confident to raise concerns and make complaints. Relatives who spoke with the inspector confirmed that they had made a complaint and that this had been dealt with appropriately and to their satisfaction by the home. The home maintains a record of complaints and the action taken. Currently the home has only responded to 23 of complaints within 28 days. This was discussed with the management and they are aware that this response time needs to be improved. Since the inspection in October 2005, when two adult protection issues were identified, twenty nine members of staff have received training about the protection of vulnerable adults. Five members of staff have not attended training. Staff interviewed by the inspectors at the time of the visit had a clear view of adult protection and the actions they would take if they had any concerns or suspicions that any service user was being abused. Training records showed that not all members of staff have received adult protection training. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 15 Adult protection training and monitoring of care practice must continue until all members of staff have received training and good practice is well established in the home. Norman Hudson Nursing Home DS0000045225.V291038.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Service users live in a safe and maintained environment. The home is generally clean and pleasant. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home was generally clean and tidy. Work identified in the last report has either been addressed or is scheduled to be done in the coming weeks. Coded locks have been fitted to the sluice and laundry areas. New carpeting has been fitted in the corridor and a new lounge carpet is to be fitted shortly. Service users and relatives felt that the home is generally clean and tidy. On the day of this visit one of the domestic staff was on sick leave and the dining room had not been cleaned. This meant that service users were going into the dining room for breakfast when the floor was soiled and dirty with food from the previous day. The inspector brought this to the attention of the manager Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 17 who arranged for the area to be cleaned. It was unfortunate that staff had not identified this and acted appropriately without having to be been prompted. Norman Hudson Nursing Home DS0000045225.V291038.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Suitable numbers of staff are employed. The staff receive induction and foundation training. Staff recruitment policies and records protect service users. Staff competency levels are improving. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Current staffing levels are sufficient to meet the needs of current number service users. Service users, relatives and staff confirmed that in recent weeks staffing levels have increased. The number of agency staff used has dropped and the level of staff absence and sickness has also declined. This has had a positive effect on the care provided to service users and to life in the home. Staff reported that it has been very hard work at the home but that the pressure has now eased. Staff are feeling happier and more positive about working in the home, they feel more supported by the management and feel that there is a better staff team. Staffing rotas and training records support these improvements. A sample of recruitment records was audited and these were found to hold the correct information. Staff are recruited from a diverse and varied cultural background. There was evidence of induction and ongoing training. Staff members confirmed that training is available. NVQ training is progressing and there is currently 33 of care staff who have NVQ level 2 in care. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 19 Improvements in staffing levels and skills have been noted. This progress should continue and be monitored to ensure that, at all times, sufficiently skilled and competent staff are on duty. Norman Hudson Nursing Home DS0000045225.V291038.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. The home has historically lacked stable management. The home is run in the best interest of service users. Service users’ financial interests are not being fully safe guarded. The health, safety and welfare of service users and staff are promoted but are not always being fully protected. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home has not had a permanent registered manager for almost two years. Ms Clegg, the proposed manager, joined the home in February 2006. Staff, service users and relatives were positive about Ms Clegg’s management style and practice and are keen for her appointment to be a permanent one. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 21 Ms Clegg is a registered nurse with a management qualification; she has past experience managing a care home. The home is now operating a variety of quality assurance systems. The registered provider sends copies of the monthly management review reports to the Commission for Social Care Inspection, identifying issues that need to be addressed. Regular service user and relatives meetings are held and service users and relatives said they found these useful. Quality audit questionnaires are now being sent out monthly to a sample of service users’ relatives. Questionnaires are also sent out to service users and relatives new to the service. These questionnaires invite comment on the admission process at the home. Any issues raised are discussed at the monthly service user/ relatives meeting, at which the management team advise service users and their relatives how any issues are to be addressed. These meetings are formally minuted. Copies of the minutes are forwarded to the Commission for Social Care Inspection. A sample of five service users’ finances was audited. Four were found to be correct, however there was a discrepancy on the fifth. The manager should regularly audit the current system and ensure that receipts and running balances of the money held is correct. During the visit no significant health and safely risks were identified in relation to the building. Regular fire safety checks are carried out and recorded. Movement and handling training has been provided to the majority of staff members this year. Staff confirmed this when interviewed. However poor movement and handling practice has been an issue on recent additional visits to the home. Generally, on this occasion staff were seen to move and handle service users appropriately. When using the hoist staff found it difficult to manoeuvre owing to the large number of armchairs in the lounge. The manager should look at the layout of the home, ensuring the environment is safe and free from hazards to staff and service users when moving and handling is being carried out. Staff were seen using a movement and handling belt on a service user inappropriately. The belt rode up under the service user’s causing the service users arms to be dragged. This has the potential to cause injury to the service user. The manager must monitor movement and handling practice in the home and ensure individual service users are moved and handled correctly. Norman Hudson Nursing Home DS0000045225.V291038.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 2 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 Requirement The home must have safe systems for the recording, storage and administration of medications. Timescale of 14/02/06 not met. A new medication system and training is being implemented. A record of all medications entering the home must be made. Staff must sign when they have given medications. The lounge and corridor carpets must be replaced, as they are potentially hazardous to service users and staff. Timescale of 30/11/05 not met. During this visit the inspectors were advised that carpeting has been ordered. The manager must regularly audit the current system and ensure that receipts and running balances of the money held is correct. The manager must look at the layout of the home, ensuring the environment is safe and free from hazards to staff and service users when moving and handling. DS0000045225.V291038.R01.S.doc Timescale for action 30/06/06 2. OP19 13 30/06/06 3. OP35 16 (2) (l) 30/06/06 4. OP38 13 (5) 30/06/06 Norman Hudson Nursing Home Version 5.2 Page 24 5. OP38 13(5) The manager must monitor movement and handling practice in the home and ensure individual service users are moved and handled correctly. 30/06/06 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. 6. 7. Refer to Standard OP7 OP9 OP10 OP15 OP16 OP18 OP27 OP28 OP30 OP31 Good Practice Recommendations It is recommended that all documentation is completed fully and that the daily record reflects the actual care provided on that day. The use of a medications syringe is recommended with some liquid medications such as oromorph to ensure accuracy and avoid wastage. It is recommended that the manager and registered provider continue to monitor staff performance in relation to maintaining service users’ privacy and dignity. It is recommended that the manager monitor the serving of meals closely, to ensure all service users are appropriately assisted to eat. Work should be done to ensure all complaints are addressed in line with the home’s complaints policy. Adult protection training and monitoring should continue until all staff have received training and good practice is well established in the home. Improvements in staffing levels and skills have been noted. This progress should continue and be monitored to ensure that at all times suitably skilled and competent staff are on duty. The care manager should make application to the Commission for Social Care Inspection to become the registered manager of the home. 8. Norman Hudson Nursing Home DS0000045225.V291038.R01.S.doc Version 5.2 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.V291038.R01.S.doc Version 5.2 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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