Inspection on 20/03/07 for Oak Manor Nursing Home

This inspection was carried out on 20th March 2007.

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 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

Oak Manor Nursing Home 04/09/08

Oak Manor Nursing Home 11/03/08

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

CARE HOMES FOR OLDER PEOPLE Oak Manor Nursing Home Scarning Dereham Norfolk NR19 2PG Lead Inspector Mrs Geraldine Allen Key Unannounced 20th March 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oak Manor Nursing Home DS0000066644.V333974.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. Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Manor Nursing Home Address Scarning Dereham Norfolk NR19 2PG 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) 01362 694978 Caring Homes Healthcare Group Limited Mr Shaun Peter Morrissy Care Home 63 Category(ies) of Dementia - over 65 years of age (63) registration, with number of places Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user under the age of 65 years, who is named in the Commission’s records, may be accommodated. Date of last inspection Brief Description of the Service: Oak Manor is a care home with nursing, providing care and accommodation for up to 63 older people who have dementia. Caring Homes Healthcare Group Ltd., whose head office is located in Essex, owns the home. Personal accommodation in 55 single bedrooms and 4 shared occupancy bedrooms. All bedrooms have their own en-suite facilities apart from 2 single bedrooms. The home is single storey, and level access, with some corridors with gentle gradients where a small change in level occurs. The home is located in the village of Scarning, which is close to the market town of East Dereham and all local amenities. The manager, Mr Shaun Morrissey, stated that the current fee range is between £501:30 and £604:00. There are additional charges payable for items such as hairdressing, private chiropody, newspapers, toiletries and transport. Information about the fee payable is provided to the resident or their representative in writing before admission takes place. A contract of residence is provided as soon as possible after admission to the home. Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place during the day of Tuesday 20th March 2007. A full range of standards were assessed. Information was obtained from various sources. Before the day of inspection, Mr Morrissey completed and returned a questionnaire that provided details about the service and day-to-day operations. Nine visitors and 9 residents completed and returned questionnaires sent out by the Commission. On the day of inspection, a tour of the building took place. Various records were looked at and residents, staff and visitors to the home were spoken to. Lunch was eaten with residents in one of the dining rooms. The overall judgement is that Oak Manor is a good service. One requirement was made regarding unpleasant odours in a lounge. Six recommendations about best practice have also been made. What the service does well: What has improved since the last inspection? There has been significant improvement to the way medicines are stored, administered and recorded. A new medication room has been developed to allow for ample storage space of all medicines. Significant improvements have been made to the environment. These include a new call bell system, new heating boiler and 2 new washing machines. In Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 6 addition, 6 bedrooms have new flooring installed, 15 bedrooms have been redecorated and the hairdressing room has been refurbished. There is a continuing programme of improvement at the home that includes the refurbishment of the courtyard garden in time for summer. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information contained in the Statement of Purpose and Service User Guide, and provided to residents and/or their representatives, gives enough information to ensure a positive decision can be made to live at the home. The home completes a needs assessment before a resident is admitted to the home to ensure their needs can be met effectively. The assessment needs to be more holistic and include social and emotional needs in greater detail. The home does not provide intermediate care. EVIDENCE: Copies of the updated Statement of Purpose and Service Users Guide were provided during the inspection. The Statement of Purpose states that placements are made “following a full assessment by our nursing team”. It also states that there is liaison with various placing agencies such as social services, GP, relatives and hospital & community services. The Service User Guide sets out the admission process in full. Potential residents and/or their Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 9 representative are encouraged to visit the home before they make any decision. Four plans of care were looked at in detail and contained information gathered at the time a pre-admission assessment was conducted. The assessments contain good information about the physical and health needs of the potential residents but the social and emotional element needs to be developed. A qualified member of staff was absent from the home undertaking a preadmission assessment at the time of inspection. This home does not provide intermediate care. Oak Manor Nursing Home DS0000066644.V333974.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. 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. The home is introducing new plans of care. The plans need to provide more information about the social and emotional needs of each person. Staff need to be mindful that important information is not lost due to the archiving of the old plans. The home ensures residents are referred to health professionals in a timely way and care is provided in accordance with instruction provided by health professionals. The home has safe practice in place in respect of the storage, administration and recording of medicines. All staff need to ensure they properly record variable dose medicines. For the most part, residents are treated with respect and their dignity respected. Staff need to ensure the needs of the resident take precedence. EVIDENCE: Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 11 Four plans of care were looked at in detail. These were informed by the preadmission and needs assessments, including information from other health and care professionals as necessary. The files also included a variety of assessments and relevant information about the person and contact details for their next of kin. All plans seen had evidence of regular monthly reviews, the last occurring since 26/02/07 in each case. Additional information seen included daily records, GP visits, biographies, lifestyle and interest records. Staff advised that new plans are currently being introduced. Unfortunately, 3 of the 4 care plans did not contain the previous information held about the resident as these had been archived. The archived documents were available for inspection in the administration area, however significant information needs to remain on the file so that there is continuity for staff to refer to. For example, GP visits made before the files were archived have not been carried across, making it difficult to follow through treatment. The 1 file that contained the “archived” information demonstrated that the new plans have been developed consistently, based on the previous plans. There were some issues about the care plan documentation. For example, some records are task orientated, with little or no information about the social and emotional well-being of the resident. There needs to be more information about how the resident spends their day. All residents biographies need to be completed where possible and stored within the care plan to ensure accessibility for all staff. Social activity records are currently held separately to the care plan. There needs to be some cross-reference so that activity information is available to all staff. Good evidence was seen that the home refers in a timely way to health professionals including GP and Psycho-geriatrician. There was also evidence that instructions received from health professionals are applied appropriately. Daily records gave good information about each person’s health needs and how they are to be met. Arrangements for the safe storage, administration and recording of medicines were discussed with a qualified member of staff. She confirmed that only qualified staff dispense and handle medicines. There was evidence that qualified staff were last assessed for competence during November 2006. Medicine administration charts were seen and were up to date and legible. The controlled medicines were in an appropriate locked cabinet that was securely fixed to the wall. Time was spent with residents. Practice and interaction between residents and staff was observed and 3 visiting relatives were spoken to. Generally, there Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 12 was evidence that residents are treated with respect and their dignity protected. It was observed that staff knocked on bedroom doors and personal care was provided behind closed doors. Interaction between staff and residents was appropriate and friendly. Oak Manor Nursing Home DS0000066644.V333974.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. There is a good range of activity provided by the home. Activity takes place in and outside of the home. There was evidence that the home is striving to meet the spiritual needs of residents. Visitors said they are welcomed at the home by staff and are able to visit when they wish. Staff were seen establishing choices and preferences and ensuring that these were respected. Residents receive a varied and nutritious diet that allows resident’s choices each day. Drinks and refreshments are available throughout the day and night. EVIDENCE: Records were looked at that provided information about resident activity and occupation on a daily basis. The opportunity was also taken to speak with one of the activity co-ordinators. Activity logs were seen. These provided good evidence of activity taking place with residents. The resident biographies are Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 14 also being developed by the activity co-ordinators and these were kept with the activity log whilst they were being completed. The member of staff spoken to said she has been doing activity at the home for 2 years. She arranges activities in and outside of the home and described taking residents out on a 1:1 basis to lunch, bowling, hairdressers and pubs. A wide range of activities take place within the home, including tea parties and music. The home currently employs 2 full time activity co-ordinators. The member of staff spoken to is currently doing a 9 week reminiscence course. During the course of the inspection a local Priest was taking communion in one of the lounges. The service was well attended and the opportunity was taken to speak with the Priest after the service. Three relatives were spoken to during the day. All said they felt welcomed at the home and said access had improved since being provided with the numbers to the key pads on the various doors. All said there had been improvements since Caring Homes had taken over the home. Two relatives referred to the Relative Support group meetings taking place monthly. They said they had found these helpful and regarded them as a positive move by the manager. Minutes of the Relative Support Group meetings were provided. Evidence was obtained throughout the day that staff try to establish resident’s preferences and choices and respect them. This was seen around such activity as where resident’s wished to spend the day, what they were wearing and what they would like to eat. The activity logs showed that activity was based on preference and previous life style. A meal was eaten with residents in one of the lounge/diners. It was observed that the 2 staff assisting residents with their meal provided discreet assistance. They were speaking with the residents and sat beside them, although 1 member of staff appeared uncomfortable and periodically stood up. Residents had chosen between fish and chips or chicken casserole. Some resident’s had not recalled what they had requested and staff offered the alternative if they preferred. It was noted that there were no condiments on the table and 1 resident requested salt for her meal. The chef was spoken to briefly. She described the new practice to establish choices for each day. This is recorded and care staff have full access to the lists. A board was also seen, detailing special diets and specific preferences. Drinks and light refreshments were available and provided throughout the inspection. Oak Manor Nursing Home DS0000066644.V333974.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. The home has a complaint’s procedure that is known to visitors to the home and is prominently displayed. Residents are protected from abuse by good recruitment practice and training about abuse awareness. EVIDENCE: Visitors to the home said they were aware of the home’s complaints procedure and felt they would be able to speak with the manager about any concerns and felt confident he would listen and act appropriately. The home’s complaints procedure was seen displayed in the entrance hall and is also included in the Service User Guide. The complaint record was looked at. This showed that 3 complaints have been received by the home since October 2006, one of which pre-dates the acquisition of the home. Of the other 2 complaints, both were investigated within 7 days of receipt and there was evidence the complaints procedure had been followed. One complaint had been substantiated in part and there was evidence of action taken as a result. The other complaint was not substantiated. Five staff files were looked at in detail. These showed that the home operates a good recruitment process that helps to safeguard residents from abuse. There was also evidence that staff receive training about abuse awareness. Oak Manor Nursing Home DS0000066644.V333974.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, 21, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Maintenance records show that the home is well maintained, is safe and kept in a good state of decoration. Significant breakdowns of equipment have meant that the service provider is needing to replace the call bell system, 1 heating boiler and 2 washers. The plan for internal and external development was seen. The home deals with all laundry on site and washers are able to disinfect items where required. There was an odour of urine in the main lounge that needs to be dealt with. EVIDENCE: A tour of the premises was conducted with the manager. On the day of inspection a sophisticated call bell system was being installed. The system records the time and duration of all calls and also the time taken for staff to respond. One of the 5 boilers was out of action and the engineer was expected Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 17 on the day of inspection. This did not happen however and staff were ensuring that residents were kept warm with extra clothes. Heat had been diverted from the administration end of the building to ensure as much heat as possible was available to the areas where residents spent the day. It was noted that radiators have been covered and good lighting was in place. The manager described the improvements already in place since the home was acquired. These include 2 new washers in the laundry, new flooring in 6 bedrooms, refurbished hairdressing room, more than 15 bedrooms redecorated. The manager said there was a programme of improvement for all areas of the home and full details were provided subsequent to the inspection. The manager said they are gradually replacing the flooring with wood laminate effect non-slip flooring. It was noted that there was some reflection on the wood laminate floor, especially in corridors, that caused the floor to appear wet. The bathrooms were clean and well equipped but need domestication to make them appear more welcoming. Some bedrooms have been highly personalised and identification boxes, containing significant photographs for each resident, are being placed outside each door. This is good practice as it aids orientation. The home has a sensory room that is well equipped. The colour scheme in this room is purple and ideally needs to be toned down to ensure a good experience for residents. The manager spoke about the plans for the external environment. It is intended that the internal courtyard garden will be refurbished as trip hazards have been identified. The gardens need to be checked and re-planted in places as poisonous plants have been identified. An odour of urine was noted in the main lounge area. The odour did not reduce during the day and was brought to the attention of the manager. He stated that some of the seating was malodorous and replacements have been ordered. Improved odour control is also needed and this will be dealt with. Oak Manor Nursing Home DS0000066644.V333974.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. The home employs staff in sufficient numbers to ensure resident’s needs can be effectively met. Staff receive induction and foundation training. Staff are also enabled to access NVQ training at levels 2 and 3. The home operates good recruitment practices that are based on best practice and help to safe guard residents. Staff receive training that is relevant to the client group and ensures staff can meet resident’s needs. EVIDENCE: The staff rota for the period of inspection was seen. This shows that the home employs 2 trained staff throughout the day and night. 12 carers are employed between 07:00 and 14:00, with up to 12 carers on duty between 14:00 and 21:00. A further 2 dining room assistants are employed to cover the breakfast period. Five staff files were looked at in detail. These showed that the home operates good recruitment practices. There was also evidence of induction in accordance with Skills for Care and a training and development profile. Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 19 There was evidence of a good take up of NVQ training although the home does not currently meet this standard. The training records show that staff receive training that is relevant to the client group. There is an on-going training and development programme in place. Oak Manor Nursing Home DS0000066644.V333974.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, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A person who is well qualified, competent and experienced manages the home. The home has commenced processes that will provide a robust quality assurance system that seeks the views of stakeholders. A letter complimenting staff on the care provided was seen. Good arrangements are in place in respect of resident’s personal allowances. This will be improved by ensuring that 2 signatures are obtained for all transactions carried out on behalf of residents. Staff supervision is in place and is now being rolled out to all staff. It is anticipated that formal supervision will be fully implemented by the end of April 2007. Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 21 Residents, staff and visitors to the home are protected by good health and safety practices EVIDENCE: The manager is experienced, competent and well qualified to fulfil his role and responsibilities to good effect. The home’s quality assurance procedures were discussed. The manager said the questionnaires for residents to complete have been sent out and audits are taking place in respect of, for example, care plans and staff training. Staff meetings are taking place on a regular basis and are fully minuted. A letter of thanks was seen displayed and referred to “excellent care and attention” and [the resident was] “always clean and respectable”. The manager and responsible person are aware of the need to continue to develop the quality assurance process. This will be assessed in more detail at the next inspection. The arrangements for the looking after of resident’s personal allowances were looked at and discussed with one of the administrators who is responsible. Good documentation was seen although the home needs to ensure that 2 signatures are obtained for all transactions. Staff must ensure they sign and do not use initials. The administrator said this would be easy to implement and would ensure this was done. The money held for 1 resident was randomly checked against the record and these was found to be correct. The arrangements for staff supervision were discussed with the manager. All qualified staff had received supervision and also training to allow them to assume responsibility for the supervision of staff in their teams. The manager is also providing formal supervision for ancillary staff. He said that all staff will have received their first formal supervision by the end of April 2007 and the home will then be in a position to meet the 6 supervision events per year. Compliance will be assessed at the next inspection. There was evidence that health & safety matters are dealt with in a timely and appropriate way. Service records were seen and included electrical installations, fire alarms, fire fighting equipment and hoists. Oak Manor Nursing Home DS0000066644.V333974.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 3 X 3 X X N/A 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 3 X 3 X X 3 X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 2 X 3 Oak Manor Nursing Home DS0000066644.V333974.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. 1 Standard OP26 Regulation 16(2)(k) Requirement The registered person must ensure that unpleasant odours are eradicated and effective odour control is in place. Timescale for action 17/04/07 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 Refer to Standard OP3 OP7 OP7 Good Practice Recommendations It is recommended that the pre-admission needs assessment seeks more information about the social and emotional needs of the person. It is recommended that care plans contain more information about the social and emotional needs of residents It is recommended that a biography is written with each resident and their relatives so that there is a better understanding of their personal life history. Significant dates and anniversaries should also be noted. It is recommended that the bathrooms are made to appear more domestic and welcoming with the use of pictures, plants and appropriate ornaments. It is recommended that the home continue to strive to DS0000066644.V333974.R01.S.doc Version 5.2 Page 24 4 5 OP21 OP28 Oak Manor Nursing Home 6 OP35 meet the standard of 50 NVQ trained staff. It is recommended that 2 signatures are obtained for all transactions when handling resident’s personal allowances. Oak Manor Nursing Home DS0000066644.V333974.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Oak Manor Nursing Home DS0000066644.V333974.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. 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