Inspection on 29/04/08 for Park House Nursing Home

This inspection was carried out on 29th April 2008.

CSCI found this care home to be providing an Good service.

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

Park House Nursing Home 20/07/07

Park House Nursing Home 23/08/06

Park House Nursing Home 14/12/05

Park House Nursing Home 22/06/05

Park House Nursing Home 18/11/04

Park House Nursing Home 22/07/04

Park House Nursing Home 05/02/04

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Hawkhills

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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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Park House Nursing Home Park Lane Queensbury Bradford BD13 1QJ Lead Inspector Mary Bentley Key Unannounced Inspection 29th April 2008 09:45 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 Park House Nursing Home DS0000029237.V363624.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. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Nursing Home Address Park Lane Queensbury Bradford BD13 1QJ 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) 01274 817014 01274 884514 Kloriann Medicare Ltd Mrs Alma Garcia Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 25 20th July 2007 2. Date of last inspection Brief Description of the Service: Park House is a converted Victorian house set in its own grounds and situated near the village of Queensbury. The home has well maintained gardens that include a woodland walk, and are accessible to people. There is wheelchair access to a patio area from one of the lounges. The home provides nursing care and the majority of people living there are over the age of 65. There are seven double and nine single rooms, a number of rooms have en-suite toilets. Many of the rooms in the old part of the house have excellent views of the gardens. The home has 2 lounges, a dining room, conservatory, and a small seating area on the second floor. The standard of décor is good. The home has a no smoking policy. In May 2008 the weekly fees ranged from £540.00 to £620.00. Additional services such as hairdressing and private telephones are not included in the fees. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection process included looking at the information we have received about the home since the last key inspection in July 2007. This included looking at some surveys from last year, which we received after the report, had been completed. Since the last inspection we have received one complaint about the home, some aspects of this complaint were referred to the local Adult Protection unit and are still being investigated. We did this unannounced visit in one day. Two inspectors visited the home, and we were there between the hours of 9.45am and 5.45pm. During the visit we spoke to people living in the home, visitors, staff and management. We looked at various records including care records and looked at most of the building. Before the visit we sent surveys to the home to be given to people living there, their relatives, staff and health care professionals involved with the home. In total 13 surveys were returned and the information we received is included in the report. The home completed a self-assessment form and sent it to us after the visit. It gave us all the information we had asked for. A new manager has been appointed since the last inspection. People told us they find her approachable and staff said they feel supported by her. What the service does well: People are encouraged to visit the home before moving in and they said they had been given enough information to help them make an informed decision. People living in the home told us they are well cared for and said the staff are kind and caring. They said they routines are flexible, for example they can get up and go to bed when they choose. They told us there are activities and social events which they can take part in if they choose to. People told us the food is good. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 6 These are some of the comments we received from relatives: • • • “There is a warm and friendly atmosphere. The house is decorated very well and always looks inviting” “We are very pleased with Park House and its staff”. “I feel that Park House offers the best facilities for my Mums care. It is helpful for me to know my Mum is being well looked after”. The home is decorated and furnished to a high standard making it a pleasant and comfortable place for people to live. Several people said the home is always clean and never smells. The home has been awarded a 5 star rating by Environmental Health for its standards of food safety and hygiene; this is the highest rating. What has improved since the last inspection? What they could do better: More must be done to make sure that the social and cultural need of everyone living in the home are addressed, particular attention must be given to the needs of people who are less able to express their wishes. One person told us they felt staff needed more training on the care of people with dementia. We found that staff get very little training related to the needs of people living in the home and this must be addressed. Training must also be provided on the protection of vulnerable adults to make sure that staff understand their responsibilities to protect people and promote their rights. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 7 People who completed the home’s quality assurance questionnaire identified a number of areas for improvement; this included giving people more choice of food at teatime and this must be addressed. One person said the toilets are very small and this can make it difficult for people using Zimmer frames and wheelchairs. 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. Park House Nursing Home DS0000029237.V363624.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 Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 3. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before they move in and information is available to help them decide if the home is the right one for them. EVIDENCE: Before people move in someone from the home visits them to find out about their needs and to give them information about the home. We saw preadmission assessments in the records we looked at. People are encouraged to visit the home before making a decision about moving in. One relative said that she had visited several homes before choosing Park House and none had compared with the home in terms of the environment and the attitude of the staff. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 10 People told us they have contracts and were generally satisfied that they were given enough information about the range of services offered. Last year some people were concerned that they did not get enough notice about the fee increase. At the time the home told us this was because they had been waiting for Social Services to confirm the new fees. To avoid similar concerns this year the home has written to people giving them advance notification of the fee increase in April. In the letter they explained they would confirm the exact amount of the increase as soon as they received information about the new fees from Social Services. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s personal and health care needs are met in a way that respects their privacy and dignity. EVIDENCE: We looked at four people’s care plans. Overall the care plans were satisfactory and included information about personal, health, and social care needs. The care plans we saw had been reviewed every month by the nursing staff. Risk assessments are done for areas such as nutrition, falls and pressure sores. The manager told us no one in the home has a pressure sore. People’s weights are recorded monthly, the manager told us the home has a new digital weighing scales and this has helped to make sure people’s weight is measured more accurately. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 12 The records showed that accidents are recorded and monitored. People told us they feel well cared for, one person said, “I’m very happy with my care”. Some of the recording of involvement by relatives could be improved. However, relatives told us they are satisfied with the care and are kept informed about changes. One relative told us the manager always contacted her if she had any concerns about her mother and said she found this reassuring. Staff told us they are kept up to date about people’s needs. There is a handover between shifts, which all staff attend. We sat in on the handover between the morning and afternoon shift and information about people’s needs was discussed in a professional way. The records showed that people have access the NHS services such as GPs, Speech and Language therapy, and physiotherapy. People told us the home was quick to contact their GPs if they felt unwell. Opticians visit the home every year and on request. A private chiropodist visits the home. One person told us they thought the home had taken a long time to arrange dental care for their relative. The manager told us the home uses a local dentist but they do not do home visits and because of this the family had chosen to make their own arrangements for a dentist to visit. This was not clear from the records. Medicines are managed safely in the home. Park House Nursing Home DS0000029237.V363624.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are opportunities for people to take part in a range of social and leisure activities. However, more needs to be done to make sure that each person’s individual social and cultural needs are addressed. EVIDENCE: The staff have a flexible approach to work practices. People said that they are able to get up and go to bed or have a bath when they wish. People’s opinions about the way social care needs are dealt with varied. People we spoke to in the home said that activities and outings arranged at the home are adequate to their needs. A number of people said they had recently enjoyed a meal at Harry Ramsdens fish and chip restaurant. They said the part time activities organiser does a good job. They also identified members of the care staff team who either arranged activities for them on a regular basis Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 14 or generally brightened up their day by their cheerful attitude. On the day of the visit one person was taken for a walk in the grounds (woodland walk) and several people played bingo after lunch. One relative said “Park House provides lots of stimulation for my Mum & other residents who wish to join in, eg. coffee mornings, fair, bingo and singing sessions etc” However, others were concerned that the needs of people who are less able to express their wishes might be overlooked. Some people felt that the activities programme is largely dominated by a certain group of people who want to play bingo all the time. A number of relatives and staff felt that more could be done to develop a wider range of activities for more people. When we visited last year the home told us they were aware that improvements were needed in this area. The feedback we received this year suggests that more still needs to be done. A communion service is held at the home once a week. Relatives told us they are made welcome when they visit and are always offered a drink or light snack. They said they could also stay for a meal if they wished to. People said the meals are good and they are always offered an alternative if they did not like what is on the menu. The cook keeps a list of people’s likes and dislikes in the kitchen. The food served at lunchtime on the day of the visit looked appetising and was well presented. Staff were available and where necessary they either helped people to eat or prompted them to eat themselves. Plate guards and other aids to help people eat independently were available. Breakfast is served between 7:30 and 10:00am and people can either have it in their bedrooms or in the dining room. Lunch is served at about 12:30 and is set menu. Tea is served about 4:30 pm and is usually a lighter meal such as soup or sandwiches. Supper is served at about 7:00pm and usually consists of a hot drink and a light snack for example cakes, cereal, or toast. Park House Nursing Home DS0000029237.V363624.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home has the required policies, procedures in place to make sure complaints are dealt with, and that people are protected from abuse. However, to make sure these procedures are effective all staff must be given training on the protection of vulnerable adults. EVIDENCE: People living in the home told us they know who to speak to if they have any concerns. The majority of relatives we received information from said they know about the complaints procedure and two people told us they would have no hesitation in making a formal complaint if the need arose. Staff told us they know what to do if anyone has any concerns about the service. The records showed that staff have been given information about “whistle blowing” but have not had training on the protection of vulnerable adults. This was confirmed by discussions with staff. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 16 Two referrals have been made to the adult protection unit since our last visit. One was made by the home and we made the other. The investigation into these matters is still going on. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 17 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, 20, 24 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean and comfortable and provides a pleasant place for people to live. EVIDENCE: People living in the home said it is always clean and fresh. One relative said, “It is a clean environment and hardly ever smells”. When we visited the home was clean and tidy. All parts of the home are decorated and furnished to a high standard. It is evident there is an ongoing programme of refurbishment. The grounds are Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 18 very well maintained and since last year the home has improved access by creating a path through the garden. One of the communal toilets does not have a door lock and some of the bedrooms do not have suitable door locks. For example one the rooms has a lock that can only be opened from outside by using a coin or something similar. This means that people’s privacy could be compromised and people could be put at risk if staff were unable to open the door quickly in an emergency. We saw that people have lots of their personal belongings in their rooms. There is a passenger lift, which means that people have easy access to most parts of the home. There is one bedroom on the ground floor that can only be reached by going up 2 steps. This room is only offered to people who are able to walk up the steps. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 19 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are enough staff to make sure that people are safe. However, staff need more support and training to make sure they have the necessary knowledge and skills to meet the needs of people living in the home. EVIDENCE: There were 18 people living in the home when we visited. There was one nurse and 3 care assistants on duty all day. Overnight there is one nurse and one care assistant. The manager is supernumerary. The home employs separate staff for housekeeping, catering, and maintenance. On the day we visited there were 2 cleaners, a laundry assistant and a cook on duty. People living in the home said that staff are usually available when they need them. One person said, “Sometimes they are too busy and ask me to wait 5 minutes”. People spoke positively about the staff, for example one person said “you could not wish for better staff, they help you in any way they can” and another said, “All the staff are kind and caring”. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 20 Staff said they thought there are usually enough of them on duty to meet people’s needs. Care staff said that they are well supported by the manager and nursing staff. They felt that the nursing staff listened to them and they were involved in all aspects of people’s care. We observed the nurses giving clear instructions to the care staff team throughout the day. The majority of care staff (85 ) have an NVQ (National Vocational Qualification) at level 2 or above. The remaining care staff are working to get this qualification. We looked at the files of 2 newly appointed staff. PoVA (Protection of Vulnerable Adults) and CRB (Criminal Records Bureau) checks had been done before they started work. In the file of a nurse recently employed by the home the references that had been obtained were character references rather than professional references. The person had given details of previous employers but these references had not been followed up by the home. In the other file there was no references from the persons most recent employer, despite the fact that the person had provided these details. This was discussed with the manager. The training records showed that the majority of staff are up to date with moving and handling training. Training on fire safety is not up to date; the manager is aware of this and is dealing with it. The way training is recorded makes it very difficult to see what training people have had and when mandatory training is due to be updated. This was discussed with the manager. There was no evidence that staff have done food hygiene training. The records showed that there is little or no training related to the needs of people living in the home. This was confirmed by information we received from staff. Relatives generally felt that staff had the skills and experience they needed to care for people properly. One person they though staff needed more training on the care of people with dementia. They said they had observed that the way staff treated people with dementia was “not always satisfactory”. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 21 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, 37 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Overall the home is well managed. People are given the opportunity to share their views of the service and the home is aware of where it needs to make improvements. EVIDENCE: Since the last inspection a new manager has been appointed. She is a nurse and has many years experience in the care of older people. She has not done the Registered Managers’ Award, she told us she is on the waiting list for the course at a local college. However, she has done other management training. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 22 The home sent questionnaires to people in February this year. They had a good response and generally people were pleased with the service. The responses identified some areas for improvement; these included giving staff more time for social interaction with people and giving people more choice of food at teatime. The manager said she has already given people some feedback on the questionnaires and is going to do an action plan to address the areas where improvements are needed. The home has meetings for people living there and their relatives about every 3 months. The home has staff meetings and has recently sent a survey to staff. The results of this survey have not yet been analysed. The manager is in the process of doing staff appraisals. The records showed that staff supervision is not taking place regularly; the manager is aware this needs to be addressed. Staff said they felt supported by the manager and generally felt that the systems for communication within the home worked well. Relatives told us they found the manager approachable. There has been no change to the systems for dealing with people’s finances. There is a long-standing arrangement whereby the home acts as appointee for two people. This came about because of exceptional circumstances. Neither of these people receives a personal allowance and any additional services they require, such as hairdressing, are paid for by the home. The home does not get involved in managing money on behalf of any new people coming into the home. Invoices are issued for additional services such as hairdressing and/or newspapers. No one living in the home manages his or her own finances. The maintenance records we looked at were satisfactory. The electrical wiring certificate and gas certificate were not available but the owners confirmed that these checks had been done. We have asked for copies of these to be sent to us. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 23 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 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 4 X X X 2 X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 2 2 Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP12 Regulation 12(4)(b) Requirement There must be a more consistent approach to the way people’s social, cultural, and religious needs are addressed so that the needs of everyone living in the home are met. All staff must receive training on the protection of vulnerable adults. This is to make sure that they know what actions to take to safeguard people living in the home. Bedroom doors must be fitted with suitable door locks. To promote and protect people’s privacy and dignity and so that staff can gain access quickly in the case of an emergency. Two written references, including one from the person’s last employer, must be obtained before new staff start work in the home. Staff must be given the training they need to help them acquire the knowledge and skills they need to meet the needs of people living in the home. This DS0000029237.V363624.R01.S.doc Timescale for action 29/08/08 2. OP18 13(6) 29/08/08 3. OP24 12 30/09/08 4. OP29 19 27/06/08 5. OP30 18 30/09/08 Park House Nursing Home Version 5.2 Page 25 6. OP38 13(4) is to make sure that people are cared for properly. Copies of the certificates for gas safety (Landlords certificate) and the electrical hard wiring must be sent to the CSCI. 27/06/08 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 OP19 OP24 Good Practice Recommendations Consideration should be given to providing alternative hairdressing facilities so that it is not necessary to use people’s bedrooms to provide communal services. Risk assessments should be carried out in relation to the use of portable screens. Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Park House Nursing Home DS0000029237.V363624.R01.S.doc Version 5.2 Page 27 - 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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