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Inspection on 07/09/06 for Park View Care Centre

Also see our care home review for Park View Care Centre for more information

This inspection was carried out on 7th September 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Since the previous inspection, much work has been undertaken in respect of staff training, staff supervision, auditing of records and recruitment files and the standardisation of policies, procedures and practices. Care plans seen were of a higher standard and are regularly reviewed. All staff have either received or are to receive adult protection training as evidenced on the training matrix. The home`s two secluded gardens have been transformed and now offer a pleasant, creative and user-friendly environment for the residents. The official opening was to take place on September 9th. The third part of the garden is currently being upgraded. A resident`s relative said," The new garden is a great space for the residents." In the dementia care units a sensory room has been set up for residents` use and relaxation. The home takes the views of its residents very seriously and has introduced a good Quality Assurance system.

What the care home could do better:

The main issue of concern following this inspection is the lack of clarity of roles and responsibilities in the nursing units resulting in a perceived lack of effective leadership. There is insufficient evidence that staff work as a team and that the trained staff act as role models for each other and the junior staff. Whilst staff training is provided and staff are formally supervised, this process may need to be strengthened with an action plan for additional monitoring and support. During the feedback session, the director and registered manager demonstrated a good awareness of the need to ensure effective leadership. The home employs staff for whom English is not their first language. Some of the residents and their relatives said that communication with staff for whom English is not their first language was a problem for them. Visiting professionals also said that instructions are not always carried out due to a possible lack of understanding. Currently, the make up of the staff does not reflect the user group. It is recommended that the recruitment policy reflect such issues of equality and diversity and the home must ensure that staff have the communication skills required. Whilst in the nursing units the standard of care planning and review has improved, documents introduced to evidence daily care provided are not used effectively and currently would create confusion rather than a firm guide to staff. Whilst a training programme for 2006 is now in place, individual staff training profiles are still to be devised and an implementation programme introduced. Induction training does not yet meet the Skills for Care standard. This is however, in hand. The air-conditioning units in the clinical rooms must be upgraded to ensure a stable safe ambient temperature. The way the home manages residents` monies should be reviewed to comply with the standard.

CARE HOMES FOR OLDER PEOPLE Park View Care Centre Field View Park Farm Ashford Kent TN23 3NZ Lead Inspector Lisbeth Scoones Unannounced Inspection 10:05 7 September 2006 th 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 View Care Centre DS0000026097.V300651.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 View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Care Centre Address Field View Park Farm Ashford Kent TN23 3NZ 01233 501748 01233 501757 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) Ranc Care Homes Limited Mrs Sarah Margaretha Erasmus Care Home 88 Category(ies) of Dementia - over 65 years of age (43), Old age, registration, with number not falling within any other category (45) of places Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The forty three (43) beds for DE (E) residents are located on the ground floor. The forty five (45) beds for nursing clients are located on the first floor of the building. Service users under 65 years old in the nursing unit to be restricted to two (2) whose DOB are 29/12/1951 and 13/03/1948. 23rd November 2005 Date of last inspection Brief Description of the Service: Park View Care Centre is an 88-bedded, purpose built two storied Home located on the outskirts of Ashford. It is set in its own grounds, surrounded by gardens and has plenty of parking spaces. The Home is registered to care for 45 Service Users requiring nursing care on the first floor and 43 Service Users who are elderly mentally infirm on the ground floor. Mrs S Erasmus has been the registered manager since November 2005. She is supported by two unit managers and the director of nursing and operations. Current fee levels are: Between £432.86 and £620 for residents with dementia care needs and £459.92 to £850 for residents with nursing needs. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days on 7 and 8 September 2006 during which the inspector met with the registered manager Mrs S Erasmus, the director of nursing and operations Mr R Greaves, both unit managers, the GP who visits every Thursday, members of staff, 14 residents and several visitors. A tour of the building, grounds, gardens and kitchen was undertaken, care plans, training records and other documents were examined and discussed. Prior to the inspection, the manager completed a pre-inspection questionnaire and during the inspection a number of comment cards were handed out to residents and relatives. (3 returned) Contact was made with care managers and health professionals to obtain their views of the services provided. The inspector is grateful for this information, which informed the inspection process. Comments made are incorporated and referred to in the report. What the service does well: What has improved since the last inspection? Since the previous inspection, much work has been undertaken in respect of staff training, staff supervision, auditing of records and recruitment files and the standardisation of policies, procedures and practices. Care plans seen were of a higher standard and are regularly reviewed. All staff have either received or are to receive adult protection training as evidenced on the training matrix. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 6 The home’s two secluded gardens have been transformed and now offer a pleasant, creative and user-friendly environment for the residents. The official opening was to take place on September 9th. The third part of the garden is currently being upgraded. A resident’s relative said,” The new garden is a great space for the residents.” In the dementia care units a sensory room has been set up for residents’ use and relaxation. The home takes the views of its residents very seriously and has introduced a good Quality Assurance system. What they could do better: The main issue of concern following this inspection is the lack of clarity of roles and responsibilities in the nursing units resulting in a perceived lack of effective leadership. There is insufficient evidence that staff work as a team and that the trained staff act as role models for each other and the junior staff. Whilst staff training is provided and staff are formally supervised, this process may need to be strengthened with an action plan for additional monitoring and support. During the feedback session, the director and registered manager demonstrated a good awareness of the need to ensure effective leadership. The home employs staff for whom English is not their first language. Some of the residents and their relatives said that communication with staff for whom English is not their first language was a problem for them. Visiting professionals also said that instructions are not always carried out due to a possible lack of understanding. Currently, the make up of the staff does not reflect the user group. It is recommended that the recruitment policy reflect such issues of equality and diversity and the home must ensure that staff have the communication skills required. Whilst in the nursing units the standard of care planning and review has improved, documents introduced to evidence daily care provided are not used effectively and currently would create confusion rather than a firm guide to staff. Whilst a training programme for 2006 is now in place, individual staff training profiles are still to be devised and an implementation programme introduced. Induction training does not yet meet the Skills for Care standard. This is however, in hand. The air-conditioning units in the clinical rooms must be upgraded to ensure a stable safe ambient temperature. The way the home manages residents’ monies should be reviewed to comply with the standard. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 7 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. Park View Care Centre DS0000026097.V300651.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 View Care Centre DS0000026097.V300651.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): 1, 3 The quality in this outcome group is good. This judgement is based on information available at the time, which includes a visit to the service. Prospective residents are provided with comprehensive updated information about the services the home provides. Residents are only admitted following a comprehensive assessment of all their care needs. EVIDENCE: The home’s service user guide, welcome pack and statement of purpose have recently been reviewed and comply with the standard and regulations. It is evident that the manager or other senior staff visit the prospective resident in order to assess whether the home can meet their needs. Park View Care Centre DS0000026097.V300651.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, 10 The quality in this outcome group is good. This judgement is based on information available at the time, which includes a visit to the service. Sampled care plans provide detailed, regularly reviewed information to enable staff to care for the residents. In the nursing units however, daily records are used inconsistently. Residents’ health care needs are met with evidence of input from multidisciplinary professionals. Residents are protected by the home’s policies and procedures for dealing with medicines but the standard of cleanliness and temperature control in the clinical rooms should be monitored. Personal care is offered in a way, which protects residents’ privacy and dignity. EVIDENCE: A sample of care planning and daily records seen in the dementia care and nursing units provides evidence that an appropriate system of recording is used. There was evidence of regular review. However, records introduced in Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 11 the nursing units to ensure that personal and continence care needs are provided, are inconsistently used and therefore do not inform the care plans. It was questioned whether care planning audits include the effectiveness of these records. Care plans contain a multi-disciplinary and doctors’ page evidencing visits from the GP and health professionals (continence advisor, CPN, chiropodist, physiotherapist and others). The home benefits from a weekly surgery run by a local GP and his practice nurse. Their feedback is included in the inspection report. A number of residents with nursing and dementia care needs are currently cared for in the nursing units. For some of these residents a variation to the registration has been applied for. At this inspection, the need for regular review was discussed as some residents’ condition has changed. It is confirmed that several residents have been referred for a psychiatric opinion. See also standard 30 in respect of dementia care training. At the previous inspection, the delegation of certain key nursing roles was discussed in respect of “link” status for e.g. continence promotion, nutrition, infection control, care planning, health and safety, risk assessments etc. The manager has worked hard to achieve this and the link nurse system is soon to be introduced. It is anticipated that the system would provide consistency throughout the units resulting in raising standards. Medication charts were viewed and had in general been well maintained. It was however recommended that the cleanliness of the clinical rooms and the effectiveness of the air conditioning units be monitored. Temperature readings regularly exceeded the recommended 25 degrees Centigrade. From observations made and discussions with staff and residents, it is ascertained that residents are treated kindly. A resident said, “ I feel safe with him”, another, “I like to talk to the staff.” Residents looked well dressed and groomed. A regular hairdressing service is offered. Park View Care Centre DS0000026097.V300651.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, 15 The quality in this outcome group is good. This judgement is based on information available at the time, which includes a visit to the service. Designated staff are employed who regularly offer residents a range of activities suitable to their needs. Residents’ spiritual needs are accommodated. Residents’ relatives and friends are encouraged to maintain contact. Residents are provided with healthy meals and are offered choice and variety. EVIDENCE: The home employs three activities coordinators. Between them they provide activities in all units. Group and on-to-one activities are provided. On the day of the inspection, a number of residents and staff went for a minibus outing. Residents with nursing needs have access to a KCC bus every 2 to 3 months. Every week musical entertainment is provided as well as a special monthly event. Fund raising events are organised regularly. Residents are provided with choices in respect of what they wish to wear, what they would like to eat, when to get up and go to bed. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 13 The inspector met with the relief chef and two members of the catering staff. Menus seen indicate that fresh produce is used and home made dishes prepared which are appreciated by the residents. Trays of scones had been baked in preparation of the grand opening of the gardens. Park View Care Centre DS0000026097.V300651.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, 18 The quality in this outcome group is good. This judgement is based on information available at the time, which includes a visit to the service. The complaints procedure provides residents and relatives with an opportunity to complain feeling confident that their concerns are listened to and acted upon. Staff training would ensure that residents are protected from abuse. EVIDENCE: There is a detailed complaints procedure on display and incorporated in the welcome pack. Residents spoken to said that they feel able to air their views and know who to complain to. The manager keeps a complaint log, which includes evidence that the complaint has been resolved. The home has two in-house Adult Protection trainers. As evidenced on the training matrix, staff have received or are rostered to undertake adult protection training. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 15 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, 26 The quality in this outcome group is good. This judgement is based on information available at the time, which includes a visit to the service. The standard of the environment within the home is good, well-maintained, clean, pleasant and hygienic providing residents with an attractive and homely place to live. EVIDENCE: The home provides a pleasant, clean and well cared for environment. A slight odour was noted in the dementia care units but none in the nursing units. Information obtained during the inspection did however indicate that at times there is a problem with odours. Since the previous inspection, the manager has worked hard to improve and enhance the two gardens, which can be accessed from the dementia care units. There is wheel chair access and walking areas. Patio areas with seating and bird feeders have been provided as well as plants and raised flowerbeds Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 16 now provide a pleasant outside environment. The remaining garden is also being refurbished and local suppliers are involved in the projects. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 17 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, 30 The quality in this outcome group is adequate. This judgement is based on information available at the time, which includes a visit to the service. In general, staffing levels are adequate to meet the needs of the residents but some concern was raised in respect of clinical skills and audit. The home is committed to provide staff with the training they need to deliver the care but induction training must comply with the Skills for Care standard. Staff recruitment procedures are good but must include issues of “equality and diversity”. EVIDENCE: The home has had a considerable staff turnover and the few vacancies have now been filled. Staff work according to a duty rota. Staff spoken to on both units said that staffing levels are adequate except when people are off sick. The issue of adequate staffing was discussed with the manager and the director. They confirmed that staffing levels are carefully monitored based on residents’ needs and staff competencies. In conversation with health professionals who visit the nursing units regularly, concern was expressed of the standard of some of the staff’s clinical skills and knowledge. This is an area that needs addressing both in terms of training and leadership. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 18 A relative said that there is a shortage of staff in the laundry room resulting in a delay of clean clothes being returned to the resident. This issue was discussed with the manager who said that the situation has been resolved. The home has been accredited to act as a training centre for adaptation students. These are nurses in their own countries who follow a prescribed mentored programme, which would lead to the registration with the NMC. The home currently has one student. Four members of staff are to receive mentorship training. Since the previous inspection, all staff files have been audited to ensure compliance with the standard and regulations relating to recruitment. This was confirmed in a sample of staff files examined, which demonstrated robust recruitment procedures, which include enhanced CRB and POVA checks. However, communication problems were reported before and during the inspection in respect of staff who do not speak English as their first language. The home must ensure that the recruitment policy promotes equality and diversity and that this important issue is further addressed at induction and during supervision. Since the previous inspection, staff training has been given high priority and a training programme for 2006 is in progress. The matrix covers in-house, statutory, adult protection and specialist training relating to the current knowledge of medical conditions relevant to the categories of registration of the home. In respect of dementia care training, as identified in standard 8, the home must ensure that this is extended to staff working in the nursing units. The home is committed to NVQ training, which is provided alongside in-house training. Currently 25 staff are NVQ qualified. Induction training currently comprises in-house familiarisation with the home’s policies and safety and other procedures. The new member of staff would spend several days teamed up with an experienced member of staff. “Skills for Care” induction and foundation, which is the required formal programme, is yet to be introduced. At the previous inspection, the director said that the appointment of a training coordinator for the Ranc Care Homes Ltd group was being considered. At this inspection it was confirmed that the position has now been secured. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35, 36, 38 The quality in this outcome group is adequate. This judgement is based on information available at the time, which includes a visit to the service. The manager has a good understanding of the areas in which the home still needs to improve. The manager ensures that staff are aware of their roles and responsibilities but this is less clear in the nursing units. Good systems are in place ensuring that residents are asked for their views about the way the home is run. The way in which residents’ monies are managed does not comply with the standard. With standardised policies, procedures and practices the home assures residents that their rights and best interests are safeguarded. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 20 Through risk assessments and staff training, the health, safety and welfare of residents and staff are promoted, reviewed and safeguarded. EVIDENCE: The manager demonstrates a good awareness of her role and has an open, positive and transparent style of leadership. She is supported by the director of nursing and operations and two unit managers. Unit managers are responsible for the overall running of their units, staffing, staff training, staff supervision and audit. As already mentioned in those standards relating to skills and training, the current standard of leadership in the nursing units should be raised. This would include effective supervision, guidance, support and training. Regular staff meetings are held both at management and unit level to ensure that staff are involved with and consulted about plans for change. A relatives and residents’ meeting take place regularly. The manager informs the CSCI of every event reportable under Regulation 37. The director of nursing and operations meets with the manager weekly and recently provided the CSCI with a comprehensive Regulation 26 audit based on the standards and regulations. All policies and procedures were reviewed in December 2005 as part of the home’s quality assurance programme. The home provides a Residents’ Fund for residents’ incoming and outgoing monies. As the standard states that monies must not be pooled, the standard is currently not met. The manager and director of nursing and operations said this would now be addressed. Risk assessments are undertaken to ensure a safe environment and working conditions for residents and staff. Statutory training is provided to all staff in respect of fire safety awareness, moving and handling, infection control, and first aid and food hygiene. Staff confirmed that they are formally supervised and that such sessions are recorded. As was recommended at the previous inspection, where training needs or issues of concern are identified, written evidence should demonstrate the follow up and action taken. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 21 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 2 8 3 9 2 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 x x x x x 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 x 2 2 x 3 Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. Refer to Standard OP7 OP9 OP27 OP29 OP30 OP32 OP35 OP36 Good Practice Recommendations That daily care records used in the nursing units are correctly completed and support the care plans. That the air conditioning units in the clinical rooms operate effectively to ensure the temperature does not exceed 25°C That staffing levels continue to be carefully monitored in respect of numbers and competencies. That staff recruitment ensures issues of “equality and diversity”. That all staff are trained in dementia care needs. That staff induction meets the Skills for Care standards. That the standard of leadership in the nursing units is raised. That the way residents’ monies are managed complies with the standard. That the home evidences that training needs identified at supervision be acted upon. Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Park View Care Centre DS0000026097.V300651.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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