Inspection on 19/04/06 for Parker House Nursing Home

This inspection was carried out on 19th April 2006.

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

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

Other inspections for this house

Parker House Nursing Home 19/04/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Parker House Nursing Home 6 Albemarle Road Woodthorpe Nottingham NG5 4FE Lead Inspector Karmon Hawley Key Unannounced Inspection 19th April 2006 10:00 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 Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parker House Nursing Home Address 6 Albemarle Road Woodthorpe Nottingham NG5 4FE 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) 0115 414591 Rodenvine Limited Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11/10/06 Brief Description of the Service: Parker House is owned by Mr Rashid and Mr Hassin. Parker house is a care home providing nursing and personal care for 19 older people. It is located in a residential area of Nottingham, close to local shops, general practitioners surgery and other amenities. A bus route into the city is accessible within walking distance. The home is a converted residential house, which consists of two storeys. The home has one lounge, a conservatory and a dining room. Established gardens lay to the rear of the building with sufficient car parking space. Accommodation consists of thirteen single rooms and three double rooms. There is a passenger lift and stair lift available to the upper floor and the home is accessible for wheelchair users. There are two bathrooms and one shower room. The current weekly fees for the home are as follows: nursing medium band for a single room £455, double room £439. Nursing high band for a single room £504, double room £488. Residential prices are for a single room £351 and a double room £335. The provider makes information available on initial enquiry and when visiting the home. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the site visit an analysis of the performance of the home over the previous year took place in line with the key national minimum standards. The evidence gained was assessed and thus the site visit planned in accordance with further evidence required to demonstrate compliance with the national minimum standards. The unannounced site visit took place in four and a half hours and was performed by one inspector. The main method of gaining evidence during the site visit was case tracking, this is a method of sampling the records of three randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Six service users were spoken with so as to give the inspector an insight into the conditions and standards within the home. Those spoken with were happy with the staff, care received and the standards within the home. The registered provider, acting manager and nurse in charge assisted in the inspection process and two members of staff were spoken with. Staff were able to demonstrate an understanding of service users needs and the core values and principles in relation to their job role. What the service does well: A kind and caring ethos was prevalent throughout the home. Service users spoken with spoke very highly of staff and care received and one service user stated ‘it couldn’t be better’. Staff spoken with were able to discuss service users needs and the core values and principles in relation to their job roles. Commitment with regards to improvement within the refurbishment of the building is evident offering a well-maintained environment for service users. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: There are several areas that still require improvement and there are outstanding requirements from the previous inspection, however due to the amount of work that the providers have already undertaken and the disruption experienced by the sudden departure of the previous manager a proportional approach has been applied in this regards to enable further time to be allowed to work towards compliance. The statement of purpose still requires updating to ensure service users have up to date and accurate information available in order to make and informed decision about the home. Further work is still required with regards to care planning to ensure complex needs are fully addressed and met. Risk assessments with regards to the use of bedrails and the risk of entrapment is outstanding and must be addressed immediately to ensure service users are protected. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 7 To further enhance service users social and recreation lives assessments are required in regards to this. The medication policy along with many others within the home requires updating to ensure best and safe working practices are maintained thus protecting service users and ensuring their needs are fully met. Further consideration of service users likes and dislikes in regards to the menu is required to ensure service users receive further choice. Attention is required to staff training in all mandatory areas to ensure staff individually and collectively have the required skills to fully meet service users needs. Staff files also require attention to ensure all required documentation is available thus further protecting service users. The acting manager once she has undergone her initial induction programme is required to submit and application to become the registered manager to ensure the home is run by a person who is fit to be in charge. A formal quality assurance system is required to ensure the home is run in the best interests of service users. To fully ensure the health and safety of service users all listed above is required and once the home has undergone the hard wiring testing evidence of this is to be forwarded to the Commission for Social Care Inspection. 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. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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 Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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): 1,2,3 The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Prospective service users currently do not have all the required information needed to enable them to make an informed choice. Each service users have a written contract and statement of terms and conditions with the home. Service users may be assured that their needs will be assessed and met prior to moving into the home. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 10 EVIDENCE: The statement of purpose has yet to be updated to reflect the current status and ownership of the home, the acting manager stated that this would be carried out in the near future. Service users case files observed demonstrated that relevant terms and conditions were in place and had been signed by service users or relevant others if applicable. A trained nurse visits prospective service users within the community and carries out pre admission assessments. The assessment covers the requirements of the standard. Service users and relevant others may also visit the home and spend time within the home to give them the opportunity to observe whether the home can meet their needs. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Service users health and personal needs are set out in plan of care, however social care needs may not be fully met due to the lack of assessments in this area. With regards to ensuring whole person needs are fully addressed further information is required within the plan of care. Service users may also be placed at a degree of risk due to the lack of risk assessments in place with regards to entrapment and the use of bedrails. Service users health care needs are met. Service users are protected by the homes procedures with regards to medicines, however the policy still require updating to ensure they are fully protected. Service users feel they are treated with respect and their right to privacy is upheld. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 12 EVIDENCE: Service users undergo various assessments such as manual handling, infection, and the activities of daily living, nutrition and continence. Information gained underpins the plan of care. At present the nurse in charge is in the process of updating care plans and incorporating new paper work, this was evident within case files examined. A number of care plans within two case files were of a pre-printed nature where service users names and requirements were added, the remainder of care plans were handwritten and thus were personalised and reflected choices and preferences. Needs identified were covered within the plan of care with the exception of a service user admitted under the MAY scheme for terminal care, this care plan did not focus upon the whole person needs and the support that may be required. Where service users were using bedrails, verbal consent was noted to have been obtained, however this had not been followed up with written consent. Where risk assessments highlighted the needs for bed rails there was no risk assessment in place with regards to entrapment. A brief social history of service users had been ascertained and was documented within case files, however this was not supported with a social assessment reflecting service users choices and preferences. Daily records were maintained and significant events were noted. Service users spoken with stated that their needs were met and staff were always available should they need them. Staff spoken with were able to discuss service users needs and the care values and principles. There was evidence available to demonstrate that specialist services are liaised with and relevant equipment obtained. There was evidence also that the multidisciplinary team as required supports the home. One service user spoken with stated that their hearing aid was serviced as required. The medication policy has not as yet been updated. The acting manager stated that she intends to update all policies within the home. The medications were checked and appropriate procedures are in place. The nurse in charge is currently devising new systems with regards to the ordering of medication. A new contract has been arranged with regards to the disposal and returns of unused medication. Staff are instructed with regards to upholding service users privacy and dignity, all consultations are carried out in the service users own room. Service users are addressed by their preferred name. Mail is received unopened and there is access to a private telephone facility as required. Service users spoken with were able to substantiate this and stated that staff were respectful at all times. Staff spoken with were able to discuss how they maintain service users privacy and dignity within their job remit. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to the home. Service users are partly enabled to find the lifestyle in the home matches their expectations and preferences and satisfies their need, however this may be further developed with the use of social assessments to ensure all areas are considered fully. Service users are able to maintain contact with family and relevant others as they wish. Service users are helped to exercise choice and control over their lives and equality and diversity is recognised within the home. Service users receive a wholesome, appealing and balanced diet in pleasing surroundings, however further consideration with regards to choice is required to ensure service users likes and dislikes are fully considered. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 14 EVIDENCE: Service users spoken with stated that they were happy with life within the home and felt settled and secure. Activities at present are limited however the acting manager stated that it is her intention to expand and develop activities within the home and provisions for this have begun to take place and plans are underway to celebrate the Queens birthday. Service users spoken with stated that at present they watch television, listen to the radio, spend time chatting and on occasion go out with their families. Staff stated that life within the home was flexible and service users are able to choose how they spend their time during the day, two service users spoken with substantiated this and stated staff respect their choices and options are given. With regards to equality and diversity staff were able to discuss individuality and service users needs. The acting manager also discussed the ethos and culture of the home and how she intends to continue to develop this in order to encompass equality and diversity on a whole person needs level. There is currently no involvement with the local community with the exception of the local church, which visits the home on a monthly basis. There are no restrictions imposed upon visitors and they may be received in private should they wish. Staff stated that service users have the right to state who they wish to visit and this would be recorded and upheld. The home currently has no one who needs to use an advocacy service however age concern has been used in the past and would be used in the future should it be required. Where able service users are enabled to maintain and control their personal allowances. Service users are able to bring in personal possession and during the tour of the home this was evident. The menu observed was varied and wholesome. The acting manager and staff stated that choices are offered at breakfast and teatime; however there is a set menu for lunch but alternatives would be offered if required. Nutritional assessments were noted to have been undertaken, however there was no clear reference to service users likes and dislikes. On speaking with one service user she stated that she was not aware that choices are on offer and if a meal was not liked it was left. Another service user spoken with also substantiated this. Despite this it was expressed that meals were at a high standard and plentiful. The home has recently had a visit from the Environmental Health Officer, several requirements and recommendations were set. The acting manager has been working towards compliance and during the site visit it was observed that the majority have now been achieved. The acting manager and a newly appointed cook have attended the basic food hygiene course, and the acting manager is currently working towards improvements in the kitchen documentation. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Service users and relevant others can be assured their complaints and concerns will be listened to, taken seriously and acted upon. Service users protection may be compromised due to the lack of staff training in adult protection and the lack of up to date policies. EVIDENCE: There have been no complaints received since the previous inspection. Where suggestions are made the acting manager responds to these as she would a complaint. There was evidence to demonstrate that this had taken place. There was an up to date policy displayed within the main foyer so service users and relevant others may access it. The acting manager ensures that an open door policy is maintained so service users and relevant others feel assured they may approach her at any time. Staff spoken with were able to discuss how a complaint would be handled in an appropriate manner. Service users spoken with spoke highly of the staff and care received and no complaints were voiced. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 16 The adult protection policy requires updating, as previous the acting manager stated this would be done in the near future. Currently no member of staff has undergone the adult protection training, however discussions with regards to maintaining and promoting good practice has taken place between staff and the providers. Staff spoken with were able to discuss the core values and principles and the importance of protecting service users. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,26 using available evidence including a visit to this service. Service users live in a satisfactory maintained, clean, pleasant and hygienic environment, which continues to improve. EVIDENCE: A maintenance plan is now in place and work to improve the building continues. All radiators now have guards in place and a number of water outlets have been fitted with temperature values. As service users have departed from their rooms these have been refurbished and new carpets have been laid. Major refurbishment has been undertaken during the last three months, three double bedrooms have been altered into five single rooms in accordance with the national minimum standards. It was noted that not all service users had comfortable chairs in their room; the acting manager stated that this was at their request; there was no written evidence to substantiate this. The environment was clean and free from offensive odour. There are adequate domestic staff employed to maintain the cleanliness of the home. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality rating in this outcome area is poor this judgement has been made using available evidence including a visit to this service. The number and skill mix of staff meets service users needs. Due to the lack of staff training staff may not be fully trained and competent to do their jobs and service users may not be in safe hands at all times. Service users are not fully supported and protected by the homes recruitment policies and practices due to the lack of appropriate documentation within staff files. EVIDENCE: The staff duty rota was observed which demonstrated that sufficient staff are available to meet service users needs and skill mix is considered. The acting manager stated she is currently recruiting for another member of staff to enhance the working team. Service users spoken with stated that staff are accommodating and available to meet their needs should they need assistance, and they are also kind and caring and have time for them. Staff spoken with stated sufficient staff were available, but felt this would be enhanced by the additional staff member once employed. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 19 There are currently no staff employed who have attained the National Vocational Qualification in care. The acting manager stated that two staff have been approached and they are willing to commence this training. One staff member spoken with stated she was looking forward to starting her National Vocational Qualification. The induction programme at present is in house and consists of informal training within the areas of health and safety and the routines of the home, staff are then given one day supernumerary to work alongside experience staff. One staff member spoken with stated she had undergone an induction and had had manual handling training during this time. Four staff files were observed, all contained up to date criminal record bureau checks, however three files were lacking all the required documentation required to meet this standard. The staff training that has taken place to date is a manual-handling course and two staff members have attended a basic food hygiene course, no other training has been offered. The acting manager stated that this is her priority and she intends to address this area immediately. Staff spoken with stated that although they felt confident within their job role they felt they would benefit from further training. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality rating in this outcome area is poor this judgement has been made using available evidence including a visit to this service. Although an acting manager is now in position she has still to establish her role and an official application for registration is required to comply with the national minimum standards. Whilst the acting manager carries out informal quality assurance reviews there is no evidence available to demonstrate that the home is run in the best interest of service users. Service users personal finances are safeguarded. The health and safety of service users is promoted and protected to a certain degree however safety may be compromised due to the lack of staff training, documentation in staff files and up to date policies and procedures. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 21 EVIDENCE: The acting manager has commenced her job role this week. She has previous management experience within a care environment. To enable nursing service users needs to be fully met she is to be supported by a senior nurse with this regard. On discussion the acting manager demonstrated commitment to improving services on offer and quality of life service users experience whilst respecting equality and diversity of each individual. Staff spoken with stated they felt supported in their job roles and one member felt that improvements were being made. Service users spoken with express satisfaction with life within the home and care received. With the exception of informal quality assurance when the acting manager speaks to service users there is no quality assurance system in place. Three service users personal allowances were observed. Appropriate accounts were in place and receipts were available. The acting manager hold the keys to the safe, however provisions for access to money is available should she not be at the home. Maintenance contacts and certificates were in place with the exception of the mains electric, which the provider stated was in the process of being arranged now that development work within the home has been completed. Once this has taken place a copy of the certificate will be forwarded to the Commission for Social Care Inspection. Staff training records demonstrated that deficits occur in all mandatory areas. Policies and procedures are now out of date. Risk assessments with regards to entrapment and the use of bed rails were not available within service users plans of care. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 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 1 3 3 X X X 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 1 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 X X 2 Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4(1,2) Requirement The statement of purpose requires updating to reflect the changes that have occurred with regards to ownership and management of the home and the structural changes that have been undertaken. The responsible individual shall ensure plans of care with regards to complex needs have significant information available to ensure service users needs are fully met. The responsible individual shall ensure appropriate risk assessments with regards to entrapment are in place. This is an outstanding requirement and must be addressed to avoid enforcement action. The responsible individual shall ensure service users undergo appropriate social assessments to ensure individual plans of care are established. The medication policy is required to be up to date and contain sufficient information to ensure the safety of service users. DS0000065380.V288101.R01.S.doc Timescale for action 15/06/06 2 OP7 15(1,b) 15/06/06 3 OP7 13(4,a) 19/04/06 4 OP7 14(a) 19/06/06 5 OP9 13(2) 19/05/06 Parker House Nursing Home Version 5.1 Page 24 6 OP29 19(1,4,5) Schedule 2 18(1,a, b, 4) 7 OP30 8 OP31 9 (1) 9 OP33 24(1) 10 OP38 17(3) All staff employed are required to have all the necessary documentation to fully protect service users. Staff are to receive training in all mandatory areas to demonstrate they individually and collectively have the required skills to fully meet service users needs. The acting manager is required to submit an application to the Commission for Social Care Inspection to become the registered manager. Quality assurance monitoring is required to demonstrate the homes aims and objectives are being met. The homes policies and procedures require updating to ensure safe and good working practices are maintained. 19/05/06 19/06/06 19/07/06 19/05/06 19/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP15 OP24 OP28 Good Practice Recommendations Further consideration is given with regards to the menu and service users likes and dislikes to ensure further choices are offered. Comfortable seating is provided for two people in service users rooms, if this is not required records are available to demonstrate this. A minimum ratio of 50 trained members of care staff (NVQ level 2 or equivalent) is achieved. Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Parker House Nursing Home DS0000065380.V288101.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!