Inspection on 12/07/06 for Parklands Nursing Home

This inspection was carried out on 12th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parklands Nursing Home 10/07/07

Parklands Nursing Home 26/01/06

Parklands Nursing Home 16/12/04

Parklands Nursing Home 04/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Nursing Home 26 Ellison St Thorne Doncaster South Yorkshire DN8 5LD Lead Inspector Janet McBride Key Unannounced Inspection 12th July 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 Parklands Nursing Home DS0000048417.V300341.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. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Nursing Home Address 26 Ellison St Thorne Doncaster South Yorkshire DN8 5LD 01405 812233 01405 818168 the.parklands@fshc.co.uk 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) Four Seasons Homes (No 6) Limited (A wholly owned subsidiary of Four Seasons Healthcare) Siegfred Laguio Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age of places (24) Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Parklands are a well-established care home offering nursing and personal care to older people. Four Seasons Healthcare is the Registered provider, a national company that owns a number of other homes locally within the Doncaster area. The home is situated in Thorne on the outskirts of Doncaster. Adjacent to the local park and within easy reach of a shopping centre the home is well placed for community facilities, including local primary health services. The building is a converted and extended property, with two units, one unit for nursing residents and the other for residential residents. High proportions of the bedrooms are single with en suite facilities. Fees range from £375:00 to £553:00 per week, as at July 2006,and additional charges are made for hairdressing, toiletries, magazine, newspapers and private phones. The Statement of Purpose and the Service User Guide, which is available on request, this as information about the services available to residents and their families. The home last published inspection report was also available on request. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at Parklands, which took place on the 12th of July 2006 for 7:45 hours. Pre-Inspection work was carried out for example, analysis of notifications and any other relevant documentation, also 15 comment cards were sent out to residents within the home 7 were received back, and their comments are included in this report During the Inspection various documentation and records were examined for example, medication records, staff rotas, staff training files and case tracking of three-service users care plans, which were cross-referenced with other documentation. This Inspection included tour of the premises, direct and indirect observation of staff interaction with residents throughout the visit and information was gathered from as many different individuals as possible that had contact with the residents in their environment. This also included individual interviews with members of staff, talking to a number of the residents within the home and feedback from relatives and visitors on the day and quite a lot of relatives voiced their concerns regarding the change of registration and the manager leaving and feel all this will have an impact on their relatives. Atmosphere within the home is usually good with lots of verbal communication between staff, residents and visiting relatives; it was very subdued atmosphere at this Inspection. The Inspector would like to thank all the staff and residents for their cooperation in the Inspection process, and any issues or concerns that were raised were discussed with the manager at the end of the Inspection. What the service does well: Observation during the Inspection saw examples of good interaction between staff and resident’s when attending to their personal needs. A number of residents were able to comment about life within the home, and comments received included; staff, were always helpful and courteous, and a Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 6 number of residents made very positive comments about food at the home, stating they had a good choice and plenty of food. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to the service. Most resident’s needs are met, with pre assessments being completed before they move into the home and residents are issued with contracts/statement of terms and conditions to ensure they are fully aware of the services and facility provided. EVIDENCE: Standards 1 and 2 were discussed with the manager who confirmed they remain the same, therefore the company provides a service users guide, which gives basic details regarding the registered provider and the accommodation and the that will be provided, also current residents are provided with a contract or statement of terms and conditions in respect of accommodation to be provided, including the amount and method of payment. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 9 Discussion with the manager about the company’s fee structure, which is, documented on page 6 of this report, although none of the residents could tell me how much they paid for their care, and relatives did not fully understand the pay structure for example nursing residents would pay the top fee plus the amount of free nursing care element depended on what band they were on. Evidence in care plans that were case tracked show that residents are assessed before admission to the home, evidence that a full assessment had been completed prior to admission from the placing authority, the home has competed various assessment of their needs, also relatives were asked to complete details of social background including hobbies and interests. Parklands Nursing Home DS0000048417.V300341.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 Quality in this outcome area is Good. This judgement has been made using the available evidence, speaking to residents and staff including a visit to the service. Residents have access to all health care services and are referred to any specialist services when required. The care planning systems are sufficiently detailed to enable staff to deliver the care to residents who have specific identified needs Medication policies and procedures are in place and staff adheres to these to ensure residents are protected and receive their appropriate medication regime. EVIDENCE: Three residents care plans were case tracked and cross-referenced with medication and any other relevant documentation relating to care needs. Records show that basic details are recorded for example preferred name; GP, social worker and next of kin. Residents had a comprehensive plan of care various assessments dependent on needs are completed, including risk assessment, nutritional, moving and handling assessments. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 11 Records had daily regular documentation and regular reviews of care plans; files were well organised but quite lengthy. Records show that residents have access to health care services including chiropodist, optician and dental services. Some residents had also been referred to specialist services including tissue viability, continence advisors and CPN services. Accident records were checked all were recorded correctly with any appropriate information being sent to Commission for Social Care Inspection on a regulation 37 reports. Medication records were checked and discussion with the nurse on duty, all of which confirmed that staff had the skills and that Medicines in the custody of the home were handled according to the requirements of the Medicines Act 1971.Although one relative had a concern regarding who will give the medicines when the home do not have nurses any more, advised that the company will have to ensure that care staff have received accredited medicines training. New staff were interviewed confirmed that during induction they were instructed on how to ensure privacy and dignity is not comprised, e.g. ensure that personal care is given in private, always knock on doors and respect residents privacy, all residents seen on the day were appropriately dressed; with any aids they need for example glasses and teeth, this was confirmed when speaking to relatives who feel residents always look clean and tidy. Observation during the Inspection saw examples of good; interaction between staff, residents and visiting relatives, staff seemed to be both attentive and responsive to residents needs. Most residents were referred to by their first name and discussion with those residents confirmed this was with their approval, other comments from residents were positive about life within the home stating staff were very helpful and were happy there, but were concerned about the move to another home. Parklands Nursing Home DS0000048417.V300341.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 Quality in this outcome area is Good. This judgement has been made using the available evidence, speaking to residents and staff including a visit to the service. All residents are offered social activities that provide stimulation and interest for all, and staff were aware of promoting the interests of residents needs, and ensure that residents are supported to exercise choice whenever possible. EVIDENCE: The routines within the home are flexible and varied; evidence was seen that when residents are admitted they record what hobbies and interests they had in their life. The home employ an activities organiser, who was interviewed she gave examples of the sort of activities they offer, and an activity schedule is displayed although the manager and activities organiser stated this is flexible, as often the current residents do not want to participate in-group activities preferring individual time with staff. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 13 Representative from one of the local churches visits on a regular basis and is happy to offer a monthly multi-faith service as required by residents. Residents can receive visitors at any reasonable time and choices of were they see their relative, e.g. in one of the homes lounges or the resident’s bedroom. Staff spoken to are aware of their role to promote the interests of the residents, and they encouraged residents to exercise choice and control their lives if they are capable; this was observed during the Inspection and those residents who could voice their opinions confirmed they are able to make choices with regard to meals, joining in activities and spending time in their own bedrooms, watching TV or reading books and newspapers and this was evident on the day of Inspection when the Inspector spoke to three residents in their own bedrooms. Comments received via questionnaires sent out mostly positive comments, however some negative remarks made, “not enough staff just to talk to always busy” and “sometimes we have to wait a long time when we buzz for staff”. Lunch is the main meal of the day and this was observed on the day, staff was on hand to offer assistance where necessary, and menus were available. Residents stated they had a choice at breakfast time could be either a light breakfast or a full cooked breakfast, a number of residents made very positive comments about food at the home. Parklands Nursing Home DS0000048417.V300341.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): 16,17,18 Quality in this outcome area is Good. This judgement has been made by examinations of records, taking to staff, relatives and residents and a visit to the service. Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and the care provided. Adult protection policies, procedures are followed, and action to taken if allegations are made, which promotes protection of residents from abuse. EVIDENCE: The company have a complaints procedure, which specifies how and who to contact when anyone wants to make a complaint, it also makes reference to the Commission for Social Care Inspection. PIQ stated they have had one complaint since the last Inspection; records were examined and show that this was handled correctly; the manager had followed the homes procedure with feedback to the complainant. A number of relatives seen were aware of the homes complaint procedure and did raise concerns about the recent meeting with Four Seasons and the moving of residents within the service. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 15 Residents can participate in civic process if they wish for example vote in elections either by post or by visiting a polling station. Information about local advocacy services is available for residents who lack capacity to voice their own needs, or have any relatives or friends for support. Adult protection policies, procedures and training for staff are in place; staff had knowledge and understanding, of these issues and the manager would make a referral to Adult protection when necessary, as one as recently been received and is going through the process, which promotes protection of residents from abuse. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,24,25,26 Quality in this outcome area is Poor. This judgement has been made by visiting the service and tour of all premises, examinations of records, taking to staff, relatives and residents. The outcome is affected by a failure of the registered provider, not ensuring that all radiators have been guarded or have low temperature surfaces this as been outstanding for the last four Inspection reports and can place vulnerable residents at potential risk of harm. Also a number of bedrooms still need refurbishing including using the correct bed to suit resident’s needs. EVIDENCE: Tour of all the homes accommodation, looking at the general fabric, furniture and fittings, found that a number of requirements made and the last Inspection has been addressed but not all. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 17 The home has a programme of maintenance and renewal plan for the home, this was checked when walking around the premises, and found quite a number of issues still require improvement, for example a number of rooms require new beds, carpets, furniture, curtains and bedding. All shared facilities were found to be clean and tidy and general fabric, furniture and fittings, were adequate, and the home was found to be clean and tidy with no unpleasant odours. Tour of bedrooms and random rooms selected, some were homely and well presented, but a number of bedrooms are in need of refurbishing as carpet are well worn or stained, furniture is old and worn and the bed are the old mental type that appear very worn, the home has 19 nursing residents within the home, but only have 3 type nursing beds, one bed was highlighted as needing replacing ASAP as this was being used on blocks to make it higher for the hoist to fit under, this must be replaced with an hospital type bed, either if this resident stays at the home or is moved to one of Four Seasons homes, this ensures the safety of both the resident and the staff. Lack of provision of double sockets within bedrooms as been highlighted on numerous Inspections but are only fitted when it is clearly identified that residents have numerous electrical appliances and have to use extension leads, two are still waiting for electrical sockets to be fitted. Issues have been raised on every inspection regarding radiators within the home that are not guarded nor have low temperature surfaces, this was agreed on the last Inspection that six would be fitted each month this clearly as not happened and raises concerns as four still require radiator guards fitting. Bathroom and toilet facilities provide sufficient privacy for residents use, bath hoist within one bathroom as been replaced to ensure essential equipment for residents safety, and one new mobility hoist as been purchased since the last Inspection. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is Good. This judgement has been made using the available evidence, speaking to residents and staff including a visit to the service. The home has a very stable staff group, which ensures continuity of care by staff who know the residents within the home. On going development of staff was evident by some staff achieving NVQ qualifications. EVIDENCE: Staffing and skill mix was discussed with the manager, who stated that staffing is calculated dependent on residents care needs and dependence levels uses the residential forum. Duty rota clearly identifies staff within the home and their role, including ancillary, domestic and kitchen staff, all staff that provide personal care are over eighteen years old. Observation on the day found sufficient levels of staff on duty to meet resident’s needs. There are corporate policies and procedures in place regarding the recruitment and appointment of staff. A selection of new staff files were examined, which provided evidence that written references are obtained, Criminal Record Bureau checks and POVA had been received. Current registration of nurses is checked with NMC with expiry dates of pin numbers recorded. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 19 All staff has terms and conditions of employment, and since the last inspection staff had received copies of the General Social Care Council code of conduct. One new staff at the home was spoken to who confirmed she had received a induction to the home over a two day period, and as attended a induction day organised by learn direct and meets TOPSS specifications. Staff can access NVQ training, this was discussed with the manager and records show the home that out of the homes 20 care staff 9 have completed NVQ courses and other members of staff have enrolled on NVQ courses within the company. Staffing matrix was available to examine which clearly shows what training staff had completed and when updates are required. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is Adequate. This judgement has been made by visiting the service and tour of all premises, examinations of records, taking to staff, relatives and residents. The homes manager provides leadership and management, which promote resident’s well being, however the outcome is affected by the changes to be made within the home and the affect it will have on residents and staff. EVIDENCE: The homes manager has various experiences and as currently completed the registered managers award, and waiting for this to be verified, he’s also undertaken some dementia training as part of his development. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 21 It’s a very difficult time at the home as the company has announced that they are changing the Registration of the home, this will have an impact on the nursing residents who will need to find alternative accommodation in either the companies other home in the area or seek a nursing home in another area. This had an impact on this Inspection as the atmosphere within the home was very subdued, staff morale seems low, a number of relatives have phoned the Commission for Social Care Inspection office and raised concerns, relatives seen on the day were most unhappy about the prospect of their relatives having to move and some residents within the home voiced their concerns, one comment “I will miss my friend who is a resident and we talk quite a lot together”. All these changes will have an impact on the home and the company must ensure that this is handled very sensitively, they have agreed that the manager will stay to oversee that the nursing residents are re-assessed and transferred to other homes. Quality assurance was discussed with the manager and records checked. Regulation 26 visits are carried out on a regular basis with reports available. The manager completes various audits, for example care plans, medication records, risk assessments and accident reports are all audited on a monthly basis with records available. The manager is presently seeking resident’s comments with a regard to food and menus within the home, questionnaires are to be given out. Resident’s money was discussed with the manager, although residents can access any money they need, this is now pooled and kept in one account so the Inspector could not audit individual residents money. Records show that staff receives formal supervision on a regular basis with and records kept, Maintenance of the fire systems was discussed with the manager who stated that they had a satisfactory visit from the fire officer since the last inspection, and records show that all fire safety is being checked and recorded. Health and safety was also discussed with manager, staff and records checked. Moving and handling records show that all staff has received training and updates as required, few issues raised some training needs required with regard to first aid and infection control for a number of staff. Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X 3 X X 1 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 2 Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP24 Regulation 23 Requirement One nursing residents bed is inappropriate and does not meet there needs they require a hospital bed. Bedrooms. Two bedrooms are still waiting for electric sockets to be fitted. A number of bedrooms still require new carpets. Radiators must be guarded throughout the home including service users bedrooms, although the home has made some progress, four still remain outstanding. (Timescale of 31/03/06 not met). Ensure that a minimum ratio of 50 trained members of care staff (NVQ Level 2 or equivalent) is achieved. 6 OP31 9 The registered manager achieves NVQ 4 in management. Timescale for action 01/09/06 2 OP24 23 01/09/06 3 4 OP24 OP25 23 23 01/10/06 01/09/06 5 OP28 18(1)(C) 01/10/06 01/10/06 Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 24 7 OP38 12(1)(a) Safe working practices; Identified training needs for staff. 1) First aid. 2) Infection control. 01/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parklands Nursing Home DS0000048417.V300341.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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