Inspection on 21/11/07 for Parklands Nursing Home

This inspection was carried out on 21st November 2007.

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 17/10/06

Parklands Nursing Home 12/01/06

Parklands Nursing Home 25/01/05

Parklands Nursing Home 19/07/04

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

CARE HOMES FOR OLDER PEOPLE Parklands Nursing Home Park Street Wombwell Barnsley South Yorkshire S73 0HQ Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 21st November 2007 09:00 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 DS0000006488.V355105.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 DS0000006488.V355105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Nursing Home Address Park Street Wombwell Barnsley South Yorkshire S73 0HQ 01226 751 745 01226 341 130 parklands@mimosahealthcare.com None Mimosa Healthcare (No4) Limited 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) Post Vacant Care Home 52 Category(ies) of Dementia (52), Mental disorder, excluding registration, with number learning disability or dementia (40) of places Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Dementia - Code DE and Mental Disorder - Code MD The maximum number of service users who can be accommodated is: 52 17th October 2006 2. Date of last inspection Brief Description of the Service: Parklands are a care home that provides nursing and personal care for up to 52 people. The home provides care for people who have dementia. They re-registered in October 2007, and this enables the home to provide personal care to younger adults. The home is in landscaped grounds shared with two other homes belonging to Mimosa healthcare. There are shops and community facilities in Wombwell, which is a short walk from the home. Barnsley town centre is about 6 miles away. The home has two floors, which people can access by stairs or a passenger lift. All bedrooms, apart from one are single, and each has an en-suite with sink and toilet. There are a selection of lounges, a spacious conservatory and a selection of dining areas. The rooms and corridors are suitable for people who use wheelchairs, and there are handrails throughout the corridors. Parklands have at least one qualified nurse on duty at all times. The manager gave the Commission for Social Care Inspection information about the home’s fees and charges on 22 November 2007. The fees range from £442.50 to £750.00 per week. This depends on people’s assessed needs and level of nursing care band. Parklands charges include hairdressing, chiropodist, toiletries and transport. These charges are variable; the manager can provide more information about this. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 5 People who are interested in Parklands nursing home can get information by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. The home has a website with more information on it. The address is: www.Parklands.com Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced visit; it took place between 10:00 and 16:15 pm on the 12 November 2007. In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. The manager, Matthew Sharpe, assisted us during the visit. Mr Sharpe has not yet applied to register with us. During the visit we looked at the environment, and made some observations on the staffs’ manner and attitude towards people. We checked samples of documents that related to people’s care and safety. These included three care plans, and a sample of medication records, staff and health and safety records. We looked at other information before visiting the home, this included evidence from the last key inspection, surveys, and the homes Annual Quality Assurance Assessment (AQAA). An AQAA is information the commission ask services to provide us with once a year to show how the provider thinks the home is performing. Six relatives responded to our surveys. And we spoke to one relative about their views on the home. This was a key inspection where we checked all the key standards. Random inspection on 04 January 2007 We carried out a random inspection where we identified areas where Parklands had improved and where they needed to improve further. We have included some of our findings in this report. Thematic Inspection on 19 September 2007 We carried out a thematic inspection on Parklands. A thematic inspection is a short, focused inspection that looks in detail at a specific theme. On this occasion we looked at the quality of care people with dementia experience when living in care homes, focussing on ‘dignity’ as an important part of people’s quality of life. We have included some of our findings from the thematic inspection in this report. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 7 We would like to thank the people who live at the home, the managers and staff, for their warm welcome and help during this visit. We also thank the relatives who helped in this process. What the service does well: People made positive comments about the home, such as, “Very good home, the care is excellent” Parklands give people good information about the home and it’s services. People have contracts and these tell them their terms and conditions and what the homes fees and charges are. People said the care at Parklands is good. People said they were happy with their daily routines. For example, people could get up and retire to bed when they wanted. Staff respected people’s preferred routines and an activities co-ordinator helped people with leisure and social activities. The meals were good. People enjoyed them and could eat at alternative times to mealtimes if they wanted to. People could complain or raise concerns and the managers and staff team would listen and take action. Parklands have procedures to help protect people from harm or abuse. This includes staff training. The home is clean, bright and homely. People have their own possessions in their bedrooms. They said their rooms and the homes furniture and furnishings were comfortable. People made very positive comments about the staff team, such as, “the staff care about each resident very well”. Over 50 of staff have a National Vocational Qualification in care. This means staff have the right qualifications to do their job well. Parklands have procedures to help make sure people receive safe care and accommodation. This includes checks on equipment and staff following safe procedures, such as fire prevention. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? What they could do better: Continue to improve the care plans so that they include better information about peoples nursing and personal care needs, and their preferences. Make the care plans easier for people to understand the information about themselves. Improve staff records so that they show that staff have had the right checks to assess if they are suitable to work with vulnerable people. Make sure this happens because the home has failed to do this on the past two inspections. Put the complaints procedure in a place easy for people to see and read. Make sure staff get the training they need because at present some staff have out of date training. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 9 Continue to monitor staff moving and handling practices to make sure all staff use safe practices when supporting people to move. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 10 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 DS0000006488.V355105.R01.S.doc Version 5.2 Page 11 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. (Standard 6 did not apply to this home at the time of the visit). People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. People have good information about the home and their fees. People have needs assessment; and these help identify whether the home can meet their needs. EVIDENCE: Nurses met people and carried out an assessment of their needs with them before they came to live at the home. This was in addition to people’s social or health authority assessments. There was good evidence in people’s care plans to show that nurses and staff continue to assess people’s needs once the home has admitted them. This is Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 12 good practice because it shows that the nurses and staff look out for and address peoples changing needs. Relatives responded in the surveys that they usually or always get good information from Parklands to help them and their family member make decisions about the home. One relative told us that the manager and staff were very good at giving him information. And said, “There are no surprises when I visit, staff always let me know what is happening”. The relative also said he had good information at the time his family member came to live at Parklands. The manager said they had just re-issued people with new contracts, this included their fees. And most contracts had gone to relatives who oversee their family members care. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 13 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. People have good support to maintain their health needs, and staff treat them with respect. However, people need better care plans to give staff better information about how to support people in the way they prefer. EVIDENCE: Because people at Parklands and relatives said people received good care at the home we have judged this area as good. The home needs to improve peoples care plans so that people continue to receive safe and consistent care. Relatives said about the care “I couldn’t fault it, I really couldn’t” The home “looks after my mother very well in all aspects”. “I am highly satisfied with the care they have given my (relative)” Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 14 Each person had a care plan, and this gave staff information about their health and personal care needs. The staff had improved these since the last inspections. Nurses drew up the care plans following a person’s assessment of needs. And there was good evidence to show that nurses reviewed these regularly. Nurses had started to get better information about people’s backgrounds. And they included this in the care plans. This gives people a better sense of identity and helps the staff understand individuals better. It helps people maintain their dignity and respect. In the main the care plans were clinical in their design, this was acceptable for peoples health care needs. However, the care plans did not reflect people’s likes, dislikes and preferences. This means the care plans were not very personal and individual to people’s different needs. Some care plans did not give staff enough information about people’s special, or complex needs; and did not give enough instruction about how to support them in an individualised way. People did not have plans that were easy for them to read or understand. We gave the manager, and nurse in charge, advice about how they could improve and personalise people’s plans better. This is also important for younger people who the home will admit in the future. We found very good improvements in the way nurses managed the medication systems. The manager had audited this more carefully and people received their medication in a much safer way. The nurses kept the storage, records and administration in good order. One medication trolley had started to accumulate dirt and spills, and someone had left a dirty dishcloth on top of the trolley. The manager took action immediately, and because of this we have not made a requirement. We advise the manager and nurses to be aware of this and make sure hygiene standards do not drop. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. People can follow the daily routines they prefer. EVIDENCE: People told us they were happy with their daily routines. One person told us staff spoke to them with respect and included them in conversations and they enjoyed this. People said they could follow the routines they preferred, such as when they got up and retired to bed. Relatives confirmed this and said staff were good and understanding if someone changed their routine. Relatives told us they always have a welcome when they visit, and they can spend time with their family member as they wish. The home employed an activities co-ordinator who arranged hobbies, activities and events for people. We saw some people doing tabletop activities with staff and people enjoying pamper-time such as nail care and one-to-one conversations. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 16 Our Thematic inspection found that Staff needed to make more effort to include as many people as possible in conversation and day-to-day life. And on this key inspection we found this had improved. Staff had more confidence in the way they spoke to people and staff made good efforts to include people in conversations. Relatives said their family members had a good diet and the homes food looked fresh and nutritious. One relative told us if their family member was not ready for their meal staff were happy to cook something fresh later on. We saw staff giving people dignified support during meal times, and the lunchtime was a relaxed and social event. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. The managers and staff listen to people’s views and concerns. EVIDENCE: People and their relatives said they understood how to make a complaint if they needed to. One relative said they had a good relationship with the manager and staff so didn’t expect it would ever get that far. Relatives also replied in the surveys that they knew how to make a complaint. The homes complaints procedure is on display in the entrance hall. We noticed that the notice was placed high up on the wall and had small writing, making it difficult to see. We have asked the manager to provide the information in better print and put in a better place so that people can see it better. It would help if the home printed the complaints procedure in font size 16, in Arial or Verdana because these prints make it easier for some people with sight difficulties to read. The manager confirmed that staff had adult protection training and that this was a rolling programme with the organisations training department. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 18 Local authority and the homes procedures were in a place where staff could find them easily. We spoke to one member of staff who told us she understood about bad practices, how to recognise if some one was at risk of harm or abuse, and how to report it. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. People live in clean, homely and comfortable surroundings. EVIDENCE: There is good evidence to show that the home has made major improvements to the environment. This includes refurbished areas, redecoration, some new furniture and new bedding and towels. This has improved people’s comfort and dignity. The home has replaced hot water systems, so that most people have a better supply of hot water in their rooms. And the manager said the home is continuing to improve this for all rooms. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 20 The home looks much brighter, and we noticed that some people, in the conservatory sitting area, looked more alert than on our previous visits. They also had pleasant views out onto the garden. The corridors were bright and clean making it easier for people with sight difficulties to use. People had personalised their own rooms, and the manager said he planned to put name plates on doors to help some people recognise their rooms better. We advise that when this happens they put the nameplates at a comfortable height on the doors to make sure they are easy for people to see. This includes people who use wheelchairs. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. People receive good care from an effective staff team. EVIDENCE: Relatives made very positive comments about the staff team, these included, “The staff care about each resident very well” “I am impressed with the way staff conduct themselves” “The staff at Parklands always show care, consideration and love towards the residents; what more can we ask for?” Relatives also said in the surveys that staff have the right skills and experience to look after people properly. Staff team had a good number of qualified staff. This included trained nurses; a minimum of one nurse was always on duty for people with nursing needs. And over 50 of the care staff had a National Vocational Qualification in care at level two or three. The manager confirmed a further three carers were working towards this qualification. This is good practice; it shows staff have had training and information on good care practices, and this benefits people in the home. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 22 The manager said staff receive training from Mimosa care’s training department. Records showed that not all staff had up to date training. The manager said this was because they had reorganised the training department. The manager said he had identified staff training needs and would now make staff received the training. One staff referred to training in the home as “brilliant”. We checked three staff recruitment records. We do this to check that the home follows good procedures to help make sure they employ the right staff and keep people safe. In the main the records were in good order and showed good recruitment practices. However, we have made a requirement on the past two key inspections because some records did not have enough information to show that the home had the right level and dates of some staff criminal record bureau checks. The manager and providers have failed to take action. This could affect people’s safety and welfare, and could affect the home’s overall quality rating in the future if they do not improve this procedure. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Parklands. People receive care and support in a well managed home. EVIDENCE: One relative replied in the survey, when we asked how the home could improve, “All is ok, the home is a very high standard” The manager is not yet registered. We recommend that the organisation, Mimosa care, take action about this. This is because it is better practice to have a manager, registered by us, who has demonstrated to us that they are fit to manage the home. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 24 The manager has made good improvements to the home over the past 18 months. We have seen good evidence that the manager and his staff team have worked hard to improve the home for people. An example of this is the number of previous requirements that the home has now met, the improved environment and better approaches to people. We have seen good quality audits in the home, this includes regular visits from the providers, and manager audits on care practices, and the homes annual quality assurance assessment that we have received. We observed staff helping people to move and transfer. Staff supported and encouraged people to use equipment so they can maintain good independence. We saw staff following safe procedures when they helped people use the equipment such as a stand aid. On one occasion we saw staff supporting someone in a way that may have caused the person or staff injury. The staff held the person under their arms, and the person was heavily dependent on the staff and leaning on them. On the last inspection we gave the home a requirement because we found unsafe moving and handling practices. However, we believe the manager and staff have improved their practices since then so that people are safer. Because of this we have removed the homes requirement and replaced it with a recommendation that the manager continues to keep monitoring staff practices and take action if safe standards start to fall. People could ask the home to look after their monies and finances if they needed this. At the time of our visit the home had suffered a burglary and did not have hard copies of information on peoples finances. The manager confirmed the home did have people’s finance information on their computer system and people could get the information if they needed it. The home had reported the incident to the police and the manager confirmed that the organisation would reimburse people the monies they lost from the burglary. We spoke to one member of staff who showed she understood safe working practices such as health and safety and what to do in the event of a fire. The maintenance person confirmed he kept records of all checks, such as water temperature and equipment checks. And he confirmed he kept the checks up to date. The manager confirmed in the homes annual quality assurance assessment report that they had up to date safety checks and maintenance of equipment such as lifts, hoists and fire fighting equipment. Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 25 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 2 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 2 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 26 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 OP7 Regulation 15 Requirement Care plans must include sufficient information about people’s complex nursing and personal care needs. The care plans must look at people’s individual needs and give staff suitable information about how to give people individual support. 2 OP29 18 Staff records must identify whether the criminal record bureau checks are at an enhanced level and included a POVA check. (Previous timescale of 01/03/05 and 30/11/06 not met 31/01/08 Timescale for action 31/01/08 Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 27 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 Refer to Standard OP6 Good Practice Recommendations The care plans should include people’s likes, dislikes and preferences. There should be good detail about this so that staff continue to understand peoples individual needs Staff should look at ways to design care plans that will make them easier for people to understand. This is important if the home admits younger adults who may want more involvement in their care packages Display the complaints procedure in a place easier for people to see and read it. Improve the font style and size so that people if people with sight difficulties want to read it, this will help them. 3 4 OP30 OP38 The manager must make sure he brings staff training back up to date The manager should continue to monitor staff moving and handling practices to make sure all staff always use safe practices when supporting people to move 2 OP6 3 OP16 Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parklands Nursing Home DS0000006488.V355105.R01.S.doc Version 5.2 Page 29 - 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!