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Inspection on 09/08/07 for Parkview Nursing and Residential Home

Also see our care home review for Parkview Nursing and Residential Home for more information

This inspection was carried out on 9th August 2007.

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

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

What the care home does well

Comments received from residents and their relatives in pre-inspection comment cards and in person to the inspector on the day of inspection reflected that residents at Parkview are well cared for and supported by the staff. Comments included `the staff are very caring and attentive`, ` my mother is looked after superbly by Angela and her team`, ` I like the staff, they are all very kind and speak to me nicely, ` the home is always very clean and there are never any bad smells`, ` I would recommend this home to anybody`. Care records are well organised and detail the care and support residents require appropriately.

What has improved since the last inspection?

Most of the resident`s bedrooms have been redecorated since the last key inspection. The designated smoking lounge has also been decorated and provided with a new carpet.

What the care home could do better:

Whilst it is acknowledged there have been improvements to the environment some areas still need to be improved. Social and leisure activity provision for residents is also in need of review particularly as the inspector was informed that many residents do not or are unable to participate in the current range of activities. Also improvements need to be made in respect of the recruitment process, staff training and how the quality of the services provided by the home are measured and reviewed. These issues are discussed in more detail in this report.

CARE HOMES FOR OLDER PEOPLE Parkview Nursing and Residential Home 54 Chorley New Road Bolton Lancashire BL1 4AP Lead Inspector Mike Murphy Unannounced Inspection 9th August 2007 09:30 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 Parkview Nursing and Residential Home DS0000005693.V337586.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. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview Nursing and Residential Home Address 54 Chorley New Road Bolton Lancashire BL1 4AP 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) 01204 363105 01204 361779 Jewelglen Limited Ms Angela Williams Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (6) of places Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 41 service users, to include Up to 35 service users in the category of OP (Older People): Up to 6 service users in the category PD (Physical Disabilities under 65 years of age), one of who is a named service user. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 24th January 2007 2. Date of last inspection Brief Description of the Service: Parkview is owned by Mr M K Raja and is managed by Mrs A Williams. Care services are provided in a large adapted property built on three levels with a passenger lift to all floors. The home provides 41 places for the care of elderly people including six places for people with a physical disability. The home which has garden areas to the front and rear, is situated on Chorley New Road about one mile from Bolton town centre, is close to main bus routes and there are shops within walking distance. 29 residents were being accommodated and cared for at the time of this inspection. The current fees for residential care is £355.00 (with nursing fees being structured in accordance with PCT banding assessment) - information supplied by the provider. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 9th of August 2007. The inspection took place over six hours. The inspection included discussion with residents, their relatives, a tour of the premises, inspection of care and other records maintained at the home and discussion with the registered manager, owner and staff. The home was being appropriately managed and residents and their relatives expressed satisfaction with the care and support provided by the home. What the service does well: What has improved since the last inspection? What they could do better: Whilst it is acknowledged there have been improvements to the environment some areas still need to be improved. Social and leisure activity provision for residents is also in need of review particularly as the inspector was informed that many residents do not or are unable to participate in the current range of activities. Also improvements need to be made in respect of the recruitment process, staff training and how the quality of the services provided by the home are measured and reviewed. These issues are discussed in more detail in this report. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 6 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. Parkview Nursing and Residential Home DS0000005693.V337586.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 Parkview Nursing and Residential Home DS0000005693.V337586.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. No prospective residents are admitted to the home without their care and support needs being assessed appropriately. EVIDENCE: Prior to residents being admitted to the home the registered manager (a qualified nurse) carries out an assessment of the prospective resident’s needs in consultation with the resident, their relatives and relevant health (for example doctors) and social care professionals (for example social workers). The purpose of such an assessment is to assist the prospective resident (and their relatives) in their considerations of how appropriate a placement at the home would be and enable the person conducting the assessment to judge if the home will be able to meet the prospective resident’s needs appropriately. 3 (recently admitted) residents pre-admission assessments were inspected at this inspection. The records identified that pre-admission assessments had Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 9 been carried out by the home and were supplemented by assessments conducted by Social Services. Whilst it is acknowledged the pre-admission assessment conducted by the home is formally recorded it is recommended that this become a separate document to clearly identify it as such. In the current arrangements the preadmission assessment is included in the admission/general care records and is difficult to distinguish from them. Parkview Nursing and Residential Home DS0000005693.V337586.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care provided for residents appears to be suitable, well organised, and meets the expectations of residents and their relatives. EVIDENCE: The care records of three residents were inspected. These contained care plans that were initially based on the pre-admission assessment that is referred to earlier in this report. Care plans addressed the health and personal care needs of residents in a clear, detailed, well-organised way and were evaluated at least monthly. Risk assessments, that seek to protect resident’s health and welfare are also recorded in respect of residents skin integrity (assessing the risk of pressure sores), mobility (including the risk of potential falls and fractures), nutrition, (including regular weight monitoring) and other areas of potential risk for individual residents were also assessed at least monthly (for example the need for bed rails to be used). All residents are registered with a local GP and it was evident that all were enabled to access dieticians, opticians, chiropodists, dentists, district nurses Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 11 and other specialist services as individual residents needed. Pre-inspection comment cards completed by relatives and discussion with relatives on the day of inspection indicated that they are kept informed of all changes in their relation’s health. The registered manager had recently accessed contact details for independent advocacy services and intends to develop this important area within the admission process and reviews of care at the home. The practices for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate and safe. The qualified nurses are responsible for all aspects of managing medication in the home. Discussion with residents and staff (and responses in Pre-inspection comment cards completed by residents and relatives) revealed that residents were treated with respect and that their right to privacy was upheld. Comments made included; ‘the staff are very good and nothing is too much trouble’, ‘the staff are always very polite and look after us well’, ‘I can go to my room whenever I want to’. On the day of inspection staff were observed to interact very positively with residents and treat them with respect, protect their dignity and assist them appropriately throughout the day. Residents and visitors appeared to have a positive rapport with staff. Relatives of residents all spoke very positively of the care and attention provided to their relation by the nursing and care staff. Parkview Nursing and Residential Home DS0000005693.V337586.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst residents are enabled to retain as much choice in their lives as they can social and leisure activities at the home need to be reviewed. EVIDENCE: Discussion with residents and relatives (and observations made on the day of inspection) indicate that the routines of daily life in the home are as reasonable as they can be in a home setting. Residents said that they are able to choose what time they get up and go to bed, and feel that staff inform and consult them about the care and support they need (this was supported from the comments made by relatives of residents in pre-inspection comment cards or in person to the inspector on the day of inspection). This is very important in allowing residents to keep as much control over their life as they can. The arrangements, for providing social and leisure activities, needs to be reviewed. Care records reflect resident’s social and leisure interests and the activities they have participated in. However there was no programme of activities Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 13 displayed in the home at the time of this inspection. The inspector was informed that many residents are not keen or able to participate in a lot of the activities that are provided. This confirms the need to review what is provided and look at what alternatives (including seeking the views of residents) could be provided – such as the re-introduction of entertainers coming to the home, and day trips out. Residents wishing to maintain their religious links are encouraged to do so. The home has an open visiting policy. There are no restrictions on the time people visit. The only time restrictions would be imposed is when requested by residents. Relatives spoken to during the inspection said they were always made welcome at the home and were able to see their relatives in the privacy of their own room or in a quieter area of the home. Residents spoken to expressed satisfaction with care provided and organisation of life at the home. Observation of care practice and information in care plans indicated residents are encouraged to make choices. For example in respect to where they spend their day. While some residents chose to sit in the lounge a number were observed to spend their time in their own rooms. At the time of this inspection 3 resident’s were nursed in bed due to their illnesses. Meals are cooked in the home’s kitchen. Menus are varied and balanced and provide choice. Meals are served in a spacious dining room. This is an appropriately furnished room that provides a comfortable and pleasant area for residents to have their meals. Residents’ meal times are as reasonable and as flexible as they can be in a communal setting. Discussion with residents (and some of their relatives) revealed a general satisfaction with the meals provided. Parkview Nursing and Residential Home DS0000005693.V337586.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives felt comfortable enough to and knew how to make a complaint, knowing that their views are taken seriously and acted upon. Written guidance and training arrangements ensure that staff members have a good knowledge of abuse and protection arrangements and safeguards were in place to protect the welfare of residents. EVIDENCE: The complaints procedure was prominently displayed in the home and included details of how to contact the CSCI if it was felt necessary by the complainant. Relatives spoken to on the day of inspection (and in responses contained within pre-inspection comment cards) said concerns or worries brought to the manager’s attention are responded to quickly and don’t become formal complaints. The registered manager keeps a complaint record – there were no complaints recorded since the last inspection. Policies and practices aimed at protecting residents from abuse are in place. Also Bolton’s inter agency protection procedure is held on site. Whilst it was evident staff were accessing protection training the training record maintained by the home needs to detail the date each member of staff accessed that training to demonstrate such training is being updated at appropriate intervals. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home appears to be generally well maintained. However some areas of the home need to be improved to maximise residents comfort in their environment. EVIDENCE: The home was clean and free of malodour at the time of this unannounced inspection. From the comments of relatives spoken to on the day of inspection (and in responses contained within pre-inspection comment cards) this is the norm. The programme of re-decoration/ floor covering replacement in resident’s bedrooms continues and is reportedly nearing completion. Bedrooms inspected (18 in total) were clean, warm and suitably equipped/furnished and a number were quite personalised. Most had been redecorated over the last 12 months. Residents who needed to be ‘nursed’ in bed appeared to be comfortable and well cared for. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 16 Residents and relatives spoken to expressed satisfaction with bedroom provision. The dining room was clean, adequately decorated/furnished and tables were appropriately set for meals. The main lounge area is in need of re-decoration and making more homely – the registered manager informed the inspector that this was to be done when a new maintenance person was recruited (following the very recent retirement of the existing one) and the re-decoration of bedrooms had been completed. The designated smoking lounge was clean, has been provided with new floor covering since the last inspection and was suitably decorated/furnished and separate from other communal areas. Provision has been made (since the last inspection) of a designated hairdressing room on the ground floor. Bathrooms were clean and appropriately equipped/adapted. However the décor in bathroom/WC ‘F’ is in need of attention. The manager informed the inspector that floor covering has recently been purchased for the bathrooms/WC areas of the home. Adequate arrangements for cleaning, hand washing, laundry and disposal of waste materials are in place that seek to minimise the risk of the spread of infection. And staff are provided with disposable gloves and aprons when caring for/supporting residents. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst residents needs are currently being met by staff at the home improvements need to be made in the recruitment and training processes to ensure this continues. EVIDENCE: Inspection of staffing rotas indicated that staffing provision at the home complied with the current minimum requirements that apply to care homes for older people. Discussion with manager and staff at the home indicated that they were of the view that staffing levels were appropriate to meet the dependency levels and needs of the 29 resident’s living at the home at the time of this inspection. There is also adequate provision of housekeeping, catering and ancillary staff at the home. Inspection of 3 staff personnel files revealed that these contained an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check) – however I of these CRB checks had been brought from the person’s previous employment – the registered manager was reminded that CRB checks are not ‘portable’ and need to be requested for all new employees, documentary evidence of identity including a recent photograph, evidence of induction training and qualifications held by the applicant. Discussion with the owner of the home and registered manager revealed that a number of staff employed at the home require permits and that there have been some issues with the permits of 4 members Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 18 of staff. The owner of the home informed the inspector he was currently trying to resolve these with the relevant government department. It is noted that all care staff at the home, except one who possesses an NVQ2, were adaptation nurses awaiting registration with the Nursing and Midwifery Council and therefore are qualified in excess of the NVQ2 requirement of standard 28. However other staff have been recruited who do not have this experience and will therefore require to be provided with appropriate NVQ training. The registered manager stated there was a commitment to provide such training to those individuals who required it. Newly appointed staff are provided with induction training – at the time of inspection the registered manager informed the inspector that she is planning to implement an induction/ongoing training system of training that conform to the Common Induction Standards framework proposed by Skills for Care. It was evident that a wide range of further training had been arranged/provided for staff in Moving and handling, abuse, fire safety, and other areas that help staff to improve the protection, care and support residents are provided with. But it was not clear when individual members of staff had been provided with specific training. A record of training should be maintained that could quickly identify what training individual members of staff have been provided with and the date they received it – to demonstrate training has been provided and when an update to training is required. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is being generally appropriately managed. However some areas that are detailed below and elsewhere in this report require action. EVIDENCE: The registered manager is very experienced and is a qualified nurse. Discussion with residents, their relatives and staff indicate that the manager operates a management style that is open and accessible. The home was generally well organised with a clear management structure. However the registered manager and provider need to address the recruitment and training issues discussed in the previous section of this report. Qualified nurses and a team of care staff support the manager. There is also catering and domestic staff. The home was seeking to recruit a maintenance person at the time of this inspection. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 20 The manager has developed a quality assurance system to measure residents and their relative’s satisfaction, with the level of care and accommodation provided. This is essential as such information will enable a quality improvement plan to be fully developed and implemented to further improve the quality of life for residents. The manager informed the inspector that she intends to further develop the quality assurance system to incorporate the views of visiting doctors, nurses, social workers and others who regularly come to the home. And to develop her own checks to ensure practices in the home are of as a high a standard as possible. Measures were in place to ensure that residents’ financial interests are safeguarded. Residents are encouraged to control their own money. However where they are unable (or choose not to) personal allowances are managed by the home. The arrangements for this were secure and appropriately documented. The health, safety and welfare of residents and others are promoted and protected. For example staff are provided with regular training and appropriate equipment to ensure resident’s moving and handling needs are met. An example of this would be for a resident who needs to be safely moved with the aid of a hoist. Fire safety training is regularly provided. Information provided by the home indicates that electrical/gas safety inspections/servicing has been carried out. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 2 X X 2 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 2 X 3 X X 3 Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP12 Regulation 16 (2)(m)(n) Requirement That the provision for resident’s social/leisure activities is reviewed (including consultations with residents). And that once developed the programme of such activities be prominently displayed in the home That the CSCI is informed in writing what progress has been made with environmental redecoration/refurbishment within the home – including outstanding residents bedrooms, the main lounge area and bathroom ‘F’. That you confirm in writing to the CSCI that a new CRB and POVA first check is conducted by the home on all new employees That the CSCI is informed in writing what progress has been made with providing NVQ training, induction training that conforms to the common induction standards and how the details (including dates) of training provided to individual staff is provided That the CSCI is informed in DS0000005693.V337586.R01.S.doc Timescale for action 01/10/07 2 OP19 OP20 OP24 23(d) 01/10/07 3 OP29 19 01/10/07 4 OP28 OP30 18 01/10/07 5 OP33 24 01/10/07 Page 23 Parkview Nursing and Residential Home Version 5.2 writing what actions have been taken to develop the home’s systems of quality assurance 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 OP3 Good Practice Recommendations That the pre-admission assessment conducted by the home is recorded as a separate document in the care records. Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Parkview Nursing and Residential Home DS0000005693.V337586.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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