CARE HOMES FOR OLDER PEOPLE
Priory Park Nursing Home Priory Crescent Penwortham Preston PR1 0AL Lead Inspector
Vivienne Morris Announced 10 November 2005 09:30 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 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. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Priory Park Nursing Home Address Priory Crescent Penwortham Preston Lancashire PR1 0AL 01772 742248 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Southern Cross Care Homes Limited Care Home with nursing 45 Category(ies) of OP Old Age (34) registration, with number DE(E) Dementia - over 65 (30) of places MD Mental Disorder (1) Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Within the overall total of 45 a maximum of 34 service users requiring either nursing or personal care who fall into the category of OP – Old age, not falling within any other category. Within the overall total of 45 a maximum of 30 service users requiring either nursing or personal care who fall into the category of DE (E) – Dementia aged over 65 years. Within the overall total of 45 a maximum of one service user requiring either nursing or personal care who falls in the category MD – Mental Disorder, excluding learning disability or dementia. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. The registered provider must, at all times, employ a suitably qualified and experienced manger who is registered with the Commission for Social Care Inspection. Date of last inspection 5 May 2005 Brief Description of the Service: Priory Park is a three story, purpose built home, which is registered to care for service users with a variety of needs. The home is located in a quiet residential area of Penwortham, close to local shops, Churches and public transport and is a short car journey into the centre of Preston.Although some shared rooms are available at Priory Park, these are used for single occupancy. Although ensuite facilities are not provided at Priory Park, toilets and bathrooms are located at convenient intervals throughout the building. All areas of the home are easily accessible to service users by the use of a passenger lift and ramps to the outside of the building. A variety of communal areas are available at the home and separate dining areas are provided. Service users cared for on the Dementia Care unit, have safe, easy access around the unit and into the garden area. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection was conducted over one day during November 2005. The inspection process focused on the outcomes for people living at the home. During the course of the inspection service users, relatives and staff were spoken to, relevant records and documentation were examined and a tour of the premises took place, when a random selection of private accommodation was viewed and all communal areas were seen. The Commission for Social Care Inspection had not received any complaints about this service since the last inspection. What the service does well:
The pre-admission process ensured that those who wished to live at Priory Park had been appropriately assessed, so that staff working at the home were able to adequately meet individual needs. The plans of care were found to be very detailed, well written documents, providing staff with clear guidance as to how recorded needs were to be met. A detailed social care assessment had been conducted, which provided staff with a clear picture of service users’ past history, including any leisure interests and hobbies, so that staff were able to relate more effectively to those living at the home. Service users were encouraged to maintain contact with their family and friends and to be involved in community based activities, should they so wish. Those living at the home were given the opportunity to exercise personal autonomy and choice. The home was tastefully furnished and pleasantly decorated to a high standard and the premises, both internally and externally were well maintained providing those living at Priory Park with a safe, clean, comfortable and homely environment. The dependency levels of individual service users are determined and the skill mix and numbers of staff are appropriate to assessed needs. A detailed induction programme is provided for new members of staff on the commencement of employment, which involves the completion of a detailed workbook. New staff are assigned a mentor to guide them through the induction process.
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 6 Procedures were in place to safeguard service users’ money and valuables deposited with the home for safekeeping. What has improved since the last inspection? What they could do better:
Although the plans of care were well written documents, the assessed needs of those living at the home were not consistently recorded to ensure that all needs were being met. Service users or their representatives had not been involved in the pre-admission process to ensure that the home was able to meet individual needs. The plans of care should be developed with the involvement of the service user or their representative and should incorporate the assessed social care needs of those living at the home to ensure that staff are aware of how to support people in maintaining their leisure interests and hobbies, should they so wish.
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 7 The written complaints procedure must be reviewed and supplied to every service user or their representative. The ratios of care staff to service users should be determined according to the assessed needs of service users, and a system operated for calculating staff numbers required, in accordance with guidance recommended by the Department of Health. The home needs to progress towards achieving a minimum ratio of 50 of care staff with a National Vocational Qualification to ensure that sufficient numbers of care staff are adequately trained to do their job. 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. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Adequate procedures had been adopted which ensured that the people living at the home had been appropriately assessed prior to admission. Staff had not been provided with details of how all the assessed needs of those living at the home were to be met. EVIDENCE: The inspector was informed that the statement of purpose and the service user’s guide had been reviewed to provide interested parties with current information. The registered person should forward a copy of the new documents to the Commission for Social Care Inspection so that the inspector can determine if the recommendation made at the previous inspection has been addressed. At the time of the inspection there were 40 people living at Priory Park. The care of two of these people with different needs was ‘tracked’ during the course of the inspection. The care records showed that in both cases the home had obtained detailed information prior to admission in order to determine the needs of each person admitted to the home.
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 10 The assessed needs of those admitted to the home were not consistently recorded within the care plan therefore staff were not provided with detailed information as to how service users’ needs were to be met. There was no evidence to demonstrate that the service user or their representative had any input in the pre-admission process to enable them to ensure that the home could meet their needs. This requirement remained outstanding from the previous two inspections. The inspector noted that the pre-admission details had been rewritten to accommodate the new company name. These documents should not have been copied and signed by a person who had not initially obtained the information as this could create a potential for incorrect information being copied. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7.9 and 10 Service users’ individual assessed needs were not consistently recorded within the plans of care to ensure that all needs were being appropriately met. The staff team protected the privacy ad dignity of those living at the home. EVIDENCE: The care of two people living at the home was ‘tracked’ during the course of the inspection and the records of two more were examined. The plans of care were found to be extremely detailed and very well written documents providing staff with clear instructions of how the needs recorded were to be met. However, not all assessed needs had been recorded within the care plan, therefore a complete picture of service users’ needs was not provided to assist staff in delivering appropriate care. A very informative social history had been obtained to determine what those living at the home enjoyed doing and to find out something about their past lives so that staff could relate to them more effectively. However, this information had not been transferred onto the plan of care to demonstrate how service users were to be supported to maintain their leisure interests and hobbies. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 12 Of the two care records examined service users or their representatives had not been involved in the care planning process. A variety of risk assessments had been conducted, including the prevention of falls. The pharmacy inspector assessed the management of medications at this inspection. A detailed report of the findings will be forwarded to the home under separate cover. The inspector observed staff speaking with service users in a respectful manner and saw them knocking on bedroom doors before entering to ensure that the privacy and dignity of those living at the home was protected. Service users spoken to confirmed that staff respected their privacy and dignity at all times. A written policy was in place and available to staff, which demonstrated that privacy and dignity for service users was respected and induction records showed that staff had been instructed to treat service users with respect at all times. Those spoken to confirmed that if a doctor needed to carry out an examination, then this would be conducted within the privacy of the service user’s bedroom. A telephone was available for service users to use in private and service users confirmed that they received their mail unopened. The inspector noted that service users’ clothing was discreetly labelled for easy identification purposes and individually named baskets were provided in the laundry department for small items of clothing. Staff were seen to be returning laundered personal clothing to service users wardrobes. Comments received by the inspector included “The staff have always given satisfactory support – it has improved still further over the last twelve months” and “I have been kept well informed about my relative’s condition and needs.” Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 and 14 The home encouraged those living there to maintain contact with family, friends and the outside community. Service users were able to exercise choice and control over their lives as far as possible. EVIDENCE: A visiting policy was in place at the home and information relating to visiting was also included in the statement of purpose and service user guide to ensure that all interested parties were aware of the visiting arrangements of the home. Relatives were seen to be visiting service users in private and one visitor spoken to felt that visitors were welcome at any time and that a friendly environment was provided for both service users and staff. Comments from one person living at the home included “The food is smashing. I like living here. I have no complaints whatsoever”. There was evidence available to suggest that links with the local community was encouraged so that those living at the home were able to maintain involvement in outside activities. The inspector noted that personal possessions adorned individual rooms, where appropriate to create a homely environment and audits of service users’ belongings had been conducted on admission to protect the safety of individual’s personal possessions.
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 14 Information was provided and available in the home in relation to accessing advocacy services, which formed part of the admission process, so that people were given the opportunity for an independent person to act on their behalf should they so wish. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The management of complaints received by the home was satisfactory although the complaints procedure needs to be reviewed to provide additional information. EVIDENCE: A clear complaints procedure was in place at the home and records showed that any complaints received were dealt with effectively. However, although this procedure was included in the service users’ guide it did not include contact details for the Commission for Social Care Inspection and although these details were prominently displayed within the reception area of the home, the people who lived there did not routinely access this area and were therefore not party to this information. However, those spoken to were aware of whom to speak to within the home, should they wish to make a complaint. One comment received was “A complaint I made was taken seriously and the problem hasn’t occurred again.” Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 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 standard(s) 19 The home was comfortable and well organised. The environment was tidy, clean and in general pleasant smelling. The bedrooms and communal areas were well furnished and tastefully decorated. The home was well maintained and service users were seen to be living in a safe environment. EVIDENCE: The inspector toured the premises at the time of the inspection, viewing a random selection of service users’ bedrooms and all communal areas were seen. A random selection of bedrooms were viewed at the time of the inspection, which were seen to be bright, airy and comfortable, well furnished and tastefully decorated, providing a homely, hazard free environment for those who lived at the home. Those spoken to were happy with their private accommodation. Doors to service users’ private accommodation were fitted with locks and it was evident that some people who lived at the home were provided with keys, where appropriate. Lockable storage facilities were also provided for the retention of valuables and medications, should service users be self-medicating. Adjustable beds were provided for those requiring a high
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 17 level of nursing intervention to ensure that their comfort was maintained and to ensure that adequate care was given. The furnishings, fittings and decoration of the communal areas of the home were seen to be of a good quality and the maintenance of the environment was of a high standard, therefore providing a comfortable, homely environment for those living at the home. Grounds were seen to be tidy and safe, with a pleasant patio area to the rear of the building. Sturdy garden furniture was available for the use of those who lived at the home. The Lancashire Fire and Rescue Service had conducted an inspection since the last inspection, the requirements of which had been appropriately addressed. The Environmental Health Officer had inspected the premises since the last inspection, the recommendation of which had been addressed. The use of Close Circuit Television was restricted to entrance areas for security purposes only and did not intrude on the daily life of those living at the home. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The numbers and skill mix of staff were appropriate for the assessed needs of the people living at Priory Park. There were sufficient numbers of ancillary staff employed at the home to ensure that the environment was well presented and was maintained to a good standard of cleanliness. The recruitment procedures were adequate to ensure that those living at the home were sufficiently protected. Staff were sufficiently inducted and trained to ensure that there was a skilled work force and that people had the necessary underpinning knowledge to meet the needs of the people they were caring for. EVIDENCE: There was a clear duty rota in place demonstrating which staff were on duty at any time of the day or night. Although a tool for determining individual dependency levels of service users was utilised, the home had not considered these levels when calculating the staffing requirements to ensure that staff were deployed in the best way for those living at the home. However, service users spoken to felt that their care needs were being appropriately met. Domestic staff were employed in sufficient numbers to ensure that the home was maintained to a good standard of cleanliness. However, there was a slight unpleasant odour evident on the first floor, which did not enhance the general environment. The inspector received a few comments about the occasional unpleasant odour in parts of the home.
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 19 There were a total of 21 care staff employed by the home, three of whom had achieved a National Vocational Qualification, five more are due to commence this year. The manager of the home was aware that the home needs to progress towards achieving a minimum ratio of 50 of care staff with a National Vocational Qualification to ensure that sufficient numbers of care staff are adequately trained to do their job. A formal induction process had been adopted by the home, which involved working through a booklet appropriate to their role. This booklet provided some good information to help staff to understand their role and to enable them to perform the duties expected of them. Training records for staff demonstrated that 75 of the staff team had undertaken moving and handling training and 25 were qualified first aiders which demonstrated a significant improvement in staff training since the last inspection. The manager of the home had developed a system so that all staff completed six core-training courses to ensure that there was a skilled workforce and that people had the necessary underpinning knowledge to meet the needs of the people they were caring for. Two staff files were examined at the time of the inspection. It was found that recruitment procedures were being adequately followed in day-to-day practice and sufficient checks had been undertaken on staff to ensure that those living at the home were adequately protected. Staff spoken to informed the inspector that the manager was keen to develop appropriate training in accordance with the individual needs of staff. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 The systems in place protected service users’ money and valuables, which was deposited at the home. Staff were appropriately supervised to ensure that they were competent to do their jobs. EVIDENCE: The home was seen to be well organised. The inspector received many positive comments from service users, relatives and staff in relation to the management of the home. Comments included “I am full of praise for the manager. The staff are happy and selfless in their work. This is a happy ship, well run by a caring manager with excellent values” and “The staff should be commended for their consistent, professional and caring approach during circumstances which at times must be demotivating and distressing”. Service users’ personal allowance records were examined, which demonstrated that any transactions were recorded and receipts were given for any valuables
Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 21 deposited at the home or returned to service users’ families to ensure that safeguards were in place for the protection of service users’ money and valuables. There was recorded evidence available to demonstrate that staff had received formal supervision, to incorporate all aspects of practice, philosophy of care and career development needs and formal foundation training had been provided to ensure staff were appropriately trained to do their job. Appropriate lifting equipment was provided to ensure safe moving and handling procedures and a high percentage of staff held a current moving and handling certificate and there were ten qualified first aiders employed to ensure that the service users were adequately protected. One requirement from this section remained outstanding from the previous inspection. The registered person must design solutions and implement analysis of water systems for the control of Legionella to ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety, Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x
COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x 3 3 x x Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 23 YES Are there any outstanding requirements from the last inspection? 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 3 Regulation 14(1)(c) Requirement Timescale for action 15.12.05 2. 3 and 7 15(1) 3. 16 22(5), 22(6)(a) 4. 27 16(2)(k) The registered person must not provide accommodation for a service user unless, so far as it has been practicable to do so, there has been appropriate consultation regarding the preadmission assessment with the service user or their representative. (Timescale of 31.12.04 and 30.06.05 not met) Unless it is impracticable to carry 15.12.05 out such consultation, the registered person shall, after consultation with the service user, or a representative of theirs, prepare a written plan as to how the service users assessed needs in respect of their health and welfare are to be met. (Timescale of 30.06.05 not met). The registered person shall 31.12.05 supply a copy of the homes complaints procedure to every service user or their representative, which shall include the name, address and telephone number of the Commission. (Timescale of 30.06.05 not met). The registered person shall 31.12.05
Version 1.40 Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Page 24 5. 38 13(4)(a), (c) having regard to the size of the care home and the number and needs of service users keep the care home free from offensive odours. The registered person must ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety, including the implementation of solutions and analysis of water systems for the control of Legionella. (Timescale of 31.05.05 not met). 31.12.05 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 1 Good Practice Recommendations The registered person should forward a copy of the revised statement of purpose and service users guide to the Commission for Social Care Inspection. The service users’ guide should clearly identify the qualifications of staff working at the home, in accordance with standard 1 of the National Minimum Standards for Care Homes for Older People. The registered person should ensure that original documents are retained and that other people do not copy any details recorded. The service user’s plans of care should incorporate the social care needs and abilities of the individual and should demonstrate how service users are supported to maintain their leisure interests and hobbies, if they so wish. The relevant authorities involved in the protection of vulnerable adult procedure should be clearly identified within the written policies of the home. Written policies should be developed to ensure that physical or verbal aggression by service users was understood and dealt with appropriately and that physical intervention would only be used as a last resort. The home should be able to demonstrate compliance with the Water Supply (Water Fittings) Regulations 1999.
F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 25 2. 3. 3 7 4. 18 5. 26 Priory Park Nursing Home 6. 27 7. 28 8. 33 The ratios of care staff to service users should be determined according to the assessed needs of service users, and a system operated for calculating staff numbers required, in accordance with guidance recommended by the Department of Health. The home should be working towards achieving a minimum ratio of 50 trained members of care staff (NVQ level 2 or equivalent), excluding managers and registered nurses. Formal feedback from staff and stakeholders in the community should be sought about the quality of services provided and how the home is achieving goals for service users. Priory Park Nursing Home F57 F08 S25580 Priory Park Nursing Home V248346 101105 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Levens House Ackhurst Business Park Foxhole Road Chorley, PR7 1NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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