Inspection on 23/08/06 for Quinton House

This inspection was carried out on 23rd August 2006.

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

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

Other inspections for this house

Quinton House 30/05/07

Quinton House 25/10/05

Quinton House 28/10/04

Quinton House 24/06/04

Similar services:

Claremont House

Oak Ridge

Coopers Mill Ltd

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Paradise Lodge

Bilney Hall

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

CARE HOMES FOR OLDER PEOPLE Quinton House Harvey Street Watton Thetford Norfolk IP25 6EH Lead Inspector Ruth Hannent Unannounced Inspection 23rd August 2006 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 Quinton House DS0000027480.V310073.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. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Quinton House Address Harvey Street Watton Thetford Norfolk IP25 6EH 01953 882101 01953 882101 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) Quinton Care Homes Limited Position Vacant Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: Quinton House is registered care home providing residential care for twenty three elderly people. It is a classical Georgian building with a modern extension. There are 21 single rooms, 15 of which have en suite facilities There is one double room with en suite facilities. There is a car park at the front of the home. The home is situated in a residential street in the market town of Watton in Norfolk, and is within walking distance of the main street, which has shops and other facilities. The home receives it medical nursing, and other professional services via the local Health Centre. Fees £260 - £360 No email address Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection to look at standards as stated in the National Minimum Standards. It took place with the Manager over a period of six hours. Besides this site visit information received by the Commission was taken into account. Questionnaires in the form of comment cards had been received from six residents and three family members. The pre inspection questionnaire had not been sent to the commission prior to the inspection but the partly completed document was available on the visit and was discussed. A letter had been received at the Commission complimenting the staff team on the successful outcomes for one resident stating that staff had worked over and beyond their duties to make the placement of this person a success. Throughout the day the comments cards were discussed, staff and residents were spoken to and records were looked at which included care plans, personnel files and fire records. A tour of the building took place and rooms that had been refurbished since the last inspection were seen. What the service does well: What has improved since the last inspection? Some bedrooms have been refurbished/decorated. The corridor has new lighting, which has improved the brightness and with the purchase of a quality carpet shampooer the flooring throughout the Home is much cleaner. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Quinton House DS0000027480.V310073.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 Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The quality outcome for this group of standards is good. This judgement has been made using available evidence including a visit to this service. Any potential resident is visited and assessed prior to being offered a place at the Home. EVIDENCE: The Home has written formats that prompt questions to be asked prior to admission of any potential resident to ensure the Home can meet the resident’s needs. The Manager will visit the person within there home or at hospital and gather as much information as possible. The latest lady to be assessed had detailed information written that gave a picture of care, health and social support required. Noted was medication required, care support, social interests and likes and dislikes, concerns shared and risk assessments as required. For example moving and handling and health needs. This person was spoken to during the visit to the Home and feels that Quinton House gave her a clear welcome and that from then to date her care needs are met. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 9 Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The quality outcome for this group of standards is good. This judgement has been made using available evidence including a visit to this service. Resident’s care needs are documented but not always current or written and reviewed with the resident. Resident’s health care needs are met. Residents are protected by the Homes policy and procedures when dealing with medication. Residents comment are full of praise in the way staff preserve their dignity and treat them with respect. EVIDENCE: The Commission had received 6 comment cards from the 9 residents who live at the Home. All six reflected how well their care is met. Many commenting on how their health and wellbeing had improved since they had moved in. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 11 In total three care plans were looked at. Each one was informative and gave a picture of need, including photographs, weight charts, which were current and up to date health a care support given by the GP’s and District Nurses. On talking to residents (three in total) all were positive about the care offered and all felt they were supported well with all their care needs. On talking to the Manager the information written on the care plan was not always up to date with no dates or signatures seen of reviews taking place which was a requirement from the inspection carried out on the 25/10/05. The staff team hold a lot of the information in their heads with messages passed by word of mouth with very little updates recorded on the actual care plan. Daily progress records hold information and the staff do give a picture of need on these records but written involvement with families or residents is not carried out and care plans are not reviewed, dated and signed. (One comment card from a family member stated that they are not involved or told very little about the care required of changes of need). (This is now an Outstanding Requirement ). The health care needs of each resident, is met by the local GP’s and Nurses. The recording of these visits and action required is written within the resident’s folders. The up to date monitoring of each resident’s weight was noted and blood sugar monitoring charts are current for residents who require it. The 6 comment cards from residents had no additional comments but they had ticked that their medical needs were sometimes or always met. The medication is now held in a robust metal trolley that is padlocked to the wall inside a locked cupboard. Each resident has a blister pack for regular medication with bottles, creams or PRN medication held in individual named containers. Some MAR charts were looked at with each one containing a photo. All boxes were recorded with an appropriate initial or code and any medication not given was also recorded. The cupboard was clean and orderly with a recording system for medication received and returned to and from the pharmacy. Throughout the day and with comments written in the comment cards residents are approached and cared for in a dignified manner “Staff could not be more respectful anywhere else. We are treated so well” was` one comment during a conversation. Lots of chatter was overheard along with lots of laughter. Residents were dressed suitably and staff, were noted to knock on doors before entering. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The quality outcome for this group of standards is adequate. This judgement has been made using available evidence including a visit to this service. Residents do have occasions when their expectations are met but it is spasmodic and not suitable for everyone. Families and friends are welcomed at anytime and remain in contact by phne if unable to visit. Residents are helped to exercise choice and control over their lives. The meals are enjoyed but choice and extra food is not always available. EVIDENCE: On arriving for the site visit one resident was enjoying a jigsaw in the dining room. With the completion of a 3D puzzle on display. The Home has on occasions had some forms of activity with at present the residents knitting squares to make a long scarf to hopefully get their name in the Guiness Book Of Records. On the wall were some recent works of art and it was noted in daily records that some residents go out with families but on the day of the visit the majority of residents were just sitting with no stimulation. Three Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 13 ladies in the lounge were slumped in the chair as all they had to do was fall asleep with regular individual stimulation not in place. The Home has improved the occasional activity but still need to consider the stimulation for individual residents to support social interests. (Outstanding Requirement) Relatives and friends were made very welcome on the day of the site visit. This was also evident in the 3 comment cards from family members who all said how welcoming, friendly and helpful the staff are. Some residents handle their own personal money with some assisted by the Home. On walking the building it was noted how each room was made personal and how belongings to each resident made their room their own. The choice of where and how residents have the furniture in their room is decided by themselves. One lady discussed her room and how much she likes the layout and the way the furniture is placed. The comments regarding the meals from residents varied in opinion with one person having food kept in her own fridge brought in by the niece as there was not enough food offered at the end of the day to last until the next morning. Other residents stated they enjoyed their meals and although limited choice of breakfast and tea is available the main meal of the day is accepted unless really disliked and then an alternative is offered. One gentleman does not eat certain meat due to his religion and an alternative is found another cannot eat eggs so again an alternative is found but generally choice is not offered. On looking through the kitchen cupboards the opportunity of choice is not available with very little held in supplies. (Outstanding Requirement) On the day of the inspection the meal was lasagne with one person having the whole meal liquidised and not placed separately on a plate, but served in a bowl as a green/grey thick soup. To show some change in colour and taste the food should be presented on the plate as individual items of food. (Requirement) Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality outcome for this group of standards is good. This judgement has been made using available evidence including a visit to this service. Complaints are acted upon but some concerns of messages not being passed on need to be dealt with appropriately. Residents are protected from abuse. EVIDENCE: The Home has no complaints on record. In the entrance to the Home is information about the way to complain and is also contained in the information given to new residents. 5 comment cards from residents stated they would complain but had nothing to complain about and had not written any comments but the rest of the comments were all written positively. 1 relative comment card did state that on occasions messages were not passed on but this had not been discussed with the Home and staff were not aware of messages going astray but will be more vigilant in the future. The Manager is very keen for staff to be aware of the signs of abuse and has attended, and ensured staff have attended, relevant courses for awareness on this subject. On talking to residents the care and attention they receive from the staff is of good quality and the training staff receive safeguards them from any poor practice that may be seen as abusive. On talking to a staff member signs of abuse, what to look for and how to report on to the Manager is clear and they would have no hesitation to whistle blow if they had any concerns. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 15 Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26 The quality outcome for this group of standards is adequate. This judgement has been made using available evidence including a visit to this service. The Home has improved and is well maintained in certain areas but some still need improvement. The residents do not have enough suitable bathrooms that are usable for residents on the ground floor. The home is clean and free from offensive odours. EVIDENCE: Since the last inspection the Home has greatly improved in the appearance and some maintenance work has taken place. Many rooms have been freshly painted, new light fittings are in the corridor making the passageway much brighter and the carpets have been shampooed and stains removed. The Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 17 staircase is in need of decorating but is due to have extensive structure work carried out and cannot be decorated until this is done. The garden has been improved with more colour, lawns and shrubs cut, new garden furniture has been purchased and flower tubs with colourful bedding plants are on the patio areas. The Fire doors are now in place and the recent fire report showed the fire department will be carrying out an exercise shortly on evacuation with an appliance. The fire extinguishers were dated 07/06 when serviced and the Manager was able to show a problem with one extinguisher and how this had been resolved. The hot water was checked by a thermometer within two areas of the Home, one in the bathroom and one in the bedroom and both registered the recommended 43 degrees. The Home to date has not refurbished the ground floor bathroom that was a requirement on the last inspection and is still in a poor condition. (Outstanding Requirement). The Home was noted to be very clean with no offensive odours. The laundry was managed well with new tumble dryers recently purchased and a washer that can ensure a temperature to wash foul laundry can be achieved. All residents clothes were well laundered and the hand washing facilities with anti bacteria liquid soap was available. The Home has a supply of disposable gloves and aprons with clinical waste held in a cupboard at the side of the house to be collected by a recognised contactor. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The quality outcome for this group of standards is good. This judgement has been made using available evidence including a visit to this service. The resident’s needs are met by a competent staff team in adequate numbers. Residents are in safe hands. The Home needs to improve some of the documentation held for each staff member. Staff are trained and on a continuous learning curve to update their knowledge. EVIDENCE: The staff at Quinton House, have worked within the Home for a number of years with only a few changes. The rota runs with two care staff on throughout the twenty-four hours, broken into three shifts. There is a cleaner through week day mornings and a cook who leaves after lunch. With only nine residents at present this number of staff appear to meet the needs of the residents. On talking to three residents each one was happy with the care support they get. One gentleman has always, prior to moving to Quinton House, had breakfast and then helped to dress, which is still how he is assisted in the Home. The comments about staff are full of praises. ‘They do a lot more than what they are paid for’. ‘They bring in treats for us and will come to Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 19 activities in their own time’. ‘What a wonderful bunch of girls’ are just some of the comments. A rota is kept on the wall in the office and it was noted that each shift was covered for the next two weeks. One personnel file was looked at and noted was two references, one application, a birth certificate, a CRB disclosure, induction completed and copies of training certificates. The file did not contain a photograph of identification as in a passport or driving licence, which is required as written in schedule 2 of the National Minimum Standards and was a requirement at the last inspection. (Outstanding Requirement) The manager is working hard to get the staff trained in all aspects to enable them to deliver the care to a quality standard. The use of distance learning, Otley training, Mulberry House and courses offered by Norfolk County Council are just some of the training in hand at this time. Two training files were seen with relevant courses covered from 2004 to date which includes moving and handling, adult abuse, health and safety, first aid, food hygiene and medication administration. The Manager is aiming to cover infection control in the next year as well as NVQ level 2 and 3 for all staff (Only one staff member is not booked, part way through or already qualified in NVQ care). Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 36 and 38 The quality outcome for this group of standards is adequate. This judgement has been made using available evidence including a visit to this service. The Manager does appear to be a person fit to run the Home with evidence seen of the responsibilities she takes on board but is still not registered with the Commission. The Home has no monitoring system for ensuring the care offered is in the best interests of residents. Resident’s financial interests are safeguarded. Staff are not having regular sessions of supervision. The health, safety and welfare of residents are promoted and protected. EVIDENCE: Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 21 The Manager has been in post for a year and is still to register with the Commission. (Recommendation). Her availability to cover the tasks required have sometimes been hindered due to the need to be on the floor with care staff and not free to cover management tasks. The office is tidy and files and systems are in place but documentation is not always current. The pre inspection questionnaire sent by the Commission had only been partly completed and records were not always dated and signed. At present the Manager is completing the NVQ Management course with the Care element to be completed in 2007. The Home has no quality assurance monitoring system and no views of residents, staff, families, friends or interested people involved with Quinton House. An excellent comment received regarding the great improvement of a resident from a Social Worker had been received at the Commission and comments and compliments such as these could be used as part of the annual quality checks along with concerns. (Requirement). The Home also does not receive recorded visits to check quality by the proprietors as stated in Regulation 26 with a copy of this report sent to the commission and would also form part of the monitoring system when checking quality. (Requirement). Residents have their money, if they so wish, held in the office safe. The money plus a cash-book and all receipts are kept in separate money bags within the safe. Three were checked through and the money balanced with all recordings logged, ensuring money, receipts and book all agreed. Staff supervision is still not occurring with only one file holding a record of concern. The need for appropriate supervision for all staff is necessary and good documentation is recommended. (Recommendation) The Manager has all the equipment required for staff to carry out tasks, serviced and dated. The fire equipment was checked in July 2006 and has the appropriate sticker in place. The manual hoist and bath hoists were serviced in April 2006 and also have the company’s date sticker in place. Training for staff and residents health and safety has occurred or is planned that is written in the section under staffing. The water temperature is safe. The fire alarm checks were dated on a weekly basis including when the system has been set off accidentally. Accident forms are held and the duplicate is in the front of the residents file. (Seen) but the Manager has not been informing the Commission of incidents and deaths as stated in Regulation 37. (Requirement) The cleaning chemicals for the home are stored in a locked cupboard on the middle floor and clinical waste is held in a storage cupboard beyond the laundry and disposed of by a registered contractor on a regular collection basis. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 3 X 2 X 3 Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15.2 Requirement The Manager must ensure that care plans are current and that residents and families have been involved in changes and reviews. (Outstanding requirement x 2) The Manager must ensure that each resident is consulted with and arrangements are made to provide interests and activities that are suitable. (Outstanding Requirement x 2) The Manager must ensure that residents have choice that is varied and offered with enough quantity at chosen times of the day. (Outstanding Requirement x 2) The Manager must ensure that meals are presented in a way that offers separate items when liquidised ensuring it is properly prepared and presented. The Manager must ensure that the assisted bathroom on the ground floor is refurbished and appropriately decorated to make DS0000027480.V310073.R01.S.doc Timescale for action 01/12/06 2 OP12 16.2(m) (n) 01/12/06 3 OP15 16.2(i) 01/12/06 4 OP15 16.2(i) 01/12/06 5 OP21 23.2(j)(n) 01/12/06 Quinton House Version 5.2 Page 24 6 OP29 7 OP33 8 OP33 9 OP38 it suitable for residents within that vicinity. (Outstanding Requirement x 3) 19.4(b) The Manager must ensure that sch 2 all personnel files contain all the relevant paperwork as listed in Schedule 2 of the National Minimum Standards. (Outstanding Requirement x 2) 24 The Manager must at appropriate intervals review the quality and improve the care for residents. 26.1,2,3,4 The Proprietors must visit and ,5 record the findings as listed under this regulation and forward a copy of the report to the Commission. 37 The Manager must ensure that notice is given to the Commission without delay incidents of death ,illness and events that adversely affect the Home. 01/12/06 01/12/06 01/12/06 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP31 OP36 Good Practice Recommendations It is recommended that the manager is registered with the Commission as soon as possible. It is recommended that all staff have supervision at least six times a year. Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Quinton House DS0000027480.V310073.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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