Inspection on 18/09/07 for Richmond Court Nursing Home

This inspection was carried out on 18th September 2007.

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

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

Other inspections for this house

Richmond Court Nursing Home 14/12/06

Richmond Court Nursing Home 08/02/06

Richmond Court Nursing Home 13/06/05

Richmond Court Nursing Home 01/03/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Richmond Court Nursing Home 33/35 Beeches Road West Bromwich West Midlands B70 6QE Lead Inspector Mrs Amanda Hennessy Key Unannounced Inspection 18th September 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Richmond Court Nursing Home DS0000063155.V346091.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. Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmond Court Nursing Home Address 33/35 Beeches Road West Bromwich West Midlands B70 6QE 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) 0121 500 5448 0121 553 7357 Richmond Court Nursing Home Ltd Craig Hill Care Home 42 Category(ies) of Dementia - over 65 years of age (42) registration, with number of places Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing levels meet the Residential Forum tool requirements in relation to service users dependency. Service users within the category DE(E) may be 60 years and over. Date of last inspection 14th December 2006 Brief Description of the Service: Richmond Court is a 42 bedded home catering for service users who have dementia. On the ground floor there are two lounges and two dining rooms. There are thirty four rooms in total of which twenty one are en suite, seven doubles and twenty eight singles. The home has five bathrooms and two shower rooms. The home has a passenger lift that enables service users to access the first and second floor. A range of aids, which include handrails, grab rails, hoists and other specialist equipment are available to meet the needs of dependent service users. Outside the home is a large garden with level patio area. The home also has parking facilities available to the side of the home. Richmond Court is situated ten minutes from the town centre of West Bromwich and is on the local bus route. It is five minutes from the local motorway networks making it very accessible. The home does not provide nursing care. No fees were identified within the service user guide, any enquiries in relation to fees chargeable should be made direct with the home. Fees do not include extras, such as hairdressing, chiropody, toiletries and news papers but can be provided at an additional cost. Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection undertaken without any prior notice by two Inspectors. The inspection was carried out between 11.00 and 16.00. The inspection included a tour of the building, talking to service users, staff and the Manager, a review of records including information forwarded by the Manager before the inspection and survey comment cards that were completed by service users and their relatives. Care records were reviewed as part of the “case tracking” of four people who live at the home, four staff records who have been employed since the previous inspection were also examined. The previous three requirements have been addressed; No new requirements were made as a result of this inspection. The Inspectors would like to thank all of the Proprietor, Manager, staff and service users for their hospitality and assistance throughout the inspection. What the service does well: The home has effective leadership to ensure its smooth running. Systems are in place to continuously monitor the service on offer and the quality of care given with a view to continuous improvement and ensure that people who live at the home are listened to. The home provides people with good information about the service it provides. All people have their needs assessed in full before their admission and again once they have moved into the home. All people who live at the home are well looked after and enjoy living at the home, each person has their own individual plan of care that is kept under regular review. One relative commented “my mother has always been given a very high standard of care” and another, “We have found the care to be excellent”. The home provides good quality meals and a varied choice, two hot choices of meal for are provided at both dinner and tea, snacks and drinks are always available during the day and night. The home has good systems in place to be able to deal with complaints should they arise and ensures that any concerns are listened to. Staff at the home are recruited safely and have all of the necessary checks completed before they commence employment. Staff are guided through an Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 6 induction programme and all have training to ensure they have the required knowledge and skills to care for the service users. The home is run in the best interests of people who live there and their and their health and welfare is promoted through safe working practices. Comments received about the home were very positive and can be summarised by one response: ‘The care home provides excellent service both in accommodation and personal wellbeing”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Richmond Court Nursing Home DS0000063155.V346091.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 Richmond Court Nursing Home DS0000063155.V346091.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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home can be assured that they will have enough information about the home to make a decision about living there. They can feel confident that their needs will be assessed and met by the home. EVIDENCE: The homes statement of purpose and service user guides have recently been updated and are generally comprehensive. There is a need for the service user guide to include information on fees that are payable although what is included in their fees is included. People wishing to live in the home have a thorough assessment of their needs. The Manager was advised that assessments could be further improved if additional information rather than one word answers is recorded. Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 9 All residents are given terms and conditions of residency although those in some of the care records seen had not been signed. All original staff had dementia care training when the home first gained its registration to care for people with dementia, however newer staff have not had any dementia training. Some staff spoken to had no awareness of the different types of dementia, what dementia is or how it may affect someone who has it. There is a need for all staff to have an awareness and understanding of dementia for the home to continue to develop its specialism in caring for people with dementia. The home does not have people who require intermediate care. Richmond Court Nursing Home DS0000063155.V346091.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. People who live at the home can feel confident that all of their health needs will be identified and met. Medication is administered safely and service users can be assured that they will receive their medicines as prescribed. People living at the home are treated with respect and dignity at all times. EVIDENCE: People who live at the home have an individual plan of care. The manager has being developing “person centred planning” and this was evident in those care records seen. Plans of care detail people care needs and choices and provide staff with instructions how their needs should be meet. It was positive to see that staff record residents capabilities to avoid a loss of skills and ensure people maintain their independence for as long as possible. A record is made of their choices such as their preferred night time routine. Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 11 It was very pleasing to see that the home assesses each service user for their risk of falls, pressure sore risk development, moving and handling and malnutrition, risk of constipation and the use of bed rails when appropriate, each of these risk assessments is reviewed on a monthly basis and are updated when needs change. Where risks are identified there was a clear plan to show how this risk is going to be reduced, although staff had not weighed one resident weekly as identified by her plan of care although this residents had lost 10kgs in ten months. A resident whose care records were reviewed had challenging needs. There was a care plan in place to manage this residents aggressive behaviour, although some of the content needed further clarification, if staff are to follow it and protect the resident. For instance the care plan states “recognise early warning signs of aggression and de escalate the situation, move away from possible triggers”. It would be more helpful if the care plan include what the early warning signs are, the de escalation techniques that should be used and a list of the triggers that cause the aggression so that staff will know how to avoid them. When staff were spoken to about the care plan they confirmed that they did not know what de escalation techniques were and would not know how to use them. They also said that they had had no training in this area. There was documented evidence that the home seeks the help of other professionals such as GPs, Chiropodists, Opticians and Dentists in order to meet residents. It was positive to see that the resident who had the challenging behaviour had been referred to the Psychiatrist for help and advice in reducing the incidence of their challenging behaviour. There are good systems in place for the ordering, receipt and administration of medicines. All medicines are administered by trained nurses or care staff who have completed the “Safe Handling of Medicines” training. All medicines are stored as recommended. A requirement made at the previous inspection that the manager must ensure that the temperature within the room where medicines are stored is recorded on a daily basis and does not exceed 25°c has been met. There are no controlled drugs being administered at this time but there are sufficient safeguards in place for administration if the situation changes. Staff were able to give to describe what actions they would take to ensure they preserve residents privacy and dignity. Staff were observed talking to service users in a polite manner and were courteous at all times. Richmond Court Nursing Home DS0000063155.V346091.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. People who live at the home can be assured that they will be involved in planning leisure activities that take place at the home and that they can receive visitors when they wish. Meals are provided are wholesome and nutritious and offer service users a balanced meal. EVIDENCE: People who live at the home are given the opportunity to choose how they participate in their care by identifying when they like to get up and go to bed, what they like to eat and whether or not they want to take part in activities the home has planned. There is no dedicated activity person for the home but staff did say that they conduct activities in the afternoons. Activities include bingo, dancing and quizzes. Activities usually take place after 2pm when the afternoon staff come on duty. Staff have made some attempt to record the likes and preferences of service users in their plan, although the residents life story had not been completed in those care files looked at. Some relatives did say that they felt that more activities cold be provided. When how the home Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 13 could improve one relative said “ its hard to know how the home could improve but possibly trips out, maybe to the park”. Families and friends are encouraged to visit at anytime during the day but are asked to give consideration to the needs of the service users early in the morning or late at night. Relatives who responded to the survey all agreed that they are kept up to date with developments in the care and treatment of their relatives. “They are good at communicating any issue concerning my mother”. The home does have provision for people to manage their own finances if they wish to do so, the home is also able to keep small amounts of service users money to enable them to pay for items such as hairdressing, newspapers and toiletries. It was positive to hear that staff have had training in relation to the New Mental Capacity Act to increase their understanding of this new legislation and how it affects them and their residents. The home has a four- week menu. There are two choices for both dinner and tea with one hot option always available. Breakfast is usually cereal and toast during the week and a cooked breakfast in Sunday. It was also pleasing to see that the home is able to provide meals for people with religious and cultural dietary needs. Staff also provide residents with assistance when needed but the home also supplies appropriate and other aids such as special plates to enable residents to maintain their independence for as long as possible. Meals were found to be tasty and all are home cooked. Richmond Court Nursing Home DS0000063155.V346091.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. People who live at the home can be assured that their complaints will be listened to and acted upon; furthermore they will be protected from abuse. EVIDENCE: The home has an appropriate complaints policy that contains all required information and ensures that service users complaints will be listened to and acted upon. There are appropriate systems in place for the investigation of complaints and the recording of any outcome. The home has received one complaint that was appropriately responded to and identified actions that staff should undertake. Residents commented: “I have never had any reason to raise concerns but I feel they would respond appropriately”. And “ I have never had occasion to complain but if a need arose I would speak to the manager”. There are also good systems in place to protect service users from abuse; the home works in partnership with the local authority as expected. All staff have received training in safeguarding adults, it was pleasing to hear that when they were spoken to, all staff were able to give examples of unacceptable practice and how they would deal with it. “I would go straight to the manager”, “make sure the resident is ok immediately then fetch the manager”. Richmond Court Nursing Home DS0000063155.V346091.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): 19,20,22 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well-maintained and clean. There are good systems in place to prevent the spread of infection to service users. EVIDENCE: The home is well maintained, clean and tidy. The home is divided into two separate units, one for residents whose dementia is more developed and have nursing needs and the other with people with mild to moderate dementia. Each unit has its own lounge and dining room and toilets and bathrooms. The home has an ongoing refurbishment programme, recently the registered provider has replaced vanity units in residents bedrooms. The majority of the home has been refurbished since it has been owned by the current proprietors. Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 16 The home has a large garden with a pleasant patio area with garden furniture where residents can sit if this wish to. The patio can be accessed by wheelchair users and other dependent people from a ramped walkway from the home. The home has a range of aids and adaptations such as grab rails, lifting hoists, bath hoists and wheel in showers, pressure relieving equipment for dependent people. The home has good systems in place to minimise the risk of the spread of infection. The manager was advised that gloves and aprons should be more widely available throughout the home to avoid staff carrying gloves around in their pockets which could increase the risk of bacterial spread. The home has good laundry facilities that ensure that service users clothing and linen is cleaned. Richmond Court Nursing Home DS0000063155.V346091.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 good. This judgement has been made using available evidence including a visit to this service. People who live at the home can be assured that they will be cared for by knowledgeable and skilled staff, who are recruited safely and are competent to do their jobs EVIDENCE: The home employs sufficient staff to meet the needs of the service users. The staff rota provides an accurate picture of the staff on duty each day. The home also employs domestic, laundry and kitchen staff who all contribute to the smooth running of the home and ensuring that it is clean and tidy throughout. Residents and their relatives were very positive about the homes staff saying: “My mother has always been given a very high standard of care, the staff are very well trained”. “Highly impressed with the nursing skills employed by speciality nursing staff”. Several of the homes experienced care staff have transferred to another home in the group since the home has become a nursing home and now has a qualified nurse on duty at all times. As a result of this the number of qualified Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 18 care staff with a National Vocational qualification in care has decreased from more than 50 to 33 . The Manager encourages staff to undertake all training and it is anticipated that the home of staff with a care qualification will soon increase. . The home has robust recruitment and selection procedures that safeguard residents from people who have be inappropriate to work with vulnerable people. The manager ensures that all required information has been received before the new member of staff commences employment. A recommendation made at the previous inspection that the manager authenticates the references has been undertaken. The Manager was advised to ask for a full employment history rather than ten years as currently. All new workers are supported through their induction process which meets the skills for care standards. It was pleasing to see that all staff have their own individual training and record plan that details their individual training needs Richmond Court Nursing Home DS0000063155.V346091.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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has effective leadership to ensure the smooth running of the home. Systems are in place to continuously monitor the service on offer with a view to continuous improvement and ensure that people who live at the home are listened to. The home is run in the best interests of people who live there and their health and welfare is promoted through safe working practices. EVIDENCE: The manager of the home is Mr Craig Hill, he is both qualified and competent to run the home. People who live at the home, their relatives and staff all indicated that the Manager is approachable and supportive. Outcomes of the Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 20 inspection are that the home has strong and effective leadership and that residents needs are met and their views listened to. The manager is keen to ensure that the home continues to improve and has a programme of monitoring the quality of care and services provided. The home’s quality assurance programme monitors compliance with the National Minimum Standards, the manager has conducted relatives surveys, menu surveys and completed an audit of the things that people who live at the home like to do. The manager could develop this process further by publishing an action plan to demonstrate how the home will address any issues identified as part of the quality assurance programme. Residents monies were checked to ensure that all transactions are being recorded and kept safely, it was pleasing to see that this is the case and service users should feel confident that their money will be managed safely and held securely. The home has a supervision programme. The majority of staff have regular supervision although some dates have been missed due to staff sickness and unforeseen absence. The Manager has put new system in place the enthuse the staff to attend supervision. He has built in mini training session to supervision that cover infection control, health and safety, risk assessment, abuse and nutrition. If staff needed additional training or support this is then arranged for the worker. It is recommended that the manager includes a session on dementia care as part of this supervision programme. The home protects the welfare and health of service users and staff by making sure that all required maintenance checks and safety certificates are kept up to date. Staff also receive regular mandatory training, there are some gaps but these will be addressed as part of a rolling programme. Fire training must continue for all staff along with regular fire drills, fire maintenance records were up to date, fire fighting equipment has recently been serviced. Richmond Court Nursing Home DS0000063155.V346091.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 2 2 3 2 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 3 3 x 3 x x x 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 2 x 3 Richmond Court Nursing Home DS0000063155.V346091.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. Standard Regulation Requirement Timescale for action 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 OP1 OP3 Good Practice Recommendations The service user guide includes information on fees that are payable. Information recorded as part of the assessment of people needs before they come into the home is further expanded. Care plans for residents who have challenging needs should detail what triggers cause the residents aggression and what actions are required to “de escalate” their aggression. The registered provider should consider employing an activity coordinator to ensure that service users receive dedicated activity time throughout the week Gloves and aprons should be more widely available throughout the home. DS0000063155.V346091.R01.S.doc Version 5.2 Page 23 3 OP8 4. OP12 5. OP26 Richmond Court Nursing Home 6 OP27 Staff should have an awareness and understanding of dementia and receive appropriate training in caring for people with dementia. A full employment history for new staff is requested on application forms rather than ten years as currently. An action plan should be identified to demonstrate how the home will address any issues identified as part of the quality assurance programme. Sessions on dementia care should be included as part of the supervision programme. 7 8 9 OP29 OP33 OP36 Richmond Court Nursing Home DS0000063155.V346091.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Richmond Court Nursing Home DS0000063155.V346091.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. Re-publishing this information is in breach of the terms of use of that website. 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