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Inspection on 07/03/06 for Rose Court Nursing And Residential Home

Also see our care home review for Rose Court Nursing And Residential Home for more information

This inspection was carried out on 7th March 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.

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

What the care home does well

The care plans were excellent. They contained a lot of important information about what the residents needed help with, and how they were to be cared for. Activities were considered to be an important part of the residents` day. The activities person who worked at the home was aware of what each resident liked, and was able, to do. Comments such as "no faults" "it is like home from home" were made to the inspector. The residents live in a clean and pleasant environment.

What has improved since the last inspection?

Great importance is attached to ensuring that staff undertake training, especially in relation to nutrition. There continues to be an ongoing programme of redecoration and refurbishment throughout the unit.

What the care home could do better:

Management need to provide another assisted bath on the unit. This will make bathing more comfortable and a lot easier both for the resident and the staff Management must make sure that the way they recruit staff is done safely. They must make sure that staff do not start work for them unless they have received at least 2 written references from previous employers.

CARE HOMES FOR OLDER PEOPLE Rose Court Nursing And Residential Home 44-48 Water Street Radcliffe Manchester Lancashire M26 4DF Lead Inspector Grace Tarney Unannounced Inspection 7th March 2006 10:00 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 Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rose Court Nursing And Residential Home Address 44-48 Water Street Radcliffe Manchester Lancashire M26 4DF 0161 724 9040 0161 724 5357 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) Southern Cross Home Properties Limited Mrs Catherine Mary Shawarby Care Home 109 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (40), Mental disorder, excluding learning of places disability or dementia (1), Old age, not falling within any other category (64), Physical disability (1) Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 109 service users to include the following: Clarence Unit. Older People (OP) 21. Both sexes. Over 65 years of age. Sandringham Unit. Older People (OP) 43. Both sexes. Over 65 years of age. Physical Disability (PD) 1. Both sexes. Over 55 years of age. Earl of Wilton Unit. Dementia (DE)(E) 40. Both sexes. Over 65 years of age. Dementia (DE) 1 Female under 65 years of age. Dementia (DE) 1 Male under 65 years of age. Dementia (DE) 1 Both sexes. Over 50 years of age Mental Disorder (MD) 1 Male under 65 years of age. The service should employ a suitably experienced and qualified manager who is registered with the Commission for Social Care Inspection. The named service users must be cared for on the Earl of Wilton Unit and suitably qualified and experienced registered nurses must provide 24 hour nursing care on this unit. Once placement for the three named service users (2 DE and 1 MD) has ended the previous registration category (DE)(E) will be reverted to. Suitably qualified and experienced registered nurses must provide 24 hour nursing care on the Sandringham Unit. 6th September 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Rose Court is a purpose-built detached property that is situated in a residential area of Radcliffe. The home is close to main bus routes and is not too far from the motorway network. A variety of shops are close by. There is plenty of parking to the front and the side of the home for the use of staff and visitors. The front door of the home allows a level access for wheelchair users and people who have problems climbing steps. The home is registered to care for residents with a variety of needs. The home is divided into 3 separate units. On the ground floor there is Clarence Unit. This unit is for elderly residents who have social care needs. On the first floor there is Sandringham Unit. The elderly residents on this unit have either nursing or social care needs. On the Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 5 top floor is the Earl of Wilton Unit. This unit is for mainly elderly residents who have dementia. The units on the first and second floors are reached either by stairs or a passenger lift. This report is about the Sandringham Unit. The unit has two large lounge/dining areas. Accomodation is provided in mainly single bedrooms, 4 of which have an en-suite facility of toilet and wash hand-basin. Most of the toilets and bathrooms have aids to assist any resident with a disability or mobility problem. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The home was not told that this inspection was to take place. This was an unannounced inspection. The Inspector spent 7 hours on the Sandringham Unit. During this time she looked at care and medicine records to ensure that the health and care needs of the residents were being met. To make sure that the home and the equipment in it was safe, the Inspector looked at the maintenance and service records. She also looked at how the management recruit their staff and how they handle the residents’ spending money. The Inspector then looked around the building at the bedrooms, bathrooms toilets and sitting areas to check if they were clean and well decorated. She then visited residents in their own bedrooms to check out the care that was being provided for them. In order to obtain information about the home, the inspector also spent time speaking to 3 residents, 1 registered nurse, 1 senior care assistant, 2 care assistants, the activities organiser and the registered manager. Not all the National Minimum Standards were looked at on this visit. During the next inspection the inspector will look at the rest of the Standards that are considered to be important for residents safety and wellbeing. These are the Standards that have to be inspected at least once a year. What the service does well: What has improved since the last inspection? Great importance is attached to ensuring that staff undertake training, especially in relation to nutrition. There continues to be an ongoing programme of redecoration and refurbishment throughout the unit. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 7 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. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 the following standard(s): 1 & 6. Information needs to be provided specifically about Rose Court so that an informed choice can be made, and people can find out if the home is what they are looking for and whether or not it can meet their needs. EVIDENCE: Corporate Statement of Purpose and Service User Guide templates have been formulated but the home has not yet been provided with a Statement of Purpose and Service User Guide that are specific to Rose Court. Standard 6 does not apply. The home does not provide intermediate care. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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. The care plans reflected the support needs of the residents. Care practices ensured that the residents were treated with respect and their dignity was upheld. The medication system ensured that the residents received their medicines safely and correctly EVIDENCE: Individual care plans were in place for each resident. The care plans of three residents were examined: one with social care needs and two with nursing needs. The care plans gave clear instruction and guidance on how the care needs of the residents were to be met when problems had been identified. The daily report was kept with the care plan. This is good practice. The care plans were evaluated as and when necessary, but at least on a monthly basis. Risk assessments were in place and covered such areas as moving and handling, nutrition, pressure sores, the use of bed rails, general safety and falls. It was identified that one of the residents has a kettle in her room and also has an iron as she regularly undertakes a small amount of her personal ironing. This resident also goes out on a regular basis. Whilst the staff are to be commended for encouraging this residents’ independence they must ensure that a risk assessment is in place for all the above activities. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 11 The residents were weighed at least on a monthly basis and the weight recorded on a chart kept in their care plan. The home also has a Malnutrition Universal Screening Tool. This allows close monitoring of weight loss and nutritional risks. Inspection of care records identified that the residents had access to other health care professionals such as dentists, opticians and chiropodists. The residents receiving social care had access to the community nursing services when needed. Equipment necessary for the prevention and treatment of pressure sores was available within the home. For those residents with social care needs the equipment was accessed via the community nursing services. Continence aids were in use and the staff were aware of how to contact the continence nurse advisor for advice, if deemed necessary. A discussion with the residents identified that they feel they are treated with respect and their right to privacy is upheld. One resident told the Inspector that the staff were “very good and they are nice girls”. A safe system of medication management was in place. Medications were securely stored and were administrated by designated and appropriately trained staff on the residential side of the unit and the qualified nurses on the nursing side. The only area of concern was that the drugs fridge was in need of defrosting and the temperature of the fridge needed to be taken and recorded on a daily basis. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 & 15. The home enables residents to exercise as much personal freedom and choice as possible and enjoy the activities within the home. The residents’ dietary needs were met but the actual presentation and serving of meals could be improved upon. EVIDENCE: A discussion with the residents indicated that they were satisfied with the personal choices and freedom they were able to exercise. One resident chose to stay in her room all day. She told the Inspector that she got up and went to bed when she wanted to. The home has full time activities organiser who arranges activities throughout the home. There is a varied programme of activities throughout the week and the programme of activities is displayed in the reception area, in the passenger lift and on each unit. In addition the activities organiser keeps a file for each unit in which she documents the activities that have taken place. The residents have a bingo night on a monthly basis and residents from the nearby sheltered housing accommodation are invited to join them. There is a small cost but this does include a supper. Activities such as arts and crafts, reminiscence sessions and board games are undertaken. In addition outside entertainers are brought in on a regular basis. The activities organiser was in the process of ordering outdoor games for the spring/summer. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 13 There is also the “Wilton Arms”, a reminiscence pub on the top floor. Residents on Sandringham unit have access to this pub on a Wednesday between the hours of 2pm to 4 p.m. There is also a tuck shop within the home. Residents can buy sweets, drinks and toiletries. A discussion with the residents and staff confirmed that the residents were able to receive visitors in private and that they were able to choose whom they see and do not see. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were highly personalised with small pieces of their own furniture, pictures, photographs and ornaments etc. The Inspector did not dine with the residents but observed lunch being served. The lunch was served from a heated trolley. There was a choice of meals and the residents were asked at the time of serving what they would like to have. The meals served were of ample portion and looked appetising. There were no tablecloths, place mats, serviettes or cruets however on the tables. This gave the meal times an “institutional feel”. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 17 & 18. The complaints system in place enabled residents to feel that their views were listened to and acted upon. Staff have a good knowledge and understanding of adult protection procedures thereby reducing the possible risk of harm or abuse. EVIDENCE: A discussion with residents indicated that there was a general awareness of how to make a complaint. The complaints procedure was displayed in the reception area and on the unit. The procedure on the unit however was not complete. The address and telephone number of the CSCI was missing. No complaints have been received during the last 12 months in relation to this unit. Staff told the Inspector that the residents used their postal vote in the local and general elections. A resident spoken to by the Inspector confirmed this. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with staff identified that they were aware of the procedure to follow in the event of any allegation of abuse. A discussion with the staff on the unit showed that the majority of them had undergone training in the protection of vulnerable adults. The staff that had not undergone training were identified on a training needs programme. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 24 25 & 26. The residents live in clean, safe and comfortable surroundings. EVIDENCE: There is level access to the front of the home with adequate parking both at the front and to the side of the home. As a security measure the front door is kept locked. The reception area is welcoming and this is where the administrators’ and the managers’ offices are situated. Sandringham is situated on the first floor and is accessed either by stairs or the passenger lift. The Inspector walked around the unit. There is a large lounge/dining room on the residential side of the unit and on also on the nursing side. Both lounges were bright, clean and well decorated. There is no designated lounge for smoking. Residents can smoke only in a designated area of the lounge at designated times. The corridors throughout the unit were decorated and carpeted to a good standard. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 16 Toilets are within close proximity of communal spaces. Each toilet and bathroom has a lock on the door to ensure privacy and the facilities were all clearly marked. The toilet seat in bathroom 5 was in need of replacement. It was badly marked. The toilet frame in the toilet close to room 36 was also in need of replacement. It was rusty. Several of the baths were unassisted and one of the baths had been taken out of commission. There was only one assisted bath and one assisted shower for the whole unit. The bedrooms were decorated to a good standard. They were clean and odour free. The majority were highly personalised. Several of the bedrooms had matching new furniture. It was evident that there had been ongoing refurbishment. This must be continued to ensure that all the rooms have matching furniture. The bedroom doors had an overriding door lock and a lockable facility was provided in several of the bedrooms. The heating within the home was adequate. All the rooms were centrally heated with radiators that were suitably protected. Thermostatic control valves were in place on immersion baths and showers. The home was clean and free from odours. Hand washing facilities were in place in bedrooms, bathrooms and toilets. Clinical waste was handled appropriately and the home had a contract for the removal of clinical waste. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 29 & 30. The residents’ needs were being met although the staffing levels provided were the absolute minimum. The staff were suitably qualified, experienced and trained and therefore had the knowledge and skills to meet the residents’ needs. The inadequate recruitment procedure could place residents at potential risk of harm. EVIDENCE: Examination of the duty rotas and a discussion with staff and residents showed that the unit was working on minimum staffing levels. There were 19 residential and 17 nursing residents on the unit. It was identified that 15 of the residents needed hoisting, with the assistance of two care assistants, and 9 residents needed assistance with eating. The nursing unit was working with 1 qualified nurse and 2 care assistants between the hours of 8 a.m. to 8 p m and the residential side was working with 3 care assistants between the hours of 8 a.m. to 8 p.m. These are absolute minimum staffing levels. The Inspector did find that the residents’ needs were being met and this has to be attributed to the hard work, careful planning and management by the staff on the unit. Management are reminded of their responsibility to ensure that staffing is provided in accordance with residents’ needs and not the number of residents. The personnel files of three staff members were inspected. They had a completed application form, an enhanced CRB disclosure check and health status declaration. Only one of the personnel files actually had 2 professional references. One file had no references at all and the other file had a document that stated “verification report re reference letters”(this was an overseas employee) Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 18 A structured induction process was in place and further training continues to be provided in moving and handling, medication, health and safety, infection control, fire safety, nutrition and protection of vulnerable adults. The training details were kept in staff files. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 39. EVIDENCE: JUDGEMENT The experience and qualifications of the manager ensures there is effective leadership and guidance to the staff thereby ensuring that the residents receive consistent quality care. Arrangements need to be in place for the reviewing of the service provisions to ensure that the home delivers a quality service. A satisfactory accounting system was in place that ensured the residents’ interests were protected. Current practices within the home in relation to the maintenance of a safe environment, promoted and safeguarded the health, safety and welfare of the people using the service. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 20 EVIDENCE The registered manager is a Registered General Nurse who has extensive experience of working within the field of caring for the elderly. Her area of specialist clinical interest is Gerontology. She has obtained a Masters degree in this subject. The manager has a qualification to NVQ Level 5 in management and also a certificate in Nursing Home Management. The manager was able to demonstrate that she had undertaken periodic training to update her skills and knowledge. At present there is no formal quality assurance system in place. The system in place for the management of residents’ money was good. The home did not take responsibility for residents’ personal allowance, however they handled any money that relatives had left on a residents’ behalf. The accounting system in place was good. Receipts were retained for all financial transactions. The equipment and services within the home were serviced on a regular basis in accordance with the individual requirements. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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 1 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 2 x x 2 3 x STAFFING Standard No Score 27 3 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 1 x 3 x x 3 Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 22 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 OP1 Regulation 4 Requirement A Statement of Purpose and a Service User Guide must be formulated in relation to Rose Court and a copy forwarded to the CSCI. A risk assessment in relation to the resident who has a kettle and an iron in her room must be undertaken. A risk assessment must also be in place with regards to her going out unaccompanied. The drugs fridge must be defrosted. The fridge temperature must be taken on a daily basis and recorded. A further assisted immersion bathing facility must be provided (previous timescale of 31/1/06 not complied with). The toilet seat and toilet frame identified in this report must be replaced. The ongoing programme of furniture provision for the bedrooms must continue. An action plan must be forwarded to the CSCI by the time frame of 30/04/06. DS0000017336.V277639.R01.S.doc Timescale for action 31/05/06 2. OP8 13 10/03/06 3. OP9 13 10/03/06 4. OP21 23 30/06/06 5. 6. OP21 OP24 23 16 & 23 30/04/06 30/04/06 Rose Court Nursing And Residential Home Version 5.1 Page 23 7 OP24 23 7. 8. OP27 OP29 18 19 9. OP33 24 A lockable space must be provided in each residents’ bedroom. An action plan must be forwarded to the CSCI by the time frame of 30/04/06 Management must constantly keep the staffing levels on the unit under review. At least 2 professional references must be obtained before any person is employed by the home. These references must be available for inspection. The home must have an effective quality assurance and quality monitoring system in place. A report in respect of any quality review must be forwarded to the Commission and a copy made available to residents or their representatives 30/04/06 10/03/06 10/03/06 30/06/06 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. Refer to Standard OP15 Good Practice Recommendations Serious consideration needs to be given to ensuring that the dining tables are set with tablecloths/placemats, serviettes and cruets. Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Rose Court Nursing And Residential Home DS0000017336.V277639.R01.S.doc Version 5.1 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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