Inspection on 17/05/07 for Rose Hill Nursing Home

This inspection was carried out on 17th May 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

Rose Hill Nursing Home 15/08/06

Rose Hill Nursing Home 21/04/06

Rose Hill Nursing Home 15/11/05

Rose Hill Nursing Home 07/06/05

Rose Hill Nursing Home 20/01/05

Rose Hill Nursing Home 01/07/04

Rose Hill Nursing Home 30/12/03

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rose Hill Nursing Home 9 Rose Hill Dorking Surrey RH4 2EG Lead Inspector Sally Newman Unannounced Inspection 17th May 2007 10:25 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 Hill Nursing Home DS0000013349.V333099.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. Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Hill Nursing Home Address 9 Rose Hill Dorking Surrey RH4 2EG 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) 01306 882622 01306 741450 Rose Hill (UK) Limited Care Home 35 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (2) Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Of the 35 residents accommodated, up to 3 may fall within the category DE(E) Of the 35 residents accommodated, up to 2 may fall within the category PD(E) The age range for residents is: 65 YEARS AND OVER Up to 3 beds may be used for the provision of respite care Up to 2 persons may be cared for on a day care basis between 08.3018.30 21st April 2006 Date of last inspection Brief Description of the Service: Rose Hill Nursing Home is situated in a quiet residential area of Dorking in Surrey. The building appears to be Victorian in origin and is surrounded by a pleasant garden area. Accommodation is arranged on three floors, accessed by a passenger lift. The accommodation consists of single and double bedrooms, some of which have en-suite facilities. There is a communal lounge and dining room. There is a small car parking area to the front of the property, and also on road parking nearby. The facilities of Dorking are within close proximity. Fees range from £595 to £725 per week. There are some additional costs for hairdressing and chiropody etc that are detailed in the Statement of Purpose. Rose Hill Nursing Home DS0000013349.V333099.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 conducted over the course of three days and included a visit to the service by two inspectors who spent 6 ½ hours in the home. Information held about the service by the Commission was reviewed prior to the visit. The manager and staff on duty were spoken to with two staff being interviewed in private. In addition two visitors to the home were briefly spoken with. A range of records was seen and a tour of the premises was undertaken. Interactions between service users and staff were observed throughout the course of the visit . The provider has a range of polices and procedures relating to equality and diversity. All staff attend relevant training at the commencement of employment. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service that meets the needs of individuals of various religious, racial or cultural needs. No complaints or concerns have been received by the Commission about this service. What the service does well: What has improved since the last inspection? The range of staff training including induction has improved. The opportunities for service users to participate in activities has improved. The purchase of new carpets, dining room furniture and crockery. Rose Hill Nursing Home DS0000013349.V333099.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. The summary of this inspection report can be made available in other formats on request. Rose Hill Nursing Home DS0000013349.V333099.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 Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users have their needs appropriately assessed prior to moving into the home and are assured that these needs are met. The home has no intermediate care beds. EVIDENCE: Evidence was obtained from discussion with the manager and from looking at paperwork relating to the latest service user to move into the home. The manager undertakes assessment of all service users referred to the service. There is a range of documentation that is completed covering a variety of areas including contact details, health needs and moving and handling requirements. The information seen was detailed and comprehensive and included a range of risk assessments addressing falls, eating and drinking and mobility. A care management assessment had been obtained that provided Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 9 useful background information. Daily records were up to date and are sufficiently detailed to provide useful information about the individual. The manager confirmed that the assessment information is used to generate the care plan. Rose Hill Nursing Home DS0000013349.V333099.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 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service user’s health and personal care needs are set out in care plans and their health care needs are fully met. The arrangements for medication protect service users but the medication return practice must be reviewed. Service users are not always treated with respect and their right to privacy is not always upheld. EVIDENCE: Four care plans were seen and provided detailed and comprehensive information about individual needs and how these are to be met. Monthly evaluations are undertaken and changes to the care plan are made where required. Wound assessments were in evidence and health care professionals visits are documented. It was noted that of the four care plans seen only one had a completed social history. It has been recommended that where possible more information about individuals’ social backgrounds is obtained and where this is problematic a note to this effect should be made. Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 11 From discussion with the manager and the deputy manager it was evident that the health care needs of service users is monitored closely and advice is sought from appropriate health care professionals promptly. There was evidence in care plans that this was the practice of the home. The home uses a monitored dosage system for medication. All service users currently in the home are assisted with their medication. A medication fridge is in place. A pharmacy inspection was carried out on 10.5.07 where no issues were raised. There is a contract in place for pharmaceutical waste. Records seen matched the medication in stock although it was noted that controlled medication for two service users who had died five months previously had still not been returned. It will be recommended that the procedures for returning unused medication are reviewed. Staff induction training includes instruction on treating service users with respect at all times. It was observed that staff knocked on bedroom doors before entering and staff were patient and respectful when assisting service users with eating their lunch. However, following lunch two staff were observed assisting eight service users who were wheel chair users into the lounge. Additional staff on duty were apparently on breaks. In response to requests by a service user to use the toilet the staffs’ response was to ask them to wait naming the other service user using the toilet at the time. When asked by the service user why it was taking so long the staff member responded inappropriately by giving details of the actual bodily function being undertaken. This service user waited 30 minutes before being assisted to the toilet. A more dignified approach could have been adopted where service users were assisted individually to the lounge and then assisted into chairs rather than forming a queue and watching each other being hoisted and assisted into chairs or to the toilet. A requirement will be made in respect of appropriate deployment of staff to ensure service users needs are met and that their dignity is not compromised. The homes day diary was openly displayed on the dining room table detailing names of service users and the time that their scheduled bath was to take place and of what their preferred drinks are. The book lay open most of the morning frequently unattended. This practice undermines service users’ right to privacy and it is recommended that this book is stored securely away when not in use. Rose Hill Nursing Home DS0000013349.V333099.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle in the home matches the expectations of service users. Service users are supported to maintain contact with family, friends and representatives. Service users are helped to exercise some choice and control over their lives. The food provided is healthy and is served in a pleasant and unhurried manner. EVIDENCE: Evidence was obtained from discussion with the manager, staff and service users. Supporting documentation was seen and observations were undertaken. The food preparation area was seen. In discussion the manager was able to provide information about the cultural and dietary needs of individual service users. The home has a dedicated activities organiser who does undertake prescribed care duties under the direction of the manager. This individual has undertaken relevant training and further training is planned. The activities organiser in consultation with the manager has developed an activities timetable that covers mornings and Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 13 afternoons four days per week and includes music & movement, bingo, arts & crafts and exercise. Carers are allocated to lead activities at the weekends. Up to date timetables for May and June were in evidence in service users rooms. In addition to the group activities one to one sessions including discussions and readings are undertaken with certain individuals who are either unable or unwilling to participate in groups. Evidence was seen in care plans of the duration and when these one to one sessions have taken place. Currently the resident group are made up of Christians and religious leaders from both the Catholic and Church of England churches attend the home regularly to provide services and to talk to service users. The manager confirmed that if a service user were admitted to the home with different cultural needs arrangements would be made to ensure these needs were met. Children from the local school attended the home on St Patrick’s Day and provided Irish dancing entertainment for service users. This was very much enjoyed by service users and photographs were seen depicting the celebration. Other celebrations are planned including Bastille Day and the French chef is in the process of planning food for the day. Details of relatives and friends are included in care plans and the home does not restrict the times that visitors can come to the home. Throughout the time spent in the home inspectors observed visitors to the home and the manager and staff spoken to made reference to conversations with relatives and advocates. The manager confirmed that service users are where able encouraged and supported to make choices for themselves. A visitor to the home confirmed that she had witnessed staff providing alternative food when a service user had not wanted the food originally on offer. The kitchen was observed to be clean and tidy. The Chef confirmed that staff use the service user records that identify choices to select from the menu. Details of dietary requirements and portion size were in evidence. Food storage arrangements were seen and fridge/freezer temperatures are monitored. The housekeeper confirmed that the menus are reviewed regularly and currently consideration was being given to implementing summer and winter menus. The arrangements for lunchtime were observed. Liquidised food was separated and presented appropriately. Staff were seen assisting service users patiently and respectfully and interactions between service users and staff were warm and friendly. A comment book was completed with service users thoughts and comments about the food served. Overall the food served looked appetising and the occasion was conducted in an orderly and calm manner. One service user was observed having lunch in his room. A fluid chart was in evidence but had not been completed fully. The manager was informed and she undertook to investigate and rectify. Rose Hill Nursing Home DS0000013349.V333099.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users, relatives and friends are confident that their complaints will be listened to and acted upon. Service users are protected from abuse. EVIDENCE: The complaints record was seen. It contained appropriate information with the action and outcome of the complaint clearly recorded. In discussion with the manager is was apparent that she was in regular contact with a significant number of relatives and this provided for early resolutions of concerns or issues. All staff now receive comprehensive induction training that includes awareness of protection of vulnerable adults issues. There are procedures in place to guide staff and those staff spoken to responded appropriately when asked about the action they would take if they suspected or witnessed anything which constituted abuse of service users. Rose Hill Nursing Home DS0000013349.V333099.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): 19,22 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained environment but there are some areas that can compromise their safety. The home is clean, pleasant and mostly hygienic. EVIDENCE: There are plans for complete refurbishment of the laundry facilities, staff room and for two bathrooms to be converted into wet rooms. Evidence provided by the Proprietor during the visit and sent to the Commission in writing and it was accepted that delays to the work had occurred due to the intervention and restrictions imposed by the Conservation Group. He was hopeful that the work would commence in July 2007 and would take approximately 6 months to complete. The current laundry area was seen and was maintained clean and tidy with infection control measures in place. The manager and staff have drawn up Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 16 procedures for when the work commences so that service users are inconvenienced as little as possible and staff safety is not compromised. Written evidence of these discussions was seen in staff meeting minutes. There is a maintenance man who works at the home four days per week and undertakes small routine maintenance work and conducts regular health and safety checks. Since the last inspection new carpeting has been fitted in most corridors and bedrooms in the newer part of the building. New lighting had been fitted in the dining room and new dining room furniture and crockery had been purchased. There is now a programme of replacing all domestic beds in the home with adjustable beds at a rate of one per month. This is not considered to be sufficient to meet the current needs of service users and does not promote safe moving and handling techniques. It is required that there are sufficient adjustable beds for service users receiving nursing care to ensure that they can maximise their independence, comfort and safeguard staff from harm. The home has a call bell system that was observed being tested by the maintenance man during the course of the visit. The portable main box call bell is currently used by service users to call for assistance. This device is normally seen attached to the wall with a cord bell attached. The main box is difficult for some service users to use as the box has three or four buttons and is stored in an opaque plastic bag. The cord bell system was tested by the inspector and it took four minutes for a staff member to respond despite staff being overheard talking outside the room and not responding to the call. It will be required that the call bell system is reviewed to ensure that service users are able to call for prompt assistance when required. It was seen throughout the home that fire doors were being wedged open. In addition at least one bedroom door did not have a door closer fitted and it did not have intumescent strips fitted. In the event of a fire wedged open fire doors and insufficient safeguards against smoke inhalation seriously compromises the safety of service users and staff. It is required that the registered persons consult with the local Fire Authority to ensure that all the fire safety arrangements in the home are adequate. Systems for promoting infection control were seen in bathrooms and sluice rooms such as paper towels, hand soap, sanitising lotion, colour coded plastic bags for the disposal of sanitary waste and sharp bins. However, one sluice room was small and contained a stack of commode pots that were not properly clean. Rose Hill Nursing Home DS0000013349.V333099.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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ needs are not always met by the numbers of deployed staff. Service users are in safe hands and are protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: Since the last inspection a review of staffing numbers has been undertaken and has resulted in an increase of one staff member on the morning shift. However, observations as detailed earlier in this report indicate that staff are not always deployed in sufficient numbers to meet the needs of service users particularly at peak times of activity. The levels of staffing must be determined by the assessed needs of service users and must be kept under review at all times according to the changing needs of service users. Changes to the night-time staffs’ laundry duties has resulted in an increased staff presence in the home. The arrangements for staff training have been completely reviewed by the current manager. She has implemented a comprehensive induction programme that includes training in infection control, manual handling and first aid. The manager is qualified to provide this training and is planning to undertake fire marshal training that she can then deliver to staff. The latest recruited member of staff was spoken with in private and confirmed that he Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 18 was working through an induction programme and had undertaken a range of training with the manager. The manager has conducted a performance review for each member of staff and has implemented an individual training profile with action plans that each staff member is responsible for keeping up to date. Training profiles were seen and provided an overview of the training individual staff had undertaken. The manager confirmed that there is now a clear procedure for adaptation students that includes 36 hours of duty. The recruitment records for the two latest recruited staff were seen. All required documentation was in evidence including application forms, identification, two references, Criminal Record Bureau and POVA first checks. Staff spoken to confirmed they had been interviewed prior to being offered a position. The manager confirmed that the staff team was now stable with three new staff recently recruited. Staff spoken to felt supported by colleagues and the manager. Three visitors spoken to stated that staff were observed as kind and courteous and were approachable. Of these three visitors two did not know staff members names and did not know who the manager was. Rose Hill Nursing Home DS0000013349.V333099.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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is currently managed by an experienced individual. The home is run in the best interests of service users and their financial interests are safeguarded. The health, safety and welfare of service users and staff is generally promoted and protected. EVIDENCE: The current manager has been in post since January 2007. She is an experienced manager who has run several nursing homes in the past. She has not yet applied for registration but indicated she would do so without delay. The manager is committed to keeping up to date and has attended conferences regarding the changes to inspection and regulation and has recently attended training and further training is planned. Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 20 The manager has reviewed a range of systems operating in the home and implemented changes for the benefit of service users. Such as the opportunities for activities, staff training and regular observation of care practice. The manager ensures that monthly staff meetings are held and recorded and they provided sound evidence that she is reinforcing good practice and adherence to policies and procedures. The home does not hold money for service users. All purchases made by service users are invoiced directly to them and the administration charge added for this service is now documented in the statement of purpose. There is now a health and safety committee for the home that is made up of representatives from different areas of the home. The manager has implemented this initiative to ensure that the home keeps up to date with developments in regulations and makes appropriate changes to the homes’ procedures. Regular servicing of equipment used in the home is undertaken and certificates were seen. Equipment included the lift, sluices, laundry equipment, hoists, electrical installation and portable appliances, water system, boiler and the fire alarm system. COSHH assessments were seen and environmental risk assessments had been undertaken. A range of fire equipment checks is undertaken with records kept. A Fire Authority audit was undertaken on 11.5.06 and concluded that there were no significant issues. Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X 2 X 2 X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP10 Regulation 12 (4) (a) Requirement The registered persons must review the deployment of staff particularly at busy periods to ensure that service users needs are met and their dignity is not compromised. The registered persons must provide sufficient numbers of adjustable beds for those service users receiving nursing care to ensure they are able to maximise their independence, comfort and promote safe moving and handling practice. The registered persons to review the call bell system to ensure service users are able to call for prompt assistance. Consult with the Fire Authority for advice as to the adequacy of the fire safety arrangements in the home. Timescale for action 31/05/07 2 OP24 16(2) (c) 30/06/07 3 OP22 16 (2) (c) 30/06/07 4 OP19 23 (4) 31/05/07 Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 23 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 3 Refer to Standard OP7 OP9 OP10 Good Practice Recommendations Where possible obtain a social history information for individual service users. Review the procedure for returning medication to ensure that unused medication is not kept beyond a reasonable time. Ensure home dairy is kept locked securely away when not in use. Rose Hill Nursing Home DS0000013349.V333099.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Rose Hill Nursing Home DS0000013349.V333099.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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