Inspection on 23/06/05 for Summer Lodge

This inspection was carried out on 23rd June 2005.

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

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

Other inspections for this house

Summer Lodge 20/11/08

Summer Lodge 29/05/08

Summer Lodge 30/11/07

Summer Lodge 01/05/07

Summer Lodge 19/04/06

Summer Lodge 28/11/05

Summer Lodge 14/12/04

Summer Lodge 09/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 Sackville Nursing Home 2 - 4 Sackville Road Hove East Sussex BN3 3FA Lead Inspector Penny Bailey Uanannounced 23 June 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Sackville Nursing Home Address 2 - 4 Sackville Road Hove East Sussex BN3 3FA 01273 775577 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Joginder Singh Vig Mrs Beant Kaur Vig Ms Valerie Eason Care home with nursing 28 Category(ies) of Old age, not falling within any other category registration, with number (OP) 28 of places Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users should be aged sixty-five (65) years or over on admission. 2. The maximum number of service users to be accommodated is twenty-eight (28). 3. To admit one (1) service user with a dementia type illness. Date of last inspection 14 December 2004 Brief Description of the Service: Sackville Nursing Home provides nursing care and accommodation for up to twenty-eight older people. The home is owned by Vig Care, who own four other care homes in East Sussex. The home is situated in Hove, and is close to the town centre and local transport links. Sackville is a detached residence with accommodation provided over three floors. Residents are able to access all areas of the home via a passenger lift. Accommodation is provided in twelve single and eight shared rooms. There is a lounge/dining area on the ground floor, with a garden at the rear that is accessible to service users. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over eight hours forming part of the annual inspection programme for this home. This visit was also undertaken in response to an adult protection concern that had been raised. A tour of the home took place and two members of staff out of the six on duty were spoken with. Ten residents spoke with the Inspector, and staff and care records and documentation relating to health and safety were examined. In order that a balanced and thorough view of the home is maintained, this inspection report should to be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their hospitality and assistance during the inspection. What the service does well: What has improved since the last inspection? The home has worked hard to address the requirements made during previous inspections. A bathroom on the second floor has been fully refurbished, with a new bathroom suite fitted. A secure cupboard for the storage of hazardous substances has been provided. The cleanliness of the home was much improved, and new furniture had been provided in residents rooms to replace those items that were broken. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 4 & 5 The home provides sufficient information to allow residents to make a positive choice whether Sackville is the type of home in which they wish to live. The needs of prospective residents are assessed before they move in, to ensure that the home is able to offer the care needed. Residents are only accommodated if the home is satisfied that they can meet their needs. It is recommended that staff receive training on providing care for residents who have a sensory impairment such as poor sight or hearing. EVIDENCE: Documents seen for recent admissions showed that resident’s are only accommodated following an assessment of their needs by the Manager or a senior nurse. Information about their needs is gathered from a variety of sources including the resident, their representative and health care professionals. This needs assessment then forms the basis of the resident’s care plan. A number of residents with a dementia- type illness are accommodated, and staff have received training on caring for residents with dementia. Staff were seen to explain to residents what they were doing when providing personal Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 9 care, however, time was not always taken to ensure that the resident had understood what was taking place. This would be considered to be good practice, and a recommendation has been made that staff receive further training on caring for residents with a sensory impairment to ensure that good communication is maintained. Residents or their relatives are able to visit Sackville and talk to people living in the home before deciding whether they wish to live there, and are admitted for one months trial period. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 standard(s) 7, 8, 9 & 10 Care plans provided a good standard of recorded information about each resident. The health needs of residents are addressed by good multidisciplinary working taking place on a regular basis. Staff must ensure that where a change in the resident’s needs are identified and recorded in the plan of care, that such recorded changes are signed and dated by the member of staff in line with professional guidelines. Staff must ensure that medications are administered in line with the dosage prescribed by the General Practitioner. EVIDENCE: An individual plan of care is in place for each resident, which provides a comprehensive assessment and plans for meeting each residents physical care needs. Where a change of need had been identified, and changes made to the resident’s care plan, staff had not signed or dated the addition in all cases. Records showed that advice is sought from General Practitioners and specialist health professionals when required. Medication charts were seen to have been signed following the administration of medicines. In one instance, an extra dose of medication had been Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 11 administered to a resident, however there was no evidence provided that this extra dose had been prescribed by a General Practitioner. Residents who spoke with the Inspector commented that staff were polite, and respected their privacy. The Inspector noted that staff did not always knock on doors before entering a residents room. Screens are provided in shared rooms to enable privacy to be maintained. Several male carers work at the home and residents consulted stated that they did not have any preference in the gender of staff undertaking personal care. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 standard(s) 12, 14 & 15 Not all of the routines of daily living promoted individuality and residents choices. The home must ensure that residents choices regarding the way personal care is delivered are ascertained and recorded within the plan of care. It is also recommended that residents choices regarding activities are recorded within their plan of care. The majority of residents state that they enjoy the food but the residents do need to be made aware of the choices at meal times. Not all practices were in line with food safety guidance placing residents at potential risk. EVIDENCE: Three residents commented to the Inspector that they felt that staff did not understand them, and found it difficult when communicating with staff. The majority of staff employed at the home are qualified health professionals in their country of origin, however, residents commented that due to English not being their first language, and due to the residents own communication difficulties such as poor hearing or speech that misunderstandings can occur. This information was shared with the home’s owner. These residents indicated that their personal choices regarding the way personal care was to be provided were not always understood or carried out. For example, one resident would prefer to get up early, as this had been their Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 13 preference since childhood, but was generally not given assistance to get out of bed, wash and dress until 10.00 a.m. The need to ascertain and clearly record residents wishes in the plan of care was discussed with the Deputy Manager. An Activities Coordinator is employed by the home, and provides activities on a group or individual basis. One resident commented that the Activities Coordinator had offered to take them out in their wheelchair, but they had declined the offer. The Activities Coordinator also undertakes shopping for the residents. It is recommended that a copy of any assessments of residents preferred activities and social interests be kept within their plan of care. All residents who spoke with the Inspector commented positively about the food provided. One resident stated that the home provided “lovely breakfasts, but I wish that hey could be a bit hotter”. None of the residents spoken with recalled being shown a menu, and did not recall a choice of main meals being offered. A menu must be commenced for each mealtime, and residents made aware of this. Residents stated that in addition to the main meals regular snacks and hot drinks were offered. It was noted that one resident had difficulties eating when using standard cutlery. The Deputy manager was asked to assess this need, and provide large handled cutlery where required. The home has addressed the issues identified during the last environmental health inspection, however, the Inspector noted that a cleaning fluid had been decanted into two drinks bottles, and was stored openly in both the kitchen and laundry. This is unsafe practice, and an immediate requirement was left with the Deputy Manager, for these to be removed. Foods that are stored in refrigerators must also be clearly labelled with the date the container was commenced, and dry goods must be stored in sealed containers. The fire door to the kitchen was also seen to be wedged open, this is unsafe, and must be kept closed at all times. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 standard(s) 18 The majority of staff have completed training on the recognition of abuse, and are provided with policies and procedures to be followed when reporting suspected incidents of abuse. EVIDENCE: The Deputy Manager reported that all but four newly employed staff have now received training on the recognition of abuse. Further training for new staff is to be provided in the near future. The home has obtained the Local Authority Policies and Procedures regarding the Protection of Vulnerable Adults, and these are available for the staff to consult. An adult protection investigation was being undertaken at the time of inspection. Following the inspection the allegations were found to be unsubstantiated, however, possible practice issues that were identified during the investigation were fed back to the owner of the home. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 Resident’s bedrooms and communal space is comfortable and homely. The system for residents to call for assistance when sitting in the lounge needs to be reviewed in order to safeguard residents. The home is generally wellmaintained. The home must ensure that communal toiletries are not used, and all creams must be labelled and used only for the resident for whom they have been prescribed. EVIDENCE: Since the last inspection the home have continued with their redecoration programme with further bedrooms, the second floor bathroom and first floor corridor having been redecorated to a good standard. Communal space is provided in a lounge/dining room, however, the dining area is not sufficient in size to accommodate all of the residents, with many residents remaining in their rooms to eat their meals. There is a pleasant garden at the rear of the home, that provides an outdoor space for residents to sit. The home accommodates a number of residents with a dementia-type illness, and the Inspector expressed concern to the Deputy Manager that residents are not Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 16 always supervised when sitting in the lounge area. A call bell is situated in the lounge, but a number of residents were unable to access this facility due to confusion, or poor mobility. An immediate requirement was made that residents be supervised at all times when in the lounge area. Five of the eighteen single rooms, and one of the five shared rooms, provide en-suite facilities. Further toilets and assisted bathing facilities are also provided. All bedrooms were visited and were noted to have been personalised and provided with domestic style furniture and fittings, together with bedding, carpeting, and curtains to a good standard. Furniture that was noted to have been broken at the last inspection has now been replaced. A broken light shade noted at the last inspection has now been removed, but has not yet been replaced. A broken arm chair was seen in room 18, and the Deputy Manager was asked to replace this. Communal toiletries were noted in one bathroom, and unlabelled creams were noted in bathrooms and toilets. This can lead to the spread of infection, and is considered to be poor practice. There are a variety of aids and adaptations around the building to support residents independence. This includes grab rails, raised toilet seats, assisted baths and a passenger lift. Each bedroom is fitted with a call point, those tested were in working order. The Inspector noted that the cleanliness of the home had been improved since the last inspection, and equipment to maintain the control of infection was freely available to staff. The home was generally well maintained, however, a lock was noted to be missing from an en-suite toilet on the ground floor, and repairs are required following a water leak on the second floor. The maintenance person was addressing this issue during the inspection. Bed rail covers were not in place in all rooms where bed rails were in use to reduce the risk of accidental bruising. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 The home is generally well staffed, but the Manager must ensure that sufficient staff are on duty during peak times of the day. EVIDENCE: Several residents commented that staff were kind and caring, but were very busy. Duty rotas showed that the Manager, one Registered Nurse and four care staff are employed throughout the day, with one Registered Nurse and three care staff at night. Kitchen, domestic and maintenance staff are also employed. The inspector observed many sensitive interactions between staff and residents, which were undertaken in a friendly and relaxed manner. Several of the care staff are qualified health professionals in their country of origin. Four new care staff have been employed since the last inspection. Staff cover for leave and sickness had been provided by the use of some agency staff and existing staff undertaking additional duties. The Inspector noted that some care staff were working excessive hours, and the need for this to be reviewed to ensure that staff receive suitable breaks and time off between shifts was discussed with the Deputy Manager. The Deputy Manager reported that the recruitment of new staff is ongoing. Training is provided for staff on meeting the needs of the residents in their care. All but four new staff have received training in lifting and handling, and the Deputy Manager reported that further training for new staff is planned in the near future. The need for further training regarding good communication, Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 18 particularly with respect to residents with specialist needs such as sensory impairment was discussed with the home’s owner. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 37 & 38 Resident’s financial interests are safeguarded. Records were seen to be generally up to date, and stored securely. Health and safety matters are generally well attended to, however, chemicals must not be decanted into drinks bottles, and fire doors must remain closed. EVIDENCE: The Registered Manager is currently on sick leave, and a temporary Manager is due to commence at the home in the near future. The Deputy Manager has worked at the home for a number of years, and demonstrated a good knowledge of residents individual needs. New procedures for the safeguarding of residents personal monies have recently been implemented in the home, and tighter controls over the management and storage of residents personal monies have been instigated. There is a wide range of procedures & policies designed to inform and guide staff in their work with residents. All records requested by the inspector were Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 20 made available and were generally well organised and supportive to the effective and efficient running of the home. Some systems to support fire safety are in place. Fire alarms and emergency lighting checks were recorded and up to date. Service contracts are in place for the fire detection and fighting equipment. Some fire doors were noted to be propped open, and a requirement was made that this practice must cease. Potentially hazardous substances were generally stored securely, however, the Inspector noted that unlabelled drinks bottles containing cleaning solution were stored openly in the kitchen and laundry. Padlocks had been fitted to the loft access as required at the last inspection, however, these were seen to be broken and in need of repair. A broken grab rail in the first floor bathroom had not been replaced in line with requirements at the last inspection. A window in the first floor corridor was seen to be unrestricted, a requirement has been made that this be risk assessed, and a restrictor fitted if required. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 1 15 2 COMPLAINTS AND PROTECTION 2 3 3 2 3 2 3 2 STAFFING Standard No Score 27 2 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x 3 x 3 2 Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 4 9 Regulation 12 (1) (b) 13 (2), 13 (3) Requirement That residents are closely supervised by staff when sitting in the lounge area. That medicines are only administered in line with the prescribed instructions of the General Practitioner. That prescribed creams such as Sudocrem are labelled, and applied only to the named resident for whom they are prescribed. 3. 4. 10 12 12 (4) (a) 16 (2) (n) That the lock to the en-suite toilet in room 4 is replaced. That a record of residents social interests and preferred activities is maintained within their individual plan of care. That so far as practicable the home enables service users to make decisions with respect to the care they are to receive and their health and welfare. That residents choices and preferences regarding the way personal care is to be provided are ascertained and recorded Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 23 Timescale for action With immediate effect. With immediate effect. With immediate effect. With immediate effect. With immediate effect. 5. 14 12 (2), 12 (3) within the plan of care. 6. 7. 15 15 12 (2) 13 (4) (a) That service users are made aware of the choice of menu available at each meal. That refrigerated food is clearly labelled and shows the date on which the food was opened. With immediate effect. With immediate effect. 8. 15 9. 10. 19 22 That opened packets of dried foods are stored in sealed containers. 23(2)(n) That each service user is assessed to establish whether specialist eating equipment and facilities are needed. 13 (4) ( c) That the locks to the loft access doors are repaired or replaced. 13 (4) That the broken grab rail in the first floor toilet is replaced. (Timescale of immediate requirement not met). That fans are provided in each residents room where required during hot weather. That the broken armchair in room 18 is repaired or replaced. That the wooden arms on armchairs are risk assessed, particularly in relation to residents who are vulnerable to bruising. That the damaged call bell extension lead in room 9 is repaired or replaced. That staffing levels be reviewed to ensure that there are sufficient numbers of staff on duty at peak times to meet the needs of the residents. That staff are provided with training regarding meeting the needs of residents with a sensory impairment or communication difficulties. With immediate effect. With immediate effect. With immediate effect. With immediate effect. 11. 24 13 (4) 12. 27 18 (1) (a) With immediate effect. 01/12/05 13. 30 12 (1) (a), 18 (1) (a) Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 24 14. 38 13 (4) That fire doors remain closed at all times where an automatic closer is not fitted. That cleaning fluids are not decanted into unlabelled drinks bottles, and are stored securely in a locked cupboard when not in use. That where bed rails are used, covers are put in place to protect residents from injury. That the window on the first floor corridor is risk assessed and a restrictor fitted if required. With immediate effect. 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 7 10 26 Good Practice Recommendations That where residents care plans are amended, that staff sign and date each recording in line with Nursing and Midwifery Council guidelines on record keeping. That staff knock on residents room doors before entering to ensure that privacy is upheld. That toiletries are used only for individual residents, and that any communally used toiletries are removed from bathrooms. Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Sackville Nursing Home H59-H10 S14051 Sackville Nursing Home V221607 230605 Stage 4.doc Version 1.20 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!