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Inspection on 28/02/08 for Shoreline Nursing Home

Also see our care home review for Shoreline Nursing Home for more information

This inspection was carried out on 28th February 2008.

CSCI found this care home to be providing an Adequate service.

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

Detailed information is given to prospective residents about the services provided by the home. The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. Detailed information is also collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. The level of staff training continues to improve to give staff some insight into the care and support needs of residents. A varied menu is available for residents. Residents have the opportunity to pursue their religion if they wish to.

What has improved since the last inspection?

The care planning system has been updated to ensure the individual needs of residents are recorded to help staff provide the correct amount of support. Some carpets have been replaced. Some bedroom furniture has been replaced. Risk assessments have been further developed. Care plans are regularly reviewed. The medication policy has been updated. The laundry flooring has been replaced. Staff files have been updated to include a recent photograph. Water temperatures of showers are taken regularly and recorded. The complaints procedure has been updated.

CARE HOMES FOR OLDER PEOPLE Shoreline Nursing Home 2A Park Avenue Redcar TS10 3AT Lead Inspector Karena M.Reed Key Unannounced Inspection 28th February 2008 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shoreline Nursing Home DS0000000137.V351885.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. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shoreline Nursing Home Address 2A Park Avenue Redcar TS10 3AT 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) 01642 494582 F/P 01642 494582 shorelinenursing@btconnect.com Dr Lal Dr Dave, Dr Puri Mrs Helen Pasco Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can admit 20 service users age 55 . Date of last inspection 24th January 2007 Brief Description of the Service: Shoreline Nursing Home is registered to provide personal and nursing care to a maximum number of 44 service users. The home is situated on the sea front as is close to Redcar town centre where there are pubs, shops and other local amenities. The home is two storey, modern and purpose built. The ground floor of the home accommodates twenty service users, there are eighteen single rooms and one double room. The first floor of the home accommodates twenty-four service users; there are twenty single rooms and two double rooms. Thirty five of the bedrooms have en-suite facilities which comprises of a toilet and hand washbasin, the remainder have a sink. All bedrooms meet the required amount of space. The ground floor of the home has a combined lounge/diner; the first floor of the home has both a lounge and dining room. Toilet and bathing facilities are on each floor. A Statement of Purpose and service user guide are available at the home for residents who are interested in coming to live at the home. The guides describe the services and facilities provided by the home and how staff are trained to meet service users’ care and support needs. CSCI Inspection reports are also available at the home detailing the quality of care provided by the home. Fees payable for living at the home at the time of inspection in February 2008 range from £360 to £498. Additional charges are payable for hairdressing, private chiropody, personal toiletries and personal newspapers. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We looked at: Information we have received since the last inspection in January 2007. How the service dealt with any complaints and concerns since its last inspection. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and their relatives, staff and other professionals. • The visit • An unannounced visit was made on February 28th 2008 During the visit we: • • • • • Talked with people who use the service, relatives, staff, the person in charge and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. We told the provider what we found. 15 surveys were sent to care professionals and relatives, 4 were returned. Comments include: “Care of X’s clothes is often a problem i.e they shrink or go missing. “ …. is comfortable ,a well equipped bedroom is provided.” “All needs are catered for such as hairdresser, chiropodist.” “Good management.” Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 6 “Room and clothes service excellent.” “Tends to my relative’s needs.” “Perhaps there could be more staff available to sit and talk with the residents in the lounge.” “More activities or visitors to entertain.” “Communication could be better when trying to find out about medical matters and whether they’ve been followed up. Changes of staff make it difficult.” “Home is running to our requirements.” What the service does well: What has improved since the last inspection? The care planning system has been updated to ensure the individual needs of residents are recorded to help staff provide the correct amount of support. Some carpets have been replaced. Some bedroom furniture has been replaced. Risk assessments have been further developed. Care plans are regularly reviewed. The medication policy has been updated. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 7 The laundry flooring has been replaced. Staff files have been updated to include a recent photograph. Water temperatures of showers are taken regularly and recorded. The complaints procedure has been updated. What they could do better: The Statement of Purpose and service user guide must be updated and include details of CSCI. Staff must ensure that residents’ dignity is respected at all times: ensuring residents are clean and comfortable and knee rugs provided for residents as required. Residents must be consulted with to plan/provide appropriate activities and outings. The home’s adult protection policy/procedure must be in place to inform staff of action that should be taken if abuse is suspected. All staff must receive Protection of Vulnerable Adult training. A plan of refurbishment and decoration must be continued within an appropriate time scale. Bedrooms: 31,32,27,35,37 must be decorated as soon as possible. The corridors must be decorated upstairs. The carpet on the upstairs landing, by the stairs must be cleaned. Bedroom 38 carpet must be cleaned or replaced The roll of carpet in the downstairs lounge must be removed. Communal areas must be kept tidy and free of staff belongings. The admission/discharge register must record any absences from the home. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 8 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. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 9 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 Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Information is given to people who may come to live at the home about the services available. The home collects enough information about the needs of people who may come to use the service before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of people who live at the home and to provide the necessary levels of care and support to individual people. People who may be deciding about whether to live at the home and their relatives are very welcome to visit the home to assess its suitability. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 11 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. They provided detailed information in an interesting way but needed updating. Records for five of the residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they are aware of some of the specialist needs of the residents. Staff have received the necessary statutory training: Fire Training, Moving & Assisting, Food Hygiene, First Aid, Protection of Vulnerable Adults, Memory Loss and peg feeding and National Vocational Qualifications at levels 2 & 3. Staff are also to receive training about; Safe Handling of Medication, incontinence, infection control, risk assessment and care planning. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are quite good arrangements in place to ensure that the health and social care needs of residents’ are met. There are full arrangements in place to ensure residents health care needs are met. Staff receive training before they are able to administer medication to residents. Residents are not always treated with respect and their dignity is not always upheld. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 13 EVIDENCE: There are detailed assessments in residents’ care plans. Personal support needs are well documented and give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, remaining mobile in order to help retain some independence. A new system of care panning is being introduced, care must be taken to ensure that new care plans will still be able to be used as tools breaking down the care needs of residents to show the amount of care and support staff need to provide. There is a system of reviewing the changing care needs of residents. Moving and handling assessments are in place. Technical aids and equipment is available for residents. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records show district nurses visit the home as required and residents are helped to use chiropody and optical services at least annually or as often as required. Training records showed senior staff members receive training about medication before they are able to administer it to residents. Risk assessments are in place. Care records, conversation with staff and observation showed the privacy of residents was mostly respected. Residents’ dignity was not as well respected as some residents were not wearing clean clothing and they had not been assisted to wipe their faces after eating. Some residents also needed more support to ensure they were sitting or lying in a way that respected their dignity staff offering them knee rugs if they wanted. All of those residents spoken to said that they were treated well by the staff and are well cared for. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service Limited activities and entertainment are available for residents. Residents maintain contact with family and friends as they wish. Staff help residents to exercise some choice and control over their lives. The diet of residents is varied and wholesome. EVIDENCE: Currently limited activities are available for people who live at the home. The new manager has introduced an activities organizer to be responsible for planning activities and outings with people who live in the home. Volunteers are also to be introduced to help socialize with residents. The hairdresser visits weekly. Various parties are arranged, which are supported by relatives and families. Church Services can be arranged to take place within the home. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 15 Residents have the opportunity to go out with relatives but some people who live at the home did say they would like the opportunity to visit the local community with staff. Staff support residents to keep in touch with relatives. Some people who live at the home said at inspection: “A little more stimulation would be nice.” Staff ask each resident about their wishes, interests and choices. Residents and their families also receive questionnaires to complete as part of the home’s quality assurance. The home’s menu is made up of the known likes and dislikes of the residents. Residents are also asked daily what they wish to eat from the menu selection. At least two hot meals are provided daily and an alternative is available Residents were very positive about the food: “Meals are very good.” On the day of inspection the lunch served was gammon and pineapple or toad in the hole, mashed and roast potatoes and vegetables and pineapple upside down pudding or yoghurt. Residents enjoy home baking and special diets are catered for. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. A complaints procedure is available for the use of residents and relatives. Systems are being put into place to protect people who live at the home from abuse. EVIDENCE: There is a complaints procedure, if complainants are not happy with the homes investigation and response. The home’s complaints procedure contains details of how to contact CSCI to make a complaint. The home keeps a record of complaints. One complaint has been received by CSCI and satisfactorily resolved. Residents and their families are also asked if they have any complaints. Not all staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. The home’s policy/procedure to inform staff of how to respond if abuse is suspected needs to be made more clear so staff are aware of how to respond if abuse is suspected. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 17 Some staff have completed a Dementia Care course which has given them more insight into the needs of people with memory loss. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20, 25 and 26. People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents live in quite a homely, comfortable and safe environment. There is a quite a good standard of hygiene in some areas of the home. EVIDENCE: Since the last inspection the hallways have been decorated. The dining room, bathrooms and some bedrooms have been decorated. New carpet has been laid in the dining room on the ground floor. Both lounges are large rooms with magnificent sea views. They were not very organized to provide comfortable, homely surroundings for the people who use them however. The downstairs lounge was untidy and cluttered with items not Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 19 belonging to the residents in one area of the room. A large roll of carpet was left in the corner of the lounge. The upstairs of the building required more effective odour control. Refurbishment and decoration must continue around the home in a timely way. On the first floor the landing carpet was frayed and split in an area. Woodwork on the corridors was marked and chipped. All residents enjoy their own bedroom some with sea views overlooking the coast. Bedrooms are personalized with the residents’ own belongings and pieces of furniture if they wish to bring it to the home. Some bedrooms on the first floor required decorating as they were all decorated in a uniform mustard colour and they were showing signs of wear and tear. In room 38 the carpet was stained. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff. Systems are in place to ensure residents are in safe hands. There are sound recruitment policy and practices in place to protect residents. Staff are trained to meet the care needs of residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 8.00am - 8.00pm 8.00am – 2.00pm 2.00pm- 8.00pm 2 qualified nurses. 7 carers 5 carers Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 21 8.00pm – 8.00am 8.00pm- 8.00am 1 qualified nurse 4 carers There are two staffing vacancies currently for a full time and part time registered general nurse. There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation, cleaning and maintenance. The necessary checks are being carried out prior to the workers being appointed. Two written references were available on the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. Over 57 of the care staff team have now achieved National Vocational Qualifications at level 2 some are also studying or have obtained level 3. Staff training carried out includes: Fire Training, Moving & Assisting, Food Hygiene, First Aid, Protection of Vulnerable Adults, Memory Loss and peg feeding and National Vocational Qualifications at levels 2 & 3. Staff are also to receive training about; Safe Handling of Medication, incontinence, infection control, risk assessment and care planning. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 22 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, 35,37 and 38. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents’ live in a home that is quite well run and managed for the benefit of residents. The standard of record keeping is good. The health, safety and welfare of residents and staff are mostly promoted and protected. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 23 EVIDENCE: A new manager Mrs Lesley Smith started working at the home in November 2007. Mrs Smith is a qualified nurse and has many years experience of working with older people and has the necessary management and care qualifications. At the time of inspection Mrs Smith’s application for registration with CSCI, to be the registered manager of the home responsible for its day to day running was being processed. At the time of writing the report she has become the registered manager. Mrs Smith has many ideas to ensure the home is run for the benefit of the people who live there. A sample of records were inspected which included: the Home’s Statement of Purpose and service user guide, the home’s maintenance contracts, five care plans, the fire log, accident book, admission /discharge book, complaints record, staff communication book, two personal allowance records, staff meeting minutes and four staff files. All records as required by the Care Homes Regulations 2001 were well documented and completed as required apart from: The Admission/Discharge book did not accurately record and resident’s overnight absence from the home. Staff meetings take place regularly and residents and relatives meetings are planned to take place on a regular basis. Facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment were all up to date. Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 2 x x x 2 x 2 STAFFING Standard No Score 27 3 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 3 3 Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 25 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. 2. 3. Standard OP1 OP10 OP12 Regulation 6(a)(b) 12(4)(a) 16 Requirement The Statement of Purpose and service user guide must be updated and kept under review. Residents’ dignity must be respected at all times. The Registered Person must consult with residents and plan/provide appropriate activities and outings The Registered person must develop the homes adult protection policy/procedure to include action that staff should take if abuse is suspected Adult protection training must be provided to all staff on a regular basis. The Registered Person must continue with their plan of refurbishment The Registered Person must continue with their plan of refurbishment Timescale for action 30/04/08 31/03/08 15/06/08 4. OP18 13 15/07/08 5. OP19 16, 23 24/08/08 6. OP20 16, 23 24/06/08 Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 26 7. 8. OP24 OP37 16, 23 Schedule 3 17(3)(e) The Registered Person must clean or replace the carpet in bedroom thirty-eight. The Admission/Discharge book must record any resident overnight absence from the home. 31/03/08 31/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Shoreline Nursing Home DS0000000137.V351885.R01.S.doc Version 5.2 Page 28 - 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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