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Inspection on 27/09/06 for Southborough Nursing Home

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

This inspection was carried out on 27th September 2006.

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.

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

There were a number of positive comments about the home from service users including "We would recommend this home", "We have no complaints", and "The staff are lovely". The arrangements for meeting the health and social care needs of service users are good. Service users are consulted with about the care they receive and there are good arrangements for reviewing care. Food is of a good quality and served in a pleasant dining area. A choice of meals is always available and staff members offer good support to service users. There is a range of structured social and recreational activities and the wishes of service users who do not wish to join in activities are respected. Service users said that they enjoyed the outings entertainers that visited the home. There are policies and procedures in place for dealing with complaints and allegations of abuse. The home is generally well maintained, clean and decorated to a good standard. There are aids and adaptations situated around the home that help service users to maintain some of their independence. Staff members receive training and good guidance from the Registered Manager and health and safety issues are generally taken seriously.

What has improved since the last inspection?

Requirements set at the last inspection of the home have been met. There have been improvements in the way in which medication is handled. Police checks are in place and the staff records indicate that staff members are provided with formal supervision and training on a regular basis. The Registered Manager said that there has been ongoing staff training since the last inspection of the home. Some staff members have received training in Tissue Viability, Pressure Sores, Moving and Handling and Infection Control. Three bedrooms at one end of the building are being refurbished.

What the care home could do better:

No requirements arise on this occasion reflecting the overall findings of well managed care home.

CARE HOMES FOR OLDER PEOPLE Southborough Nursing Home 12-14 Langley Avenue Surbiton Surrey KT6 6QL Lead Inspector Michael Williams Key Unannounced Inspection 27th September 2006 11:30a 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 Southborough Nursing Home DS0000026258.V306588.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. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southborough Nursing Home Address 12-14 Langley Avenue Surbiton Surrey KT6 6QL 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) 0208 390 3366 0208 390 9394 info@lrh_homes.com London Residential Healthcare Limited Mrs Katherine Mary Litster Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56), Physical disability (56), Physical disability of places over 65 years of age (56) Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: Southborough Nursing Home is a registered care home with nursing for up to fifty-six service users over the age of sixty-five who require general nursing care and who may have a physical disability. The home is situated in a residential area of Surbiton, close to public transport, local shopping and leisure facilities. The home is owned and managed by London Residential Healthcare Limited (LRH). Bedrooms are situated on the ground and first floors of the home. Passenger lifts provide access to the first floor of the home. The main communal areas of the home are situated in the ground floor and consist of two large lounges, one small sitting room, a dining room and a large conservatory. A small sitting room is available on the first floor. To the rear of the property there is a large garden. Ample car parking is available to the front of the property. Fees as at September 2006 were from £500 to £750. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced, key inspection that took place between the hours of 11 am to and 6 pm on 27th September 2006. A tour of the premises took place and a range statutory records were examined. The Registered Manager, staff and service users were given the opportunity to meet with he inspection as they wished and those that did so expressed their satisfaction with the service. Two residents, three relatives and nine staff responded to the Commission’s questionnaire. In summary they describe the home as very good; a residents said “it’s lovely here”, which summarises the overall findings. In respect of issues of diversity, this home in common with others employs staff from a variety of national backgrounds. Amongst the choices that service users can make known to the care home is their dietary wishes and needs, their cultural and religious wishes and any lifestyles issues such as sexual orientation that the home should take account of. The home seeks to ensure residents can follow their lifestyles so far as it is reasonable to do so and in the interests of the well being. All residents use English as their preferred language. The home is adapted for residents who may have disabilities such as mobility problems. What the service does well: What has improved since the last inspection? Requirements set at the last inspection of the home have been met. There have been improvements in the way in which medication is handled. Police checks are in place and the staff records indicate that staff members are provided with formal supervision and training on a regular basis. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 6 The Registered Manager said that there has been ongoing staff training since the last inspection of the home. Some staff members have received training in Tissue Viability, Pressure Sores, Moving and Handling and Infection Control. Three bedrooms at one end of the building are being refurbished. 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. Southborough Nursing Home DS0000026258.V306588.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 Southborough Nursing Home DS0000026258.V306588.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 at least once during a 12 month period. 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. New service users are being admitted only on the basis of a full assessment undertaken by people trained to do so and this involves the service user or, in some cases, their representative so residents know that their needs have been fully assessed and can be met in this home. EVIDENCE: The home collates information from a variety of sources including prospective resident’s current placement, often a hospital; the home has its own preadmission assessment form and the residents and their family are consulted. The residents’ case files demonstrate that this process is working well and placement are appropriate to the home’s registration and stated aims and objectives. Each resident is given a copy of the Service User Guide and it was noted that a copy is lodged in each bedroom for ready access. Neither the Statement of Purpose nor the Service User Guide have been changed since the previous inspection and therefore remain acceptable. Areas of strength are the through pre-admission assessment and resident consultation and as no matters requiring improvement arise this section, about choice, is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning, the provision of health care and the procedures for dealing with medication are all satisfactory so as to ensure the social, and health care of service users can be met. EVIDENCE: There were detailed care plans, which gave staff members’ clear instructions about how service user’s needs should be addressed. Several care plans were examined and some had been signed by the relative of the service user, indicating that they had been involved in the care planning process. There were also records detailing that this care plan had been reviewed on a regular basis and changed in line with the service user’s changing needs. The care plan contained risk assessments in relation to moving and handling, the risk of falls and nutrition. Three of staff members spoken in detail about care planning were clear about information written in care plans, and their responsibilities for meeting service user’s needs. A suggestion was made to include a wider range of objectives so as to include social and emotional needs as well routine hygiene and health needs. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 10 All service users and any relatives in attendance and spoken with during the course of this inspection indicated that they were happy in the home and that their needs were being met. Whilst the home is commended for having no service users with ‘pressure sores’ the case files provide for risk assessments of skin care (a ‘Waterlow’ scoring) and there are detailed instructions about how any pressure sores should be treated. The manager explained that she calls in specialist Nurses such the Tissue Viability Nurse and Palliative Care Nurses for training and advice. Equipment such as pressure relieving mattresses, hoists and other lifting aids are available. Staff members attend refresher training in the safe handling of medication since the last inspection of the home. There were records detailing that senior staff members carry out regular audits on medication. Medication was stored securely. Medication Administration Records were examined and these were generally up to date and in good order. The errors identified in the previous inspection have been corrected including the correct recording of short-term medication that has finished. Areas of strength are the proper use of standardised care plan forms and the detailed recording of resident’s progress and as the only recommendation arsing is a suggestion to add social and emotional elements to the care plans this section, about health and personal care, is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The daily routines in this home are reasonably flexible, within the constraints of a large service. Service users are being supported and encouraged to maintain links with family, friends and to exercise choice and control over their lives in so far as they wish and are able to do so. Service users are receiving a wholesome, appealing and well balanced diet in a congenial setting in accordance with their recorded requirements and preferences. EVIDENCE: The many service users spoken with said that they were happy with the arrangements for social and recreational activities. A small number of service still manage to get out and about with their family and friends and this is commended. An activities programme was displayed and there was a notice detailing that regular church services are held in the home. There was an activities coordinator who was spending who was organising a game of Bingo in the afternoon, whilst this remains a popular activity there are many other opportunities for recreational and social activities here. There are two large communal lounges. Some service users were reading newspapers in one lounge and others were listening to music in the second lounge. There is a television in one lounge giving residents a choice about whether or not to watch it. There were a great many photographs displayed of trips that have Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 12 been organised recently and it was pleasing to hear that such trips are well supported by residents. The activities coordinator completes a written social ‘reviews’ for each service user. These are then made available at each review of care. The Commission has suggested under the previous heading, care planning, that the basic social and recreational expectations of each service user is added to the existing care plans so they do not contain only health and problem oriented issues. Service users spoken with said that they were able to make choices about daily living and that staff members respected their wishes, so some enjoy the quietness of their rooms, some like to take a newspaper and almost all have an opinion about the choice of meal each day. Formal meetings occur on a regular basis were service users are invited to discuss daily living issues. It is suggested that some of the relative meetings be used as ‘support groups’ possible for newer relatives to share experiences and learn more about Dementia and its course. There were menus on display and residents get a choice of two main meals each day. Most service users had Roast Pork or beef with vegetables for the midday meal. All service users are offered sherry, wine or beer with their meal – if they wish it and it is safe for them to have – this ‘extra’ was very much appreciated. There was good support from staff members for those service users who needed to be assisted in eating their meal. Positive comments were received from service users about catering in the home. Most service users agreed with one opinion that “The food here is very good”. Most service users had a soft drink close to hand at the time of inspection and hot drinks were provided at midmorning and afternoon. All food was stored appropriately and the kitchen was clean and well organised. The chef is commended for providing meals that residents agree are very homely and tasty. Areas of strength are residents feedback about life in this home including meals and social care and one recommendation is to use the relative meetings as a support network. So this section, about daily life, is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a system in place for the effective handling of complaints and service users and their relatives are encouraged to raise any concerns they have. Service users therefore know that their concerns will be acted upon. Arrangements are in place for handling allegations and instances of abuse. This ensures that service users will be protected from harm. EVIDENCE: There has been no change to the manner in which this standard about complaints and protection is being met and so the previous findings are restated. There are no complaints recorded since the previous inspection. There are policies and procedures in place for dealing with complaints. Information is made available in the Service User Guide about how a compliant, concern or suggestion should be made, and how this will be handled. This information also includes details about how a complaint may be made to the Commission for Social Care Inspection. The Registered Manager said that service users and their relatives are encouraged to raise any concerns with staff members before they become problematic. The home has a copy of the Royal Borough of Kingston Upon Thames vulnerable adult protection procedures. The Registered Manager assured the inspector that there have been no allegations of abuse made within the home in the past year. Records examined detailed that staff members receive training in the protection of vulnerable adults as part of the induction programme. Areas of strength are sound procedures in place and the positively ‘listening’ approach towards those in her care and as no matters requiring improvement arose this section is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 22 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is decorated and furnished to a good standard and facilities are accessible and clean. This ensures that service users live in a safe, pleasant, homely and comfortable environment. EVIDENCE: This is an ‘existing care home’ and is therefore not required by regulations to meet current environmental standards. Some rooms are therefore less than 12 square metres and few have ensuite toilets. Nevertheless it is a well maintained property and residents find it a comfortable place to live in. Communal areas and some service users bedrooms were viewed and these were in good decorative order. The Registered Manager said that there are no outstanding Requirements following environmental health and fire inspections and there have been no substantive changes to the premises since the previous inspection by the Commission so many findings are restated. It is noted that refurbishment its taking place at one end of the building to upgrade three bedrooms. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 15 A Fire Authority inspection of the home took place in earlier in the year and manager states that the home was found to have satisfactory fire safety arrangements in place. Close circuit television cameras are used in some areas of the home, but not areas used by service users. The home has been assessed by an Occupational Therapist and there are a number of environmental aids and adaptation that are designed to promote the independence of service users. Hoists and assisted baths are available throughout the home and there were certificates detailing that these had been serviced on a regular basis. Staff members receive training in moving and handling and in the use of hoists. There are grab rails in toilets and bathrooms and in corridors. There is a passenger lift to all floors, this has been safety tested recently. Call bells were available in bedrooms and bathrooms viewed. There was good lighting and the home was warm and well ventilated. One service user said that they found the temperature of the home comfortable. Windows on the first floor had restrictors and the Registered Manager said that all radiators in the home have recently been safety checked by the home’s maintenance worker. There is emergency lighting throughout the home and records detailing that this has been checked for safety. All sinks in communal toilets, bathrooms and service users’ bedrooms are fitted with a thermostatic value to prevent the risk of scalding. Water temperatures checked were at a safe temperature. The home has a risk assessment in place in relation to the risk of Legionellosis and the whole water system has been checked to ensure compliance with the Water Regulations. Water temperatures are again being checked in rotation on a weekly basis as required in the previous inspection. The home was clean and hygienic; cleaning staff were on duty throughout the day and they are commended for keeping the home odour free. Areas of strength are good presentation of this property, it is large but homely and in good order, clean and fresh and as no matters requiring improvement arise this section, about the environment, is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff employed and their skill mix are appropriate to the assessed needs of the current service users in this home – so this will ensure that their needs are being met. The required procedures are in place to ensure recruitment of staff protects service users. The home has a staff induction, training, support and supervision regime in place so service users can be assured that staff are competent in their jobs. The recruitment, training and support of staff will ensure service users are ‘safe in their hands’. EVIDENCE: To evaluate this section about staffing a number of staff were interviewed including, the manager, Nurses, carers, domestic and catering staff, in addition to this head-office staff were most helpful in making staff files and other records available for inspection and the training officer was also available to confirm the training arrangements for the home. The manager stated and office staff confirmed that all staff now have a police check [a CRB] in place and no staff are being employed without such checks in place as required in the previous inspection. Staff recruitment is now much improved and all staff are properly checked and assessed prior to employment including reference checks, Nursing qualification checks (PIN number checks), health checks and so forth are confirmed to be in place. Induction and on going training is in place for all grades of staff. The staff interview were well informed about the duties and of primary importance Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 17 the residents and their visitors thought the staff were kind and caring people and were complimented several times during the inspection. Areas of strength are the highly motivated and well managed team of staff and as no matters requiring improvement arise in this section, about staffing, it is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 37 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members receive good guidance and leadership and, in general, there are safe working practices. Some improvements must be made in relation to health and safety to ensure that the welfare of service users is fully promoted and protected. EVIDENCE: Staff members spoken with confirmed that they received formal supervision on a regular basis and there were records to back this up. The home keeps small amounts of money for some service users. There are records of any money held. All staff members undergo induction training in safe working practices. There are environmental risk assessments in place, including a risk assessment in relation to fire. Records indicate that routine tests such as water temperature, Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 19 kitchen temperature checks and the fire alarm and emergency lighting are tested on a regular basis. Fire fighting equipment is situated throughout the home and emergency exits were clear. There was a landlord’s gas safety certificate and records detailing that the electrical system in the home has recently been serviced. Regular health and safety audits occur. Certificates were available detailing that regular safety checks are made on hoists, assisted baths and the lift. Water safety checks are now re-instated as required. A range of records were checked including staff records mentioned in the previous section and random check indicates that they were satisfactory on this occasions. Records for money held or administered on behalf of residents was checked. In almost all cases the home does not hold money for residents instead it invoices for cash spent. The home has a safe and a record of valuables held for residents in this safe. Other records found to be in good order include the resident case files, kitchen records, complaints, accidents, incidents (Regulation 37), monthly managers’ visits (Regulation 26), fire records. No hazards were identified on this occasion. Areas of strength are overall management and administration, it is clearly being run in the best interests of the residents, and as there are no matters requiring improvement this section is assessed as good. Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 20 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 3 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 Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Recommendation: It is recommended that in addition to existing health related problems care plan forms (Green) include key aspects of the social, emotional and recreational aspirations of service users. Recommendation: It is suggested that the relatives’ meetings include a ‘support group’ element if visitors wish to receive help, support and advice about dementia and its course. 2 OP13 Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Southborough Nursing Home DS0000026258.V306588.R01.S.doc Version 5.2 Page 23 - 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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