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Inspection on 26/10/06 for Springfield Court Nursing Home

Also see our care home review for Springfield Court Nursing Home for more information

This inspection was carried out on 26th October 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

What has improved since the last inspection?

The home has now got written confirmation that the plumbing and water systems at the home comply with the Water Supply (Water Fittings) Regulations 1999. This makes sure that the residents are in a safe environment.

What the care home could do better:

The pre-admission assessment tool used by the home should be developed further to allow more detailed information to be obtained. This would give a very clear picture of the person`s strengths and needs. The person carrying out the assessment should also sign the document. Care plans must be reviewed and updated so that a clear plan of care can be looked at by all staff members, and the resident and their relatives as well. Medication records should be audited to check that all stock is signed for and to identify any omission in signatures. Menus need to be re-written to reflect current food that is being served. This will make sure that the residents know what their choices are each day. A complaints format needs to be developed so that any concerns can be written down on a standard format, the response to this shown and the outcomes seen. This would make sure that any concern or complaint is followed through to an acceptable outcome. It would enhance residents privacy is safety locks were fitted to each bedroom door. To ensure that residents are cared for by the levels of appropriately trained staff, 50% of carers should achieve National Vocational Qualification (NVQ) levek 2 within the next six to nine months.Although the recruitment files were almost up to standard, to protect residents, all staff must undergo rigorous pre-employment checks before they begin to work at the home. References and Criminal Records Bureau checks must always be obtained. Staff induction and foundation training programmes are in place, but these must to be in line with Skills for Care Common Induction Standards. This makes sure that staff have the relevant and appropriate knowledge and skills for care work. Regulation 26 reports from the owners of the home must be made available to the registered manager and the CSCI on a monthly basis. This gives a regular picture of the general operational management of the home. Poliicies and Procedures should be review anually, to make sure that they are current to the running of the home and up to date with legislation.

CARE HOMES FOR OLDER PEOPLE Springfield Court Nursing Home Springfield Court Springfield Road Aughton Ormskirk Lancashire L39 6ST Lead Inspector Mrs Christine Marshall Unannounced Inspection 26th October 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfield Court Nursing Home DS0000025576.V311971.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. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Court Nursing Home Address Springfield Court Springfield Road Aughton Ormskirk Lancashire L39 6ST 01695 424344 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) Springfield Court Limited Mrs Janet S Nixon Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (51), Physical disability (2) of places Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 53 service users to include: Up to 51 service users in the category of OP (Old Age, not falling in any other category). Up to 2 service users in the category of PD (Physical Disability). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 1st March 2006 2. 3. Date of last inspection Brief Description of the Service: Springfield Court is a purpose built care home for service users over the age of sixty-five requiring personal and nursing care. The home has fifty-one permanent places and two dedicated respite beds. The home is privately owned by Springfield Court Limited. The day-to-day management of the home is the responsibility of Mrs Janet Nixon, the registered manager. Most rooms are single with an en-suite facility. Five companion rooms are available for service users who wish to share. Three of these are en-suite. Accommodation is all at ground floor level and ramps are provided to enable access for wheelchair users. There is a large lounge and conservatory, both of which provide a suitable venue for activities. The home is set in it’s own gardens that include a lawn, an enclosed courtyard area with seating and a summerhouse. At the time of this visit, (26/10/06) the information given to the commission showed that the fees for care at the home are from £460 to £605 per week, with added expenses for any escort service that might be necessary. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 5 Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process of Springfield Court included a site visit to the home which was completed in one full day, and unannounced, which means that the manager, staff and residents did not know it was taking place until the inspector arrived. Time was spent sitting and talking with people who use the service, alongside their relatives, and observing the day-to-day routines of the home and care staff, as they provided support. A tour of the home included looking at bedrooms, lounges and dining areas, toilets and bathrooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the residents’ safety. Comment cards were sent to the home for residents and relatives to fill in; a good number were returned, and these showed a good level of satisfaction with the care at Springfield Court. A pre-inspection questionnaire was completed by the manager, and forwarded to the commission before the inspection visit; this offered good information about the home and its policies, and enabled the commission to gather comments and feedback from visiting professionals such as GPs, prior to the inspection visit. Discussions took place with the manager Mrs Nixon and members of the care staff. Administration records were also looked at. Everyone at the home was friendly, welcoming and co-operative throughout the visit. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 7 What the service does well: In line with the home’s policies and procedures, Springfield Court makes sure that there is equal care given to all residents, considering their individual choices and preferences, and giving equal support to all, irrespective of their race, gender, disability, sexuality, age, religion or beliefs. There is equal consideration given to all employees and there are male, female and overseas staff, between the ages of 18 and 70 years working at the home; training and development programmes are offered to all members of staff. The home makes sure that residents have equal access all parts of the home through wheelchair ramps. The home had a very relaxed and friendly atmosphere and the furnishings were very comfortable. The carers were friendly and understood the personal needs of each resident; there was extremely good interaction between the staff on duty and the people living at the home. A number of residents were able to voice their opinions; responses to questions and chatting showed that they were happy and content in their environment and with their carers. Resident’s comments included – .” “The staff are very good and I have everything I need.” “I’ve been here a long time, it is very nice.” “It is lovely here, I have no complaints to make.” “I am very comfortable.” Visiting relatives said that they were happy with everything at the home and had no complaints to make. All residents looked comfortable and happy. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? What they could do better: The pre-admission assessment tool used by the home should be developed further to allow more detailed information to be obtained. This would give a very clear picture of the person’s strengths and needs. The person carrying out the assessment should also sign the document. Care plans must be reviewed and updated so that a clear plan of care can be looked at by all staff members, and the resident and their relatives as well. Medication records should be audited to check that all stock is signed for and to identify any omission in signatures. Menus need to be re-written to reflect current food that is being served. This will make sure that the residents know what their choices are each day. A complaints format needs to be developed so that any concerns can be written down on a standard format, the response to this shown and the outcomes seen. This would make sure that any concern or complaint is followed through to an acceptable outcome. It would enhance residents privacy is safety locks were fitted to each bedroom door. To ensure that residents are cared for by the levels of appropriately trained staff, 50 of carers should achieve National Vocational Qualification (NVQ) levek 2 within the next six to nine months. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 9 Although the recruitment files were almost up to standard, to protect residents, all staff must undergo rigorous pre-employment checks before they begin to work at the home. References and Criminal Records Bureau checks must always be obtained. Staff induction and foundation training programmes are in place, but these must to be in line with Skills for Care Common Induction Standards. This makes sure that staff have the relevant and appropriate knowledge and skills for care work. Regulation 26 reports from the owners of the home must be made available to the registered manager and the CSCI on a monthly basis. This gives a regular picture of the general operational management of the home. Poliicies and Procedures should be review anually, to make sure that they are current to the running of the home and up to date with legislation. 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. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 10 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 Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 11 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): Standard 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home gathers basic information about prospective residents so that their needs can be met. EVIDENCE: Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 12 Care records of the residents showed that a detailed assessment of health, personal care and social needs had been carried out by the local council and gave a clear picture of the individual needs of prospective residents. In addition the home carried out a basic preadmission assessment on any person who was coming to live at the home. To make sure that the home can provide that care that is needed, these assessments should be reviewed, not only to confirm the local council assessment, but also to make sure that any self-funding residents have a clear and accurate assessment before they enter the home. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 13 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): Standards 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 residents health and social care needs are met and people are treated with dignity and respect at this home. EVIDENCE: Although standards 7 and 9 showed minor shorfalls, the overall outcome of this group of standards remains good. Care plans are written records that describe the care that is given to each resident. These were looked at and found to be in need of review and updating. The plans themselves were difficult to audit and information was not always clearly recorded, so that it can be followed up. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 14 The residents themselves said that they were given very good care and this was confirmed during the inspection visit by generally watching the carers’ extremely good interactions with residents. A requirement in respect of the care plans has been made at the end of this report. Some of the residents were unable to say that they knew about their care plans; others were able to confirm that they knew about them, but that they were not really interested. Two relatives said that they knew about the care plans. Health care opportunities are offered equally to all residents and there were records of GP, chiropody and physiotherapy visits. The medication system was looked at and found to be satisfactory. However there were a number of gaps in recording and not all medications had the signiture of the nurse who had recieved them. Monthly prescriptions are not seen and checked by the home before they are dispensed by the chemist, and a recommendation has been made about the system at the end of this report. The residents were seen to be treated with respect, privacy and dignity, and there were good personal interactions between residents and carers. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 15 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): Standards 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 residents benefit by being supported, so as to promote the quality of their daily lives. EVIDENCE: The home offers activities such as board and card games, reminiscence, musical entertainment, manicures, church services and outings for the residents. An activities co-ordinator speaks to the residents about their personal choices and tries to bring in any particular games or arrange outings to suit. Religious ministers also visit the home regularly. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 16 Residents who were able said that they enjoyed the organised activities, others said that they preferred just have quiet time; they also said that they had full choice of what they wanted to do in their daily routines. A number of residents said that they enjoyed having their relatives visit and that they were always welcomed by the staff at the home. Three visiting relatives said that they were always welcomed at the home and had a very good relationship with everyone there. The menus were in need of reviewing so that they reflected what the residents were actually being offered. The manager is in the process of doing this. The food that was served looked very appetising and when sampled, tasted good. There is equality of care in that those residents who prefer a different option such as vegetarian were catered for. Again equality of choice and need was shown by pureed food being served in an appetising way; and there was ample staff to assist residents with their meal if they needed it. Residents said that the food was good and that there was plenty of choice. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 17 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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported and protected. Procedures are in place that enable residents to voice their opinions. EVIDENCE: There are policies and procedures in place for complaints, whistle-blowing and adult abuse issues, and staff said that they were aware of these. More than 50 of the staff have already done an abuse awareness course and the other members are scheduled to do it within the next three months. There have been no complaints either to the home or to the Commission for Social Care Inspection. The complaints procedure would be improved if a set format was developed for any complaints, the response timescales and the outcome. This would give a clear and auditable picture of any concerns that were raised at the home. Although standard 16 has been met, a good practice recommendation about this has been made at the end of this report. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 18 Residents mostly knew about the complaints procedure and who to speak to if they were unhappy; all of those spoken to said that they had no complaints to make at all. Three visiting relatives said that they knew about the complaints procedure and that they had no complaints to make about the home. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 19 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): Standards 19,20,21,22,23,24,25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a comfortable environment and bedrooms are personalised. This means that residents feel at home with their belongings around them. EVIDENCE: A tour of the home showed that the general environment was more than satisfactory and furnishings were comfortable. There is equal access to all areas of the home for residents and visitors with mobility problems, in that there are wheelchair ramps in place. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 20 There are extensive aids and adaptations in place to give equal access and to help with the residents’ toilet and bathing needs. The extent and variation of these aids was over and above the minimum requirements and thus this standard was scored as a 4. Most of the residents were able to say that they were happy with their rooms, and all the bedrooms that were visited were clean, very personalised and comfortable. It would improve the privacey aspect for residents if there were safety locks fitted to each bedroom. The manager said that she would look into this. A recommendation has been made about this at the end of this report. The laundry area was very clean and hygienic. Policies are in place for the prevention of any cross infection and domestic staff said that they knew about this. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 21 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): Standards 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents care needs are mostly met through adequate staff provisions that are basically trained. Residents need to be protected through robust recruitment procedures. EVIDENCE: The home’s equal opportunities policy is reflected in that there are male and female staff, between the age of 18 and 70, inlcuding overseas carers, working at the home. The list of staff on duty showed that there were good levels of nurses, carers and domestic staff on duty at the home. Residents who were able said that they never had to wait very long for the carers to help them and that they were happy with the levels of staff on duty. The carers and the domestic staff were very helpful and showed that there is a good mix of people in place. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 22 National Vocational Qualifications (NVQ) and staff training programs are in place; however less than 50 of carers have currently achieved the NVQ award. Plans are in place to achieve this target, however a requirement about this has been made at the end of this report. The staff who have completed their NVQ training have also done a unit covering Equality and Diversity issues and this means that they will be aware of how they can make sure that the residents are treated equally, and given care according to individual choice and preference. Recruitment files were in need of some attention with some staff files not containing all of the required documents. Details of a Criminal Records Bureau (CRB) clearance document could not be provided for audit and advice was given to the manager about keeping records of these before any actual CRB documents are disposed of. It is improtant that rigorous pre-employment checks are done so that the residents are protected. A requirement about this has been made at the end of this report. Induction and training files showed that staff are curently being given a basic induction and mandatory training; however the induction package does not meet the Skills for Care Common Induction Standards guidelines. The manager was advised about this and is looking into these guideleines. A requirement has been made about this at the end of this report. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 23 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): Standards 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported and there are quality systems in place to make sure that they are protected. EVIDENCE: The manager has been at the home for over 6 years and is qualified and experienced. Residents knew who she was and said that she was often seen around the home. There is a quality monitoring system in place. The results of the most recent survey were posted on the notice board in the entrance of the home; some Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 24 residents were able to say that they had been part of a survey at the home and visiting relatives said that they were happy with the quality of care. Regulation 26 visit reports are mostly provided for the commission, however these are occasionally overlooked. The owners of the home are involved in the overseeing of the day-to-day running of Springfield Court and it was advised that these reports be completed electronically for easier access and transmission to the commission. Although this standard (33) has been mostly met, a recommendation has been made at the end of this report. The pre-inspection questionnaire provided information about residents’ personal monies and records are kept at the home; also information was given that the safety certificates at the home are up-to-date, making sure that the residents are safe and secure. Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 25 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 4 3 2 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 26 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 OP7 OP29 Regulation 15 17 Requirement Care plans must reflect the care that is being given and be reviewed regularly. All checks relating to the fitness of prospective employees, including criminal record bureau checks and checks against the protection of vulnerable adults register must be obtained prior to the start of employment. (Timescale of 31st October 2005 and 30/04/06 not met) Induction and foundation training programmes must be in line with the Skills for Care Common Induction Standards. 50 of care staff must achieve NVQ level 2 Timescale for action 15/12/06 10/11/06 3 OP30 18 30/01/07 4 OP28 18 01/06/07 Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 27 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 OP3 Good Practice Recommendations The preadmission assessment tool used by the home should be developed further to allow more detailed information to be obtained. The person carrying out the assessment should sign the document. All medication should be signed for on receipt at the home and all drug administrations should be signed for by the nurse who is giving it. Monthly medication audits would improve the system. Monthly prescriptions should be seen and checked by the person responsible for ordering medications. Menus should be reviewed to reflect the food that is currently being served. A form should be developed for the recording of any complaints, responses and outcomes. Safety locks should be fitted to bedroom doors. Regulation 26 visit reports should be completed monthly and made available for the manager and the commission. Policies and procedures should be reviewed and up-dated annually. 2. OP9 3 4 5 6 OP15 OP16 OP24 OP33 Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Springfield Court Nursing Home DS0000025576.V311971.R01.S.doc Version 5.2 Page 29 - 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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