Inspection on 06/07/05 for St Andrews House Nursing Home

This inspection was carried out on 6th July 2005.

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

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

Other inspections for this house

St Andrews House Nursing Home 30/04/07

St Andrews House Nursing Home 19/01/06

St Andrews House Nursing Home 17/11/04

St Andrews House Nursing Home 28/06/04

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Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

CARE HOME ADULTS 18-65 St Andrews House Nursing Home 37 Rainhall Road Barnoldswick Lancs BB18 5DR Lead Inspector Marie Matthews Announced 6 July 2005 9.30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Andrews House Nursing Home Address 37 Rainhall Road Barnoldswick Lancs BB18 5DR 01282 816701 01282 816508 Harpergll@aol.com Oakfoil Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Gillian Harper Care Home 24 Category(ies) of Physical Disability PD 24 registration, with number Physical disability over 65 years of age of places PD(E) 3 St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing will be in accordance with the Noitce issued on 9th November 1998 2. The service should at all times, employ a suitably qualified manager who is registered with the CSCI Date of last inspection 17/11/05 Brief Description of the Service: St Andrew’s House is a large detached property located in the centre of Barnoldswick. It is registered to provide both nursing and personal care for twenty-four people who are physically disabled. Both men and women live in the home. The majority of rooms are single and all bar two include en-suite toilet and hand basin. There are three shared rooms that also have en-suite facilities. All rooms meet the minimum size requirement to allow people who use a wheelchair to be accommodated. There is a passenger lift to the first floor. The home is well provided with communal space. This includes a small gym and hydro pool that is open five days a week and managed by the physiotherapist and physiotherapy aide. There is limited outdoor space with a small garden area to the front of the building and a patio to the rear. However Barnoldswick is well adapted to the use of wheelchairs with many pavements being wheelchair friendly and local shops and facilities being easily accessible. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was conducted at St Andrews House on 6th July 2005. The inspection involved looking at records, talking to management, three staff, eight residents and four visitors, a tour of the home and generally looking at what was happening in the home. Information was also taken from comment cards filled in by eleven residents and eight visitors. This inspection looked at things that should have been done since the last visit and a number of areas that affect resident’s lives. There were twenty-two people living in the home on the day of the visit. Relatives commented they were satisfied with the care. The majority of residents liked living in the home. What the service does well: The home always completed detailed assessments prior to a resident’s admission to the home, this ensured the home could meet their needs and an individual plan of care could be developed. The home dealt with complaints and concerns appropriately and people felt they would be listened to. One resident said ‘things got sorted out’. A wide range of appropriate leisure activities had been organised throughout the year, either by the activities co-ordinator or by the home’s fundraising group. Residents said they ‘had a good time’ on their recent holiday. A minibus was used for outings. The home promoted resident’s independence, choice and decision-making. Residents said ‘ I am free to come and go’ and ‘I go where I want’. Resident’s opinions about the running of the home were sought at meetings, from satisfaction surveys and involvement in selection of new staff. Meals were nutritious and varied and alternatives choices were always offered to ensure a healthy diet was available for all residents. The home had a qualified physiotherapist, physiotherapy aides and registered nurses to ensure resident’s independence and specialised needs could be met. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 6 Training files showed staff were given appropriate training to enable them to meet the needs of the residents in their care. Residents were able to develop friendships with staff. One resident said ‘they know what I want’. Staffing was provided flexibly and above the minimum levels recommended on the staffing notice. What has improved since the last inspection? What they could do better: Residents, their family, friends or advocate need to be consistently involved in the development and regular review of their plan. When risks are identified the appropriate interventions and discussions with residents and their representatives needed to be recorded. As noted previously the standard of the décor within the home had improved however some furnishings needed replacing to ensure the home consistently provided a comfortable and attractive environment for residents to live in. The home needed to ensure that the programme of planned maintenance and renewal included areas of concern noted during the inspection. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 7 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. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2. The home obtained detailed assessment information about prospective residents, prior to admission, to ensure they can meet their needs. EVIDENCE: Although there had been no recent admissions to the home three individual plans were looked at. Detailed assessment information had been obtained prior to admission to ensure the home was able to meet the resident’s needs. Individual service user plans had been generated from the assessment and the plans had been discussed with residents or their relatives. Family members and residents confirmed they were involved in discussions about care. Rehabilitation and therapeutic needs had been assessed by a registered health professional. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Resident’s individual plans were developed from assessment information and contained detailed information about their personal, social and healthcare needs; this ensured staff were aware of how to meet the residents needs. Residents and their relatives had not consistently been involved in the development and review of the plan. Residents were able to participate in decision making about many aspects of their lives in the home. EVIDENCE: Two residents individual plans were looked at. These plans had been generated from assessments and contained detailed information about personal, social and healthcare needs. There was no evidence that residents, their family, friends or advocate had been involved in the initial development of the plan although a number of visitors said they had been consulted about their relatives care. Regular reviews had taken place on one of the plans and both had been updated to reflect changing needs. Residents had not consistently been involved in this process. All residents had a key worker. Staff and residents were aware of the responsibilities of this role. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 11 Residents were able to make decisions and choices about their own lives. This was supported by documentation, discussion and observation. One resident said ‘I can make up my own mind’. From talking to people and looking at records it was clear residents were involved in meetings, selection of staff, individual and group discussion and satisfaction surveys. Two residents participated on a local disabled transport committee. A number of residents were involved in fundraising for the home. Visitors and residents said that the way the home communicated with them had improved. Nine residents said they wished to be involved in decisionmaking within the home and two preferred not to be. Residents were able to take responsible risks and had been involved in discussion about those risks. Risk assessments were completed and signed by residents where possible but were stored in a separate folder. Two residents who needed bed rails did not have consent forms to evidence discussion with residents and relatives. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17. The home ensured residents had access to a range of appropriate leisure activities that ensured their social and personal needs were met. The home promoted resident’s independence, choice and decision-making. Meals were nutritious and varied and alternatives had been offered to ensure residents received a healthy diet. EVIDENCE: The home had good links with the local community. One resident said she had attended the local college and others had visited the church and leisure centre. Shops were within easy access. Therapies and specialised interventions were provided by the home. Residents were able to participate in a range of fulfilling activities within the home and local community. An activities coordinator was employed who ensured that information about activities and services was displayed on the notice board. A relatives and residents group were involved in fundraising and organised various outings and activities. Records showed that a minibus had been used regularly for outings to different venues including trips to shows, Southport, concerts, local pubs and shops and holidays away from the home. Residents said they enjoyed their outings and St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 13 recent holidays; one resident said they ‘had a good time’. Although one resident commented they were ‘ bored as the TV is on all the time’. Family and friends said they felt welcomed into the home. Residents were supported to maintain links with family and friends. One resident went home regularly to stay with family. Residents said they were ‘free to come and go’ and ‘I go where I want’ and ‘I can join in or go to my room’. Access to the home was unrestricted and staff were seen knocking on doors and waiting for permission to enter. Signs were placed on doors when people did not want to be disturbed. Staff were seen interacting with residents and visitors in a friendly and respectful manner. There was a seasonal four weekly menu. The menu for each day was displayed in the dining room. Meals were varied and nutritious. The menu did not demonstrate a choice but records showed that the cook had regularly served a number of alternatives. Residents said they were offered choices. One resident said the food ‘was always the same’ another said it was ‘ not nutritional’. Three residents were not happy with the weekly buffet lunch but others said they enjoyed it. Six residents commented they ‘sometimes’ enjoyed the food, three residents enjoyed the food and two did not enjoy the food. The cook was aware of resident’s likes and dislikes and meals were discussed at meetings. Nutritional assessments were on file. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19. The resident’s plans generally contained detailed information that ensured staff were able to meet resident’s needs. EVIDENCE: The resident’s plans contained detailed information about the support that residents wanted and risks had been assessed. A resident said ‘staff know what I like’. Equipment and technical aids were available to help residents to maintain their independence. The home had a qualified physiotherapist, aides and registered nurses to ensure residents specialised needs were met. Healthcare needs of residents were included in the plan but interventions were not always recorded. (see standard 6) Residents said that generally routines were flexible and staff gave assistance and support. One resident said she could choose what to wear and regular shopping trips were arranged to purchase new clothing. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home had a clear complaints procedure and residents and visitors know how to and whom to complain. People felt they would be listened to and their concerns acted upon. EVIDENCE: The complaints procedure was clear and available to residents and their relatives. A record had been maintained which showed that complaints and concerns were dealt with appropriately. Residents and relatives were aware of whom to complaint to and were confident they would be listened to. One resident said ‘things got sorted out’ and was aware of how to take a complaint further if he needed. Visitors said the registered manager ‘listens to us’ and confirmed that discussions had taken place before problems developed into formal complaints. There was evidence of this on file. Staff were aware of how to respond to suspicion of abuse. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. The standard of the décor within the home had improved but some furnishings needed replacing to ensure the home consistently provided a comfortable and attractive environment for residents to live in. The home needed to develop a planned maintenance and renewal programme to support future improvements. EVIDENCE: The home was accessible, comfortable and safe. Overall the furnishings were of a good standard but it was noted that a number of furnishings, particularly in the communal areas, needed replacement or cleaning. A number of residents and visitors raised concerns about the warm temperature in the conservatory and said the ceiling fans were ineffective. The registered manager said that quotes were being obtained to supply window blinds and the maintenance person would have a look at the fans. An extractor fan had been supplied following the last inspection and people commented that this had reduced the smoky atmosphere. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 17 The lift had been replaced and residents said it was better. Double-glazing had been fitted to the front of the house although the frames to the rear of the house needed painting. Re-decoration of bedrooms and communal areas was ongoing and a number of residents said they were happy with their rooms. The dining and lounge area had been redecorated and residents said it was ‘much better and brighter’. The home needed to develop a planned maintenance and renewal programme to evidence that areas noted above were being addressed. Residents were able to access local amenities and a minibus was provided for outings. The home was clean and odour free. The home still did not have a sluicing disinfector and was unable to meet this standard. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36. The arrangements for training of staff were good and staff had a good understanding of the residents needs and positive relationships had been formed between staff and residents. The way the home recruits new staff had improved. Residents were protected by the recruitment policies. The systems for consultation with residents and visitors were good and people thought they were listened to. EVIDENCE: From discussion it was clear that staff were aware of their roles and responsibilities. Residents said they were able to develop friendships with staff and one resident said their key worker was ‘the best’. Information from comment cards showed that seven residents felt they were well cared for and treated well and six thought they were ‘sometimes’ treated well and cared for. One resident said staff ‘do their best for me’. Another said staff ‘are very approachable’. The home employed a qualified physiotherapist and aides to meet the rehabilitation needs of the residents. Male and female staff, of various ages, were employed. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 19 Regular staff meetings had taken place and staff said they were able to have their say. They felt that generally any issues raised would be addressed. Training records showed that half of care staff had an appropriate NVQ qualification and others were due to complete this. From staff files and discussion with staff it was clear that suitable training had been provided to ensure they had the skills to meet the needs of the residents in their care. Rotas showed that the home was at all times staffed in excess of the minimum staffing levels. Records showed that staff turnover and sickness was low. Residents thought that staff were frequently off sick but rotas for June and July showed three staff were on long term sickness leave and agency cover had been used to cover the short falls. Comment card information showed that three visitors thought there were always enough staff on duty and three visitors thought there were insufficient staff. Staff said that morale had improved; this had impacted on the consistency and standards of care. Staff time was flexibly provided to accompany residents on visits and outings. One staff member said ‘it is a nice place to be’ and ‘the staff are very approachable and enjoy working here’. Two staff files were looked at and appropriate documentation and checks were in place prior to employment. There was evidence that residents had been involved in the selection process. All staff had training records and these supported that new staff had completed the induction training following employment. Staff confirmed this. Whilst there was no evidence that new staff had progressed to foundation training their records supported attendance on the NVQ training. It was recommended that staff received equal opportunities, race equality and disability equality training. Staff said they were supported and supervised by senior staff and had received annual appraisals to review their performance. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 39. The home had improved the way it communicated with residents and visitors. People felt they had been involved in decisions about how the home was run. EVIDENCE: St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 21 The registered manager is Ms Gillian Harper. Ms Harper is a registered nurse with many years experience and is also a qualified counsellor, mediator and midwife. Ms Harper is due to complete the NVQ 4 in management. From comment card information and discussion with residents and visitors it was clear that people felt they were more involved in decisions about the home and kept informed about important matters. Visitors said recently communication had improved and regular meetings were held. Some residents were unable to attend meetings and had been involved in informal discussion with the registered manager. Residents and relatives surveys were completed but the results had not been published or made available to residents, visitors or other interested parties. Staff said they attended regular meetings and were able to voice their opinions. Staff said they were supervised and supported in their work. St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Andrews House Nursing Home Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 3 2 x x x x F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 15 Requirement The registered person must ensure the residents individual plan documents the interventions required once a need or risk is identified. Timescale 3/1/05 not met. The plan must be reviewed with the resident (involving family, friends, advocate and significant professionals as requested) at least every six months. The registered person must ensure the reasons for utilising bed rails must be fully discussed and agreed with the resident and their representative. The registered person must ensure there is a planned maintenance and renewals programme. This must include areas noted during inspection. The registered person must ensure that a sluicing disinfector be provided to reduce the risk of cross infection. Timescale of 31/1/05 not met. The registered person must ensure staff receive foundation training within six months of employment. The registered person must F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Timescale for action By 31/8/05 2. 6 15 By 31/8/05 3. 9 13 By 31/8/05 4. 24 23 By 31/8/05 5. 30 13 By 31/8/05 6. 35 18 By 31/8/05 7. 39 24 By 31/8/05 Page 24 St Andrews House Nursing Home Version 1.30 ensure the results of the service user survey are published and made available to residents, their representatives and any other interested parties. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. Refer to Standard 9 Good Practice Recommendations The registered person should consider developing a system that would store all relevant care information in one place. The registered person should consider fitting suitable blinds and repairing the ceiling fans in the conservatory. The registered person should ensure furnishings are cleaned or replaced. The registered person should ensure that care staff have a care NVQ level 2 or 3. The registered person should provide staff with equal opportunities and disability equality training and race equality and anti racism training The registered manager must achieve an NVQ level 4 in management by 2005. 24 24 32 35 37 St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Lancs BB5 5JB 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 St Andrews House Nursing Home F57 F07 S22474 StAndrewsHs V227195 6.7.05 Stage 2.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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