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Inspection on 22/02/07 for St Bernadette`s Nursing Home

Also see our care home review for St Bernadette`s Nursing Home for more information

This inspection was carried out on 22nd February 2007.

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 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 is a stable, knowledgeable group of staff at the home. Residents say that staff are "the best" and are "very kind" and that they like living at St Bernadette`s. The staff have a good rapport with residents and know them well. There is a positive atmosphere in the home, staff are friendly and welcoming and it is a clean, warm place to live. The home is well managed by a knowledgeable caring and enthusiastic manger who is supported by the staff team. Residents benefit from this and have confidence in the manager.

What has improved since the last inspection?

Medication administration records were looked at, and these were found to be accurate. Residents will be better protected by these more robust records. Hazardous chemicals are stored in lockable cupboards. Steradent tablets, which can be hazardous if misused, are now stored away in lockable cupboards to further protect residents from harm. The inspector looked at the pre admission assessment records for residents. These were found to be detailed and linked well into the care plans. Staff will be able to better identify residents care needs by having access to a detailed assessment. Moving and handling assessments have been improved and are more accessible for staff. This will help staff to know better what actions and equipment they need to use when lifting or moving a resident to keep them safe.

What the care home could do better:

The mealtime experience could be further improved. Staff need to check with residents whether they would prefer the television off during lunch. Staff would benefit from further training about assisting people with meals, so that they can better maintain the resident`s dignity. The lower lounge becomes crowded at lunchtime when there are several wheelchairs in use, and when transfers are taking place. Whilst no manoeuvring errors were seen on the say of the inspection, this congested room could compromise the safety of the residents and staff.

CARE HOMES FOR OLDER PEOPLE St Bernadette`s Nursing Home 25-27 Trinity Road Scarborough North Yorkshire YO11 2TD Lead Inspector Ms Anne-Marie Foster Key Unannounced Inspection 22nd February 2007 09:30 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 St Bernadette`s Nursing Home DS0000028011.V328979.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. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Bernadette`s Nursing Home Address 25-27 Trinity Road Scarborough North Yorkshire YO11 2TD 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) 01723 366522 01723 501502 Complete Care Homes Limited Miss Ingrid Louise Campbell Richards Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Range 60 years plus Date of last inspection 13th January 2006 Brief Description of the Service: St Bernadettes provides nursing care and accommodation for up to 27 service users from 60 years of age. The home is located in a residential area of Scarborough and the amenities and facilities of the town are approximately a mile away from the home. The accommodation provided is in single and double bedrooms over 3 floors. There is ramped and level access to the home and two passenger lifts giving access to the upper floors. There are gardens to the front and side, which are used by the service users and there is private parking facilities for visitors and staff. The home is owned by Complete Care Homes Limited and was registered with the Commission in 2002. Current information about services provided at St Bernadette’s in the form of statement of purpose, service user guide and the most recent inspection report published by the Commission for Social Care Inspection are available by contacting the home. Information provided by the manager in January 2007 indicates that the current weekly fees for the home ranges from £429 to £549.This does not include hairdressing, chiropody or newspapers. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit took place over six hours. Information about the home was gathered in a variety of ways prior to the inspection; • • • • • A pre inspection questionnaire was sent to the home, which asks for information such as staff rotas, resident’s fees, and staff training. This was filled in by the manager and returned to The Commission. Nine comment cards were received from residents about the home. Five relatives comment cards were received about the home. Three comment cards were received about the home from health and social work professionals. Notifications of illnesses or death and other information received from or about the home by The Commission. The inspector spent time talking to residents, one relative, care staff and the manager. Time was also spent observing staff whilst carrying out their work. The care files of four residents were looked at, and four staff files were examined. Time was spent at the end discussing the inspector’s findings with the manager. What the service does well: There is a stable, knowledgeable group of staff at the home. Residents say that staff are “the best” and are “very kind” and that they like living at St Bernadette’s. The staff have a good rapport with residents and know them well. There is a positive atmosphere in the home, staff are friendly and welcoming and it is a clean, warm place to live. The home is well managed by a knowledgeable caring and enthusiastic manger who is supported by the staff team. Residents benefit from this and have confidence in the manager. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. St Bernadette`s Nursing Home DS0000028011.V328979.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 St Bernadette`s Nursing Home DS0000028011.V328979.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. An assessment of care needs is carried out by suitably qualified staff, and the home does not accept any new person unless those needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective residents have an assessment of their care needs before being admitted to the home. The registered manager and group manager assess the care needs of anyone wanting to move into the home. This is so that the new person, and the home can be sure that St Bernadette’s can meet those needs. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 9 The inspector looked at four care files and found that the assessment information linked well into the plan of care for those residents. One resident was just staying at the home for a short while. The care plan was being developed to reflect the care needs found during the assessment, and this will help staff to deliver the most appropriate care. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,and 10. Quality in this outcome area is good. Residents live in a home where their needs are met by a caring group of staff who respect people’s privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Resident’s needs are set out in a plan of care. The qualified nurses usually develop this, but some care workers are being trained to do this as well. The inspector looked at four care files. Each was found to be well detailed and individualised and gave clear information about what actions staff must take to deliver the most appropriate care. Risk assessments were in place for those residents who have some risk of injury or adversity, for example at risk of falls or at risk of malnourishment because of poor appetite. These assessments St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 11 were good and a clear plan of action to reduce any risk was in place, which staff can access easily. The care plans should be reviewed monthly and even when there are no changes this review must be reflected in the documents. This will help to ensure that all changing needs are recorded. Resident’s health needs are met. The staff rota shows that there are two qualified nurses on each weekday and one at the weekends. The qualified nurses are knowledgeable about caring for the elderly and also have good relationships with outside health professionals. Referrals are made when necessary to specialists, for example the community dietician and the ‘tissue viability’ nurse (a nurse that specialises in the treatment of pressure ulcers). Comments were received from other health professionals, and these, on the whole spoke positively about the way that the home liaised with them. This generally good communication and appropriate referral to other health professionals will better protect and support the health needs of the residents. The handling of medications was looked at. Each Medication administration record was looked at and found to be in order, with no omissions or obvious incorrect coding. The controlled drugs register was looked at; the number of tablets were counted and found to tally with the stock balance. One of the qualified nurses is responsible for ordering and disposal of medication. The home enjoys a good relationship with the pharmacy. This means that the system works well and residents are better protected against medication errors. Residents are generally treated with dignity and respect. Residents were keen to tell the inspector how well they were cared for saying “ the staff are so kind to us” “ we could not wish for more”. Relatives comment cards were on the whole very positive saying, “ mum is always nice and clean”, and ” my father receives good care”. Staff were seen to call residents by their preferred term of address. Staff knock before entering people’s rooms. Those shared rooms have a screen to improve privacy. One worker was observed whilst they were helping to feed a resident. This resident was unable to help themselves. The worker stood over the resident whilst ‘spoon feeding’ and offered little communication, this seemed undignified. A better way to assist whilst feeding is to sit by the resident in an unobtrusive way, at the same eye level and offer some positive communication and reassurance. This was discussed with the manager, and some training will be developed to address this. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. Residents are assisted to live in a flexible way and enjoy a variety of activities which are well organised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an activities organiser that works each day. On the day of the inspection residents were playing skittle and were looking forward to board games in the afternoon. The residents enjoy regular visits from the local nursery children and one little boy was keeping everyone entertained. Residents told the inspector that there was enough to do at the home and that they could chose whether or not they participated in an activity. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 13 One resident recently enjoyed a trip into town, and was able to do some personal shopping. Two other residents told the inspector they enjoyed the quiz and bingo. The activities organiser is hoping to access the National Vocational Qualification training relating to activities in care homes. This would be of benefit to the home and in particular to those residents who have dementia, a mental impairment or communication difficulties. Visits are made by local churches and residents have opportunities to pray or take communion as they wish. Relatives are welcome to visit at most times during the day and one relative spoken with said that the staff “look after my mum well”. This variety and flexibility during the day helps to meet the resident’s social recreational and spiritual needs. The lunch time meal experience was observed by the inspector. The dining room is well laid out and pleasant. Residents are assisted with their menu choices. The menu looked wholesome and balanced. The lunch looked hearty and nutritious. There is no limit set for the food budget and residents enjoy fresh, good quality food. Staff were available to assist the residents as necessary and generally this was satisfactory, although as mentioned previously an issue relating to feeding residents need to be addressed. The dining room is attached to the lower lounge and the television remained switched on throughout lunch. There are several residents that stay in the lounge for their lunch as well, and they continued to listen to the noise of the Television whilst eating. The registered manager has made efforts to improve the meal service and has incorporated elements of the Commission for Social Care Inspection’s document “ Highlight of the day” into the improvements. Further work could be done to ensure that mealtimes are made a special, enjoyable part of the day. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents live in a home where they are able to make a complaint and know that they will be taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides a clear complaints policy for resident’s, staff and relatives. Complaints or compliment comment forms are available in the hallway. Residents spoken with were clear about how to complain and who to complain to. They said that they would have no problem in telling the registered manager or other staff if they had a complaint. Whilst two residents said that they had “ no reason to complain” another two said that they felt confident that if they had a complaint it would be taken seriously and acted upon. Staff were also sure about what to do if a resident gave them a complaint or if they had a complaint themselves. One staff member said that they were pleased there was an open style of management at the home. If they had a complaint they were sure it would be dealt with appropriately. Residents are St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 15 better protected by this open system where complaints are taken seriously and dealt with in a timely fashion. The Commission has not received any complaints about the home since the last inspection. The home has good staff training relating to the protection of vulnerable adults, and they operate a safe recruitment system so only suitable people are employed at the home. Residents will be better protected because of this. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. Residents live in a clean home, however improvements need to continue to make sure the home remains safe and comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is generally suited to its purpose, however there are areas that look cramped and there is little room or manoeuvres. The inspector made a tour of the home, including resident’s bedrooms, communal and service areas. The decoration is homely in style. There are St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 17 plans to redecorate areas that are beginning to look tired and dated, as part of a continuing refurbishment programme. The lounges appear cramped, with just enough room to accommodate the residents. During lunchtime the lower lounge became congested easily, particularly when several wheelchairs were in use. A review of this area needs to take place during this busy time so that staff can determine what action they can to take to improve the comfort and safety of residents. One chair in this lounge was split and worn; the manager confirmed that this was due to be replaced very soon. There are no quiet areas in the home to sit apart from residents own rooms and relative would have to sit with the resident there, if they wanted to be away from the communal lounges. There are two sluice rooms in the home. One has a macerator in it. This room has a hand sink but there is no running water. It is difficult to know where staff would wash their hands after using the macerator. This was discussed with the registered manager who told the inspector that the room was rarely used. However it must be made clear if the room is to be used or not. If it is to be used hot running water must be made available for hand washing. The other sluice room does have hot running water; this was tested and was found to be 60 degrees centigrade. Because of this high temperature there is a potential scalding risk to residents, and so staff should only have access to the room. This was discussed with the registered manager who made immediate arrangements to have a lock put on the door, to safeguard residents from the risk of scalding. The home has recently had its inspection by the environmental health and fire safety officer visit. The home employs a maintenance man who was unavailable on the inspection day, but who keeps maintenance records of work that he carries out, for example bed rail checks and water temperature checks. This will further help to safeguard the resident’s wellbeing. The home was found to be extremely clean, there were no bad smells, beds were freshly made and linen was in plentiful supply. There were sufficient supplies of quality cleaning products, aprons and gloves, which will reduce the risks of cross infection. The laundry room and kitchen were both very organised and clean. Staff are sure about the correct way to reduce the risks of cross contamination, for example by minimal handling of soiled laundry, using aprons before entering the kitchen and performing good hand washing procedures, which will further protect the residents interests. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Quality in this outcome area is good. Service users are cared for by a competent, caring team of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a good skill mix of staff working in the home. Over half of the care staff have their National Vocational Qualification (NVQ) certificate in care level 2 or above. The Registered manager who is a Registered nurse has just completed the ‘registered manager’s award’. The staff work well as a team, and have the residents best interests in mind. The recruitment system was looked at and the inspector looked at four staff files. The documents required by regulation for example criminal records bureau check (police check), written references and previous employment history were found to be present and up to date. Any gaps in people’s employment are explored. Residents are better protected by this recruitment procedure as only suitable people are employed. There is an ongoing training programme. Staff get in house and external training, which is matched to their needs the inspector discussed staff training St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 19 with the manager. There is mandatory training for all new staff, which includes for example health and safety issues, fire safety, infection control and moving and handling. A staff manual is available to support this training. Staff told the inspector that they were pleased with the training they had, and one staff member was looking forward to doing training that was specific to her role. As mentioned previously staff will benefit from some in house training relating to the mealtime experience, and how best to assist with feeding. Overall residents benefit from being cared for by well-trained staff, who know how to meet their needs. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is excellent. Residents live in a home run by a competent, enthusiastic manager who has their best interests in mind. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes manager is competent and well qualified to run the home. As well as being a registered nurse she has just completed the ‘registered managers award’. The manager has an obvious rapport with the residents and each resident spoken with was complimentary about the way the home was managed. Staff spoke positively to the inspector about how the home was run. Relatives also commented positively about the management of the home. Resident’s benefit from living in a home that is managed well. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 21 An ongoing quality assurance programme is in place. Questionnaires are given to residents and relatives to seek their views on how the home is running, however few replies are returned. The home could further extend their questionnaire by seeking the views of other associates of the home for example members of the community that visit, visiting health professionals or a residents/relatives meeting. This would mean that more views are obtained and the home could better check if it was meeting its aims and objectives. Residents’ monies are not handled by the home. The health and safety of residents and staff are protected by the home’s policies and procedures. A sample of certificates were looked at by the inspector including for example, fire fighting equipment check, portable appliance check, lift maintenance and service check, gas boiler and service, and hoist equipment check. All of these had been serviced and checked regularly and were up to date. Staff training relating to health and safety matters was up to date and ongoing. Residents and staff are better protected by the homes robust policies and procedures. St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 22 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 3 x x x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 1 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x N/a x x 3 St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP10 OP30 Regulation 12 (4)(a) 18 (c) (i) Requirement The registered manager should arrange for staff training to take place that relates to assisting residents with their meals and maintaining the residents dignity. Timescale for action 31/03/07 2 OP15 12(3) 13 (4)(a) The registered manager should 31/03/07 review the lunchtime experience; particularly the congested, noisy lounge and action should be taken to improvement the resident’s comfort. • The registered provider 30/03/07 must make a review of the lower lounge especially at lunchtime when it becomes congested. This area needs to be improved for the benefit of residents and staff. One sluice (with macerator) needs to have hot and cold running water for hand washing (then a lock putting on the door). The other (flush) sluice Version 5.2 Page 24 3 OP19 23 (2)(f) 23 (2)(j)(k) • • St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc should have a lock put on the door to prevent risks to residents of scalding (this was addressed on the day.) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 St Bernadette`s Nursing Home DS0000028011.V328979.R01.S.doc Version 5.2 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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