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Inspection on 19/05/05 for St Michael`s View

Also see our care home review for St Michael`s View for more information

This inspection was carried out on 19th May 2005.

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

The policy of the home is that all service users are assessed by their social worker and the staff of the home before they start to use the service. This is to ensure that the service users needs are clearly identified and the manager can satisfy herself that the home has the resources and the skills within the staff team to meet the care needs of the individual. Examination of records showed that the senior staff had had rigidly applied this policy for the benefit of the service users. Good arrangements are in place to ensure that the health and social care needs of the service users are met. The home maintains good safety and maintenance checks to ensure a safe environment for the service users and the staff who work there. This was particularly the case on the Cleadon Unit. The home offers purposeful social and recreational activities for the service users. This was positively commented on by the service users and the few visiting relatives. The home deals with complaints in a positive manner and takes appropriate steps to ensure that service users are protected from all forms of abuse.

What has improved since the last inspection?

Since the last inspection the a[propriat3e action had been taken to address the following issues: Risk assessments now describe the details of the hazards/risk and plans formulated to address those risks. The use of plate guards has been reviewed to ensure that they are only supplied to those service users who have been assessed as needing such a device. The use of wheel chairs as standard sitting arrangement for some service users has been reviewed and appropriate sitting arrangements for those service users are now in place.

What the care home could do better:

Out of date notices on notice boards should be up to date to avoid confusing the service users. The company should ensure that all staff are familiar with the location of fire appliances within the home. The company must take appropriate steps to ensure that new employee are fluent in the English language are able to communicate with service users. The home should provide a loop system to which would benefit those service users with hearing aid.

CARE HOMES FOR OLDER PEOPLE Bamburgh Court Nursing Home St Michaels Avenue North South Shields Tyne and Wear NE33 3BP Lead Inspector Sam Doku Unannounced 19 May 2005 06:30am 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 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. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bamburgh Court Nursing Home Address St Michaels Avenue North South Shields Tyne and Wear NE33 3BP 0191 455 1215 0191 455 1238 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) Ashbourne Homes Limited Care home with nursing 64 Category(ies) of OP Old age (33) registration, with number DE Dementia (32) of places DE(E) Dementia - over 65 (32) PD(E) Physical dis - over 65 (16) PD Physical disability (2) Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20 January 2005 Brief Description of the Service: Bamburgh Court Care Centre is owned by the Ashbourne Homes Limited, which was first registered in November 1994 and now accommodates 32 older people of mix gender for general nursing care and another 32 persons with mental ill health, 16 of who may also have a physical disability. The home does not provide intermediate care services. It is situated in a residential area and convenient for the town centre of South Shields. It is close to local train and bus transport. The seaside, shopping outlets, local theatres and social amenities are close by. The local shops and a post office are within easy walking distance of the care home. Bamburgh Court is a modern single storey care home, custom designed and built to provide facilities and services in 2 distinct separate units. There are in total 4 lounges, 2 dining areas and bedrooms with en-suite facilities. There are 2 internal courtyards both with easy wheel-chair access. The home is decorated and furnished to a good standard, and in keeping with the age, character and style of the building. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection involved two inspectors and was carried out at 06:30 in the morning to observe the early morning practices in the home. This was the result of comments made by some staff members during the last unannounced inspection. One inspector concentrated on the Marsden Unit and the other on the other on the Cleadon Unit. The inspection process involved talking to service users, sitting in the lounges and observing staff interaction with the service users, discussions with the general manager, the unit manager from the Cleadon Unit and care staff, tour of the building, inspection of the drugs administration system, examination of health and safety records and residents’ personal files including care plans. A number of service users and staff files were examined as part of the inspection process. On arrival in the home, it was noticed that on the Cleadon unit the corridor lights were turned off to allow the service users undisturbed sleep. The unit was quiet and the staff were carrying out their duties in a calm and orderly manner without disturbing those service users who were not ready to get up yet. On the Marsden unit on the other hand, all the corridor lights were on and a number of rooms had the doors left open. Some service users had their TVs on while their room doors were left open. The atmosphere was noisy and afforded no opportunity for those who wished to remain asleep. What the service does well: The policy of the home is that all service users are assessed by their social worker and the staff of the home before they start to use the service. This is to ensure that the service users needs are clearly identified and the manager can satisfy herself that the home has the resources and the skills within the staff team to meet the care needs of the individual. Examination of records showed that the senior staff had had rigidly applied this policy for the benefit of the service users. Good arrangements are in place to ensure that the health and social care needs of the service users are met. The home maintains good safety and maintenance checks to ensure a safe environment for the service users and the staff who work there. This was particularly the case on the Cleadon Unit. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 6 The home offers purposeful social and recreational activities for the service users. This was positively commented on by the service users and the few visiting relatives. The home deals with complaints in a positive manner and takes appropriate steps to ensure that service users are protected from all forms of abuse. 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. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, 5. The home maintains a robust policy of carrying out assessments prior to admission, ensuring that the needs of potential service users can be met by the home within the available resources and skills. EVIDENCE: It is the policy that all service users admitted to the home are first assessed by a social worker and also by the staff from the home. This allows health and social care needs to be properly assessed and to ensure that the identified needs can adequately be met within the available resources and skills. The process provides reassurance to the service users and their relatives that their needs can be met. Examination of service users’ case records showed evidence that the policy of pre-admission assessments had been rigidly adhered to by the manager and the senior staff team. Available in all the case files that were examined were copies of the social workers’ assessments and the assessments carried out by the home before admissions were arranged. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 9 It is also the policy of the home that prospective service users are offered the opportunity to visit the home before admission is arranged. This is also included in the Service User Guide, copies of which are available to the service users. Four service users on the Marsden Unit who were spoken with about pre-admission visits confirmed that they were offered the opportunity to visit the home. One service user stated that her daughter and son-in law viewed the home before it was decided that she came to live there. The service users on the Cleadon Unit were not able to describe the admission process to the inspector but two visiting relatives confirmed that they were offered the opportunity to visit the unit before their relatives were admitted. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10. The individual care plans set out the health, social and personal care needs of each service user and plans are formulated to meet those care needs. This ensure consistency of care from all staff. EVIDENCE: A number of care plans were examined on both units. The initial assessment, and re-assessments of service user’s needs record service users comments, thus indicating their involvement in the formulation of their care plans. Some life stories were very detailed providing a holistic view of the person. Others were scanty and this is an area that could be improved. However, the manager explained that the quality of the information depended on what information the family had provided. Some families were more involved than others. In examining care plans for selected service users, it was noticed that the preprogrammed computer generated care plans sometimes bear no resemblance to the actual care needs of the service users. However, other examples of care plans had been modified to make them appropriate to the service users assessed needs. A number of services’ files were examined and these provided evidence of health care needs being met. The records contained evidence of visits by GPs, Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 11 District Nurses, Chiropodists, Opticians, and also visits by or to other specialist healthcare personnel such as hospital consultants and community psychiatric nurses. The records also contained evidence of regular checks on service users’ weights and nutritional assessments being carried out to ensure that all the service users receive adequate and nutritious diet. The service users who were spoken with confirmed that they regularly receive medical attention from their GPs. Two service users spoke about their recent outpatient appointment with a specialist at a local hospital. The home has clear written medication policies on the handling of medication. There was no large-scale examination of the medication system on this inspection but a small sample check of the system showed that the staff who are responsible for the administration of medication are following the procedures correctly. This ensures that the service users’ healthcare needs regarding the management of their medication is safeguarded. All the service users who were spoken with said they feel the staff respect their privacy. They also confirmed that consultation with GPs and other health professionals take place in the privacy of their rooms. Some of the service users also stated that they are able to lock their rooms from the inside thus allowing them to exercise independence and enjoy some level of privacy. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14,15. The home operates in a way that enables the service users to engage in purposeful social and recreational activities and healthy eating. This promotes the health and mental wellbeing of the service users. EVIDENCE: There was a mixture of group activities such as bingo, outings, entertainments, and small group activities and individual activities. Records maintained by the activities coordinator provided evidence of the various social and recreational activities. Further evidence was available on the individual service user files that were examined. There was also further evidence of some social activities having taken place in recent weeks. However, on the Cleadon Unit notices about social activity that took place on the 16th May 2005 were still on display throughout the home. This could be confusing to service users who suffering from dementia. It was evident that service users participated in arts and craft projects organised by visiting agencies. Service users commented positively on the social and recreational activities in the home and most felt that these had been very interesting and entertaining. Two service users commented that they often look forward to the activities organised by the coordinator. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 13 One service user was preparing to visit the local church for midweek communion. She confirmed that these arrangements had been made for her on numerous occasions and that this was a chance to visit her old friends. Arts agencies from the wider community organised participation events for service users in the home and one is planned in conjunction with the Tall Ships Event in July. At the time of the inspection, it was noticed that on the Marsden unit, several service users were able to remain in there own room for breakfast. Those who were spoken with confirmed that they enjoyed watching the morning T.V. magazine programme. They were pleased with the flexible arrangements to allow them to exercise choice in this case. In the main dining room there was a book kept for feedback on the quality and quantity of the meals provided. Service users, relatives and others recorded comments about the quality of meals and this was regularly checked and countersigned by staff members. The staff stated that this was used as quality assurance mechanism to ensure that the comments made by service users and relatives are taken into account when preparing menus and meals. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18. The home has a clear, accessible and effective complaints procedure, which is an effective part of the homes’ strategy to protect the residents from abuse and promote their wellbeing. EVIDENCE: The home has a written complaint procedure, which is regularly reviewed by the company. Summary of the complaint procedure is included in the Service User Guide. There is also a “Whistle Blowing” policy in place. Four service users on the Marsden unit and a visiting relative were spoken with about the complaint procedure and they all indicated that they were aware of the procedure and would know how to complain if they had a need to do so. Two other visiting relatives on the Cleadon unit also indicated the same. Examination of the staff training record showed that they have had training in adult protection. Four care staff were spoken with and they all showed awareness of the home’s complaint and whistle blowing policies. They were able to describe the various forms of elder abuse and indicated how such abuses could be prevented in residential care settings. Such training and awareness amongst staff is one way of reducing the likelihood of abuse to residents. Details of the home’s complaints record showed that the management take all concerns and complaints seriously. All complaints had been thoroughly investigated. Some of the complaints received by the home had been referred Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 15 to the protection of vulnerable adults strategy team for investigation. This showed that the home is transparent about all complaints and proper procedures had been follow to ensure the safety and welfare of the service users. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 25, 26. The home provides a homely, safe, comfortable and pleasant setting for the residents. However, staff practices relating to fire safety are in danger of compromising the safety and wellbeing of the service users. EVIDENCE: A number of records relating to health and safety and general maintenance were examined and showed that safety measures relating to fire and environmental health matters were being observed. The fire-log book provided evidence of regular fire alarm tests and maintenance of fire detection and fire fighting equipments. However, in discussions with the night nurse in charge of the Cleadon unit, it was noted that he did not know where the fire extinguishers on the unit were located. Such lack of awareness is potentially dangerous and compromises the safety and wellbeing of the service users and the staff who work there. It was also noticed that the fire extinguisher located in the sluice on the Cleadon unit could not be easily access due to the number of trolleys place in front of it and therefore not visible. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 17 The door into one linen cupboard on the Marsden unit was could not be closed because of the number of slings hung on the back of the door. Another linen cupboard’s door did not close effectively against it’s rebate. Both of these storage areas also contained circuit boards that could be a source of ignition. It was observed that some service users had a sensory deficit, such as hearing difficulties, yet there is no loop system installed. It was observed that a number of service users wear hearing aid and could benefit from a loop system being installed in the home. At the time of the inspection the home was noted to be clean and free from offensive odour. It was also noted that all toilets had liquid soap dispensers. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. This contributes to the health and safety of the residents. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. The home struggles to maintain staff calibre that meets the needs of the service. The induction programme need to take account of overseas workers who first language in not English. EVIDENCE: One service user indicated that she had to wait a long time for attention between 07:30 and 09:30. She perceived staff as being particularly hard pressed at this time. Some staff members who were spoken with also felt under pressure because of the increased activities at that time of morning. The trained nurses commented that the lack of experience and skills amongst some of the overseas staff meant that they required a high degree of supervision and they “held back” more experienced staff rather than helped with the work. Inspectors were concerned about the lack of comprehension and ability of one carer to converse using English language. Other staff were also aware of this being a problem. One service users had also stated that they had difficulty in understanding some staff members as English is not their first language. The carer in question had completed induction training and has been signed off as competent by the company’s trainer. In examining his training records it Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 19 was evident that his entire induction training seemed to have been given on the same day. The staff confirmed that they received mandatory training and qualified staff confirmed that they received clinical updating. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 37, 38. The manager provides good leadership and direction for the staff, resulting in confidence in her, by service users and relatives. This had ensured good working environment and living environment for the staff and the service users. EVIDENCE: Staff commented that they are able to approach the management to discuss any issues relating to both personal and professional matters. Two service users who were also spoken with about the general management of the home confirmed that the management staff are accessible and always available to offer support and advice. One visiting relative also confirmed how helpful and approachable the management team are. The manager confirmed that all staff are provided with regular one to one supervision and records are maintained. The staff who were spoken with confirmed that they do receive regular supervision from the senior staff. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 21 There are comprehensive maintenance checks carried out on the fabric of the building. Certification and records are kept of all systems including PAT. Gas servicing and electric wiring, weighing scales, fire alarms, tests and drills, and emergency lighting. Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x 3 x x 2 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x 3 x x 3 3 3 Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 23 No 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. 3. 4. Standard 19 19 19 27 Regulation 23(4)(i) 23(2)(c ) 23(4)(a) 18(1)(a) Requirement All staff must be familiar with the where fire extinguishers are located on in the home. The fire extenguisher located in the sluice on Cleadon unit must be accessile at all time. The linen cupboard door on the Marsden unit must be made good and locked when not in use The company must take appropriate steps to ensure that new employees are fluent in the English language and are able to communicate with service users. Timescale for action 8 July 2005 24 June 2005 8 July 2005 30 September 2005 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. Refer to Standard 22 30 Good Practice Recommendations Loop system should be provided to benefit those service users with hearing aid. The company should review staff induction process to ensure that it takes account of the experiences of the new employees for whom Egnlish language is not frist language.. B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 24 Bamburgh Court Nursing Home Commission for Social Care Inspection Baltic House Port of Tyne, Tyne Dock South Shields NE34 9PT 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 Bamburgh Court Nursing Home B52 B02 S270 Bamburgh Court V219436 19 May 2005 Stage 4.doc Version 1.30 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!