Inspection on 19/06/06 for St Wilfrid`s Hall Nursing Home

This inspection was carried out on 19th June 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Wilfrid`s Hall Nursing Home 09/08/07

St Wilfrid`s Hall Nursing Home 13/12/05

St Wilfrid`s Hall Nursing Home 10/06/05

St Wilfrid`s Hall Nursing Home 31/01/05

St Wilfrid`s Hall Nursing Home 04/05/04

St Wilfrid`s Hall Nursing Home 10/02/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE St Wilfrid`s Hall Nursing Home Foundry Lane Halton On Lune Lancaster Lancashire LA2 6LT Lead Inspector Mrs Christine Marshall Unannounced Inspection 19th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Wilfrid`s Hall Nursing Home DS0000006155.V286292.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 Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Wilfrid`s Hall Nursing Home Address Foundry Lane Halton On Lune Lancaster Lancashire LA2 6LT 01524 811229 01524 811949 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) latham@caringhomes.org Latham Lodge Limited Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home must employ at all times a suitably experienced and qualified manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 43 service users in the category OP (older persons). The registered manager must obtain National Vocational Qualification Level IV in Management by 31 December 2005. 13th December 2005 Date of last inspection Brief Description of the Service: St Wilfred’s is a care home situated in the small village of Halton-on-Lune, some 4 miles North of Lancaster. The home has many historic features including fireplaces and stained glass windows; it is set in its own extensive grounds. The home is a three-storey building, with resident accommodation over the ground and first floors. There are three lounges, one is used as a smoking room and there is a separate dining room. There are basically adequate toilets and bathrooms at the home. The general fabric of the home is satisfactory. The home has its own transport that is used to take residents out. At the time of this visit, (19/6/06) the information given to the Commission showed that the fees for care at the home were £352 to £530 per week, with added expenses for hairdressing, chiropody and newspapers. Latham Lodge Ltd owns the home and the regional manager is Mrs Ann Marsden. A new manager is at the home and she is in the process of applying for registration with the Commission for Social Care Inspection. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit, which means that the manager, staff and residents did not know it was taking place until the inspector arrived. All of the people spoken to and who were able at the home said that they preferred to be called residents. The visit took place over a full day and was carried out by CSCI inspector Christine Marshall. The day was spent looking around the home, speaking to residents, relatives and staff and looking at administration records. All areas of the home were clean, hygienic and adequately furnished: The manager completed a pre-inspection questionnaire before this key inspection visit and comment cards were sent to the home for residents, relatives and visiting professionals to fill in, however few were returned. Those that were, showed that they were happy with the care at St Wilfred’s. The manager, nurses and care staff were spoken to and their responses are to be found in the body of this report. Everyone was very friendly, welcoming and co-operative throughout the visit. What the service does well: St Wilfred’s has very extensive grounds, and the provision of garden furniture and canopies makes the gardens a very pleasant place to sit and view the surrounding countryside in the warmer months. Generally the comments from people living at St Wilfred’s, and their relatives, were very complimentary about the care provided and the manager and staff. One resident said ‘We are lucky to find this home, the views are beautiful and the carers are lovely.’’ Another resident said ‘’I get really good care, the manager is exceptional and can’t do enough for you.” A visiting relative said, “The care is very good, I have no complaints at all.” All registered care homes are expected to keep a written record for every resident, which describes their needs and how the care that is given meets St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 6 these needs. These records are called care plans. A number of these were sampled and showed that a satisfactory system is in place. There was equality of care in the home in that all residents were able to take part in a number of activities both inside and outside of the home. The activities coordinator makes sure that all residents are provided with activities that are appropriate for their needs and wishes, taking into account the needs of those residents who have some difficulty with memory and also those who were unable to take part in group activities because of poor mobility. The food at the home was good and a number of residents said that they were more than happy with their meals. One resident said, “The food is always good, with plenty of choice.” Another said, “I look forward to afternoon tea, we get surprise home-made cakes, which are always lovely.” There was equality of care in that all residents enjoyed the same level of staff help with their meals; those residents who needed more assistance with their food were given a slightly earlier mealtime so that there was ample staff to assist them. Staff mandatory training programmes were in place and this makes sure that the residents are looked after by competent staff. The staff interaction with residents, their relatives and visiting professionals was very good, confirming that dignity and respect are an important part of the care that is given at the home. What has improved since the last inspection? The care plans that were sampled contained accurate information and provided clear instructions to staff over what and how the care was to be provided. An application has been submitted by Mrs Jeanette Bacon, to be registered with the Commission for Social Care Inspection; Mrs Bacon has worked extremely hard to improve the quality of car at this home over the past few months. Risk assessments are now carried out as part of the home’s quality audit system, promoting safe working practices. A tour of the home showed that all doors to residents’ rooms closed properly and provided a safe environment. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 7 Residents’ rooms provided adequate furniture and furnishings to make the residents’ comfortable. The communal space in the home was re-measured and found to be 4.2 square meters for each resident, which meets the National Minimum Standards. The general ethos of the home was relaxed and a good staff team were in place. What they could do better: Care plans could be further improved if the social aspects of care were more in-depth. This would make sure that the resident’s personal background and interests are considered when activities are being planned. Any private arrangement for physiotherapy care should be recorded in the care plans so that this information is available when the physiotherapist visits the home. Those residents who chose to remain in their wheelchairs for their meals should have this preference recorded in their care plans. A programme for the replacement of old beds would improve the comfort of the residents. The laundry window and back wall should be re-painted as they are difficult to clean because of worn and chipped décor. A refurbishment programme outlining the schedule for ongoing improvements to the home should be developed and forwarded to the Commission. 50 of the care staff should achieve National Vocational Qualification (NVQ) to make sure that the residents are looked after by appropriately trained and competent staff. The manager should make sure that the results of quality surveys are known, possibly by posting this on the notice board for the residents’ and relatives’ information. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 8 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 Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 9 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 Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anyone who is considering entering St Wilfred’s is supplied with enough information to help them make that decision. The home also gathers enough information about that person to ensure that their needs can be met. This means that people can make their choices and receive the care they require. EVIDENCE: The home’s Statement of Purpose and Service Users Guide is a set of written information that tells you about the care service that is offered, who the manager and staff are, and what the resident can expect if he or she decides to live at the home. The current information is available in the reception of the home. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 11 A number of staff said that knew about the Service Users Guide and Statement of Purpose, and some were able to describe the provision of care that they were giving to the residents. Pre-admission assessments were looked at and were completed satisfactorily. A recently admitted resident said that they had been invloved in a preadmission assessment with their spouse and the senior carer at the home, making sure that the home could provide tha care that they needed. Contracts of care were also in place and signed by either the resident or their advocates. This means that residents know what to expect from the home and what is expected of them. Prospective residents and their relatives are encouraged to visit the home before making any decisions and there is an open-door policy for visiting. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs are met and people are treated with dignity and respect at this home. Residents are supported and protected in their daily lives. EVIDENCE: Care plans were reviewed and were satisfactory, giving satisfactory information about the care that was being given. Care staff said that they knew about the care plans and that these generally reflected the care that they gave to each person. One resident was able to say that they knew about their care plan and that they had signed it; other residents spoken to were unable to express their views, however one visiting relative said that they knew about a care plan for their father and that they were happy with this. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 13 The manager and the activities coordinator are in the process of fully completing the social background and personal profile of each resident so that they fully reflect the residents’ activities, hobbies or interests. Health care opportunities are offered to all residents and there are records of GP, chiropody and physiotherapy visits. The medication system at the home was very good. Policies and procedures have been ammended and a clinical waste agent is contracted for the disposal of unused medication. All records were meticulously kept and the treatment room was extremely clean and hygienic. Trained nurses give out all medicines. The residents were treated with respect, privacy and dignity, and excellent interaction was noted between the staff and the residents. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents throughout the home are fully supported so as to promote the quality of their daily lives. EVIDENCE: Equality and diversity are considered for all residents in their social needs assessments, although some of these assessments could be improved with more information to provide a full picture of the residents’ hobbies, preferences and social background. There is a dedicated activities coordinator who plans activities in line with individual residents’ needs and wishes. There are plans to gain more information about residents’ likes and dislikes and previous pastimes and hobbies, and this should enhance the already satisfactory activities programme. The activities that were available on a regular basis included crafts, bingo, musical therapy and videos. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 15 As well as activities within the home, efforts are made to ensure that residents who wish to, have the chance to go out on trips as often as possible; a bigger mini-bus would make this more feasible, however in the meantime outings are planned with the smaller vehicle. A resident said that they he thoroughly enjoyed a trip out the previous week and looked forward to more outings. There is equality of choice and mealtime routines for all of the residents at this home, with everyone being afforded the same good levels of care staff to assist with meals. All the residents who were able and their relatives, said that they were happy with the quality and variety of meals available at the home. They also said that there was always a choice available and that snacks were available throughout the day. The monthly menus show a varied choice of food. There were nutritional assessments in place for all of the residents and a variety of meals were served, such as soft, pureed and diabetic diets. Again equality is evident in that the chef cooks the same options for normal and diabetic diets, supplementing any sugar with sweeteners, so that they can all enjoy puddings and cakes. The kitchen was very clean and the last Environmental Health report showed some minor issues that had been addressed. The chef and kitchen assistant were very knowledgeable about the residents preferences and serve the midday meal personally. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s policies, procedures and practice make sure that residents are supported and protected. EVIDENCE: There are policies and procedures in place for complaints, whistle-blowing and adult abuse issues, and staff said that they were aware of these. A small number of residents and one visiting relative confirmed that they knew about the complaints policy and had no complaints to offer. The complaints procedure is displayed in the entrance of the home. It is also included in the Statement of Purpose and Service Users Guide, which have been given to all residents. Training files showed that all staff have had abuse awareness training during induction, and further formal abuse awareness training is being given, to make sure that these issues can be recognised and understood by all staff. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a basically comfortable, clean and hygienic environment and bedrooms were personalised. This means that residents will feel at home with their belongings around them. EVIDENCE: The home was clean, warm and basically comfortable. In general, the home was maintained and furnished to a satisfactory standard. A general tour of the home showed that the dining room, lounges and bedrooms are satisfactory. All bedrooms were personalised and basically comfortable. The Lounge areas were clean and tidy and homely in ambiance. The dining room was neatly set, with nice table settings in place. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 18 Some corridors needed re-painting due to wheelchair scuffs on the walls and skirting boards, and a small number of bedrooms needed the same repainting. There is an amount of refurbishment going on at the home and the manager is going to provide the Commission with an ongoing programme guideline that will keep the home furnished furbished to a satisfactory standard. A programme for the provision of new beds is also going to be developed. There were procedures in place to provide guidance for staff on how to reduce the risk of cross infection in the home. Staff said that they knew about this and some carried small bottles of antibacterial hand gel; there were also safety dispensers of this throughout the home. There were Control of Substances Hazardous to Health (COSHH) guidelines at the home, so that staff knew what to do when handling cleaning and laundry products and solutions. The staff duty rota showed that there were adequate domestic duty hours to keep the home clean and hygienic. The laundry room needed the window and back wall re-painting. There are plans for a conservatory to be built to the rear of the home, which would benefit the residents. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents care needs are met through good levels of staff, who have the appropriate experience necessary for the delivery of a good care service. EVIDENCE: The list of staff on duty showed that there are satisfactory levels of carers and domestic staff on duty at the home. There is equality of opportunity in that there are male, female and overseas staff between the ages of 18 and 65 years. Discussions with the carers and the kitchen and domestic staff were very positive and showed that there is a good skill mix of people in place. There are four carers with National Vocational Qualifications (NVQ) and eight more are enrolled and currently undertaking training programmes. The home has 25 of staff with NVQ and the required level is 50 . The manager has a definite plan for 75 of staff to have achieved this qualification within the next twelve months. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 20 The recruitment files showed that pre-employment checks are done before a person can start work at the home, and this makes sure that the residents are looked after by staff who have been properly vetted. There is a planned training program at the home and carers said that they had done all of the required training to make them competent and safe to look after the residents. The manager said that she was very enthusiastic about the planned programmes, as good training leads to good care. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported by an experienced manager and there are quality systems in place to make sure that they are protected. EVIDENCE: The manager is a Registered Nurse and is experienced in managing care home environments. However to enhance her skills, she is considering the Registered Managers Award (RMA) training, in line with the CSCI requirements and guidelines. Her current management qualifications are going to be mapped to see if theye quate to the RMA. She is in the process of application for registration with the Commission for Social Care Inspection. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 22 The residents said that she was friendly and approachable and often seen around the home. One resident said “The manager is quite excellent.” The International Standards Organisation (ISO) quality monitoring system is in place and the manager undertakes regular quality audits, including care plans, medications, training, personnel files, property for risk and equipment. The kitchen undertake their own audit, which is checked by the manager. There is a regular quality management team meeting which is lead by the deputy manager. The results of the quality surveys are going to be posted on the home’s noticeboard so that everyone who has been involved can see the outcomes and actions. There are regular staff and resident meetings and staff confirmed that they had meetings. The manager gave assurances that all records of residents personal monies are recorded, checked and reciepts saved. Staff supervision programmes are in place and records of these were seen. Staff also confirmed that they had regular supervision. The manager was aware of the responsibilities of maintaining all health and safety certificates of service for fire, equipment, electric, gas and nurse call systems. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP28 OP31 Regulation 13 23 Requirement Timescale for action 30/06/07 50 0f care staff must be trained to NVQ level 2. The manager’s management 01/09/06 qualifications must be mapped to establish whether or not they equate to the Registered Managers Award achievement. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations The residents’ social background and personal interests should be fully completed on al care plans. Any arrangements for private physiotherapy should be recorded on the resident’s care plan. Those residents who prefer to remain in their wheelchairs for meals, should have this recorded in their care plan. A refurbishment plan should be developed and forwarded to the CSCI. A programme of replacing old beds should be developed. The laundry windows and back wall should be cleaned and painted. DS0000006155.V286292.R01.S.doc Version 5.2 Page 25 2 3 4 OP19 OP24 OP26 St Wilfrid`s Hall Nursing Home 5 OP33 The results of quality surveys should be made available for the residents and their relatives, by posting these on the home’s notice board. St Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Wilfrid`s Hall Nursing Home DS0000006155.V286292.R01.S.doc Version 5.2 Page 27 - 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!