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Inspection on 20/09/05 for Stadium Court Nursing Home

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

This inspection was carried out on 20th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 manager and her staff appear to have moved the home to a new level. Relatives` views were that they were always made welcome and felt involved with their `loved ones` health and well-being and also the activities in the individual unit. Quality Assurance systems were comprehensive and included the views of residents and relatives BUPA have continued to promote the `Personal Best` project and this is ongoing in the home.

What has improved since the last inspection?

Activities within the general units have improved greatly. The issues raised at the last inspection had been addressed.

What the care home could do better:

Activities in EMI units where identified to need smaller groups and 1 to 1 More choice is to be available for those residents on special diets and staff must ensure all residents know of the choices not appearing on the menu.

CARE HOMES FOR OLDER PEOPLE Stadium Court Nursing Home Greyhound Way Cobridge, Hanley Staffordshire ST6 3LL Lead Inspector Mrs Joanna Wooller Announced Inspection 20 September 2005 9:30 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 Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 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. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stadium Court Nursing Home Address Greyhound Way Cobridge, Hanley Staffordshire ST6 3LL 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) 01782 207979 01782 266027 Care First Care Homes Limited (BUPA Care Services) BUPA Care Homes Limited Miss Sandra Bradbury Care Home 150 Category(ies) of Dementia (60), Dementia - over 65 years of age registration, with number (60), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (90), Physical disability over 65 years of age (90) Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. DE 60 beds minimum age 60 years MD 15 beds minimum age 60 years One PD resident minimum age 58 years Date of last inspection 01/12/04 Brief Description of the Service: Stadium Court Care Home is owned by BUPA Care Homes. The Registered Manager is Sandy Bradbury and her Deputy, David Price, supports her. The home offers twenty-four hour nursing care. Five purpose built bungalows each have the facilities for thirty service users. There are three general elderly care units, which facilitate ninety service users, and two elderly mentally ill units, which facilitate sixty service users. Stadium Court is situated close to Hanley town centre, and it is on the main road, close to public transport. The home has ample parking facilities. A Senior Sister in charge manages each unit. All bedrooms are single occupancy and have en-suite wc facilities. Each unit has two lounge areas along with a dining area and a separate conservatory. Service users on each unit also benefit from their own secure garden, which have ample seating areas. Staff training is continual which ensures safe working practises for staff and service users. Strict policies and procedures continue to safeguard service users wellbeing. Essential equipment was evidenced on all units, including hoists, assisted baths, and pressure relieving equipment, grab rails and a nurse call system. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 20th September 2005 @ 09.30hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 22hrs. The registered care manager Miss Sandra Bradbury was in charge of the home accompanied by her Deputy, David Price. A Senior Sister supported by trained nurses and care assistants managed each of the five units. The ancillary staff on duty included; a cook and catering assistant, two laundry persons, and two domestics on each unit. There was also a maintenance person. The staffing levels were in line with the minimum staffing levels. The inspection included the following elements; A tour of each unit, Observation and inspection of records relating to provision of care, Many discussions with residents, Discussions with staff members on duty, Observation and sampling of other services provided such as catering and laundry, Also inspection of the managerial aspects such as staffing issues, quality assurance and health & safety. Since the last inspection there had been no changes to the management of the home, no complaints had been received by the CSCI and no additional visits had been necessitated. It was evident that aspects of care had been addressed well, with residents able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written, some being based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. The home was found fit for purpose and provided a safe environment for the residents and staff. A very homely atmosphere had been created on the units and the premises were clean and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 6 Services and facilities, including catering and laundry, were evidenced as being adequately provided. Health and safety aspects had been given a high priority by the managers and no shortfalls were noted. Staffing levels and skill mix were found to have some shortfalls due to the dependency levels and assessed needs of the residents. Recruitment of staff had improved with a recent advertising campaign. Staff training had been given a high priority, with induction training being followed by NVQ training, and staff had received regular supervision. The home appeared to be managed well by a qualified and competent care manager. General management aspects were good with quality assurance taking place. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures are adopted. General environment upgrade and refurbishment in the remaining units is ongoing. What the service does well: 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. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 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 Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 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 the following standard(s): 1 to 5 Prospective service users can be assured that they will be fully informed about the home they move in to. Individual health, personal and social cares needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Two residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 9 Residents asked confirmed that they had been fully involved and were in agreement with the assessments. The records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 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 the following standard(s): 7 to 11 The assessed health and personal care needs of residents had been well documented on all units. There was evidence that needs were being met, with good standards of care being delivered. There was a safe system for the receipt, storage, administration and disposal of medicines. Some residents were able to express that they were treated with respect, privacy and dignity, during the caring process. EVIDENCE: Many service users and their relatives spoken to all commented positively about the care being provided. The service user plans and associated documentation was well written, meaningful and reflected the current condition of residents. The documentation seen and the inspector received positive feedback from discussions with both residents and staff members evidencing that health and personal care needs were being well met. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 11 NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. Local GP’s and a local pharmacist service the home, and there is a generally a good working relationship with them. Records of their visits and outcomes were seen documented. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and it was pleasing to note that were no errors. It was observed that a safe system was in place, and that the comprehensive BUPA medicines policy documentation seen was being complied with. Locked facilities were available for any resident wishing to self-medicate. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Many residents and relatives told the inspector that they were treated with respect, and that the staff are very good. One family spoken to had arrived with their mother who was moving in to the home. Their previous experience at the home had led them to return with another dependant relative. They were very confident that their mother would be well looked after and loved by the staff. They all commented that the room had been redecorated since they first visited to view the home. One daughter said she thought it was a wonderful home with a caring environment and you always got a warm welcome. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 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 the following standard(s): 12 to 15 The activities provided by the home met the spiritual and basic recreational needs of the residents but there was scope for further activities to be provided to enhance the residents’ quality of life. The home’s procedures supported the residents to have social contact with family and friends. The staff encouraged the residents to have as much choice and control over their lives, as they were able. The dietary needs of the residents were being met with a balanced and varied diet and a choice of meal was being provided for most of the residents. EVIDENCE: The home employed activity staff for 60 hours a week. Each unit had a programme of activities, which included activities such as flower arranging, bingo, sing along, games and gently exercise. Occasional trips out also occurred as well as each unit organising parties for such occasions as birthdays and special occasions. The home also had a couple bringing in their dogs and the residents enjoyed this. On the EMI units the activity staff tried to do work in small groups and some one to one work but the number of hours available restricted this type of work. The hairdresser visited each unit and church Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 13 services were available to those that wished to attend. Newspapers were provided as well as the mobile library. The home welcomed visitors and those spoken to state that they felt welcomed and included in the care of their relative. Relatives could visit at any reasonable time and could see their relative in private. Staff encouraged residents to take as much control over their lives as they were able. Residents stated that could choose when to get up and go to bed and that if they got up late they were able to have their breakfast at anytime in the morning. They were able to choose whether to join in with activities and whether to spend time in their rooms or in the communal areas. Staff within the EMI units tried to encourage residents to make choices over such things as what they wanted to eat and consulted with relatives over what they felt a person would choose if they were able to. Residents stated that they liked the meals. They confirmed that there was always a choice and that the staff asked them what they wanted. In addition to the choices on the menu the home was also able to provide a range of other food if a resident wanted. Some residents did not seem to be aware of this option. Each unit had its own small kitchen where they had a supply of snacks and cereals and bread enabling staff to make supper and to provide snacks throughout the day and during the night. Many of the residents needed assistance with meals and staff had the knowledge of the individual needs of the residents and assisted with feeding in a sensitive manner. Due to the number of residents needing such assistance mealtimes did take quite a time to complete. Some relatives provided support with feeding their relatives. The home was able to cater from range of special diets but choice was limited for those on a diabetic diet. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 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 the following standard(s): 16 and 18 The home had a satisfactory complaints system in place that was well publicised and there was evidence that residents and relatives views were being listened to and acted upon. The adult protection procedures and the training provided to the staff was increasing the level of protection provided to the residents. EVIDENCE: The home had a complaints procedure and all residents and relatives were provided with a copy. Leaflets were available in all the units. Records of complaints were being kept and complaints were being dealt with appropriately and a timely manner. Relatives felt able to raise issues and were confident that staff would deal with them. The home had an adult protection procedure in place. Most staff had received training in this area and discussions confirmed that they were aware of the issues and would respond to any concerns they had. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 15 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 to 26. Recent investment has significantly improved the appearance of one of the units and this will now need to be developed to include redecoration and refurbishment of the remaining units. Residents are provided with a safe and comfortable place to live. EVIDENCE: A tour of all the units was conducted. During the walkabout all the communal areas and a selection of bedrooms were inspected. The units were clean and hygienic throughout with no unpleasant odours noted. Radiators were of the low surface temperature type. All units were of the same layout with a main lounge/dining room with separate smoking room enclosed. Off each dining area was a satellite kitchen with facilities for making drinks and preparing snacks. Main meals were served from hot trolleys. Off each lounge there was an enclosed garden with outdoor seating and garden furniture. Residents spoken to confirmed that they had enjoyed the gardens Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 16 throughout the summer months. There had been a competition to grow the largest sunflower and specimens of these were seen around the gardens. A new lighting system had been introduced to all units throughout corridor areas. This lighting was both attractive and efficient. Many of the bedrooms through the units had been individualised with residents having brought in personal effects from home. All bedrooms had en suite facilities in the form of a wash hand basin and toilet. There were separate toilets located throughout the units together with showers and bathrooms. The units had been adapted to meet the needs of individual residents. Adaptations included grab rails along corridors and in toilets. Baths had been adapted and showers were of the walkin type where shower chairs could be wheeled in. There was a variety of moving and handling equipment in use throughout the units consisting of mobile hoists and other aids. Some of the residents nursed on the mental health units had pressure pads next to their beds on the floor to alert the staff to resident movement and help prevent falls. Wade Unit had been redecorated last year and was very well presented. Fabrics, furniture and carpeting had been replaced and had created an attractive and homely environment. It is recommended that all the other units aspire to meet the standard of décor, which was evident in Wade Unit. The sensory garden to this unit was particularly attractive. On Wade Unit there was a resident sitting in her bedroom who was unable to reach the nurse call buzzer. This was pointed out by the inspector at the time and it is a requirement that nurse call buzzers are left within easy reach for residents when they are alone in their rooms and unsupervised. On Wedgwood Unit there was some foodstuffs left in the fridge, which was covered but had not been labelled with the type of food and the date. There is a requirement for this. The plastic mugs and feeding cups were also badly stained. The inspector spoke to the domestic assistant on the unit who explained the cleaning schedule and how it works. Residents commented that their rooms were often thoroughly cleaned as well as receiving daily attention. Residents were observed enjoying all the communal areas throughout the units on the day of the inspection. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 17 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 and 29 Staff morale, in some of the units, was low resulting in some staff turnover and sickness that disrupts consistency of care provided to the residents. The standard of vetting and recruitment in this home is very good and residents and their families can be assured that they are in safe hands. EVIDENCE: A selection of staff members from each unit was interviewed. Staff from the three units accommodating elderly frail residents all commented that, in their opinion, there was insufficient numbers of staff on duty on a number of occasions. They stated that this was usually due to staff sickness where this was last minute and agency staff had been unobtainable. They also felt that employing agency staff did not give the same continuity of care to meet the needs of the residents. This was with particular reference to morning shifts when the units were at their busiest. The staff stated that they felt tired with having to cover shifts and that staff morale was low due to the continuing problem. On Wedgwood Unit a relative who was visiting at the time of the inspection also stated that she was concerned about the staffing shortages on some shifts. She felt that staffing was sometimes inadequate and that residents, including her own relative, were having to wait for long periods of time for attention. She stated that the staff were very kind but were “run off their feet” and tired. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 18 Examination of the staffing rotas identified that minimum staffing levels were being provided for the number of residents accommodated in the units. However, the overall dependency rating of the residents was unavailable for inspection and this will need to be considered and will be a significant factor in determining staffing requirements. The staff interviewed from the units accommodating elderly residents with mental health needs felt that staffing arrangements and provision was adequate for the needs of the residents. Examination of the rotas on these units identified that more staffing hours were provided here due to the increased supervision needed on these units. A senior sister, who was supported by junior sisters, managed each of the units. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 19 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 and 38. The home had a good process of self-review and evaluation that included the views of residents and relatives. This identified areas where the home was doing well and areas where the home could be developed to provide a higher standard of service to the residents. Health, safety and welfare are given high priority by the management. EVIDENCE: The home had a comprehensive quality assurance system in place. This included a range of regular checks on such issues as the environment, the care plans, the complaints, the incidence of accidents and assessment of pressure sores. Additionally the home held relatives meetings to ascertain their views as well as undertaking surveys of residents’ and relatives views. These audits identified areas where the home was doing well and those were there was scope for development. As part of a large company the progress of the home was externally assessed and progress monitored. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 20 From general observations made, many discussion with service users, and lengthy discussions with the manager and staff, it was evident that the home was being run in the interests of service users. A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and all residents and families had chosen to do so. Day to day monies of residents were checked and money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date. The manager and staff spoken to confirmed that health and safety issues are given a high priority. Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 21 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 4 3 4 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 X 29 4 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 22 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 OP22 Regulation Sch. 3 Requirement Nurse call handsets must be in reach by residents in individual rooms and communal areas. Timescale for action 22/09/05 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 OP15 Good Practice Recommendations To ensure that a choice is provided for residents on special diets if at all possible and to ensure that all residents are aware of the additional choices that are not on the menu. Stored food must be labelled with date and name. Drinking cups must be clean and stain free. To consider increasing the amount of time for activities particularly in the EMI units where there is a need for very small groups and 1 to 1 sessions. 2. 3. OP26 OP12 Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Stadium Court Nursing Home DS0000026967.V250916.R02.S.doc Version 5.0 Page 24 - 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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