CARE HOME ADULTS 18-65
Strode Park Nursing Home Strode Park House Herne Herne Bay Kent CT6 7NE Lead Inspector
Kim Rogers Announced Inspection 10:00 20 February 2006
th Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 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 Strode Park Nursing Home DS0000026122.V271595.R01.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 Adults 18-65. 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. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Strode Park Nursing Home Address Strode Park House Herne Herne Bay Kent CT6 7NE 01227 373292 01227 369033 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) Strode Park Foundation for Disabled People Care Home 44 Category(ies) of Physical disability (44) registration, with number of places Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 30 of the 44 beds are registered for nursing patients and 20 are registered for residential clients 11th August 2005 Date of last inspection Brief Description of the Service: Strode Park Nursing home provides accommodation and support to 44 permanent and respite service users, the majority of whom are accommodated in single rooms. All facilities are situated on the ground floor. There is a shaft lift to access the first floor. The home has a call bell system and each bedroom has a television point. A small number of bedrooms have been provided with telephone points, which service users have requested. There is a day centre located next to the home, which provides service users with access to physiotherapy and IT facilities. Service users are able to maximise their independence through the provision of environmental aids and adaptations. There are extensive grounds with mature gardens and an attractive fountain. Located within the grounds is the Theatre in the park which is well utilised by both service users and visitors throughout the year. The home is situated in the village of Herne immediately adjacent to the main Sturry to Herne Bay road. There is access to a bus service and other facilities such as local shops, which are within walking distance. There is a shop within the home staffed by volunteers. There is ample car parking at this home. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was announced and carried out by one inspector. A variety of methods were used for gathering information about the home including feedback cards from service users and relatives. There are currently 36 service users at the home. The Inspector met with the manager and Director of care, spoke to service users, spoke to staff, sampled records and looked around the home. Observations were made throughout the day. The Inspector met with a group of service users in private and spoke to service users on an individual basis. Service users said,’ If you don’t like what is on the menu you can have something else’ ‘You get choice in how you live your life’ ‘Things (activities) are laid on. If you don’t want to join in you don’t have to’ ‘My mattress is hard and makes my leg and side ache’ The manager agreed to replace the mattress. ‘I’ve settled in quite well, everyone is really kind’ ‘I grew tomatoes and cucumbers in the garden last year’ One service user said they missed doing hockey and bowling. This was discussed with the manager. Relatives said, ‘There are always staff around if I need to talk with them’ ‘I am very happy with the level of care provided at Strode Park’ 12 comment cards were received from relatives. 100 said they are satisfied with the overall care provided. 100 said they feel welcomed into the home and can see their relative in private. One felt service users needed more mental stimulation. This was discussed with the manager. The manager and staff have shown commitment to meeting the National Minimum Standards. All of the requirements made at the last inspection have been met. Much work has gone in to improving care planning and risk assessments since the last inspection. After speaking to service users, staff and the manager and considering feedback from relatives the Inspector concluded that this home continues to provide a good quality service. Please see the last report for standards not assessed here. What the service does well: Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 6 Staff are well supported by the manager and the manager is supported by the Foundation’s senior management and trustees. There is a Director of Care, Human Resources Manager, Chief Executive and Maintenance Manager on site as well as other corporate staff. Staff are enthusiastic about their work and morale appeared good. There is a service user advocate who meets with the service users, manager and senior managers regularly. Service users spoke highly of the advocate saying he was always available for advice. Service users said the advocate would be the first person they would speak to if they were not happy about something. The home has aids, equipment and adaptations to enable service users to maintain and maximise their independence. The home is safe and well maintained with a maintenance manager and staff on site. The garden is large, attractive and well maintained. Service users said the food is good. The home employs a cook and kitchen staff who prepare meals in a central kitchen although service users can be involved if they wish. Success by service uses is recognised and celebrated. What has improved since the last inspection? What they could do better: Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 7 Some service users said they did not have a key to their room or they had a key but were not sure of it worked. The manager started to address this on the day of the visit. The Inspector recommended that all locks be checked to ensure their suitability and service users be provided with keys if they wish. The Inspector recommended that the door to the clinical room be fitted with a British Standard (BS) 5 lever lock. Some service users at the home are over 65 years of age. The home must apply to the Commission to vary the registration of the home to accommodate these service users. Before anyone moves in to the new wing the home must apply to the Commission to register the new 13 beds. The manager must apply to the Commission to be the Registered Manager. 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. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,4 Prospective service users have the information they need to make a decision about moving in. Service users have the opportunity to visit the home as many times as they wish before they decide to move in. EVIDENCE: The home has a Statement of Purpose and Service user guide. These documents have information about what facilities and services the home has to offer. The Inspector spoke to a service user who has recently moved into the home. The service user confirmed he was given information about the home. The service user said he made several visits to Strode Park before he decided to move in. The manager and a relative confirmed this as usual practice. The manager said that any move to the home is planned to suit the service user. The service user and a relative said that after about 6 weeks he attended a meeting when he said he would like to stay permanently. The manager said that the home rarely takes emergency placements, as the policy is to always carry out a full assessment first. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,10 Service users know their personal goals and changing needs will be supported. Service users are supported to make choices and decisions. Service users know their records are held securely. EVIDENCE: Each service user has an individual service user plan which is developed from the initial assessment. These have been reviewed and improved since the last inspection. Background information and significant life events are now included as well as aspirations and hopes for the future. Plans were sampled and evidenced effective review. Risk assessments have been improved with more detail and effective review. A risk analysis is now carried out then strategies implemented to reduce any identified risks. Any restrictions are agreed with service users, recorded and kept under review. Restrictions are only made in the best interests of service users. Daily reports have improved and are now more detailed and include references to social care needs.
Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 11 Staff respect service users rigs to make decisions and choices. Service users spoke highly of the advocate employed by the home. Service users said they can talk to the advocate in private and can ask advice. Service users said that times for getting up and going to bed are quite flexible. Service users have been supported to access specialist communication aids to help them to communicate their choices. One service user, when asked ‘What is good about living at this home?’ said ‘Choices. You choose how to live your life’ Another service users said ‘I do not like sweet and sour chicken or bacon roll so I chose something else. I had a corned beef salad’ During the visit the Inspector noticed some service user plans on a worktop area in the staff duty office. The door remained open throughout the day. This was pointed out to the manager who acted immediately to ensure the records were locked in a filing cabinet to protect service users confidentially and comply with the Data Protection Act 1998. All other records are held securely. Information about service users is only shared with a third party if the service user agrees. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14,15,16,17 Service users have opportunities to join in planned activities and outings. Service users know their relationships will be supported. Service users said the food is good and there is always a choice. Not all service users who want one have a key to their room. EVIDENCE: Activities are planned and advertised on a notice board. Staff from the attached day centre facilitates these activities. During the inspection there was an art and craft session in the morning and a session in the afternoon. Service users said that activities are laid on and said ‘If you don’t want to join in you don’t have to’ Some service users were in the larger lounge with the television on during the afternoon. Some service users had visitors. Outings are organised, for example some service users are planning to see Elton John in concert in Canterbury. The home has a mini bus that service users can use to access the community. The manager said that extra staff are deployed to facilitate activities. The Theatre in the Park is in the grounds of the home which service users have
Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 13 support to access. There is also ‘Nippy’s’ café in the grounds. One service user said they miss playing hockey and bowling. This was discussed with the manager who agreed to look into this and try to provide opportunities. A relative commented they felt more mental stimulation would be beneficial. This was also discussed with the manager who said she would look into this. Some organised ‘talks’ have been held in the grounds, which service users can attend. Three service users spoken to over lunch said they thought there were enough activities on offer. 100 of relatives said they are welcomed into the home. There are no restrictions on visitors. The home supports service users to maintain relationships with their families and friends. Service users said they can se their visitors in private. Service users were complimentary about the food. Service users said meals are served hot and portions are sufficient. They said that if you did not like what is on offer you could choose something else. One service user said that the cook made her a corned beef salad, as she did not like sweet and sour chicken or bacon roll. There is a choice of 2 main courses every day. Meals are prepared by a cook in a central kitchen. Other catering staff are also employed. Service users can choose where they eat and the home caters for special diets. The Inspector observed the hot lunchtime meal being served. The pace was relaxed with service users given the time they need. Service users were supported discreetly and respectfully. Drinks and snacks are available throughout the day. Some service users have their own cooking equipment. Nutrition and weight is monitored in service user plans. Any restrictions are made after consultation with the service user and in the service users best interests. Not all bedrooms are fitted with suitable locks. Some service users have keys. Others said they would like a key or were not sure if their key worked. The Inspector required that all rooms are fitted with suitable locks and that all service users are offered a key to their room. During the visit the Inspector observed that success by service users is recognised and celebrated. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Service users are protected by safe medication practices. EVIDENCE: The medication policy has been reviewed since the last inspection. Details of procurement of medicines are included as well as detailed procedures. The home works closely with service users and their doctors to ensure service users maintain as much independence with medication as possible. Some service users are supported to maintain their own medication with the support of staff. Medication is stored appropriately and securely in a locked trolley, which is secured to the wall. The trolley was a bit sticky inside from some medicines. The senior staff agreed to address this. The clinical room was tidy and organised with hand washing facilities. The Inspector recommended a 5 lever lock be installed to the medication room door for even greater security. Records were well recorded with records kept of the receipt, administration and return of medicines. Records are up to date and well organised. Staff spoke with knowledge of the importance of monitoring service users for side effects and has literature available to research such effects. Staff always seek medical advice when necessary. The storage and administration of controlled drugs meets the standard. The home has a drug fridge and keeps records of high and low temperatures. The nurse development officer has developed an audit procedure to check staff
Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 15 practice and competency in medication. This is an improvement since the last inspection. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected from harm and abuse and feel safe. EVIDENCE: The home has an adult protection policy, which has been recently reviewed. Staff learn about protecting vulnerable adults from abuse during their induction then attend refresher courses. The manager and staff spoke with knowledge about the adult protection procedures. Service users told the Inspector they have people to talk to about any issues or problems. This includes the manager, advocate and service user representative. The finance department support any service user who needs it with their money. Most service users manage their own money and choose how to spend it. Restrictions are only made in the best interests of service users after consultation with the service user. The Inspector saw evidence of this in service user plans. The home has dealt with some complaints since the last inspection. The Inspector is satisfied that complaints have been fully investigated and responded to. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 This is a comfortable, safe home. Service users are happy with their rooms, which maximise their independence. EVIDENCE: The home employs a maintenance manger who is responsible for ensuring the environment is safe for service users. Regular audits are carried out to ensure the home is safe and well maintained. The home has been adapted to meet service users needs with wide doorways, assisted bathrooms and some automatic doors fitted. On the day of the visit the home was suitably heated and ventilated, although there had been some problems with the heating in one wing of the home. This has now been rectified. The home was very clean and suitably fragranced. Service users said their rooms are kept very clean by the domestic staff. The home employs a number of domestic staff. Hand washing facilities are sited appropriately. Furnishings and fittings are of good quality and domestic in nature. There are several communal rooms, which are airy and light with views over the gardens from most rooms. The grounds are extensive and attractive. There are seating and patio areas. There is a bird aviary and an ornamental fountain. The communal areas and grounds are accessible to service uses in wheelchairs. All bedrooms are for single occupancy and have wash hand basins. Rooms are personalised with service users own possessions. Service users told the Inspector they are
Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 18 happy with their rooms. Bedrooms are large enough to accommodate any necessary equipment such as hoists to maximise service users independence. The home has several hoists and other moving and handling equipment. The new wing has 13 bedrooms with en suite facilities. A shaft lift accesses the three floors. Service users said there is sufficient communal space. The Inspector looked at the laundry, which was orderly, and in line with the standard. There are suitable washing machines and dryers. Laundry staff are employed by the home. Some laundry is sent out to a contractor. Service users said they are generally happy with the laundry service. The home has an ongoing decorating and maintenance plan. Staff now smoke outside, which is an improvement since the last inspection. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 The staff team is effective and flexible. Staff are well trained and competent. EVIDENCE: The home is registered jointly for residential and nursing services. Therefore the home employs care staff and qualified nurses. Staff spoke with knowledge and understanding of their roles and responsibilities. Staff were observed supporting service users discreetly and respectfully. Staff were observed interacting with service users in a positive manner. Service users said that staff attend promptly when they call for assistance. A relative said that ‘there are always staff around if I need to talk’ The home employs a training manager who is based at the home. All staff complete a detailed induction in line with the minimum standards. New staff work alongside a mentor and are given time to spend with their mentor getting to know the building, the systems and the service users. The manager feels that this new improved induction has made a difference to staff retention and has given new staff more confidence and improved morale. There is also a nurse development officer employed. The nurse development officer is auditing staff competency and addressing any shortfalls. The home has a large number of volunteers who help wit the shop and the Theatre in the Park amongst other things. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 20 Staffing ratios are based around the needs of the service users. There is separate cleaning, cooking, laundry and maintenance staff employed. Service users and relatives made positive comments about the staff team of this home. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 This is a well run home. Service users know their health and safety is protected. EVIDENCE: The manager is a qualified nurse and has recently completed the management units to ensure her qualification is in line with National Minimum Standards. The manager has several years experience and is required to apply to the Commission to become the Registered Manager. The manager attends periodic training and has shown commitment to meeting previous requirements made by the Commission. The manager was observed speaking to staff in a positive manner giving clear direction. The Inspector saw communications from staff to the manager offering ideas and suggestions to improve the service. The manager said she encourages staff to be part of the running of the home by giving staff responsibilities. Staff and service users made positive comments about the management of this home. The home actively consults with service users about all aspects of the service provided. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 22 There is an annual development plan, which is displayed in the reception of the home. The home has gained the ‘Investors in People’ status. The homes induction was praised at this review. Systems are in place to ensure financial planning and quality monitoring. The home has sufficient public liability insurance. Monthly-unannounced visits are made to the home usually by one of the trustees. The trustee will talk to staff and service users and have a look around. A report is produced about the visit. This is all required under Regulation 26 of the Care Homes Regulations. The manager sends a copy of each report to the Commission. A corporate staff team and trustees support the manager. The home employs a maintenance manager who is responsible for health and safety. Regular checks are made of equipment and the premises. There are systems in place for monitoring health and safety. The Inspector sampled records relating to building and equipment checks. All were in order and well recorded. Staff are trained in all areas relating to health and safety during their induction. Records required by legislation were at the home and available to the Inspector. Records were up to date with service users having full access to their records if they wish. During the inspection the Inspector noted that some records were not stored securely. The manager addressed this immediately. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X 3 X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score X X 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Strode Park Nursing Home Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000026122.V271595.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? No, all previous requirements have been met. 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 YA16 Regulation 12 Requirement The Registered Person must ensure that all bedroom doors have suitable locks and that all service users are offered a key to their room. The manager must apply to the Commission to be the Registered manager The Registered Person must apply for a variation in respect of the service users outside the registration category. The new bedrooms must be registered before they are occupied. Timescale for action 30/06/06 2 3 YA37 YA3 8,9 3 30/04/06 31/03/06 4 YA25 3 31/05/06 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 YA20 Good Practice Recommendations A BS 5 level lock should be fitted to any clinical room. Strode Park Nursing Home DS0000026122.V271595.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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