Inspection on 08/03/07 for Summerfield Nursing Home

This inspection was carried out on 8th March 2007.

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

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

Other inspections for this house

Summerfield Nursing Home 23/11/05

Summerfield Nursing Home 09/05/05

Summerfield Nursing Home 30/11/04

Summerfield Nursing Home 29/06/04

Summerfield Nursing Home 09/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Summerfield Nursing Home 23 Christchurch Road Cheltenham Glos GL50 2NV Lead Inspector Mr Adam Parker Key Unannounced Inspection 09:30 8 & 12th March 2007 th 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 Summerfield Nursing Home DS0000016594.V320049.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. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfield Nursing Home Address 23 Christchurch Road Cheltenham Glos GL50 2NV 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) 01242 519913 Mr Keith Coghill Mrs Laraine Coghill Linda Aitken Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (3) of places Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Managers Award is to be commenced within 2005. Date of last inspection 23rd November 2005 Brief Description of the Service: The home provides 30 places for older people who require nursing care and 3 places are available for those under the age of 65 years who have a physical disability. The home operates at less than 30 people since the home has a policy of ensuring accommodation can be single occupancy. Situated on one of Cheltenham’s main roads it is close to bus routes and other amenities. Accommodation is provided over 4 floors all reached by a shaft lift. Both single and double rooms are available if requested with 9 single rooms having ensuite facilities. On the ground floor there is a large lounge/dining room with conservatory area. To the front of the house is an attractive low maintenance garden with non-slip ramp to the front door. The back garden is predominantly lawn with ample car parking to the side. Current fees are £753.00 to £796.00 per week. Hairdressing and newspapers are charged extra. The home makes information about the service, including CSCI reports available to service users through a service user guide and statement of purpose available in the home. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was carried out by one inspector on two days in March 2007. The registered provider and registered manager were both present for both days of the inspection visit which consisted of a tour of the premises and examination of residents care files. In addition staff recruitment and training was looked at as well as documents relating to the management and safe running of the home. A sample of residents were selected for inspection against a number of outcome areas as a ‘case tracking’ exercise. Three residents were spoken to during the visit. Thirteen comment cards were received from relatives of residents of the home, one from a former resident, five from staff working in the home and four comment cards were received from General Practitioners (GPs). The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: The home has a good care planning system in place and works with health care professionals to ensure that service users’ health needs are met. Care is delivered in such a way as to uphold service users privacy and dignity. The home welcomes visitors to the home enabling residents to maintain contact with family and friends. In addition a clear complaints procedure enables any complaint to be raised by residents or on their behalf by relatives. The home was well maintained and very clean with no malodours providing service users with a safe, pleasant and comfortable environment. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s admission procedure ensures that all service users are admitted to the home on the basis of a full assessment of their needs, so that they can receive the care that they require. EVIDENCE: The assessment documentation for three service users recently admitted to the home was looked at. These had been completed following an assessment of the service user’s needs by the registered manager which had apparently been completed prior to admission to the home. Unfortunately copies of the assessments could not be located during the inspection visit although a specimen assessment form was sent to the inspector following the inspection visit. In addition copies of discharge summaries from hospitals had been obtained as well as assessments and care plans carried out by the funding authority. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 9 The registered manager stated that in the case of potential residents receiving funding from an authority, the home would not admit until it had a copy of the assessment and care plan. Admissions would be discussed with the registered provider and with nursing staff in the home. Examples were given of potential residents who were not admitted to the home following an assessment and the home identified that they could not meet their needs. The home does not provide intermediate care and so Standard 6 does not apply. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an individualised care planning system in place, which provides staff with the information they need to meet service users’ needs. The home meets service users health needs through liaison between the nursing staff, service users and health care professionals. Medication administration practices in the home generally ensure that service users are protected although appropriate storage temperatures may have not been maintained. Care is given in such a way as to promote the privacy and dignity of service users. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 11 EVIDENCE: Care plans were of good quality, they were individualised and had been reviewed on a monthly basis. Some examples were seen to address the issue of resident’s choice. In addition they were linked into the outcomes of risk assessments addressing such areas as pressure area care, lifting and handling, use of bed rails and other potential risks in the environment of the home. However bed rails were being used for one resident with no risk assessment in place, this was rectified during the inspection visit and it was clear from records relating to other residents that this was not normal practice. Information relating to resident’s health such as weight and blood pressure was recorded on a monthly basis in conjunction with reviews of care plans. One resident who was being treated for an infection was having frequent checks made and recorded on temperature. Another who has epilepsy had an individual protocol in place to manage this. The home has a system for ensuring that care staff check the condition of residents’ skin on a daily basis, record this and pass any relevant information on to registered nurses. The home keeps a record of visits to residents by GPs and health care professionals such as chiropodists. One service user had been receiving input from a speech therapist and this was documented in the care plan file. All comment cards received from GPs indicated positive views of the home. The arrangements for medication storage, administration and recording were checked. Medication was stored securely in one location in the home, however there were no records of storage temperatures and these must be monitored to check if medication is being stored at the correct temperature. Regular checks were being recorded on the refrigerator used to store some medication and showed that temperatures were slightly above what was required for storage being at 9 or 10°C The storage temperature for one bottle of antibiotics were checked with the supplying pharmacist and should have been stored in the range of 2-8°C. Storage was well organised with external preparations stored separately from internal medication. The registered manager demonstrates a good awareness of the use of the medication kept in the home. One service user who was prescribed medication on an ‘as required’ basis had a care plan relating to this. It was noted that not all bottles of liquid medication, eye drops or creams had been dated on opening although it was apparently the usual practice to do this. In addition some but not all handwritten entries in medication administration sheets had been signed or dated by the staff member making the entry or checked and signed by a second staff member. Staff were observed treating service users with respect and shared rooms had curtains in place to maintain privacy. Privacy and dignity is included in induction training for new staff. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a limited range of activities although some residents pursue their own interests outside of the home. The home enables residents to maintain contact with family and friends by welcoming them to the home. Depending on their ability, service users are able to maintain some choice and control over their lives. Service users’ dietary needs are well catered for taking into account choice and nutrition. EVIDENCE: The home only provides a limited amount of activities for service users and this is generally the policy of the home. However a musical entertainer visits on a weekly basis and this was witnessed on one of the inspection visits and a relative of a resident plays the electric Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 13 organ in the main lounge on a regular basis. Some service users that are able pursue their own interests or do so with assistance from relatives. This includes walks and shopping trip. One service user attends a day centre lunchtime concerts at the town hall and attends a local gymnasium for upper body exercises. In addition a Church of England communion takes place every month and there are weekly visits to service users from a Roman Catholic Priest. The home does keep a record of some of the service users’ interests. The home operates an open visiting policy for residents’ relatives and friends. One relative who visited her Mother on a daily basis spoke of how she was always made to feel welcome by the home and was able to take her lunch in the home which enabled her to spend more time there. The home has clearly displayed information for residents and their representatives including how to contact advocacy services if these should be needed. The majority of service users’ rooms were personalised with their own possessions. On the second day of the inspection the serving of lunch was observed. Some residents took this meal at a communal table in the dining area while others had their meal at a table in front of where they sat in the lounge. The atmosphere at the meal time was calm with staff assisting residents where needed by sitting with them. Pureed meals were served with all the parts of the meal pureed separately. As well as a printed version, the menu for the day is displayed on a notice board. The normal practice is for the kitchen assistant to tell residents what is for lunch and ask if any alternatives are preffered.This was confirmed by one resident spoken to. Residents have a cooked lunch and there is a cooked supper or sometimes sandwiches. Although the cook keeps a record of the menu including a detailed record of sandwiches, there must be a record of alternative meals provided for residents. One resident’s relative spoken to stated that her Mother appreciated the food and was taking adequate fluid. Ten staff in the home are undertaking a training course in nutrition and health, including nursing, carers and catering staff. One former resident of the home stated that the meals were “palatable and wholesome”. At the time of the inspection visit the home was only catering for one special diet, that being high protein. In the past vegetarian diets have been provided. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure and information about this is available to service users and their representatives should they wish to make a complaint. The homes has policies and procedures which linked with staff training should ensure that service users are protected from abuse. EVIDENCE: The home has a clear complaints procedure and invites comments from residents and their relatives with comment cards displayed in each room. One relative of a resident stated that she felt confident to approach the management of the home with any complaints and this was made clear to her when the resident was admitted to the home. No complaints had been received in the twelve months prior to the inspection. The home has guidance for staff on dealing with abuse as well as a ‘whistleblowers’ policy. Staff undertaking their NVQ training, have a module that includes adult protection. Staff are also informed about abuse issues and whistle blowing during induction training. In addition the home has copies of the ‘alerters guide’ produced by the local authority adult protection unit and these have been distributed to all staff. In order to further strengthen the position of the home in relation to adult protection it is recommended that staff attended further training in this area. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the benefit of living in a well maintained and clean environment with individual rooms showing various degrees of personalisation. EVIDENCE: A tour of the premises was conducted, the home was well maintained and decoration was of a good standard. Service users individual rooms were looked at, many of these contained personal items including items of furniture. The condition of pillows, pillowcases and bed clothing was found to be clean and of a good standard. All beds in the home are electric and height-adjustable. The washbasin unit in one room was looking tired but the registered provider stated that there were plans to replace this. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 16 The provider obviously took pride in maintaining a clean environment in the interests of infection control. Disposable gloves and aprons were available for staff on each floor of the home. The floor covering and wall surfaces in the laundry were looking tired and would need some work in the near future to maintain a readily cleanable surface however the registered provider explained that the plans for the extension of the home included a new laundry area. Outside space available to service users is limited to a small area with seating at the front of the home, although tables and chairs are available for use at the rear of the home if these were needed. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 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. 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 numbers of care staff ensure that service users needs are met. The level of NVQ training should increase to ensure that service users are in safe hands. Shortfalls in obtaining required information for staff recruitment have potentially failed to support and protect service users. The correct induction training should ensure that staff are trained and competent to do their jobs. EVIDENCE: On the first day of the inspection visit the home was staffed with the registered manager, one registered nurse and 5 carers (dropping to 3 carers in the afternoon). At night there is one registered nurse and 2 carers. In addition in the day there is one laundry worker, a handy man and three kitchen staff and a cleaner in the morning and one in the afternoon. Of the 13 comment cards received from relatives of residents of the home, all except one indicated that they thought there always sufficient numbers of staff on duty. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 18 The home currently has under 50 of care staff trained to a NVQ level 2.It is recommended that this should be increased. It is acknowledged that staff are undertaking other training through the home. A number of recent staff recruitment files were looked at and it was found that there were shortfalls with all required documentation and information not being obtained prior to employment commencing. The home had not carried out its own criminal records checks in some cases relying on those brought by the applicant from previous employers. Therefore checks against the Protection of Vulnerable adults list would not have been made at the point of employment. Although written references had been obtained these were not always from previous employers where this had involved work with vulnerable adults or children and one application form did not include an employment history. The home must ensure robust recruitment procedures to protect residents. The home had used an outside training provider for induction training in the past but feedback on this from staff was poor. The home must check that any induction training provided to new staff is in line with national specifications. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally well managed in the interests of residents. A quality assurance system is in operation to ensure that the home is run in the interests of residents although some improvements should be made. An improvement needs to be made with the amount of supervision that staff receive to ensure they are working in residents interests. The home has arrangements for ensuring that residents’ financial interests are safeguarded. Safe working practices ensure residents’ safety although some work is needed in relation to protecting residents from the possible risk of Legionella. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager (known as the Matron in the home) is a first level registered general nurse with a wealth of experience in nursing. She has an interest in wound care and tissue viability and attends local groups and committees in relation to this. She has recently attended training in infection control. Although she has carried out management training in the past she still has to undertake an NVQ level 4 in management and plans to start this in September 2007. The home uses customer comment cards as the basis for its quality assurance. These are openly displayed in each room in the home and in the entrance hall. The registered provider stated that any concerns would be acted on straight away. It was evident that the home had received many positive comments although it is recommended that all comments are collated in to one document for easier reference. In addition the home should broaden the scope of the use of the cards to include stakeholders in the home such as GPs and other health and social care professionals. The home is involved in an audit of continence products with the supplying pharmacist although there was no evidence of any other internal audits taking place. The home provides secure storage for residents’ money and valuables although this is only used on a short term basis. Some residents have individual lockable storage in their rooms. The home is not involved in paying any resident’s money into a bank account and generally all finances are handled with the involvement of relatives. Supervision sessions were being undertaken with staff and recorded. It is recommended that that the home should aim to provide six supervision sessions per year with care staff. The home has ensured the servicing and maintenance of electrical and heating systems and appliances as well as hoists and the lift. Regular checks are made on hot water temperatures and recorded along with a number of other safety checks. However no risk assessment had been completed regarding the potential risk to residents from Legionella in the home. In view of the frailty of some of the residents this should be addressed. In addition no risk assessment had been carried out in relation to the security of the premises. Safety audits have been carried out and recorded for each service users room. Staff have received training in infection control, first aid, food safety and hygiene and moving and handling. The registered provider has recently attended a fire wardens training course. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 2 Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 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 OP9 Regulation 13 (2) Requirement Timescale for action 31/05/07 2. OP9 13 (2) 3. OP15 4. OP29 17 (2) Schedule 4 Paragraph 13 19 (1) (b) Schedule 2 The registered person must ensure that all medication stored in the home is kept at the correct temperature. The registered person must 31/05/07 ensure that in order to protect residents from possible medication errors all hand written directions should be signed and dated by the staff member making the entry. The registered person must 31/05/07 ensure that a record is kept of all alternative meals provided for residents. The registered person must ensure that all the information and documents specified in Schedule 2 of the Care Homes Regulations are obtained before a person is employed to work at the home. The registered person must ensure that the risk to residents from Legionella is assessed and any appropriate action taken. The registered person must ensure that a risk assessment is DS0000016594.V320049.R01.S.doc 31/05/07 5. OP38 13 (4) (a) & (c) 13 (4) (c) 31/05/07 6. OP38 31/05/07 Summerfield Nursing Home Version 5.2 Page 23 completed regarding the security of the premises. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. Refer to Standard OP9 OP9 OP18 OP28 OP30 OP31 OP33 OP33 OP36 Good Practice Recommendations All topical and liquid medication should be dated on opening. Hand written entries on medication administration charts should be checked and signed by a second member of staff. Staff should attend further training in adult protection. The level of care staff trained to NVQ level 2 should be increased. The home should check that any induction training provided to new staff is in line with national specifications. The registered manager should undertake and complete the NVQ level 4 in management. The home should collate all responses from comment cards into one document for easier reference. The home should seek the views of stakeholders to broaden the scope of its quality assurance. Care staff should receive six supervision sessions per year. Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Summerfield Nursing Home DS0000016594.V320049.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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