CARE HOMES FOR OLDER PEOPLE
Tapton Court Nursing Home 63 Tapton Crescent Road Crosspool Sheffield South Yorkshire S10 5DB Lead Inspector
Mrs Janis Robinson Key Unannounced Inspection 26th April 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 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. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Tapton Court Nursing Home Address 63 Tapton Crescent Road Crosspool Sheffield South Yorkshire S10 5DB 0114 266 0648 0114 266 1345 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) None Amocura Limited Janet Oxtaby Care Home 69 Category(ies) of Dementia - over 65 years of age (69) registration, with number of places Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service can admit service users between the age of 60-65 years provided that their care needs can be met. 1st November 2005 Date of last inspection Brief Description of the Service: Tapton Court is a purpose built home situated in the Crosspool area of Sheffield. The home was first registered in 1996. The home provides nursing and residential care for up to 69 older people of both sexes with mental health problems. The home has easy access to local facilities, such as shopping centres, public houses and bus routes. The home is a two-storey building with a passenger lift, and is fully accessible to service users. Communal lounges and dining rooms are situated on each floor. All of the bedrooms are single, and all are provided with en-suite toilet facilities. Sufficient bathing facilities are in place. The home is served by a central commercial type kitchen and laundry. The home has a car park. Current fees range from £341, to £435. Copies of the homes most recent inspection report, and statement of purpose, are available from the home. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced. A site visit took place over 7.5 hours from 8:45 am to 4:15pm. The inspector carried out an inspection of a proportion of the environment. A selection of records were examined, including, care plans, residents finances, complaints, quality assurance, staff training, recruitment and supervision. The manager completed a written questionnaire. Ten written surveys were undertaken by relatives, on behalf of the resident, to give the inspector information on aspects of the home. Eight service users were spoken with, two of whom were able to share their views on living at the home. Three relatives were spoken with. Discussions with the homes area manager, manager and the majority of staff on duty took place. Interactions were observed between staff and residents. The inspector would like to thank the residents, their relatives and the staff at the home for their openness and support of the inspection process. What the service does well:
All of the comments made to the inspector were positive. Residents said the staff were ‘smashing’ and ‘the home is well run’. Relatives were happy with the care provided to their loved one and stated that they had good relationships with the staff at the home. One relative said the care provided was ‘excellent’. The interactions observed and overheard between staff and residents appeared respectful and caring. Staff responded promptly to reassure anxious residents, and spent time chatting to and reassuring individuals. A statement of purpose and service user guide were in place, to provide information about the home to prospective and existing residents. Needs assessments were carried out prior to admission, to ensure identified needs could be met. Relatives and staff confirmed that prospective residents had been able to look around the home and meet other residents and staff before choosing to move in. Staff displayed an understanding of the needs of the resident group, both in interactions observed and during discussions. Care plans were in place for all residents, these set out in some detail the staff action required to ensure all aspects of care were met. Health care was monitored and access to health care professionals was provided, to maintain health. Systems were in place to ensure the safe storage and administration of medication. The interactions observed between staff and service users appeared respectful. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 6 Choices were offered and the routines at the home were flexible. Residents were free to walk around the home. Visitors were welcomed at any time. The visitors spoken with said they were ‘very happy’ with the care their relative received. The homes menu was varied, and choices were offered. Special dietary needs were catered for. The home had a complaints procedure, to ensure any complaint was taken seriously. The staff spoken with were clear about adult protection procedures. The home was well decorated and well maintained, to provide a pleasant environment. Sufficient staff were provided to care for residents. Staff undertook periodic training to keep them up to date. Systems were in place to ensure the safe storage and administration of resident’s monies. All of the people spoken with had confidence in the homes manager. What has improved since the last inspection? What they could do better:
Requirements made at the last inspection in relation to care plans, recruitment procedures and staff training, have been carried forward as further improvement was required to meet standards. Whilst care plans had been improved, further information on the specific staff action required to meet residents individual needs was required. Care staff worked hard to provide some activities, to improve choices and quality of life. However, these were limited. Residents would benefit from additional resources and activities suited to their individual need and interest.
Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 7 The company policy to explore previous work history only ten years prior to employment required expanding to ensure all gaps in work history were accounted for. The recommended 50 of the care staff team qualified to National Vocational Qualifications (NVQ) level 2 in care had not been achieved. Staff supervision, to develop and support individuals, did not take place at the required frequency. Some mandatory staff training was out of date. Whilst a rolling programme of training was in place, some staff required refresher training in infection control and food hygiene to ensure their skills remained up to date. Insufficient staff were trained in emergency first aid to ensure a qualified person was on duty at all times. A comprehensive range of training was provided to staff, however, the manager reported difficulties in motivating some staff to attend these training events. 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. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 8 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 Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 9 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): 1,3 and 5. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the home. A statement of purpose and service user guide were available, to inform residents and their representatives about the home. Assessments of needs were undertaken prior to admission, to ensure all identified needs of the prospective resident could be met. Prospective residents and/or their representatives were able to visit the home prior to admission, to inform their choices. EVIDENCE: Each resident and their representative had been provided with a service user guide and a copy of the homes statement of purpose, to inform him or her about the home. These contained the full range of information required. A copy was on display in the entrance area of the home to enable visitors to read this. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 10 The manager, or deputy manager, carried out detailed needs assessments with all prospective residents and their representatives to ensure identified needs could be met. Copies of social workers full needs assessments were obtained, where available, to provide the home with all relevant information. Families had been involved in the assessment process. The manager confirmed that residents were only admitted to the home once they were sure that they could meet their needs. Prospective residents and their representatives were able to visit the home, have a look around and meet other residents and staff before choosing to move in. Two relatives spoken with said that this was very helpful in deciding which was the right home for their loved one. One relative stated that the staff and managers had been very welcoming and supportive, which helped in their decision. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,19 and 11. Quality in this outcome area was good overall, but further improvements are required to some aspects of standards 7 and 11. This judgement has been made using available evidence, including a visit to the home. Each resident had a plan of care, to inform staff of the actions required to meet assessed need. Further detail was required to ensure all relevant information was recorded. Records evidenced that residents’ health care was monitored, to maintain health. The recording and administration of medication was well managed, to promote residents safety. Interactions observed between residents and staff evidenced that resident’s privacy and dignity was respected. Written policies and procedures were in place regarding dying and death, to ensure residents and their relatives were supported sensitively. However, wishes regarding dying and death had not been sought or recorded, to ensure any specific requests were carried out. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 12 EVIDENCE: The inspector examined three care plans. Some sections of the care plans seen were comprehensive and contained detail of the staff action required to ensure needs were met, for example, methods of communication. Other sections of the plans examined contained insufficient detail to inform staff how to respond to specific behaviour. Resident’s photographs were in place in the plans checked. The plans contained records of health assessments, such as moving and handling and pressure sores. Nutritional assessments were undertaken. Residents and visitors said that health care needs were met. Care plans were reviewed regularly. Qualified staff administered medication. Part of a medication administration round was observed; medication appeared to be administered correctly and safely. Care plans contained information on contacts with health care professionals, such as general practitioners and district nurses. Medication was stored securely. Medication administration records were fully completed and up to date. The details recorded corresponded with the medication stored. Staff were observed to respect service users privacy by closing bathroom and bedroom doors. Staff were seen to knock on doors before entering. Residents were able to choose whether to spend time in their rooms, or in communal areas. Residents preferred form of address was respected. Staff were seen to treat service users respectfully. Staff promptly responded to residents that became anxious in a kindly, reassuring and patient manner. One relative said that staff were ‘always patient and caring’. A policy and procedure were in place regarding dying and death. Relatives spoken with confirmed that they were kept informed of their loved ones health. Discussions with the manager and staff evidenced that residents and their families were treated with dignity at this sensitive time. No records had been undertaken regarding residents’ wishes in relation to dying and death, to ensure these were carried out. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area was good, but further improvements are required to some aspects of standard 12. This judgement has been made using available evidence, including a visit to the home. Some activities were provided to residents by care staff, to improve choice and quality of life. Further activities that reflect specific and individual needs would benefit residents. The routines at the home were flexible and service users were able to choose how to spend their time, in line with health and safety and assessed risk, to maintain and improve the quality of life. An open visiting policy was in operation, in order to develop and maintain good relationships with resident’s representatives. Contact with relatives and friends were supported. The homes menu was varied, and special diets were catered for, to meet residents’ needs and maintain health. EVIDENCE: Care staff provided some activities, but this was limited due to staff time and availability. In addition, staff reported that the majority of residents were unable, or chose not to, participate in planned group activities. Choices would
Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 14 be improved with the introduction of additional activities that were suitable to meet residents’ individual needs. A trip to the coast had been organised by care staff for the month after this inspection. Residents were seen to walk freely around the home. A visitor spoken with said ‘I am always made to feel welcome, and have no concerns at all about the care of my relative, I am very happy with the care provided’. Staff supported residents choices, and were overheard to offer individuals choice of breakfast. The homes menu was varied and choices were offered. One resident spoken with said the food was ‘lovely’. Staff sat with the residents that required assistance with eating, and this support was given patiently and respectfully. The cook was aware of individual residents special dietary requirements. There were plentiful stocks of food, which staff had access to, to provide snacks and drinks during the evening and night, if required. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 15 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. Quality in this outcome area was good. This judgement has been made using available evidence, including a visit to the home. A clear and accessible complaints procedure was in place, to ensure residents’ rights were protected and any concerns listened and responded to. An adult protection procedure was in operation, to ensure residents safety was promoted. EVIDENCE: The complaints procedure was on display in a communal area of the home. This contained relevant information and provided the reader with details of who to contact outside of the home, to ensure any complaints were taken seriously. A record of complaints was kept. No complaints had been received since the last inspection. The staff spoken with were clear about the homes complaints procedure. Staff training in abuse had been identified within the homes training plan, to ensure staff were able to protect residents effectively. Any allegations of abuse were responded to promptly. The staff, visitors and residents spoken with all stated that they had confidence in the homes manager to listen and respond to any concerns raised. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area was good. This judgement has been made using available evidence, including a visit to the home. The home was clean and generally well maintained, to provide a pleasant environment for residents. Control of infection procedures were in place, to promote residents health and safety. EVIDENCE: The inspector carried out an inspection of a proportion of the environment. The home was well decorated and well-maintained, homely touches were provided to create a comfortable environment to residents. A handy person was employed to help maintain the environment. A rolling programme of redecoration and replacement was in place. Several bedrooms and the first floor dining room carpets had been replaced. Funding had been agreed, and plans were in place, to provide thermostats to residents’ bedrooms in order
Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 17 that heating could be individually controlled. The manager confirmed that this work would take place during the summer months, to minimise discomfort to residents. Control of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area was adequate, with the exception of standard 27. This judgement has been made using available evidence, including a visit to the home. Sufficient staff were provided to meet the needs of residents. Some staff undertook NVQ training, to enhance their skills. Recommended levels of NVQ trained staff had not been achieved. The home had recruitment systems in place to protect residents, however, records did not evidence that all gaps in employment history had been explored, to ensure applicants were suitable for the post. A range of training was provided to staff, to improve their skills and enable them to support residents effectively. However, the manager reported a reluctance of some care staff to attend the training provided. EVIDENCE: The rota evidenced that agreed levels of staff were being maintained. One resident spoken with said that enough staff were provided. Two visitors spoken with said they were happy with the levels of staff. Five staff had achieved NVQ level 2 in care, and one care staff had achieved level 3 in care. A further four members of care staff were due to commence
Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 19 the training. This did not meet the recommended minimum of 50 of the staff team trained to NVQ level 2 in care. Induction and ongoing training were provided to staff. The manager had worked hard to improve training records and ensure appropriate training was available to staff. A training matrix and individual training records were maintained, to assist in monitoring the training provided. Whilst relevant training events had been organised, for example in dementia, diabetes, and dealing with challenging behaviour, few care staff had attended these events. This clearly did not meet the needs of residents. Every effort must be made to ensure staff attend the training organised to equip them with the skills needed to provide residents with a good quality of life. Discussions with the homes manager, one relative, and records examined, evidenced that some residents displayed challenging behaviour on occasions, yet only a minimum of staff had attended relevant training provided. Discussions with the manager evidenced a recruitment procedure was in place. Three staff files were inspected. These contained all of the required documentation. However, gaps in employment history were evident in one file examined. The records did not evidence that these had been explored to ensure safe procedures were followed. The recruitment policy in place required that applicants provided previous work history for ten years prior to application. All previous work history must be provided to ensure any potential gaps were identified and explored. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31,33,35,36,37 and 38. Quality in this outcome area was good. However, improvements are required to some aspects of standards 36 and 38. This judgement has been made using available evidence, including a visit to the home. The manager’s leadership approach benefited staff and service users. A quality assurance system was in operation, to obtain and act upon the views of residents, relatives and professional visitors. Systems were in place to ensure resident’s monies were safely managed. Staff supervision systems required improvement, to ensure service users interests were maintained by best practice. Appropriate policies and procedures were in place. Records were stored securely to protect confidentiality. Health and safety systems were, in the main, maintained, to ensure residents were safe. Some mandatory training was required to ensure staff skills remained up to date. Further staff required emergency first aid training to ensure a qualified person was on duty at all times. The system to monitor fire drill training required improvement to ensure all staff undertook the training at relevant intervals.
Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 21 EVIDENCE: All of the staff and visitors spoken with said that the manager was approachable, supportive and a good listener. The manager evidenced that she had identified and prioritised areas for improvement, to enhance the service provided. The manager had completed NVQ level 4 in management and care. Annual surveys were undertaken with residents and/or their representatives, and professional visitors to monitor the service provided and obtain views and suggestions for improvement. The results of surveys were published and on display in a communal area of the home. The surveys examined all made positive comments about the home. Resident’s monies were stored securely. The inspector examined two finance records, the amounts kept tallied with the records held. Informal supervision took place on a daily basis. However, formal staff supervision, to support and enhance staff skills, did not take place at the required frequency. Annual appraisals took place. A range of policies and procedures were in place to promote good practice and ensure resident’s needs were met. Staff had access to all of the homes policies. Records were securely stored. The equipment at the home was serviced and maintained. Fire records evidenced that weekly fire alarm checks took place. Fire drill training took place on a regular basis. However, there was no clear system in place to monitor this and ensure all staff participated in drills at the required frequency. A training matrix had been developed. This evidenced that some staff required refresher training in food hygiene and infection control. A proportion of staff had undertaken training in first aid. Further staff required emergency first aid training to ensure a qualified person was on duty at all times. Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 3 2 Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement Care plans must contain specific detail on the staff action required to respond to specific behaviours. Residents’ wishes regarding dying and death must be recorded. Where this information has been refused, or will be obtained from family at the appropriate time, this must also be recorded. Residents must be provided with a range of suitable social activities and opportunities. 50 of the care staff should be trained to NVQ level 2 in care. Records must evidence that gaps in employment history have been explored. (Previous timescale of 31/01/06 not met). All staff must undertake training in dementia. All staff must undertake training in dealing with challenging behaviour. 6 OP36 18 Staff supervision must take place 01/08/06 at the required frequency.
DS0000021812.V290804.R01.S.doc Version 5.1 Page 24 Timescale for action 01/08/06 2 OP11 15 01/08/06 3 4 4 OP12 OP28 OP29 16 18 18,13 01/08/06 01/10/06 01/08/06 5 OP30 18 01/10/06 Tapton Court Nursing Home 7 OP38 13 (Previous timescales of 01/06/05 and 01/01/06 not met) All staff must be provided with food hygiene training. (Previous timescale of 01/01/06 not met) All staff must be provided with control of infection training. 01/08/06 8 9 OP38 OP38 13 13 A system to monitor and ensure 01/06/06 fire drill training is provided to all staff must be put into operation. Sufficient staff must be trained 01/08/06 in first aid to ensure a trained person is on duty at all times. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tapton Court Nursing Home DS0000021812.V290804.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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