Inspection on 27/07/06 for The Ellenborough Nursing and Residential Home

This inspection was carried out on 27th July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Ellenborough Nursing and... 08/08/07

The Ellenborough Nursing and... 06/12/05

The Ellenborough Nursing and... 16/02/05

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Fairfields Country Rest Home

Poldhu

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Didsbury Court Rest Home

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE The Ellenborough Nursing and Residential Home 9-11 Neva Road Weston Super Mare North Somerset BS23 1YD Lead Inspector Barbara Ludlow Key Unannounced Inspection 27th July 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Ellenborough Nursing and Residential Home DS0000062713.V301242.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. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Ellenborough Nursing and Residential Home Address 9-11 Neva Road Weston Super Mare North Somerset BS23 1YD 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) 01934 621006 01934 621006 Ellenborough Care Limited Ms Susan Jane Welsh Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. May accommodate up to 31 people aged 65 and over requiring nursing care. May accommodate two named persons under the age of 65 years. Home will revert when named persons leave. Staffing Notice dated 04/04/2001 applies. Manager must be a RN on part 1 or 12 of the NMC register. Mrs Welsh to attend POVA training by 28th February 2008. Mrs Welsh to attend person centred planning training by 30th March 2005. 6th December 2005 Date of last inspection Brief Description of the Service: The Ellenborough Nursing and Residential Care home is owned by Mr and Mrs Yilmaz (Cedars Care Group) since November 2004, operating under the name of Ellenborough Care Limited. The home accommodates residents of 65 years or older who require nursing or personal care. The home is an attractive Victorian building conversion of two detached properties. The accommodation is arranged over two floors with a passenger lift or chair lift for access. The majority of the rooms offer en-suite facilities with 15 en-suite single rooms and 5 en-suite doubles. There are two separate lounge areas and two separate dining areas. The home accommodates residents who smoke with a designated smoking area overlooking the rear garden. It is close to local amenities and public transport, bus and rail are within easy reach. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key standard inspection was undertaken by B Ludlow for CSCI. The homes Deputy Manager, a Registered Nurse in charge of the home during the morning with the Registered Manager on duty during the afternoon. A tour of the premises was made and service users and staff were seen and spoken with. Records including care plans were sampled and the requirements made at the last inspection were discussed and the action taken was verified. The homes administrator assisted with accessing relevant records. The inspection was well received and all staff were helpful throughout the day. The current maximum capacity is 30 places as one double room is used as a single room. 26 service users were in residence, 19 nursing and 7 residential category service users. All were seen, a number were spoken with for comment on the experience of living at The Ellenborough Nursing and Residential Care Home. The home was generally clean, tidy and hygienic. Two bathroom remained out of use and the maintenance programme continues. Redecoration of bedrooms as they become vacant is progress. There is a registered nurse on duty at all times. 60 care staff hold an NVQ Level 2 or above, qualification. Staff and service user interactions were observed as kindly and appropriate. Lunch was seen served in the residential wing dining room, 8 service users were having lunch together. The menu was soup from a choice of two, followed by pork and apple burger or fish fingers and a choice of dessert, which included fresh fruit salad. Positive responses were relayed to CSCI from the service user feedback forms about the food. The pre inspection questionnaire had been fully completed and returned to CSCI prior to the inspection, service user and visiting professional’s feedback via questionnaires had been sought and 5 were returned. Feedback was given to the Manager at the conclusion of the inspection day. What the service does well: The home is well managed and has a competent staff group. The home has 60 NVQ qualified care staff, this exceeds the National Minimum Standard 28 by 10 . The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 6 The service users experience and that of the relatives responding on their behalf was very positive. Praise was heard for the care and service delivered. The home has good relationship with the community health services and positive feedback was received from a G.P practice. The home has a relaxed and friendly atmosphere. What has improved since the last inspection? What they could do better: Medications management indicated some areas for improvement and remedial attention. The medications fridge thermometer should be replaced with a minimum / maximum style and accurate recording must be taken and recorded each day. Remedial action must be taken if the fridge temperature dips to freezing, (0 degrees Celsius) or below. NMC guidelines for countersigning hand transcribed entries on Medication Administration Record (MAR) charts should be made as best practice. Any Oxygen cylinders stored should be safe and secure at all times. Some equipment was identified for attention. Recruitment was satisfactory for the majority but one member of staff had been accepted to work at the home without a CRB or PoVA First check having been received. This practice is unacceptable and must not reoccur. The Manager was to raise this with the recruitment company used by the home and that support the supervised practice of this member of staff. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 7 A number of health and safety issues were identified and further refurbishment needs to be made; these are documented in the report and in the requirements and recommendations made. 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 Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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 The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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): 2,3,4,5, NMS6 does not apply The outcome for this area was good. There is service user information available for an informed choice of care home to be made. Pre admission assessments are made to ensure the service users needs can be met at the home. The home’s contract and information given to service users is clear. EVIDENCE: All service users asked stated that they had received contracts, the administrator informed the inspector that contracts are issued to private service users and an example was seen. Social service contract and a copy of the homes terms and conditions is available to publicly funded service users, the Registered Nurse Care Contribution is not clearly identified on the social services contract. Service users responding to the questionnaire confirmed that they received information about the home before making it their choice. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 10 Costs for extras were reported to be hairdressing, chiropody services, newspapers and taxi / transport costs. Transport costs were seen on a filed letter that had been issued to a service user. Fee levels range from £336.65 for personal care only to £ 530.00 for nursing care. The North Somerset social service rates are accepted which include the Registered Nurse Care Contribution (RNCC). Privately funded service users RNCC is paid by North Somerset Social Services directly to the company head office in addition to the fee collected. Pre admission assessment is made to ensure care needs can be met at the home, care plans supported this. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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): 7,8,9,10 The outcome for this area was adequate. Care plans were in place. Health care needs are supported at the home. Medications management could be improved; requirements and recommendations are made at this inspection. Service users confirmed that they are treated respectfully. EVIDENCE: All service users had a care plan. Care plans were sampled for review and risk assessments, those seen were satisfactory. No service users were reported to have pressure sores. Positive responses were made to the CSCI questionnaire sent to service users about the care and support given at the home. All interactions observed and heard between staff and service users were kind and appropriate. The home receives fortnightly visits from the local G.P practice. Service users can be seen and medications reviewed at these regular visits. The response to CSCI from the GP practice was positive. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 12 The medication management was examined. There is photographic identification of service users on the Medication Administration Records (MAR) charts. Three hand transcribed entries were seen that did not have a signature, a second or counter signature for hand transcribed entries by a competent other, is recommended as good practice by the Nursing and Midwifery Council, (NMC) to validate the entry as accurate. Controlled medication management was satisfactory. The medications fridge temperature monitoring was showing unacceptable temperature variations, 0 degrees Celsius down to –9 degrees Celsius and it was unclear if this was due to the inaccuracy of the thermometer readings. The purchase of a minimum / maximum thermometer to monitor the fridge temperature more accurately was discussed. Close monitoring of the fridge is required and should the fridge temperature drop to 0 degrees action must be taken to replace temperature sensitive drugs such as the insulin. The home did not have a homely remedies policy, North Somerset PCT has recently issued one, this should be obtained and agreement sought for its use from the relevant G.P services used by the home. One oxygen cylinder was seen in the nurse’s office storage area, this was not secured, this must be stored in a secure and safe manner; this was brought to the attention of the Homes Deputy at the time of the inspection. The suction was stored wet and was not PAT labelled as checked for safety, this required attention and the Manager was alerted to this. This equipment must be safe to use if required in an emergency. The service user weigh scales did not have a recent calibration date sticker; the scales should be calibrated if overdue. Three pots of skin creams were seen in bedrooms that did not have an opened date / discard by date to inform when date expired. Others were seen that were labelled. All care plans were stored safely, very tidily and were accessible to staff in the nursing office. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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): 12,13,14,15 This outcome for this area has improved and was assessed as good. The home offers a range of activities and now has a dedicated activities member of staff two afternoons per week. Friends and family are welcome. Service users are able to exercise choice in their daily lives. EVIDENCE: The home now has a dedicated activities person working two afternoons each week. A range of activities are offered, this will include a trip out which is being organised at present. The inspector was informed that One to One trips out are organised too. The pre inspection information identified musical entertainment, Bingo, a clothes party; all in house events. Salvation Army events in the community and college courses. It has previously been noted that there are residents accommodated with learning disability and mental health concerns. Their needs are regularly monitored involving other health and social care professionals and social aspects of daily living must continue to be closely monitored. See NMS 38. The manager is aware and is actively seeking support from social services. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 14 No concerns were raised about the food or catering process. This standard was met at the last inspection. Religious worship would be supported. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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 The outcome for this area is good. The home actively investigates complaints and concerns raised at the home. One recent investigation was well managed and CSCI were fully informed. One CRB PoVA First was not obtained when the member of staff commenced work at the home. See NMS 29 EVIDENCE: The home has a complaints policy and procedure. This was followed recently and action was taken that resulted in a thorough investigation of concerns raised at the home, this was satisfactory and CSCI were made fully aware. CSCI have not received any concerns or complaints about this home. One CRB / PoVA First check was outstanding when recruitment files were examined. See NMS 29, this could impact on service user safety and must not reoccur. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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, 20, 21, 22,25,26 The outcome for this area was assessed as adequate. The home was suitably adapted to meet the needs of service users. The home is being steadily redecorated and is improving. The bathing facilities need further consideration and a small number of environmental health and safety issues were raised at this inspection. Access to hand washing facilities should be improved. EVIDENCE: A tour of the premises was made. The home was generally clean and tidy and had been suitably adapted to meet the needs of the registered client group. The building has appropriate fire detection and safety equipment in place; records seen demonstrated that servicing and weekly checks are made. The home has two bathrooms that have ‘medibaths’ that are no longer used; one bathroom has been used for storage for some time making the toilet The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 17 inaccessible also. This bathroom should be de-cluttered to make the hand wash facility accessible. The second bathroom is used for storage of chemicals and vases and has a very poor floor covering; this room should be kept locked. An alternative proposal should be made to CSCI for the use of these facilities. There was an expectation that homes registered pre 2002 retain the level of bathroom facilities they had at that date. One sluice does not have a hand wash facility, an alternative gel dispenser should be considered for good hygiene practice. Access to hand washing facilities in en-suites should be improved and waste bins should be available and appropriate in design for their application, for example, foot operated flip top style in the sluice room and where staff hand wash and dispose of used gloves. Four bedrooms have been redecorated and the redecoration programme continues as rooms become vacant. The work has been tastefully done and those seen all looked very nice. Service users asked were satisfied with their accommodation. Two carpets were identified that needed to be sufficiently cleaned or replaced. Bedrooms can be personalised, one appeared cluttered making it difficult to keep clean. One service user had chemicals that needed to be stored in line with COSHH, suitable or alternative storage area must be found for this in line with COSHH guidance. A number of radiators are not covered and should be individually risk assessed in preparation for when the heating is switched back on. First floor windows were seen that had been de-restricted in opening, these should also be risk assessed and remedial action taken where necessary. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 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): 27,28,29,30 The outcome for this group was good. The home has a stable staff team and staff numbers appear sufficient. Staff training is provided. One recruitment deficit was identified. NVQ qualified care staff being 60 of the workforce exceed the NMS 28 by 10 EVIDENCE: The home has a sufficient staff number on duty to provide care. There are staff for catering, domestic cleaning and laundry. The home has an administrator and a maintenance person. All identified new starter CRB / PoVA First records since the last inspection were checked. The home takes student nurses for adaptation, one recruitment file was identified where a delay in the CRB /PoVA First application process had led to a student commencing work before the PoVA check was returned. This is unacceptable practice and must not reoccur. The Manager agreed to raise this with the training organisation tutor responsible for student placement. A total of 12 staff CRB / PoVA First checks had been made and evidence of these was seen. The home has a 60 NVQ qualified staff, staff are continuing to progress from NVQ 2 to 3 and the home Manager and Deputy are undertaking the NVQ Level 4 Registered Managers Award. There are currently 2 adaptation nurses employed as carers and students as the home. The staff cloakroom is in a corridor, this should be reviewed. The Ellenborough Nursing and Residential Home DS0000062713.V301242.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 The outcome for this area was adequate. The home has an experienced and qualified management team. The management of contracts and finances is good. Records are stored securely. The best interests of service users are considered. A number of health and safety issues were identified for attention. EVIDENCE: Sue Welsh is the homes Registered Manager she is an experienced Registered General Nurse, currently on the Registered Managers Award course. The home is well managed. The current registered Manager has the support of a Deputy Manager and the homes Administrator. The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 20 Records and administration processes were well organised and up to date. Regulation 26 visit records were seen for the past three months, these were carried out by the proprietor. There are plans for a service user meeting on August 1st and a service user satisfaction survey. An employee satisfaction survey is also planned. This is good practice and will add to the quality monitoring at the home. The home has underpinning policies and procedures in place to protect the service users from harm. The diversity of care needs from the client group mix require a high level of management skill; it was the inspector’s impression that this demand is being met. The CSCI Certificate of Registration for the home dated November 2004 was displayed. A copy of the homes current employers liability insurance was also displayed. Fire equipment and safety checks were seen, these were up to date. The items identified under medication management, the environment and infection control require attention as these impact upon the health and safety of service users and staff at the home. Generally the home is moving forward and the attention to the maintenance was evident in the records seen and the work in progress. The Ellenborough Nursing and Residential Home DS0000062713.V301242.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 3 X X 2 2 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 X 3 1 The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13(2) Requirement The fridge temperature must be recorded accurately and the fridge maintained within a safe range (2 to 8 degrees Celsius) Creams must be labelled with a discard by date. Oxygen must be stored in a secure and safe manner. 2 OP38 13(3) Medical suction equipment must be stored more appropriately and be checked for safety. 28/08/06 Timescale for action 28/08/06 3 OP26 23(2)(d) Stained carpets in one en suite 29/09/06 and one bedroom carpet must be sufficiently cleansed or replaced. Call bell to one toilet was absent. 29/09/06 (The socket for this was on the ceiling and was left exposed, this is to be repaired). This was required at the last inspection by 06/01/06. (Identified as the staff toilet.) Service users who have domestic 28/08/06 chemicals in their room by DS0000062713.V301242.R01.S.doc Version 5.2 Page 23 4 OP22 OP38 23 (2)(c) 5 OP38 13(4)(a) and (c) The Ellenborough Nursing and Residential Home 6 OP38 OP25 13(4)(c) 7 OP38 13(4)(c) choice must be encouraged to store these COSHH labelled chemicals securely and safely in their rooms; risk assessment and COSHH product data must be available to staff should an emergency or accident occur. Uncovered radiators in bedrooms must be risk assessed for the current resident prior to the heating being switched back on. Where identified as high-risk radiators and hot surfaces must be covered. Widely opening windows above ground floor height must be risk assessed and remedial work undertaken to address any identified hazard. 15/10/06 18/09/06 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 2 3 Refer to Standard OP9 OP38 OP19 Good Practice Recommendations The North Somerset PCT Homely Remedy Policy should be obtained for the Homes attending G.P’s to consider implementing for their patients in residence. The patient weigh scales should be calibrated at regular intervals; this should be undertaken if overdue. The redecoration and maintenance schedule should address and include renewal of bedroom furniture such as the vanity unit in poor condition and the worn bed base identified at this inspection. The staff cloakroom facilities should be reviewed. An alternative proposal should be made to CSCI for the use of the ‘medibath’ facilities. (There was an expectation that homes registered pre 2002 retain the number of bathroom facilities they had at this time.) 4 5 OP38 OP21 The Ellenborough Nursing and Residential Home DS0000062713.V301242.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Ellenborough Nursing and Residential Home DS0000062713.V301242.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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