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Inspection on 08/05/06 for The Grove Residential Home

Also see our care home review for The Grove Residential Home for more information

This inspection was carried out on 8th May 2006.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home`s staff work as a good team, care for the residents with good humour and attentiveness and are appreciated by the residents. Medication procedures are good and comply with the Royal Pharmaceutical Society`s code of practice.

What has improved since the last inspection?

What the care home could do better:

Authority for the use of bedrails has not been obtained for any resident. The file containing a record of any complaints received at the home was not available at the inspection. These must be available for examination by the inspector. The cleanliness and tidiness of the home is let down by the poor maintenance of the fabric of the building, many areas of which are in need of repair or redecoration, as will be described in the main body of the report. Some equipment is in need of repair or replacement or has been left faulty for some time, leaving the residents vulnerable and the staff at risk of injury, as was the case with the hoists. Although the acting manager stated that a comprehensive induction programme checklist and new employee starter book is given to new staff,staff say that new recruits are not shadowed by more experienced staff, leaving both residents and the new staff at risk of harm. Staff supervisions have not taken place although staff say that the manager supports them in their day-to-day work and encourages a good training uptake. Staff files and some other records were not available for inspecting as the acting manager was not present during the site visit. The acting manager stated that the new administrator is in the process of re-arranging them into a better order.

CARE HOMES FOR OLDER PEOPLE The Grove Nursing Home 14 Church Road Skellingthorpe Lincoln Lincs LN6 5UW Lead Inspector Vanessa Gent Key Unannounced Inspection 8th May 2006 16:00 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 The Grove Nursing Home DS0000060330.V292790.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. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Grove Nursing Home Address 14 Church Road Skellingthorpe Lincoln Lincs LN6 5UW 01902 737170 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) Guardian Care Homes (UK) Limited Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (1) of places The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide nursing and personal care for service users of both sexes whose primary needs fall within the following categories:Old Age, not falling within any other category (OP) (25) 1 bed in category PD is for a service user as named in the Preregistration letter dated 23 March 2006. The maximum number of service users to be accommodated is 25. 2. 3. Date of last inspection 18th January 2006 Brief Description of the Service: The Grove, which is owned by Guardian Care, is a two storey, Grade II listed country house, with a single storey extension, situated on the outskirts of Lincoln. Local facilities, including the parish church and village shops, are within walking distance of the home. The home is registered to provide personal and nursing care for up to twentyfive residents of both sexes over the age of 65 years. The residents are housed in thirteen single rooms, of which one is ensuite and six shared rooms. Communally, there is a large lounge, a dining room, three bathrooms, one shower-room and seven toilets. The home is pleasantly decorated throughout, with some residents rooms containing their own furniture and ornaments. The grounds are beautifully maintained to provide a tranquil outdoor area and there are ample car parking facilities. The home’s statement of purpose states that ‘we aim to provide a comfortable, homely environment in which care is provided by skilled staff to a standard that is acceptable and desirable’. According to the acting manager at the time of the inspection, the fees range from £315 to £439. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit, lasting four hours, was made to the home as part of a key inspection. Information already held on file was used to plan the visit. This included the monthly reports sent to the CSCI office by the provider, the last inspection report and survey forms from residents and relatives. This site visit focused on the standard of care provided through the key inspection standards and checked whether requirements from previous inspections had been met. A partial tour of the home and a sample of records were examined. The main method of inspection used is called ‘case-tracking’, which involves selecting a proportion of residents, and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. Three residents’ assessments and care plans were examined, the residents or their representatives were spoken with and their rooms were inspected as part of the case-tracking process. The four staff on duty plus the nurse in charge of the shift, several of the nineteen residents and one relative were spoken with. Staff were observed in their handling of and dealing with residents both in the lounge and at the mealtime. Eight survey forms commenting on the service were received from residents and one from a relative. Most contained positive comments on the service provided, with the majority saying how staff give an excellent service. Only two had mildly negative comments; these will be mentioned in the main body of this report. What the service does well: The home’s staff work as a good team, care for the residents with good humour and attentiveness and are appreciated by the residents. Medication procedures are good and comply with the Royal Pharmaceutical Society’s code of practice. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? The home has had a new acting manager since March 2006, who has put many improvements into place and given support and encouragement to the staff. This has improved the quality of care given, as testified by a relative spoken with at the site visit. The requirements from the previous inspection that have been acted upon are as follows: • A third of the staff team have received training to safeguard vulnerable adults from harm or abuse. Further training in this course have been organised and booked. All but two radiators have been covered in an attractive framework; the remaining two are waiting to be re-fitted. The thermostats of all radiators are said to be on order to be replaced throughout the home. The home now has a full compliment of care staff. No agency care staff has had to be used since the new acting manager started. Sufficient extra staff are available for some to be used as bank staff. A training manager provides and monitors the basic training programme of all staff. The responsible individual visits the home, unannounced, every month and monitors the service provided. • • • • What they could do better: Authority for the use of bedrails has not been obtained for any resident. The file containing a record of any complaints received at the home was not available at the inspection. These must be available for examination by the inspector. The cleanliness and tidiness of the home is let down by the poor maintenance of the fabric of the building, many areas of which are in need of repair or redecoration, as will be described in the main body of the report. Some equipment is in need of repair or replacement or has been left faulty for some time, leaving the residents vulnerable and the staff at risk of injury, as was the case with the hoists. Although the acting manager stated that a comprehensive induction programme checklist and new employee starter book is given to new staff, The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 7 staff say that new recruits are not shadowed by more experienced staff, leaving both residents and the new staff at risk of harm. Staff supervisions have not taken place although staff say that the manager supports them in their day-to-day work and encourages a good training uptake. Staff files and some other records were not available for inspecting as the acting manager was not present during the site visit. The acting manager stated that the new administrator is in the process of re-arranging them into a better order. 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 Grove Nursing Home DS0000060330.V292790.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 The Grove Nursing Home DS0000060330.V292790.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): 3, 4 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home confirms accommodation and care after assessing prospective residents to ensure they can meet their needs. EVIDENCE: One person commented that they had looked at other homes before deciding on “The Grove”. A relative said that the district nurse had told them that it was one of the best homes in the area for nursing care. All residents who have been admitted since the last inspection have been assessed by qualified staff before being offered a place. A letter offering the prospective resident a place in the home is sent to inform them that the home can meet their needs. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 10 Care plans examined demonstrate that senior staff visit and assess new residents and that the home informs the resident or relative of the home’s ability to meet the needs of the resident. The Grove Nursing Home DS0000060330.V292790.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, 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Care plans are comprehensive enough for staff to provide the care needed by the residents although relatives are still not given the opportunity to be involved in the process. The home’s nurse-trained staff support and assist the carers to provide good care with dignity and respect for the residents at all times. EVIDENCE: Care plans are comprehensive documents, with risk assessments, care plan issues, health needs assessments and a social history in place, to enable staff to understand the care needed by the residents. Some minor ‘tweaking’ and re-arranging would put them in an order that would make them easier for staff to read. Parts of each care plans are reviewed monthly although not always all the care plan issues. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 12 A relative spoken with has not been involved with the care plans at any stage although would have been had they had the opportunity. The trained nurses on the staff team provide support and care for residents with complex nursing needs. Specialist equipment including pressure-relieving mattresses and cushions are in use. Medication practices were seen to be adequate for safe administration. Nurses administer the medications and were seen to sign for medicines after having been given to the resident. Residents say they are treated with respect and dignity at all times and that the staff are lovely. The Grove Nursing Home DS0000060330.V292790.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, 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents are mostly satisfied with the activities and food provided, although these are fairly limited in choice. Relatives are included in the life of the home when they visit and residents have a reasonable degree of choice in their lives. EVIDENCE: A comment on the resident survey cards stated, “The only quiz night was enjoyable!” One relative said she was not aware of any activities but remembered someone asking her mother what she was interested in doing. Activities have been excellent at previous inspections but the activities organiser has been asked to take on caring duties so activities are not provided to the same extent as they were previously. However, most residents say they are happy with the level of activities provided. Previous inspections showed that there is good involvement from relatives and people within the community in the home. One relative said they were treated as well as the resident when they come to visit. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 14 Residents say they can choose what they want and how they want to be cared for in all aspects of their lives. A resident commented “The food is excellent here” and other residents confirmed this. Residents, at previous inspections, have said how good the food is and although the choice is limited, it doesn’t bother them, as the chef knows what they like and they can have something different if they want it. The monthly, unannounced visit by the regional manager for the company undertaken in March 2006 states that the cook keeps a diary of food consumed by residents, as required at the last inspection. The Grove Nursing Home DS0000060330.V292790.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, 18 Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. Although the residents know how to make a complaint, they may be at risk of harm until the home has taken measures to train all staff in how to protect them. EVIDENCE: Survey replies mostly said the residents know how to make a complaint. The manager stated that no complaints have been received since the last inspection although the home’s complaint file was not available to examine at the inspector’s visit to the home. One relative commented in the survey comment card and at the site visit that they have at times made minor complaints but these, including the state of the cleanliness of some of the furniture, have always been attended to without hesitation. Ten of the thirty staff have received training in Adult Abuse Awareness. Others are booked on courses although this does not account for all the staff working in the home. Authority for the use of bedrails has not been signed for in the care plans. The inspector discussed this issue with the person in charge of the shift and it was The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 16 agreed that authority would be obtained from the resident or their representative and kept in the care plans. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 17 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, 22, 25, 26 Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. The cleanliness and tidiness of the home is let down by the poor maintenance of the fabric of the building and equipment. EVIDENCE: Comments made in the survey sheet said, “The home and gardens are always tidy”; “It’s lovely here”. One negative comment stated that the room could do with painting and this was borne out by the tour of the premises where poor maintenance was found to let down the overall attractive appearance of the home. Some sash windows in the older part of the building are stuck or can only be moved with difficulty and are a danger to the staff operating them. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 18 At the previous inspection, the inspector had noted and recommended that the working conditions in the kitchen were made difficult for staff because the air extraction system in the kitchen was faulty. This has not been corrected or improved and staff say that working conditions there are still extremely uncomfortable, with temperatures rising, at times, to over 28°C. Some of the equipment has been faulty and not repaired for the necessary use by staff on the residents, such as the hoists. One hoist was out of order for some weeks and no replacement was provided, leaving a resident to have to stay in bed in their room for several days until the staff finally moved him manually, for ten days, against health and safety principles and training. At present, there are two hoists, one for each floor and only one stand aid for the whole building. More hoists have been obtained but are not in use until they have been checked for safety purposes. Most radiators have now been covered, although one covered the temperature controls and neither the staff nor the resident can control the temperature of the radiator. The person in charge said that new thermostats for every radiator in the home are on order. During the tour of the premises, it was found that chemicals were stored in an unlocked facility. Although the room is not in close proximity to where residents go, it is necessary to keep the items where no-one can gain access to them until required for use. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 19 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, 29, 30 Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. Although sufficient staff are on duty at any time and staff have received mandatory training, the lack of comprehensive induction of new employees may put residents at risk of harm. EVIDENCE: One comment made was that the staff are very understanding; the regular staff are very good and there are always staff available when they are needed. Other residents said, “They give us our every need”; “The staff are lovely”; “The staff – they’re marvellous”. “They’ll do anything for you”, “A nice, cheerful bunch”. A relative commented that they have never had any complaints about the home and that the staff are very good; nothing is too much trouble. Another relative said that they “couldn’t praise the home highly enough. They not only look after the resident but also his wife when she visits”. Staff said that the induction process is inadequate to safeguard the residents and the new staff themselves. New staff are given an induction booklet to follow over a period of time which is checked by the manager or senior staff. However, staff say that new staff do not shadow a senior staff member for The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 20 more than one or two shifts after commencing their job and therefore do not know how to care for residents appropriately or safely. Staff files were not available for examination at the time of the site visit. Staff say the training programme is very good, with a company training manager to support and encourage them. They say that many training courses have been made available and the acting manager also encourages them to attend. Staff spoken with said that they are up-to-date with mandatory training although the staff files were not available to support this. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 21 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, 37, 38 Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. Although improvements have taken place in some areas, these need to be more robust to safeguard the residents and staff at all times. EVIDENCE: The new acting manager now in place is a trained nurse and has had many years of managerial experience. Staff say he is good at dealing with any staff relationship issues and speaking up on their behalf over pay queries. A relative said that some minor complaints taken to him were dealt with appropriately. Some staff said that he is fairly approachable. Regular monthly visits to the home were made by the Regional manager up to June 2005 and from January 2006 to the present. Copies of these have been The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 22 received at the CSCI office. These reports include a tour of the building and speaking with residents, relatives and staff. Complaint, resident finance and staff records were not available at the site visit. Maintenance and other records have been seen at previous inspections and were adequate. Improvements have been made in some areas of health and safety such as doors were not seen propped open at the site visit and the hoists were in working order. However, not all health and safety measures are robust – chemicals are not all stored safely; the kitchen is in need of urgent renovation and the lack of Adult abuse awareness training for all staff may put residents at risk of harm. And although the hoists were in working order at the site visit, they had not been for several weeks prior to the inspection, causing staff to risk their health and the residents’ safety and cause the residents distress and discomfort. The manager did not notify the Commission of there not being enough working hoists, for how long or how the situation was managed as required in Regulation 37 of the Care Regulations Act. Although the event had been mentioned briefly in the resident’s daily records, it had not been recorded in the resident’s care plans nor a risk assessment drawn up of how staff should manage the situation. The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 23 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 17 X 18 2 2 X X 2 X X 2 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 2 2 The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 24 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. 2. Standard OP16 OP18 Regulation 22.8 13.6 Requirement The home’s complaints file must be maintained by the home for examination at any time. Adult protection training must be undertaken by all staff to keep the residents safe from harm. (Timescale of 28/02/06 not met.) All parts of the home, including the kitchen, must be in a good state of repair and the equipment in good working order, to provide staff with suitable and safe conditions to work in. (Timescale of 30/04/06 not met.) All equipment for the moving and handling of residents must be maintained in good order at all times. All staff, including new employees, must have skills, training and ability to meet needs of the residents. (Timescale of 31/03/06 not met) Staff supervision must take place on a regular basis to ensure that the care provided by staff is appropriate to the needs of the DS0000060330.V292790.R01.S.doc Timescale for action 31/05/06 08/07/06 3. OP19 23.2 30/06/06 4. OP22 23.2 31/05/06 5. OP29 18.1 30/06/06 6. OP36 18.2 31/07/06 The Grove Nursing Home Version 5.1 Page 25 7. OP37 17.1,2 8. OP38 16.2, 23 residents. (Timescale of 30/04/06 not met.) Records including the complaints file, staff records and any other record requested by the inspector, must be available for examination at all times. COSHH materials must be kept in locked facilities to keep them from the reach of residents. (Timescale of 28/02/06 not met.) 30/06/06 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations It is recommended that residents’ views be obtained for the quantity and variety of activities they would like to participate in. It is recommended that the air extraction system in the kitchen should be suitable for staff to work in comfortable conditions. (This was recommended at the previous inspection.) It is recommended that staff supervision should take place six times a year for all staff. 2. OP19 3. OP36 The Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Grove Nursing Home DS0000060330.V292790.R01.S.doc Version 5.1 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!