Inspection on 19/12/07 for The Nunnery

This inspection was carried out on 19th December 2007.

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

The inspector 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 Nunnery 13/01/09

The Nunnery 15/05/07

The Nunnery 17/01/07

The Nunnery 20/04/06

The Nunnery 23/11/05

The Nunnery 13/04/05

The Nunnery 29/10/04

The Nunnery 23/05/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

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

CARE HOMES FOR OLDER PEOPLE The Nunnery 14 Denmark Street Diss Norfolk IP22 4LE Lead Inspector Lella Hudson Unannounced Inspection 19th December 2007 09:30 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 Nunnery DS0000036034.V356796.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 Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Nunnery Address 14 Denmark Street Diss Norfolk IP22 4LE 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) 01379 643201 01379 642649 thenunnery@aol.com Mrs Jane Wentford Not applicable Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (22) The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old age, not falling with any other category (OP), twenty two (22) of either sex. 15th May 2007 Date of last inspection Brief Description of the Service: The Nunnery is situated close to one of the roads leading from the market town of Diss. Gardens to the rear slope steeply down the banks of the Mere, and there are panoramic views across the water to the town. The street frontage and main building is old, and there is a newer extension to the rear. A shaft lift provides access to the first floor. There is a lower ground floor (as a result of the sloping site), which is accessible via stairs or a stair lift. The home is registered to provide care for 23 people, and three of the rooms would be double. These rooms are currently being used for single occupancy as these residents do not wish to share. The current fees range from £340 to £520 per week. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report contains information that has been gathered about the service since the last Key Inspection which took place in May 2007. An unannounced visit to the Home was carried out on the 19th December 2007 and as the Proprietor was not available a further visit was carried out on the 2nd January 2008. Information was gathered from surveys which were sent to clients, staff and health/social care professionals. Information was provided by the Manager within the completed Annual Quality Assurance Assessment and during the second visit to the Home. During the visits to the Home the Inspector spoke to residents and staff as well as taking a look around the premises. Following the first visit to the Home the Proprietor was provided with some feedback about the Inspectors concerns about the lack of heating in some areas of the Home. Despite this feedback and a letter being sent which confirmed the seriousness of the matter it was noted during the second visit that little improvement had been made to the heating situation. This situation will continue to be monitored and if satisfactory improvements are not made within reasonable timescales then enforcement action will be taken. What the service does well: What has improved since the last inspection? The Proprietors record keeping has improved Training continues to be provided on a regular basis The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Effective assessments are carried out prior to residents moving into the Home so that the staff are aware of how to meet their needs EVIDENCE: The assessments were seen for the two residents who had recently moved into the Home. These are detailed and provide information to staff about how to meet the residents needs. Staff said that they feel that they have enough information to provide good support. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The care plans lack detailed information in some cases and so do not provide staff with clear guidance about how to meet the residents needs. The dignity of some of the residents is compromised by the lack of attention to the way they are dressed and poor hygiene EVIDENCE: A selection of care plans were seen and these contain a lot of information including details about how specific needs should be met. However, there are some examples of risks that had been identified but for which there are no detailed guidance/care plans about how to meet these needs. For example, a resident was assessed as being at high risk of pressure sores but there was no care plan in place. One of the care plans contained conflicting information as it states that the resident is “chair bound” and later states that they use a walking frame. The care plan format is one which is computer generated and so some of the care plans seem rather formulaic rather than individualised. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 10 The staff said that they have read the care plans and that they are kept informed about when they are updated. The staff are responsible for completing daily notes for the residents. These are completed in a basic way. It is required that the care plans contain detailed guidance for staff about how to meet individual residents needs. The Commission has received two complaints within the last six months about the care at the Home. Both complainants stated that, on occasions, the residents look uncared for. During both visits to the Home it was seen that there was a lack of personal care being provided to the residents. For example, several of the female residents did not have any tights on and their hair needed brushing. Several residents were seen with food on their clothes and in need of assistance with personal care after mealtimes. The issue of appropriate clothing was raised in the last report and clearly the situation has not improved. It is required that the dignity of the residents is respected. The views of the residents are mixed with regard to the care that they receive. All said that the staff work hard but that they are very busy. Some said that they have to wait quite a long time for assistance whilst others said that staff provide assistance promptly when asked. The comment cards from the GPs both stated that they feel that the staff can meet the needs of the residents and that they have not received any complaints about the Home. The views of other health/social care professionals are not as positive about the Home and indicate that there is a lack of confidence in the staffs ability to consistently meet the needs of the residents. The Inspector spent some considerable time sitting in the lounge/dining room either talking to residents or looking at records. Staff spent little time in this room with residents unless they were assisting at lunch time or providing drinks. Several of the residents spend the majority of their time in their bedrooms and so staff are required to provide support around the Home. It was noted however, that staff take their breaks at the same time. On both visits to the Home staff were sitting together in the staff room, reading the paper or watching television. Although the staff room is accessible to residents it is located away from the lounge/dining room and the majority of the bedrooms. It is recommended that staff take their breaks at separate times so that there are always staff available to assist residents. The system for the administration of medication was explained by a member of staff. Medication is stored in a suitable locked trolley and records are kept as required. The minutes of staff meetings show that the system is monitored by the Proprietor and any problems are discussed with staff. The insulin pen The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 11 belonging to one of the residents was on a tray in the medication trolley. There was no indication as to which resident it belonged to and the tray was very dirty. It is required that all medication is suitably labelled so that it is clear who it belongs to. It is required that the medication trolley is kept clean. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Some activities are provided but this could be further improved Residents enjoy their meals. They are offered choices at mealtimes but choice should be improved with regards to the choice of drinks and snacks. EVIDENCE: The residents surveys state that there are always activities and the notice boards in the lounge indicate that regular games take place and that over Christmas there were several community groups who came to the Home to provide entertainment. There are books around for residents to read. No organised activities were seen taking place on either of the visits to the Home and residents were left alone in the lounge. Some were reading the paper/books whilst the majority were sleeping. The Proprietor said that staff are able to take residents into the local town if they wish to go but it is difficult to see how this would be able to happen based on the current staffing levels. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 13 Feedback from relatives is mixed in their views about whether the Home keep them well informed about the needs of their relatives. Residents told the Inspector that they are able to have visitors at any time. At the time of admission residents are given the choice of being referred to an independent advocacy service and there are posters showing their contact details on display around the Home. This is good practice. Residents said that they enjoy their meals and that these have improved since the new cook has started working at the Home. The cook goes to see all of the residents each day to ask them what they would like from the next days menu. If residents do not wish to have one of the main meals on the menu then they are able to choose from a range of other meals such as soup, sandwiches, omelettes, jacket potatoes. The majority of the residents have their breakfast in their bedrooms. Residents have the choice about whether they have other meals in their room or in the dining room. The new cook has attended basic food hygiene training and is currently undertaking further training through distance learning modules. The Proprietor has attended specialist training provided by the NHS nutrition staff with regard to meeting the nutritional needs of older people. She has carried out an assessment for residents and there is written guidance about individuals needs on display in the kitchen as well as within the care plans. On arrival at the Home on the first visit the Inspector spent time in the dining room. There was food spillages on the dining room tables and on the floor. The staff confirmed that this was the remains of the previous evenings meal which had not been cleaned up. It was also seen that there were food spillages on the fridge/freezers and on the floor in the storage area of the kitchen. It is required that the Home is kept clean. On the second day of Inspection it was noted that no biscuits/cake was offered during the afternoon when residents were offered a hot drink. Residents were also not offered a choice about what they wanted to drink, they were all given a cup of tea, except for one person who asked for a cold drink. When the member of staff was asked why no-one was offered a biscuit/cake she said that it was because it was too close to the mealtime but that residents could have something if they ask for it. It is unlikely that residents would ask and it was at least two hours before the residents had tea. It is recommended that residents are offered biscuits/cake with a choice of drink. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The complaints procedure is widely available in the Home and residents and relatives are aware of it but complaints are not always dealt with appropriately Some areas of care practice need to be improved to ensure that the residents are protected from all forms of abuse EVIDENCE: The complaints procedure is on display around the Home and residents said that they know who to complain to. The staff surveys state that they are aware of how to deal with a concern/complaint that a visitor to the Home may wish to make. Three concerns have been raised with the Commission since the last Inspection. The Proprietor was informed about one of these and said that she would deal with the situation. The concern included information about the lack of cleanliness in the Home and the reduced standard of care provided to residents. Despite the Provider saying that she will deal with these situations both of these issues have been found to remain in need of improvement at the time of this Inspection. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 15 The Proprietor was informed of the other two concerns at the time of the visits to the Home. The Proprietor provides training to staff with regard to Safeguarding Vulnerable Adults. A situation was referred appropriately to the adult protection team. Improvements need to be made so that better protection is provided to the service users from any form of poor care practice. Examples of this have already been provided in this report. The Nunnery DS0000036034.V356796.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 25 & 26 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The overall environment remains in need of major refurbishment and redecoration to ensure that the residents have homely, warm and suitable accommodation. EVIDENCE: A tour of the Home was carried out on the first visit to the Home. All communal areas were seen at that time, as were some of the bedrooms. On the second visit to the Home the communal areas were again seen by the Inspector. Many areas of the Home are shabby and in need of redecoration and refurbishment. The requirement for this situation to be addressed has not been met and is repeated in this report. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 17 On both visits there was a strong smell of urine throughout the Home and some areas of the Home were dirty, as previously mentioned in this report. A discussions was held with the Proprietor about the unpleasant smell in the Home and the need for her to establish whether this is due to the workload of the domestic staff, lack of equipment to deal with the problem, or through poor management of continence issues by the care staff. It is required that the unpleasant smell is removed from the Home As previously stated, the Proprietor was informed of a concern about the poor cleanliness in the Home in October 2007 and said that she would address the situation. Another concern was raised with the Commission in November 2007 about the same issue and the situation remained the same at the time of this Inspection. The Proprietor must find a way to improve this situation on a long term basis. Many areas of the Home were cold and residents told the Inspector that they were cold and that they are unable to control the temperature in their bedrooms. The only heating in the bathrooms is an electric fan heater positioned on the wall. These are not left on but are merely turned on when a resident wishes to use the bathroom. This is not a sufficient way of heating the bathrooms/toilets as it can take some time for the rooms to warm up. In January 2007 a complaint was made to the Commission about the lack of heating in the Home and the Proprietor said at that time that she would monitor the situation and make improvements. In May 2007 a requirement was made within the Inspection report for the Proprietor to ensure that the Home was suitably heated, with particular reference to the bathrooms. These requirements have not been met. Following the first visit to the Home the Inspector telephoned the Proprietor and expressed concern about the heating, this was followed up by a letter of serious concern. It is disappointing to see that the situation had not been improved by the time of the second visit. A requirement is made within this report and if no improvements are made then enforcement action is likely to take place. During the second visit the Proprietor put on the electric fire in the small lounge/reception area. This is an electric bar fire and does not have any guards to protect against burns/scalds if a resident fell against it. It is required that a suitable guard is used with this fire and that a risk assessment is carried out for the use of the fire. The Nunnery DS0000036034.V356796.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Improvements need to be made to the recruitment practice to ensure protection is provided to residents Staffing is adequate to meet the basic needs of the residents EVIDENCE: The rotas confirm information provided by staff that there are three members of staff on duty in the mornings and two during the afternoons. The Proprietor said that this level of staffing continues at the weekend. However, according to the staffing rota the third person on duty in the mornings is a domestic member of staff. It is unclear, through discussions with staff and residents what responsibilities this member of staff has at weekends. This situation needs to be addressed so that everyone is clear about the responsibilities of staff. In addition to this the Proprietor is usually in the Home for at least four days per week. It is required that the staff rotas are an accurate record of which staff are on duty at any one time. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 19 The surveys from residents are mixed in their views about whether the staffing is adequate to meet their needs. The two concerns raised with the Commission recently both question whether the staff have the right skills and experience to meet the needs of the residents. Examples already stated within this report indicate that the care provided to the residents needs to be improved in some areas. Records show that staff do receive training in a variety of subjects, including moving and handling, emergency aid, safeguarding adults, health and safety, medication. The Proprietor said that she has attended Training the Trainers courses so that she is able to provide the majority of training with the Home. NVQ assessment is provided through an external training company. The staff have received training is those areas in which there are concerns, that is, personal care and management of continence. Therefore, the Proprietor needs to ensure that there are sufficient staff on duty to provide a good standard of care and that the work of the staff is monitored so as to assess their competency following training. The assistant manager is currently being trained by the Manager to provide support and supervision to the staff team. Staff said that they regularly receive formal supervision and that there is always someone available on call if neither the Proprietor or assistant manager are on duty. A selection of recruitment files were seen. There are some gaps in the information required by regulation and therefore the requirement made at the last Inspection has not been met. This requirement is repeated. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. In order to improve outcomes for the residents the Proprietor needs to ensure that better monitoring is carried out and that action is taken to address problems EVIDENCE: The Proprietor has been the owner and manager of the Home for many years. She has achieved relevant management qualifications and continues to undertake relevant training. She is present in the Home for at least four days per week. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 21 The Proprietor has carried out some quality assurance of the service through the use of questionnaires to relatives and has plans to further expand this to questionnaires to residents and staff. A residents meeting takes place and minutes of these show that meals and menu planning is a regular item for discussion. As previously mentioned in this report the Proprietor needs to improve the monitoring of the service provided to ensure that the residents needs are being met. It is required that an annual quality assurance report is produced and a copy sent to the Commission. Previous Inspection reports have highlighted that the Proprietor needs to improve record keeping and to respond to requests by the Commission for information. The Proprietor did complete the Annual Quality Assurance Assessment but the Commission had to request this on more than one occasion. This report also highlights areas where no action has been taken to address problems once they have been raised with the Proprietor. The Proprietor said that the Home do not get involved in looking after residents finances and so this standard was not inspected. A selection of Health and Safety records were seen and these show that the Proprietor has improved her system of maintaining records. The fire risk assessment needs to be more detailed and contain guidance about how to manage the risks. The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 1 2 2 X X X 1 1 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 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 The care plans must contain detailed information so that staff know how to meet individuals needs All medication must be clearly marked with the residents name. The areas for storage of medication must be kept clean A risk assessment must be carried out for the use of the electric bar heater in the small lounge/reception area. A suitable guard must be in place around this heater when in use. All areas of the Home must be kept clean and free from offensive smells The Registered Manager must ensure that the Home is reasonable decorated and carpeted. This requirement is repeated Timescale for action 31/01/08 2 OP9 13 (2) 10/01/08 3 OP19 13 (4) 10/01/08 4 5 OP26 OP19 23 (2d) 23.2.(b) 10/01/08 01/06/08 The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 24 6 OP25 23.2(p) The Registered Manager must ensure adequate heating is available and constant in the bathrooms. This requirement is repeated The residents must be assisted with dressing and personal care in a way which respects their privacy and dignity This requirement is repeated The Manager must ensure that the home is suitably heated and that heat in each bedroom can be controlled by the resident as and when they wish. This requirement is repeated The rota must be an accurate record of the staff who are on duty at any one time The Manager must obtain the information in Schedule Two of the Care Homes Regulations prior to employing new staff This requirement is repeated An annual quality assurance report must be sent to the Commission 10/01/08 7 OP10 12.4(a) 10/01/08 8 OP20 23.2 (c)& (p) 10/01/08 9 10 OP27 OP29 17 (2) 19.1(c) Schedule 2 10/01/08 10/01/08 11 OP33 24 20/06/08 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 Refer to Standard OP10 OP15 Good Practice Recommendations It is recommended that the staff take their breaks at “staggered” times so that there are always staff available to assist residents It is recommended that residents are offered a choice of drinks and that they are offered biscuits/snacks at this time also The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Nunnery DS0000036034.V356796.R01.S.doc Version 5.2 Page 26 - 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!