Inspection on 15/10/07 for The Pines Nursing Home

This inspection was carried out on 15th October 2007.

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

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

Other inspections for this house

The Pines Nursing Home 25/01/10

The Pines Nursing Home 06/07/09

The Pines Nursing Home 27/07/08

The Pines Nursing Home 26/07/06

The Pines Nursing Home 17/01/06

The Pines Nursing Home 17/06/05

The Pines Nursing Home 07/09/04

The Pines Nursing Home 27/05/04

The Pines Nursing Home 12/02/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The Pines Nursing Home 104 West Hill Putney London SW15 2UQ Lead Inspector Sharon Newman Unannounced Inspection 15th October 2007 07:45 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 Pines Nursing Home DS0000019114.V351898.R05.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 Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Pines Nursing Home Address 104 West Hill Putney London SW15 2UQ 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) 020 8877 1951 020 8877 0916 www.slnh.co.uk South London Nursing Homes Limited Ms Annette Huskisson Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one named female resident aged 59 years until she reaches the age of 60 years. Date of last inspection Brief Description of the Service: The Pines provides accommodation and nursing care for fifty older people. The service is privately owned by South London Nursing Homes Ltd and is situated on the A3 in Putney within easy reach of local shops and facilities. The home is an Edwardian building with additional purpose built areas. There is a large garden for residents to use. Information about the home is provided to residents in a written guide. The current daily fees start from £118.00 per day. The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this service included an unannounced visit to the home on 15th October 2007 by one regulation inspector. The manager of the home was present throughout this visit and was available throughout the day for discussions about the service. Five staff members and ten residents were also spoken to. The manager and staff were welcoming and helpful throughout the inspection. Documentation looked at included medication records, staff recruitment information, residents care plans and health and safety documentation. A tour was also taken of the premises. The manager has also completed and returned an Annual Quality Assurance Assessment (AQAA) which is a self assessment survey of the home. Surveys were left at the home for residents, staff, relatives and social care professionals to complete. Only two surveys were returned before this report was completed. This was from a relative and was very positive about the home. This home is now owned by a new organisation. What the service does well: What has improved since the last inspection? During the course of the inspection the inspector was informed that the owners of the home have changed. Therefore CSCI is required to regard the service as a new registration. Requirements from previous inspections are the responsibility of the previous provider. Requirements made at this inspection are detailed with new timescales for the current provider ‘Caring Homes.’ The Pines Nursing Home DS0000019114.V351898.R05.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 Pines Nursing Home DS0000019114.V351898.R05.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 Pines Nursing Home DS0000019114.V351898.R05.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): 1, 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An up-to-date service user guide and statement of purpose has not yet been given out to residents. People who use the service have a needs assessment carried out before they come to the home. However, they are not sufficiently detailed enough to ensure that the residents needs can be met. EVIDENCE: The information in the Statement of Purpose and the Service Users Guides needs to be updated and given out to the residents. The manager reported that this is being addressed and she is currently reviewing the service users guide. It is recognised that the service will need time to organise new paperwork, information and procedures. Documents such as the statement of purpose and service users guide are important as they contain information that The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 9 tells residents and prospective residents about the services on offer. Therefore it needs to be a priority that this information is updated as soon as possible. Assessments were in place for residents in the files looked at and information was seen to be gathered using an adapted activities of daily living model. However these assessments varied in content. Some contained detailed information however others seen had not been fully completed with some sections being left blank. It was discussed with the manager that all assessments need to be as detailed as possible to ensure that care plans can be drawn up that meet the needs of the residents. One resident reported that they were ‘satisfied’ at the home, another said that the staff were ‘jolly nice people’ and another commented that the staff were ‘good.’ A resident said that they felt the home was ‘well run.’ A relative commented that the home was ‘very informative’ and that staff were always happy to spend time ‘talking through their relatives condition.’ They said ‘it feels like a home.’ The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments are not always fully completed. The recording and storage of medication is satisfactory. EVIDENCE: The residents files/care plans looked at during the visit varied in content, some contained good detail whereas others had not been fully completed. The care plans covered areas including: personal hygiene, difficulty swallowing and maintaining a safe environment. Risk assessments had not been fully completed for nutrition and pressure ulcer prevention in one care plan. Two further care plans did not contain risk assessments for moving and handling. This information needs to be completed for all residents to ensure that all risk are considered and that the residents needs can be met. The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 11 Some of the information in the residents’ files did not make sense – for example ‘is able to continence urine.’ Care needs to be taken that the entries written in these files are meaningful. Much of the information in the care plans/residents files was noted to have been updated monthly to help document any change in need. The social history and interests of residents were not consistently documented. It was discussed with the manager that it would be helpful to have pen portraits of the residents which the residents or their relatives could help to write. This would enable staff to be able to build up a picture of the resident and their past. There was a lack of photographs of residents in the files seen and it is recommended that these are put in place for easy identification of residents. The manager reported that the home is in the process of changing all the care plan information on file onto a computerised system. There was evidence in the residents files of input from visiting GP’s and health care professionals such as chiropodists. Residents reported that the GP visited weekly and a staff member said that the home had an ‘excellent’ relationship with the local GP surgery. The home also maintains links with the palliative care team based at a local hospice who provide support to the home and training for staff. All medication cabinets were locked securely at the time of inspection. The medication administration records (MAR) looked at were seen to be fully completed in terms of administration of medication. The allergies sections were observed to be completed and where no allergies were know this was documented this helps to ensure that residents are not placed at risk. A staff member reported that four staff are currently undertaking a distance learning course in medication. Two staff members spoken to said that they are completing this course. The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a range of organised activities. However there is not enough information about residents social needs and interests in their care plans. Residents are able to keep contact with friends and family. EVIDENCE: The home employs an activities co-ordinator who reported that they enjoy their job and was seen to be interacting with residents and encouraging them to take part in activities. Activities on offer include bingo, quizzes and scrabble and residents are also encouraged to meet up for informal get-togethers and drinks. Residents spoke highly of the activities co-ordinator and one commented ‘she is really lovely.’ Visiting entertainers also come to the home and the activities co-ordinator keeps details about them and whether the residents liked them to ensure that they only rebook those that the residents want. Trips to Richmond Park and Bushy Park have also recently been organised for some residents. The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 13 There is a designated hairdressing room and the hairdresser visits once a week. The home needs to be aware of giving residents choice in relation to television programmes in the main lounge. A comment from one relative was made that the programmes were ‘only for the nurses to watch’ and a similar comment was made by a resident. Many reports about the food were positive one resident said it was ‘perfectly reasonable’ and another said ‘it is very good.’ Food seen served to residents during the inspection looked nutritious and was served in good portions. Staff were observed to sit and discreetly assist those residents who required help during lunchtime. It was noticed that there was no fresh fruit on offer for residents to eat freely whenever they wanted. One resident said ‘we only get stewed fruit or else it is out of a tin – if only I could have a banana.’ Another resident said ‘please ask them to give us some fresh fruit sometimes.’ This was raised with the manager who reported that there is some fruit available in the afternoon. This is not acceptable and residents must have a selection of fruit and snacks available freely to them. The chef reported that since the home has changed ownership there have been problems with food ordering. They reported that the new delivery company have been leaving the milk and bread on the doorstep where squirrels have been able to get into the packaging. The chef reported that she has asked the company responsible to put the food in the containers provided by the home but they keep leaving it on the doorstep which is not hygienic. They also reported that they have recently had to go out and buy potatoes, milk and bread for the residents as this food did not arrive. We were also informed that orders of meat have had to be sent back either because they ‘were not good enough’ or the company had ‘sent the wrong order.’ This is not acceptable and residents must not be inconvenienced in this way. The organisation must ensure that the systems for the ordering and provision of food and drinks for residents work smoothly. The Pines Nursing Home DS0000019114.V351898.R05.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. Not all issues raised are logged clearly or contain evidence of action taken or the outcome reached. Staff do receive training in safeguarding vulnerable adults but have not all attended the training provided by the London Borough of Wandsworth. Safeguarding adults protocols are not always followed. EVIDENCE: A complaints log is kept at the home and it contains details of action taken when an issue is raised. However a copy of the minutes of a residents meeting contained some concerns raised by residents. The manager reported that these issues had been followed up but there was no written evidence that these issues have been addressed. Issues raised by residents must be taken seriously and details of the action taken must be fully recorded. The organisation has its own procedures in the area of abuse awareness and evidence showed that most staff receive training in these abuse awareness procedures. Staff are given a copy of the Royal College of Nursing abuse information booklet. However there was no up-to-date copy of the Wandsworth Safeguarding Adults procedures at the home and no evidence that staff have attended training in the Wandsworth procedures. The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 15 A safeguarding adults issue has been referred to the London Borough of Wandsworth for investigation. However it was not referred appropriately following the Safeguarding Adults procedures. The home must ensure that it follows these procedures immediately for any suspected abuse. Throughout the visit the manager was constantly interrupted by the doorbell ringing and she reported that there is no one allocated to oversee door security at weekends. She said that it unfortunate that people may be kept waiting at the front door as staff are busy. Concerns have previously been raised about this issue. The home must review its reception arrangements to make sure that it satisfactorily monitors who is entering and leaving the building. The Pines Nursing Home DS0000019114.V351898.R05.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, 26 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Overall the home provides residents with an adequate living environment. Attention needs to be paid to standards of cleanliness at this home. EVIDENCE: The manager reported that the communal areas were redecorated and new carpets laid prior to the new provider taking over ownership of the home. Issues were raised with the manager during the inspection regarding the cleanliness of the home. In one resident’s bathroom their toilet had not been cleaned and the skirting board under their desk was covered with a thick layer of dust. In another resident’s bathroom the linoleum was stained and another resident had a badly stained bedroom carpet. The manager reported that she was aware that there are currently problems with providing appropriate The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 17 cleaning services at the home. She said this is due to a lack of cleaning staff. This issue must be addressed for the comfort and dignity of the residents. Residents spoken to reported that they liked their rooms. One said they had a ‘nice room’ another said they were ‘very fond of their room as it faces the sun.’ There are some adapted baths provided to help meet the need of some residents. However one resident reported that they felt that the ensuite bathrooms were not well equipped for the needs of elderly people as they were ‘too narrow.’ Another said that they are unable to use their bath for this reason. Issues were raised during the inspection visit regarding laundry services. Some items of clothing were observed to have lost their elasticity and to be torn. Care must be taken when laundering residents belongings to ensure that they are not damaged. It is recommended that the laundry arrangements are reviewed. The Pines Nursing Home DS0000019114.V351898.R05.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. Staffing levels may not meet the needs of the people using this service which could affect the health and welfare of the residents. The training provision for care staff is very good. Residents are protected by the homes recruitment procedures. EVIDENCE: The manager reported that the home currently has four staff vacancies two for day duties and two for night staff. Concerns were raised by staff and residents about staffing levels at the home. It was noted that the weekend before the inspection visit many of the staff on duty were agency staff. Some of these had not worked at the home before. Staff at the home reported that it was difficult to carry out their own roles when they frequently have to orientate new staff to the home. It was apparent that many of the residents at the home have complex nursing needs and require a lot of care from staff. On occasions during the inspection visit call bells remained unanswered for varying lengths of time due to staff being unable to answer them as they were giving care to another resident. One resident reported ‘ the staff try their best to come to us but they are so busy.’ Another said ‘the poor staff are run off their feet.’ Another reported ‘I’m always seeing different faces – I don’t know who they The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 19 are.’ The organisation must ensure that there are sufficient numbers of trained, competent and permanent staff on duty at all times. This is to help ensure continuity of care for residents and that their needs are met. One member of staff is responsible for all staff training at the home. Staff spoken to were very positive about the support and advice provided to them by this staff member. There is a clear training log that indicates all the training that staff have undertaken such as moving and handling, first aid and health and safety. Staff have also received training in dementia care to help them carry out their roles more effectively. Staff spoken to reported that they received good training at this home. It was noted that in a copy of the residents minutes residents raised concerns about some staff being ‘rough.’ The home needs to ensure that the training given is put into practice by staff to make sure that residents are not placed at risk through poor moving and handling techniques. Staff recruitment information is not kept at the home. However records of checks including Criminal Record Bureau checks are sent to the home from the head office. These checks help to ensure that residents are not placed at risk. There are regular staff meetings and these are fully recorded. This enables staff to put forward their views about the running of the home and ensures information is passed on to staff. Induction now takes place to Skills for Care Standards and one new member of staff was observed to be commencing their induction during the inspection visit. The Pines Nursing Home DS0000019114.V351898.R05.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. There are a number of issues that need to be addressed in this service. The level of recording in much of the documentation needs to be improved. There is not enough evidence that residents are involved in the quality assurance process. EVIDENCE: The manager reported that she has been working at the home for nearly three years and has much experience in running care home. She said that she is currently trying to complete the Registered Managers Award. Staff and residents spoke positively about the manager. A staff member commented The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 21 that she was ‘excellent, approachable and recognised the importance of training.’ The home has recently changed ownership and a relative commented that this has been ‘well handled and communicated.’ The manager reported that her paperwork has recently increased which does not allow her time to concentrate on care issues. She reported ‘feeling overwhelmed’ with it. There was evidence to demonstrate that staff one-to-one supervision is taking place. This helps to ensure that staff training needs are identified and that they have the support that they need to carry out their roles. Staff working at the home are issued with a small leaflet telling about how supervision works to help them get the most out of these sessions. The organisation has satisfactory systems for managing resident’s money. Money kept on behalf of residents is locked away securely and each individuals money is kept separately. There was not enough evidence to demonstrate that the views of residents, relatives and other interested parties have been sought recently. The home should ensure that this is carried out as part of the quality assurance process. This helps to make sure that residents and relatives views are taken into account regarding the running of their home. There was only evidence of one residents meeting this year. Residents meetings should take place more frequently and should be fully recorded. Checks relating to safety including: gas safety, portable appliance checks and electrical installations were up-to-date. This helps to ensure the safety of the residents and staff. The Pines Nursing Home DS0000019114.V351898.R05.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 2 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 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 Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP1 Regulation 4 5 (a) (b) 6 14 (1) Requirement Residents must be supplied with an up-to-date Statement of Purpose and Service Users Guide. Assessments must be fully completed to ensure that the needs of the residents can be fully met. Care plans must be fully completed and more personcentred. Risk assessments must be put in place for all residents. Care plans must address the social and recreational care needs of individual residents. Fresh fruit must be freely available to residents at all times. The food ordering arrangements must meet the needs of residents. The Registered Persons must ensure that the reception arrangements are reviewed to ensure that there is satisfactory monitoring of all persons entering and leaving the home. The home must obtain an up-toDS0000019114.V351898.R05.S.doc Timescale for action 01/12/07 2 OP3 01/11/07 3 4 5 6 7 8 OP7 OP7 OP7 OP15 OP15 OP16 15 (1) 13 (4) 15 (1) 13 (4) 15 (1)16 (2) (m,n) 12 (1) (a) 16 (1) (i) 12(1)13(6 ) 01/11/07 01/11/07 01/11/07 01/11/07 01/11/07 01/12/07 9 OP18 13 (6) 01/11/07 Page 24 The Pines Nursing Home Version 5.2 10 OP19 23(2)b & d date copy of the London Borough of Wandsworths’ safeguarding Vulnerable Adult Guidelines. All stained linoleum flooring in 01/01/08 residents bathrooms must be replaced. All stained carpets in residents bedrooms must be replaced. The home must be maintained in a clean and hygienic condition. Staffing levels need to be reviewed to ensure that there are sufficient numbers of permanent staff to meet the needs of the residents. This includes trained, care and domestic staff. The home must ensure that all staff put their moving and handling training into practice. A full quality assurance audit must be carried out. This should include the views of the residents, relatives and other interested parties including health and social care professionals. The home must inform the Commission for Social care Inspection of any incidents which affect the well being of residents. 11 12 OP26 OP27 23 (d) 181a, 121a,125 a 01/11/07 01/11/07 13 14 OP30 OP33 13 (5) 24 01/11/07 01/02/08 15 OP38 37 01/11/07 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 OP7 OP26 Good Practice Recommendations It would be good practice to attach colour photographs to the resident scare plans. It is recommended that the home review its laundry practices. DS0000019114.V351898.R05.S.doc Version 5.2 Page 25 The Pines Nursing Home 3 OP33 It is recommended that resident meetings be held regularly at the home and that these are fully recorded. The Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Pines Nursing Home DS0000019114.V351898.R05.S.doc Version 5.2 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. 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