CARE HOMES FOR OLDER PEOPLE
The Poplars Nursing Home Rolleston Road Burton On Trent DE13 1JT Lead Inspector
Mrs Susan Mullin Key Unannounced Inspection 24 June 06 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 Poplars Nursing Home DS0000022360.V290380.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 Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Poplars Nursing Home Address Rolleston Road Burton On Trent DE13 1JT 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) 01283 562842 01283 564642 Tawnylodge Limited Mrs Deborah Jane Watson Care Home 60 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (25), of places Physical disability (60), Physical disability over 65 years of age (60) The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. PD Minimum age 60 years Date of last inspection 10th January 2006 Brief Description of the Service: The home is comprised of an extended two-storey building situated near to the town of Burton on Trent. The establishment provides personal and nursing care for elderly people with a bed capacity of 60. The home may also admit up to 5 people suffering with Dementia. There are forty-eight single and six shared bedrooms; however, currently two of the double rooms are occupied on a single basis. Nineteen rooms have en suite facilities. The home has spacious accommodation, including 4 lounges on the ground floor and a further two upstairs. There is a bus service nearby and shops are nearby. The grounds and gardens are well maintained and provide easy access for wheelchairs. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. One officer undertook this unannounced inspection on Saturday 24th June 2006 using the National Minimum standards as reference for the visit. 17 of the 38 standards were assessed on this occasion and the remaining standards will be checked on the next inspection. The inspector met with several residents and their participation was greatly appreciated. Additionally, the residents were well represented by relatives and staff. The inspector was able to speak to all parties about the service provided by The Poplars. The issues and comments raised during these discussions, alongside the inspection comment cards are included in this inspection report. Information for the inspection was gathered largely through discussions with the nurse in charge, records, case tracking, discussions with families, direct and indirect observation and pre inspection information. Some staff were spoken to during the course of the inspection but no formal interviews took place. 7 relative/visitors comment cards were returned to the CSCI 4 of which stated that they were happy with the overall standard of care provided in the home. The other three commented on poor staffing levels and dissatisfaction at times with the care provided. One comment card was returned by a placing officer who was generally happy with the care provision but noted that she was not always kept informed of significant events affecting her client’s wellbeing. 8 residents surveys were returned and residents were contented with the provision of care with the exception of a few occasions when they had been kept waiting after using the call buzzer. 3 confirmed that there were activities laid on ‘sometimes’. Three stated they only liked the food available in the home ‘sometimes’, three stated ‘usually’ and the remaining 2 stated they enjoyed the meals ‘always.’ The care manager and administrator and handyman were not available on the day of the inspection, which was undertaken on a Saturday. Records pertinent to those members of staff will be checked on the next monitoring visit. The home still have some way to go to meeting all the national minimum standards and monitoring visits will continue until all standards are met. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? What they could do better:
There are inadequate staffing ratios for the present number of residents on the residential floor. The part time deputy manager does at times work on the residential floor but when there is no nurse available the senior care staff have to undertake the medicine rounds, liaise with the visiting professionals and organise the work routines. This only leaves three care staff working with the residents and is not deemed sufficient. There should be five care staff on the residential floor to meet the needs of the residents on the early shifts when there is no nurse present. Some days the care manager has to work with the care staff team to ensure that the resident’s needs are met, which does not allow her sufficient time to carry out all her managerial responsibilities. This needs to be addressed. Work is required to bring the environment up to a safer and more comfortable standard for its residents. More effort and emphasis is required to organise suitable and varied activities and stimulation, both in and out of the Home. The care manager has no authority to purchase small items into the home, as she has no responsibility for any budgets. It is recommended that she be given autonomy to make decisions herself and obtain fresh fruit/vegetables/other food stocks, toiletries, gloves, aprons etc in the event of an emergency. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 7 At present all requests have to be made through the M.D at the Nottingham office and this can cause delays. Whilst inspecting the kitchen two members of staff in uniform used the kitchen for access to the main area of the home. This practice must cease in line with infection control guidelines. The menus had improved but the menu on display in the dining room was from the previous Thursday the 22nd of June and the inspection was undertaken on Saturday 24th June. The clock in the dining room stated that it was the 28th of the month which is very confusing, particularly so for older people who suffer from forms of dementia. The dining room was in need of a real good clean and the floor needs some work to bring it back to its former glory. There was a shortage of bibs and several residents had to go without protective wear as the bibs were not back from the laundry. This resulted in them staining their clothes, which is not conducive to maintaining dignity. A number of bedrooms have an unpleasant smell caused by inadequate incontinence /cleaning arrangements and this must be addressed. Domestic staff when asked explained that they had no suitable floor cleaning equipment. This must be rectified as soon as practicably possible as some of the carpets and flooring were in dire need of deep cleaning. At the time of the inspection domestic staffing arrangement for the home fell well below acceptable levels. 3 domestic staff are required per day, over a seven-day week. Evening domestic cover has again been recommended to ease the workload for the day staff. Laundry staff hours are not sufficient to ensure all personal items of laundry are ironed. Insufficient ancillary staffing levels need to be rectified as a matter of urgency. One new member of staff recruited to the home was engaged in conversation and informed the inspector that she had not been asked to produce a CRB prior to or since being employed. Robust recruitment procedures must be adhered to. All new members of staff must undergo a new CRB in line with National Minimum Standards. 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 Poplars Nursing Home DS0000022360.V290380.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 Poplars Nursing Home DS0000022360.V290380.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): 3,5 New service users are only admitted into the home on the basis of a full needs assessment to enable the home to ascertain its ability to meet service user needs. EVIDENCE: This standard was assessed based on a newly admitted resident. Discussions with the care staff confirmed that a full assessment had been carried out prior to the resident moving into the home. The service users’ care file was seen during the inspection. It shows that all areas as stated in standard 3 are covered within the assessment. It was clear that the care plan was formulated based on the assessment. All information on choice, freedom and facilities based on specialist needs and risk are highlighted in the care plan. A relative informed the inspector that she visits her mother regularly and is always welcomed into the home by the staff. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Care plans are in place for all of the service users and these are kept in a secure place. The manager has been updating and re-organising the required information and this at present ongoing. All medical and health professional visits and appointments are recorded and advice from specialist sought where needed. A robust key worker system was in place for all residents. Staff spoken to stated that service users are encouraged to choose their own clothes. All service users are provided with guidance and support with regards to personal hygiene. A relatives spoken to stated that staff are constantly aware of what service users’ support needs are and endeavor to meet those at all times. Observations of staff and service user interaction indicated that residents are treated with respect. The residents spoke highly of the staff team.
The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 11 Staff reported a shortage of items, which are crucial to enable them to meet all the identified needs of the residents. The registered person must provide suitable stocks and supplies, which are readily available at all times. • Gloves, aprons, bibs • Hoist belts/slings (Staff report only 4 normal slings in the home) The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15 More emphasis is required on activity planning both in and out of the home, which suit the individual needs, preferences and capacities of the residents. Menus have improved and the staff try to meet the residents dietary requirements. EVIDENCE: Information contained in the pre inspection questionnaire stated that the home provided Bingo, quizzes, choir concerts, local school children visits and external outings. However, residents, relatives and staff alike, stated that there were very little organised events in or out of the home. Only one hour per day was allocated to activities. There was little evidence of structured activity planning. The residents were sitting in the lounge areas for the duration of this inspection, with little stimulation offered, although some of the residents spend much of their time in their own rooms. At one time the Home had an activities co-ordinator, however this is no longer the case. Suitable activities must be provided. On the day of the inspection a relative was visiting one of the service users and was made welcome.
The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 13 A number of the residents reported getting regular visitors. The Home does not have its own transport; therefore community-based trips are rarely facilitated. There is evidence of some choice in the Home. A menu is available and daily routines vary dependent on choice. One resident who completed the care home survey, which was returned to the CSCI, stated the home provided a ‘Fairly standard range of food, bland, overcooked and unexciting’. The inspector joined three ladies at lunchtime and was served Shepard’s pie, with cauliflower and carrots. Two of the ladies commented that the mince was not very good quality but that generally the meat served in the home had improved somewhat. The pudding was an Artic Roll. The kitchen was inspected and it was noted that again there was a very limited supply of fresh fruit and vegetables. Whilst inspecting the kitchen two members of staff in uniform used the kitchen for access to the main area of the home. This practice must cease in line with infection control guidelines. The menus had improved but the menu on in display in the dining room was from the previous Thursday the 22nd of June and the inspection was undertaken on Saturday 24th June. The clock in the dining room stated that it was the 28th of the month which is very confusing, particularly so with older people who suffer from forms of dementia. The dining room was in need of a real good clean and the floor needs some work to bring it back to its former glory. There was a shortage of bibs and several residents had to go without protective wear as the bibs were not back from the laundry. This resulted in them staining their clothes, which is not conducive to maintaining dignity. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected on this occasion EVIDENCE: The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26 Work is required to bring the Home up to an acceptable, comfortable and safe standard environmentally. Several parts of the home are well below the acceptable level of cleanliness. EVIDENCE: Bedding, curtains and decoration in the bedrooms are generally worn and in most cases uncoordinated. Staff reported that 4 families had brought in their own bedding and curtains and 10 or so relatives had paid to have the resident’s bedrooms carpeted. A requirement has been made to ensure that the home must provide private accommodation for each service user that is furnished and equipped to assure comfort and privacy, and meets the assessed needs of the service user. An audit against NMS 24.2 is required to determine whether the present provision is adequate. Some of the bedrooms inspected were sparsely furnished. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 16 Staff report shortages of pillow cases. Bathrooms and toilets throughout he home were generally not very clean; dust and hair were seen on the flooring. There are many areas in the home requiring redecoration/upgrading and a number of the bedroom carpets are stained and worn. The registered person must replace all carpets that are badly stained, ripped/torn or have been taped down. The registered person must ensure that the home is kept in a good state of repair externally and internally. The dining room floor needs to be made good. A number of bedrooms have an unpleasant smell caused by inadequate incontinence /cleaning arrangements and this must be addressed. Domestic staff when asked explained that they had no suitable floor cleaning equipment. This must be rectified as soon as practicably possible as the carpets and flooring were in dire need of deep cleaning. The registered person must provide adequate floor cleaning equipment. Domestic staff report a need for a new mop and bucket for the dining room and portable domestic trolleys. Domestic staff report a need for a new mop and bucket for the dining room and portable domestic trolleys. Laundry staff hours are not sufficient to ensure all personal items of laundry are ironed. The registered person must supply CSCI with programme of routine maintenance that is implemented to cover all the requirements and concerns raised throughout this report. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 17 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 The numbers and skill mix of staff do not always meet service users needs. Recruitment procedures do not fully protect the service users. EVIDENCE: As the home has been registered under South Staffs Health Authority prior to 31st March 2002, the levels and skill mix implemented at that time must be maintained. On the day of the inspection the home had 22 residents receiving general nursing care and 24 receiving general residential care. On the day of the inspection the home were not deemed appropriately staffed. There are inadequate staffing ratios for the present number of residents on the residential floor. The part time deputy manager does at times work on the residential floor but when there is no nurse available the senior care staff have to undertake the medicine rounds, liaise with the visiting professionals and organise the work routines. This only leaves three care staff working with the residents and is not deemed sufficient. There should be five care staff on the residential floor to meet the needs of the residents on the early shifts when there is no nurse present. The care manager Mrs Watson must have sufficient supernumerary time to complete her management tasks and should not be ‘helping out’ on the residential floor.
The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 18 There is one qualified nurse on duty during the twenty-four hour period. Additionally there were 8 care staff on the early shift and 7 on the late shift and 4 care staff over the night shift. Agency staff must be deployed were regular staff cannot cover. There are not sufficient laundry and domestic staff over a seven-day period. The registered person must ensure that there are sufficient domestic and laundry staff working in the home on a seven day a week basis. Laundry staff hours are not sufficient to ensure all personal items of laundry are ironed. Once again it was recommended that the home employ evening domestic cover. There is a cook and a catering assistant in the kitchen daily and a further assistant to cater for afternoon and evening requirements. However, staff report that when there is sickness or annual leave care staff have to cover kitchen duties. Agency staff must be deployed were regular staff cannot cover. There is an administrator for the home who works up to 25 hours. There is also a handyman who works full time in the home. 14 care staff hold NVQ 2 in direct care and four have first aid certificates. One new member of staff recruited to the home was engaged in conversation and informed the inspector that she had not been asked to produce a CRB prior to or since being employed. Robust recruitment procedures must be adhered to. All new members of staff must undergo a new CRB in line with National Minimum Standards. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 The home does not have an effective quality assurance and quality monitoring systems that are based on seeking the views of service users and all concerned parties. Service users cannot be confident that their views direct the development of the home. The establishment generally protects and promotes the health, safety and welfare of service users through its safe working practice policies and procedures. EVIDENCE: Almost all staff engaged in conversation confirmed that there were not enough staff meetings for all disciplines of staff. The care manager should improve communication throughout all disciplines of the home by holding more frequent and regular staff meetings. These should be documented and available for inspection when required.
The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 20 The care manager has no authority to purchase small items into the home, as she has no responsibility for any budgets. It is recommended that she be given autonomy to make decisions herself and obtain fresh fruit/vegetables/other food stocks, toiletries, gloves, aprons etc in the event of an emergency. At present all requests have to be made through the M.D at the Nottingham office. The registered care manager must inform the CSCI of all untoward events that may affect the wellbeing of the residents on regulation 37 notices. Policies on risk assessment and management/aggression towards staff/ emergency and crisis were not available and should be implemented in the very near future. The home must obtain a copy of Hygiene and food safety Act 1990. There was no annual development plan for quality assurance available this should be implemented in the very near future. The central heating system and emergency call systems have not been checked annually. The majority of staff have received regular fire drills and moving and handling training. Further training sessions are planned throughout the year and a copy of the proposed training programme was submitted to the CSCI. Staff designated to care duties must not access the kitchen in line with infection control guidelines. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 1 2 X X X 2 X 1 STAFFING Standard No Score 27 1 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X X X X 2 The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP31 Regulation 21(2) Requirement The care manager should improve communication throughout all disciplines of the home by holding regular staff meetings. These should be documented and available for inspection when required. Previous timescale not met. The registered person must provide more activity hours so that individual assessment of social and therapeutic needs and abilities are met. Previous timescale not met The registered care manager must inform the CSCI of all untoward events that may affect the wellbeing of the residents on regulation 37 notices. The registered person must provide private accommodation for each service user that is furnished and equipped to assure comfort and privacy, and meets the assessed needs of the service user. Staff designated to care duties must not access the kitchen in line with infection control
DS0000022360.V290380.R01.S.doc Timescale for action 24/06/06 2 OP12 16(2)(n) 01/09/06 3 OP31 37(1)(a) 24/06/06 4 OP24 23(2)(e) 24/08/06 5 OP38 13(3) 24/06/06 The Poplars Nursing Home Version 5.1 Page 23 6 OP20 23(2)(b) 7 OP10 12(1)(a) guidelines. The registered person must 20/08/06 ensure that the home is kept in a good state of repair externally and internally. The dining room floor needs to be made good. The registered person must 24/06/06 provide suitable stocks and supplies, which are readily available at all times. • Gloves • Aprons • Bibs • Hoist belts/slings The registered person must provide adequate floor cleaning equipment. Domestic staff report a need for a new mop and bucket for the dining room and portable domestic trolleys. The registered person must replace all carpets that are badly stained, ripped/torn or have been taped down. The registered person must supply CSCI with programme of routine maintenance that is implemented to cover all the requirements and concerns raised throughout this report. The registered person must ensure that there are sufficient domestic and laundry staff working in the home on a seven day a week basis. Laundry staff hours are not sufficient to ensure all personal items of laundry are ironed. The registered person must ensure that there are sufficient care staff on duty on the early shift for the present number of residents on the residential floor. All new members of staff must undergo a new CRB in line with National Minimum Standards.
DS0000022360.V290380.R01.S.doc 8 OP26 23(2)(d) 01/08/06 9 OP19 13(4)(a) 20/08/06 10 OP19 23(2)(d) 01/08/06 11 OP27 18(1)(a) 24/06/06 12 OP27 18(1)(a) 24/06/06 13 OP29 7,9,19 Schedule 2 24/06/06 The Poplars Nursing Home Version 5.1 Page 24 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 OP26 Good Practice Recommendations It would be beneficial to have evening domestic cover. The Poplars Nursing Home DS0000022360.V290380.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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