Inspection on 27/04/06 for Three Corners Nursing Home

This inspection was carried out on 27th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Three Corners Nursing Home 02/04/09

Three Corners Nursing Home 12/04/07

Three Corners Nursing Home 26/10/05

Three Corners Nursing Home 10/05/05

Three Corners Nursing Home 03/08/04

Three Corners Nursing Home 18/05/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Three Corners Nursing Home 3 Greenway Road Churston Ferrers Brixham Devon TQ5 0LW Lead Inspector Fiona Cartlidge Key Unannounced Inspection 27th April 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Three Corners Nursing Home DS0000028760.V292659.R02.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. Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Three Corners Nursing Home Address 3 Greenway Road Churston Ferrers Brixham Devon TQ5 0LW 01803 842349 01803 846079 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) www.threecornersch.co.uk Mrs Elizabeth Agnes Hunter Vacancy Care Home 40 Category(ies) of Dementia (7), Mental disorder, excluding registration, with number learning disability or dementia (7), Old age, not of places falling within any other category (7), Physical disability (40) Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service Users aged 65 years and over PD Maximum registered 40 service users (both) OP Maximum registered 7 service users (both) DE Maximum registered 7 service users (both) MD Maximum registered 7 service users (both) Date of last inspection 26/10/05 Brief Description of the Service: Three Corners is situated in a level position on the edge of the village of Galmpton, which lies between Brixham and Paignton, a car park is available in the front of the home. The access to the home is via a modern porch. The same family has owned the home for twenty years. The home is registered to provide care for up to forty older people of either gender who have personal care and general nursing care needs. The accommodation is provided in twenty-two single rooms and nine shared rooms. Each room has a nurse call system and is equipped with the furniture and adaptations required for individual Service Users. A variety of equipment and adaptations are provided to meet the needs of disabled Service Users. There is at least 1registered nurse on duty at all times supported by a team of Health Care Assistants. Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6hours and 15 minutes on the 27th April 2006. The lead inspector was accompanied by a colleague Douglas Endean. The purpose of the inspection was to assess the homes compliance with Key National Minimum Standards. The inspectors also reviewed progress on previously set requirements and recommendations communicated following the homes last inspection in October 2005. Care Practise was observed, care records and documentation were viewed, and 10 residents were spoken with, 3 staff members and 1 visitor. Time was also spent in discussion with the clinical manager, office manager and the registered Provider. The Commission received written feedback from survey forms from 3 residents, 2 members of staff, 3 relatives/visitors and 5 General Practitioners. What the service does well: What has improved since the last inspection? Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 6 The atmosphere in this home has changed, on a recent visit to the home the ambience was ordered, relaxed and cheerful. The newly registered manager demonstrates a commitment to discharging her responsibilities fully. Cohesive working between the clinical and administrative management teams has provided stability and has lead to more standards being met which is impacting positively on the lives of those living in and working in this home. Residents and their relatives/friends now know that complaints are listened to taken seriously and acted on. People feel safe living in this home. Improvements to the environment continue, a shower facility suited to the needs of the residents is now available. 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. Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 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 Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is good. The information about this service provided to prospective service users and or their representatives is of a good standard and in sufficient detail to allow an informed decision to be made about admission. Each service user is provided with a clear contract outlining their residency rights and the homes terms and conditions of business. The level of information obtained about prospective residents needs allows staff to make a professional decision about if/how their needs will be met – the admission process is therefore safe. EVIDENCE: The inspector was provided with 2 recently reviewed documents containing a good level of information to enable people to make decisions about the suitability of the home in meeting their needs. The documents are entitled ‘Service Users Guide’ and a ‘statement of purpose’. Three residents provided written feedback to the commission about this home all confirmed they had received enough information about this home before they moved in and had received a contract. The inspector examined the personal records held on behalf of 2 recently admitted residents and the information obtained for a prospective resident due Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 9 to be admitted the day after the inspection. These documents provided evidence that a good level of information about people’s conditions and needs is received to enable the nurses in the home to make a professional judgement about if/how each persons needs will be met. When possible i.e. if the person being admitted is geographically accessible, the manager visits the person in their existing setting to perform a full needs assessment in addition to receiving documentation from other social and health care professionals. Three Corners Nursing Home DS0000028760.V292659.R02.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): 7,8,9,10 Quality in this outcome area is adequate. Resident’s needs are set out in an individual plan of care. The registered person promotes and maintains residents’ health and ensures access to health care services to meet assessed needs. The homes medication system does not fully protect the medical welfare of residents. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: The personal records examined which are held on behalf of residents. Contained assessments in relation to all activities of daily living and base line assessment of the peoples skin condition, moving and handling, vital signs and weight these assessments had been repeated at, at least monthly intervals and provided information on which the care plans were based. There was evidence that the care planning process had been reviewed with the resident and their representatives where possible. The care plans provided sufficient information for care staff to be able to meet the individuals’ health, social and psychological needs. The inspector found a number of assessments had not been dated or signed by the assessing nurse. Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 11 The documents held on behalf of the residents showed that the staff refer residents to the general practitioner appropriately. The Commission received written feedback from 5 General Practitioners who visit this home regularly 1 rated the homes management of health and personal care for the residents as excellent and 4 as good. Letters regarding hospital appointments were seen providing evidence that residents are enabled to access specialist services according to need. 3 residents provided written feedback, 2 confirmed they always receive the medical support they need the other indicated they usually received the medical support they need. An inspector examined the system for storing. Administering and recording of medication held in the home. The records of medication entering and leaving the home were of a good standard. The storage of medication was found to be safe, medication required to be stored in a fridge was seen to be done and the fridge temperatures are checked and recorded. An up to date national formulary was available for staff to refer to if they needed. The inspector found there were gaps in the administration records, this poses a risk to residents because there is no documentary way to assess if the medication has been given or not. Residents told the inspector that the staff respect their privacy and dignity, the inspector observed that when personal care was being provided this was done behind closed doors, the staff spoke to residents in a polite manner and were witnessed to knock on the doors to private accommodation before entering. Three Corners Nursing Home DS0000028760.V292659.R02.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): 12,13,14,15 Quality outcome in this area is adequate. Some effort is made by the home to provide an activities programme and social interaction/stimulation for residents. Residents are able to maintain contact with family and friends and exercise choice and control over their lives. Residents receive a wholesome appealing diet but sometimes there is limited choice. EVIDENCE: The inspector found that some key information that would assist staff to offer appropriate social support to residents was not always transferred to the care plan, examples of this were information about past occupations and religion. Three residents provided written feedback about activities; when asked ‘Are there activities arranged by the home that you can take part in?’ one indicated usually, one indicated sometimes, written comments received were - ‘not really interested in communal activities like singing’ ‘some activities arranged but I seldom participate’ ‘there are activities arranged sometimes, but I don’t like to take part in them, because I’m very shy, although the staff have tried to get me to take part’ ‘ I wish the home had a coach that would take us out, so I could see the sea and countryside’. Residents spoken to during the visit told the inspector that ‘sometimes there is a person invited in to the home to provide musical entertainment’. ‘I make occasional visits to the lounge I like Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 13 having my own television with remote controls and personal telephone’. Records confirmed that a music man visits once a fortnight and a group is held every Monday at which they sometimes have talks and/or appropriate exercise and movement classes, records are maintained for those who have attended, the type of activity and its therapeutic benefit. The staff sometimes put on a game of bingo for some residents. Residents said they were able to make choices about how and where they spent their time, one confirmed they stayed in their room but that was their choice. Staff were observed completing menu choices for clients for next days lunch and evening meal. Most residents said the food provided in the home is of a good standard one commented ‘The food is good, I get what is delivered, not offered choice, accept what I get’. Written feedback from 3 residents was received 2 indicated they ‘usually’ like the food and the other indicated they ‘always’ like the meals at the home, their comments included ‘portions tend to be rather small, very little choice’ ‘good home cooking’. During a tour of the premises the kitchen was found to be clean. Written feedback from three relatives/visitors indicates that they all feel welcomed into the home at any time and are able to visit their relative/friend in private, are kept informed of important matters affecting their relative/friend and where appropriate are consulted about their care. Three Corners Nursing Home DS0000028760.V292659.R02.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): Quality in this outcome area is Good Residents and their relatives/friends know how to make a complaint. Complaints are listened to taken seriously and acted on. People are safe living in this home. EVIDENCE: Residents spoken with at the time of the inspection told the inspector they knew who to speak to if they were dissatisfied with the care or services provided. Complaints procedures were found displayed in residents’ rooms as well as in the Service Users Guide. Three residents who provided written feedback indicated that they know how to make a complaint and three visitors also indicated they were aware of the complaints procedure. Information provided to the Commission from Torbay Social Services department confirms that 15 members of the homes staff have recently attended vulnerable adults alerter’s guidance training. The inspectors read the homes policy and procedure relating to responding to allegations or incidence of abuse or neglect and found it to be written in plain English and informative. Three Corners Nursing Home DS0000028760.V292659.R02.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): 19,26 Quality in this outcome area is adequate. Some improvements have been made to the environment; despite this some areas remain in need of upgrading and redecoration. The home is clean and hygienic. EVIDENCE: An inspector performed a tour of the home they found that substantial improvements had been made to the environment since their last visit to the home a number of years earlier. The inspector found that all radiators were guarded, a number of doors had been fitted with ‘safe’ hold open devices the entrance area had been modernised and some WC’s bathrooms had either been upgraded or work was in process. Some areas of the home are still in need of improvement some bedrooms need re-carpeting and decorating one was found with a damaged vanity unit the provider confirmed this room was to be refurbished shortly. The lounge on the first floor was found to be cluttered and is used for storage of mobility equipment. The lounge on the ground floor is of ‘conservatory’ type construction ceiling and window blinds were in place. Temperatures in this room are regularly recorded and showed fluctuation during the winter. A fan Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 16 was available in the room, this lounge too was used to store lifting and weighing equipment. A WC is situated close to the lounge and contains a raised toilet seat and rails to the side the hand basin in this Communal WC had no thermo valve, a notice was in place warning of hot water. The inspector found a range of equipment around the home, available to assist staff in moving and handling residents, as well as a disinfecting sluice, hand washing facilities and disposable gloves and alcohol rubs for use when/if in contact with body fluids. A new person has been employed to perform routine maintenance and an inspector was shown records made by the staff if they recognise a maintenance issue that needs to be acted on, the records also indicated the action that had been taken including when to rectify the problems. One bathroom was in the process of being upgraded to provide a shower facility suitable for use by disabled persons, a bathroom on the first floor, which is not currently suitable or used for bathing is in need of a similar upgrade. Three Corners Nursing Home DS0000028760.V292659.R02.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): 27,28,29,30 Quality in this outcome area is adequate. There are usually sufficient numbers of staff with appropriate skills and knowledge to meet the needs of residents in this home. The homes recruitment practise does not protect residents from being placed at risk of harm or abuse. EVIDENCE: Three care staff were spoken to at the time of the inspection and 2 staff completed and returned a survey to the Commission. The staff spoken to have been employed for varying lengths of time from just 2 months to 2 and half years, one staff member had left a year before and had returned. All three spoke about the induction training they had received and were happy with the level of on going training available to them which they said included moving and handling, Protection of vulnerable adults, fire safety and infection control, all 3 said they like working at Three Corners. One written comment received from the survey was ‘great people to work with, and I have had support from my bosses’. The corridor walls on the ground floor are laden with certificates indicating what subjects staff have received training in. The certificates were dated between 2004 and 2005 including fire safety training, back care awareness and safe moving and handling, coping with challenging behaviours, infection control and several confirming that a number of staff have obtained National Vocational Qualifications. Many positive comments about the staff were received during the inspection visit and afterwards via surveys from residents and or their relatives/visitors, including: - ‘the carers are doing a good job and are appreciated by me’ ‘carers and cleaners all very cheerful as a rule, a good atmosphere’, ‘the staff are Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 18 always available’, ‘The staff are good and happy’, ‘the staff are very very kind to me, they get top marks’. The personnel records held on behalf of 4 recently employed members of staff were examined the records provided evidence that on some occasions the last employer had not been approached to provide a reference or contained only one written reference. There was evidence that staff had been employed before a Criminal Records Bureaux (CRB) check had been received and POVA 1st checks had not been performed to ensure they were not on the list held by the department of Health of persons not suited to work with Vulnerable adults. 2 of the 4 records contained signed confirmation that the staff member had read and understood the homes own policy and procedure on how to respond to allegations or incidence of abuse. Three relatives/visitors who provided written feedback to the Commission indicate that in their opinion there are not always sufficient numbers of staff on duty one commented ‘ sometimes there has been shortages due to sick leave but the home gives their ‘best’’. Of the 3 residents who provided written feedback 2 indicate there are ‘always’ staff available when they need them and the other indicates that the staff are ‘usually’ available when they need them. Three Corners Nursing Home DS0000028760.V292659.R02.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): 31,33,34,35,36,37,38 Quality in this outcome area is good. The newly registered manager demonstrates a commitment to discharging her responsibilities fully. Personal money held in the home on behalf of residents is secure. The registered provider shows a responsible attitude toward promoting and protecting the health, safety and welfare of residents and staff. EVIDENCE: Residents, visitors and staff made positive comments about the management team in the home saying they felt comfortable approaching them with Issues. The manager has been in post for approximately 5 months and has recently been registered with the Commission for Social Care Inspection (CSCI) Communication systems are regular through staff handovers, and formal meetings are held, As part the registration process the inspector examined the training records of the registered manager these confirmed that the manager attends regular training to update her skills and practise. Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 20 Written comments provided to the Commission from one relative/visitor states that ‘there has been a vast improvement all round since the new manager took up the reins’. ‘Can’t fault the care given, more so since the new matron has taken over’. Satisfaction questionnaires/surveys have recently been sent to all stakeholders the provider informed the inspector that the information from these will be collated some of the surveys had been returned and were seen by the inspector generally the feedback was positive, the provider explained that where issues had been raised actions will be taken to improve the service. The provider demonstrated a responsible attitude towards health and safety – notices were displayed throughout the home. Equipment is regularly maintained and staff are trained on health and safety matters during their induction and updated regularly. Plans to replace carpets and redecorate a number of bedrooms and upgrade bathrooms in the home provides evidence of reinvestment in the business as does the recent up grade of a bathroom to shower room suitable for use by disabled persons. Staff spoken to and whom provided written feedback to the inspectors confirmed they feel well supported and receive regular one to one supervision and are observed as they work as part of that supervision in addition to regularly held and recorded group meetings. All of the records seen during the inspection were clear, well maintained and secure. The inspector examined the storage and records of money held on behalf of residents in the home; a random number of these (4) had their records checked against actual balances, 2 were found to contain small amounts in excess of the recorded balance. The records contained only one signature and did not show evidence of regular auditing by the registered provider. The money is stored securely in the home. Three Corners Nursing Home DS0000028760.V292659.R02.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Timescale for action 01/06/06 2. OP15 16(2)(i) 3. OP29 19(1) Medication administration records must be accurate when medication is not administered the reason for not doing so must be indicated, there must be no gaps in the records. The registered person must 01/07/06 ensure that the menu offers a choice of meals and this choice is given, read or explained to ensure residents are aware of the options available to them. The registered person must not 01/06/06 employ a person to work at the care home unless they have received in respect of that person the information and documents specified in paragraphs 1 to 7 of schedule 2. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000028760.V292659.R02.S.doc Version 5.1 Page 23 Three Corners Nursing Home 1. Standard OP12 2. OP19 The activities programme should be varied and stimulating to meet the needs of all residents, on an individual and group basis. Residents and their representatives should be involved in planning activities. Improvements to the environment should continue as indicated in the homes business plan. Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Three Corners Nursing Home DS0000028760.V292659.R02.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!