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Inspection on 04/12/06 for Throckley Nursing & Residential Home

Also see our care home review for Throckley Nursing & Residential Home for more information

This inspection was carried out on 4th December 2006.

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

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

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

What the care home does well

Staff are friendly and approachable. Residents say that are well cared for; " The staff are lovely here" " You couldn`t find a better place then this" "The food is excellent" "You should have come when we were having a sing song" Many areas of the home are decorated to a high standard and bedrooms are nicely personalised. A good range of activities is available. Care plans are written to a high standard and regularly reviewed.

What has improved since the last inspection?

Some new carpets have been provided to some areas in the home. The kitchen floor has been replaced and a new fridge provided. Emergency pull cords have been cleaned or replaced. Bath slings for use with the hoist have been provided to enable residents to use the bath with assistance.

What the care home could do better:

The flooring needs to be replaced in a number of areas in the home, and all outstanding requirements regarding this must finally be met. The bathroom areas could be more homely and inviting. The accounting system for resident`s money needs to be improved. Notices could be placed at eye level for people in wheelchairs. Staff should avoid lining people up in wheelchairs in a queue.

CARE HOMES FOR OLDER PEOPLE Throckley Nursing & Residential Home Ponteland Road Throckley Newcastle Upon Tyne Tyne & Wear NE15 9EP Lead Inspector Aileen Beatty Key Unannounced Inspection 09:30 4th December 2006 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 Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Throckley Nursing & Residential Home Address Ponteland Road Throckley Newcastle Upon Tyne Tyne & Wear NE15 9EP 0191 267 5655 0191 229 1119 throckleygrange@highfield-care.com defoecourt@shealthcare.co.uk Southern Cross Home Properties Limited 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) Mrs Elizabeth Ann Brennan Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 Brief Description of the Service: The home is purpose built and located in the centre of Throckley. It is close to all local amenities and is on a local bus route. The home caters for up to 50 older people and has a maximum of 35 nursing care beds. There are spacious communal areas, dining rooms, separate smoking lounge and a passenger lift services all areas. The home has 44 single bedrooms and 3 companion rooms, including 3 with en-suite facilities. Externally there are accessible gardens, patio areas and car parking is available. The home has access to a shared mini bus for outings. Fees range from £355 to £585 per week. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days, the 21st November and 4th December as the manager was not present during the first visit. The inspection involved a tour of the premises, discussions with residents, staff and visitors, and reading records. The inspection found that the overall standard of care in the home is good. What the service does well: What has improved since the last inspection? Some new carpets have been provided to some areas in the home. The kitchen floor has been replaced and a new fridge provided. Emergency pull cords have been cleaned or replaced. Bath slings for use with the hoist have been provided to enable residents to use the bath with assistance. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Intermediate care is not provided. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users needs are fully assessed before they enter the home. EVIDENCE: A comprehensive assessment is provided by social services before residents move into the home. This contains information about the type of help they need and information about their past medical and social history. The manager also visits residents to tell them what they may expect when they move into the home and to make sure that they are the most appropriate place to care for them. New residents may visit the home to meet other residents and staff. This may be a short visit and then a longer one to perhaps stay for a meal. There is a six- week formal trial period. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users needs are set out in individual care plans. Health needs are fully met. Residents are protected by the homes policies and procedures for dealing with medicines and are responsible for their own where appropriate. Residents are generally treated with respect and their privacy is upheld. EVIDENCE: The care plans of three residents were read. Care plans describe a problem or need and how staff should deal with them. Assessments of physical needs are carried out including assessment of skin health which identifies people who are at risk of developing pressure sores (sometimes called bed sores), moving and Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 10 handling, nutritional needs, continence, and risk of falls. Psychological assessments are carried out on a regular basis. Care records include risk assessments, which alert staff to possible problems. For example, one risk assessment highlights to staff the risk of sunstroke, dehydration, and burns in summer. Residents who use bedrails also have a risk assessment in place because of a risk of entrapment. The records of two residents with pressure sores were examined. These demonstrate that wound care is good, and advice is sought from the specialist tissue viability nurse when necessary. Care plans are evaluated monthly, and wounds are monitored daily. It is recommended that photographs are taken to help to monitor the progress of wound care more effectively. Care plans are written to a very high standard and the manager audits these monthly. Residents health needs are met by the care provided in the home, and also a range of visiting professionals. Care records show that residents are visited by GP’s from Throckley, Newburn and Chapel House practices. A dentist, chiropodist, and optician visit on a regular basis. Residents can be referred to other services such as physiotherapy, speech therapy or District nurses via their GP. Resident spoken to say that they feel well cared for, and staff are friendly and caring in their approach to them. Medication records were examined. Medicine given is correctly recorded, and medicines are stored appropriately. Cupboards are tidy and organised. A random check of controlled drugs found the correct quantity in stock, and systems for recording the administration and stock levels of controlled drugs are followed. Medicine fridge temperatures are checked daily. Nurses must remember to date eye drops when they open them. Staff maintain the dignity and privacy of residents by knocking on room doors before entering, and discreetly asking people if they need to use the toilet. There is a tendency for some staff to line residents up in their wheelchairs, for example to wait for the lift, or to leave the dining room. This is inappropriate and should be discouraged as it appears institutionalised. Some staff sometimes forget to explain what they are about to do, so may move a person in a wheelchair without warning. Staff are, however, generally professional and courteous. There were good examples of staff dealing effectively with distress. One lady was upset and wanted to go home. The staff member reassured her and took her for a comfortable seat and stayed to chat and distract her. Another member of staff skilfully intervened when one resident became angry with another and prevented the situation from escalating, and comforted and reassured both people without appearing to take sides or challenge them. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 11 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 and 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Activities available in the home help to meet the social, cultural, religious and recreational needs of residents. Residents are encouraged to maintain strong links with family and friends and there are strong links with the local community. Residents are usually helped to exercise control and choice in their daily lives. Meals and dining facilities are good. EVIDENCE: An activity coordinator is employed by the home and works twenty five hours per week. A range of activities are available, and there are photographs of previous activities on display. Residents entered a regional gardening competition in the summer, and there are pictures of a Halloween party (for under 14’s), baking and a celebration of the Queen’s birthday. A Christmas Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 12 fair is planned, and there are advertisements for future activities such as entertainers visiting the home. It is recommended that some posters are placed at a lower level as there are a lot of residents who use wheelchairs. A recent Pie and Pea Supper was very successful. Residents from nearby sheltered housing were invited to this event, and the staff in the home try to maintain strong links in the community which they describe as “close knit”. The activity coordinator is a trained hairdresser. On the first day of the inspection she was doing residents hair and makes this into a social activity or a “pampering” session. On the second day of the inspection, nine residents were enjoying a game of bingo, and were participating fully, including calling numbers and checking the results. Activities are well recorded. The activity coordinator records the level that people have engaged with the activity, for example whether they were active or passive. This helps to inform future activity planning and helps with the decision about whether it was a suitable activity or whether it is suitable for some people but not others. Life history sheets have been written and are in the files of some residents. These are going to be provided for all residents to help staff to know and understand more about the residents past lives and experiences. The home has a cat and residents often stop to speak to him or stroke him as they pass by. A church service is held on the third Sunday of the month and is attended by approximately five residents. Residents are offered choices. At lunch-time, a number of residents confirmed that if they did not like what was on the menu they could ask for something else. Menus are not displayed, although there are plans to display table menus when new stands arrive. The dining rooms are clean and well presented. Prior to meals being served, it was noticed that on both days of the inspection, staff sit by the serving hatch in rows, waiting (for some time) for the meals to arrive. The residents are seated and wait separately. This looks very institutional and it was recommended that staff use this opportunity to sit with residents and have a chat while they are waiting. Staff agreed that they do this out of habit, and recognise that it gives the appearance of a divide between staff and residents. The kitchen was inspected and found to be clean and tidy. New flooring has been fitted in the kitchen since the last inspection. A recent Environmental Health inspection found some contraventions and these have been addressed by the home. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 13 Food for residents located upstairs is taken up on a trolley. This is not a hot trolley as the only one available is too heavy. This causes a problem that food is not always hot enough when it gets there and sometimes must be re heated. All residents are entitled to hot food that has not been re heated and it is strongly recommended that a suitable hot trolley be obtained for upstairs. The top floor food is sent up by a hatch lift so there is not the same problem. A number of residents comment “the food is lovely here”. A new cooker is required as the mechanism for lighting the oven no longer works and staff must kneel on the floor with a match to light it. It looks very old. Residents are asked in the morning what they would like from the menu that day. This helps to prevent people forgetting what they have ordered or changing their mind. A four-week menu cycle is in place and this has been adapted to suit local tastes. For example, mince and dumplings has been added which may not be served in other areas of the country. Soups and salad are always available in addition to the menu. The cook understands the special dietary requirements of some residents, and she confirmed what residents had said, that she likes to give them “anything they fancy”. When sandwiches are made for tea, they are made as late as possible so they are as fresh as they can be. When it is a quiet afternoon, for example when there is no deep cleaning or food orders to put away, the cook bakes a cake. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents and relatives are confident their complaints will be listened to. Residents are protected from abuse. EVIDENCE: There have been four complaints in the home in the last twelve months. These were responded to within 28 days and were satisfactorily resolved by the home. They are recorded appropriately. Complaints relate to lost clothing and requests for more help with personal hygiene. All four complaints were upheld and action taken by the manager. Complaints procedures are displayed, again these need to be accessible to people in wheelchairs. There has been one adult protection issue since the last inspection. This was dealt with appropriately by the home. All staff received training in the protection of vulnerable adults in 2004. It is recommended that refresher training takes place on a regular basis, although the manager confirmed there is some planned. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 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): 19,21 and 26 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Most areas of the home are safe and well maintained. The toilet and bathing facilities need to be improved. The home is generally clean pleasant and hygienic. EVIDENCE: There has been some redecoration and refurbishment since the last inspection. Many areas of the home are nicely decorated. Some carpets have been replaced but there remain outstanding requirements that new carpets must be provided in the middle floor lounge and top floor. Flooring in toilets and the laundry still need to be replaced. Some bedroom carpets have been replaced Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 16 but they are not all satisfactory. One bedroom carpet appears stretched and is wrinkled causing a tripping hazard. Communal areas and bedrooms are homely and the bedrooms nicely personalised. There remains a problem with bathing facilities. At the last inspection, residents were being hoisted into a domestic bath with the aid of bath slings. This remains the case, although it is reported that some residents prefer this as they can be lowered to the very bottom of the bath. Two new electric hoists and bath slings have been provided. While this is an improvement, a full review of assisted bathing facilities must be included when planning further refurbishment. Bathrooms are cold and uninviting in appearance. Most areas of the home are clean and tidy. There are four domestics working in the home for a total of 96.5 hours per week. The laundry is tidy and organised. Some areas are not satisfactorily clean or maintained. Some pull cords are dirty and need to be replaced. The toilet seat in one room was noticed to be loose and encrusted with dirt. The doorframe in the same toilet is badly marked. The soap dispenser in the room is also dirty. The hoist has damaged the wall next to the toilet in the downstairs bathroom. The side bath panel also needs to be replaced as it is damaged. Some towels in the bathroom are frayed and must be replaced. The flooring in toilets is damaged which means it cannot be cleaned effectively. There are plans to have an infection control link nurse in the home, when places are available on the next course. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 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 good. This judgement has been made from evidence gathered both during and before the visit to this service. There are sufficient suitably qualified members of staff on duty at all times. Recruitment procedures protect residents in the home. Staff are trained and competent. EVIDENCE: Staffing levels have stabilised. The staffing levels in the home continue to be: 2 qualified nurses 8am to 9pm 1 qualified nurse form 9pm to 8am 7 carers from 8am to 2pm 5 carers from 2pm to 4pm. 6 may be on duty if dependency levels in the home are high. 6 carers from 4pm to 9pm 4 or 5 carers from 9pm to 8am. There is a vacancy for an administrator at present. Residents say that they feel well cared for and that they are attended to promptly by staff. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 18 Staff files were examined. They contain all of the required information such as criminal records and health checks, and references. Staff training is ongoing, and there has been an emphasis on prioritising NVQ training so that staff do not feel overwhelmed by too many training courses. Fifteen staff have enrolled to do NVQ level two and four are doing level three. Nine out of twenty five staff have NVQ level two or above and the home is working towards the target of having over 50 of staff trained at NVQ level two and above. The facilities manager arranges statutory training such as moving and handling and fire safety. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 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): 31,33,35,36 and 38. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is run by an experienced manager. The home is run in the best interests of residents. Financial procedures need to be amended. Staff are supervised but not always on a regular basis. The health safety and welfare of resident’s staff and visitors is not always protected due to some hazards that remain due to damaged flooring. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager is a qualified nurse who is experienced in the care of older people. A deputy manager is in post. Residents say they are happy with the care provided so the home appears to be run in the best interests of the residents. The home keeps the personal allowances of each resident in the safe in an individual case. A random check on two residents money found one total to be correct, and the other resident had too much money. The manager explained that the account sheet is only updated weekly when transactions have been put into the computer. An accurate running total must be maintained. Staff supervision takes place six times a year but they are not evenly spaced and there may be a number of sessions close together then none for a few months. It is recommended that supervision takes place on a regular basis. The manager monitors the standard of care plans and provides feedback to nurses. Staff also have an annual appraisal. There remains a tripping risk due to worn and damaged carpets. This is an outstanding requirement and must be addressed as a matter of urgency. The manager is aware of this safety concern but is working within the constraints of the budget in the home. It is acknowledged that a number of improvements have been carried out but safety issues must be prioritised over cosmetic ones. The manager is due to receive refresher training in health and safety in 2007. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 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 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 2 X 2 Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 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 OP19 Regulation 13, 23 Requirement The home must continue to replace the lounge carpets as part of an ongoing refurbishment programme. Timescale of 01/12/05 not met. Timescale of 01/06/06 not met. Review the bathing practices in the home to ensure all the facilities, including the shower room are operational to meet residents assessed needs. Timescale of 01/08/05 not met. Timescale of 01/06/06 not met. Bathrooms must be redecorated and made more homely. 3. OP24 16,23 13 (4) (a) Continue to replace the bedroom carpets as part of the ongoing refurbishment programme. Timescale of 01/12/05 not met. Timescale of 01/06/06 not met. Repair the laundry floor. Timescale of 01/09/05 not met. Timescale of 01/06/06 not met. 01/03/07 Timescale for action 01/03/07 2. OP21 23 01/03/07 4. OP26 13,23 01/03/07 Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 23 5. 6. 7. OP10 OP18 OP26 12 (4) (a) 18 (c) (i) 23 (2) (d) Residents must not be lined up in rows in wheelchairs. Confirm POVA training is arranged. All areas of the home must be kept clean. 04/01/07 04/02/07 04/01/07 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. 3. Refer to Standard OP8 OP12 OP12 Good Practice Recommendations It is recommended that photographs are taken of wounds to monitor progress. It is recommended that posters are displayed lower to enable people in wheelchairs to read them more easily. It is recommended that staff do not sit separately from residents when waiting to serve meals and use this opportunity to socialise with residents. Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Throckley Nursing & Residential Home DS0000040481.V295627.R01.S.doc Version 5.2 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. 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