Inspection on 11/07/08 for Whiteoak Court Nursing Home

This inspection was carried out on 11th July 2008.

CSCI found this care home to be providing an Good service.

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

Whiteoak Court Nursing Home 18/02/08

Whiteoak Court Nursing Home 09/01/07

Whiteoak Court Nursing Home 10/01/06

Whiteoak Court Nursing Home 21/06/05

Whiteoak Court Nursing Home 02/11/04

Whiteoak Court Nursing Home 26/04/04

Whiteoak Court Nursing Home 13/11/03

Whiteoak Court Nursing Home 08/05/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE Whiteoak Court Nursing Home 15 Selby Close Chislehurst Kent BR7 5RU Lead Inspector Alison Ford Unannounced Inspection 11th July 2008 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 Whiteoak Court Nursing Home DS0000010146.V368111.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. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whiteoak Court Nursing Home Address 15 Selby Close Chislehurst Kent BR7 5RU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8467 0954 020 8467 0954 sandraschluep@whiteoakcourt.co.uk Messrs I R & RP Tappin and Mrs S M Schluep Mrs Mary Lyons Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing (CRH - N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 27 18th February 2008 Date of last inspection Brief Description of the Service: Whiteoak Court Nursing Home, in Chislehurst, is registered with The Commission for Social Care Inspection to provide nursing care for up to 27 elderly people. Situated in a quiet residential road, the home is an attractively presented and well-maintained property providing accommodation over two floors. A passenger lift allows access to all parts of the home. There are twenty-five bedrooms, two of which are for double occupancy. All of them are fitted with a wash hand basin and six benefit from en-suite facilities. On the ground floor there is a large dining room and separate lounge area. There is limited car parking to the front of the building and a small paved garden with seating and tables to the rear. The home is staffed by both trained nurses and carers, throughout the 24-hour period, supported by a range of domestic and ancillary staff. There are regular visits from a GP, chiropody, optician and dentist. At the time of this inspection fees ranged from £560 - £900 according to the room that is occupied and the level of dependency of the resident. Fees paid by people who are funded by the local authority vary from those whose placement is privately funded. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 5 Extra charges would be payable for services such as hairdressing and private chiropody and would be discussed prior to admission. A copy of the homes Statement of Purpose and their latest inspection report can be obtained from them. Inspection reports can also be downloaded from The Commission for Social Care Inspection’s website. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was the homes first inspection for the year 2008/2009 and was unannounced. The Manager of the home, Mrs Mary Lyons, was on duty and she and her staff are thanked for their help and hospitality. A tour of the home was undertaken and many of the residents, staff and some relatives, who were visiting, were spoken with and asked for their opinions about the home. Time was also spent sitting chatting with residents in the lounge to see what it might be like for them living there. A sample of care plans were assessed and other documentation, that the home is required to keep as evidence of its commitment to health and safety of residents and staff,was seen. When writing the report, consideration has been given to other information that we have received throughout the year and comments that have been made by the people who use this service. In addition, the home has submitted an Annual Quality Assurance Assessment. This document tells us what the service considers that it does particularly well and any plans that there may be for the future. Since the last inspection The Commission has not received any complaints about the service and there have not been any changes in the management structure. What the service does well: This home offers residents a good standard of nursing care in a clean, wellappointed and well-maintained environment. People looked well cared for and those who were being nursed in bed looked comfortable and free from pain. The atmosphere in the home is very friendly and staff have a good rapport with both the people that they are caring for and their families and friends. All of the people that we spoke with praised the staff and the care that they Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 7 received. They told us that “staff are very kind” and “nothing is ever too much trouble for them”. Relatives said that they particularly appreciated the fact that they were always kept informed of anything that was happening such as hospital appointments or any accident that may have occurred. Residents told us that they are able to choose how they spend their days and they are encouraged to remain as independent as possible. They said that they enjoy the activities, which are arranged for them and that the meals in the home were particularly good. One lady was especially pleased that her cup of tea was “always nice and hot” and “there’s often another one in the pot” The home is well managed by a trained nurse and staff speak very positively of their relationship with both her and the Registered Providers who are frequently in the home. The management team show their appreciation of the staff by providing them with meals while on duty, uniforms, paid training and small celebrations on their birthdays. The manager’s office is near the entrance hall and she operates an open door policy so that any concerns that anyone might raise are dealt with promptly. Records that the home is required to keep as evidence of their commitment to health and safety were all in order and policies and procedures are in place to ensure residents are protected from abuse. What has improved since the last inspection? What they could do better: Some concerns were raised about the fact that the front door is left unlocked during the day. Although the home likes to promote an atmosphere where people are always welcome, it was considered that there was a risk both of residents wandering out of the home unnoticed and also of unwanted visitors coming in. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 8 It was suggested that, in order to offer residents a greater choice, the home should consider employing some male staff when they are next recruiting. Requirements were made at this visit with regard to obtaining more information about residents past lives and achievements. This would help staff to understand more about the people that they are caring for and also to arrange activities that will suit their interests. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 9 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 Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3, 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering moving into this home are able to access information, which helps them to decide if it will suit them. A pre-admission assessment is undertaken to ensure that the home will be able to offer a service, which will meet their needs. This home does not offer intermediate care so Standard 6 does not apply. EVIDENCE: The sample of care plans that we looked at, showed that before people are admitted into the home, an assessment is done to make sure that their healthcare needs can be met. For those who are funded by the local authority the home would also have a copy of the care manager’s assessment. Some of these were seen at the inspection although the content was variable. All of Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 11 them contained details relating to the person’s physical health however, in some it was considered that more information could have been collected about social needs and interests. This would help to identify whether the home was going to provide an environment, which would meet the resident’s expectations and also if the daily life in the home and the activities that were arranged would suit their interests and capabilities. Very few residents would be able to visit, prior to admission, due to their frailty so the home tries to encourage their relatives to participate in the admission process. A relative that was spoken with confirmed how helpful the home had been when she was looking for somewhere that she liked and considered would be suitable. A service user guide has been developed to provide residents with information about the home and is apparently given to their relatives during the admission process. This guide should also be available as a reference tool for residents and it was recommended that copy could be left either in resident’s bedrooms or in the entrance hall alongside a copy of the latest inspection report. It was also suggested that photographs of various activities that have been undertaken could be displayed so that any one visiting would be able to see what happened in the home. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an individual plan of care in place for each resident so that all of the staff will know how to help and support them in a way, which suits their needs and preferences. Staff treat residents with respect and dignity and medication policies and procedures are in place, which protect them. EVIDENCE: Each resident has an individual care plan, which identifies areas where they need to be supported and how this will be done. Although all of the relevant information was available, and was evaluated regularly it was recommended that it could be organised in a better way to help staff look at all of the issues being experienced by residents rather than just individual symptoms or problems in isolation. The manager and senior nurse have agreed to consider how this could be improved. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 13 Three care plans were assessed at this visit and they showed that the home seeks advice from other healthcare professional where it is appropriate. The doctor visits regularly as does a chiropodist, dentist and optician. Factors, which might lead to the formation of pressures sores, and the deterioration of resident’s general health, are monitored continuously and appropriate pressure relieving devices are supplied where necessary. The home has just purchased new equipment, which will allow them to weigh people who are unable to stand and there are reclining chairs and walking aids for those who need them. It was noted that information regarding residents past lives and achievements and their social needs and preferences was very limited. This must be improved so that staff understand more about the people that they are caring for and also so they can arrange activities, which interest them. There was also limited information about the wishes of residents in the event of them becoming more unwell or their death. This must be improved in order that staff are aware of their views and unwanted hospital admissions can be minimised. All of the residents in the home at the time of the inspection looked clean, happy and well cared for. Those who were particularly unwell and being nursed in bed looked comfortable and free from pain. Staff on duty were seen to be addressing residents kindly and with respect and people that we spoke with said they were kind and caring. One resident said “ nothing was ever too much trouble for them “ and another that ” they were always so good”. It was noted that all of the staff members are female and recommended that, in order to extend the choices residents are able to make with regard to their personal care, the management team should consider employing some male staff when vacancies arise. Medication storage and records were seen and were generally in order. No errors were noted however; the system of recording drugs when they are received makes assessing a clear audit trail difficult. This must be addressed so that it is possible to make sure that the amount of medication remaining in packets etc. is correct. A visit will be made to check this at a later date. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have the opportunity to decide how they spend their days and activities are arranged for them to join in with if they wish. They enjoy the meals that are served in the home and their friends and relatives are always welcome to visit them. EVIDENCE: Many of the residents were in the lounge on the day of the inspection although a few said that they preferred to stay in their rooms and watch television and they were able to do that. Newspapers are provided and delivered to the home daily. An activities organiser is in the home three times a week and people told us that they enjoy the time that they spend with her. Hairdressers also visit the home. Spiritual needs are addressed and representatives from various religions visit the home regularly and provide services and Holy Communion for those who wish to join in. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 15 The lunchtime meal was served during the visit. This appeared to be a pleasurable experience for residents who said that meals were always good. Tables were nicely presented; drinks and condiments were on the tables. Staff were available to help those who needed it. Menus were seen and were well balanced and nutritious. Choices would always be available and special diets can be catered for. Several visitors were in the home during the day and all of them were welcomed warmly. They were able see residents in their rooms if they preferred and some people said that their families sometimes took them out. All of them were very complimentary about the staff in the home and the way that they looked after the residents. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16,18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear complaints procedure in place, which ensures that any concerns will be dealt with promptly. Residents are protected from abuse and from people who have been judged as being unsuitable to work with vulnerable adults. EVIDENCE: There is a clear complaints procedure and a copy is on the wall in the hall and in the Statement of Purpose and Service User Guide. This ensures that anyone who wishes to raise any concerns knows how to do so. The home keeps a record of any complaints and this showed that they are dealt with promptly and appropriately. The homes manager is generally available to deal with any issues as they arise and residents said that they would tell her if anything was wrong and she would sort it out for them. The Commission has not received any complaints about the service since the last inspection. Staff that were spoken with had an understanding of what they should do if they suspected anyone was being abused. There is regular training for them and the home has details of the local authority guidelines. Previous concerns about checks made prior to staff starting work in the home have now been addressed. Recruitment procedures now ensure that people Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 17 who have been judged as being unsuitable to work with vulnerable adults are prevented from doing so. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home provides clean, comfortable and well-maintained accommodation for the people who live there. EVIDENCE: A tour of the home was undertaken. There is a continual programme of redecoration and refurbishment in place and the home is comfortable and well maintained. Communal areas are bright and well furnished; there are ramps in place so that wheelchairs can be used and handrails are along the walls of the corridors. Bathrooms and toilets all have equipment to help those with reduced mobility use them safely. Bedrooms are large and well appointed and residents have been encouraged to personalise them with photographs, pictures and small items of furniture. All of them have washbasins and six have en-suite facilities. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 19 On the day of the inspection the home was very clean and tidy and residents said that it was always so. It was noted that the front door is not locked and residents could leave the home unnoticed and also that unwanted people could come in. To minimise the risk to residents, staff and their property, consideration must be given to improving the security in this area possibly with a bell, a door entry phone system or electronic keypad. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough appropriately trained staff on duty in the home to meet the needs of the people that live there. Robust recruitment procedures help to ensure that residents are protected from people who have been judged as being unsuitable to work with vulnerable people. EVIDENCE: The home is staffed, throughout the 24-hour period, by both trained nurses and care staff. Rotas showed that generally there are four carers in the daytime with two trained nurses in the morning and one in the evening. In addition, the manager who is also a nurse is on duty in a supernumery capacity. There are also a number of ancillary staff on duty in the home. Staff turnover is low and this provides continuity of care and familiarity for the residents. The majority of carers have attained an NVQ qualification to at least level 2 and there is an ongoing training plan in place for all staff. New staff benefit from an induction package, which is line with the “Skills For Care” programme. Previous concerns regarding staff pre-employment checks have now been addressed. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 21 Personnel files of the two staff members employed since the last inspection were seen and it was evident that appropriate clearance from The Criminal Records Bureau had been received before they began working in the home. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35, 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced person, who is supported by the owners, manages the home in the best interests of the residents. Policies and procedures are in place to maintain the health and safety of both residents and staff. EVIDENCE: The Registered Manager Mrs Lyons is a trained nurse and has worked in the home for some years. The Registered Providers are also closely involved with the running of the home and visit frequently. Some of the staff that we spoke with have also been employed in the home for some while and spoke very positively about both the manager and providers. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 23 The home conducts its own quality assurance monitoring by distributing questionnaires to residents. Results are collated and these were seen. They showed that residents were generally very happy with the home and the services that are provided. There were also several thank you letters from residents relatives. Staff surveys are also undertaken and these too show that staff are very positive about their working environment. The management team do not take any responsibility for the finances of any of the residents. All of them have families or representatives who deal with these issues and the home would just invoice them for any expenditure undertaken on behalf of residents. Records relating to the health and safety of residents that were seen were in order. The Annual Quality Assurance Assessment provides information relating to the servicing and maintenance of equipment and states that this has all been completed as required. An environmental health officer’s visit to inspect the kitchen area and related documentation resulted in the home receiving 5 stars. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 24 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Requirement Timescale for action 30/09/08 2. OP7 15 3. OP9 13(2) 4. OP19 13(4)(c) Care plans must contain more information about resident’s social preferences, past lives and achievements in order that staff can understand more about the people that they are caring for and activities can be provided which suit their interests. Care plans must contain more 30/09/08 information about resident’s wishes in the event of them becoming unwell or their death, in order to minimise unwanted hospital admissions. There must be a clear audit trail 30/07/08 relating to medication ordering and administration so that it is possible to confirm that no errors have been made. There must be improved security 30/09/08 of the front door to prevent unwanted visitors entering the home and residents leaving unnoticed. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 26 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 OP1 OP7 OP10 Good Practice Recommendations It is recommended that a copy of the Service user guide should be available to residents either in their bedrooms or in the entrance hall. It is recommended that residents care plans are organised in a way, which reflects a person centred approach rather than just identifying individual symptoms or problems. It is recommended that consideration should be given to employing male staff in order to offer residents more choice in relation to the delivery of personal care. Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Whiteoak Court Nursing Home DS0000010146.V368111.R01.S.doc Version 5.2 Page 28 - 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!