Inspection on 10/09/07 for Whitwell Park Nursing And Residential Home

This inspection was carried out on 10th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitwell Park Nursing And... 06/09/06

Whitwell Park Nursing And... 23/11/05

Whitwell Park Nursing And... 12/07/05

Whitwell Park Nursing And... 16/12/04

Whitwell Park Nursing And... 01/09/04

Whitwell Park Nursing And... 24/09/02

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

CARE HOME ADULTS 18-65 Whitwell Park Nursing And Residential Home 130 Welbeck Street Whitwell Worksop Nottinghamshire S80 4TP Lead Inspector Nancy Bradley Key Unannounced Inspection 10 and 25th September 2007 09:30 th Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 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 Whitwell Park Nursing And Residential Home DS0000002098.V341960.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 Adults 18-65. 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. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitwell Park Nursing And Residential Home Address 130 Welbeck Street Whitwell Worksop Nottinghamshire S80 4TP 01909 724800 01909 721127 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 Ann Gibbins Dr E DeSaram Mary Marsh Care Home 35 Category(ies) of Learning disability (35) registration, with number of places Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Whitwell Park is a modern, purpose built care home situated in the village of Whitwell, Derbyshire. The home provides personal care for 5 residents and nursing care for 35 residents with learning disabilities. Residents are accommodated in single bedrooms on two floors. Most of the bedrooms have en-suite toilets. Information on fees is not available. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over a total of six hours. The inspector spoke with the Registered Manager and care staff The inspection activity during this site visit was to assess the service against the key National Minimum Standards and these are identified through the report. There were thirty-five service users in the home on the day of the inspection; the home currently has no vacancies. Additionally, time was spent in preparation for the visit, looking at the service history, the previous inspection report and the Annual Quality Assurance Assessment questionnaire. Records were examined relating to the service users and the general running of the home. The Commission for Social Care Inspection sent out ten “Have Your Say” questionnaires and all were returned. Services users confirmed they were happy at the home, were looked after by the staff, knew how to make a compliant and staff listened to what they wanted. The Homes Statement of Purpose, and Service User Guide were displayed in the main entrance to the home. What the service does well: What has improved since the last inspection? There have been no major service changes. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 6 There are a number of requirements outstanding from the previous inspection, which have yet to be addressed by the home. All polices and procedures have been reviewed and updated. The home has not received any complaints or safeguarding issues about its service. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users’ needs are fully assessed and met prior to admission. However the lack care needs reviews does not ensure that service users continuing needs are always being met. EVIDENCE: The majority of the service users who are admitted to the home have their needs assessed via their social worker or through the care management system, which highlights any additional needs, and the need for additional staffing hours. The assessments form part of the service user plan compiled by the home and which the service user signs. These were comprehensive and up to date and reflected the involvement of service users and significant others. The referring Authority had not reviewed several of the care needs assessments examined. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are and met. EVIDENCE: During the visit care plans of all four-service users were examined. The staff had compiled the care plans for each service user and evidence was seen of care plans being reviewed on a regular basis, this includes all the key staff involved in the care of the service users. All care plans were very detailed and comprehensive including services users’ individual lifestyle preferences and choices; and interventions prescribed by outside healthcare professionals. Daily records are also maintained on each service user. As stated in the previous inspections report care plans need to have a definite date for review; from care plans examined it was not clear when the review had taken place. The key worker had just written review in 6/12. Due to their level of disability some service users were unable to agree and sign their care plan, although they were involved in compiling the care plan Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 10 This could be an area where family, friends or the Advocacy Service could be more actively involved. Service users’ files also contained a wide range of related risk assessments in areas such as behavioural/psychological issues, matters affecting physical health, tissue viability, nutrition, mobility, risks associated with health and safety and social activities. Activity timetables were displayed around the home. Risk assessments were also monitored and updated as required. All service users have a named nurse and key-worker and support worker. All service users have access to the Derbyshire Advocacy Service should they require and the home is setting up service user meetings with the Advocacy Service. During the tour of the home care staff were observed encouraging service users to make decisions that affect their daily lives. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships, and to participate in activities both in the home and outside in the wider community in accordance with their preferences and wishes. The home provides a well-balanced and nutritious diet. EVIDENCE: The majority of the service users are unable to work due to their level of disability, however some are able to attend the local college The service users’ personal goals, choices and preferences were identified and there were properly recorded risk assessments in place for each service user in relation to the activities they were engaged in. The care staff takes the service users on holiday each year and they were due to go away to Butlins in the next few days. All holidays are tailored to the individual needs and abilities of the service user. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 12 The relationships observed between care staff and service users were open and good-humoured. The service users are encouraged to take pride in their appearance and their preferred style of dress is respected. During the visit the inspector spoke with the care staff about the activities service users were engaged in and the arrangements for these. The care records of four service users provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. The daily routines are flexible with the service users being able to make their own decisions about how they spend the day. Information on service users’ records indicated that contact with family and friends were appropriate and that they play an important part in their lives, the home maintains good contact with them. The home has an open door policy for friends and family who are encouraged to take part in activities within the home. Examination of the menus indicates the home is providing a healthy wellbalanced and nutritious diet with some service users on special diets. The service users are given a choice if they do not like the options on the menu. The cook in consultation with the care staff and service users compiles menus. The fridge temperatures were within a safe range. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support in a way, which promotes their independence and is in accordance with their preferences and beliefs. EVIDENCE: The service users care records seen detailed their preferred routines and the staff were well aware of their preferences, and demonstrated this in discussions with each other. Interactions and conversations with service users ware appropriate. Several of the service users had one to one support from their care worker and it was clear that good relationships had been developed. Many of the service users were not able to express themselves verbally and to directly contribute to the site visit. During the tour of the home several service users spoke with the inspector indicating that the staff cared for them and that they liked it at the home. Also they get appropriate help when they need it and are able go out to the shops and on trips. Those service users who were less able to express themselves looked relaxed, and were involved in the days activities. Service users were all dressed in clothes appropriate to their age and personal preference. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 14 During the visit it was clear that the service users’ privacy and dignity are respected, and where service users need supervision during personal care this is recorded in their care plan. Staff were routinely observed knocking on service users’ bedrooms doors and bathrooms before entering. From records examined and from discussions with staff, this showed that service users’ health and personal needs were being met Service users were generally healthy and records showed that staff promptly contacted the appropriated medical services. All service users attended services within the community including G.P’s, optician, podiatrists, and dentist. Although the home had comprehensive records on service users’ health care needs, several health care records had not been fully completed for the last two years. Records on service users weight were not up to date. Records examined showed that specialist advice and relevant reviews were routinely obtained from Ash Green Community Hospital for people with learning disabilities. The home operates and monitors service users medication. None of the service users are able to administer their own medication. All staff have received training on medication training procedures. The arrangements for receipt, storage, administration and disposal of medication were also examined and found to be satisfactory. There was a clear audit trail of all medication used at the home. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard service users’ welfare and ensure that their concerns are listened to and acted upon. EVIDENCE: Service users are made aware of the home’s complaints procedure through the service user guide and via their key worker. A copy is displayed on the service users’ notice board. The Registered Manager has developed a user-friendly complaint form for service users. Any concerns and complaints made by service users are investigated within the agreed time scales. The Registered Manager maintains a record of all complaints made by service users, details of the investigation action and outcome. The procedure contains the current contact details of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so. Completed service user questionnaires confirmed that they would talk with the Registered Manager about any concerns they may have. The Registered Manager stated in the Annual Quality Assurance Assessment that the home is looking to make the procedure more user-friendly format for service users. Records seen indicated that no complaints had been received from service users or their representatives about their care since the last inspection. The home has a vulnerable adult protection policy and procedures, however this does not make reference to local procedures, or reflecting the change of policy to the Safeguarding of Adults. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 16 From discussions with the care staff and from records examined there has been no reported incidents or allegations under the safeguarding of adults procedure since the last inspection. The Registered Manager confirmed they had received training on the safeguarding of adults and that this is an on going training issue. From discussions with the care staff and from records examined there has been no reported incidents or allegations under the safeguarding of adults procedure since the last inspection. The home has a system in place for the management of service users’ monies. Records were held separately for each service user and these are kept securely. Service users who are able to sign for their money do so. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general standard of the home and the environment are good providing service users with an attractive and comfortable place in which to live EVIDENCE: The inspector conducted a tour of the home and all communal areas were inspected together with the staff facilities. The tour of the home showed that the home is well maintained and furnished to a satisfactory standard. The facilities are homely, comfortable and free of unpleasant odours as was the case on the day of the visit. Staff have received training on infection control. As annual maintenance programme for renewal of the fabric and decoration of the premises needs to be produced and implemented with records kept. This will assist with the overall maintenance of the home. The home has a dedicated maintenance man, who is responsible for the overall general maintenance of the home and maintains all the health and safety checks. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a recruitment policy in place, which ensure the safety and protects the service users. However current practice leaves service users vulnerable. The staff appeared to be well supported in their day-to-day work however this could be further strengthened with the development of a formal system of supervision. EVIDENCE: The staffing levels at the home were high, as several staff service users require one to one staffing, and the other staff working with one or two service users. The majority of the care staff are registered nurses working with care workers for support. The home has achieved the 50 required under standard 32.6.of staff holding a NVQ level 2. The Registered Manager stated that several staff are working towards a NVQ level III There is a staff recruitment policy and procedures in place and from records examined all staff are required to have a current and valid Criminal Records Bureau check, two references. All recruitment records are held by the home in a secure cabinet. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 19 Although some work has been undertaken on staff recruitment records further work is required to meet the National Minimum Standard Schedule 2. The staff recruitment records did highlight the following issues: • Full employment history not always being obtained. • Prove of identity. • Copies of qualifications / certificates held by all staff. • Pin numbers for the nursing staff. • No clear audit tail for Criminal Records Bureau checks. • Criminal Records Bureau clearance for some staff was over three years old and did not take account of POVA and POCA. • Records of interviews on file were not routinely available. The staff training records were examined. There is a programme of training in place, which includes fire safety, moving, and handling, managing aggression and violence, falls, first and emergency aid. Details of how to access training on the Mental Capacity Act were discussed with the Registered Manager. From discussions with staff training is given a high priority in the home and they are encouraged to attend relevant courses. Although there is a policy and procedure for the supervision of staff the Registered Manager confirmed that this does not always take place. Several staff have not had any formal supervision for several months. All staff have an appraisal and this is linked to their Personal Development Plan. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that service users’ have a voice and is run in their best interest. EVIDENCE: The Registered Manager has considerable knowledge and experience in caring for adults with a learning disability and challenging behaviour. She has been with at Whitwell Park for a number of years. As discussed at the visit the Registered Manager does not have a recognised managers award, which all managers of care homes are required to achieve. The home has a policy and procedures for assessing its quality of care. The Regulation 26 visits by the Registered Provider to the home include details of consultation with service users and staff. Questionnaires are given out to service users as part of the homes quality assurance procedures. However due to the limited communication levels of some of the service users they are unable to complete questionnaires and take part in residents meetings. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 21 The Registered Manager compiles an annual report for the Registered Provider. Discussed with the Registered Manager ways in which the home could develop its quality assurance procedures further. At present the home is not seeking views from family, friends or stakeholders about the services it provides. Samples of policies were examined with several of these having been reviewed and updated. The staff have access to all the policies and procedures relating to the home.. A sample of service/maintenance records was examined (including gas and electricity services) and there was confirmation that all the equipment had been properly maintained. Evidence of checks having been carried out was provided to the Commission for Social Care Inspection Systems were in place for the monitoring and maintaining the hot water temperatures. Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 2 X X 3 X Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? 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 YA2 Regulation 14 Requirement All care needs assessment must be reviewed regularly and copies of the reviews must be made available to the home. This is a previous requirement The home must maintain a full health record on all service users. All staff employed must comply with the home policy and procedures on recruitment as detailed in Schedule 2 of the National Minimum Standards for Younger Adults 2001. This is a previous requirement. All staff must have regularly supervision in line with the National Minimum Standard 36.4. This is a previous requirement. Timescale for action 30/11/07 2. 3. YA19 YA34 17 Schedule 3 19 Schedule 2 and 4 30/11/07 30/11/07 4. YA36 18 30/11/07 5. YA39 24Schedule A formal quality assurance 4 system must be developed to include the views of services users and their representatives. This is a pervious requirement. 31/12/07 Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA6 YA6 YA23 Good Practice Recommendations Service users’, or their representatives’, involvement in care plan should be confirmed by means of a signature The review date on service ours records should be more defined. The protecting adults policy and procedure must be updated and reviewed to ensure service users are fully protected from harm. This is a previous recommendation. When gaps in employment history is investigated this should be formally recorded on interview minutes. This is a previous recommendation Staff with a Criminal Records Bureau over three years should have their clearance renewed to include POVA and POCA. This is a previous recommendation All staff should ensure that they provide copies of all qualifications. This is a previous recommendation This is a previous recommendation The Registered Person should ensure that the full employment history includes the days date month and year of employment. This is a previous recommendation The Registered Managers should commence an approved management qualification. This is a previous recommendation The Registered Person must consult with stake holder’s family and friends as part of the homes quality assurance review. The home should make public its quality assurance findings. 4. YA34 5. YA34 6. YA34 7. YA34 8. YA37 9. 10. YA39 YA39 Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Whitwell Park Nursing And Residential Home DS0000002098.V341960.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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