Inspection on 20/04/07 for Witnesham Nursing Home

This inspection was carried out on 20th April 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 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

Witnesham Nursing Home 10/04/06

Witnesham Nursing Home 07/12/05

Witnesham Nursing Home 12/05/05

Witnesham Nursing Home 07/03/05

Witnesham Nursing Home 22/06/04

Witnesham Nursing Home 05/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Witnesham Nursing Home Wearholme, The Street Witnesham Ipswich Suffolk IP6 9HG Lead Inspector John Goodship Key Unannounced Inspection 20th April 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Witnesham Nursing Home DS0000024530.V335124.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. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Witnesham Nursing Home Address Wearholme, The Street Witnesham Ipswich Suffolk IP6 9HG 01473 785828 01473 785779 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) Dibcan Limited Mrs Carole Ann Glegg Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th April 2006 Brief Description of the Service: Witnesham Nursing home is situated in the village of Witnesham on the northern outskirts of Ipswich. The home is registered as a care home with nursing for a maximum of 30 service users in the category of older people. The home has 2 lounges, a dining room with a small private sitting area adjoining and all bedrooms are adequately furnished and decorated with each service user being able to choose the colour scheme of their own room. Service users are encouraged to bring in personal possessions and small items of furniture for the rooms. Most of the rooms are of single occupancy. There is a nurse call system in place that is accessible to service users in all bedrooms, bathrooms and communal areas. A shaft lift allows access to the first floor and the home and its gardens are accessible to wheelchair users. The manager, referred to as ‘matron’, leads a team of care staff who are trained to meet the needs of the service user. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and covered the key standards which are listed under each Outcome Group overleaf. This report includes evidence gathered during the visit together with information already held by the Commission. The inspection took place on a weekday and lasted five and a half hours. The matron was present throughout, together with staff on the morning shift and, later, those on the late shift. The inspector toured the home, and spoke to some of the residents, and interviewed two staff, and spoke to a visiting story teller. The inspector also examined care plans, staff records, maintenance records and training records. A questionnaire survey was sent out beforehand by the Commission to residents, to relatives and to staff. Eleven residents responded and thirteen relatives. Most of the relative questionnaires had been completed with the support of relatives. Fourteen staff also responded.Their answers to the questions and any additional comments have been included in the appropriate sections of this report. What the service does well: Residents are provided with a comfortable and homely environment that is clean. Relatives described the home giving them peace of mind, making them feel welcome, and treating resident with respect. The staff were described as kind and helpful. “Nothing seems too much trouble for the staff.” “The manager is always available and listens to any concerns.” No relative who replied to the survey had ever needed to make a complaint. One relative commented: “The happiest I have seen my (relative) for a long time.” Several people commented that they were kept well informed about what was happening to their relative. “Staff keep us in touch exceptionally well.” Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 6 Personal support was given and health care needs promoted within the home and help given to access the community-based facilities for this. The ‘Friends of Witnesham’ is a valuable link with the world outside the home, and the Friends provide excellent support both to the home and to individual residents. Arrangements were in place for meeting the health and personal care needs of service users, including those with complex nursing needs. Staff training is well planned, with regular refreshers for all staff. In addition, the home is an accredited establishment for Adaptation training for overseas nurses wishing to obtain UK recognition as qualified nurses. What has improved since the last inspection? 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. Witnesham Nursing Home DS0000024530.V335124.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 Witnesham Nursing Home DS0000024530.V335124.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Standard 6 is not relevant to this service. Quality in this outcome area is good. The admission procedure is clear and there is a proper assessment in place for all prospective residents prior to people moving into the home. The home was able to demonstrate that the needs of all residents were being met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and the Service Users’ Guide were examined. Both documents were complete. A copy of the standard terms and conditions was included in the Service Users’ Guide. The Statement of Purpose described the home as caring for older people but having five places available to care for people between 55 and 65 years of age. There was one resident who was under 65 and had been admitted in 2005. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 9 The matron believed that one resident had been admitted with dementia. On examination of this person’s file however, there was no record of a medical diagnosis of dementia although they were described as exhibiting similar symptoms. Copies of assessments carried out at the time of referral were held on file and had been supported by further skills assessments the matron of the home had carried out. From a number of care plans viewed and admission details it was demonstrated that appropriate pre inspection visits had been arranged. The inspector checked that no changes had been made to this arrangement. The admission procedure was appropriate to guide staff on the actions to be taken to ensure that new residents needs were properly assessed and planned for. A resident and their relatives who were visiting explained how they chose this home from several they had visited. They confirmed that the matron had visited the resident in hospital before admission. Relevant information was provided in service user plans about any specialist arrangements for specific medical conditions, such as diabetes, tissue viability and infection control advice. This included appropriate clinical information, and information regarding diet and healthcare daily plans. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is good. Personal healthcare needs including specialist health, nursing and nutrition requirements are clearly recorded, with guidance for staff, to ensure that residents’ needs are met. Residents are protected by the home’s medication policy and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined the care plans and care records for a number of residents. These documents contained requisite personal information about service users, life histories, personal care preferences and records, other preferences such as diet and daily routines, detailed night care arrangements, leisure preferences and care plans based on a commonly adopted care planning format. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 11 All residents were registered with one local GP practice unless they wished to stay with another GP who was happy to visit the home. One resident who had recently been admitted from hospital was being cared for in a special bed and mattress ,o which relatives had made a contribution. This person’s care plan was examined and was comprehensive in identifying needs and the means to meet those needs. Each need was identified, the aim of care was specified, the action to be taken to meet the need was described, and a review date was set. There was a consent form in the care plan to agree to the use of bedrails. This had not yet been signed as the matron said the special bed had only just been installed. She agreed to ensure its completion as soon as possible. There were records of visits by health professionals. The physiotherapist was contributing to the assessment of a resident to enable them to regain some mobility. The matron had just received an aid for the bed to assist the person to pull themselves upright. End of life wishes were described in the care plans examined. The matron had attended a training session on loss and bereavement in October 2006, staff attended training by a local funeral service, and the manager and two nurses had attended training in symptom control for the dying person at the local hospice. Staff had been trained in January 2007 by a dietitian from the hospital on the use of a tool for screening residents for malnutrition. The home had a weighing chair for residents who were non-weight bearing. In one case an alternative measure was being used to monitor weight gain in a bedfast resident. All residents were weighed monthly, unless their condition required a more frequent monitoring. These checks were recorded in the care plans. Care plans held risk assessments including falls, infection, pressure areas and continence. The soft tissue record for one resident included a body chart to track changes. Another resident was being turned regularly. This was recorded. Handling plans were clear about how staff should move residents. In one case three to four staff were required for each movement. The nursing daily record provided full and professional detail about each resident’s day, as well as night-time surveillance. Care plans were reviewed monthly by keyworkers and annually with other agencies. The record of the annual review for one resident with social care services was seen. A sample of medication records was inspected. Only nursing staff administered medication. Their specimen signatures were recorded in the record. Bottles were seen to be dated on opening. A temperature record was kept of the drug fridge. The Medicine Administration Record sheets were properly completed Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 12 with no gaps in signatures. The controlled drugs record was inspected. Amounts administered tallied with the stock remaining in the controlled drug cabinet. Two staff signatures were required for these drugs. A relative commented that their relative was treated with respect by the staff. This was confirmed by observation during the inspection, at mealtimes, when entering rooms, and when moving residents. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15. Quality in this outcome area is good. Social activities are well-managed, creative and provided daily variation and interest for people living in the home. Relatives and friends are made welcome. Menus provide good nutrition and residents are supported to eat meals at their own pace. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was supported by an organisation called “The Friends of Witnesham”. This was made up of relatives and friends who raised money for non-medical equipment and arranged outings and other activities for residents, and provided them with birthday presents and Christmas presents. Their annual general meeting had been on the evening before the inspection. There was a weekly diary of events displayed in the hall. This included in the coming week bingo, quizzes (reminiscences and associations), St George’s Day celebration, and the Queens birthday. Each Friday which was the day of the Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 14 inspection a member of the Friends came to the home with his dog, which residents were seen to pat and enjoy seeing. He then read a short story to those in the lounge. This was listened to with rapt attention. Every Saturday there was a sherry morning. The home was also organising a fete in August. One of the residents had celebrated their 100th birthday the week prior to the inspection. Their room was still decorated with all the cards received, and they were able to describe the party that the home had put on for them. 40 people had attended. A church service was held once a month, and the home had contacts with all the local denominations. All residents who responded to the survey said they always or usually liked the meals. The inspector observed 25 residents eating in the two rooms, most of them seated in lounge chairs with bed tables to eat from. Nineteen of the residents needed support to eat their meals, so the meal took some time to complete. Staff allowed each person to eat in their own time although with encouragement. Other residents chose to eat in their rooms or were bedfast. Several relatives commented that staff always made them feel welcome when they visited, and staff were exceptionally good at keeping relatives in touch with any changes to residents. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 15 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): 16,17,18. Quality in this outcome area is good. Residents and relatives stated that they were confident that their concerns will be listened to, and that they will be protected from abuse by the home’s training for staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the relatives who completed the survey said that they knew how to complain, although most said that they had never had any cause to do so. One relative said that they knew that a complaints policy was on display in the hall. Several said that they felt able to speak to matron at any time if they had a concern. The home’s complaints log contained one allegation in May 2006 about a member of staff. This had been investigated by the matron, and found to be unsubstantiated as it was based on a misunderstanding. All residents were registered to vote. Ballot forms for the forthcoming local elections were seen to be available for those wishing to vote by post. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 16 The home’s policy on the protection of vulnerable adults was clear and complete. It had been reviewed in January 2007. Training sessions for staff were held at regular intervals by the matron, the most recent being on 7 April 2007. These were logged and staff signed to confirm their attendance and their understanding. This was confirmed in discussion with a member of the nursing staff. The session also covered the home’s whistle-blowing policy. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 17 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): 19,24,26. Quality in this outcome area is good. Residents can be assured that they live in a safe and well-maintained home, and that they will be encouraged to personalise their rooms as much as they wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home showed that the home was being properly maintained and was safe for the residents. Lounges had been re-decorated and the matron said that the corridors would be done next. Vacant rooms were usually redecorated before a new resident came in. They were able to personalise the décor with a frieze of their choosing. Residents were encouraged to bring their own items of furniture and mementoes into their rooms. These were seen in the rooms visited by the inspector. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 18 Following a visit from the County Fire Service in September 2006, all fire doors had been fitted with self-closing devices. A sample check of hot water outlets showed they were at or around 43°C, as recommended. The home appeared clean and was free of any unpleasant odour. One resident said that their room was cleaned every day including week-ends. The matron conducted an annual environmental audit by room. This was supplemented by on-going audits which were recorded in the nursing record. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30. Quality in this outcome area is good. The procedures for the recruitment of staff are robust and provide the safeguards to offer protection to people living in the home. The deployment and number of staff available at all times of day was sufficient at the time of the inspection to meet the assessed needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Inspection of staffing rosters and information from staff, relatives and residents indicated that the staffing levels at the home were currently appropriate. Sufficient care staff were on duty at different times during the day and in the mornings additional care staff were on duty. The home had no current care vacancies. The personnel files for a nurse and a care assistant were examined. They both held full recruitment information and identification and criminal record check details. Verification of the nurse’s PIN number was held. There was a supervision record for one person but the last session was dated October 2006. There was no supervision record for the other person. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 20 The home was an accredited placement for adaptation nurses from overseas wishing to qualify as Registered Nurses in the UK. During the qualifying period, these people works as care assistants. All of them came from the Indian subcontinent. Their English was good and they did not appear to have any problems communicating with residents or relatives. There were comprehensive training records listing all the internal and external training over the previous twelve months, and that planned for the coming year. The course covered nursing procedures, personal care procedures, as well as the mandatory courses on moving and handling, abuse, first aid, food hygiene, infection control and fire safety. In addition, the matron had recently completed an Open learning course on dementia, and five staff were currently on this course. A First Aid course for appointed persons took place in the home during the inspection by an external tutor. Over 50 of the care staff were qualified to NVQ Level 2 or above. Residents and relatives said that the staff at the home were kind and caring. “Nothing seems too much trouble for them.” “Staff show concern for the residents which gives peace of mind.” Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,37,38. Quality in this outcome area is good. There is appropriate leadership providing staff with guidance and direction to ensure that residents receive consistent good care. The health, safety and welfare of people using this service is being promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 22 The matron was registered with the Commission, and was a qualified nurse, and had completed the Registered Manager Award. She kept up-to-date with good practice by attending internal and external training courses and seminars. In the staff survey, all respondents said that the home was well run. Staff meetings were held quarterly, and staff told the inspector that they could take any concerns to the manager. Relatives also had confidence that the manager could be approached at any time. Residents’ files were sampled and reflected that there are appropriate arrangements made by residents and their families or appointed representatives to safeguard their financial interests. The home’s staff members were not appointees for residents’ money and were not authorised in this capacity. This arrangement reflected good practice and maximised financial security for all residents. The home did keep petty cash for some residents. Sometimes relatives topped this up. The inspector checked the cash held for one resident. The amount in the bag tallied with the entries and receipts in the cashbook. Various maintenance records were examined. These covered hot water monitoring, fire log, fire risk assessment, PAT testing, and the accident record. All were up-to-date. The inspection for the five yearly electrical installation certificate was being undertaken on the day of inspection. The accident record included analyses of all incidents, by location, cause, time of day and resident. A falls analysis had led to one resident being referred to their GP for assessment. An infection was diagnosed and a review of their medication had reduced the falls considerably. The home had a comprehensive list of policies, which were reviewed annually. Some changes made at the last review were seen in some policies. The care plans for residents were stored on an open shelf at the ‘nurses’ station’. This was an open area outside one of the lounges with a table for writing up records. The matron was asked to assess the security of these records and if necessary find a way of concealing them from sight. Although some staff supervisions were taking place, the matron admitted that the programme was not up-to-date. The home had a number of ways of assessing the quality of its care. A residents’ satisfaction survey was sent out every two months, covering a different topic. Recent ones had covered food, the environment, recreation and care. The results could be discussed at residents meetings. The manager stated that the provider also completed a monthly visit report. No copies of these were kept at the home as required by the regulations. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 X X X X 3 X 3 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 3 2 X 3 2 2 3 Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 24 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 OP33 Regulation 26 Requirement A copy of the record of the monthly visit by the provider representative must be kept at the home. Copies of the reports for February to April 2007 must be sent to the Commission and those for May to July 2007 must be sent as they are produced. Timescale for action 20/04/07 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 Refer to Standard OP36 OP37 Good Practice Recommendations The schedule of staff supervisions should be kept up-todate to ensure that staff’s competence to care for residents is regularly reviewed. The storage of care plans at the nurses’ station should be assessed to ensure that personal and confidential information about residents is secure. Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 25 Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Witnesham Nursing Home DS0000024530.V335124.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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