Inspection on 26/07/05 for Woodlands Nursing Home

This inspection was carried out on 26th July 2005.

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

The inspector 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

Woodlands Nursing Home 30/10/07

Woodlands Nursing Home 18/07/06

Woodlands Nursing Home 29/11/05

Woodlands Nursing Home 12/10/04

Woodlands Nursing Home 03/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Woodlands Nursing Home 23 Silverdale Road Burgess Hill West Sussex RH15 0ED Lead Inspector Mrs L Driver Mrs A Peace Announced 26 July 2005 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 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. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodlands Nursing Home Address 23 Silverdale Road, Burgess Hill, West Sussex, RH15 0ED Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01444 243579 Mr Sri Krishna Ratnasinkam Mr Sri Krishna Ratnasinkam Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 23 Both of places Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2004 Brief Description of the Service: Woodlands is a care home registered to accommodate 23 service users, both male and female, in the category Old age with nursing care. The provider/ manager is Mr S R Ratnasinkam who is in charge of the day to day running of the home. The home is a large Victorian property situated in a residential area of Burgess Hill, West Sussex. The accommodation is laid out over 3 floors, ground, first and second floor. There are 19 single rooms and 2 doubles. The home has large grounds with a patio area to the rear and a decking area at the front of the house. There is a vertical lift to access both first and second floors. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over one day, morning and afternoon by two regulatory inspectors. The inspectors went round the home, looked at the care records of four service users, viewed home records and had discussions with staff and service users. Feedback from three service users and three relatives was received prior to the inspection. All feedback has been addressed in this inspection. The registered manager submitted a pre inspection questionnaire prior to the inspection. During the inspection the manager gave the inspectors copies of the minutes of the last relatives meeting and also a copy of the relatives feedback from questionnaires the manager had sent out in June 2005. Twenty-two questionnaires were sent out and seven were returned. All responses from relatives were positive. The inspectors were aware of the current adult protection investigation that is taking place regarding two service users at the home. What the service does well: What has improved since the last inspection? The home has recently had a decking area added to the front of the home, which enables service users and relatives to sit outside under cover in the sun. The provider/manager has resolved the problem of Pigeon/Dove droppings outside the front of the house. The registered manager has completed the NVQ level 4 in management. The manager has acted on recent change in requirements for disposal of medicines, has registered with the correct body and has the new system in place. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,6 People who use this service are provided with information about the home to enable them to make a choice about whether they wish to live in the home or not. The home could do better by ensuring all service users have a contract in place so they know the terms of their agreement. Pre admission assessments are lacking in detail of some information recommended in the National Minimum Standards. EVIDENCE: The home has a Statement of Purpose that needs to be updated with a copy forwarded to CSCI. Additions such as the homes Advocacy policy and the new decking area to the front of the house need to be incorporated into the reviewed Statement of Purpose. All service users had a service users guide in their bedrooms and the new Advocacy policy was also seen in each individual bedroom. One of the two inspectors tracked four service users care records and noted that not all of them were in possession of a contract or terms of agreement between the home and service users. Those service users placed by Social Services were in possession of an agreement between the home and social services. The home must ensure that all service users either funded or who are Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 9 privately paying for care are in possession of a contract. The registered manager stated the missing contracts were held at his office away from the home, however for inspection purposes these need to be held on site. The inspector viewed pre admission assessments for four service users and found them, in general satisfactory, but lacking in some areas. The assessment of skin care needs to be expanded taking tissue viability into account and social history needs to be included. Dislikes and likes need to be sought and documented for every service user prior to admission to ensure the home can meet their needs. The registered manager stated he would review the homes pre admission assessment form to ensure all recommended areas are covered for all service users. Property lists were not seen for all service users, and the manager needs to ensure that a record is kept of all property brought into the home. The home does not cater for intermediate care. One service user stated she was happy with the care she receives and a letter from a relative was very complimentary about the home and the manager/staff. One service user currently in hospital wishes to return to the home as soon as possible. The inspector saw a letter from her sister stating these wishes. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 People who use this service have individual care plans in place to ensure staff understand the care needs of individual service users. However, not all care plans seen met with the recommendations of the National Minimum Standards for Older People. There is currently an on-going adult protection investigation relating to care needs being met. The home could do better in this area of assessing needs and reviewing care. Medication administration is in general sound, although some omissions were seen in records. The service would be improved by ensuring all medication is given, and that stocks do not run out. The home has responded to the change of requirements relating to the disposal of medicines implemented in July 2005. The correct new system is in place. Service users are treated with respect and dignity. EVIDENCE: One inspector tracked care for four service users and viewed their care plans. These care plans were seen to be inconsistent with some satisfactory and others lacking in information needed to track care. Areas lacking include some wound care records not being comprehensive or updated regularly. Some plans showed no evidence of size of wounds or action taken. Risk assessments for tissue viability had been carried out but in some cases no action was recorded Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 11 of the result. Manual handling risk assessments were seen to be updated but with no reference to the service users change in condition. One service user with Dementia had no care plan relating to mental health for staff to work with. Social history and likes and dislikes were missing from some care plans. Some records were illegible to the inspector and the manager needs to ensure this is corrected. Wound care is carried out by trained nursing staff, but some poor practice was seen by the inspector who observed a wound dressing being done. The manager needs to ensure all staff carrying out specialist roles are fully up to date with current practice. Poor practice was also seen in relation to infection control and MRSA. The manager needs to ensure appropriate disposal resources are available for all staff, and is advised to contact the Health Protection Agency/ Infection control specialist nurse for up to date advice. This he said he would do. A separate care plan for service users with MRSA needs to be in place to enable staff to follow correct protocol and to protect other service users. The manager was advised to re assess one service user as to the suitability of the current air mattress she is on. Also an air mattress was seen to be smashed and the manager needs to ensure this is not affecting the flow and pressure of air. The manager was advised to review all care plans and risk assessments over the next few weeks. Minutes of a recently held relatives meeting makes reference to relatives being actively involved in care plan reviewing, this is a positive move but the home needs to first consult with service users about their input as well as relatives. Medication records and feedback from a relative show omissions in administering medication. The manager needs to ensure that stocks are always sufficient for this not to occur. Practice in accordance with Then Medicines Act need to be adhered to. The inspectors observed service users being treated with respect and dignity Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 People who use this service are able to maintain contact with friends and family at times convenient to them. The food provision is of a very good standard. The home could do better in meeting service users social needs by ensuring this area is assessed pre admission and reviewing the social activities on offer. EVIDENCE: The home welcomes relatives and friends at all times to visit the service users. They can meet either in their bedrooms or in the communal areas of the home. The manager verbally evidenced his understanding in respecting service users wishes as to who they do and do not wish to see. Mr Ratnasinkam is available for relatives to talk and letters seen from relatives were complimentary about his and his staffs care for service users. Religious needs are met by visiting priests and clergy either weekly or monthly. The Pre inspection questionnaire returned by the provider prior to the inspection states the home offers activities such as music and movement, musical entertainment and concerts. The home has a summer fete due to take place in August 2005. The inspector will address this in more depth at the next inspection. However it is recommended the manager review all service users social and interests needs and provide activities according to the outcome of the assessments. The food provision is very good, with home cooked food cooked fresh every day. Home baked cakes are on offer every day. The home can cater for Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 13 specialist diets and currently caters for four diabetic diets. The cook was very well informed of the service users dietary needs. The last Environmental Health Inspection was carried out in 2004 with nothing outstanding. The kitchen has recently benefited from installation of new cupboards. On the day of the inspection the lunch menu was, chicken casserole, new potatoes, carrots, cauliflower and green beans followed by bread and butter pudding or baked egg custard. Alternatives are offered for those service users not wishing to have the main choice. All kitchen staff have up to date certificates in food hygiene and handling. These were seen on display in the kitchen area. Service users having lunch stated they enjoyed the food and were seen to be having a relaxed and non hurried meal with appropriate assistance from staff if needed. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 People using this service have access to a clear complaints procedure to voice concerns. There is currently an on-going adult protection investigation by the local social and caring services so judgement on adult protection is reserved at this stage. EVIDENCE: The home is currently involved in an adult protection investigation regarding two service users and their care needs not being met. The home has a policy on adult protection and is in receipt of The West Sussex Adult Protection document. Staff have received training on adult abuse in 2004 and are due further training later this year. The home uses the services of an external training company to provide statutory training. Mr Ratnasinkam has taken his responsibilities very seriously regarding the current investigation, having returned from overseas early to attend a meeting with social services. At the time of writing this report the outcome of the investigation is unknown, but will be reported in the next inspection report. Records relating to the current investigation were seen to be stored separately and securely. The homes complaints procedure was seen on display in the entrance of the home. CSCI has not received any complaints about the home since the last inspection. Records show Mr Ratnasinkam has dealt with two complaints since the last inspection, one from a relative and one from a member of staff. Records show both to be dealt with quickly and efficiently. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 People who use this service live in a well maintained environment which in most parts is safe and clean providing a pleasant living environment for service users. There is access to both indoor and outdoor communal areas that are safe and pleasant for service users to enjoy. Residents are able to furnish their rooms with their own possessions if they wish enabling them to maintain contact with memories of their lives. The home is clean and hygienic. EVIDENCE: A tour of the home showed evidence of maintenance work being carried out to ensure the standard of the environment to be good. All bedrooms were safe, clean and pleasantly decorated with evidence of personal possessions and radiator covers in place. All communal areas were safe, clean and pleasant. The home was clean and free from offensive odours. Toilet and washing facilities are satisfactory with assisted baths in place and raised toilet seats with grab rails in place. The manager is required to repair the sink in room 4 as it is coming away from the wall, remove rubbish from the side of the house, remove the bottle of Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 16 bleach from the unlocked bathroom cupboard in accordance with COSHH protocol. The manager stated the rubbish was being removed later that day, and he said he would ask the maintenance person to repair the sink as soon as possible. He said he would remind domestic and nursing staff of the importance in adhering to COSHH, in relation to the bleach. The home provides specialist equipment for service users that is currently satisfactory. The manager is advised to continually review the needs of service users and install equipment as and when assessed to be needed. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 People who use this service are cared for by a staffing team that is led by an experienced manager who is supported by a team of qualified nurses and care staff. Numbers of staff on duty meet the needs of the service users. The home could do better by ensuring all staff are appropriately qualified and up to date with care practices such as wound care and infection control. EVIDENCE: Staff on duty during this inspection were satisfactory in numbers to care for the needs of the current service users. Out of three relatives feedback questionnaires received by CSCI prior to the inspection two relatives stated they felt there were insufficient numbers of staff on duty at times. The manager needs to be aware of the need to continually assess staffing levels according to service users changing care needs/dependency levels. The manager is a qualified nurse who has just completed an NVQ level 4 in management. He is supported by a team of qualified nurses and care staff. 50 of care staff have NVQ level 2 in care. The home also has one adaptation nurse; the home is registered to take adaptation nurses. 10 staff have first aid training certificates. All new staff follow an induction programme (records seen) and are then encouraged to complete NVQ level 2. The home does employ overseas staff and all paperwork appeared satisfactory and in order. The home is also registered to take nursing students form Brighton Health Authority as a placement for learning. The manager stated he is to attend training on mentoring for these students in the near future. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 18 A sample of staff records were viewed and all appeared in order with job descriptions and contracts in place, together with references and CRB disclosures. Records seen showed that all qualified nurses have current registration with The Nursing and Midwifery Council. The home has worked hard over the last year to install good staff records. Staff receive supervision six times a year, as recommended by the National Minimum Standards for Older People with records kept. Appraisals have been completed in June /July this year identifying training needs. Sample records were viewed. The manager needs to ensure that all staff are up to date with current practices as some poor practice in wound care was observed by one inspector. The manager stated he wished to have one designated member of staff for wound care and he needs to ensure that this member of staff is suitably trained to carry out the role in accordance with up to date practice. The home uses an external training company to deliver training with a programme seen by the inspector. A training chart was seen on display to enable the manager to monitor staff training. Abuse of Vulnerable Adults training was last delivered in June 2004, with further training due later this year. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35,36,38 The home is managed by an experienced manager who has many years experience in caring for elderly people. He is also the Registered Provider. The home does not manage service users monies. Staff receive regular supervision. In general the health and safety of service users is protected although some areas were lacking during the inspection and need to be addressed. EVIDENCE: The manager is a very experienced qualified nurse who has just completed NVQ level 4 in management which enables him to carry out his role to his full potential for the benefit of service users. The current adult protection investigation results are not yet known but Mr Ratnasinkam is co-operating fully with social services during their investigation. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 20 The home does not manage service users monies, they are administered by relatives or power of attorneys. The home is registered with The Data Protection Agency. A sample of staff records show they receive regular supervision. See previous section in this report. In general the home adheres to health and safety requirements although during the inspection poor practice was observed relating to MRSA. Service users with MRSA must have the correct disposal resources in place, on the day of this inspection there was no yellow (clinical waste) or red (linen waste) bags available in a room for a service user with MRSA. By the end of the inspection the admin person had ordered resources to rectify this. The manager was advised to contact The Health Protection Agency/Infection control nurse to seek guidance on practice. The home has a health and safety policy in place. All staff need to be reminded of COSHH (control of substances hazardous to health) requirements as a bottle of bleach was seen kept in an unlocked bathroom cupboard. COSHH information is available to cleaners and kept in the cleaning cupboard for easy access. Fire training is held regularly, the last being in April 2005, and all weekly and monthly checks are carried out. Records are well maintained. The homes fire risk assessment was last updated in March 2005. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 1 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 x 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 3 x x x 3 3 x 1 Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 22 NO 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. 2. 3. Standard 1 2 3 Regulation 6 5 14 Requirement The manager must provide a copy of the amended Statement of Purpose to the Commission. The manager must ensure that all service users are given a contract/terms of agreement. The manager must ensure that pre admission assessments are comprehensive and inclusive including tissue viabilty/skin condition, social history and likes and dislikes. The manager must ensure that all care plans are reviewed and up dated at regular intervals and are legible and consistent The manager must ensure that all medicines are administered in accordance with practice relating to The Medicines Act. The manager shall ensure that stocks of medication do not run out. The manager must undertake the maintenance issues identified in the report. The manager must re assess the service user idenified on inspection in relation to her suitablity for the air matress she currently has. The manager must ensure that H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Timescale for action 30TH September 2005 30th September 2005 30th Septmeber 2005 4. 7 14 30th September 2005 30th August 2005 5. 9 13 6. 7. 19 22 23 13 30th August 2005 Immediate requiremen t left at inspection. Immediate Page 23 8. 38 13 Woodlands Nursing Home Version 1.30 9. 38 13 10. 30 18 all practices relating to MRSA are in place, especially the disposal of waste products. The manager must ensure contact with the Health Protection Agency or Infection control nurse in relation to safe working practices for MRSA. The manager shall ensure that all staff are suitably trained and up to date with current nursing practices. requiremen t left at inspection. 30th August 2005. 30th August 2005 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. 4. 5. 6. Refer to Standard 3 22 26 12 Good Practice Recommendations It is recommended that the home complete property list for all service users who come into the home. It is recommended that the manager reviews at regular intervals the need for adaptations and specialist equipment in view of changing service users needs. It is recommended that all staff be reminded of the COSHH procedures in the home. It is recommended that the manager reviews the activities on offer for service users following reassessment of social and leisure needs. Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodlands Nursing Home H60-H11 S24241 Woodlands V231328 260705 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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