Inspection on 24/10/06 for Wyncroft House Nursing Home

This inspection was carried out on 24th October 2006.

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

Wyncroft House Nursing Home 04/09/08

Wyncroft House Nursing Home 09/03/06

Wyncroft House Nursing Home 13/09/05

Wyncroft House Nursing Home 16/02/05

Wyncroft House Nursing Home 07/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Wyncroft House Nursing Home 16 Moss Grove Kingswinford Dudley West Midlands DY6 9HU Lead Inspector Mrs Mandy Beck Key Unannounced Inspection 08:00 24th October 2006 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wyncroft House Nursing Home DS0000004891.V312302.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. Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyncroft House Nursing Home Address 16 Moss Grove Kingswinford Dudley West Midlands DY6 9HU 01384 291688 01384 402260 wyncroft.house@ashbourne-homes.co.uk the.willows@ashbourne.co.uk Southern Cross Healthcare Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Wendy Averill Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (26), Physical disability (6), Terminally ill over of places 65 years of age (8) Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 Date of last inspection 9th March 2006 Brief Description of the Service: Wyncroft House Nursing Home is owned by Southern Cross and managed by Mrs Wendy Averill. The two-storey property is located in close proximity to the centre of Kingswinford Village and benefits from availability of local amenities and good public transport. Although the Home is registered to offer nursing care for a maximum of forty older people, some of who may have a physical disability and/or need palliative care, two bedrooms have been taken out of use. Though the original house has been extended the building retains much of its original character. All bedrooms are single occupancy with communal bathroom and toilet facilities. The Home has no en-suite rooms. A shaft lift provides access to the first floor, and there is an attractive enclosed garden with ease of access for all Residents. Car parking facilities are located at the side of the property. The home currently charges between £400 and £699 per week for residency prices vary according to individual need and the size of room provided. The charge does not include extra services such as chiropody, hairdressing, holidays, community transport and newspapers. Wyncroft House Nursing Home DS0000004891.V312302.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 of the service conducted by one inspector from the Commission for Social Care Inspection (CSCI). Judgements made throughout this report are based upon information supplied to the CSCI by the home manager, by touring the building and talking with the staff and service users. Other time was spent reviewing service user files as part of the case tracking process and examining staff files to ensure the home has safe and robust recruitment practices. This was a very positive inspection and the inspector would like to thank the manager, all of the service users and staff for their hospitality throughout. What the service does well: The home provides prospective service users with a wealth of information about the home to enable them to make a choice about whether they wish to move into Wyncroft. All prospective new service users are encouraged to visit the home, stay for the day or for a meal if they choose to do so. One service user commented, “Well informed we all had a good look round and spoke to the staff”. All of the service users at Wyncroft can be assured that they will receive medical attention promptly and they can be confident that a knowledgeable and well trained workforce will meet their needs. “When we ask for a doctor the staff always make an appointment”. Medication practices within the home are excellent and staff should be commended upon their hard work in improving their practice. Service users are encouraged to take part in activities both in the home and in the community. Meal times are mostly a relaxing time for service users, all service users agreed that the chef is very helpful and willing to meet their needs. Comments included “meals are normally very good, have complained about teatime meals but a new menu is now in place and much improved”, “the teas have got a lot better”. The home has good systems in place for dealing with compliments, complaints and allegations of abuse. All service users can feel confident that should they have cause to complain their views will be acted upon and investigated thoroughly by the manager. Staff are recruited safely and all staff have the appropriate checks in place to safeguard service users, staff receive regular training and are well supported by their manager, “Wendy is very supportive, she will always try to help us”. Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 6 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. Wyncroft House Nursing Home DS0000004891.V312302.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 Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5,6 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to the service. All prospective service users can be assured that they will have available to them appropriate information to enable them to make a choice about living at Wyncroft. All service users have their needs assessed in full prior to admission and that those needs will be met by well trained and knowledgeable staff. The home does not provide intermediate care. EVIDENCE: Service users benefit from a comprehensive statement of purpose and service user guide which is available to them in a variety of formats, such as large print or audio. Information is available in the reception area for all service users to access. Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 9 Prior to admission the manager will visit service users at their homes or hospital to discuss their needs with them and their families. The home has two types of assessment tool, one for service users who are admitted for a short stay (respite), and one for service users who are likely to remain at the home for the long term. The information from both of these types of assessment is then used by the staff to help plan the care that each individual service user requires. Once the decision has been made that the home can meet these needs the manager will write to the service user and their family informing them. All service users are encouraged to spend time at the home before they move in to ensure that they like it and feel comfortable there. Staff at the home are well trained and have comprehensive range of skills between them. There are nurses with specialist skills in tissue viability, continence and end of life care that add to the homes ability to meet the assessed needs of its service users. Wyncroft House Nursing Home DS0000004891.V312302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to the service. Service users can be assured that all of their assessed needs will be set out in an individual plan of care. Service users health care needs will be fully met and they will be encouraged to make decisions about their health needs. Medication practices within the home are excellent and safeguard service users through robust policies and procedures Service users are treated with respect and dignity at all times and their right to privacy is upheld EVIDENCE: Service user files were seen as part of the case tracking process; all of the files contained a service users plan that contained comprehensive details of actions that need to be taken to meet service users needs. There are risk assessments in place that address the risk of pressure sore development, falls, malnutrition and moving and handling of the service user. It was pleasing to Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 11 see that where risks had been identified the staff had produced a plan to reduce or minimise the risk to the service user. For example one service user had been identified as being at risk of developing pressure sores, the plan had included a number of actions for staff to take to reduce the risk with the provision of appropriate pressure relieving equipment, regular position changes and seeking the advice of the tissue viability nurse, as a result of this planning the service user does not have pressure sores. All of the care plans seen were regularly reviewed and updated according to the changes of service users individual needs. Staff are to be congratulated on the hard work they have done in completing all of the documentation for service users since the homes change of ownership and relevant paperwork. All service users have access to specialist medical, nursing, dental and other therapeutic services both in hospital and community according to their needs. Medication practices within the home are excellent and again staff should be commended on their hard work in improving their practice. There are very good systems in place for the recording of all medicines received, administered and leaving the home. This means that the risk of mishandling is greatly reduced. Medicines are stored safely and the home has just taken delivery of a new fridge for the storage of medicines, this means that all medicines that require refrigeration will be stored at the correct temperature. Controlled medicines are stored as recommended and there are good recording and checking systems in place that again reduce the risk of error. There are robust policies and procedures within the home for the guidance of staff and only trained nurses administer medication under guidance from the Nursing and Midwifery Council (NMC). Service users were pleased with the way medicines are administered. “I had a tummy ache and they gave me medicine to make it better” The home completes its own medication audits on a monthly basis and the providing pharmacist completes an external audit on a six monthly basis, this ensures that the home is practising to the best of its ability regarding medicines at all times. Service users can be assured that they will be treated with respect and dignity at all times. Staff speak to service users in their preferred term of address, staff were seen to be knocking doors to service users rooms before they entered and were engaging service users in positive conversation throughout the day. For example, one service user was upset and anxious over a forthcoming hospital appointment, care staff took time to sit and talk to the service user reassuring them and giving them some comfort. In other instances a service user who required the hoist to enable them to move were helped to do so in a manner that ensured their dignity was maintained throughout the manoeuvre. Service users commented “am very happy at the Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 12 home staff are always willing to help and they are polite”, “I’m very happy here they do look after us”. “They are all wonderful, I have no complaints at all, they bend over backwards to help”. The home recently completed a survey of service users views and 77 of them agreed that they are treated with dignity by the staff. Wyncroft House Nursing Home DS0000004891.V312302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to the service. Service users are encouraged to participate in activities and to maintain their social contacts. Meals provided within the home are wholesome and appealing and service user can be assured that they will receive a balanced meal at all times. EVIDENCE: The home employs activity coordinators to ensure that service users have the opportunity to participate in games such as draughts, quizzes, debates and gardening. The manager conducts residents meetings on a regular basis to ensure that service users are happy with the service they are receiving. The manager has addressed points that have been raised during these meetings, for instance some service users were unhappy that their bedroom windows were not closed and their bedrooms were cold at night when they went to bed. This has now been addressed and service users are now confident that their rooms will be warm at bedtime. The home also sponsors projects in the local community; such as a local school the home is sponsoring their football medals for the next two years. Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 14 Service users have the opportunity to meet their visitors in the privacy in their own rooms and visitors may visit at any time. Relatives are given information on visiting arrangements when service users are admitted to the home. The home provides nutritious and wholesome meals to all of its service users. Mealtimes were observed and appeared to be unhurried and relaxing for service users, this was despite the fact that care staff have to assist many service users during this time. Meals appeared appetising and of a good sized portion. Service users are regularly consulted about the menu’s and their contents, as a result many changes have taken place, recent suggestions have included baked beans for tea, piklets (crumpets), more sherry in the trifle and going out for more pub lunches. Service users commented “meals are normally very good, have complained about teatime meals but a new menu is now in place and much improved”, “the teas have got a lot better”. The chef now manages the food budget for the home this has enabled the home to provide better quality food for service users and increased the choice food they receive. The chef has recently been short-listed for “chef of the year” within the Southern Cross Company and should be congratulated on his achievement, as there were 500 entries. Wyncroft House Nursing Home DS0000004891.V312302.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to the service. Service users can feel assured that their views will be listened to and acted upon. Furthermore service users are protected from abuse by appropriately trained and knowledgeable staff. EVIDENCE: The home has a robust complaints policy that provides clear guidance and is available in different formats for service users needs, for example large print and audiotape. The complaints policy is displayed in the reception area along with other information about the service. All service users were clear about how they would make a complaint should they need to do so. The home has received 8 complaints since that last inspection one of which is still being investigated. The home views complaints as a positive process and audits complaints on a monthly basis in order to identify trends that may be occurring and to enable them to take action to avoid further problems. Actions taken by the manager to reduce problems or complaints occurring includes the new manager surgeries held at the home once a week where service users and their families can discuss concerns before they become complaints. All of the staff at Wyncroft House have now completed their vulnerable adult training, this means that staff are now equipped with the skills and knowledge to spot potential signs of abuse and deal with allegations when they arise. There are policies within the home that protect service users and staff alike. Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 16 All staff files seen contained relevant checks regarding Protection of Vulnerable Adults (PoVA) and Criminal Records Bureau (CRB) disclosures. Wyncroft House Nursing Home DS0000004891.V312302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to the service. Service users can be assured that they will live in a well maintained environment and that the home is clean, pleasant and hygienic. EVIDENCE: The home is well maintained and Southern Cross has improved the internal environment a great deal in recent months with the redecoration of dining room, lounge and reception area. There is also a new bath in the ground floor bathroom that makes bathing easier for service users because it is height adjustable. The shower room on the first floor has been completely refitted and now provides a relaxing environment for service users to shower in. The home has recently employed two new maintenance workers who are working well to ensure that the environment is clean, well maintained and free from any offensive odours. Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 18 The home has now provided doorknobs and letter boxes to all service users bedroom doors and has given each wing of the home an address that was chosen by service users, such as Butterfly Drive. This means that each service user now has their own individual address within the home. All of the toilets throughout the home are provided with liquid soap and paper towels to help minimise the spread of infection. All of the staff have either recently completed or are enrolled on infection control training, and there are robust infection control policies in place to ensure that the risk of cross infection in minimised to all service users. The home has good laundry systems in place that ensure that clothing is washed at correct temperatures to thoroughly clean and control the risk of infection. Wyncroft House Nursing Home DS0000004891.V312302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to the service. Service users can be assured that staff are employed in sufficient numbers to meet their needs, they are trained and competent to do their jobs and they are recruited in a manner that safeguards service users. EVIDENCE: Staff are employed in sufficient numbers to meet the needs of service users. When the home is full there are 2 nurses and 6 carers on a morning shift and 2 nurses and 4 carers on afternoon shift. The numbers of staff have fallen recently in line with a reduction of the number of service users. Comments from service users included “wished there was someone in the lounge at all times if you require something i.e. toilet, you wait quite sometime”. This point was also raised during the residents meeting and has been addressed, the manager has now arranged for one nurse to be in the lounge at all times to reassure service users and ensure that they do not wait too long for assistance. Other comments “very pleased with the staff but always seem short staffed and under pressure”, “very good staff always listen and act on what you say”. The home is registered to provide nursing care and employs both registered nurses and care staff. All care staff are encouraged to enrol on their NVQ level Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 20 2 in care course and at present the home exceeds the 50 target set in the national minimum standards. Staff are recruited safely and staff files seen contained all required information. This included relevant safety checks from PoVA and CRB disclosures. All new employees are supplied with a code of conduct and practice set by the GSCC. Once new employees have commenced work at the home they are given an induction programme that meets the Skills for Care standards and are fully supported during this time. Wyncroft House Nursing Home DS0000004891.V312302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to the service. Service users live in a home that is run and managed by a competent manager. The health and safety of service users and staff is promoted and protected by safe working practices. Service users finances are safeguarded by robust financial procedures within the home. Service users can be assured that this home is run in their best interests and that they will be consulted about changes to their environment at all times. EVIDENCE: The manager of Wyncroft House is Wendy Averill she is both competent and capable of running the home. Wendy has many years experience managing care homes and uses this experience to the benefit of service users. More recently Wendy has added to her list of qualifications a Registered Managers Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 22 Award and is currently awaiting her certificate. Staff commented, “The manager is very supportive and encouraging”. “She’s very enthusiastic this rubs off on us”. Quality assurance systems within the home are very good and are based on a systematic cycle of planning, action, review and reflection. Service users are consulted about the way the home is run and results of surveys conducted are published with an action plan that demonstrated how the home means to meet those points identified. There are regular meetings with service users, relatives and staff and any matters arising are dealt with swiftly. The home also seeks the views of those people in the wider community who use the service such a doctors, specialist nurses and occupational therapists. There was evidence that policies and procedures are updated in line with current best practice and it was pleasing to see that all of the outstanding requirements from the previous inspection had been met in full. All staff are given the opportunity to take part in regular supervision where they are encouraged to discuss their training needs and other areas of practice. There was evidence to show that staff are included in mandatory training and there are good systems in place to ensure that refresher training is arranged so that skills and knowledge do not lapse. The home has one worker who is a trained moving and handling trainer and overseas this practice within the home. All of the staff have recently completed the food hygiene training. There are good systems in place for the storages of hazardous materials and solutions (COSHH) and the maintenance records for electricity and gas safety were spot checked and found to be in order. The manager ensures that all records of accidents, injuries and untoward occurrences are logged and performs a monthly audit to identify trends and plan a course of action where needed. Wyncroft House Nursing Home DS0000004891.V312302.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 4 X 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Wyncroft House Nursing Home DS0000004891.V312302.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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP24 Good Practice Recommendations It is recommended that a height adjustable bed be purchased for the service user who is experiencing falls from bed now that the bed rails have been removed due to the risk they presented to that service user. It is recommended that a copy of the guidance “infection control guidance in care homes” is obtained from the Department of Health June 2006 2 OP26 Wyncroft House Nursing Home DS0000004891.V312302.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Wyncroft House Nursing Home DS0000004891.V312302.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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