Care Home: Ashcroft Nursing Home

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What the care home does well The way in which the manager and staff deal with admissions to the home ensures people`s needs are fully assessed and recorded prior to admission and this ensures that the service is confident in providing the right levels and care and support to people. The way in which the manager and staff deal with health and personal care issues ensures that people`s needs are recorded, and the care and support they require is well documented so that the staff know exactly what needs to be done. The care and support offered to people at the end of their life is seen to be very good, responsive and sensitive. The way in which the manager and staff deal with meeting people`s daily activity requirements ensures that; people have plenty to do that is based around their interests; people maintain contact with their family; and that their receive good quality meals and nourishment, which in turn offers them a good quality of life. People feel confident that they can complain to the manager and staff about issues they are unhappy with, and feel confident that these issues will be dealt with appropriate. People living at the home feel safe, and there are satisfactory systems in place to ensure that safety is a priority. People live in a clean and tidy home. A well trained and caring staff team, in good numbers, supports and cares for people, and this makes people feel good about themselves. Good management systems operated by a competent management team ensure that people`s best interests, health and welfare are promoted and protected.Ashcroft Nursing HomeDS0000069574.V375533.R01.S.docVersion 5.2 What has improved since the last inspection? The systems relating to the meeting people`s health and personal care needs have been developed, and the standards relating to the overall management of the home have been maintained and sustained. What the care home could do better: Standards must be maintained in relation to medication held at the home on behalf of people. The registered provider should follow his action plan in relation to any environmental improvements he has planned. Key inspection report CARE HOMES FOR OLDER PEOPLE Ashcroft Nursing Home Church Street Cleckheaton West Yorkshire BD19 3RN Lead Inspector Tony Brindle Key Unannounced Inspection 20th May 2009 09:00 DS0000069574.V375533.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashcroft Nursing Home Address Church Street Cleckheaton West Yorkshire BD19 3RN 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) 01274 862053 01274 855363 ashcroftnursing@yahoo.co.uk Continuum Healthcare Limited Jacqueline Anne Gallagher Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category Code OP. The maximum number of service users who can be accommodated is 42. 22nd May 2007 2. Date of last inspection Brief Description of the Service: Ashcroft nursing home is a privately owned and provides both personal and nursing care for up to forty two older people. It is a detached property located in the centre of Cleckheaton, close to shops, community facilities and public transport. The accommodation is over three floors which are accessed by two passenger lifts. The home offers a majority of single rooms some with en-suite facilities. The home’s manager informed the Commission that the current scale of charges at the home is £350.00 - £426.00 per week. Information about the home and the Commission for Social care Inspection is made available to people within the home’s Service User Guide, copies of which are given to prospective and current people and can be obtained, on request, from the home. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The outcomes for people using this service have been rated as excellent (3 stars). This was an unannounced visit to the home. We spent some time having a look at the paperwork at the home, and we talked to people who live at the home, had a look round the home, checked the medication and money, and talked to the staff. The paperwork we looked at included peoples care plans and assessments, some staff personnel and training files, the medication, health and safety records, the menus and kitchen records, and the daily records made by the staff about the activities people had been involved in during the day. We would like to take the opportunity to thank the people living at the home, the registered manager and the staff for their hospitality and patient co-operation throughout the inspection. There has been no change to the manager of the home or ownership of the home. The registered manager and staff continue to keep us informed of incidents and developments within the service. What the service does well: The way in which the manager and staff deal with admissions to the home ensures people’s needs are fully assessed and recorded prior to admission and this ensures that the service is confident in providing the right levels and care and support to people. The way in which the manager and staff deal with health and personal care issues ensures that people’s needs are recorded, and the care and support they require is well documented so that the staff know exactly what needs to be done. The care and support offered to people at the end of their life is seen to be very good, responsive and sensitive. The way in which the manager and staff deal with meeting people’s daily activity requirements ensures that; people have plenty to do that is based around their interests; people maintain contact with their family; and that their receive good quality meals and nourishment, which in turn offers them a good quality of life. People feel confident that they can complain to the manager and staff about issues they are unhappy with, and feel confident that these issues will be dealt with appropriate. People living at the home feel safe, and there are satisfactory systems in place to ensure that safety is a priority. People live in a clean and tidy home. A well trained and caring staff team, in good numbers, supports and cares for people, and this makes people feel good about themselves. Good management systems operated by a competent management team ensure that people’s best interests, health and welfare are promoted and protected. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Ashcroft Nursing Home DS0000069574.V375533.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 Ashcroft Nursing Home DS0000069574.V375533.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The way in which the manager and staff deal with admissions to the home ensures people’s needs are fully assessed and recorded prior to admission and this ensures that the service is confident in providing the right levels and care and support to people. EVIDENCE: The registered manager explained the admissions procedure which involves obtaining a community care assessment from the social work team and a visit from the registered manager to undertake her own pre-admission assessment. She added that the pre-admission assessment that she undertakes is very important for people who are self-funding as there is usually no community care assessment from the social work team, and so a good assessment must be in place so that people’s needs can be identified. Information contained within the records of 2 people living at the home confirmed what the registered manager had spoken about. The records also showed that liaison with family Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 9 members takes place before a placement is offered and a letter of confirmation of a place is also sent out prior to admission, and people are given a contract that is in line with the Fair Access guidance produced by the Office of Fair Trading. Ashcroft Nursing Home DS0000069574.V375533.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 11 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The way in which the manager and staff deal with health and personal care issues ensures that people’s needs are recorded, and the care and support they require is well documented so that the staff know exactly what needs to be done. The care and support offered to people at the end of their life is seen to be very good, responsive and sensitive. Standards must be maintained in relation to medication held at the home on behalf of people. EVIDENCE: We looked at 3 care plan files belonging to people at the home. These were found to be comprehensive, providing staff with details of how to meet people’s health, personal and social care needs. Risk assessments were found to be in place, and based on good assessment processes. The registered manager explained that the care plans are based on the system of Activities of Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 11 Daily Living (a practical method of meeting people’s every day needs such as washing, dressing, eating and working). Information contained within the care plan records confirmed this. One member of staff who was spoken with explained that explained that when care plans are put together they use the information obtained via the pre-admission assessment process and consult with the person themselves about the best way to meet that person’s needs. They added that people are asked to sign their care plan when it is completed, and when they are happy with it, and explained that the care plans are reviewed on a monthly basis to make sure that they are up to date. If a person has a social worker, then they come to review the care every 6 months, and usually come to review the care plan within one month of a person being admitted to home, or earlier if there are problems. A discussion took place with registered manager about the layout the care plans, and she was advised to look at a system of presenting information in the order of assessment details; care planning; implementation (daily records); evaluation and review. We checked the medication held at the home, and on the whole, everything was in good order, however, it was explained to the registered manager that when handwritten entries are made on the medication administration records, then they must be doubled sign as an extra safeguard against errors. Also we found that one person had one extra tablet of medication. The registered manager said that she would look into this. We spoke to people living at the home about the care that they received and people were very complimentary about the staff saying that they always made them feel good about themselves, that they always went out of their way to help them and that they felt respected as people and just not objects that needs to be looked after. We spoke to the family of one person who had recently died at the home. The family were extremely satisfied with the way their relative had been cared for during the time they had been at the home and in particular in recent weeks before their passing. One relative said that the staff had been fantastic, always there to help, always there to offer support, always there to provide comfort, care and calm reassurance. Another family member said that nothing was too much trouble for the staff team, and added that they were glad there relative had enjoyed living at Ashcroft House. The registered manager explained that the service is currently working through the standards relating to the Gold award for palliative care (a good practice model for supporting people and improving the end of life care they receive). Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The way in which the manager and staff deal with meeting people’s daily activity requirements ensures that; people have plenty to do that is based around their interests; people maintain contact with their family; and that their receive good quality meals and nourishment, which in turn offers them a good quality of life. EVIDENCE: The registered manager explained that since the last inspection she believes that standards in this area had improved. The registered manager explained that there is a dedicated activities worker who undertakes various pieces of work with both individuals and groups within the home. We spoke to this person who explained that they do life biographies, pamper sessions, movement to music, hairdressing, visits out. Two people living at the home explained that they like the activities that are on offer. We observed people sitting in the main lounge for some time, and it was evident that opportunities were missed by the staff to engage in one to one activities with people. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 13 Instead on interacting with people and staff were seen to spend long periods of time interacting with each other. This was pointed out to the registered manager who agreed there was a need for staff training in this area. A recommendation has been made with reference to this. People living at the home said that they were supported to keep in touch with their family and friends, and the relatives that were seen on the day of the visit supported this, saying that they can visit any time, and that the staff keep them informed of how their relative is getting on. The registered manager explained that since the last inspection, the menus have been changed so as to make the meals more nutritious, appealing and varied. A look at the menu confirmed this, and sample of the meal on the day of the visit confirmed that they were appealing and tasty. People living at the home said there is often too much food and choice on offer, but added that it was better than having not enough and no choice. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel confident that they can complain to the manager and staff about issues they are unhappy with, and feel confident that these issues will be dealt with appropriate. People living at the home feel safe, and there are satisfactory systems in place to ensure that safety is a priority. EVIDENCE: The policies and procedures relating to complaints and safeguarding people were found to be satisfactory, clear and available to people living, working and visiting the home. The registered manager explained that all minor concerns or issues are treated seriously, recorded and dealt with accordingly. When complaints are received the registered manager explained that information is taken about the complaint, and either she or a member of the management team investigates the complaint. Once the investigation has taken place, then a letter is sent to the complainant, and if appropriate an action plan showing how the complaint issue is to be remedied, with timescales and the names of the people who are to take the remedial action. The registered provider explained that the service has a whistle blowing procedure, and this was seen to be satisfactory. He added that the staff are told about this procedure during their induction, and reminded about it periodically during training and staff meetings. The registered manager talked through the adult safeguarding procedures and these were found to be in line with the Local Authority Policies and Procedures. The records held by the home and the Commission show that Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 15 there have not been any adult safeguarding procedures since the last inspection. The registered manager explained that she is a trainer in Adult Safeguarding and provides training for the staff team. In addition to this, the staff are to undertake e-learning in the area of adult safeguarding. A discussion with staff working at the home found that they are well versed with the home’s policies and procedures relating to complaint and adult safeguarding. People living at, and visiting the home said that they knew who to complain to if needed, and felt confident that the management would investigate their complaint properly. Also people said that they felt safe and had confidence in the staff and management to ensure that they were, as far as is possible, protected from harm. A lot of the training records found that staff have had training in adult safeguarding. The records relating to complaints were found to be satisfactory. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and tidy home. EVIDENCE: People living at the home said that they believed the environment to be safe and well maintained, clean and tidy. Relatives visiting the home said that the bedrooms are always kept clean and tidy, and periodically there are redecorated if requested or required. Further to this they said that the lounge and conservatory area had recently been revamped and that it made the sitting and dining area feel a lot more airy and comfortable. A look around the building found it to be clean and tidy. The registered provider explained that he has plans to redecorate and revamp parts of the home, and this will be done over the course of the next few years. A recommendation that the registered Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 17 provider follow his action plan relating to improvements to the environment has been made at the end of this report. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well trained and caring staff team, in good numbers, supports and cares for people, and this makes people feel good about themselves. EVIDENCE: People living and visiting the home said that they believed that people had safe and appropriate support as there were always enough staff on duty at all times. People said that they have confidence in the staff at the home because as far as they are aware the right checks have been done before they said started work to make sure that they are suitable to work in the care system. In addition to this people said that they feel their needs are well met and that the staff who care for and support them get good training and are supported by their manager. Information contained within the rotas showed that the home is well staffed at all times of the day. The registered manager explained that the comments she regularly gets back from people living at the home, their relatives and visitors state that people believe the staff team to be approachable, reliable, honest and motivated to make sure people are cared for properly. Observations made on the day supported this, with staff being seen to work sensitively with people, communicating with people effectively Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 19 and showing an interest in individuals. The personnel and employment records that were looked at contained good levels of information. Information contained within the records show that new starters are only confirmed into post once a satisfactory Criminal records Bureau check has been undertaken and a check against the Protection of Vulnerable Adults and Nursing register if appropriate is made. The staff training records show that staff received good levels of training in all aspects of work within a care setting. Staff working at the home spoke about the training they had received, giving details of scenarios that come up from time to time, and details of what they would do, how they would deal with issues, and how they could do things differently if needs be. The registered manager said that she would be looking into ways in which the staff could be better encouraged to engage with people more often during the day. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good management systems operated by a competent management team ensure that people’s best interests, health and welfare are promoted and protected. EVIDENCE: Information given to us by people living at the home, and their visiting relatives indicated that they have confidence in the staff and management of the home because they believe the home to be run well and managed properly. People explained that they can control their own money and choose Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 21 how they spend it, and that if they or someone close to them cannot manage their money, it is managed by the manager and clerical staff. People believed the layout of the home is safe for people and staff because appropriate health and safety checks are made such as fire alarm tests and regular checks of equipment. Comments made by people living at, and visiting the indicated that the manager has an open approach that makes them feel good about themselves. The records held by the Commission show that the manager is registered with us. She explained that she regularly obtains feedback from people using the service, their relatives, and other relevant parties about the services provided by way of user satisfaction questionnaires. The records of these were seen, and the feedback supplied by people was seen to be positive. She added that she has in place audit and monitoring systems for various practices within the home such as medication, money, accidents and incidents. Again, the records of these were seen, and there were found to be satisfactory. The records relating to the health and welfare of people living and working in the home were seen, and were found to be satisfactory. These included records relating to weekly alarm system tests, food hygiene control measures, infection control systems, the regulation of water temperatures and the maintenance of equipment. Both the registered manager and provider have a clear vision about the future of the service and how to continue to build on the good practice that is taking place there. This is demonstrated by the way in which standards within the home have been maintained, morale maintained and best practice promoted. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 4 Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 23 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 2 Refer to Standard OP9 OP19 Good Practice Recommendations The recording systems relating to medication should be well maintained and in line with current best practice. The registered provider should ensure that planned work to improved and maintain the environment and living areas of the home is undertaken in due course. Ashcroft Nursing Home DS0000069574.V375533.R01.S.doc Version 5.2 Page 24 Care Quality Commission St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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