Care Home: Cameron House Nursing Home

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What the care home does well What has improved since the last inspection? More attention is now paid to making sure that the staff fill in the resident assessment forms properly and completely. The people admitted from the Rapid Response Team now have a care plan that has been put into place by the staff of the home. This is more detailed than the one they are admitted with and gives a clear picture of their needs Residents are assessed to see if they are at risk due to problems with their food and fluid intake, firstly on admission and then on a regular basis. They are also being weighed regularly. In order to protect the residents from harm, management now make sure that they check people out properly and safely before offering them a job. They do this by making sure that they always get written references for new staff. The home now has a permanent experienced Nurse Manager who is registered with us. What the care home could do better: To ensure that the needs of the residents are met, more attention must be given to ensuring that the risk assessments for moving and handling are in place for all residents. More details about the residents` cultural, religious and dietary needs should be included in the care plans so that staff have a better understanding of how to meet all their needs. CARE HOMES FOR OLDER PEOPLE Cameron House Nursing Home Cameron Street Bury Lancashire BL8 2QH Lead Inspector Grace Tarney Unannounced Inspection 19th September 2008 09:30 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 Cameron House Nursing Home DS0000017340.V371454.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. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cameron House Nursing Home Address Cameron Street Bury Lancashire BL8 2QH 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) 0161 764 8571 0161 763 3695 cameron.house@fshc.co.uk www.fshc.co.uk Ringdane Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Jane Abdoh Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Cameron House Nursing Home DS0000017340.V371454.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 people 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 people who can be accommodated is: 40 Date of last inspection 25th July 2007 Brief Description of the Service: Cameron House Nursing Home is registered to provide nursing and social care for older people. Qualified nurses provide 24-hour care for those residents needing nursing care, and suitably trained care assistants support them. Trained care assistants look after the residents with social care needs. The home also admits people from the Rapid Response Team. Rapid Response is a system whereby people who require urgent nursing care but not admission to hospital, can be cared for on a 24 hour basis by qualified nurses for a short period of time, normally no longer than 2 weeks. Cameron House is a modern, detached building set in a residential area close to the main road and public transport. Bury town centre is approximately one mile away. There is a small, enclosed garden to the rear and car parking to the front and side. The home has a dining room, two lounges and a conservatory that is used by the residents who wish to smoke. Bedrooms, bathrooms and toilets are situated on the ground and first floor and the first floor can be reached either by a lift or stairs The fees for the home are from £370.89 for residents funded by the Local Authority to £380.00 for residents who pay for their own care. If a resident requires nursing care a further £103.80 is charged. The Primary Care Trust pays for this charge. Additional charges are made for private chiropody, hairdressing and individual newspapers. If a resident has a room with an en-suite toilet and bath/shower there is an extra weekly charge of £5.00. This information was received on the 19th September 2008 A copy of the most recent inspection report is kept in the entrance hall. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 5 Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection visit to the home by 1 Inspector lasted 9 hours. The staff did not know that we (the commission) were going to visit. Several weeks before the visit to the home we asked the manager to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. Several weeks before the inspection visit we also sent out questionnaires to the residents, relatives and the staff asking what they thought of the care and quality of the service provided for them. 5 resident and 4 staff questionnaires were returned. Some of their responses are detailed in different sections of this report. During our visit to the home we looked at care and medicine records to make sure that the staff knew how to look after the residents and that their health and care needs were being met. We also looked around most of the building to check if it was clean, warm and well decorated. We also looked at what the residents were having for their meals, to make sure that there was a choice of meals and that they were good and wholesome. We also checked how many staff were provided on each shift to make sure the residents needs were being met. We then looked to see if management recruited and trained the staff properly and safely. This is so the staff can do their jobs properly and the residents are protected from being cared for by unsuitable people. In order to get further information about the home we also spent time talking to 4 residents, 3 visitors, a nurse visiting the home, 3 care staff and the cook. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? More attention is now paid to making sure that the staff fill in the resident assessment forms properly and completely. The people admitted from the Rapid Response Team now have a care plan that has been put into place by the staff of the home. This is more detailed than the one they are admitted with and gives a clear picture of their needs Residents are assessed to see if they are at risk due to problems with their food and fluid intake, firstly on admission and then on a regular basis. They are also being weighed regularly. In order to protect the residents from harm, management now make sure that they check people out properly and safely before offering them a job. They do this by making sure that they always get written references for new staff. The home now has a permanent experienced Nurse Manager who is registered with us. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 8 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 9 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 Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody that a person is only admitted if the staff feel they can meet their needs. EVIDENCE: Before any resident was admitted to the home we saw that a senior member of staff from the home undertook an assessment of their needs. An assessment looks at what help and support a person who may be admitted to the home needs to help them make the most of their daily life. We looked at 2 assessments. They were detailed and showed very clearly what the residents were able to do for themselves and what they needed help with. Based on this information it was decided that the staff at the home could meet their needs. We also saw that when a person was admitted under the Rapid Response scheme they had an assessment undertaken by the qualified nurses on this team but were also assessed, on admission, by the nurses at the home Standard 6 does not apply. The home does not provide Intermediate Care. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans show what care needs the residents have and care practices ensure that their needs are met in a safe, caring and dignified way. EVIDENCE: Individual resident care records, (called care plans) were in place for each resident. The care plans of 3 of the residents were looked at. They had enough information in them to show how the care needs of the residents were to be met. 1 of the residents had previously had a pressure sore that the staff had looked after properly and it had healed. This residents care plan showed that she was still at risk of developing pressure sores but there was no written information in the care plan to show how to prevent them. We looked in her room however and could see that the correct equipment was in place to prevent further pressure sores. We discussed with the staff the importance of having a prevention plan in place and they agreed to do this the same day. During our second visit to the home we were told that this had been put in place. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 12 The care plans were checked regularly by the staff so that any change in the residents’ condition could be identified and action taken if necessary. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores, any risk of falling and also if they were at risk due to problems with their food and fluid intake. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. One of the residents admitted under the Rapid Response system had not however had a moving and handling risk assessment undertaken. Staff were told about this on the day of the inspection visit and they agreed to do it as soon as they could. It is important to do this so that both residents and staff are protected from harm. We saw that residents were weighed regularly and their weight was recorded in their care notes. We saw that staff wrote in the care plans when the residents had received visits from health care professionals, such as dentists, opticians, district nurses and chiropodists. Whilst we were at the home we saw a visiting optician. We also spoke to a visiting nurse from the Rapid Response Team. She told us that she felt the staff were very good and looked after the residents at the home very well. Comments from some of the residents were: The staff are very nice, we are well looked after. I cant grumble, they are all very good. I am happy here. We looked at the system for managing the medicines. A safe system was in place. There are 2 locked medicine rooms and locked medicine trolleys that are secured to the wall when not in use. We did see that staff did not always write the date of opening on the bottles of eye drops in use. It is important to do this so that they are not used after the expiry date following opening. Medicines and Controlled drugs were stored securely and recorded accurately. The staff spoke to the residents in a quiet and respectful way. Staff told us that the importance of ensuring privacy, respect and dignity is part of their initial training. We saw that this was so when we looked at their training files. We saw staff knocking on bedroom and toilet doors and waiting where possible for an answer, before they went in. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported and encouraged by staff to make choices about what they do, so that they can find enjoyment and satisfaction in their daily life and with the activities available to them. The residents are given a choice of well-balanced and nutritional meals. EVIDENCE: The residents that we spoke to told us that they can, more or less do as they please and that they are not made to do anything that they do not want to. One resident said: I like to stay in my room. I have my meals here too. The staff do not mind bringing them to me. I know it must be extra work for them but they never say, they are very kind The residents’ routines of daily living and what they liked to do were written down in their care plans. An activities organiser works at the home and we saw a list of “what is going on” displayed in the entrance hall. One resident commented: More trips out would be nice. We were given a copy of the monthly newsletter. This showed that the company mini bus was going to be available at the end of September for 2 Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 14 weeks and trips out were being planned for Blackpool, Bury Market and wherever the residents wanted to go. The care plans showed what religion a person was. They did not however, always show if they practiced their faith. 2 of the residents were of the Jewish faith and whilst the staff told us that they were not practicing this was not written in their care plan. So that all staff know how to respect a persons cultural and religious beliefs it is important to write the information down. We were told that the Church of England Minister visits monthly to bring communion and the Roman Catholic Priest or one of his Ministers brings Holy Communion every Sunday. We spoke to 1 resident who was very happy with the care but did not like being cared for by male staff. This resident had only been admitted as an emergency the previous evening. We spoke to staff and management about this and it was agreed that as far as they were able, they would try to make sure her wishes were respected. They also agreed to make sure that, on assessment, a resident would be asked about preferences and this would be clearly shown on their care plan. We saw visitors coming and going throughout the day and they seemed to know the staff very well. Some sat with their relatives in the lounge but one went to her relatives’ bedroom for some privacy. We did not eat with the residents but saw what they were having for lunch. The tables were nicely set with tablecloths, napkins and cruets. The meal served looked appetising, nutritious and there was plenty of it. The residents have the main meal at lunchtime and the lighter meal in the evening. We looked at the menus. The residents have a choice of meal at breakfast, lunch and tea. Fresh fruit was given out mid morning and afternoon when drinks were being served. Hot and cold drinks were served throughout the day. We were told however that tea or coffee was not given out after lunch routinely but if a resident requested it then they could have one. We were sat with 2 residents who were telling us that they had not had a cup of tea and wanted one. They did not know that they had to ask. We were told milky drinks and light snacks are also served at supper. Residents commented: The food is good. The portions are too big. The meals are well served. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good knowledge and understanding of what abuse is and know what to do if it happens. This helps reduce the possible risk of harm to the residents EVIDENCE: There is a notice displayed on the wall in the entrance hall that explains how any complaints will be handled. It is easy to understand and tells people that complaints will be looked into and a response given within 28 days. A record is kept of any complaint made and includes details of the investigation and any action that the management may have taken to put things right. No complaints have been made to us since the last inspection. We spoke to some of the staff and asked them to tell us what they would do if they felt that a resident had been mistreated in anyway. They were very aware of what to do and how to report it. They told us that they had been trained so that they could, as far as possible, protect the residents from harm. We saw evidence of this training in their training files. Cameron House Nursing Home DS0000017340.V371454.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 24 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in clean, suitably adapted and comfortable surroundings. EVIDENCE: The front door is kept locked to make sure the residents are kept safe. The corridors throughout the home are wide and well lit, making movement around the home a little easier for the residents. There are 2 lounges and a dining room on the ground floor. They are very pleasant rooms, nicely decorated and comfortably furnished. Leading off from the dining room there is a small conservatory. This is for the residents who smoke. Bedrooms, bathrooms and toilets are situated on the ground and first floor and the first floor can be reached either by a lift or stairs. The toilets are easy to get to, as they are close by to bedrooms, the lounges and the dining room. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 17 The toilets have a lock on the door to ensure privacy and have suitable aids on them so that the residents can use them safely. We looked at some of the bedrooms. They were clean and warm and well decorated. We were told that there is a rolling programme of redecoration. Each bedroom has a safety overriding door lock and also a lockable space to store anything that is of value or importance to the resident. All sinks, baths and showers have thermostatic control valves so that the water discharges at a safe temperature and therefore reduces the risk of accidental scalding. Throughout the home the radiators were guarded so that the residents could not burn themselves. The home was clean and there were no unpleasant smells. Hand washing equipment was in place in bedrooms, bathrooms and toilets. Staff had also been supplied with disposable gloves and aprons. Providing all this equipment helps to reduce the spread of infection and therefore helps to protect the residents health and wellbeing. Cameron House Nursing Home DS0000017340.V371454.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. 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 this service. The residents are cared for by staff that are properly trained and safely recruited. This helps to ensure that they are kept as safe as possible. EVIDENCE: A check of the duty rotas showed that for the number of residents in the home there was enough staff on duty during most of the day and night. Staff felt that at times, in the evenings they were short staffed. We discussed this with management who informed us that they were presently recruiting for more care staff. The duty rota did not show the hours that the manager worked. She agreed to put the hours she works on the rota. The information received from the AQAA form and the information that we looked at in the training files showed that 41 of the staff had obtained their NVQ level 2 in care. The Standard of 50 has not yet been met although 12 of staff were working towards it. The recruitment files of 3 staff members were checked. All were in order and these staff had been properly and safely employed. This helps protect residents from being cared for by unsuitable people. The information received from the AQAA form showed that management provide a staff induction programme for all newly employed staff. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 19 We looked at some of the training files and saw evidence of this. We also saw evidence of further training that had been undertaken. The staff had undertaken training in moving and handling and the protection of vulnerable adults. In addition training in basic food hygiene, first aid, health and safety, fire safety, care planning, infection control and other relevant topics had been undertaken or had been arranged. The staff made the following comments: • There is plenty of training. • All care staff are given regular training. We have a training bulletin in the staff room. • We are always kept up-to-date with training as there are always new things coming up such as palliative care. This training has been very rewarding. Cameron House Nursing Home DS0000017340.V371454.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and well managed. The Manager has worked hard to improve the standards at the home so that the welfare of the residents is protected. EVIDENCE: The registered manager is a Registered General Nurse with lots of experience of nursing, both within the NHS and the private sector. She also has a management qualification. The staff made the following comments: • The managers door is always open for anyone to go in and discuss their concerns or advice. She is always open to suggestions. • The manager is always around to offer support if needed and if she isnt in the building I feel I could phone her at any time if I needed to. Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 21 Information from the AQAA document sent to us and documents looked at in the home showed that management do a regular check of lots of things in the home. They check to make sure that there are no hazards around the building and also check the records about care, medicines, and any accidents that have happened. They hold regular resident/relative meetings and send out surveys to them asking for their views on the services provided. The systems in place for the management of residents’ money were good. We were told that they mainly handle money brought in for the residents’ expenses. We saw that receipts were kept for any money that was spent by, or on behalf of the residents. Information received from the AQAA form sent to us and from random checking of servicing records showed that the equipment within the home is properly maintained and regularly serviced. We looked in the fire logbook and saw that management regularly check and test the fire detection system, fire exits and emergency lights. The fire detection system was actually being checked whilst we were in the home. Cameron House Nursing Home DS0000017340.V371454.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x 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 3 3 x x 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Cameron House Nursing Home DS0000017340.V371454.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. 1 Standard OP7 Regulation 13(5) Timescale for action All residents must have a moving 02/10/08 and handling assessment. It is important to do this so that both residents and staff are protected from harm. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cameron House Nursing Home DS0000017340.V371454.R01.S.doc Version 5.2 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. 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