Care Home: Croft House Nursing Home

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What the care home does well People are not admitted without being assured, through assessment, that their needs can be met at the home. People who live at the home benefit from good care planning, safe medication practices and delivery of care and from staff who treat them respect. People who live at the home benefit from being supported to make choices and are generally happy about their lifestyles and benefit from activities that are provided via an activities worker. Systems are in place to give people confidence that their complaints and incidents will be appropriately dealt with and reported to ensure that people are safeguarded. People who live at the home enjoy a comfortable and clean environment. People are supported by an appropriately recruited, trained staff team who are kind and respectful in their approach. The management and administration of the home promote people best interests, and it is clear that the management and staff have done a lot of work to ensure that people are safeguarded. What has improved since the last inspection? Improvements in the way that care planning is undertaken have taken place. The documentation used by the service has been improved. Staffing levels particularly at night have been reviewed so that satisfactory staff is provided to ensure the health and welfare of people living in the home. CARE HOMES FOR OLDER PEOPLE Croft House Nursing Home 52a High Street Gawthorpe Ossett West Yorks WF5 9RL Lead Inspector Mr T Brindle Key Unannounced Inspection 12th March 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Croft House Nursing Home DS0000068602.V360839.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. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Croft House Nursing Home Address 52a High Street Gawthorpe Ossett West Yorks WF5 9RL 01924 273372 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) croft.house@schealthcare.co.uk CC Care Ltd vacant post Care Home 68 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (24), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (24), Old age, not falling within any other category (44) Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate one named male person aged under 65 years of age, category DE 14th March 2007 Date of last inspection Brief Description of the Service: Croft House is a two-storey purpose built care home that provides accommodation for 68 older people requiring either residential care, general nursing care and/or dementia care. Qualified nurses are employed at the home and a good number of care staff are trained to National Vocational Qualification standards (NVQ Level 2 or above). The home employs an activities organiser. The home, which is situated off the main road in Gawthorpe, Ossett has two pleasant gardens and is situated close to local shops. There are local public transport links to the towns of Dewsbury, Wakefield and Leeds and access by private transport to the motorway network. The home has three distinct units each with lounges and dining areas. Quiet rooms provide space for service users and visitors to sit and relax away from main lounges or as a change of environment from their own bedrooms. The provider informed the Commission for Social Care Inspection in March 2008 that fees range from £359.00 to £386.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. The last inspection report can also be obtained by contacting the home. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Two Star rating, which means the people using this service experience good quality outcomes This unannounced visit started at 10am and ended at about 3pm. This was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home as well as the service’s management team and care staff. The care plan files of people living at the home were seen and included assessments care plans, daily and medical records and the record of activities. Staff records were also seen and included, application forms, references, police checks, training and supervision records. A sample of peoples’ medications were checked and a look around the home was undertaken. Other information considered was the homes returned Annual Quality Assurance document. A good number of people responded to our survey, and the feedback received was positive. The inspector would like to take the opportunity to thank the operations manager and her staff team for their hospitality and people using the service and their relatives for their patience and co-operation throughout the visit. What the service does well: People are not admitted without being assured, through assessment, that their needs can be met at the home. People who live at the home benefit from good care planning, safe medication practices and delivery of care and from staff who treat them respect. People who live at the home benefit from being supported to make choices and are generally happy about their lifestyles and benefit from activities that are provided via an activities worker. Systems are in place to give people confidence that their complaints and incidents will be appropriately dealt with and reported to ensure that people are safeguarded. People who live at the home enjoy a comfortable and clean environment. People are supported by an appropriately recruited, trained staff team who are kind and respectful in their approach. The management and administration of the home promote people best interests, and it is clear that the management and staff have done a lot of work to ensure that people are safeguarded. Croft House Nursing Home DS0000068602.V360839.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. The summary of this inspection report can be made available in other formats on request. Croft House Nursing Home DS0000068602.V360839.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 Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. (Standard 6 is not applicable as the home does not provide intermediate care) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are not admitted without being assured, through assessment, that their needs can be met at the home. EVIDENCE: Feedback from people living at the home showed that they were satisfied with the information they had been given about the home prior to moving in and were happy about the way their move had been carried out. The home does not provide intermediate care. The nurse in charge said that no one is admitted to the home until a full needs assessment has been undertaken by himself (or the senior staff). He added that this applies to all people, including those who are self funding. The records confirmed this. The operations manager explained that admissions to the home only take place if the service is confident staff have the skills and ability to meet the assessed needs of the prospective new person. One staff member said that people looking at moving into Croft House would be given the opportunity to spend time in the home, prior to them moving in. The nurse in Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 9 charge confirmed this. People living at the home said that they had been given enough information about the home and the service it provides before they moved in. Feedback from relatives who were visiting on the day confirmed that they had been given enough information about the to make an informed decision before their relative moved in. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who live at the home benefit from good care planning, safe medication practices and delivery of care and from staff who treat them respect. EVIDENCE: The records show that personal healthcare needs, including specialist health nursing and dietary requirements, are recorded in each person’s plan. The nurse in charge manager said that personal support is carried out in relation to the individual needs and preferences of the people who use services. One person living at the home said that the personal care given to them is consistent and that the staff are reliable. Staff were seen to respect the privacy and dignity of people in the home, and were seen to respond people’s individual choices and requests. The records show that home has a medication policy, which is supported by procedures. Medication records were found complete and were signed by appropriate staff. The staff have a recording system for carrying forward medication that is left over from the previous month, however, it was pointed out to the operations manager and nursing staff that these quantities needed Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 11 to be recorded on the medication administration sheets, and not just on a separate sheet of paper. The operations explained that all this would be done as soon as our site visit was completed. The nurse in charge explained that regular management audits take place to monitor the medication. These records were seen and were found to be in good order, showing a satisfactory record of compliance with the home’s medication procedure. The nurse in charge explained that there is a system of risk assessment that is used to determine whether people who use the service need to be given help to manage their medication. The records confirmed this. He added that if the assessment shows that people can self-administer their medication, then they would be given the opportunity to do this. At present no one has been assessed as be able to self administer their own medication. The staff training records show that staff at the home have completed appropriate training in medication. The care plans were found to contain clear information about individual’s wishes, choices and decisions in relation to their healthcare needs. Information within people’s files showed what they can and cannot do, and how the staff should support people and what to do if problems arise. The records show that care staff work to monitor pain, distress and other symptoms to ensure individuals receive the care they need. Staff working at the home confirmed this. One staff member explained that a lot of work has been put into making sure that the plans are up to date and appropriate to people’s needs, and this was evident when looking at them. However, a couple of plans for people who had just moved into the home were lacking risk assessments, but these were completed at the time of the site visit. Nutritional screening records were seen, and the nurse in charge said that this is undertaken on admission and subsequently on a periodic basis. The records confirmed this. A record is maintained of people’s weight gain or loss, and the records showed what action needs to be taken depending on either a weight gain or loss. The nurse in charge said that people are registered with a GP, and the records confirmed this. The records also show that people have access to hearing and sight tests according to their needs. Feedback from visiting relatives confirmed that they believe their relative is looked after well, and that the staff at the home do consult them about aspects of care, that is then recorded in people’s individual care plans. The records confirmed this. People living at the home said that they believed they were well cared for, and one person said that the staff really know people as individuals and know what each person wants. Another comment from someone living at the home was, “We’re all different you know, and the staff know that as well. They do a good Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 12 job”. Observations of how care was being provided indicated that staff go about their work showing respect to people, and undertaking taking care tasks in ways that are suited to people’s needs with good interaction and engagement. Croft House Nursing Home DS0000068602.V360839.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 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who live at the home benefit from being supported to make choices and are generally happy about their lifestyles and benefit from activities that are provided via an activities worker. EVIDENCE: Staff working at the home said that people who use the service have the opportunity to develop and maintain important personal and family relationships. One person living at the home said that their relative can come and see them at any time, and they added, “That’s really important because you can loose touch with what’s going on in the big wide world”. Visiting relatives were seen to come and go throughout the day, and those who were spoken with said that they are made to feel welcome and that they feel their relative is being well cared for at Croft House. The nurse in charge explained that various different in-house and external activities are on offer to people living in the home. This was supported by information held within people’s individual files. People living in the home spoke about this, and confirmed the information given by the nurse in charge. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 14 The menu was seen to be varied with choices of food. It provides a balanced set of meals. The staff at the home said that the cook does cater for the varying dietary needs of the people living at the home. People confirmed this saying that the food was very nice and with a good choice. Feedback from relatives confirmed that they believe the food to be of a good quality. One person living at the home said, “I think we get too much food, but I’m not complaining.” An observation made at mealtime showed that meals are presented in an attractive manner and that people living at the home were enjoying their food, and being supported appropriately. The staff were seen to interact with people in positive ways, enjoying pleasant conversation and offering people drinks whilst talking about peoples day. Croft House Nursing Home DS0000068602.V360839.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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Systems are in place to give people confidence that their complaints and incidents will be appropriately dealt with and reported to ensure that people are safeguarded. EVIDENCE: The operations manager said that they have tried to foster an open culture that allows people to express their views and concerns in a safe and understanding environment. One person living at the home said that they could go and speak to any staff member about problems, and added that the new owners are approachable. The records show that there is a complaints procedure that is clearly written and one person living at the home said it was easy to understand. The records show that there is a full record of complaints and this includes details of the investigation and any actions taken. The policies and procedures for Safeguarding Adults were seen to be available to people living at the home, staff and relatives. After talking with staff at the home, it was clear that they understood the procedures for safeguarding adults. The records show that there are have been referrals to the Safeguarding Team run by the local authority. These referrals have resulted in investigations taking place to determine what the problems were, and strategy meetings with social workers, community nurses and the management of the home have taken place. The referrals related to the use of bedrails, and how the staff dealt with pressure area care. The records show that full risk assessments are undertaken in relation bedrails, and the home is working closely with the Community Tissue Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 16 Viability Nursing Team to ensure anyone with pressure area concerns are cared for appropriately and effectively. The operations manager explained that training of staff in the area of protection is regularly arranged. This was supported by documents found within people’s individual training files. People living in the home spoke about feeling safe in the home, and also that they knew who to speak to if they wanted to complain. Feedback from relatives confirmed that they too believe their relative to be safe in the home, and know who to speak to about complaints. However, feedback from visiting healthcare professionals indicated that they didn’t always know who to speak to about concerns because of a lack of management presence within the home at weekends. The operations manager explained that management cover has now been improved, with staff covering weekdays and weekends. (This issue has been reported on within the management section of this report). Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who live at the home enjoy a comfortable and clean environment. EVIDENCE: A walk around the home found that it is well maintained, pleasantly decorated and of a suitable layout for the people living at the home. The nurse in charge explained that people who use services are encouraged to personalise their bedrooms. This was supported looking at people’s individual rooms. People living in the home spoke about this, and confirmed the information given by the nurse in charge. The shared areas were found to provide a choice of communal space and one staff member said that opportunities are created for relatives and friends in private. People living in the home spoke about this, and confirmed the information given by the staff member. The bathrooms and toilets were found to be are fitted with appropriate aids and adaptations to meet the needs of the people who use the service, and were found to be in sufficient numbers and of good quality. The nurse in Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 18 charge explained that the work to convert some of the bathrooms into shower rooms should be completed soon. The home was found to be well lit, clean and tidy and in most areas smelling fresh. However, it was pointed out that on one unit, there was a hint of some unpleasant smells. The operations manager explained that she would look into this as a matter of urgency because for her, unpleasant smells should not be detachable within any part5 of the home. The operations manager has a good infection control policy and the she manager explained that she would seek advice from external specialists, e.g. infection control if and when required. People living at the home said that it is easy to get around the home. Feedback from people showed that they believed that the home to be kept clean and hygienic. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. Appropriate hand washing facilities are available; the records show that there is an appropriate infection control policy and procedure in place. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported by an appropriately recruited, trained staff team who are kind and respectful in their approach. EVIDENCE: The rotas show that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the people who use the service. An increase in the number of staff working during the night has been made. One member of staff said that this had been an improvement as it had led to staff being able to get their work done in a more efficient and person centred way. Observations on the day found that they were sufficient numbers of staff on duty that were able to meet the needs of the people living in the home. The records show that staff members undertake external such as NVQ II and III. The operations manager explained that work is continuing to ensure that more than half the staff have an NVQII. The operations manager said that the staff receive relevant training that is focussed on delivering good outcomes for people using the service. This was supported by information held within people’s individual files and confirmed by staff. The staff training records confirmed that staff receive training in areas such as health and safety, fire safety, movement and handling, safeguarding, Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 20 and food hygiene. Feedback from people living at, and visiting the home showed that they believed that the staff were well trained. The operations manager explained the recruitment procedure, which was found to be satisfactory. She said that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The records confirmed this, and show that new staff are confirmed in post only following completion of a satisfactory police check, and satisfactory check of the Protection of Vulnerable Adults register and/or Nursing register. The records show that staff meetings take place. Individual staff files detail that supervision sessions are regular and staff confirmed that they find them helpful. The records show that induction procedures are in place and that new staff receive the new induction in common standards in line with the Skills for Care Council. One staff member discussed the induction process and was able to talk at length about topics such as understanding principles of care, maintaining safety at work and recognising and responding to abuse and neglect. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home promote people best interests, and it is clear that the management and staff have done a lot of work to ensure that people are safeguarded. EVIDENCE: There is currently a vacancy in relation to the registered manager’s position. As a result the management position is currently being covered by the company’s registered person, an operations manager and an acting project manager. The rotas show that this team of managers work at the home over a 7-day period so that there is always someone from the management team available to deal with queries, observe practice and interact with visitors or other professionals. The operations manager explained that she and the staff undertake routine health and safety checks such as the risk of Legionella, risks from hot Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 22 water/surfaces, Gas and electric safety, Fire safety and maintaining equipment e.g. hoists. The records confirmed this. The records show that the home has good policies and procedures in place, and the operations manager explained that they review and update these as and when required. The records confirmed. There is evidence is show that the home has a quality assurance and quality monitoring system which is based on the views of people living in the home, with feedback from relatives and visiting healthcare professionals gathered. The records show that there is suitable insurance cover in place and the certificates are displayed in the office of the home. The records show that the care staff receive formal supervision at least 6 times a year. One staff member said that supervision usually involves talking about the care people need, how the home should operate and their own training needs. The nurse in charge confirmed that she also gets supervision from one of the management team. The records confirmed this. The records show that the staff have had training in health and safety, fire, movement and handling, food hygiene, safeguarding, infection control and first aid. Feedback from people living at, and visiting the home showed that they feel safe living in the home, and that they believe it is well run. Croft House Nursing Home DS0000068602.V360839.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 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 1 X 3 X 3 X X 3 Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP31 Regulation 8 Requirement A permanent manager should be appointed and their application to be registered with the Commission must be completed and sent to the Commission in due course. Timescale for action 12/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP9 OP21 OP28 Good Practice Recommendations The stock balances of the previous months medication should be recorded on the new M.A.R sheets. The work to convert the bathrooms into shower rooms should be completed as soon as possible. The provider should have an action plan in place to ensure 50 of care staff have an N.V.Q level 2 qualification. Croft House Nursing Home DS0000068602.V360839.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Croft House Nursing Home DS0000068602.V360839.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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