Care Home: Elm View Nursing Home

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What the care home does well Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 6The home is well managed and run in the best interest of the people living there. Anyone thinking of moving into Elm View can go and look around and get written information about the home, the Service User Guide. If they decide to move in, staff from the home will carry out an assessment to make sure they can meet that persons needs and arrange a day for admission. People are well cared for and their health care needs are being met. The medication system is well managed. This means that people get their medication at the right times. There are activities on offer to keep people stimulated. Staff have the time to sit and talk to people. Relatives and friends are made to feel welcome and can visit at any time. Meals at the home are good offering choice and variety. Staff told us that staff morale is good and that they like working at the home. In the surveys we asked people what the home does well. People living in the home and their relatives said the following: `Much better since the new manager started.` `The manager is always around and alert to what`s going on. Christmas was a wonderful, happy time for all of the residents.` `As a family we are happy with the care.` `Our relative has visitors at all times of the day, nearly everyday. We have always been made to feel welcome and all of the staff are really pleasant. We can go to her room at any time and it is always clean, we don`t have to ask permission to do this.` Staff said the following: `The staff work hard to keep people happy and make them feel at home and safe.` `The staff know what peoples likes and dislikes are.` `Since the new manager joined us there have been many improvements in all areas at Elm View.``I feel we care for our residents very well. The food is good and becoming more varied.` `We provide a clean, warm and friendly environment.` `The last few months have been a little scary (change always is) but now I can see how much better things are and change is good and for the better of Elm View.` What has improved since the last inspection? The home is being managed properly and this has improved the overall service people receive. What the care home could do better: Make sure that the Service User Guide is up to date to make sure people get the right information about the home. Make sure there is a shower or bath available for people to use on the middle floor. Make a plan for redecoration and refurbishment that will be completed over the next 12 months. This will make sure the accommodation is maintained to a good standard. CARE HOMES FOR OLDER PEOPLE Elm View Nursing Home 2 Elm View Huddersfield Road Halifax West Yorkshire HX3 0AE Lead Inspector Paula McCloy Key Unannounced Inspection 16th March 2009 09:45 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 Elm View Nursing Home DS0000001050.V374537.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. Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elm View Nursing Home Address 2 Elm View Huddersfield Road Halifax West Yorkshire HX3 0AE 01422 362538 01422 362538 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) Mr Philip Bentley Mrs Barbara Bentley Manager post vacant Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate one named service user under 65 years of age Date of last inspection 28th March 2008 Brief Description of the Service: Elm View is a care home for older people. It provides both personal and nursing care. The home is a converted property and provides accommodation over three floors. Single and double bedrooms are available. There is a lounge/dining room on the ground floor and a separate lounge. Each floor is accessed by a passenger lift. Elm View is situated on the main Huddersfield Road about ½ mile from Halifax town centre. There is a small car park and on street parking close to the home. At the rear of the car park there is a small, garden area where people can sit in nice weather. The current weekly charges at the home range from £339 - £474 per week. Additional charges are made for hairdressing and chiropody. Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We inspected the home in September 2008 and at that time it was assessed as being a poor service. We visited the home again in December 2008 and found that a new manager had been appointed and improvements were being made. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted approximately 7½ hours. During the visit we spoke to 4 people living in the home, 5 members of staff, the manager and 4 relatives. We also observed staff delivering care, looked at various records and looked around the home. Comment cards were sent to 10 people living in the home, 10 staff and 5 health care professionals; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Nine people using the service or their relatives on their behalf and eight members of staff wrote to us with their comments. Their comments have been used in this report. What the service does well: Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 6 The home is well managed and run in the best interest of the people living there. Anyone thinking of moving into Elm View can go and look around and get written information about the home, the Service User Guide. If they decide to move in, staff from the home will carry out an assessment to make sure they can meet that persons needs and arrange a day for admission. People are well cared for and their health care needs are being met. The medication system is well managed. This means that people get their medication at the right times. There are activities on offer to keep people stimulated. Staff have the time to sit and talk to people. Relatives and friends are made to feel welcome and can visit at any time. Meals at the home are good offering choice and variety. Staff told us that staff morale is good and that they like working at the home. In the surveys we asked people what the home does well. People living in the home and their relatives said the following: Much better since the new manager started. The manager is always around and alert to what’s going on. Christmas was a wonderful, happy time for all of the residents. As a family we are happy with the care. Our relative has visitors at all times of the day, nearly everyday. We have always been made to feel welcome and all of the staff are really pleasant. We can go to her room at any time and it is always clean, we dont have to ask permission to do this. Staff said the following: The staff work hard to keep people happy and make them feel at home and safe. The staff know what peoples likes and dislikes are. Since the new manager joined us there have been many improvements in all areas at Elm View. Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 7 ‘I feel we care for our residents very well. The food is good and becoming more varied.’ ‘We provide a clean, warm and friendly environment. The last few months have been a little scary (change always is) but now I can see how much better things are and change is good and for the better of Elm View. 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. Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 8 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 Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 9 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): 1, 3, 5. Standard 6 does not apply. 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 get written information about the service and can visit to see for themselves if they think it is suitable. No one moves into the home unless staff are sure they can meet their needs. EVIDENCE: There is a Service User Guide in place but some of the information is out of date in relation to the management of the home. This document needs to be up dated so that people get the right information about the home. In the surveys people told us they had enough information about the home before they moved in. This helped them to decide it was the right place for them to live. People told us the following: I couldnt go and look around as I Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 10 was in hospital. My daughters went and got the information and then someone came to visit me to tell me all about it. We came to visit and were given a brochure and a Service User Guide. Relatives told us that they had been to look around the home. This helped them to decide if the home would be suitable. People told us the following: ‘I had a good inspection and found staff answered any questions. Staff were very polite and friendly. Everywhere was clean and tidy and there was a pleasant smell about the place. The menu was on display, which I thought was good. Residents looked well cared for, clean and tidy. ‘A friend of mine recommended the home as her relative was living there. A member of staff from Elm View will go and assess anyone thinking of moving into the home. There is an assessment document that staff complete, which means that peoples needs are identified and that staff are sure they can meet those needs before people move in. We looked at the files for two people that had moved into the home within the last three days and found all of the assessment information we would expect, together with a care plan for each. The home does not provide intermediate care. Elm View Nursing Home DS0000001050.V374537.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. 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. Peoples health and personal care needs are being met. EVIDENCE: We looked at four care plans because we wanted to see what individual needs had been identified and what action staff have to take to meet these needs. We found that the care plans were detailed and easy to follow. All of the necessary risk assessments have been completed and staff are writing down the action they need to take to reduce or eliminate that risk. For example one person had been identified as being at risk of malnutrition. There was a clear plan in place regarding food supplements and when they should be given. We saw staff encouraging this person to take her supplements and explaining why they were important. Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 12 Peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Details of any visits by health care professionals are clearly documented in the residents care plan, together with the advice that has been given. People told us that they get the medical support they need. People made the following comments: The staff notice if there is anything wrong and always get a doctor or nurse. We could see from the care plans that staff were following instructions. For example people’s blood sugar levels were being monitored and recorded and people’s wound dressings changed as directed. People living in the home and their relatives told us that they get the care and support that they need and that staff are available when they need them. These are some of the comments they made: I find my mother is always cared for, dressed and bathed appropriately, fed well and encouraged to do so. Our relative is always clean, well cared for and happy. ‘The staff are very helpful and always see to me. Staff told us that they are given enough information about the needs of people living in the home. Staff said the following: When we come on duty, we get a handover report telling us about the condition and needs of each client, how they are doing and what care they need specifically. We now have a manager who tells me all I need to know to do my job efficiently. I now feel much more involved in the home. The medication system is well managed. We watched part of a medication round. The nurse spent time with each individual, offering encouragement when needed. Service users are receiving their medication at the prescribed times and records are well maintained. Elm View Nursing Home DS0000001050.V374537.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. 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. There are activities on offer to keep people stimulated. Relatives are welcome to visit at any time. Meals at the home are good offering choice and variety. EVIDENCE: There is some information about people’s life histories in the care plans. The manager recognises how important it is for staff to know about people’s past lives and is planning to collect more information about people. There is lots of information about people’s likes and dislikes, personal preferences, interests and hobbies in their care plans. This information is important because it helps staff support people to follow their own routines and maintain their interests. There is an activities co-ordinator who works Monday – Friday from 8am – 2pm. This is a relatively new role and she is doing a good job arranging appropriate activities for people. People told us that activities are on offer, they mentioned skittles, cards, dominoes, TV, videos and exercises. We saw Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 14 people really enjoying a quiz during the afternoon. We also saw that staff have time to sit and talk to people. There was a nice relaxed and friendly atmosphere and some good-humoured banter between people living in the home and staff. Relatives told us they are made to feel welcome when they visit. We saw that people are offered drinks and that staff are available to answer any questions they may have. People told us that the meals are good. During the morning the cook talked to people about what they wanted for lunch and tea. She introduced herself to the people who had moved into the home on her days off and asked them about their preferences. People made the following comments about the meals in the surveys: If a meal is not suitable something else is always available. There is always a choice. If there is something I dont like they find me something I do like. Before lunch people were offered sherry or lemonade. In the afternoon there was cake, biscuits, chocolate bars and sweets on offer for people with their afternoon cup of tea. Elm View Nursing Home DS0000001050.V374537.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. 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. Complaints and adult protection issues are being dealt with properly. This means that staff are listening to people and keeping them safe. EVIDENCE: The homes complaints procedure is on display. People told us that the know who to talk to if they are unhappy or if they want to make a complaint. Staff told us that if anyone made a complaint or raised a concern they would report it to the manager or nurse in charge. People we spoke to told us that they would be able to raise any concerns with the manager and were confident that any issues would be sorted out. There is a complaints log available so that staff can record any complaints that are received giving details of what the complaint was about, the action that has been taken to sort the problem out and the outcome. This should make sure that any complaints are dealt with properly. The staff we spoke to were able to tell us what they would do if they felt there were ant practices in the home that werent in the best interest of the people living there. They also said that their National Vocational training (NVQ) in care had covered adult protection issues. The manager is aware that some staff need to complete adult protection training to make sure they are fully Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 16 aware of all of the different types of abuse and about the reporting procedures. This training has been arranged. Elm View Nursing Home DS0000001050.V374537.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, 21,24 & 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean and tidy. A programme of redecoration and refurbishment needs to be put in place to make sure the home is maintained to a good standard. EVIDENCE: Elm View is situated on Huddersfield road in Halifax. The town centre is easily accessible by car or public transport. There is a small car park to the front of the building. Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 18 The manager told us that there are plans in place to replace some of the lounge chairs and make a better sitting area outside for people. People said that there were other areas of the home that would benefit from redecoration and refurbishment. The owners need to draw up a programme of redecoration and refurbishment that they plan to implement over the next 12 months. This will make sure the home is maintained to a good standard. The kitchen was inspected by environmental health in January 2008 and was awarded 4 stars for hygiene. There is an assisted bath on the ground floor and since the last inspection in March 2008 the shower room on the second floor is now in use. This means that people living in the home have a choice of a bath or a shower. There are still two bathrooms at the home that are not used. There must be bathroom or shower that people can use on the middle floor and this should be included in the next refurbishment plan. People told us that the home is always clean and tidy. They made the following comments: Clean and always smells pleasant. My room is always clean and tidy and they clean downstairs everyday. At a recent residents and relatives meeting people raised concerns about the laundry. They felt that some of the laundry was not being ironed properly and that staff needed to be more vigilant about replacing missing buttons etc. The manager has addressed the issue about ironing and spare buttons and sewing kit are available. Elm View Nursing Home DS0000001050.V374537.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 & 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. There are enough staff on duty to meet peoples needs. Staff are well trained and competent to do their job. Staff are properly checked before they start working in the home to make sure they are suitable and safe to work with older people. EVIDENCE: There is a qualified nurse on duty throughout the day and night. There are three care assistants on duty during the day and two care assistants on duty at night. The care staff team are well supported by cooks, domestics, laundry assistants, an activities organiser and maintenance person. Staff told us they felt there were enough staff on duty to meet peoples needs at the current time. The manager is aware that she needs to keep the staffing levels under review as people’s needs change or as more people move into the home. Recruitment procedures at the home are good. Staff told us that criminal records bureau checks and references had been obtained before they started working at the home. Staff files confirmed that the necessary checks are being Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 20 completed to ensure the suitability of new staff. This means that staff are safe to work with older people. All of the care staff have completed or are working towards their National Vocational Training (NVQ) level 2 or 3 in caring for older people. This means that they are qualified and competent to do their job. We asked staff about their induction training when they first started working at the home. They all said that their induction had been good and covered everything they needed to know. We asked staff if they are being offered training. Staff told us that they are given training that is relevant to their role and keeps them up to date with new ways of working. Staff told us they feel well supported by the manager and feel that they have enough experience and knowledge to do their job. The manager has looked at every ones training needs and people have been booked on relevant courses to make sure their training is up to date. Elm View Nursing Home DS0000001050.V374537.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, 36 & 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 home is well managed and run in the best interests of the people who live there. People are involved in the running of the home and consulted about their care and support. EVIDENCE: The manager has been working at the home for approximately 7 months. She is a nurse and is undertaking management training. She had applied to be registered with us and has a date for her interview. People living in the home, staff and relatives were all very positive about the changes she has made since Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 22 taking over, which have improved life at the home for the people living there. One relative said ‘nothing is too much trouble for her.’ People living in the home are consulted about the running of the home in residents’ meetings and through the annual quality assurance questionnaires. Details of the last quality assurance survey will be made into a report and circulated to everyone concerned. The last relatives meeting took place on the 27 February 2009 and minutes were on display. The owners now visit twice every week and once a month they write a report about the home. This report identifies any action they need to take or agreements that have been made with the manager. This means that the owners keep themselves informed about what is happening at the home and that it is being managed properly. The manager does hold money on behalf of people living in the home. We looked at the records and found that they were accurate with receipts available. This means that people are protected from any financial abuse. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, first aid and infection control training. We looked at a selection of service records for equipment that is in use. We found that these were all up to date. This means that practices in the home promote the health, safety and welfare of the residents. Elm View Nursing Home DS0000001050.V374537.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 2 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 X 1 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Elm View Nursing Home DS0000001050.V374537.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 5 Requirement The Service User Guide must be updated. This will make sure people have up to date information. A usable bath or shower must be available on the middle floor. This will mean people can use this facility on the same floor as their bedroom. Timescale for action 30/04/09 2 OP21 23 30/06/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP19 Good Practice Recommendations A programme of redecoration and refurbishment should be drawn up to show what areas of the home will be included in the next 12 months. This will give people information about forthcoming improvements. Elm View Nursing Home DS0000001050.V374537.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 Elm View Nursing Home DS0000001050.V374537.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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