Care Home: Green Park Nursing Home

What the care home does well This home provides a good level of care in a comfortable and homely setting. People receive the care they need. They commented that the care was offered from staff who were kind and caring. One person said: `The staff are all very helpful and kind.` One relative said: `I have been delighted at the care and attention (my relative) has had at Green Park.` The home writes down the care needed in a plan and involves the person when it is updated. This makes sure that people receive the care that is right for them.People receive a very good choice of activities offered by a person employed just to do this. She consults each person and plans both group and individual pastimes into her working day. Relatives wrote that they felt well informed and were made to feel welcome when they visited the home. Complaints are listened to and wherever possible put right. People said they were encouraged to say if anything was not to their satisfaction and if there were a problem it would be sorted out. Staff who have had training in abuse awareness and who know what to do if there is a suspected abuse protects people. Enough nurses and care staff are on duty and people said they had time to chat and offer care in an unhurried way. Staff are well recruited and trained. This makes sure that people receive good appropriate care. The home has been well managed since the last inspection. A new manager had only been inn post for a short time and has yet to apply to CSCI for registration. Staff said she was proving to be a supportive colleague. What has improved since the last inspection? The home continues to offer a good service. The home has carried out a full safety audit of the home since the last inspection, and is working towards compliance with fire legislation, where an agreed holding position has been achieved. What the care home could do better: Care plan reviews should be made up to date as some had fallen behind. Although dignity is generally well preserved, there was an observed instance when choice and dignity could have been better upheld. The plan to meet the requirements of the environmental health visit report must be completed to protect the welfare of people. The plan to meet the requirements of the fire department must be completed to protect the safety of people. The new manager should complete her application for registration with the CSCI. Certificates for gas safety and electrical safety must be provided and hot water temperatures must be regularly checked to protect people`s safety. CARE HOMES FOR OLDER PEOPLE Green Park Nursing Home 15 Prince Of Wales Terrace Scarborough North Yorkshire YO11 2AL Lead Inspector Karen Ritson Key Unannounced Inspection 12th May 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 Green Park Nursing Home DS0000070815.V365526.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. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green Park Nursing Home Address 15 Prince Of Wales Terrace Scarborough North Yorkshire YO11 2AL 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) 01723 365770 01723 350933 margaret@caliburncarehomes.co.uk Caliburn Care Homes Ltd Manager post vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 30 08/05/08 2. Date of last inspection Brief Description of the Service: Green Park is a former hotel converted into a care home some year ago. It is located on the south side of the town; a few moments walk from the Esplanade. The property has no garden but public gardens are located across the road within easy reach of the home. Public transport passes the door to the town centre. The building has six floors all with bedroom accommodation. The lower two floors accommodate the communal areas and the service facilities and there is also a further bedroom. There is a passenger lift to all main floors and stair lifts to the mezzanine floors. Twenty of the twenty-three bedrooms have en-suite facilities. Sufficient communal facilities are available. Staff in the home offer personal care including nursing where required, a catering service, and domestic and laundry services. A Statement of Purpose and Service User Guide are available in the home. Copies are on display in the entrance hall. A copy of this report is available in this area or on request. The fee level notified at the time of the last inspection is from £373 to £500 per week. Green Park Nursing Home DS0000070815.V365526.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. The inspection for this service took 12 hours. This includes time spent gathering information and examining documentation before and after an unannounced site visit and in writing the report. The site visit took place on 12/05/08 between 9:30am and 14:00. Information for this inspection was gathered from the following: • • • • • • • • • • A tour of the premises Observations of care throughout the day of the site visit. Speaking with people living at the home. Speaking with the manager. Speaking with staff. Case tracking people on the day of the site visit. Notifications sent to the commission from the home since the last inspection. Examining policies, procedures and records kept at the home. Examining information regarding the home on the file kept by CSCI. Considering comments made by relatives, health care and social services staff. All key standards were looked at during this inspection. The manager was present throughout the day of the site visit. What the service does well: This home provides a good level of care in a comfortable and homely setting. People receive the care they need. They commented that the care was offered from staff who were kind and caring. One person said: ‘The staff are all very helpful and kind.’ One relative said: ’I have been delighted at the care and attention (my relative) has had at Green Park.’ The home writes down the care needed in a plan and involves the person when it is updated. This makes sure that people receive the care that is right for them. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 6 People receive a very good choice of activities offered by a person employed just to do this. She consults each person and plans both group and individual pastimes into her working day. Relatives wrote that they felt well informed and were made to feel welcome when they visited the home. Complaints are listened to and wherever possible put right. People said they were encouraged to say if anything was not to their satisfaction and if there were a problem it would be sorted out. Staff who have had training in abuse awareness and who know what to do if there is a suspected abuse protects people. Enough nurses and care staff are on duty and people said they had time to chat and offer care in an unhurried way. Staff are well recruited and trained. This makes sure that people receive good appropriate care. The home has been well managed since the last inspection. A new manager had only been inn post for a short time and has yet to apply to CSCI for registration. Staff said she was proving to be a supportive colleague. 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. Green Park Nursing Home DS0000070815.V365526.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 Green Park Nursing Home DS0000070815.V365526.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 and 6. People who use the service experience good quality outcomes in this area. People and their representatives have the information needed to choose a home that will meet their needs. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Each person receives a thorough assessment of care needs prior to admission to the home. This includes all relevant areas of nursing and personal care and risk assessments where necessary. A personal history is also compiled with each person, which provides useful information about each person’s life, interests and family connections. This helps ensure that care needs are properly understood and can be met. People are offered a trial stay to help them make up their minds about whether the home is the right place for them. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 9 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are sometimes put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Each person has a plan of care, which is drawn up with his or her consultation or that of a representative and is regularly reviewed. Some reviews had fallen behind and some care plans needed to be updated. The plans are person centred, written in plain language, easy to understand and look at all areas of the individual’s life. This ensures that people get the care appropriate to their needs. People and their representatives agreed they received the right care for them. One visitor said; Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 10 ‘(My relative) has been here a long while. They understand what help she needs and they are all so kind.’ A person living at the home said: ‘I just want to concentrate on getting better. They know what help I need and they just get on with it.’ Each care plan includes a comprehensive risk assessment, which is reviewed. Individuals are encouraged to be as independent as possible and this is reflected in plans that detail areas of strength and where extra help is required. This ensures people get the right care whilst their welfare is safeguarded. Other care professionals are consulted where appropriate and this is detailed in the plan. This makes sure staff have the benefit of professional guidance to protect the people in their care. Medication is well kept and administered according to policy and procedure. Recording is accurate, and the home has a good system of checking medication into the home and of recording returns. Controlled medication is well kept and the home has a fridge for those medications that require storage at a low temperature. This helps keep people safe from the risk of misadministration. Throughout the day of inspection staff were observed speaking with people in a polite and friendly manner. Care was offered with sensitivity and people were chatted to whilst this was happening. At coffee time a member of staff was observed giving out biscuits by hand without the use of a plate or giving people a choice. At lunchtime people were all given a plastic tumbler. There was no evidence to suggest that this has been risk assessed on an individual basis and some of the people may have preferred a glass tumbler. People were also all offered the same juice drink and there did not appear to be an alternative on offer. People should be offered choice within their capacity and this should be acted upon. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 11 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. They are able to make choices about their life style, and are well supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home employs an activities organiser five days a week, morning and afternoon. She consults with people about what they may like to do and writes down their choices in order to bring suggestions to staff meetings. A different group activity is on offer each day. On the day of inspection a Bingo game was in progress and a few people were in the lounge enjoying this. One person said she was looking forward to a visit from a person from the Stephen Joseph theatre who was to interview her about her literary work. The activities organiser had arranged this. Another person said the activities organiser visited people in their rooms for a chat in the afternoons and would take them out on one to one basis. She said she had accompanied one person recently on a trip to Ramshill shops, which he had enjoyed. Another person was compiling a scrapbook with her help and another was filling a photograph album from a collection she had brought into the home. The activities organiser is also working with one person under the supervision of the speech therapist and has Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 12 one to one time in her day for this. There is a comprehensive programme of visiting speakers and entertainers, many arranged after suggestions by people living at the home. A record is kept of all preference regarding social and recreational time with comments from people. All people spoken to commented on the enthusiastic and individual approach by the activities organiser which ensures that people have the opportunity to become involved in pastimes they have chosen and which they enjoy. Visitors are encouraged to call at any reasonable time. Several called during the day of inspection and confirmed that the staff were always welcoming and offered them refreshments. People said the food was good. The menu showed a varied and nutritious choice on offer. The chef has received training and she plans menus with input from the people living at the home and the manager. This training is due to be upgraded in line with environmental health requirements. A comments book is kept in the dining room and people had written in it. The manager said she was planning to adjust the menu choices after consultation with a dietician, as she felt healthier alternatives could be offered in addition to traditional fare. A midday meal was observed. The tables were attractively set. Some people were seated waiting for their meal when the observation began. The meal did not arrive for a further thirty minutes, which seemed rather a long time to wait. There was no music playing in the dining room and people sat in virtual silence with few staff visits to chat or create a relaxed atmosphere. There was music coming from the kitchen radio, which was tuned to a station more in line with the interests of the staff than the people living at the home. This gave a feeling that the comfort and enjoyment of people living at the home were not the central focus of attention. Napkins were available and were folded into napkin rings, but none of the people were helped to use a napkin and none did. In the upper lounge a member of staff was observed helping a person to eat their meal. This was done with sensitivity and care, without rushing. People have a nutritional assessment and those who require it have their weight regularly monitored. This ensures that people have their nutritional needs met. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 13 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. They are able to express their concerns, and have access to a robust, effective complaints procedure. People are protected from abuse although certain staff require extra support to do so and people have their rights protected. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People said they would speak with the manager or any of the staff if there were a concern. They felt their concerns would be taken seriously and acted upon. One person said: ‘They listen to what I have to say and do their best to put things right.’ The home keeps a log of complaints with outcomes and has a complaints policy and procedure. This ensures that complaints are addressed. No complaints have been received since the last inspection however. Staff said they understood what they would do if there was a suspected abuse, or risk of abuse in the home. They were aware that the home had a policy and procedure in place and had all received abuse awareness training. This ensures that people are kept safe. There is an auditing system in place for those people for whom personal allowances are kept. This ensures that people’s finances are protected. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 14 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. The physical design and layout of the home is suitable for the people living there. The home is reasonably decorated. People receive a satisfactory laundry service and infection control procedures are also adequate. People are protected from risk of fire. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: A tour of the premises showed that the home is kept well maintained. The last environmental health report detailed several requirements. Some had already been met and the manager was dealing the others; plans had been drawn up for the replacement of units in the kitchen. Some people needed to be moved from their rooms in order to protect their safety after the latest fire department visit. The home is working to timescales set by the fire department on other requirements; in the mean time an agreed holding position has been Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 15 put into place, which protects people from risk. There is a planned installation of a new fire alarm system and the home is to be rewired, plumbed and the roof is to have repairs. The lighting has been improved in the dining room. People were complimentary about the way the home was decorated and kept clean. One person said: ’They always keep it clean and fresh smelling.’ The laundry facilities meet the needs of people living at the home. There is a designated laundry worker. One person said: ‘They look after the clothes well.’ Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 16 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. Staff in the home are trained and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Rotas showed the home is well staffed. There is always at least one and sometimes two nursing staff on duty, with two carers in each of the three areas of the home. The home employs two domestic staff on each shift, there is also a laundry worker, a still room assistant and the chef. Most staff said they felt they had enough time to carry out their duties without being rushed. People agreed that staff had time to chat and offer care at a relaxed pace. One person said: ’They come in for a chat if I haven’t felt up to going into the lounge and it’s always welcome.’ Another said: ‘The activities organiser, comes in to see me most days and we chat or plan an outing.’ Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 17 There is not yet 50 of staff with NVQ at level 2 in care. However, an NVQ assessor said that those who were enrolled were very enthusiastic. She said that: ‘They know their stuff,’ and that they knew about legislation underpinning good practice. The assessor said that the manager was supportive of those who were training. This ensures people get a good service from staff who understand the principles of good care. Staff are recruited according to policy and procedure. This ensures people are protected from those who have been found to be unsuitable to work with vulnerable people. They receive induction and foundation training, which is updated on a regular basis in all areas of safe working practice such as first aid, moving, and handling, fire safety, food hygiene and infection control. Staff said they had also received training in other areas of interest such as dementia awareness. This ensures people receive their care from suitably qualified staff. The manager was struggling to make the training matrix available for examination as she was still getting to grips with a new computer system. Evidence was gained from speaking with staff and looking at staff files. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 18 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. The management and administration of the home is based on openness and respect. Service users views and preferences influence practice in some areas of care and they are protected by the health and safety procedures of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has only been in post for two weeks. Staff said that so far she had been approachable but that it was too early to tell how she would be as a manager. The manager has not yet begun her quality assurance system, although there has been a safety audit carried out for the premises recently and there was evidence of audits and surveys having been carried out prior to Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 19 the new manager taking up post. Audits on medication and activities preceded the appointment of the new manager. Written comments included thank you cards and letters for good care. An example of this was: ‘All of you were so kind, showing love and attention.’ ‘A big thank you for the care you showed my mum during the ten years she was with you. She couldn’t have been in a nicer place.’ One person said: ‘They want to know if you are happy and feel well cared for and they make it right for you. Sometimes they ask me questions about the care I get and they encourage me to say it like it is.’ The home keeps the personal allowances of a small number of people. Records for these were checked and were all accurate. This ensures people are kept protected from financial abuse. The manager could not locate the gas safety, or the electrical safety certificates. These documents had been seen at the last inspection of the service before it was purchased by Caliburn Care Homes Ltd however and were in date then. The provider has arranged for updated servicing of gas and electrical systems to be carried out in the near future. A record of water temperatures had not been taking place since the handy person left the home and had not been recorded for three weeks. This means people may be at risk from water at too high a temperature. Once the manager was made aware of this she agreed to an immediate check to be carried out. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 20 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 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 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 2 x 3 x 3 x x 2 Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 21 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 2 Standard OP7 OP10 Regulation 15 (2) (b) 12(4) (a) 12(3) Requirement Those care plans which have fallen behind with reviews must be updated. People must be treated with dignity at all times, and their wishes and feelings must be taken into consideration with regards to the experience of dining. Gas and electrical safety certificates must be obtained to ensure that the safety of people is protected. Regular recording of water temperatures must be carried out to ensure people are kept safe. Timescale for action 31/07/08 12/05/08 3 OP38 13(4) (b) 30/11/08 4 OP38 13(4) (a) 12/05/08 Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 22 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 OP28 OP31 OP33 Good Practice Recommendations 50 of staff should have NVQ level 2 in care. An application should be made by the manager to be registered with CSCI. The quality assurance system should be developed to include a plan of improvement for the service based upon the results of surveys. Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 23 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 Green Park Nursing Home DS0000070815.V365526.R01.S.doc Version 5.2 Page 24 - 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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