Care Home: Highdell Nursing Home

What the care home does well A good standard of care is provided to the people who live there. The home is comfortable and very well maintained. Information about services provided by the home is available and lets residents and their relatives decide if the home will be suitable for them. Staff visit prospective residents to assess their needs to make sure that the home and staff team will be able to meet them. It was clear from comments from people spoken to there were plenty of planned activities for them to be involved with if they wished to join in. Staff appeared to have good, friendly, yet professional relationships with the people who live there, some of who said they were happy with the care provided and that the staff were kind and caring. Relatives also said the care staff appeared to have the right skills and experience, and that all the staff were very caring and sympathetic to individuals` needs. They also said they could approach the manager at any time, that he did his best to see thing were put right and that he was easy to speak to. What has improved since the last inspection? All the requirements from the last inspection have had the necessary action taken to resolve them. Certain areas of the home have been redecorated and hand wash facilities have been provided in the laundry area. The Statement of Purpose and function for the home contains all the information in Schedule 1 National Minimum Standards For Older People, and a copy has been provided. The system of updating care plans electronically is completed and all qualified staff have been provided with appropriate training. The electronic system of care recording now recognises the need for risk assessments where a risk has been identified by the qualified staff. The registered provider has made sure all the people who live at Highdell, and relatives have been given a copy of the homes complaint procedure. The majority of the staff have been provided with training on safeguarding adults. Recruitment procedures are now robust and protect the people living there, and the majority of the staff have received training in Dementia related illnesses. The manager has completed the Registered Managers Award. What the care home could do better: The manager must ensure all care staff receive formal supervision at least every 6 weeks and that this is documented. He must also make sure records of monitoring of fridges and freezers, and records of core food temperatures are kept when the chef is absent from the home. Training in NVQ must be stepped up so that the remaining 25% of the care staff are trained to NVQ level 2. The manager should develop a staff training and development programme. CARE HOMES FOR OLDER PEOPLE Highdell Nursing Home 43 Westfield Lane Idle Bradford West Yorkshire BD10 8PY Lead Inspector Pamela Cunningham Key Unannounced Inspection 17th January 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 Highdell Nursing Home DS0000019894.V359673.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. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highdell Nursing Home Address 43 Westfield Lane Idle Bradford West Yorkshire BD10 8PY 01274 610442 01274 610442 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 Stephen Richard Pelkowski Mr Neville Rowe Mr Stephen Richard Pelkowski Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22) Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2007 Brief Description of the Service: Highdell Nursing Home is situated in the village of Idle, Bradford and provides accommodation for up to 25 people with psychiatric problems. Qualified psychiatric nurses and care staff provide twenty-four hour care. Accommodation at the home is provided on two levels with a recently installed lift offering access to the upper floor. This is in addition to the provision of a stair lift. There are single and double bedrooms, some with en-suite facilities. The home has two lounge areas plus a separate dining room. Parking is available to the front of the home and there are gardens to the rear and side. Although the home is situated in a quiet area the bus routes to Bradford and Shipley are easily accessible. Shops and local amenities are within walking distance. On the day of the inspection, fees charges for care provided was £495 per week. Highdell Nursing Home DS0000019894.V359673.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 took place on 31 January 2008. The home did not know that this was going to happen. Feedback was given to the manager during and at the end of the visit. The purpose of the visit was to make sure the home was being managed for the benefit and wellbeing of the people who live there, to find out what improvements had been made since the last visit, and to confirm if all outstanding requirements had had appropriate action taken to comply with them. Before visiting the home, information was requested from the manager. This included asking about what policies and procedures were in place and when they were last reviewed, when maintenance and safety checks were carried out and by whom, menus used, staff details and training provided. It was returned in the AQAA (Annual Quality Assurance Assessment.) Comment cards were sent to certain relatives and other people involved in their care, such as GPs, to find out what their views of the home were. At the time of writing this report, three relatives’ and two health professionals responses had been returned. In order to find out how well staff knew residents, care plans were looked at during the visit, and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, complaints, supervision records and accident records. Surveys from relatives said the home met the needs of their relative, and that they were always kept up to date with important issues. That they know how to make a complaint. That the care service responded appropriately if concerns were raised about care, and that the home was always clean and fresh. They also said the care staff appeared to have the right skills and experience, and that all the staff were very caring and sympathetic to individuals’ needs. Surveys from health professionals said staff were always quick to ask advice and act on advice given. Professionally run care home, and staff were knowledgeable about service user care needs and act on advice given. There is ample information about services provided by the home that lets the people who live there, and their relatives, decide if the home will be suitable for them. Senior staff visit people in their own homes, or in the place they are Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 6 currently being cared for before admission, to assess their needs to make sure that the home and staff team will be able to meet these. Relationships between staff and residents appeared to be warm and friendly, yet professional. Certain people who live there and their relatives said that they were happy with the care provided and that the staff were kind and caring. They said that they could choose how and where to spend to their time and whether or not they want to join in with the planned social activities. Although the home does not have an activities organiser, it has a good range of activities provided by a staff member who has had instruction on activities for people in care home settings. People are also encouraged to join in special services at church, such as at Christmas and Easter. The person also spends time on an individual basis with certain residents. What the service does well: What has improved since the last inspection? All the requirements from the last inspection have had the necessary action taken to resolve them. Certain areas of the home have been redecorated and hand wash facilities have been provided in the laundry area. The Statement of Purpose and function for the home contains all the information in Schedule 1 National Minimum Standards For Older People, and a copy has been provided. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 7 The system of updating care plans electronically is completed and all qualified staff have been provided with appropriate training. The electronic system of care recording now recognises the need for risk assessments where a risk has been identified by the qualified staff. The registered provider has made sure all the people who live at Highdell, and relatives have been given a copy of the homes complaint procedure. The majority of the staff have been provided with training on safeguarding adults. Recruitment procedures are now robust and protect the people living there, and the majority of the staff have received training in Dementia related illnesses. The manager has completed the Registered Managers Award. 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. Highdell Nursing Home DS0000019894.V359673.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 Highdell Nursing Home DS0000019894.V359673.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, 2, 3 and 5. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. Service users or relatives are provided with information to enable them to make an informed choice about the home. EVIDENCE: Since the last inspection, the Statement of Purpose and Service user Guide has been amended by the manager/provider. A copy was made available for the purpose of the inspection and was appropriate. Evidence was seen of contracts of terms and conditions, with any items identified to be paid for that are not covered by the fees. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 10 Pre admission assessments are done by the manager, and no person is admitted to the home unless the manager is sure their needs can be met. Information in the AQQA said this is one of the areas in which the home does well, never having to move a person to another care establishment because they were inappropriately placed. Numbers of staff on duty and the training the staff have had makes sure the needs of the residents are met. In house training currently provided is benefiting the people who live there as training in Dementia related illnesses is now being provided. Trial visits are encouraged, and can take as long as it takes the service user to settle, and become used to their new surroundings, and the other people who live there. Highdell Nursing Home DS0000019894.V359673.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 and 10. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care documentation update from the old style, to computer-generated records is now completed with all senior staff being able to complete and amend electronic records. Concerns identified at the last inspection regarding risk assessments have now been overcome and it is possible to view all aspects of the care documentation via the care package on the computer. Concerns have recently been raised by a reviewing officer about the length of time it takes to print off peoples records so that he, and other parties such as relative’s can see them and be involved in the care of their loved ones if they wish. However the manager clearly demonstrated this was not a problem. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 12 Four sets of care plan documentation were chosen for review, one chosen for case tracking and the key worker for this person spoken to. All of them contained evidence of planned care preceded by a pre admission assessment of need. There was evidence of involvement with other healthcare professionals, and care plans were reviewed at least monthly, or when there was an identified need. Some of the plans of care for managing certain conditions were good, and informative with evidence of other professionals’ involvement in their care. However in almost all cases there was no date present to evidence when the care plans were written Another shortcoming to the documentation was that the system does not allow for electronic records to be made of pre admission assessment information that is currently kept separately, and there is therefore the risk that this information could be misplaced. Risk assessments were in place where a risk to the person had been identified. In one set of documentation, a risk assessment had been done to assess the person’s risk against developing pressure sores. This had been adequately assessed and there was a care plan in place that identified what steps had been taken to minimise the risk, like acquiring the correct pressure relieving equipment for the bed, making sure it was set at the correct pressure, and obtaining a cushion for the chair of the person at risk. Care plans are more person centred with social assessments in place, which corresponded with information I received when speaking to the person in question. Records of daily care provided are also kept as hand written evidence. These were reviewed, and concerns outlined and passed on to the manager. These were, bland statements often made stating ‘slept well’, ‘settled day’, and ‘cares given’. These are not evidence of the daily care given. Another concern raised with the manager was that subjective comments were written about a certain person. He said he was aware who the member of staff was, had already spoken to them about it, and would take further disciplinary measures if necessary. Highdell Nursing Home DS0000019894.V359673.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. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although there is still no activity organiser employed, two of the care staff have attended a training course on activities for the elderly, and arrange the activities between them. At the time of the visit some of the service users were engaged in a sing a long. One said it was good to be kept busy as it “passed the time”. The deputy manager said activities are provided by the staff on a day-to-day basis, and these are service user led. These are documented in the activities book and on a white board in the home. Menus provided identified they were four weekly and rotational. Breakfasts are usually a choice of differently prepared eggs, cereal, porridge or toast, with a Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 14 full cooked breakfast on Sunday. There is quite a good choice of food available with a choice of meal at the main meal of the day, which is lunchtime. There is also quite a substantial tea and supper, but talking to residents in the dining room, they said if they had breakfast and lunch, they were not always ready for tea, so just had supper. The manager said they are now incorporating Polish foods into the menus. I visited the kitchen. The cook was not present at this time, however the manager showed me all the records he keeps which were all in order, however on the two days the cook has not been present, records of care food temperatures and fridge and freezer recordings have been missed. There was evidence that fresh vegetables and fresh fruit were used, and food was stored appropriately in fridges and freezers. He also showed me the record of the last visit by the Environments Health Inspectors. The cook is still adhering to the new Food standards Agency document. (“Safer Food Better Business”.) Residents I spoke to during the visit said that they were still pleased with the level of care they were getting and were pleased with how they live their lives at the home. They said they could have visitors at any reasonable time, and could go still out of the home unescorted to the local shops, as long as they told the staff where they were going. One of them said the manager was particularly easy to speak to if he had any concerns. Highdell Nursing Home DS0000019894.V359673.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, 17 and 18. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information in the AQAA said there had not been any complaints made since the last inspection, and that a copy of the complaint procedure had been given to all relatives. This was confirmed by relatives spoken to during the visit. Copies of the homes adult protection procedures and the local authority multi agency adult protection procedures are kept in the manager’s office. Certain staff spoken to said they had received training in safeguarding adults while others said they had not. At the last inspection the manager said most staff had received training around abuse and adult protection over the last six months and plans were in place to make sure all staff receive it, however at the time of the visit no evidence to prove this training has taken place was proffered. The manager still needs to apply to do the local authority two-day managers course about adult protection, so that he can then deliver the training to any new staff. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 25 and 26. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was clean, tidy and well maintained. It is furnished and decorated in a comfortable style. Since the last inspection the carpet in the smoking room has been replaced and certain corridor carpets have been cleaned. The upstairs old past of the home has been redecorated and door plates provided where corridors had become damaged, and tidying up of paintwork has taken place in all rooms where wheelchairs has caused damage. New vinyl floor covering has been provided in one bedroom and the area outside the main kitchen has been painted and wall papered. The laundry now Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 17 has an appropriate washbasin for staff to use, with dispensed soap and paper towels. There are 20 single bedrooms, eleven of which have ensuite bathrooms, and one double room with an ensuite facility. There are three lounge areas, one of which is a quiet room. There is also a visitor’s room. Toilets and bathrooms are to be found near to the lounges. The outside garden area of the home was very neat and tidy. Entrance to and exits from the home were free from clutter. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. All standards were assessed. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels provided at the home are sufficient to meet the needs of the service users. Generally in the morning there are two nurses (occasionally two) and 3 care assistants; in the afternoon there is 1 nurse and 2 care assistants; and at night there is 1 nurse and 1 care assistant. These levels must be maintained due to the dependency levels of the service users living at the home and due to the layout of the building. Looking at the duty rotas provided on the day of the visit, it was noted that on more than one occasion, one of the qualified staff works continually from 5pm, through the night. Being the only qualified person on duty it is not possible for him to take break from duty, and is therefore working sixteen uninterrupted hours. The manager was strongly advised to re arrange the duty rotas so that more sociable and not extra long shifts are worked. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 19 The recruitment records for three members of staff were examined. All were found to have the required checks and references in place prior to the member of staff commencing work in the home. Induction training is appropriate. Mandatory training provided includes manual handling, health and safety and fire training. Other training staff have attended, or are due to attend, includes infection control, basic food hygiene and death and dying. Information in the AQAA states only 25 of care staff working at the home have achieved the NVQ level 2 award in care. However the manager said he had now sourced a more reliable consultant to provide the training, and this would increase when more staff were entered onto it. Some staff are still to have their adult protection and infection control updates, and formal supervision must be fully addressed within the specified timescales. The manager also needs to develop an annual training plan as currently there is not one available Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. Quality in this outcome area is good. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Highdell has two registered providers, the manager being one of them. He is a registered nurse with a mental health qualification. The deputy manager also has appropriate registration. Mr Pelkowski is hands on at the home four days each week, with the fifth day taken up performing administrative duties. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 21 The people that live at Highdell benefit from the management approach at the home, where their best interests are kept in mind with any decisions that are made. Staff and certain people spoken to and their visitors gave positive feedback about the manager, saying that he is always approachable and always sorts things out. It is the homes policy that the personal monies held in the home are handled either by social services or the relatives, however the people who live there are encouraged to handle their own finances for as long as it is safe for them to do so. Tests of the fire alarm and emergency lighting system are recorded as being carried out weekly. There have been two fire drills carried out since the last inspection. Hot water temperatures are checked and recorded as required; any remedial action taken is also recorded. Survey results could not be viewed as non have been sent out in 2007. The manager was advised regarding this. However the results seen from the survey Social Services was seen and comments were very favourable. The recent staff meeting minutes were seen. These usually take place every 4 months and include the manager and two senior carers to represent the workforce. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 x x x x 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP15 Regulation 12 Requirement Timescale for action 31/03/08 2. 3. OP18 OP28 Care Standards Act 82(1) 18(1) 4. OP30 12 The Registered Provider must ensure records of monitoring of fridges and freezers, and records of core food temperatures are kept when the chef is absent from the home. The Registered Provider must 31/05/08 ensure all staff receive regular updates on safeguarding adults. The Registered Provider must 31/08/08 ensure at least 50 of the care staff in the home, including any agency staff are trained to at least NVQ level 2. The Registered Provider must 30/06/08 A, ensure there is a staff training and development programme, and B, Staff in the home including any ancillary staff are provided with formal supervision at least 6 times per year. Highdell Nursing Home DS0000019894.V359673.R01.S.doc Version 5.2 Page 24 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 OP7 OP7 OP7 Good Practice Recommendations Make sure care plans are dated the day the care was prescribed. It is advised the pre admission documentation is kept with the electronic records. Refrain from using bland or subjective comments in daily record of care. Highdell Nursing Home DS0000019894.V359673.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 Highdell Nursing Home DS0000019894.V359673.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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