Care Home: Littleover Nursing Home

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What the care home does well Comments from people living at the home and their representatives were very positive and include, " it`s a first class service all round" and "I`m very pleased with the care home, I think it`s the best in Derby". A high standard of record keeping ensured staff were aware of each person`s needs and the actions required to ensure they were met. Comments from the staff and from records seen and observation demonstrated that there was effective and efficient management in place and positive team working. This ensured the home was well run with high standards of care provided. The communication between staff ensured people`s needs were continuously met, comments included, " any changes in care are always passed on to all care staff and nursing staff". What has improved since the last inspection? The one requirement and two recommendations left at the last inspection have been met. New systems are in place to store and document all care information electronically. The systems seen were detailed, secure and enabled all areas of care to be recorded and updated as required. Staff had been trained in the use of this new system. CARE HOMES FOR OLDER PEOPLE Littleover Nursing Home Littleover Nursing Home 149 Stenson Road Littleover Derby DE23 1JJ Lead Inspector Angela Kennedy Unannounced Inspection 1st 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 Littleover Nursing Home DS0000059788.V363874.R02.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. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littleover Nursing Home Address Littleover Nursing Home 149 Stenson Road Littleover Derby DE23 1JJ 01332 760140 01332 771400 littleovernh@aol.com www.littleovernursinghome.co.uk Far Fillimore Care Homes Ltd Mr Chander Goel Mrs Mary Joanne Barker Care Home 40 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) Category(ies) of Old age, not falling within any other category registration, with number (40) of places Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th May 2007 Brief Description of the Service: Littleover Care Home is a large brick building set in its own landscaped gardens. The home provides accommodation for 40 older persons who have nursing care needs. There are both single and double bedrooms available. Only one room has ensuite facilities provided, however all the bedrooms have a television and telephone provided. Services provided include 24 hour staffed care, personal laundry, access to a wide range of health services and social and leisure activities. Information regarding the home, inspection reports and fees payable is available by contacting the home by telephone or email. The fees at the time of this inspection ranged from £501 to £521, this is inclusive of nursing fee. Expenses such as hairdressing, chiropody and newspapers/magazines were not included in this fee. Littleover Nursing Home DS0000059788.V363874.R02.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 3 star. This means the people who use this service experience excellent quality outcomes. This key inspection was unannounced and took place over approximately eight hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with the people using the service. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s and registered manager’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. An Annual Quality Assurance Assessment (AQAA) had been completed by the service. This is a self-assessment for providers, which is a legal requirement. This assessment gives the provider and registered manager an opportunity to let us know about their service and how well they think they are performing. The information provided in the AQAA is reflected within this report. At this inspection visit three people were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at care plans and other documents relating to that persons care, talking to staff regarding the care they provide and if possible talking to the individual. Not all of the people case tracked were able to express their views of the service and the support it provided. However those that were able were spoken with and other people living at the home that were not case tracked were also spoken with. Their views of the service and the care and support provided are included within this report. Two members of staff were spoken with at some length and their views and opinions of the care provided, the support and training given to them is included within this report. The comments provided with four surveys received from the people living at the home, five relatives/ representatives’ surveys and three staff surveys are also reflected throughout this report. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 6 The registered manager and homes administration manager were on duty on the day of this inspection and provided the relevant information requested. What the service does well: What has improved since the last inspection? What they could do better: The laundry was staffed each day for five hours. Due to the number and needs of people living at the home this should be reviewed to ensure a prompt effective service is provided. It was noted that the member of staff in the laundry was ironing bed sheets with a domestic iron. To ensure an effective way of working and the health and safety of staff is maintained this method of working should be reassessed Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 7 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. Littleover Nursing Home DS0000059788.V363874.R02.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 Littleover Nursing Home DS0000059788.V363874.R02.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An accurate assessment of needs means that people can be confident that the home can support them. EVIDENCE: An accurate assessment of needs was seen within the care files seen. This information told the staff all about the individuals and the support they needed in order for their needs to be met. The evidence seen included assessments that had been undertaken before admission, by social services and health care teams. This included local authority and nursing assessments. As stated in the AQAA care plans were formulated from the information provided within the needs assessments. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 10 As stated in the AQAA people are encouraged and have an opportunity to visit and assess the suitability of the home. Comments from the people living at the home included, “ when we looked at this home we thought it was the best”. From the surveys received by people living at the home and their representatives, the majority indicated that they were given the opportunity to visit the home prior to moving in. Those that said they did not have this opportunity were from people that had been admitted directly from hospital and therefore were unable to do so Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are met. The home supports people to take their medication safely. EVIDENCE: Since the last key inspection new systems are in place to store and document all care information electronically. The systems seen were detailed, secure and enabled all areas of care to be recorded and updated as required. As stated in the AQAA the electronic records included care plans, risk assessments, daily logs, medications prescribed, and individual’s life history and family details. The records seen were detailed and demonstrated that people’s health and personal care needs were being met. The care plans were generic but had been adapted to demonstrate each person’s individual support needs. Records were seen to demonstrate that the care plans were reviewed regularly. Assessments were in place to demonstrate that areas of risk had been identified and actions taken to minimise risk. This Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 12 included assessments relating to pressure area care, moving and handling, nutrition and skin integrity. Evidence was seen within healthcare records of visits from healthcare professionals and this included any treatment or advice given. This demonstrates that good communication is maintained with other healthcare professionals to ensure each persons healthcare needs are met. Records of weight were seen and this included any actions required to ensure nutrition was maintained. This demonstrates that a proactive approach to healthcare is maintained. Comments regarding the care provided included, “ I’m very pleased with the care home, it’s a first class service all round” and “ the standard of care is very good”. The medication practices were looked at and demonstrated that the staff support people to take their medication in a safe way. As stated in the AQAA the manager confirmed that the homes medicine ordering system has been used as an example of good practice by the local pharmacy. All of the records seen relating to medication receipt, storage, administration and disposal were accurate. Photographs were in place to ensure each person receiving medication could be visually identified, before medication was administered. Observations, discussions and comments within the people living at the home, their representatives and the staff team, indicated that staff were respectful towards the people using the service. Staff were observed being courteous towards people living at the home and taking time to stop and chat as they went about their care duties. Two members of staff were observed hoisting a person from their wheelchair to an armchair in the lounge. The person was spoken to throughout the procedure, with staff explaining to them what was happening and this person’s dignity was maintained throughout the procedure. This demonstrates that staff are thoughtful and treat each person at the home as an individual within their own right, considering their thoughts and feelings. Comments regarding the staff were very positive and included, “ I think the home is doing a good job, everyone is so helpful” and “ the staff are always lovely they can’t do enough for us”. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports people to follow personal interests and activities and keep in touch with family and friends. A variety of nutritious meals are available, which are enjoyed. EVIDENCE: The previous activity coordinator had retired from post the day prior to this inspection visit and an advert had gone out for this post. However the manager did state that a poor response had been received so far. Discussions took place regarding how activities would be maintained until the appointment of a new activities coordinator. The manager stated that care staff would be asked to support the people at the home in activities. Individuals were able to make their own decisions regarding their interests and activities. Records were seen to demonstrate that activities and entertainment were provided to the people living at the home. This was also confirmed by the people spoken with who said, “ there’s very good activities here” and “ there’s activities going on if you want to join in”. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 14 In house activities included bingo, dominoes, reminiscence sessions and quizzes. Discussions with the manager confirmed that activities and outings within the community were usually undertaken on a one to one or small group basis, as many of the people living at the home were too unwell to go out into the community. The community activities included shopping trips and visits to the theatre. Entertainers also came to the home on a regular basis to provide musical entertainment. Evidence of these visits was seen within the records held. Religious needs were met through the minister from St Giles church, who visited on a regular basis to provide communion. This demonstrates that people’s religious/ faith needs were addressed. As stated in the AQAA people were supported to keep in touch with family and friends. Visitors spoken with confirmed that they were made welcome and comments included, “we’re always offered a drink”. Menus were looked at and demonstrated that alternative dishes were available, and this included vegetarian options. The manager confirmed that one person living at the home did have cultural dietary needs and records were seen to demonstrate that these were being met. Due to the healthcare needs of some people soft diets were provided. A speech and language therapist provided assessment regarding the food types and consistency of diets. Records seen within one person’s care file to demonstrate this. As stated in the AQAA a member of the nursing team was trained in dysphagia (swallowing difficulties). This means that the home is responsive to the dietary needs of individuals, and ensures they are met in a safe way to maintain their personal health care needs. Comments regarding the meals included, “ my wife enjoys her meals” and “ the meals are good quality, they’re delicious”. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns are looked into and actions are taken to put things right. The practices in place safeguard the people living at the home. EVIDENCE: Four concerns had been raised informally at the home since the last inspection. Records of these concerns, including the actions taken and the outcomes of the complaints had been recorded and demonstrated that they had been dealt with effectively All comments made indicated that either the people living at the home or their representatives knew how to make complaint or raise any concerns they had. People using the service are safeguarded from abuse and neglect and any allegations were followed up. Staff were spoken with, and as stated in the AQAA they were aware of procedures to be followed in the event of any safeguarding referrals or investigations. The safeguarding policy was looked at and was in line with the local authority procedure. The policy informed staff of the procedure to follow in responding to suspicion or evidence of abuse or harm. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 16 As stated in the AQAA the people living at the home were given the opportunity to vote in elections, this was usually done via postal votes. The people spoken with, both people living at the home and members of the staff team, confirmed this. This means that people’s legal rights are protected. Littleover Nursing Home DS0000059788.V363874.R02.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a safe and well-maintained home that is clean, pleasant and hygienic. EVIDENCE: A tour of the home was undertaken. Some refurbishment had taken place since the last inspection. This included a double bedroom that had been converted into a single room. Bathrooms had been refurbished and additional profiling beds had been purchased. As stated in the AQAA, many bedrooms had new furniture and carpets. The kitchen had been completely refurbished and car parking facilities had been increased. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 18 This demonstrates that a well maintained environment both internally and externally is provided for the people living at the home and their visitors. This ensures safety is maintained and the attractive and well maintained appearance of the home enhances people’s well being. The laundry area was seen. This is housed separately to the rear of the home. The laundry facility was not ideal, as laundry staff were required to transport the laundry to and from the home down a driveway. The drive way was not undercover and was laid with gravel. A push along truck was provided to assist staff in transporting laundry. The member of staff on duty confirmed that laundry was covered when being transported in inclement weather. From discussions with people living at the home, the majority felt the laundry service was good. However comments from one visitor indicated that there was a slow ‘turn around’ on their relative’s clothes returning from the laundry. Discussions had already taken place with the manager regarding the amount of laundry undertaken by the home and the staffing levels in place to manage the laundry effectively. The laundry was staffed each day for five hours. It was noted that the member of staff in the laundry was ironing bed sheets with a domestic iron. This meant that this task was taking considerably longer than it would take if an industrial iron were used, such as a sheet roller. During discussions the member of staff informed the manager that due to the vast amount of sheets, this method of ironing had caused blisters on her hands. Therefore to ensure the health and safety of staff is maintained this method of working should be reassessed. Discussions took place regarding the plans to extend the home. This was to include the provision of a new laundry. However as these plans had not been confirmed, it was agreed that the provision of new laundry equipment should be considered now. As any new equipment could be transferred over to the new laundry once in place. The home has few areas for storage and therefore a secure shed had been erected to the rear of the home to store continence supplies. This ensured that the environment for the people living at the home was uncluttered and reduced the risk of hazards. The standards of hygiene maintained appeared good. An infection control policy was in place and this was looked at. The AQAA stated that 100 of the staff team had undertaken Infection Control training. Evidence was seen within the staff files looked at that demonstrated that they had undertaken this training. This demonstrates that the manager promotes a clean and hygienic environment for people to live in. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 19 Comments regarding the cleanliness of the home included, “the home is like a first class hotel” and “ it’s lovely, very well kept, very clean”. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home have safe and appropriate support at all times. EVIDENCE: Evidence was in place to demonstrate that people have safe and appropriate support, as there are enough competent staff on duty at all times. The rotas were looked at and demonstrated that the staffing levels in place were sufficient to meet the needs of the people living at the home. Comments from people living at the home, visitors and staff spoken with supported this. Some staff spoken with discussed how there had been staff shortages over previous months, although it was stated that ‘everyone pulled together to cover the shifts’. Comments within one relative survey and one staff survey also reflected that there had been reduced staffing levels in previous months. The manager confirmed that she was given three supernumerary shifts a week. This was to enable management duties to be undertaken. She did confirm that supernumerary shifts were sometimes used to cover any staff absences as required. The AQAA stated that twenty two of the twenty eight care staff had achieved a National Vocational Qualification (NVQ) at level 2 in care and that the aim was for all care staff to be qualified to NVQ 2 or equivalent. Evidence was seen Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 21 within staff files of NVQ 2 qualifications. One member of the care team spoken with confirmed they had achieved an NVQ2 in care. There was evidence of appropriate recruitment systems being in place within the four staff records looked at. This means that people can have confidence in the staff at the home because checks have been made to ensure they are suitable to care for them. The people at the homes needs are met and they are cared for by staff that get the relevant support and training from their manager. Evidence was seen to demonstrate that staff were supported regularly through supervision sessions. Staff handovers, the maintenance of daily records both within individual’s files and the staff communication book, ensured information was effectively passed on to all members of the staff team. Comments from staff confirmed this, such as, “any changes are always passed on in handovers to all care staff and nursing staff”. The records showed that mandatory training and training specific to the needs of the people living at the home had been undertaken. This ensured that all staff were kept up to date with care and health and safety practices. As stated in the AQAA all staff working within the catering team have now undertaken training in food hygiene. This means that the people living at the home can be confident that the meals prepared, cooked and served to them are done so in a safe way. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is led and managed well. This means the people living there can be confident that the home will be run in their best interests and they will be cared for in a safe environment. EVIDENCE: The staff were very complimentary regarding the skills and support provided by the manager. The people living at the home also supported the staff views on the manager and the overall running of the home. Comments included, “it’s a first class service all round” and “I’m very pleased with the care home, I think it’s the best in Derby”. Evidence was also seen to demonstrate the management approach of the home. Records were in place to guide staff within their daily duties and Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 23 allocations, and within supervision records seen. This means that people can have confidence in the care home because it’s led and managed appropriately. People using the service were given the opportunity to comment on the day to day running of the home. Quality audit systems were held electronically and enabled easy auditing of satisfaction surveys to be undertaken. Questionnaires had been sent out to the people living at the home and their representatives in January 2008. The results of these questionnaires had been audited. The results of the audit demonstrated that over 80 of responses regarding the care and services provided was positive. The people living at the home or their relatives kept their own monies. The home did not hold any money for people living at the home. Appropriate health and safety practices were in place, keeping the environment safe for residents and staff. Information within the AQAA stated that maintenance of equipment was undertaken as required to ensure the health and safety measures in place are satisfactorily maintained. Sampling of fire safety records and service certificates supported this. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 24 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 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 4 X X 3 Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP26 OP26 Good Practice Recommendations The provision of new laundry equipment should be considered to ensure staff efficiency and safety is provided. Staffing within the laundry should be reassessed to ensure an effective and efficient service is provided. Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Littleover Nursing Home DS0000059788.V363874.R02.S.doc Version 5.2 Page 27 - 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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