Care Home: Manor Park Care Home

What the care home does well Manor Park continues to provide clean and spacious communal areas. Residents were observed to be using all areas of the home with the freedom to move about as and when they wished. The atmosphere in the home continues to be relaxed and friendly. Residents were observed to be relaxed and socialising between themselves as well as staff and visitors. The activities in the home are appropriate to the residents` needs and capabilities. Both the manager and staff show that they are aware of thediverse and cultural needs of residents. This includes the specific needs of people with Dementia. Residents spoken to said they were happy and staff were kind and caring. Staff were observed to act in a caring and supportive manner without disempowering residents, whilst promoting choice and dignity. Comments made in relative surveys received included. `On the whole I am very pleased with my relatives care they helped him adjust with dignity.` `They support my relative to live the life they choose within the confines of dementia.` One health care professional who visits the home regularly said, `they Involve other agencies and professionals when seeking advice and assistance, they know their limitations and handle challenging behaviour well. Staff said they felt well supported and received training appropriate to their role in the home. What has improved since the last inspection? Following recommendations made at the last inspection fire doors now all close securely and provide a smoke proof seal. The manager continues to look at ways of including residents in meaningful activities. Staff training continues to develop to provide a skill mix of staff who can meet the needs of the current resident group. What the care home could do better: No requirements were made following this inspection. Four best practice recommendations were made. The manager needs to review the ventilation in the smoking room to prevent the smell of cigarettes encroaching on the rest of the home. Relatives have raised this issue in the past they felt the room is poorly ventilated. The registered provider needs to ensure that the uneven floor in the corridor is made safe preventing residents from falling. The registered provider needs to provide clocks in communal areas so that residents are more orientated to time and place. The registered provider needs to ensure all staff are aware of and work in line with the homes Infection Control policies and procedures. Soiled seat cushions were observed to be on the floor outside the laundry, putting residents at risk of cross infection and this is not good practice. CARE HOMES FOR OLDER PEOPLE Manor Park Care Home 3 Ellenborough Park North Weston Super Mare North Somerset BS23 1XH Lead Inspector Juanita Glass Unannounced Inspection 14th March 2008 07:00 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 Manor Park Care Home DS0000043913.V359217.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. Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Park Care Home Address 3 Ellenborough Park North Weston Super Mare North Somerset BS23 1XH 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) 01934 635432 01934 641045 enquiries@manorparkcare.co.uk Manor Park Care Ltd Miss Aileen Bernadette Broad Care Home 38 Category(ies) of Dementia - over 65 years of age (38) registration, with number of places Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide a service in category: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Dementia (Code DE) The maximum number of service users who can be accommodated is 38. 26th April 2007 Date of last inspection Brief Description of the Service: Manor Park Care Home is registered with the Commission for Social Care Inspection to provide non-nursing care for 38 service users aged 65 and over with Dementia or associated conditions. They provide a person centred approach to care enabling residents to maintain some degree of control over their life when possible. It is approximately 500 yards from the sea and within close proximity of shops and local amenities. Current fees: £475 to £550 Manor Park Care Home DS0000043913.V359217.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. This unannounced inspection took place over one day in the presence of the Deputy Manager. We arrived early to ensure people living in the home were being given a choice about the time they get up in the morning. A total of 5 hours were spent in the home. Evidence to support the findings of this inspection was obtained through written surveys from people living in the home, their relatives and people involved with the care of those living in the home. Reponses to our written survey were received from 6 people living in the home, 3 relatives, 3 members of staff, 1 healthcare professional and 1 GP. An Annual Quality Assurance Assessment (AQAA) was completed by the homeowner and forwarded to the Commission for Social Care Inspection (CSCI). We also carried out a review of documentation in the home. This included documentation in peoples care plans, staff personnel records and records maintained for the day-to-day running of the home. Whilst in Manor Park we discussed the care provided with 8 people living there both on a one to one basis and in a group. We also spoke to 5 staff members working on the day of the inspection. What the service does well: Manor Park continues to provide clean and spacious communal areas. Residents were observed to be using all areas of the home with the freedom to move about as and when they wished. The atmosphere in the home continues to be relaxed and friendly. Residents were observed to be relaxed and socialising between themselves as well as staff and visitors. The activities in the home are appropriate to the residents’ needs and capabilities. Both the manager and staff show that they are aware of the Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 6 diverse and cultural needs of residents. This includes the specific needs of people with Dementia. Residents spoken to said they were happy and staff were kind and caring. Staff were observed to act in a caring and supportive manner without disempowering residents, whilst promoting choice and dignity. Comments made in relative surveys received included. ‘On the whole I am very pleased with my relatives care they helped him adjust with dignity.’ ‘They support my relative to live the life they choose within the confines of dementia.’ One health care professional who visits the home regularly said, ‘they Involve other agencies and professionals when seeking advice and assistance, they know their limitations and handle challenging behaviour well. Staff said they felt well supported and received training appropriate to their role in the home. What has improved since the last inspection? What they could do better: No requirements were made following this inspection. Four best practice recommendations were made. The manager needs to review the ventilation in the smoking room to prevent the smell of cigarettes encroaching on the rest of the home. Relatives have raised this issue in the past they felt the room is poorly ventilated. The registered provider needs to ensure that the uneven floor in the corridor is made safe preventing residents from falling. The registered provider needs to provide clocks in communal areas so that residents are more orientated to time and place. The registered provider needs to ensure all staff are aware of and work in line with the homes Infection Control policies and procedures. Soiled seat cushions were observed to be on the floor outside the laundry, putting residents at risk of cross infection and this is not good practice. Manor Park Care Home DS0000043913.V359217.R01.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. Manor Park Care Home DS0000043913.V359217.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 Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5. 6 does not apply Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People intending to move into Manor Park benefit from plenty of up to date information to help them make an informed choice, supported by a visit to the home. They are not offered a place unless the manager is confident the home can meet their needs. EVIDENCE: The homes Statement of Purpose has been reviewed and reflects the service provided by the home. It sets out the homes aims and objectives and philosophy of care, which states they have an equal opportunities policy, which includes meeting the diverse needs of people in their care. A copy of the Service User Guide is made available on request. Four care plans were reviewed, they all contained pre admission assessments which identified the specific needs of the prospective resident. The deputy Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 10 manager confirmed that they would only take new residents when they were sure they could meet their needs. The pre admission assessment forms the basis of the full care plan and this was reflected in the content of the care plans that we looked at. People wishing to move into the home are offered the chance to visit and spend some time there when they can talk to other residents. They can stay for a meal and get to know the communal areas and staff well. It was evident that a relative or advocate usually carries this out on their behalf. People living in the home did not comment on their experience of looking for a home that was suitable for their needs. Manor Park Care Home DS0000043913.V359217.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. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from clear guidelines that enable them to receive care in a person centred way respecting their right to equality, privacy and dignity. They are also protected by robust policies and procedures for the Administration of Medication. EVIDENCE: We looked at four care plans chosen at random. They were all written in a way that reflected the personal needs of the person rather than a group of people or tasks that needed completing. Staff spoken to were clear about the way they looked after people living in the home. They knew they could read care plans to find out the level of care that each resident required individually. The staff could also identify specific health care needs people had. People living in Manor Park were only too pleased to talk about their experience of being in the home. One person said they were looked after very well by very caring staff. Another said they were very happy with the care Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 12 they received. One gentleman said that staff always knew what he wanted and he thought this was really good. We visited Manor Park at 0700 hours to ensure that residents were not being got up early in the mornings to benefit staff levels rather than to respect the residents right to choice. We found that the staff were aware that some people did not like to get up early so they were assisted to stay in bed later if they wished to. Other residents who had expressed the wish to get up were being assisted and were happy to be up that time of the day. One person said they loved to get up before everyone else and once awake could not stay in bed. We watched the way staff spoke to people living in the home they were polite and respectful treating everyone as individuals. Some care staff in particular were noticed to have a very close rapport with some of the people living in the home. The care plans we looked at showed people living at Manor Park continued to have access to healthcare specialists such as the dentist, the optician, the chiropodist and the diabetic nurse. We received a survey from a Community Psychiatric Nurse who visits the home regularly. They said the staff were very good at managing challenging behaviours and were aware of their limitations and asked for advice and assistance when needed. We carried out a random audit of the medication administration record sheets no errors were found. We observed staff administering medication and the procedure was carried out correctly. Controlled medication was appropriately stored and records were maintained to monitor the stock. We had received comments from one relative that they felt communication of changing needs was not conveyed appropriately. They felt they had been told of changes after the decision had been made rather than being involved in planning changes. This was discussed with the deputy manager it was felt that this was an area that was in constant review. Other comments from relatives however stated that they felt they had been kept informed and involved in all aspects of care. Manor Park Care Home DS0000043913.V359217.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 excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from appropriate activities that reflect their personal preferences. They can maintain appropriate contact with families, friends and their local community. People benefit from a balanced and nutritional diet, which are flexible and respects personal preferences and cultural backgrounds. EVIDENCE: The home provides a program of meaningful activities for residents and sufficient staff resources are in place to meet these needs. A record of activities carried out is maintained. They show that residents were accompanied out on walks in the park or to the seafront. Residents also took part in activities including newspapers to keep up with current affairs, relaxation to music, and quizzes that include reminiscence, board games, musical sing-along and trips out in the minibus. Making cakes and flower arranging continue to be popular activities. Residents continue to take part in a seasonal activity each month. During this visit people were discussing making their Easter Bonnets for an Easter party. Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 14 Throughout the inspection residents were observed maintaining choice and autonomy. They chose where they spent the day and whether they took part in an activity or not. Residents able to express an opinion said they had a choice. One gentleman said he was sitting in the quieter lounge, as he preferred to listen to a CD. Another lady said she preferred to sit near the office as she could see everything that was happening in the home. The current menus provide a choice of meals all prepared with fresh vegetables. Residents’ likes and dislikes and cultural preferences are taken into consideration when the menus are reviewed to reflect the season. Staff were aware of individual needs and whether a resident would be happy in a busy dining room or a quieter setting. Residents were observed deciding where they preferred to eat and staff supported their decision. Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by very clear policies and procedures that make it possible for them or their relative to raise issues and concerns with the manager and staff. Policies and procedures also included very clear guidelines protecting vulnerable people from abuse and neglect. EVIDENCE: The home has a clear complaints policy and procedure which residents who could express an opinion appeared to be aware of. Two residents spoken to agreed that they could approach the manager with any concerns. A record is maintained of complaints raised at the home these showed that appropriate action was taken and a feedback from the complainant was sought. The home has a robust policy and procedure for the protection of vulnerable adults. Staff spoken to said they knew what action to take, they were aware that there was a local authority procedure and where to access the information if they needed to. Staff were also aware of the companies whistle blowing policy and said that they would be prepared to use the policy if they felt anyone in the home was at risk of abuse. Manor Park Care Home DS0000043913.V359217.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, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in Manor Park benefit from a comfortably furnished homely atmosphere. They could benefit further by the use of equipment that would assist in orientation to time and place. They are encouraged to personalise their room so that it reflects their interests and family. Staff do not follow the Infection Control guidelines meaning people living in the home are put at risk of cross infection. EVIDENCE: Manor Park provides a very homely atmosphere for residents to live in. Residents were observed to be relaxed and happy those who could express an opinion said they liked their rooms and could choose where they sat. One resident said that they liked the Quiet Lounge where they could listen to a CD Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 17 of their choice. Whilst another said they preferred the front lounge where they could watch people walking past. Residents have three lounges and a small area by the office to sit in, and were observed through the day settling in one room or another. The dining room is bright and airy and next to the kitchen so food does not have to travel far. A tour of the premises was carried out, the home was bright, airy and very clean. During the tour we noted that there were no clocks in the communal areas. We asked residents if they knew the time of day but they did not. People living in the home would benefit from the provision of large faced clocks enabling them to maintain an awareness of the time off day. The floor in one corridor was very uneven due to work that was being carried out on water pipes. This resulted in this being a high-risk area for falls. A smoking room is provided for the use of residents and staff this is in the main building and when being used the smell of cigarette smoke can be smelt in the corridor. Relatives have mentioned that the ventilation in the smoking room is inadequate for the level of use it gets. Residents’ rooms were personalised with their own property, and reflected their personal interests and life, with photographs of family and pets. One person spoken to said they liked their room and preferred to stay in there during the morning. This is not healthy for those using the room and can be unpleasant for those residents who do not smoke. A clear infection policy and procedure is maintained by the home. However on the day of the inspection two soiled seat cushions were observed on the floor outside the laundry room. This does not constitute good infection control and could result in cross infection in the home. The manager is aware of current guidelines and knows where to obtain advice if needed. Manor Park Care Home DS0000043913.V359217.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the home benefit from staffing levels that are flexible and staff who have the skills and training to meet their needs. They are protected by the homes robust recruitment procedure, which the manager follows. EVIDENCE: We looked at past and present duty rotas, they showed that there is consistently a good skill mix of staff working at anyone time in the home. Staffing levels are flexible so extra staff can be on duty to cover events in the home, trips out or increased needs of people living there. As well as care staff there is also a dedicated maintenance, cleaning and catering team. Staff felt that although they were busy they had plenty of time to spend with residents to talk or take them out without feeling understaffed or over pressured. We observed staff working in the home they were cheerful and relaxed. Staff spoken to said that they had received training specific to dementia care. This was confirmed by a training matrix, which showed staff completing training relevant to the care needs of the resident group, as well as all mandatory training. As well as mandatory training staff said the manager and provider supported them in obtaining an NVQ qualification in Health and Social Care. The home currently has 59 of their care staff with an NVQ Level 2 or above. All other staff are studying to attain this qualification. Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 19 The home has very robust policies and procedures for the recruitment of new staff. We looked at staff personnel records to check that these policies and procedures were being followed. All new staff members had all the relevant documentation in place. This showed that they did not start work in the home until a POVA 1st, CRB and two references had been received. This protects people living in the home from potential harm. All new staff completes a full induction and only work unsupervised when they have been assessed as competent to do so. Manor Park Care Home DS0000043913.V359217.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. This judgement has been made using available evidence including a visit to this service. People living at Manor Park benefit from a manager with knowledge of the diverse needs of people in the home, who maintains an open and inclusive atmosphere. Their opinions and those of their relatives or advocate are sort to support the homes Quality Assurance process. Appropriate management of resident’s money and robust health and safety policies and procedures protect people from financial abuse or harm. EVIDENCE: Since the last inspection the manager has completed the registration process with the Commission for Social Care Inspection. She has a keen awareness of the needs of the current resident group and the need for staff development Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 21 and training. The deputy manager supports her in this. Staff comments stated that they felt well supported by both the manager and deputy manager. The manager and registered providers seek the opinions of residents and their relatives, friends or advocates, responses received were largely complementary and evidence could be seen of the home acting on suggestions. People living in the home said they knew who to talk to and were observed chatting easily with staff. The home does not directly handle residents’ finances. The homes records and policies and procedures are well-maintained and showed evidence of review. Staff spoken to were aware they could access the files containing the homes policies and procedures at any time. The manager has forwarded regulation 37 notifications to the CSCI as required. Records relating to servicing of equipment in the home were reviewed. All records were up to date and available for inspection. The implementation of health and safety within the home was satisfactory. All residents have personal risk assessments. Generic risk assessments are in place and reviewed regularly. A review of the firelog showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. The manager has implemented an Evacuation File, which contains information regarding the residents, their social workers, other Dementia Care Homes, the numbers for Taxis’ and GP’s. This is so that staff will only need to pick up one file when leaving the building, but be able to arrange emergency accommodation and transport. This is commendable practice. Manor Park Care Home DS0000043913.V359217.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 2 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Manor Park Care Home DS0000043913.V359217.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. 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 OP19 OP19 Good Practice Recommendations The manager needs to review the ventilation in the smoking room to prevent the smell of cigarettes encroaching on the rest of the home. The registered provider needs to ensure that the uneven floor in the corridor is made safe preventing residents from falling. The registered provider needs to provide clocks in communal areas so that residents are more orientated to time and place. The registered provider needs to ensure all staff are aware of and working line with the homes Infection Control policies and procedures. 3. OP19 4 OP26 Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Manor Park Care Home DS0000043913.V359217.R01.S.doc Version 5.2 Page 25 - 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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