Inspection on 08/11/07 for 11 Friars Close

This is the latest available inspection report for this service, carried out on 8th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

11 Friars Close 05/12/05

11 Friars Close 23/06/05

11 Friars Close 13/12/04

11 Friars Close 04/08/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Friars Close (11) Dorchester Dorset DT1 2AD Lead Inspector Marion Hurley Key Unannounced Inspection 8th November 2007 11:30 Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 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 Friars Close (11) DS0000026739.V354478.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 Adults 18-65. 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. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Friars Close (11) Address Dorchester Dorset DT1 2AD 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) 01305 263479 keeley.grennan@lc-uk.org www.leonard-cheshire.org.uk Leonard Cheshire Keith James Brown Care Home 4 Category(ies) of Learning disability (4), Physical disability (3) registration, with number of places Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th July 2006 Brief Description of the Service: 11 Friars Close is a care home providing personal care and accommodation to three adults who have a learning disability and additional physical disabilities. The home is one of seven similar services in Dorchester that are owned and operated by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The service aims to promote normal living, and choice for all the residents in accordance with their individual assessed needs, abilities and preferences. On the ground floor there is a lounge, kitchen/dining room, utility area and one bedroom fully adapted with en suite facilities. On the first floor there are two bedrooms, bathroom and toilet and staff sleep in room with en suite facilities. There is a good size rear garden, which is enclosed, and to the front of the property is a paved driveway providing limited parking for vehicles. The home is located in a popular residential area on the outskirts of Dorchester, within walking distance of the town centre. Dorchester has a wide range of shops, banks, GP surgeries and other amenities, which are used by service users on a daily basis. A range of daytime activities is provided for the service users. The home has the use of an adapted vehicle. The home is staffed 24 hours a day, with at least 2 members of staff on during the day and one member of staff sleeps in. Fees are individually negotiated according to the residents needs. Copies of inspection reports are available upon request from the Leonard Cheshire Home administration Office in Dorchester. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. This was an unannounced inspection visit. This inspection started late morning and continued over lunchtime and into the afternoon. The purpose of the inspection was to make sure the home was being run for the benefit of the people who live there and in accordance with statutory requirements and regulations. The residents have varied communication needs, some of whom have verbal needs and communicate through sounds, gestures and actions. Time was spent with the manager, staff and observing residents and their interactions with the support workers. Residents care records were inspected together with other records relating to the management of the service. A tour of the premises took place. What the service does well: Staff were aware of each residents’ needs and how their care should be provided. Some residents cannot communicate verbally, but the staff team understood the other ways in which they expressed their views and consulted them for their opinions and wishes. The routines in the home are based on the wishes and needs of the people who live there. The atmosphere in the home was relaxed. Most bedrooms were pleasant and comfortable and reflected the personality of each resident. The home was clean and protective clothing available to the staff team. Staff recruitment and training files showed that staff have opportunities to complete a range of specialist training in addition to regular mandatory training. Residents are encouraged and supported to join in with family holidays and activities both inside and outside the home. The health needs of residents are fully met. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The needs and wishes of each person who lives at Friars Close have not been fully assessed and presented as Individual Service/care Plans. One person who has recently moved did not have a plan that reflected their admission to this home. EVIDENCE: The three people who have lived at Friars Close for some years have had their needs assessed before they moved in. One person has recently moved in having previously resided in another Cheshire Home in the locality. The registered manager described the transition process, which involved a series of visits and overnight stays and the positive involvement of the individual’s family. However the file lacked written evidence of a pre admission assessment and no new service plan or risk assessments had been undertaken. Staff were supporting the person based on the individual service plan written by staff from the previous home. Whilst the inspector acknowledges that staff and the manager may have knowledge and an understanding of the resident it is a requirement that full Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 9 admission procedures must still be completed along with all relevant records. Information from the resident’s previous accommodation is not adequate and fails to validate what was otherwise a good admission process. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All of the people who live at the home have individual service/care plans. The plans are informally reviewed on a regular basis during staff meetings, which means that people receive the level of support and care they require to meet their health, personal and social care needs. However the plans need to be formally reviewed at least every six months and updated to reflect the changing needs and any agreed action. Each resident has a series of completed risk assessments, these were considered to be adequate. EVIDENCE: The home provides individual plans of care for each resident. These described the person’s individual needs and abilities. The manager and staff said the needs of residents are discussed in the fortnightly staff meetings however, the Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 11 individual plans/ documents indicated they had only been reviewed once a year. All plans need to be reviewed at a minimum of six monthly intervals. The residents living at Friars Close do not use the spoken word and staff observe gesture and body language to communicate with them. All service/care plans are required to be reviewed on a six-month basis. The registered manager and staff said that the people who live at the home are supported to be as independent as they can safely be. The written risk assessments in theory had been updated and an annual date and signature was found on most of the assessments however this annual review was based on risk assessments written several years ago e.g. 1999 & 1993. The risk assessments were not an integral part of the person’s service/care plan and did not cross-reference with information in those plans. The risk assessments need to be practical working documents, which are written to enhance the residents’ lifestyle and not used negatively or as a form of restriction. The manager and staff said that people are encouraged to make choices and decisions about what they want to do and what they want to eat but from observations on the day of the inspection there was limited communication with the three residents. The mid day meal was observed and there was no conversation and even though it is acknowledged that residents are not able to converse the manager should encourage staff to interact and engage with the residents. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14,15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff help residents to participate in a range of activities, which provide opportunities to meet and spend time with people outside the home. EVIDENCE: One resident attends the Social and Educational Centre on a daily basis and staff said the resident is always keen to go and benefits from the social network at the Centre. The other residents go for regular outings with staff however, the manager and staff were not very forthcoming about the options available to people in relation to leisure and social activities whilst it is acknowledged that they have to be realistic about the choices and activities people can either participate in or observe there was not a great deal of evidence that the outings were planned with the benefits and specific outcomes for each resident. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 13 The manager and staff need to explore more options for each resident and identify their choices and preferences in their lifestyle plan. Residents can move around the home as they wish though one person is reliant on staff to facilitate their mobility. During the visit all three residents sat in the kitchen with two staff and the mid-day meal was observed. Whether it was because “an inspector” very little interaction was observed between the two staff and the residents. Despite the lack of banter and conversation the residents looked to be enjoying the meal and the atmosphere was quite relaxed. The manager and staff said that the menus are based on the known likes and dislikes of the people who live at the home and that much of this information was gathered from observing people’s reaction to different foods e.g. facial expression and gestures. For example one person will “push food away if they don’t like it”. Detailed records of meals consumed were not fully recorded and could not be cross-referenced with food temperatures and the menu. Residents are supported to keep in contact with their families. Some residents go out to visit their families; others are welcome at the home. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in a way that meets their needs and wishes. Staff monitor and promote the health of the people who live at the home to maintain their well-being. Cheshire Homes has corporate policies and procedures for the handling and administration of medication and these were being adhered to at Friars Close. EVIDENCE: Staff were seen providing care to residents in a sensitive and respectful manner. Residents are encouraged to choose their own clothes. All were well dressed and attention had been paid to their appearance. Times for getting up /going to bed are flexible and take account of residents individual preferences. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 15 Specialist workers such as occupational and physiotherapists have obtained specialist equipment for residents following their professional assessments. Inspection of care records and discussion with the manager showed that residents’ have regular health care checks and contact with specialists and consultants when needed. The health needs of the people form part of their individual service/care plans and incorporate sufficient detail so the staff have accurate information and know how to care for the people. Once again the health needs of the most recent person to move to the home were based on the plan written from their previous residence. A random selection of medication records and the system for storage and handling medication was looked at and found to be appropriate. Staff training records confirmed that all staff had received basic training from the Pharmacist supplying the medication (Boots the Chemist). Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff know and understand how each resident communicates their feelings, this helps ensure that any concerns or anxieties the residents may have are acted upon. The manager and staff are aware of adult protection issues, which help protect residents from abuse. EVIDENCE: The manager stated that no complaints had been received since the last inspection. The manager described how they hope to create a culture within the home to encourage residents and staff to make clear their feelings and wishes. Some residents have difficulties communicating verbally but discussions with staff showed that they were well informed about how residents communicate non-verbally and how they indicate if they are not happy about something. The manager said that most staff have received training in adult protection. Evidence of this training was seen within staff records. A member of staff spoken to during the inspection showed an understanding of the issues and was very clear about the action they would take if they had any concerns. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 17 Staff help residents with their finances. None of the residents have an understanding of the value of money and therefore staff act on their behalf. Records are kept of transactions and there are audit procedures in place. Receipts are kept for all purchases made on residents’ behalf. It is understood each resident is allocated from their funding authority the sum of approximately £120:00 per month to ensure they can access a range of recreational, social “day activities” however the manager and staff have no records of the individual residents account. It is important the manager seeks this information to ensure they can budget appropriately and act in the best interest of the residents and be accountable for this budget to ensure the money is spent with clear actions and outcomes identified for each resident. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suitable to meet the needs of people with learning and physical disabilities and fits in well with other houses in the neighbourhood, providing residents with a homely place to live. EVIDENCE: A tour of the home was completed and it was found to be clean and comfortable. The standard of decoration, furnishing and equipment is reasonable. There are appropriate number of bathrooms and toilets. Hoists and other special equipment have been provided to meet the needs of residents. Bedrooms were pleasant and comfortable and reflected the personality of each resident. Staff said there was sufficient protective clothing available. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and type of staff on duty throughout the day and night is sufficient to meet the needs of residents. People who use the service are protected by thorough staff recruitment and selection procedures. There is a commitment to staff training and to ensuring that people receive the standard of care they require. EVIDENCE: Two staff were on duty throughout the inspection. The rota confirmed that it was normal practice to have two sometimes three staff between 10:00 and 19:00 and one between the hours of 07:00-10:00 and from 19:00-22:00. Staff felt this was adequate and knew how to contact the emergency on call manager who should always be available on a mobile number. The manager is required to work as part of the staff team, which limits the amount of time Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 20 they have for management duties especially when they have to cover additional shifts due to staff sickness. The manager confirmed that staff attend a range of training events and there was verified from evidence in staff training files. The files showed that staff undertake the mandatory training and have opportunities to attend other relevant training such as specialist training for managing people with complex needs. The manager said they always try to spend time with new staff ensuring they understand the needs of residents and how they communicate and to ensure the new staff are aware of good practice. The benefits of this were apparent, as a recently recruited member of staff was well informed about the residents. There was evidence that new staff are given basic induction training and are then nominated for the Learning Disability Framework Training (LDAF). Two staff records were checked and recruitment procedures had been followed with all references and checks completed; e.g. two references, and a full Criminal Records Bureau Disclosure (CRB) Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides leadership to the home, which ensures the staff are aware of their roles and responsibilities. The home has a practical approach to health and safety, which ensures that the home provides a safe environment for residents and staff. EVIDENCE: The home is visited monthly by a senior manager who checks the quality of the services provided and this information forms the statutory regulation 26 report. The reports are available at Cheshire Homes administrative offices in Dorchester. The manager also carries out health and safety checks and Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 22 another registered manger has been delegated he task to undertake regular audits of various procedures for example medication. However, Cheshire Homes still need to complete a quality assurance survey of its residents, staff and other stakeholders on an annual basis. The company must then produce a report of its findings. Feedback must be given to each home to ensure they can produce an individual development plan, which forms part of the annual corporate plan. Cheshire home provide a corporate training programme to ensure that staff are given training in moving and handling skills, fire safety, first aid and infection control and safeguarding adults and basic food hygiene. Training was being arranged for staff needing updates or who had not yet done the refresher training. Evidence of maintenance and servicing of essential equipment in the home was seen. The entries in the fire log showed that routine checks on the fire safety systems are made and staff are given training. No health and safety hazards were seen during this inspection. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 3 X X 2 X Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4(1)(2) Requirement The service must develop a Statement of Purpose & Service User Guide, which clearly sets out the role and responsibilities of the provider and details the services and facilities available specific to the home. Please note this is work in progress. All prospective /new residents must be admitted only on the basis of a full assessment, involving the prospective service user, using an appropriate communication method and with an independent advocate as appropriate. Care /service plans must be reviewed at least every six months and updated to reflect changing needs. All risk assessments must be reviewed and used positively to reflect the resident’s lifestyle. Effective quality assurance and quality monitoring systems, based on seeking the views of residents need to be in place to measure success in achieving the aims, objectives and DS0000026739.V354478.R01.S.doc Timescale for action 31/12/07 2 YA2 14(1)(a) schedule 3(1)(a) 31/12/07 3 YA6 24(1)(a) 31/12/07 4 5 YA9 YA39 13(4) 24(1) (2) (3) 31/12/07 31/12/07 Friars Close (11) Version 5.2 Page 25 6 YA42 16(2)(j) statement of purpose of the home. A new timescale has been agreed. Food temperatures must be checked at all meals and recorded to ensure records of food consumed & the menu can be cross-referenced. 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The service plan/ assessments must be written in a style, language and format that are clear to the individual resident. The format of forms e.g. risk assessments need to be used positively and work as an integral part of the care/service plan for each resident. Staff need to ensure that they positively resource and access a range of leisure, and social activities even if the resident does not physically participate it is important for the person to have a presence and observe different experiences. The format of the form should be user friendly & modernised e.g. the current heading is “Recreational & Leisure Acts” All Cheshire Home staff visiting different homes however familiar should wait to be invited and not just walk in. It is important to uphold the residents respect and dignity at all times. Staff need to consider if the staff rota could be displayed more discreetly for their use and not displayed on the outside of a kitchen cabinet. The resident’s home should be “homely and comfortable” for their needs. Cheshire Homes, the organisation, need to consider the policy of staff receiving their meals when on duty & working in the home and yet expecting residents to purchase staff meals when they are away from the home. DS0000026739.V354478.R01.S.doc Version 5.2 Page 26 2 YA14 3 YA18 4 YA24 5 YA23 Friars Close (11) 6 YA24 All areas of the home should be in good decorative order and show no signs of damp. E.g. One resident’s bedroom needs decorating & there was damp in the staff sleeping-in room & on the landing. Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Friars Close (11) DS0000026739.V354478.R01.S.doc Version 5.2 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!