Inspection on 25/04/05 for The Shires Care Centre

This inspection was carried out on 25th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Shires Care Centre 01/06/07

The Shires Care Centre 02/06/06

The Shires Care Centre 04/10/05

The Shires Care Centre 07/06/04

The Shires Care Centre 05/06/03

The Shires Care Centre 26/09/02

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Shires Care Centre The Oval Sutton in Ashfield Nottinghamshire NG17 2FP Lead Inspector Karmon Hawley Unannounced 25/4/05 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 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 Stationary 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. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Shires Care Centre Address The Oval Sutton in Ashfield Nottinghamshire NG17 2FP 01623 551099 01623 550788 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr S A Zaman James William Hansen CRH 42 PD Category(ies) of 42 registration, with number of places Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home must not admit any children under the age of 18. All service users admitted in the home are of an appropriate age for the registration category e.g. 18-65. Date of last inspection 7th June 2004 Brief Description of the Service: The Shires is a care home providing accommodation, personal and nursing care for 42 service users aged 18-65 with physical and associated learning disabilities. The home provides both long term and planned respite care and is owned by Mr Zaman who also owns a number of other homes. The home is located in the center of a residential estate in Sutton in Ashfield with access to local shops and facilities. The home opened in 1996 and is a two storey purpose built building, all parts are accessible for wheelchair users. Staff actively encourage participation, independence and inclusion within the local community. All rooms are single with en suite facilities, there is a passenger lift to the upper floor and the home has a mini bus to facilitate access to the local community. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in one day, four services users care notes and other relevant records with regards to their care and the environment were examined. Six service users and three staff members were spoken with. What the service does well: What has improved since the last inspection? A new visitors policy has been implemented since the last inspection, which clearly outlines the responsibilities of the registered nurses with regards to over night visitors. This still requires further communication, however it is noted as improvement and good practice. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 6 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. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,5 The statement of purpose was in-depth and provided essential information a prospective service user would require. Whilst this is recognised it would be considered good practice if this was made more service user friendly and easier to read. The contract of admission was appropriate for the service provided. The pre admission assessment was comprehensive and offered excellent insight into the needs of each service user, which allowed for appropriate care plans to be considered. Staff whilst able to discuss service user needs require a more varied programme of training to cover the wide range of needs of service users they care for. EVIDENCE: The homes statement of purpose and terms and conditions of admission were examined. The deputy manager stated that these are made available to all service users admitted into the home. There was evidence that these had been received within care records and that service users if able had signed them and also relatives if appropriate. One service user spoken with was able to confirm that she had been given the required information on admission. The statement of purpose and contract of admission covered all recommendations of the standard. Service users spoken with could demonstrate that the homes statement of purpose and contract where being upheld by the fact that they discussed community links and how they accessed them, the care they Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 9 received, the competencies of the staff group as a whole and the facilities available to them. A pre admission assessment form was in each of the four care files examined. The deputy manager stated that these take place prior to admission and are carried out in the community by registered nurses. One service user spoken to could substantiate that a member of staff had visited her in her previous home and the pre assessment had taken place. The assessment within care plans covered all the recommendations of the standard, detailed information was available which demonstrated service user and relative involvement. There was evidence within care notes that specialist services are accessed to meet service users needs. Staff confirmed that services were accessed. When the staff training plan was observed, training with regards to specialist nursing needs had not been implemented, staff confirmed this and stated they felt they would benefit from further training, however they were able to discuss the needs of service users and the action they would take in the event of dealing with for example an epileptic seizure. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Various assessment tools are in use and effectively identify service users needs, however these needs are not always fully met due to a lack of care plans in place. The key worker system works well and ensures individuality, respect and choice is maintained and service users lives enhanced with regards to activities available and freedom they experience. Reviews require attention to ensure they adequately reflect service users outcomes and care required. EVIDENCE: Four case files were examined; within each there was evidence of various assessment tools being used to assess service users needs; outcomes of which were recorded in the plan of care. The deputy manager stated that care plans are reviewed on a six weekly to three monthly basis, there was evidence of this within the files, however the majority of reviews stated individual needs unchanged. With regards to complex needs there was evidence of inconsistency, as not all needs identified had an appropriate plan of care in place. Daily records were also in place and reflected care that had been delivered and the service users condition. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 11 Consent forms had been signed with regards to the use of bedrails and the discontinued use of a wheelchair lap belt within two case files. The service user with regards to the lap belt was able to substantiate this. Each service user is allocated a key worker, there was evidence that meetings and reviews had taken place within the care notes and two service users discussed how they had been on trips with their key worker and stated they could trust staff confidences. Evidence of specialist visits and contact numbers were observed within care notes, staff confirmed these visits take place. Staff stated all consultations take place in service users own rooms or transport is provided to the relevant place in the homes minibus. One service user was able to confirm that the mini bus was used for this service. With regards to aids and adaptations these were observed around the home and in use. One service user was observed to be using a computerised communication aid and another spoke of the special seat cushion she has, which makes her feel more comfortable. One service user was observed to use a computerised speaking aid. There are locks on all service users doors and the deputy manager stated some service users have keys; there were no risk assessment in place with regards to this. Risk assessments were also in place with regards to identified risks and for service users leaving the building and a missing persons policy supplements this. Service users were observed to leave the building freely and return as desired. There was a notice board within the main hallway, which displayed advocacy information, the deputy manager stated service users access advocacy service as required. With regards to personal allowances, some service users hold their own money, other have money held in the safe, three of these accounts were accessed and checked as correct. One service user was observed to access her money during the inspection and relevant policies were followed. The deputy manager also sated that some service users use the post office account around the corner from the home. Specific staff within the home are responsible appointees for three service users, there is currently no policy in place with regards to this. Service users stated that service users meeting were held and they were generally positive, they stated that their views, wishes and feeling were taken onto consideration. Records are stored in accordance with the data protection act and within staff files were signed statements with regards to data protection and confidentiality. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,14,16 It is apparent that service users are happy and content with their lives. Inspiration was felt due to the fact that service users are able to exercise the choice to expand their quality of life and work towards longer-term outcomes. Service users felt listened to and it was apparent that a good rapport had been established between staff and service users. Community contacts are well maintained and service users are facilitated in accessing them. Service users are offered appropriate activities to provide a structured day if they wish. There are many activities on offer in and outside the home and staff are available to facilitate these. EVIDENCE: An activities coordinator is employed Monday to Friday and offers a structured day should service users wish to participate. There are a variety of activities on offer suiting individual needs. The activities coordinator and other staff assist in facilitating service users to go out into the local community and details of local activities and pub events are displayed on the notice board. Two service users spoken with were very enthusiastic and stated they enjoyed their annual holiday and showed the photos of their visit to Ibiza. Another service user attends college and is hoping to apply for university; she was enthusiastic with regards to the outlook on life and what she wishes to do in the future. One Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 13 service users talked about the community care centre and explained that staff helped her to attend and took her in the minibus. Service users spoken with expressed that they were happy with life within the home and felt that they were listened to and their needs were met, they stated that they feel part of the community. Staff stated and it was observed that service users are able to make their own decision. Two service users stated that they were going to vote in the general elections, staff stated that those who were unable to do so would have advocates to act on their behalf. Service user meetings are held and staff stated these were very beneficial as service users communicate their wishes, views and feelings. Four service users are facilitated to attend church and staff stated that the local vicar visits monthly. Due to a recent complaint with regards to overnight visitors a new policy has been implemented and is on display in the main foyer. Staff stated that visitors are always welcomed in to the home and got on well with staff, there is a quiet room upstairs for visitors to be received in or they may be received in bedrooms. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Whilst it is appreciated that staff and service users have an excellent rapport, it is felt that professional boundaries must be redefined and considered to ensure welfare of service users is maintained and misinterpretation cannot take place. A policy with regards to staff being an appointee for service users money is required to protect both service user and staff member. Complaints are taken seriously and relevant action taken to remedy these. EVIDENCE: A clear and simple complaints procedure is available within the statement of purpose and this is also displayed in the main foyer. Next to the main lounge is a complaints and suggestion box that service users and relatives have access to. Several complaints have been received recently, which have been investigated appropriately and have consequently resulted in the changing of policies and procedures of the home in order to remedy problems. On speaking with one service user she stated she would tell staff if she was unhappy or if anything was wrong. On speaking with staff they were able to discuss the adult abuse policy and were aware of whistle blowing procedures, however the staff training programme showed that a limited number of staff had had adult abuse training. Specific staff within the home are responsible appointees for three service users, there is currently no policy in place with regards to this. There have been noted concerns with regards to boundaries between service users and staff at the home, therefore this was discussed, staff were able to discuss the concept of maintaining professional boundaries, although one member of staff expressed it was difficult at times due to feeling emotionally Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 16 involved with service users. Service users spoken to substantiated as did staff that relationships were of the nature of friends rather than of a professional stance. The home has a copy of the Nottinghamshire Protection of Vulnerable Adults procedures in addition to its own policy and separate whistle blowing policy. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,28,29 In general the home was clean, tidy and comfortable, with the exception of the issues with regards to infection control. Communal areas were suitable to meet needs and encouraged those in wheelchairs to use them without obstacles. Service users rooms were well personalised and individualised and relevant equipment was available to suit needs. The sluice areas were tidy however notices had been written all over the walls rather than using note paper, this looked unprofessional, whilst décor in other areas looks tired and it is considered that a redecoration programme is required. EVIDENCE: Within the home are several seating areas, which may be used for differing activities. The main lounge is bright and easily accessible, there are a limited number of chairs in this room to ensure those service users in wheelchairs can move around freely. The dinning room has fans to ensure it remains cools on a hot day and there is also a drinks dispenser located here. Upstairs is a quiet room where the library facilities are located and also a computer/craft room. In several areas there were scrapes on the walls due to the wheelchairs and where soap dispensers had been replaced plaster had come away from the wall, also there are several cracks in other walls in the home. Many service Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 18 users rooms are well personalised and some have notice boards displaying information about them that they wish staff to know. Relevant equipment was seen to be available within service users rooms. All rooms are ensuite and noted to be generally clean and tidy with the exception of several beds and one room where a dirty uncapped catheter bag and urine bottle had been left with traces of urine. During the tour of the home staff were observed to be using personal protective clothing, however two members of staff left a service users room carrying soiled clothing and a pad which were not bagged. There are ample toilets, bathrooms and shower rooms throughout the home, specialist equipment is available and toilets, sinks have been adapted to suit the needs of the service user. Two toilets on the top floor have been turned into storerooms; signs still state these are toilets. Radiators were noted to be low surface temperature controlled and also could be controlled individually. Windows were noted to have restrictors in place. The manager stated that some service users have their own keys to their rooms, however there were no risk assessments in place. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35,36 Staffing levels within the home are sufficient to meet the needs of service users. The staff team worked well together and communication was effective. The recruitment and selection procedure needs continually observing to ensure all service users are adequately protected. Staff whilst able to discuss service user needs require a more varied programme of training to cover the wide range of needs of service users they care for EVIDENCE: Currently staff work in three teams, however the manager stated consideration was being given so that resources are used more effectively. On a Friday three members of staff are supernumerary so they can facilitate activities. Staffing within the home was noted to be sufficient, but on occasion there had been shortages due to sickness, consequently resulting in service users getting up late in the morning. The deputy manager stated that shifts are covered in advance but it does prove difficult if staff phone in shortly before their shift, staff were able to substantiate this when speaking with them. There is a varying level of skill mix to ensure needs are met, on speaking with service users they stated that staff were available to meet their needs. Four staff files were observed on the day of inspection these were noted to have the relevant identification and checks in place. However in three of the four files observed references were noted to be missing, consequently a new Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 20 member of staff file was checked, two references were noted to be in place. Within those files examined staff had signed confidentiality and data protection statements to state they have read and understood these policies. The deputy manager stated there are currently no volunteers working within the home. Each new employee is given a staff handbook; evidence of this was within files examined. The deputy manager stated that the induction process covers the following; for one day the new staff member shadows another member of staff, then for three months they work along side other staff, however she is looking at three days paid induction and a supernumerary week. On speaking with a newer member of staff she was able to substantiate that she had had an induction. An induction checklist was noted to be in staff files. Staff meetings are held monthly and minutes are kept. Specialist services are also accessed and a doctor visits each week in addition to other professionals. Staff said there were regular staff meetings and shift handovers and they felt communication was good. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,40,41,42 The management actively seeks the opinions of service users within the home to improve the service offered. Service users money is protected whilst freedom of access is given if appropriate. Specific staff within the home are appointees for service users, there was no policy in place with regards to this which must be addressed. Staff training also needs addressing to ensure that staff are trained and knowledgeable with respect of service users needs and maintaining professional boundaries. Records were generally satisfactory, however issues with regards to staff references and care plans needs addressing. EVIDENCE: Appropriate and up to date certificates were available for inspection in relation to lifting equipment, the lift, electricity systems and the gas system. Accidents are recorded and the fire log was in order. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 22 Questionnaires are carried out which cover the following; general care, quality of food, cleanliness, buzzer response, environment, and health needs, social needs, staff attitude; results were observed and were generally positive. The deputy manager stated results of the questionnaire are discussed at staff meeting where negative issues are addressed and an action plan devised. With regards to money please see standard (18). Training plans were observed and mandatory training is provided, however not all staff have covered all mandatory training and specialist training with regards to complex needs is not included; staff were able to confirm this. Supervision sessions do take place, however they are not frequent at present due to the lack of a manager, again staff were able to substantiate this. Records on the day of inspection were kept in accordance with the data protection act, relevant policies and procedures were in place, however short falls were noted with regards to staff files, policies and procedures and service users case notes. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 2 x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x 3 3 x Standard No 11 12 13 14 15 16 17 3 x 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x 2 x 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shires Care Centre Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 2 2 2 x C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last inspection? 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 YP2 Regulation 18 ( c) Requirement Staff training plans require development to ensure all staff individually and collectively have the skills and experience to deliver the services and care service users require. Identified complex needs must be addressed within service users care plans Service users who hold keys to their rooms are required to undergo an appropriate risk assessment. Relevant policies and procedures must be in place to protect service users from financial abuse. A programme of routine maintainance is to be developed and records available for inspection All staff employed within the home are required to have two written references in place. The current induction programme requires development to equip new staff will relevent knowledge and skills to meet service users needs. Records are required to be up to date and relevant to ensure the Timescale for action 14th July 2005 2. 3. YP6 YP9 15 (1) 13(b) 14th July 2005 Immediate 4. YP23 20 (3) Immediate 5. YP24 23(2 b) 10th August 2005 14th July 2005 10th August 2005 6. 7. YP34 YP35 19(1 i) schedule 2 (5) 18 ( c) 8. YP40 17 ( a, 3 a&b) Immediate Page 25 Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 effective running of the home. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YP1 YP 15 YP 36 Good Practice Recommendations Redevelop the statement of purpose to ensure it is service user friendly Further communication of the visitors policy to ensure all staff, service users and visitors are aware. Supervision take place at least six times a year. Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Edgeley House Tottle Road Nottingham Nottinghamshire NG2 1RT National Enquiry Line: 0845 015 0120 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 Shires Care Centre C53 C03 S24660 The Shires V223279 250405 Stage 4.doc Version 1.30 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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