Inspection on 09/01/08 for Warwick Park House

This inspection was carried out on 9th January 2008.

CSCI found this care home to be providing an Adequate service.

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

Warwick Park House 12/01/09

Warwick Park House 05/07/07

Warwick Park House 16/08/06

Warwick Park House 09/05/06

Warwick Park House 09/08/05

Warwick Park House 26/04/05

Warwick Park House 23/02/05

Warwick Park House 15/09/04

Warwick Park House 04/03/04

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The Vicarage

Fairfields Country Rest Home

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Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Warwick Park House 17 Butt Park Road Honicknowle Plymouth Devon PL5 3NW Lead Inspector Elaine Bruce Unannounced Inspection 9 January 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Warwick Park House DS0000003616.V350306.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. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warwick Park House Address 17 Butt Park Road Honicknowle Plymouth Devon PL5 3NW 01752 772433 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) Warwick Park Limited Mr P Weeks Care Home 50 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (10), of places Physical disability over 65 years of age (50) Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To include 4 Service Users under 60 years old for Service User categories The Home is registered as a Care Home with Nursing for a maximum of 50 Service Users in the categories of PD(E)50, OP 10, TI 4 The home can provide care to 4 persons suffering with Dementia DE(E) named elsewhere. 5/07/07 Date of last inspection Brief Description of the Service: Warwick Park Nursing home is registered to provide care, for a maximum number of fifty older people with physical frailty, disability or illnesses, who may need nursing care. The home is located in the Honicknowle area of Plymouth and is close to shops and near to a bus route. It is arranged on two floors with the communal lounges and dining room on the ground floor. There is level access to all parts of the home via a passenger lift and ramps. Level access is provided to a large secluded garden with a variety of seating areas. There are thirty-two single bedrooms and nine double rooms, most benefit from en suite toilet facilities. The homes service users guide and the last inspection report can be found in the entrance hall of the home and in the homes office. Car parking is available in the grounds of the home. Warwick Park House DS0000003616.V350306.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 1 star. This means the people who use this service experience adequate quality outcomes. The key unannounced inspection At Warwick Park took place over two days. On day one the inspection took place between the hours of 0930 and 1615 and on day two from 1100 to 1400. The registered manager was available on duty on both days of the inspection and one of the directors of the Company that owns the home was also present on both days of the inspection. People in the home were spoken to over the course of the two days as were the staff on duty. All the people spoken to stated that they are satisfied with the care they are receiving at the home and people generally commented on the kindness of the staff. An inspection of the premises took place to meet the key standards, care plans and associated records were inspected as were staff files and policies and procedures. Medication arrangements were inspected as were the standard of the meals at the home. Staff morale was noted to be very low at the time of the inspection and this would appear to be related to the lack of recent new admissions to the home. Following concerns about standards there have been no placements from Plymouth Adult Social Care Department since the summer. The manager explained that he hoped this situation was now resolved and that the home could move forward. The home has co-operated fully with the CSCI in management review meetings and random inspections during this period. The management structure, staffing levels and support of the owners are fully in place for the home to move forward and the recent registration of the manager is anticipated to be the beginning of this process. The home is running at a low occupancy at this time and the weekly cost of care is from £434 to £531 What the service does well: Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 6 On both days of the inspection the staffing levels were good. On the morning of day one of the inspection there were ten care staff on duty and three nurses as well as the manager for thirty two residents. In the afternoon these levels reduced but were still good. The levels on day two were the same. In addition there were four cleaning staff on duty and the home was found to be clean on the days of the inspection. A random inspection by the CSCI (September 07) that had taken place at the week end had raised concerns about staffing levels at that time. The home would appear to have addressed these concerns fully although they explained that there can be times when staff ring in sick at the week end but they are dealing with this under disciplinary measures when it happens regularly. The owners of the home who are all directors in a Company are very involved in the running of the home. Two of the directors fulfil the role of responsible individual and one of them was present during the two day inspection. It is very apparent that there is a full commitment from them to raise standards at the home. A head of nursing care is due to commence at the home and will be able to support the manager in his duties. Roles and responsibilities have already been assigned which should ensure that these senior staff members have the resources to fulfil their duties. What has improved since the last inspection? Since the inspection of July 07 there have been several areas of continued improvement. The home now has in place a registered manager. Changes to staff members and the management structure have been implemented. This has been a difficult process but it would appear to be working as people in the home indicate their satisfaction with the staff at the home. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 7 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. Warwick Park House DS0000003616.V350306.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 Warwick Park House DS0000003616.V350306.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 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information on the home requires updating to ensure that people who use the service are fully informed about whether the service is right for them EVIDENCE: The home has a statement of purpose and service user guide document in place that meet the requirements of legislation. This information is provided to each person in their bedroom in a storage facility which makes the documents easy to access for reference purposes. It is recommended that this documentation be improved with additional information and photos to do justice to the home and the services that it is providing. The current inspection report is available in the entrance of the home. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 10 The home has a website with information available on the services it is providing. The home is running at a low occupancy at this time due to a block on placements over the last few months from Plymouth Adult Social Care Department. It is anticipated that placements will be able to commence again following their investigations and follow up work with the home who have addressed their concerns. An “action plan” has also been provided to the Commission for Social Care Inspection which evidences that timescales for action points have been met. Prior to any new admission the manager will carry out an assessment to ensure that the home will be able to meet the care needs of that person. This assessment can take place in the person’s home or hospital if that is where they are prior to the admission. The home has in place an admission procedure to guide staff on best practice. Warwick Park House DS0000003616.V350306.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 adequate. This judgement has been made using available evidence including a visit to this service. The variable practice regarding care plan reviews means that all service users cannot be sure that their health and personal care needs will be fully met. Staff were noted to be patient and considerate when administering medication but require training to ensure safe administration at all times. EVIDENCE: Each person has a plan of care in place which is based on the activities of daily living. The nursing staff have responsibility for the drawing up of the care plans and the regular reviews of the care plans. Information is kept in the bedroom of the person and is therefore fully available to all staff and relatives/representatives of that person. All screening information is included in care planning for example nutritional, moving and handling and pressure area screening. Separate records are kept and completed by the care staff Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 12 which include daily records which are completed well to include evidence of care delivery. In addition records of fluid and food intake and records of daily activity are kept. A random inspection of care plans indicated that the majority were up to date with some behind on the monthly reviews. It is important that all reviews are fully up to date to ensure that the care needs of that individual are still being fully met. Included in the care planning folder is a sheet for the relative/representative of the person to be involved in the care planning process and to offer any comments that they so wish. Each person is registered with a general practitioner and routine visits take place to the home every two weeks. A general practitioner was spoken to on the day of the inspection. He suggested that this system is working well. People are weighed regularly and these records are in place which ensure that the nutritional screening process can be undertaken properly and identify those people who may be at risk. The home has moving and handling equipment in place and beds that can be lowered and raised to allow a hoist easy access. Divan beds are slowly being replaced. Some of the bedrooms in the home do though make moving and handling difficult for the care staff due to the size of the room. Where cot sides are being used risk assessments are in place and bumpers have been provided for the comfort of the individual. The nursing staff were observed over two days to administer the medication to the people in the home safely and with patience and consideration. This is time consuming exercise to do properly. Administration records were found to be completed accurately and records for controlled medication were also found to be completed accurately. The home is using the Boots blistered system dispensed from medication trolleys which were found to be stored safely. The majority of the nursing staff who administer medication have received training but some more do require this to ensure safe administration at all times. It is recommended that the medication policy and procedure is expanded and improved. Each person spoken to during the course of the inspection expressed very positive comments on the standard of the care that they are receiving at the home. In particular people expressed comments on the kindness of the staff Warwick Park House DS0000003616.V350306.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): 11,12,13,14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A limited range of activities within the home and community mean that the people in the home do not have a range of opportunities to participate in stimulating and motivating activities. Mealtimes will be more pleasurable when the dining room is made more welcoming. EVIDENCE: Displayed in the entrance of the home is a list of activities/events that are due to take place for the month. In January this included bingo and a visiting singer and the hairdresser. The home’s activities co-ordinator has recently left the home and the post is to be filled again. At this moment there is therefore a gap in this important area with limited activities and events taking place. Care plans include information on a person’s past interests and hobbies and the care records provide evidence of “daily activities”. These records include when a person has received a visitor and the visitors’ book in the entrance of Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 14 the home indicates that the home receives regular visitors during the course of the day. The main cook was spoken to during the course of the inspection. He has worked at the home for a number of years and has responsibility for ordering the food and planning the menus. He is supported in his duties by a kitchen assistant and an interview was taking place on day two of the inspection for a second cook. The menu changes over a four week period and consists of mainly traditional meals to include two roast dinners in the week and fish and chips on a Friday for example. If a person does not like the main meal there is always an alternative available although the menu needs changing to evidence this. The cook is fully aware that this needs doing. Care staff ask the people in the home what choice of meal they would like and all meals are provided with a choice. A cooked breakfast is available if requested. The meal on day one of the inspection was roast lamb or roast pork with cauliflower cheese, broccoli, carrots and swede, roast potatoes and apple or mint sauce. The main meal was to be followed by chocolate sponge and custard. For tea bacon and cheese turnovers were to be the main choice of meal. Most people spoken to during the course of the inspection expressed positive comments on the standard of the meals at the home. The kitchen received an inspection by the District Council Environmental Health Officer on the 7th November 2007. The outcome of this inspection was a requirement to re seal the floor in the kitchen which is due to be done soon. The dining room is due to be re-carpeted which will be a big improvement as at this time the room is not too welcoming. A seating area for meals is also available in a smaller lounge area which is more pleasing. A number of people sit in their chairs to have their meals which appears to be their choice. The home is able to provide specialised diets to include liquid and soft diets for example. Warwick Park House DS0000003616.V350306.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 adequate. This judgement has been made using available evidence including a visit to this service. The people in the home feel safe and listened to. However formal processes need to be further developed so that the home’s procedures are available, understood and consistently applied. EVIDENCE: The home has in place a complaints policy and procedure which is displayed on the notice board in the entrance of the home. The CSCI had received a complaint about standards of care at the home after the inspection of the 5th July 2007. Some parts of the complaint were upheld and a follow up meeting took place with the management of the home to address the issues. No further complaints have been received by the CSCI. People spoken to during the course of the day expressed satisfaction with the standard of care they are receiving and were aware of who to talk to if they had any concerns/complaints. The CSCI and Plymouth Adult Social Care Department have been working closely with the home to address concerns over standards that had arisen over the last few months. While the home was addressing the issues placements Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 16 have been restricted. It is anticipated that placements are to be commencing again. A staff training matrix indicates that a large number of staff are due to receive adult protection training and a number of the staff have already received this training. The adult protection policy and procedure requires updating and expanding as a priory to ensure that staff have clear guidance on procedures should there be an alert. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was found to be warm and clean on the days of the inspection. The environment will though be considerably improved when communal carpet is replaced. EVIDENCE: The home has car parking facilities and pleasant gardens to the rear of the home. The main entrance is provided with information and an administration person is able to greet and open the door to people arriving at the home. Secure locks to the doors are provided for the safety of the people living there. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 18 Communal areas consist of two lounges, a dining room and an eating area within the second smaller lounge. A television is on in the main lounge during the course of the day. Carpets in the reception areas and main corridors and dining room are all due to be replaced which will be a considerable improvement visually. In addition nine bedroom carpets are also due to be replaced Bedrooms are available on the ground and the first floor of the home. A shaft lift serves the first floor of the home. The staff member in charge of cleaning was spoken to on both days of the inspection. The home was found to be clean and a good supply of aprons and gloves are available to staff to use to prevent the spread of infection. There is a team of five Cleaners to cover the home seven days a week, four of whom have obtained an NVQ qualification and four of whom were on duty on day one of the inspection. The laundry is provided with industrial machines that are able to cope with the volume of washing that the home generates. A staff member explained the routine for ensuring people have clean laundry in their rooms. All maintenance records are up to date and evidence the regular servicing of equipment in the home. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. Training for nursing staff must be put in place to ensure good outcomes for people using the service. Staffing levels were found to be good on both days of the inspection. EVIDENCE: The staffing levels on both days of the inspection were good for the occupancy level of thirty two people. On day one ten care staff and three nurses as well as the manager were on duty. In the afternoon this reduced to seven carers and two nurses and at night one qualified nurse is in charge with three care staff members. There has been low use of agency staff at this time. The CSCI is aware that there have been difficulties with staffing the home at week ends. It is anticipated that this situation has now stabilised. All staff members are identified on the staff rota to also include the domestic staff. Recruitment procedures for new staff were found to be satisfactory. Application forms have been improved and evidence is in place that two Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 20 written references are being taken up and a criminal records bureau check made prior to employment. A check list is in place to guide management on the detailed process for recruiting new staff correctly. A number of changes have been made to the staff team since the inspection of July 07 to include nursing staff and care staff. Staff were observed to be kind and caring to the people in the home during the course of the inspection although it was noted that at this time staff morale is very low due to the recent difficulties the home has experienced. New care staff members receive an induction that is based on the Skills For Care guidance. It is noted that the nursing staff are not receiving an induction which needs to be addressed. A training matrix has been developed that references the training that staff have received and are due to receive. Statutory training to include fire drill, moving and handling and first aid is up to date but nursing staff have generally received very little training which must be addressed as a priority. This includes for example continence care, safe feeding and swallowing and pressure care. New staff members without an NVQ are enrolled on this training when they commence at the home and a good number of staff have undertaken this training. Half of the senior care staff have obtained an NVQ 3 qualification. Staff are issued with contracts of employment and a code of practice for undertaking their duties and responsibilities. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 21 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 adequate. This judgement has been made using available evidence including a visit to this service. The management arrangements for the home are now fully in place to meet the needs of the service. This should ensure that the quality of the service has the potential to improve. EVIDENCE: The home has a full time recently registered manager employed. A senior staff member who is to be “head of care” is also to be employed. Both these senior staff members are qualified nurses. Specific roles and responsibilities have already been identified for the new staff member which will ensure a robust system for management tasks. A deputy matron is also employed to Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 22 support the management team. An administrator has responsibility for supporting the home with paper work requirements to include for example drawing up the contracts of care for the people in the home. Two directors of the Company undertake the responsible individual role and visit the home very regularly. One of the directors was at the home on both days of the inspection. A quality audit of the whole of the home has been undertaken by the manager. He advised that this is to be the start of a quality assurance system that will include the people using the service, visitors to the home and the staff. The audit indicates where the home is doing well and doing not so well. Procedures for managing any finances of the people in the home are in place. People are encouraged and able to manage their finances should they so wish with a safe storage facility provision provided. Where this is not possible the home is able to offer support and hold money in safe keeping if required. A random audit confirmed that finances were being held correctly with an incoming and outgoing balance. All maintenance records are in place for the safety of the home to include for example hoist maintenance, fire safety inspection and nurse call. Protective clothing is fully available for staff in the home to enable them to carry out their duties safely but more information is required to ensure that all staff are aware of any risk of infection. It would appear at this time that only care staff are given this information Warwick Park House DS0000003616.V350306.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 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 2 x N/A x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x x x 3 STAFFING Standard No Score 27 4 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 2 Warwick Park House DS0000003616.V350306.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 OP27 Regulation 18(1a) Requirement The nursing staff must receive training to allow them to give appropriate care to the people in the home. This includes continence care, pressure area care and safe feeding and swallowing and an induction for new staff. Timescale for action 31/03/08 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. 4. 5. Refer to Standard OP1 OP7 OP12 OP19 Good Practice Recommendations To update the service user guide and statement of purpose to ensure that people have full information on the services that the home is providing. To ensure that at all times the monthly reviews of the care plans are up to date. To offer opportunities to people that include being part of stimulating activities and interests should they so wish. Continue to improve the environment at the home with the DS0000003616.V350306.R01.S.doc Version 5.2 Page 25 Warwick Park House 6. 7. OP33 OP38 addition of new carpets and decoration as required. To develop further the audit of the home by undertaking a quality monitoring with the people/representatives/professionals visiting the home. To ensure all staff in the home are given information on infection control to reduce risk and ensure safe practice at all times. Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Warwick Park House DS0000003616.V350306.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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