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Inspection on 14/08/07 for Abbey Grange Nursing & Residential Care Home

Also see our care home review for Abbey Grange Nursing & Residential Care Home for more information

This inspection was carried out on 14th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents` needs are well met by a motivated and knowledgeable staff team. They have forged good links with local health and social care professionals. There is a friendly, informal atmosphere in the home, and staff treat residents with dignity and respect. Staff turnover is low, and residents appreciate the consistency in care that his gives them. The staff team work together well, and appreciate all the training opportunities they are given. They enjoy their work, and said that they feel well supported by the management team. Mrs Buckley has produced a number of handbooks for staff. Staff said that they found these really useful. Her recent summary of the `Mental Capacity Act` is particularly good.The overall standard of accommodation is good. Communal rooms are attractively decorated, and residents said that they enjoy the `beautiful views` over the town.

What has improved since the last inspection?

Staff recruitment procedures are now much more robust, and help to ensure that people employed to work at Abbey Grange have the skills and knowledge to care for the residents.

What the care home could do better:

Although it was apparent that residents` care needs were well met, there were significant shortfalls in the standard of documentation. The care records did not reflect residents` needs, or provide staff with clear guidance how these needs were to be met. The current recording systems are complex. Ms Kowalski plans to work with the staff to review the care documentation, with a view to making it easier for them to use. In comparison to the rest of the home, the top floor corridor looks shabby. There are already plans to redecorate this area in the coming months.

CARE HOMES FOR OLDER PEOPLE Abbey Grange Nursing & Residential Care Home 61 South Road Weston Super Mare North Somerset BS23 2LT Lead Inspector Alison Murray Key Unannounced Inspection 14th August 2007 10:30 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 Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.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. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbey Grange Nursing & Residential Care Home Address 61 South Road Weston Super Mare North Somerset BS23 2LT Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01934 623223 01934 414024 enquiries@manor-court.co.uk Manor Court Care Homes Ltd Post vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (3) of places Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. May accommodate up to 38 persons aged 65 years and over, requiring nursing care. May accommodate up to 7 persons aged 65 years and over, requiring personal care. Staffing Notice dated 21/12/2000 applies Manager must be RN on Parts 1 or 12 of the NMC Register May accommodate up to 2 persons in the Cedar Lodge Annex who are aged 18-64 years and have a Mental Disorder. May accommodate up to 3 persons between 18 - 64 years of age with physical disabilities, requiring nursing care. May accommodate one person aged 50 years and over. One named Service User, aged 44 on admission, this condition will cease when named service user leaves the home. 26th October 2006 Date of last inspection Brief Description of the Service: Manor Court Care Homes Ltd owns Abbey Grange. Abbey Grange offers a total of 40 places. The main home provides predominantly nursing care for older people, although up to 8 service users who require personal care only may be accommodated. Cedar Lodge is a small self-contained unit, which provides personal care for 2 people, aged between 18 and 64 years, who have a mental disorder. In addition, the home offers day care to older people. The day care unit is housed within the main home, but has designated facilities and a separate staff team. Abbey Grange is a converted and extended older property on the hillside of Weston Super Mare. Many rooms enjoy panoramic views over the town, and there is an attractive garden to the front of the building. A passenger lift provides easy access to all areas of the home. Accommodation is provided in 27 single, and 6 double rooms. Eight of these have en suite facilities. The company is in the process of upgrading the accommodation. The communal areas of the home have been refurbished and redecorated to a high standard. The current fees range from £356.37 to £532.00 per week. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a 7.5 hour period. Before the site visit, all information CSCI has received about Abbey Grange since the last inspection was reviewed. A random inspection took place in May 2007, following a complaint made about care practices in the home. The complaint was not upheld, but two requirements were made as a result of this inspection. Both of these were met within the agreed timescales. The manager post is currently vacant. Ms Kowalski, who intends to apply to become the registered manager of Abbey Grange, was available throughout the inspection. She was supported by Mrs Buckley, whose application to become responsible individual for the company which owns the service, is being processed by CSCI; All areas of the home were inspected. There were thirty-three people resident in Abbey Grange. Ten of these residents were consulted individually, whilst a further five people were observed in the communal areas of the home. Not all people were able to comment on the care they received, but time was spent observing interactions between staff and residents. Staff were consulted informally, as they went about their work. During the inspection, there was a steady stream of people visiting residents. Some of these visitors were approached for their views of Abbey Grange. Some health and social care professionals who have dealings with the home were also consulted. Their comments are included in the body of the report. What the service does well: Residents’ needs are well met by a motivated and knowledgeable staff team. They have forged good links with local health and social care professionals. There is a friendly, informal atmosphere in the home, and staff treat residents with dignity and respect. Staff turnover is low, and residents appreciate the consistency in care that his gives them. The staff team work together well, and appreciate all the training opportunities they are given. They enjoy their work, and said that they feel well supported by the management team. Mrs Buckley has produced a number of handbooks for staff. Staff said that they found these really useful. Her recent summary of the ‘Mental Capacity Act’ is particularly good. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 6 The overall standard of accommodation is good. Communal rooms are attractively decorated, and residents said that they enjoy the ‘beautiful views’ over the town. 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. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 7 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 Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 8 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): 1,2,3,4,5. Standard 6 does not apply. Quality in this outcome area is good. Prospective residents have their needs assessed by a senior member of staff to ensure the home is suitable for them. Although they are given good information about the range of services offered at Abbey Grange, the way the fees are calculated is not clear. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose has been updated since the last inspection. It contains all the required information, and is easy to read. The Service User Guide is also written in plain English. The Current Terms and conditions document is very easy to read, but does not include a breakdown of fees, and how the nursing care element of these is calculated. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 9 During the inspection several people visited the home with a view to placing their relative at Abbey Grange. Staff greeted them warmly, and gave them a guided tour of the home, explaining the services they offered. They explained the admission process, and the need to visit the prospective resident to make sure that they could meet their needs. A visiting professional said that senior staff always carried out a very thorough assessment of her clients’ needs, and were ‘realistic about what needs they could safely meet’. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Quality in this outcome area is adequate. Residents’ health care needs are well met, but staff do not adequately record these within individual care plans. The home has an efficient medication policy, supported by procedures and practice, which staff understand and follow. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care records for 5 residents were reviewed. These contained a basic admission assessment of needs, but did not give staff detailed guidance how to meet these needs. One person’s admission assessment indicated continence needs, but there was no plan in place to advise staff how to support the resident. Another person had a urinary catheter. The care records did not contain any information about the type of catheter used, or when it should be changed. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 11 In some cases, daily reports contained references to needs not reflected in the care plan. According to the daily reports, one person had experienced a number of incidents of chest pain. Although conversations with staff and comments in the daily report suggested that appropriate action had been taken, there was no plan in place to advise them what to do in this event. At the moment, care plans contain little information about social or emotional needs. Each month, staff had signed to say that they had reviewed the care plan. There was evidence that individual care records were not updated to reflect people’s changing needs. The fluid and pressure care charts in one person’s bedroom were well completed, and suggested that they had been nursed in bed for some time. This was not apparent in the resident’s care plan. Staff said that when a person is admitted to Abbey Grange, they write to either the resident or their representative to invite them to monthly care plan reviews. This is good practice, but their involvement was not recorded anywhere in the individual’s care records. The current care plan system is complex. Staff said that the documentation takes a long time to complete. The inspector and Ms Kowalski discussed ways of simplifying the care plan format to make it easier for staff to use. Staff said that they receive good support from the local GP. One of the residents is terminally ill. Care records demonstrated that staff had discussed the person’s end of life wishes with both their family and the GP. This discussion was clearly documented. Staff have produced a booklet to guide relatives or friends through the things they need to do after a resident dies in the home. It was apparent that a number of the residents had complex care needs, and were being nursed in bed. They all looked comfortable, with drinks and call bells at hand, as appropriate. Staff were seen to visit these people regularly. Staff on duty showed a good awareness of the home’s policies and procedures regarding the administration of medicines. Residents’ prescribed medications had been regularly reviewed, and all the recording sheets were well completed. During the inspection, all the staff on duty treated the residents with dignity and respect. They were observed to knock on bedroom doors, and wait for a reply before entering. There was an informal friendly atmosphere in the home, with lots of chat and laughter between staff and residents. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. Residents are able to choose how they spend their time. They are given the opportunity to take part in a range of activities, and encouraged to maintain contact with friends and family. The menu is varied, and residents are able to choose the food they prefer and like. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the moment, care records do not contain information about residents’ interests, likes and dislikes. This is an area which staff have already identified for improvement. An activity organiser works in the home on 3 days a week. She is liaising with residents, their family and friends to record this information. Despite this lack of written information, staff on duty during the inspection demonstrated a very good knowledge of residents’ previous experiences and preferences. They used this knowledge in their conversations with residents, and to divert or reassure those who were anxious. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 13 Residents are given the opportunity to take part in a range of activities both in and out of the care home. The activity organiser arranges art and craft classes, and residents can use the home mini bus to go to tea dances, or on trips to local places of interest. These activities are publicised in the home newsletter, which is issued to all residents. A copy of this is displayed on the home notice board. One person said ‘it is up to me to decide what I want to do. If I want to join in, then I can, but if I want to stay in my room I can do that too’. A number of residents said that they are supported to continue their membership of local clubs. Residents said that they were able to receive visitors at any reasonable time. During the inspection, there was a steady stream of people visiting the home. Visitors consulted, said that they were always made welcome. Staff greeted regular visitors by name. It was clear that residents were able to choose where to receive their visitors. Staff helped one person back to a bedroom, and arranged extra chairs in the lounge for another person. As part of the annual quality review, staff have recently consulted residents about the type of food they would like. Ms Kowalski said that the menus had been reviewed in light of their suggestions. Residents said that they liked the food provided. The meal served during the inspection looked and smelt appetising. Staff gave appropriate and discreet assistance to residents who were unable to eat independently. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. The home has a clear and accessible complaints procedure. Residents and their relatives know how to make a complaint, and feel comfortable that this would be dealt with appropriately. Staff have a good knowledge of safeguarding issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection, a random inspection was carried out following a complaint made to CSCI. Two requirements were made as a result of this inspection. Both of these were met within the agreed timescales. The home has a clear and accessible complaint procedure. Residents and relatives said that they would have no hesitation raising concerns with the person in charge. Staff record complaints on a form, which is given to the manager for action. Records confirmed that these had all been dealt with appropriately, and the complainant notified of the outcome. Staff showed a good awareness of safeguarding issues. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 15 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): 19,20,21,22,24,25 and 26 Quality in this outcome area is good. Abbey Grange offers pleasant spacious accommodation, which meets the needs and expectations of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Abbey Grange is an older property, which has been extended over the years. All areas of the home are light and airy, with a passenger lift offering easy access to the upper floors. The communal rooms are spacious and well decorated. In contrast, the top floor corridors look shabby. Ms Kowalski said that there are plans to redecorate this area in the near future. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 16 Rooms at the front of the building have panoramic views over the town. A number of residents said that they enjoyed sitting, and looking out of their window. Residents said that they like their bedrooms, and were able to bring pictures and small items of furniture to personalise these. All areas of the home were clean and tidy. Since the last inspection, one of the bathrooms has been converted to a wheelchair accessible shower. Staff and residents said that this was really useful. There is call system, with an alarm facility in every room of the home. In some of the communal areas, residents were not sure where the call bell was. Ms Kowalski offered to improve the signage, so people could see it more easily. There is a small patio to the front of the building, with tables, chairs and tubs of flowers. Some people commented that it was a shame that the poor weather meant that they had not been able to use this area much. Staff demonstrated a good awareness of infection control issues. Residents said that the laundry service was very good. Personal clothing was well ironed, with bedding and towels neatly stored. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. Recruitment and training procedures are robust, ensuring that staff have appropriate skills to care for the residents at Abbey Grange. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records for staff appointed since the last inspection were reviewed. These confirmed a robust employment procedure. There was evidence of a thorough induction programme, and ongoing training. Mrs Buckley has produced a series of handbooks to guide staff. The induction guide, and summary of the Mental Capacity Act and its implications for care are particularly good. An external trainer provides fire safety, first aid and other mandatory training. During the inspection, a number of staff attended a manual handling update. Records are kept so that Ms Kowalski can easily identify which staff are due refresher training. Staffing levels meet the needs of the current residents. Staff said that they are kept busy, but have time to chat with residents. Residents said that their needs are met in a timely fashion. During the inspection, call bells were answered promptly. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 18 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): 32,33,34,35,36,37 and 38. Quality in this outcome area is good. Residents and staff benefit from the open and inclusive atmosphere at Abbey Grange. Their views about the running of the home are taken into account This judgement has been made using available evidence including a visit to this service. EVIDENCE: Ms Kowalski has been deputy manager of the home for a number of years, and has NVQ level 4 in care and management. She had only been in post as acting manager for 1 day when the inspection took place, so standard 31 was not formally assessed. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 19 Ms Kowalski demonstrated a very good knowledge of the residents’ needs and management priorities for the home. She and Mrs Buckley, the office manager, work closely together. Mrs Buckley’s application to become the company responsible individual is being processed by CSCI. They were able to provide all the information necessary for the inspection. Staff and residents spoke highly of them. Staff turnover is commendably low. Residents, visiting professionals and people employed in the home felt that they benefited from a consistent staff team. There was a very strong sense of teamwork. Staff said that they felt able to comment on the way the home is run, and that their views were valued. The home has recently introduced a quality assurance system. Residents have been asked to give their views about the running of the home. It was clear that many of their ideas have already been implemented. Small amounts of residents’ ‘pocket money’ are kept in a safe. Clear records are kept of deposits and withdrawals. At the moment, not all care staff receive formal supervision. Ms Kowalski plans to introduce this to all staff, and has booked some training to learn more about supervision. Health and safety checks were well maintained. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 3 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 3 2 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 3 2 3 3 Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 21 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 OP2 Regulation 5A Requirement The registered person must provide service users with a clear statement as to how the nursing element of the fees is managed. Care plans must set out in detail the action which needs to be taken by care staff to ensure that all aspects of residents’ health, personal and social care needs are met. Care plans must be reviewed, and updated to reflect residents’ changing needs. Residents’ interests must be recorded, to ensure that planned leisure and recreational activities meet their needs, wishes and preferences. Timescale for action 14/11/07 2 OP7 15.1 14/10/07 3 4 OP7 15.2 16.2 14/10/07 14/10/07 OP12 Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 22 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 4 Refer to Standard OP7 OP7 OP19 OP36 Good Practice Recommendations Care plan documentation should be reviewed, to provide staff with a more ‘user friendly’ recording system. The involvement of residents or their representatives in care planning and review should be documented. The top floor corridor should be redecorated. Care staff should receive formal recorded supervision. Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Abbey Grange Nursing & Residential Care Home DS0000020225.V345705.R01.S.doc Version 5.2 Page 24 - 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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