CARE HOMES FOR OLDER PEOPLE
Acorn House Care Centre Whalley New Road Roe Lee Blackburn Lancashire. BB1 9SP Lead Inspector
Janet Proctor Unannounced 13 September 2005 08:30 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 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. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Acorn House Care Centre Address Whalley New Road Roe Lee Blackburn Lancashire BB1 9SP 01254 679395 01254 677686 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) Ashbourne Homes Limited Mrs Jennifer Howorth Care Home Only Personal Care (PC) 32 Category(ies) of Old age, not falling withi any other category registration, with number (OP) 22 of places Dementia (DE) 10 Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1 The home is registered for a max of 32 service users to include: upto 22 service users in the category of OP - old age (aged over 65 years of age) not falling into any other category. Upto 10 service users in the category of DE (Dementia under 65 years of age) 2 Dementia care to be provided in the designated dementia unit and bedrooms numbered 21, 22, 23,26,27, 28, 29, 30, 31 and 32. 3 The service should employ a suitably qualified and exsperienced manager who is registered with CSCI. Date of last inspection 08 March 2005 Brief Description of the Service: Ashbourne Homes Ltd own Acorn House Care Centre. The responsible individual for the company is Mrs Julie Marie Ablett. Mrs Jennifer Howarth is the registered manager and is responsible for the day-to-day management of the home. The home is registered to offer accommodation and personal care for twentytwo older people, and ten older people with dementia. The home is located in a busy community on the edge of Blackburn. It is on a main road with access to shops, a church and other community facilities. Bus services are nearby. The front of the home looks onto the shops and road and at the rear there are views of the garden and patio. There are ample car parking facilities at the rear. The home is a purpose built two-storey building with accommodation in two parts. The dementia unit is on the first floor. There are lounge and dining areas for each unit. There are bathrooms on each floor. Every resident in the home has a single bedroom, with an en suite toilet and wash hand basin. Bedroom doors are lockable. There is a passenger lift to the first floor area. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one and a half days on the 13th and 14th of September 2005. The previous inspection was done on 8th March 2005 and information on the findings of this can be obtained from the home or from www. CSCI.org.uk . No additional visits have been made since the previous inspection. On the day of the inspection there were 28 residents at the home, 10 residents with dementia and 18 older people. Information was obtained from staff records, care records, and policies and procedures. Information was also got from talking to 9 service users, the Manager, 3 staff members and 3 visitors. Wherever possible the views of residents were obtained about their life at the home. Due to memory and communication difficulties, many of the residents were unable to engage in conversation or make comment about their experience of living in the home. Detailed notes were taken, which have been retained as evidence of the inspection findings. What the service does well:
The service was very good at ensuring that all residents received a full assessment prior to coming to live at Acorn House Care Centre. This meant that their needs were known and arrangements could be made to ensure that these were fully met. Once admitted the residents had a care plan written. The service made every effort to involve residents in their individual care plans and the daily life of the home. They were able to sign their care plan to show that they were consulted about what was written in it. Residents said, “They help me to get ready. I’d like to be able to do it myself but I can’t. They’re very nice when they help me”, “The girls are all very nice, they don’t neglect you” and “They can’t do enough for you”. The staff were very good at protecting the privacy and dignity of the residents. Every resident had a single room and there was a lock on their door so they could have some control over their own privacy. They staff also respected the daily routines of residents. Residents said, “ I go to bed at about 9.30 pm. I’m ready by then”, “Nobody tells you when to go to bed. You decide that”, “I spend a lot of time in my room as I like to be on my own” and “I get up at 7.00 am that’s when I wake up”. The service provided a nice, clean environment for residents. Residents were happy with the fact that they had a single room with an en-suite toilet. They said, “It’s always clean here”, “I like having my own toilet” and “My bedroom’s very nice”. There was also enough lounge space for residents to use if they
Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 6 wanted. One resident said, “I like sitting in the lounge and watching what’s going on”. Staff said that they felt well supported by the management team and were pleased with the training they received. They said that they had regular updates on a range of subjects but could also ask for further training if they wanted or needed this. What has improved since the last inspection? What they could do better:
The service must ensure that there is always the right number of staff on duty to meet the needs of residents. If there are times when this falls short, every attempt must be made to cover this. The staff on duty at the home should ensure that they communicate what has been done and whether this has been successful to the manager on call. The plans of care should be accurate and contain all the information needed by staff to meet the needs of the residents. The plans of care are important documents as they direct staff on the actions that they need to take on a daily basis to meet the needs of the service users. Lack of accurate information in these can potentially lead to these needs not being met or inconsistency in the care that residents receive.
Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 7 There should be accurate information to all residents on what activities are on offer. When activities have been completed there should be some system of recording these. This is so there is a clear picture of what activities each resident had done and whether these have been meaningful. There must be evidence that the gas appliances at the home have been serviced and are in full working order. Confirmation should also be given to the Commission that the water storage tanks have been cleaned, as recommended by the contractor. 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. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 6 Residents received a full assessment prior to moving into Acorn House Care Centre, with the result that their needs were known and met. EVIDENCE: Four residents’ files were viewed. These contained copies of assessments completed by health and social care professionals. It was evident that it was also usual practice for the Manager to visit and assess prospective residents before offering them a place at the home. The individual care records inspected contained copies of these assessments. Following the assessment the prospective resident was sent a letter confirming whether their needs could be met at the home. Intermediate care was not done at Acorn House Care Centre. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 Some of the plans of care did not have enough information about how to care for residents. This meant that the residents’ health, personal and social care needs may not being met in a consistent manner. Their personal care was delivered in a way that promoted their privacy and dignity. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 11 EVIDENCE: The plans of care viewed contained good details on the personal care needs of the resident and how staff were to meet these. There was evidence in some plans of care that the resident or their relative had been involved in the care planning process. The manager said that all relatives were invited to be involved in the writing and review of the plan of care. The care plans gave a good picture of the service user’s background, preferred routines, likes and dislikes. Not all of the plans of care gave staff directions on what to do to meet particular needs. For example, what to do if a resident was anxious, agitated or aggressive. They contained evidence that they were reviewed on a monthly basis. One of the care plans seen had been reviewed but did not give a current and accurate picture of the resident’s abilities and care needs. This meant that staff who were unfamiliar with the resident may not be aware of the full range of needs and may not give the correct care. Appropriate assessments for prevention of pressure sores, nutrition, falls and moving and handling needs were undertaken. Pressure mattresses and cushions were seen to be in use. There was evidence of the actions to be taken in respect of any weight loss and regular weight checks were done. These were sometimes done weekly dependant on the condition of the resident. The plan of care made reference to continence needs and any aids required for this were specified Residents were able to register with a General Practitioner of their own choosing. Appropriate arrangements were in place to ensure that they had access to specialist medical, nursing, dental and chiropody services according to need. Hearing and sight tests were arranged for individual residents when required. During the course of the inspection staff were seen to interact with residents in a friendly yet polite manner. There was evidence of good resident and staff relationships, which led to a nice atmosphere in the home. The plans of care made reference to privacy and dignity. Staff spoken to were aware of the importance of maintaining privacy and dignity. The preferred form of address was noted in the plan of care and residents said that staff use this correctly. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14 Residents were able to make choices about their life at the home so that their lifestyle met their preferences. Resident’s social, cultural and recreational needs were met through links with their family and friends being maintained and opportunities to undertake activities within the home. EVIDENCE: The residents who were able to give an opinion said that the daily routine was flexible and they were able to get up and go to bed at a time of their choosing. One resident said how he took all his meals in his room because this was his preference. Another spoke about how she had her breakfast in bed in the morning. Staff said that they always explained things to residents and asked them before doing something with or for them. The daily notes contained comments such as, “ asked to go to bed”, “requested to…” and “did not want to…”. Residents said that they could go to their rooms as and when they wanted. There was an activities person who visited every week day morning and played music, sang songs and did a small range of other activities. There was a programme of these on the notice board and in each resident’s room. The programmes in the rooms on the dementia unit were out of date. These described the programmes for March, June or July. This has the potential to add to the disorientation of residents.
Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 13 Staff said that they did activities with the residents in the afternoon. These were more of an informal programme and were based on what residents liked and wanted to do. Some were done as group activities e.g. games, or on an individual basis e.g. manicures. Apart from the daily notes there was no recording system for what activities had been done with an individual resident. Visitors were welcome at the home. The residents could choose whether to see them in the lounge or in their bedroom. Residents said, “My son comes and takes me out” and “My daughter comes every day. We sit in my room and chat”. Visitors spoken to said that they were made to feel welcome and were kept informed of anything that affected their relative. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents were confident that their complaints would be taken seriously and acted upon. The procedures at the home ensured that residents were protected from abuse. EVIDENCE: There was a complaints procedure on display on the notice board and in each resident’s room. This told people who to go to if they wanted to make a complaint and that they could expect a response within 28 days time. No complaints had been received at the home since the last inspection. No complaints had been made direct to the Commission. Residents spoken to said that they “had no complaints at all”. There were procedures to ensure that residents were protected from abuse. These included the Blackburn with Darwen Borough Council’s Protection of Vulnerable Adults procedures, which were displayed in the reception area. There was a Whistleblowing procedure for staff to follow should they have any concerns. Staff spoken to were aware of these and of what actions to take. There were procedures about finance and dealing with aggression. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 Residents were happy with their accommodation at the home and lived in a safe, clean, well-maintained environment. EVIDENCE: The home was clean and well maintained. The decoration and furnishings were of a good standard. Residents could personalise their rooms with ornaments and pictures. There was access to a courtyard that had a gazebo, garden furniture and tubs of flowers and plants. There was a Handyman employed. This meant that repairs and items of decoration could be done in a short time scale. The staff recorded items for repair in a record book that was ‘signed’ off when the repair was completed. As well as this the Handyman did daily, weekly and monthly maintenance checks and recorded the results of these. There was a schedule for redecoration. The home was clean and odour free at the time of the inspection. The systems for maintaining hygiene included procedures for infection control. Plastic aprons and gloves were available to staff when undertaking care duties. There was a separate laundry room, which had sufficient equipment to meet the
Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 16 laundry needs of the number of residents accommodated. A new dryer had been recently purchased. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 There were sufficient numbers of staff on duty to meet the needs of the residents. Staff received training to enable them to complete their duties in a competent manner. Pre-employment checks were carried out, providing safeguards for residents. EVIDENCE: There were sufficient numbers of staff on duty to meet the needs of the residents. Staff spoken to said that there was generally enough staff on duty for them to do all the things that they needed to do. The manager had identified that there was a problem with Care staff having to load the dishwasher and clear the kitchen after the evening meal, which took them away from care duties. She had recruited a Kitchen Assistant (who was due to start work the next week) to work from 5.00 pm to 7.00 pm to resolve this. There was a duty rota, which showed the name of staff and the hours they worked each day. The duty rota for the previous week showed that there had only been one person on duty on the Dementia Unit for 12 hours on both Saturday and Sunday. This was below an acceptable number of staff for the 10 residents and must also have put a lot of stress on the person working alone on the unit. The manager said that she had been contacted about this on Saturday morning and had received authority for an Agency staff to be used. She did not receive any further communication from the home and therefore presumed that the shifts had been covered. Otherwise she would have worked the shifts herself to prevent the unit being short staffed. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 18 Two staff members had been recruited since the previous inspection and their files were viewed. All prospective employees completed an application form and had a face-to-face interview. A Criminal Records Bureau clearance was done and there was now evidence that a POVA First check had been completed prior to employment. Two references were requested and received. All new staff received a copy of the Staff Handbook and the GSCC code of conduct and practice. Each staff member had an individual training file. This recorded the date and subject of any training that they had done, together with any evidence of competency e.g. completed questionnaires about a subject. New employees received a 2-day Induction which then led into a six-week induction programme. This programme complied with the specification from Skills For Care. There was a rolling programme of training for all employees. The manager had a ‘Training Tracker’ on computer that enabled her to check what training staff had done and when and ensure that they completed all their mandatory training courses. Staff had received some training and education in Dementia Care before the unit opened. There was no in-house Dementia training course available, although the Manager was hoping to commence this. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 38 The Manager was competent and capable. Residents and staff had confidence in her abilities to manage the home. Residents were invited to regular meetings and to complete surveys so that their views on how the home was run could be known and put into practice. The practices of, and records kept by, the home meant that the financial interests of residents were safeguarded. There were health and safety policies and procedures and training given to staff. This ensured that the health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: Residents were involved in ensuring that the home was run in their best interests through meetings and questionnaires to obtain their views. Resident meetings were held on a regular basis, the last one being in June 2005. The minutes showed that ideas put forward by residents were followed up. For example, that a Summer Fayre was held. Residents were asked to complete anonymous surveys and the completed ones were displayed in reception for
Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 20 people to look at. Comment cards were also available in the reception area for anyone to complete if they wished to. Staff were able to make their views about the quality of care and the running of the home through staff meetings, the last one having been held in June 2005. Staff spoken to said that they had every confidence in the Manager of the home and would not hesitate to go to her if they had a problem or concern. The staff described the Manager as “very open and approachable”. There was a good system of continuous internal self-audit. There was a programme of audits to be undertaken by the manager each month. The results of this were retained at the home and also forwarded to the Head Office. An action plan with completion dates was formulated to address and deficiencies found at the time of the audit. Regular monitoring visits were undertaken by a Senior General Manager and by a Regional General Manager. Auditing of various issues were also undertaken at these visits and a report of the findings given to the manager for her to action. Residents were able to handle their own money and finances if they wished to do so. Each resident for whom the home kept money had an individual record. This included the: date; details of the transaction; two signatures; the amount debited; the amount credited; and the balance. The money kept for three residents picked at random were checked against the recorded balance and found to be correct. Receipts were kept for transactions and were stapled to the ledger sheet. There was a safe for the money and this was in a lockable office and access was restricted to two people. Receipts were available for any money or valuables handled over for safekeeping. There was a ‘residents spending money’ account at a bank for those residents who were not able to open a bank account of their own. There was a record sheet for each of these residents that gave the portion of money that they held in this account. An external contractor had checked the Fire alarm and emergency lighting in November 2004. The fire alarms, emergency lighting and fire safety equipment was checked weekly. Water temperatures were tested monthly. The water storage tanks had been checked by an outside contractor in August 2005. It was identified that these needed cleaning. There was a current electrical installation certificate. Portable Appliance Testing had been done in January 2005. The servicing of the gas boilers and appliances was overdue, having last been done in June 2004. The hoists had been serviced in July 2005 and the lift in June 2005. Arrangements were in place for the removal of clinical waste. The majority of the senior staff had received training in First Aid and there were only 2 yet to go on the course. Staff had received fire safety training in June 2005. Moving and handling training had been done for all staff in August and September 2005. Protection of Vulnerable Adults training was done through the Residents Welfare course. Staff also received training in COSHH and Health and Safety. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 x x 2 Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 22 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. 2. Standard OP27 OP38 Regulation 18(1)(a) 23(2)(b) Requirement There must be sufficent staff on duty to meet the needs of the residents. There must be a current gas safety certificate. Timescale for action 15th September 2005 13th November 2005 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. 5. Refer to Standard OP7 OP7 OP12 OP12 OP27 Good Practice Recommendations The plans of care should be written with enough detail so that staff are aware of all actions to be taken in a situation. All personal, health and social care needs should be reviewed and the plan of care updated so that the information contained in it is current and accurate. The programme of activities on display in each room should be for the current month. All out of date programmes should be removed. The range of activities done by each resident should be recorded in a format that makes it easy to track what they have done and when. Any staff shortages which have not been filled by Agency staff should be reported back to the manager so that she can make alternative arrangements to address this.
F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 23 Acorn House Care Centre 6. 7. OP30 OP38 An in-house course on dementia care should be arranged and made available to all staff. Confirmation should be forwarded that the water storage tanks been cleaned. Acorn House Care Centre F57 F07 S22479 Acorn House V232801 300805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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