Inspection on 12/01/07 for Aden View

This inspection was carried out on 12th January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Aden View 03/01/06

Aden View 28/06/05

Aden View 09/11/04

Aden View 08/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Aden View Perseverance Street Primrose Hill Huddersfield West Yorkshire HD4 6AP Lead Inspector Jacinta Lockwood Unannounced Inspection 12th January 2007 10:00 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 Aden View DS0000026262.V327322.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. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aden View Address Perseverance Street Primrose Hill Huddersfield West Yorkshire HD4 6AP 01484 530821 01484 533985 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) Aden House Ltd *** Post Vacant *** Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person aged under 65 years of age Date of last inspection 13 December 2006 Brief Description of the Service: Aden View is registered with the Commission for Social Care Inspection (CSCI) to provide personal care and accommodation for up to 46 older people. The home does not provide nursing care. Aden View is a spacious purpose-built care home situated in Primrose Hill, a residential area of Huddersfield. The accommodation is on two floors, the first floor being accessed by a passenger lift. All bedrooms have en suite facilities, and there are communal toilets and bathrooms situated around the home. There are a number of lounge areas and a dining room. The gardens are well maintained and there is ample seating to accommodate service users who wish to sit out when the weather permits. Car parking is available at the home. CSCI were informed that as at 24.11.06 the current scale of charges was £354.72 per week. Additional charges are made for hairdressing, chiropody, toiletries and newspapers and magazines. Information about the home in the form of a Statement of Purpose, Service User’s Guide and the latest CSCI inspection report are available from the home. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this inspection, one inspector made an unannounced visit to Aden View on 12 January 2007. The visit started at 10:50 and lasted 7.5 hours. During this visit the inspector spoke with ten service users, one relative, six members of staff and the manager. The inspector read care records, audited a sample of medications, sampled staff recruitment and training records, made a brief tour of the building, made observations and shared lunch with service users. Before the inspection ten service user questionnaires were sent to Aden View to obtain service users’ views about living at the home. Four completed questionnaires were returned. Some service users in the home are very frail and may have difficulty completing a questionnaire. There were 44 service users resident in the home on the day of this visit. Relative surveys were sent out to fifteen of the service users’ relatives or friends. At the time of writing none had been returned. Fourteen surveys were sent to GPs who attend the home, four completed surveys were returned. Five health and social care professionals that have contact with service users and the home were also sent a survey, none had been returned at the time of writing. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well: Before service users are admitted to the care home, their needs are assessed to determine whether or not they can be met at the home. Service users’ relatives and friends may share a meal with them at the home. A choice of food is available and positive comments were received about the food provided. Personal monies held on behalf of service users are clearly recorded and when audited could be fully accounted for. Service users spoken with were complimentary about the staff at the home. The registered provider supplies detailed and informative reports to the home’s manager and the Commission for Social Care Inspection following monthly Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 6 management visits. During these visits discussion is held with service users and staff. And the reports make clear the action that needs to be taken to address identified shortfalls. Service users’ views about the services provided at the home are also obtained as part of the home’s quality assurance system. Service users spoken with knew who to speak to were they to be unhappy about anything and they have a copy of the home’s complaints procedure. 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. Aden View DS0000026262.V327322.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 Aden View DS0000026262.V327322.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): 2, 3. Standard 6 is not applicable as Aden View does not provide intermediate care. Service user’s needs are assessed before they move into the home. Not all service users have received an up-to-date contract/statement of terms and conditions with the home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During a thematic inspection on 13.12.06 and at this inspection it was evident from discussion with the manager and from records seen that pre-admission assessments in the form of a community care assessment or the home’s assessments are obtained before a service user is admitted to Aden View. A contract/statement of terms and conditions is provided to confirm that the Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 9 home can meet the service user’s needs. Three of the four service user surveys indicated that a contract had been received. Following the thematic inspection requirements and recommendations were made regarding the home’s contract/statement of terms and conditions. The manager reported that the document was currently under review. And that the home’s current fees are now included. Aden View DS0000026262.V327322.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 The majority of service users’ care and support needs are set out in an individual plan of care. Service users’ health care needs are met. Service users, where appropriate, may retain responsibility for their own medication and are protected by the home’s policies and procedures for dealing with medicines. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As part of this inspection, four service users’ care records were examined. These contained information gathered from the pre-admission and community care assessment. Risk assessments were also in place for such things as nutrition, oral health, moving and handling, falls and skin integrity. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 11 It was evident from inspecting the sample of records that changes identified at review had not been incorporated into the care plan and that some relevant assessment information had been omitted. It was also evident from a sample of daily reports that an identified care need did not have a relevant plan of care and no social care plans were seen. (See Requirements.) The manager explained that a new care planning format was to be introduced in the near future which should ensure clearer and more detailed care planning. Two service users returning surveys indicated that they “usually” and two indicated that they “always” receive the care and support they needed. Service users spoken with generally felt that staff understood their needs and they expressed satisfaction with the care they received. It was clear from discussion with staff members that they were knowledgeable and up-to-date about service users’ care needs. GPs returning surveys indicated that staff demonstrate a clear understanding of service users’ care needs and that any specialist advice is incorporated into the service user plan. Service users spoken with and those returning surveys also felt that, generally, their healthcare needs were met. Care plans and assessments had been reviewed monthly. And where service users did not wish to be involved in reviews they had signed a statement to this effect. A number of service users spoken with said that the staff were good and helpful and respected their privacy. Care staff were observed knocking on service users’ bedroom doors before entering and maintaining privacy and dignity when carrying out personal care tasks. A service user said that staff were “very strict” about making sure they got their medication on time and another service user agreed with this saying that staff are “very good with medication”. The medication for four service users was audited and stock and records for all but one tablet was easily reconciled with records held. The manager sought clarification for “as directed” administration details for a liquid medication with one GP and requested that directions be made clear on future prescriptions. A senior carer reported that the medication had been administered as directed by the GP. The dosage was not recorded, however. (See Recommendations.) A service user information sheet was available which identified any allergies and special considerations to be noted by staff when administering medication. Medication was stored securely. Service users, where able, may, with agreement, retain responsibility for self-administering medicines and are provided with secure storage facilities. Aden View DS0000026262.V327322.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, 15 Service users have opportunities to fulfil their social, cultural, religious and recreational interests and needs. They are able to maintain contact with family, friends and the local community. And to exercise choice and control. A varied diet is provided which is suited to service users’ needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was evident from discussion that links with the community are maintained and ministers from religious denominations visit the home. Service users spoken with confirmed this. Special occasions are celebrated and photographs of some of these were on display. The home employs an activities co-ordinator and a range of activity equipment was seen including board and ball games, music and books. Shopping trips were said to take place as well as outings to places like Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 13 Ponderosa, a local animal farm. One service user said she enjoyed going shopping with staff and another said that outings were available. However, three service users returning surveys indicated that activities “usually”, “sometimes” or “never” took place that they could take part in. One survey respondent reported that the home are seeing to this. The manager explained that the activities co-ordinator is to develop social care plans with individual service users. She also explained that the activities organiser was due to return to work after a period of absence and that during her absence staff had been engaging service users in activities. Service users confirmed that they are able to maintain contact with family and friends and that visits can be made in private. One service user explained that her relative had been able to join her for Christmas dinner at the home, which they had both enjoyed. A service user was pleased to show the inspector her bedroom, which reflected her personal tastes and interests and of which the service user was clearly proud. She explained she took pleasure in dusting and keeping it tidy and that she had a key to her room. Service users also explained that they had a choice in where and how they spent their day, the time they got up and went to bed and the clothes they wore. The inspector was pleased to join service users for the mid-day meal of homemade fish and chips or poached fish and mashed potatoes, both with mushy peas, which was freshly prepared and well presented. A choice of puddings was available. Menus show that there is a choice of food at mealtimes and service users expressed satisfaction with the food provided saying there was “Some choice of food” and that “It’s been lovely”. From discussion with the cook and service users, it was clear that special diets are catered for. However, as discussed with the cook, food should be liquidised separately for those on a soft diet so as to retain its texture, flavour and appearance. (See Recommendations.) Service users who required support or assistance to eat were given this in a manner that promoted their independence and dignity. Aden View DS0000026262.V327322.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, 18 Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 16 was assessed during the thematic inspection on 13.12.06. During that visit the manager said that she had made a point of speaking to service users to let them know they could speak to her if they had any concerns. Staff spoken with were aware of the home’s complaints procedure. Information about how to make a complaint was available to visitors and made available in service users’ private accommodation. Two of the service users spoken with said they would speak to the manager were they to be unhappy about anything. One did not wish to complain. It was evident from surveys that service users know who to speak to and how to make a complaint. During the visit on 12.01.07 it was evident from discussion with a service user that where a concern had been raised, it had been addressed to the service user’s satisfaction. Complaints received related to laundry, care practice issues and Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 15 attitude of some staff. Management visit reports from the service provider indicate that where complaints have been made, action has been taken to improve practice. During conversations with service users and from surveys they indicated that staff at the home were kind and caring and that they felt safe in the home. Also, that staff listen to them and act on what they say. It was evident from records and discussion with staff that they have received training in the protection of vulnerable adults. And relevant policies and procedures were available for them to refer to. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 16 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, 26 The environment, which is pleasant, is generally well maintained, clean and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Aden View was purpose built and provides spacious accommodation, which is generally well maintained. However, some areas are showing signs of wear and tear with chipped paintwork. The manager explained that maintenance and redecoration work is ongoing. And management visit reports from the provider note that two bedrooms have been redecorated. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 17 Service users indicated satisfaction with their accommodation. Those bedrooms seen were personalised with the service user’s own belongings such as ornaments, pictures, music centre, a television and small pieces of furniture. Bedroom doors are lockable and the service user is given the option to hold the key if they wish. The manager explained that new bed linen and pillows were on order and that worn items were to be replaced. The laundry area was well organised and there are dedicated laundry staff. During this visit, service users’ clothing looked cared for and service users looked well groomed. There were no unpleasant odours present in any areas of the home visited. However, although the general standard of cleanliness throughout the home was satisfactory, the floor coverings to some toilets and bathroom/shower areas were stained and grubby and a hoist needed cleaning. (See Recommendations.) The manager explained that new domestic arrangements were to be implemented within the next couple of days, which would address the issues identified and that arrangements had already been made with a cleaning company to clean the floor coverings. Service user surveys noted that the home was usually clean and hygienic; one respondent commented that the home was “Always kept nice”. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 18 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, 30 Suitable numbers of staff are employed for the needs of current service users but staffing arrangements are not as effective as they could be. Staff receive a range of relevant training to ensure they are competent. Service users are supported and protected by the home’s recruitment policy and practices. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing rotas were available, but did not include the shifts worked by the manager. All persons working at the home must be included on the duty roster as required by legislation. (See Requirements.) Staffing levels are currently six carers on the morning shift, four carers early afternoon and five carers late afternoon/evening. Four carers work wakeful nights. The manager’s hours are in addition to these. Staff spoken with felt staffing at this level was sufficient to meet the needs of current service users but said that it was difficult when staffing levels dropped, usually due to sickness. The provider’s management visit reports note that the manager is monitoring staffing levels at the home. It was evident from discussion with the Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 19 manager that she felt sufficient numbers of staff were important for the welfare of service users and the running of the home. Staffing levels appeared sufficient for the needs of current service users but staffing arrangements, particularly on the late shift, should be looked at. It was apparent from observation and discussion with service users that there are extended periods of time during the early evening when staff are noticeable by their absence. This was apparent when staff members took their breaks in three’s and two’s thus significantly reducing the number of staff available to service users. It was evident that service users found this frustrating. A relative also spoke about the length of time it took staff to answer the call bell on an evening. The response time to the call bell was also identified as an issue in the home’s satisfaction survey. Three service users returning surveys indicated that staff are “usually” available when needed. Staffing arrangements should be looked at and action taken to address this situation. (See Recommendations.) It was evident from observation and discussion with service users and staff that staff have the skills necessary to support service users. Staff were observed to approach service users in a skilled and respectful manner. They demonstrated good movement and handling skills, and explained to the service user what they were doing. One service user said that staff were “very good”. It is positive to note that fifty percent of staff have achieved an NVQ level 2 or equivalent qualification and that work in this area is continuing. The manager reported that induction training is provided and staff confirmed this, although no completed induction workbooks were seen. An induction workbook on one staff member’s file had not been completed. Written evidence of staff induction should be available for inspection. (See Recommendations.) There was documentary evidence to show that staff receive a range of relevant training to ensure they have the necessary skills and knowledge when providing care to older people. The staff team is multi cultural and reflects the local community. It was evident from records inspected that information required by legislation is obtained before a person begins working at the home, for example, references, health declarations and Criminal Record Bureau checks. This helps to ensure that only those people suitable to work with vulnerable adults are employed. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 20 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, 37, 38 Service users live in a home with an experienced manager. The home’s quality assurance system ensures that the home is run in the best interests of service users. Service users’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 21 Standard 31 relates to the role of the registered manager. The current manager, Denise McKenna is in the process of applying to the Commission for Social Care Inspection to become the registered manager of the home. She has been at Aden View for a relatively short time and is experienced in management and the care of older people. It was clear form speaking with Ms McKenna that she is aware of shortfalls within the home and she explained that she has begun to implement changes at the home to address these. Staff and relatives spoken with during this and the thematic inspection reported that she was approachable and supportive. A quality assurance system is in place, and the home seeks the views of the service users and their families by sending out questionnaires asking them to comment on the home and the care that they receive. A survey carried out in October 2006 gave many positive comments about the staff and the home. The manager explained that internal quality assurance is audited independently of the home’s management on a monthly basis. And monthly management visits also take place. Management visit reports are informative and identify areas of good practice and areas for improvement. It was evident from staff meeting minutes and discussion with the manager that action is taken to address issues identified. Neither the manager nor the owner acts as appointee for any of the service users. The manager reported that, mostly, service users’ families deal with their monies but that service users receive their personal allowance to dispose of as they wish. A sample of monies audited during this visit was easily reconciled with records held. As discussed with the manager where valuables, such as bankbooks, are held on behalf of service users a record must be maintained. (See Requirements.) Health and safety checks are carried out and records maintained. Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 22 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 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 2 3 Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP1 Regulation 5 (as amended) Requirement The home’s Service User’s Guide must be reviewed so that it includes all the information required by legislation. Timescale for action 19/01/07 2. OP2 5(B)(1)(2) The home’s contract/statement (as of terms and conditions must amended) included all the information required by legislation. (Timescale of 29.12.06 not fully met.) 15 Changes to service users’ needs identified at review or assessment together with their social care needs must be included within their individual plan of care. The hours of all persons working at the care home must be included on the duty roster. A record must be kept of any valuables deposited by a service user for safekeeping. 16/02/07 3. OP7 16/02/07 4. 5. OP31 OP35 17(2) Schedule 4(7) 17(2) 09/02/07 09/02/07 Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations The home’s Service User’s Guide should be made available in a format suited to the needs of older people, for example, large print, audio tape. The home’s contract/statement of terms and conditions should not contain unfair terms. Therefore, the document should be reviewed in light of guidance from the Office of Fair Trading. The registered provider should ensure that information such as the date of residency is included within the home’s contract/statement of terms and conditions and that the reference to nursing care is omitted, as Aden View does not provide nursing care. The document should be fully completed, be up-to-date and signed by the service user or their representative. The home’s pre-admission assessment should be fully completed and signed by the person carrying out the assessment. Where medication administration details note “as directed” exact details of what this means should be obtained from the prescriber and recorded on the medicines administration record sheet. Food should be liquidised separately for those on a soft diet so as to retain its texture, flavour and appearance. Consideration should be given to redecorate the corridors. Floor coverings in the identified bathroom/shower/toilet areas should be cleaned, as should the identified hoist. Staffing arrangements should be reviewed so that sufficient numbers of staff are on the floor at any one time to meet the needs of service users. Written evidence of staff induction training should be available for inspection. 2. OP2 3. OP2 4. OP3 5. OP9 6. 7. 8. 9. 10. OP15 OP25 OP26 OP29 OP30 Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Aden View DS0000026262.V327322.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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