Inspection on 12/12/07 for Alston House

This inspection was carried out on 12th December 2007.

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

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

Other inspections for this house

Alston House 22/06/09

Alston House 22/06/09

Alston House 04/06/09

Alston House 05/05/09

Alston House 04/11/08

Alston House 03/06/08

Alston House 19/09/07

Alston House 19/04/06

Alston House 12/12/05

Alston House 22/08/05

Alston House 22/11/04

Alston House 20/07/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Alston House 380 Aylestone Road Leicester Leicestershire LE2 8BL Lead Inspector Diane Butler Unannounced Inspection 12th December 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 Alston House DS0000006408.V355367.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. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alston House Address 380 Aylestone Road Leicester Leicestershire LE2 8BL 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) 0116 291 5601 0116 291 5611 Mrs Margaret Madden Manager post vacant Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (19), Old age, not falling within any other category (19), Sensory Impairment over 65 years of age (2) Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user numbers. No person falling within categories OP, MD(E) or DE(E) may be admitted to the home when 19 persons of categories/combined categories OP, MD(E), DE(E) are already accommodated within the home. Service user numbers. No person falling within category SI(E) may be admitted to the home when 2 persons of categories/combined categories SI(E) are already accommodated within the home. The maximum number of persons to be accommodated at Alston House is 19. 19th September 2007 2. 3. Date of last inspection Brief Description of the Service: Alston House is a care home for older persons, providing accommodation and personal care for up to nineteen residents some of whom have mental health needs, dementia and/or a sensory impairment. The home is situated on the Aylestone Road in Leicester approximately 15 minutes away from the city centre. There are shops within five minutes walking distance from the home and there is a small park nearby. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are three lounges, two dining room areas and a conservatory on the ground floor. The home offers both single and shared bedrooms some of which come with ensuite facilities. A large parking area is to the front of the home and there is a well-maintained garden to the rear of the home. Current charges range from £330.00 per week to £440.00 per week. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the homes Statement of Purpose document, (a document which provides relevant information about the home) which is given to all prospective and current residents. A copy of the latest Inspection report is available at the home, or it can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the acting manager. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a six and a half hour period on Wednesday 12th December 2007. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, speaking with them when possible and discussion with staff on duty at the time of the visit. Where communication was difficult observation was used to evidence whether care needs were being met. A further five residents and two relatives were also spoken with during the site visit and a relative was contacted by phone following the visit to gain their views of the service provided. Further planning for this visit included checking the service history of the home and last Inspection report and looking through the AQAA document (Annual Quality Assurance Assessment), which was submitted to the Commission for Social Care Inspection prior to the visit. The AQAA document is the main way that providers inform us of how well their service is delivering good outcomes for the people using it. What the service does well: The acting manager visits all prospective residents before they move into the home and an initial assessment is completed to ensure that their needs can be met. Comprehensive care plans and risk assessments are in place and care workers are well aware of the current care and support needs of the residents. Residents are offered choices on a daily basis, including what time to get up, where to eat their meals and whether to join in the activities provided. The acting manager is supportive and approachable and families and friends are encouraged to visit and be involved in the life of the home. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Ensure that suitable references are obtained when employing new staff. Residents need to be protected by the recruitment procedures that are in place. Provide formal induction training when care workers are first employed. Care workers need to have the knowledge to carry out their role within the home and need to know what is expected of them as a care worker. Ensure that new care workers are provided with the training they need to enable them to carry out their role effectively. Residents need to know that their care is being provided by competent and well trained staff. Provide staff with regular supervision. Staff should be provided with the support to enable them to carry out their role within the home effectively. Ensure that money kept on behalf of the residents is appropriately stored and documented. Residents need to be assured that their money is kept safe at all times. Ensure that an advocacy service is available for residents who need assistance with their personal finances, this will protect both the resident and the staff working in the home. Ensure that activities provided in the home are recorded, this will enable the care workers to provide a more varied programme and reduce the possibility of duplication of activities. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 7 Ensure that quality assurance questionnaires are used to gather the views of the residents and/or their relatives and make the results of these available to interested parties. This would show residents and relatives that their views on the service provided are valued and taken seriously. 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. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are appropriately assessed before moving into the home to ensure that their needs can be met. EVIDENCE: A statement of purpose document is in place. The acting manager stated that this document, which includes details of the terms and conditions of occupancy, is given to all prospective residents. This was confirmed on speaking with a relative who confirmed that they had received this information. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 10 The acting manager stated that all prospective residents are visited either in their own home or in hospital so that an assessment of need can be carried out and all prospective residents and/or their relatives are invited to look around the home prior to moving in, in order for them to see what the home has to offer. One visitor explained: “They came and had a look around before she moved in”. On checking the files belonging to three residents who had moved into the home since the last inspection in September this year it was noted that all had a completed needs assessment in place. One relative stated: “They went to to see him to find out what help he needed.” At the last inspection in September this year it was noted that a resident who was self funding did not have a contract and issues around their finances were a concern to the acting manager. A recommendation was made with regard to sourcing an advocate for this resident to assist them with their finances. On checking their file and whilst speaking with them during this visit it was evident that they were still without a contract and it was not known whether an advocate had been sourced. Intermediate care is not currently provided at Alston House. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents currently receive the care and support they need. EVIDENCE: Three resident files were checked and all were found to include a copy of their care plan developed following their arrival at the home. All three were comprehensive in content and included all the actions to be carried out to meet their identified needs. Care plans are reviewed on a monthly basis and where changes in care needs occur the care plans are amended to reflect this. All the care workers spoken with confirmed that they read the care plans on a regular basis to ensure that they were up to date with the residents needs. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 12 Risk assessments were in place for all three residents. These documents include the risks relating to each individual resident and the actions to be carried out by the care workers to minimise those risks. Although most of the risk assessments seen were thorough in content it was noted that for a resident who suffers with asthma and a resident who suffers with diabetes, the risks associated with these conditions were not included in their risk assessment documentation. The acting manager stated that this would be addressed straight the way. On checking the daily records held in the home it was evident that health care professionals were involved in the residents care. These included the local GP, community nurse and optician. Medication records were checked and were found to be in order, all had been signed into the home appropriately and all had been signed for when administered to the residents. It was noted that there was quite a large surplus of insulin stored for one resident with dates going back to August 2007. It is recommended that this surplus be used before more is ordered. Residents and relatives spoken with during the visit stated that they were being appropriately cared for and there current care needs were being met. Comments received included: “She always looks immaculate”. “They are quite happy with the place”. “I am very pleased with the care”. “They look after him very well”. It was noted during the visit that one gentleman resident was given a quick shave in the lounge. This was discussed with the senior on duty at the time and we were informed that this was because the gentleman was not always willing to have a shave when helped in a morning and therefore the staff carry out this task when the gentleman will let them. To maintain the residents dignity it is strongly recommended that this be carried out in the privacy of their room or bathroom. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Visiting is encouraged to enable residents to maintain contact with family and friends. EVIDENCE: Choices are offered to the residents on a daily basis including when to get up, what to wear, where to eat their meals and whether to join in activities offered. There is currently no structured activities programme within the home, however, music and movement sessions are provided and staff provide physical activities such as ball games and one to one sessions on a regular basis. The acting manager also explained that she was in the process of developing sensory boxes, which will be used as part of the activities programme. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 14 Residents spoken with stated that the food served in the home was good and a copy of the day’s menu can be found on the notice board situated in the entrance hall. It was noted that an alternative to the main meal was not included on the menu sheet though it did say that an alternative is available on request. One resident was seen during the visit choosing an alternative to the meal offered. Comments received included: “I’m having ham and porkpie for my tea, I love it”. “The foods good, she eats loads”. A number of staff, including the acting manager are currently in the process of completing a training course in healthy eating and nutrition. Family and friends are encouraged to visit. Relatives spoken with during the inspection confirmed that they were always made welcome and were able to visit at any time. One relative explained: “The staff are always pleasant and offer drinks”. A second relative stated, “I can go any time, and I do! morning, afternoon and evening”. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to and dealt with appropriately. EVIDENCE: A complaints procedure is in place. A copy of this can be found on the notice board situated in the hallway near the front door and details are also included in the Statement of Purpose, which is given to all residents (or their relatives) living at the home. The acting manager stated that no complaints had been received since the last inspection in September this year. This was confirmed on checking the complaints book. A number of care workers have completed abuse awareness training in the last twelve months and carer workers spoken with during the visit were aware of the actions to take should they suspect any form of abuse. All residents and/or their relatives spoken with stated that they felt safe living at the home and they were well looked after. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 16 Comments received included: “I feel he is very safe there”. “I would talk to xxxx [the acting manager] if she wasn’t available I would talk to one of the seniors. Any one of them would sort it out”. “I feel the staff are receptive and would deal with any issues”. “My mum and dad are quite happy with the place”. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a comfortable place to live. EVIDENCE: The communal areas within the home are appropriately maintained and suited to the current residents needs. Furnishings in the lounge areas, dining areas and conservatory are domestic in character and in good condition. One resident’s room was seen during the visit, this was furnished in the way that they preferred and included some personal belongings. A number of improvements have been made since the last inspection in September this year. New dining room furniture, including dining table, chairs and cabinets have been purchased for the dining room at the rear of the home Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 18 and new pictures have replaced the notice boards in the main dining area at the front of the home. The acting manager explained that the upstairs landing and a number of resident’s rooms have been decorated and the downstairs shower room is to be decorated in the near future. It was noted that a number of the doors to residents’ rooms and in corridors were still quite badly scratched. The acting manager explained that decorating is ongoing and areas in need of decoration would be addressed. There is a garden to the rear of the home that residents can access and benches are available for residents and visitors to use. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are currently employed to meet the individual needs of the residents living in the home. EVIDENCE: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the residents. Relatives spoken with felt that on the whole there were enough staff on duty to meet their relatives needs and the care workers spoken with felt that there were normally enough staff on each shift to care properly for the residents. Due to shortfalls being identified within the recruitment process at the last inspection in September this year, four staff files were checked. On checking the file that did not have a POVA check or updated CRB check at the last inspection it was noted that these had been obtained. The file belonging to a member of staff who had been employed without any checks at all included a POVA 1st check, which had been obtained prior to them being allowed to return to work the home. Two care workers employed since the inspection in September both had POVA 1st checks in place prior to them commencing work. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 20 With regards to references it was noted that two files had two written references in place and one had one written reference in place. For the member of staff recently employed only one ‘to whom it may concern’ reference was in place. It was noted that of the three new workers only one had completed any form of induction. The acting manager explained that this would be addressed and it was her intention to commence this training as soon as possible. On checking the training file, which is currently being updated it was noted that a number of courses have been provided in the last twelve months. These include: Managing challenging behaviour Infection control Moving and handling Abuse awareness It was noted that there was no record of training provided to the staff recently employed. The acting manager stated that training had recently been provided to new staff in moving and handling, and training in dementia awareness and healthy eating is currently being completed. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents would be further protected by the accurate recording of money held for safekeeping and by ensuring that all staff receive the appropriate training within health and safety. EVIDENCE: At the time of the visit the home was without a registered manager. The acting manager has many years experience in care and has completed her National Vocational Qualification level four and Registered Managers Award. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 22 Visitors at the home at the time of the visit stated that the acting manager was approachable and would have no hesitation to talk with her should they need to. Care workers spoken with felt supported and all stated that there was always someone available to talk to should they need to. One relative stated, “You can talk to xxxx [the acting manager] and Margaret [the registered provider] they put you at ease”. The acting manager stated that staff meetings are held on a regular basis. This was confirmed on talking with four care workers. Supervision sessions are not currently provided, though both the acting manager and the care workers spoken with explained that they talk daily about any issues that they may have. Quality assurance questionnaires are not currently used to gather the views of the residents living at the home, though the acting manager stated that she talked with the residents on a daily basis to ensure that they were satisfied with the care and support they were receiving. At the last inspection in September this year it was noted that there were a number of items held in the safe such as wedding rings and chains that had no names on them. These have now been returned to their owners or the resident’s next of kin. On checking money held in safekeeping for residents it was noted that this still was not being formally recorded. The acting manager stated that this would be addressed. Records previously kept in the dining area are now kept locked away as recommended at the last inspection. On checking the daily records for three residents it was noted that these were up to date and for one resident who had suffered a fall this was appropriately documented in both the daily record and the accident book. The acting manager explained that all care workers are provided with moving and handling training. This was confirmed on discussion with the care workers on duty during the visit. Evidence of other training including health and safety, infection control, fire safety and dealing with Challenging Behaviour was seen though it was noted that the newer care workers had yet to have the opportunity to receive this. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 2 X 2 Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19(1)(b)(i Requirement The registered person shall not employ a person to work at the care home unless-he has obtained in respect of that person the information and documents specified in Schedule 2. 1. The registered person must ensure that appropriate references are obtained. Residents need to be protected by the recruitment procedures that are in place. Previous timescale 30/09/07 2. OP30 18(1)(c) (i) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of the service users – Ensure that persons employed by the registered person to work at the care home receive – Training appropriate to the work they are to perform. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 25 Timescale for action 21/12/07 21/12/07 1) The registered person must ensure that all new care workers are provided with induction training on employment at the home. 2) The registered person should ensure that all new care workers receive appropriate training including health and safety training as soon as is reasonably practicable following employment. Residents need to be confident that their care is being provided by competent and well trained staff. The registered person shall maintain in the care home the records specified in Schedule 4. A record of all money or other valuables deposited by a service user for safekeeping or received on a service users behalf must be kept. Resident’s money and valuables must be protected at all times. Previous timescale 30/09/07 4 OP36 18(2) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of the service users – Ensure that persons working at the care home are appropriately supervised. Staff need the support to enable them to carry out their role within the home effectively. 21/12/07 3. OP35 17(2) 21/12/07 Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 26 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 OP2 OP10 OP12 OP33 Good Practice Recommendations The registered provider should source an advocate to assist the resident identified during the visit with their contract and finances. The registered provider should ensure that all personal care and support is carried out in the privacy of the resident’s own room or bathroom. The registered provider should ensure that the activities provided by the care workers are recorded. The registered provider should recommence the quality monitoring systems that are in place including questionnaires for residents and their relatives in order to get their views of the service provided. Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Alston House DS0000006408.V355367.R01.S.doc Version 5.2 Page 28 - 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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