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Inspection on 31/01/06 for Ashburnham House

Also see our care home review for Ashburnham House for more information

This inspection was carried out on 31st January 2006.

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.

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

What the care home does well

The care provided to the residents continues to be of a high quality. Ashburnham House is a small home and is run as a family business with friendly staff and lots of input from the registered owner/manager and his family. Again, during this inspection, there was very positive and good interaction between both the owner/manager, the assistant manager and the staff on duty. The environment continues to improve. There is an ongoing programme for the redecoration and refurbishment of the home. Again, the registered owner/manager continues to have contact with the residents during the day and also takes time to talk with relatives to the home. A high number of very positive comment cards were received and permission given to quote them as follows:- "I cannot speak too highly of the care given to my relative. The care is given with love, dignity, humour and kindness. We consider ourselves lucky to have found such a very good care home." "I will recommend this home to others." Other feedback cards comment on the kindness shown to the residents, the fact residents are treated as part of a family, and "Nash (registered owner/manager) and his staff require medals for all that they achieve and try to achieve with patient such as my relative".

What has improved since the last inspection?

What the care home could do better:

The registered owner/manager must ensure that staff do not commence work until the required POVA first and Criminal Record Bureau disclosures are obtained. Advice has been provided over this and an official letter sent to the registered person. Mandatory training must be provided to staff and can be identified via the training matrix which is in place. All staff must have their own training record. A number of Policies and Procedures are absent and must be put in place and staff must be made accessible to staff. The duty roster of hours worked must reflect the management hours worked for both the registered owner/manager as well as the assistant manager.Recommendations have also been made in relation to activities in the home, redecoration/refurbishment, the assessment procedure and the home`s employment application form. It is also anticipated that the Registered owner/manager will achieve the Registered Managers Award this year.

CARE HOMES FOR OLDER PEOPLE Ashburnham House 33/35 Westminster Road Morecambe Lancashire LA4 4JA Lead Inspector Mrs Joy Howson-Booth Announced Inspection 31st January 2006 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 Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashburnham House Address 33/35 Westminster Road Morecambe Lancashire LA4 4JA 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) 01524 413508 Mr Nashir Kasmani Care Home 11 Category(ies) of Dementia (7), Old age, not falling within any registration, with number other category (4) of places Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home shall at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4th August 2005 Date of last inspection Brief Description of the Service: Ashburnham House is a small, family type environment providing residential care for up to 11 people of either sex. At present, the home is registered to accommodate up to 7 people with dementia and up to 4 older persons. The home comprises of two terraced houses which have been developed into one large property and it is situated in the West End of Morecambe, close to local shops, amenities and the promenade. In early 2004, the home had a change of Proprietor and is now owned and managed by Mr Nashir Kasmani. Since Mr Kasmanis purchase, the home has enjoyed redecoration and refurbishment and Mr Kasmani continues to develop and improve both the care provided and the fabric of the building. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and carried out over one day by the inspector for the home. The purpose of this inspection was to assess the service against the key National Minimum Standards which remain outstanding for this inspection year and also reviewed actions taken following the requirements made in the previous inspection report. A number of residents were spoken with, along with three visitors to the home. Staff on duty were also spoken with. As well as this, discussions took place with the registered owner/manager of the home and the home’s assistant manager. Care plans and other documentation was also examined. Feedback received from residents, both at the time of this inspection and from comment cards received, indicated that they felt very well looked after at the home and were well cared for by the staff. A large number of comment cards were received from relatives and the comments were all very positive about the care provided. No comment cards were received from any healthcare professionals. What the service does well: The care provided to the residents continues to be of a high quality. Ashburnham House is a small home and is run as a family business with friendly staff and lots of input from the registered owner/manager and his family. Again, during this inspection, there was very positive and good interaction between both the owner/manager, the assistant manager and the staff on duty. The environment continues to improve. There is an ongoing programme for the redecoration and refurbishment of the home. Again, the registered owner/manager continues to have contact with the residents during the day and also takes time to talk with relatives to the home. A high number of very positive comment cards were received and permission given to quote them as follows:- “I cannot speak too highly of the care given to my relative. The care is given with love, dignity, humour and kindness. We consider ourselves lucky to have found such a very good care home.” “I will recommend this home to others.” Other feedback cards comment on the Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 6 kindness shown to the residents, the fact residents are treated as part of a family, and “Nash (registered owner/manager) and his staff require medals for all that they achieve and try to achieve with patient such as my relative”. What has improved since the last inspection? What they could do better: The registered owner/manager must ensure that staff do not commence work until the required POVA first and Criminal Record Bureau disclosures are obtained. Advice has been provided over this and an official letter sent to the registered person. Mandatory training must be provided to staff and can be identified via the training matrix which is in place. All staff must have their own training record. A number of Policies and Procedures are absent and must be put in place and staff must be made accessible to staff. The duty roster of hours worked must reflect the management hours worked for both the registered owner/manager as well as the assistant manager. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 7 Recommendations have also been made in relation to activities in the home, redecoration/refurbishment, the assessment procedure and the home’s employment application form. It is also anticipated that the Registered owner/manager will achieve the Registered Managers Award this year. 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. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 the following standard(s): 3 There are good arrangements for the needs of residents to be assessed and met which means only people whose needs can be met will be admitted to the home. EVIDENCE: An pre-admission assessment format is in place and it was confirmed that the registered owner/manager undertakes personal visits to any prospective resident to complete the assessment. The registered owner/manager was advised that a formal assessment document would be helpful to ensure that all areas are addressed and, in addition, this document would ensure that a consistent approach is taken to all the assessments. From discussion with the registered owner/manager there is a clear understanding of the need to ensure a thorough assessment is undertaken to ensure the home admits only those residents whose needs it can meet. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 10 Discussion with visiting relatives confirmed that they visited the home and discussed their relative’s requirements with the registered owner/manager, were shown around the home and provided with written information to consider. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Standards 8, 9 and 10 were assessed during a previous inspection. The care plans provide information which enable staff to be aware of the preferences and daily routines of individual residents needs and how these are to be met. EVIDENCE: A requirement made at the previous inspection required the home to ensure residents social activities, interests and preferences to be recorded on their care plan. A selection of care plans were examined during this inspection and noted that these now contain likes, dislikes, daily routines and preferences. A separate record book is maintained for social activities undertaken. It is recognised that the registered owner/manager continues to develop the care plans in the home and these will be reviewed again at the next inspection. A requirement made at the previous inspection also in relation to care plans required the home to ensure that any specific needs are contained in the care Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 12 plan and risk assessments carried out. From discussion with the registered owner/manager and from reading care plans it was seen that these have been addressed. From comment cards received and from discussions with those residents who are able to do so, confirmation was received that they like living at the home, feel well cared for and feel safe. From observations of the staff and registered owner/manager during this inspection there are excellent interactions which are given with care and kindness. A good number of comment cards were received from relatives who confirmed that they are all very happy indeed with the care provided to their relatives. Discussion with three visiting relatives (who gave permission for their comments to be quoted) again confirmed how “lucky we feel to have found such a very good care home” and “I cannot speak too highly of the care given to her. The care is given with love, dignity, humour and kindness.” Another comment stated that they would recommend the home to other people. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Within their own abilities, residents are encouraged to exercise choice and control over their lives. Arrangements and planning to provide good nutritional food are good. The residents are provided with home cooked food to ensure healthy living. EVIDENCE: A requirement at the previous inspection required the home to review the menu provision to ensure it provides a nutritional diet to the residents. At this inspection the registered owner/manager confirmed that this has been carried out and the new menus were seen in place. The menus now include more traditional home cooked foods. The preinspection questionnaire completed by the registered owner/manager confirmed that there is no choice of menu, however, as the residents’ likes and dislikes are known, individual preferences are addressed. It was noted that breakfasts are more flexible with residents able to choose from a list of options. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 14 Discussions with residents confirmed that they all liked the food provided and had enough to eat. A meal was enjoyed during this inspection and found to be to a good standard, with residents being offered “seconds” if needed. Where needed, advice from the dietician is requested. Discussion with the staff on duty confirmed that there is a good understanding of how to provide the residents with choice – clothing, meals, and activities. Given the needs of the residents at the home, finances are usually dealt with by relatives or appointees. Residents are encouraged to bring in treasured personal possessions and rooms seen during this inspection confirmed a number do contain such items which make them homely and personalised. Residents are allowed access to their personal records but most would be unable to request these. Comment cards received from relatives confirmed that they are kept informed of important matters affecting their relatives. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 There are systems in place to ensure that residents are protected from abuse. EVIDENCE: The home has a vulnerable adult abuse procedure in place which was seen during this inspection. Discussions with the staff member on duty confirmed that if they had any concerns they would speak with the registered owner/manager. Where needed, residents are provided with the appropriate support and, from discussions with the registered owner/manager over the care needs of one resident, advice and guidance are sought from trained professionals. Training is being provided to staff which will include vulnerable adult abuse awareness. The member of staff spoken with confirmed previous training in adult abuse awareness but would like to have update training in this area. No referrals have been made to the Protection of Vulnerable Adults (POVA) register to date. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 There are procedures in place to ensure the home remains clean and hygienic and provides a safe home for the residents to live in. EVIDENCE: A requirement made at the previous inspection required the home to ensure the laundry floor and walls were impermeable. During this inspection, it was confirmed that the separate laundry has now been provided with impermeable floors and walls. It has previously been confirmed that washing facilities meet with infection control guidance. The registered owner/manager has recently installed a sluicing machine in the home. From a general tour of the home it was confirmed that the home is clean, hygienic and free from offensive odours. Discussions with relatives stated that when they first visited the home they liked the fact that it was homely and did not have any “smell”. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 17 There are procedures in place to deal with soiled waste and the registered owner/manager confirmed in the pre-inspection questionnaire that the home has a contract for the removal of soiled waste. The registered owner/manager is advised to ensure that training on the control of infection is provided to all staff, including the domestic staff. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 The level and calibre of staff is good which means residents are cared for by a team of dedicated staff. The procedures for recruiting staff are not being followed which means that residents may not be protected from abuse. Training should continue to ensure staff are competent to care for the residents. EVIDENCE: A requirement made at the last inspection required the registered owner/manager to ensure that staff are not employed until the home have received a satisfactory Criminal Record Bureau disclosure for them. During this inspection, it was seen that two members of staff had been employed without such checks being carried out. An official letter was sent to the registered owner/manager about this. Advice was also given that the application form needs to ensure that all the previous employment history is given. The application form could also include a section for the prospective employee to state if they have ever been disciplined or dismissed from any previous employment. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 19 The staffing rota was seen and again the registered owner/manager was advised to include all the management hours of work on this document. For the number of residents in the home there are sufficient staff on duty. Comment cards received from relatives all felt there were sufficient staff on duty. Comments also included praise about the care provided by the staff at the home. Training for staff is ongoing with future training being organised. On the day of this inspection, staff were attending a first aid course. . The registered owner/manager confirms that a number of staff have indicated an interest in the NVQ training. All but one member of staff are doing the “Skills for Care” training at the local College. Discussion with a member of staff on duty confirmed that training had been accessed during previous employment and induction training had been provided at the home. However, she is keen to access further training, particularly the National Vocational Qualification (NVQ) training. Training certificates were seen on individual staff members’ files. A training record for individual members of staff needs to be put in place and the training matrix for the home needs to be updated. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Experienced management run the home. Residents live in a well managed and safe home. The arrangements to protect the residents’ rights and interests are good. Not all Policies and procedures are in place, or being reviewed, which means staff may not have accurate information or guidance on which to act. EVIDENCE: A requirement made at the last inspection required the owner/manager to obtain the Registered Managers Award. It was confirmed that the registered owner/manager is well on the way to achieving this qualification and is hoping this will be completed in the next few months. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 21 The registered owner/manager and the assistant manager continues to update their knowledge and skills in the care of people with dementia and are obviously keen for the home to be recognised as providing an excellent quality of care. Discussions with relatives confirmed that they have full confidence in the registered owner/manager and assistant manager and feel the home is very well managed with their relatives being cared for in a safe and secure environment. Comment card received also confirmed a confidence in the management of the home with one stating “Nash (registered owner/manager) and his staff require medals for all that they achieve and try to achieve with patients such as my relative”. The registered owner/manager has provided a report that details the work at the home over the last twelve months. This includes work on the environment, staffing, training, and record keeping. The report also details work for the future that includes – a continual review of nutrition and meals, further development of social and leisure activities and more improvements to the environment. The home has been successful in renewing its ISO 9001 quality assurance award for a further 3 years. The registered owner/manager is continually looking towards improving the service provided, not only within the care provided but also in the fabric of the home. Residents meetings are not held, although the registered owner/manager works full-time in the home and has continual contact with the residents. Comments made by relatives included their confidence in the registered owner/manager and praise for the improvements made to date. The registered owner/manager indicated in the yearly report that he is looking to introduce relatives’ forums in the future and this will be a welcome opportunity for relatives to meet formally, provide feedback and receive support. The pre-inspection questionnaire indicates that there are a number of policies and procedures that are not in place and these need to be implemented as a matter of priority. Records for personal allowances monies handled by the home were seen and these confirmed that residents sign when their money is given to them. For the remaining residents, all finances are managed either by their relatives or by an appointee. A record of charges and payments was seen – all residents being funded via a local authority funding system. There are secure facilities for the safekeeping of residents’ money and valuables and a receipt book for this was seen. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 22 As recorded earlier, mandatory training is ongoing for staff and the registered owner/manager is advised that all staff need to have training in the mandatory areas within the timescale stated. The registered owner/manager confirmed all staff have had training in Health and Safety. The registered owner/manager has indicated in the pre-inspection questionnaire that regular servicing of facilities and equipment takes place. The registered owner/manager confirmed that risk assessments are carried out, for both individual residents and on safe working practices. A staff noticeboard has been implemented which includes notices on safe working practices. The accident book was seen and, from discussions with the registered owner/manager, it was felt appropriate monitoring and actions take place should an accident occur. A requirement at the previous inspection required the registered owner/manager to seek advice form the fire safety officer over the provision of door stops. The registered owner/manager stated this was not being pursued at present as there are no residents who wish to have their door open at night. The registered owner/manager confirmed that advice of the fire safety officer had been carried out with the provision of a new fire door on the upper landing area. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 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) Requirement Robust recruitment checks must be carried out for all staff prior to commencement of employment. Staff files must contain all the require information as outlined in Schedule 2 of the Care Homes Regulations (Previous timescale has not been met) Mandatory training must be provided to all staff. All staff must have their own training record in place All the required Policies and Procedures must be put in place The duty roster must reflect the management hours worked Timescale for action 31/01/06 2 OP30 18(1)(c)(i ) 12(1)(a) 17(2) 31/05/06 3 4 OP38 OP27 31/03/06 07/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 25 No. 1. 2. 3 4 5 Refer to Standard OP12 OP19 OP31 OP3 OP29 Good Practice Recommendations Activities enjoyed and provided to residents should continue to be developed The redecoration and refurbishment programme should continue as this is having a positive effect on the environment The registered owner/manager should continue with the Registered Managers Award which needs to be obtained by 31.12.06 The current assessment system would benefit from a formal document to prompt and record over specific areas assessed The home’s application form should enable any prospective employee to provide a full employment history. The form could also include a declaration for the prospective member of staff to indicate if they have ever been dismissed or disciplined from any previous employment. Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 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 Ashburnham House DS0000056670.V259529.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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