Inspection on 25/07/07 for Ashby House

This inspection was carried out on 25th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ashby House 05/12/08

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Ashby House 100 Chadwick Drive Milton Keynes Bucks MK6 5LS Lead Inspector Yvonne Souden Unannounced Inspection 25th July 2007 11:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashby House DS0000069276.V340663.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. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashby House Address 100 Chadwick Drive Milton Keynes Bucks MK6 5LS 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) 01908 696676 01908 609809 ashby@barchester.net Barchester Healthcare Homes Ltd Ms Nichola Amanda Cahill Care Home 64 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 2. Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 64. Date of last inspection N/A Brief Description of the Service: Ashby House is owned by Barchester Healthcare Homes Limited and provides care and accommodation for 64 older people. The home is about twelve years old and is on one level divided into two separate living units, Bradwell and Oakgrove. Each unit has their own lounge and dining room, and all bedrooms have en-suite facilities. Bradwell provides care for frail older and physically disabled people, and Oakgrove provides care for older people who have a varied degree of dementia related conditions. The home is situated in a residential area of Milton Keynes close to local amenities, and public transport is accessible from the home. Ashby House has a Statement of Purpose and Service Users Guide available on application to the home. Email Ashby@barchester.com. Information CSCI received 25/07/2007 confirm that weekly fees start from £545 to £1,094, with additional charges for Hairdressing, Daily Newspapers, Chiropody, Taxi Fares, Opticians and Physiotherapy. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information gathered to support this report includes inspection records, documentation received from the home, returned CSCI surveys ‘Have Your Say About Ashby House’, and a 7 hour site visit to the home. The site visit enabled the inspector to observe care practice within the home and hear the views of the service from residents’, visitors’, staff and management. The site visit also gave the inspector an opportunity to view further documentation, and view the care plans’ of five residents’. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals of various religion, race, or culture. The home follows the organisation’s policy and guidelines to manage issues relating to equality and diversity. What the service does well: This was a first visit to Ashby House under the ownership of Barchester Healthcare Homes Limited. Ashby House offers a warm, comfortable and homely environment for the residents’ who live there, and ensures the resident’s individual needs are reviewed regularly and detailed within their personal plan of care. As quoted by a health care profesional “we have seen an improvement in our client since he came to Ashby House, he would not eat, and now he eats and pushes himself in his wheelchair, he is much more independent Staff treat residents’ with dignity and respect, and residents’ have an opportunity to have their say and be listened to from customer surveys’ and resident/relative meetings. The home has a new manager who follows a recruitment procedure that ensures the safety of the residents’. Residents’ needs are met by a trained and compedent staff team. Residents’ and their representatives’ say residents’ enjoy the food provided from a menu that offers fresh vegetables, and provides various snacks throughout the day that includes fresh fruit. The home has a programme of social and recreational activities that are enjoyed by most service users’. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 6 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. Ashby House DS0000069276.V340663.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 Ashby House DS0000069276.V340663.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ashby House enables prospective service users’ and their representatives’ to make an informed choice when considering the home as their new home. Service users’ nursing and care needs are assessed prior to a placement offer. The home does not provide intermediate care. EVIDENCE: The home has a Statement of Purpose and Service Users Guide that inform service users’ and their relatives/representatives of the service provided. Surveys and discussions with the manager, health care professional and relatives’ of service users’ confirmed that an assessment of need is obtained by the home prior to a placement offer, and that prospective service users’ and their representatives, have an opportunity to visit the home. A Health Care professional visiting the home on the day of the site visit said, “as a team we checked the home’s assessment of our client to ensure they know what they are taking on, they were able to put our minds at rest, confirming that they Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 9 were not experts, but have people to help. The health care professional added “some care staff from the home went to work at the hospital to be taught how to meet our client’s assessed needs prior to our client moving to Ashby House”. Ashby House DS0000069276.V340663.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home works closely with Health and Social care services to ensure service users’ health and social care needs are met with dignity and respect. EVIDENCE: It was evident from records viewed, surveys received and discussions with visitors to the home that health and social care professionals are involved in meeting the care needs of the service users’. The diverse needs of the service users’ are identified within their individual plan of care and have an action plan to meet those needs, with long term objectives set, and associated risks identified. Records show service users’ care plans are reviewed regularly, as quoted by a service users relative “we have a review coming up, so Im going to discuss it with staff then”. Daily progress and evaluation records are maintained to a standard that enables the reader to build a picture of the service user’s well being and of the support received to meet their health and social care needs. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 11 CSCI surveys’ ‘Have your say about Ashby House’, and discussions with visitors to the home confirm that health care professionals and visitors are able to see service users’ in private. Records identify that service users are enabled to attend health care appointments; a service user had a hospital appointment on the day of site visit and was escorted by taxi with a staff member. Staff were observed to be attentive to the service users’ and to treat them with dignity and respect, but the Inspector observed a staff member respond to a service user’s request for assistance in a disrespectful manner; this was also observed by the new Head of Care, who reported that the staff member was reprimanded. Some service users’ had fluid charts in their room. The record identified how much fluid had been taken into the room with an account of how much should be taken within a two-hour period, but did not detail actual amounts of fluid taken by the service user throughout the day. The head of care confirmed plans to improve the system of recording to ensure accurate records are kept. Pressure care equipment was observed to be in use throughout the home, and no service users’ were reported to have pressure sores on the day of the site visit. The inspector observed medication administered to service users’ from a monitored dosage system. Discussions with a registered nurse confirmed that staff have received training from the supplying pharmacist, and have recently attended an in-depth medication course that covered the legislative requirements of administration, storage and disposal of medicines within a nursing home. Staff were observed to follow the home’s medication policy and procedure. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management and staff are focused on making daily life interesting and enjoyable for the service users’ on Oakgrove, but this does not reflect on Bradwell. Menu planning is of a high standard, but does not offer equal choice to the service users’. EVIDENCE: Discussions with the manager and the home’s full time activity co-ordinator confirm recognition that service users’ on Bradwell do not receive an equal choice of activity in comparison to those who live on Oakgrove. However it is recognised that the diverse needs of all service users’ will dictate the form of activities offered to ensure all service users are enabled to live a fulfilled lifestyle. The newly appointed manager is enthusiastic of plans in place to resolve the situation and improve the lifestyle of all service users’ particularly of those who live on Bradwell. The inspector was informed that approved plans are in place to restyle and refurbish Bradwell’s sitting room and garden facilities, and an increase of staffing activity hours has taken place with the appointment of a part time activity co-ordinator who was due to commence post 01/08/07. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 13 The inspector observed that most service users on Bradwell remain in their nightclothes and in bed most of the day, and was informed that this was the service users’ choice. As quoted by a service user “ I’m not very comfy in bed, I don’t have many visitors”, and another service user said, “ I don’t know why I’m still in bed”. Observation on Oakgrove identified that service users’, visitors and staff enjoyed the afternoon’s entertainment provided by external entertainers. Oakgrove provides a colourful environment that is within the organisations theme ‘Down Memory Lane’, and a comfortable sensory room and garden was accessible to the service users’. 45 of returned CSCI ‘Have your Say’ surveys said there are always activities provided by the home that they can take part in, 45 said this happens sometimes and 10 made no comment. Varied views were gained from visitors’ about activities within the home, as quoted, “they normally do a lot of activity down on the dementia unit, we take mum down there”, and as quoted there are quite a lot of activities, but he wont take part, and normally likes to stay in his own room. Visitors said that the home has an open door policy, as quoted by a visiting health care professional, the home has open visiting, I will shortly not be visiting as often, as my client has settled in, but my client’s sister visits twice monthly. The manager confirmed that changes have recently been made to the times lunch is served from one sitting to two sittings. Meals were served at 12:30 to the less able service users’ and 1:00 to more able service users’ in the dining room. The Inspector monitored nine service users’ on Bradwell receive their meals. All received their meal between 12:30 and 12:50. Meals were left in the service users’ room uncovered for up to 25 minutes before the service user received assistance, and some service users’ took more than 30 minutes to eat their meal. The inspector observed that if service users’ remain in their room requiring one to one assistance with feeding that the home would require nine staff to assist with feeding between 12:30 – 1:00, and that does not include those service user who were not monitored. The inspector observed that three visitors were assisting service users with feeding on Bradwell, as quoted by a visitor staff found it difficult for him to eat, that is the reason I come in everyday, I feel I can encourage him more, I know what he likes, and they asked me what he would like for his meal the day before. A registered nurse said as quoted the system of serving meals should be that as served from the hot trolley this should be served to the service user within a few minutes to ensure adequate and safe temperatures, agreement was reached between the inspector and nurse that this was clearly not happening. Staff said we offer service users in the dining room menu choice the day before, and service users’ on the dementia unit are shown show plates on the Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 14 day to enable them to make a choice. Records were not maintained to evident choices made by the service users’. Staff confirmed that those service users’ on liquidized food do not receive a choice, and that food offered was based on staffs’ knowledge of the service users likes and dislikes. Life history documentation details the service users’ likes and dislikes. Menus identified choice and the inspector observed service users’ and their visitors enjoy their choice of meal in the dining room. As quoted by a service user’s visitor “food used to be terrible, but has improved in last year, different cooks and as quoted by a service user “I like any food as long as it is cooked good”. Discussions with several visitors and service users’ provided evidence that the meals provided were enjoyed by all; the inspector observed that the meals looked appetising and were attractively presented and that snacks of sweets, biscuits and fresh fruit was readily available. The home is still in the process of evaluating the new system to see if it works better in meeting the needs of the service users’, but improvement is clearly required to ensure all service users receive assistance and choice so that they can safely enjoy their meal. Records and discussions establish that most service users’ are of a Christian faith and that the home ensures they are enabled to practice the religion of their choice. Ashby House DS0000069276.V340663.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 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaint procedure that is easily accessed by service users’ and their representatives, and service users’ are protected from abuse. EVIDENCE: Adult Protection Policies and Procedures are in place and training records identify that staff have attended ‘Safe Guarding Adults’ training. Discussions with staff confirmed their knowledge of safeguarding adults through the home’s whistle blowing policy and procedure. It was evident from returned surveys and discussions with service users’ and their relatives that they feel listened to, and are confident to take a complaint or concern to management. The home has a complaint procedure; records indicate that the home has responded to complaints within a twenty-eight day time scale. CSCI has received one complaint about the service provided within Ashby house. The homes manager investigated the complaint satisfactorily, as monitored by CSCI. A visitor confirmed that she visits the home every day and said, “ on the whole if you complain about anything, they see to it”. Ashby House DS0000069276.V340663.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 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ live in a comfortable homely environment that is adapted to meet their needs, but this was jeopardised by an unpleasant odour on both units. EVIDENCE: The entrance to Ashby House is welcoming with a receptionist desk, comfortable seating and information leaflets about the service and external services. The inspector observed an unpleasant odour on entering the premises that became stronger within one area of Bradwell and Oakgrove. The manager acknowledged the presence of the odours and confirmed plans in place to rectify the situation; the home has re-carpeted some rooms and has purchased ionizers yet to be installed by the company who provides the product. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 17 The manager explained the choice of continence management by a service user made it difficult to control the odour, however it has to be noted that service users’ have a right to live in a fresh and clean environment and the choice not to live in an environment that has offensive odours. As quoted by three separate visitors “not always tidy, and table not always clean, they could do a bit more cleaning, “dementia side, normally a very strong smell of urine” and the home is always clean, staff are always busy, always on top of daily hygiene. Systems are in place to promote safe working practice and infection control. Staff receive infection control and fire training, and weekly fire tests are ongoing. Adaptations were visible throughout the home and records identified that maintenance checks of equipment takes place. Ashby House DS0000069276.V340663.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A staff team who are competent and trained meets the service users’ needs, but this is jeopardised by either insufficient staff hours, systems in place or poor deployment of staff at meal times. EVIDENCE: Staff appeared to be able to meet the personal care needs of the service users’, but staff struggled at lunchtime to meet the needs of those service users’ who required assistance with feeding, this was despite three service users’ having assistance from their visiting relatives. The home has a high turnover of staff; mainly due to overseas staff returning home to their own country, therefore the home uses agency staff, and has just completed a recruitment drive. The home has a policy on equal opportunities, diversity, and anti-oppressive practice. Records show that policies and procedures on recruitment are followed and CRB and references on prospective staff are obtained prior to employment. New staff are supernumerary, and discussions with new staff confirmed that they receive support by a mentor throughout their induction period. Staff said that they receive one to one supervision that supports their development needs. Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 19 As quoted by visitors’ to the home staff changing all the time, usually attentive I can’t ask for more than that, caring staff, very good, they have to get agency in, I feel changeover of staff has a diverse affect on the service users’ as they just get to know one and they move on” and staff are amazing, we knew the home was the one for our client The home has a full programme of external and internal staff training accessed by staff, for example, understanding dementia, palliative care, yesterday today and tomorrow and mandatory Health and Safety training. 50 of care staff has an NVQ. Ashby House DS0000069276.V340663.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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and qualified manager who is new in post manages the home and is enthusiastic to improve the service provided to the service users. EVIDENCE: The manager has 22 years experience in the care of older people and has four years experience as an inspector with CSCI. Survey’s and discussions with staff, service users’ and visitors to the home confirm that the manager is approachable and has made changes to the home that benefits the service users’. Staff feel supported by the manager and records identify that regular staff and resident/relative meetings take place Discussions with management and records viewed identified that management maintain a regime of auditing to ensure standards are maintained, and that a Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 21 senior member of staff within Barchester Healthcare undertakes a monthly inspection of the home. The provider and manager of the home do not act as appointee for handling financial affairs of the service users. It was evident throughout the home that the Health and Safety of service users’, staff and visitors’ is paramount. The home has policies and procedures on safe working practice and staff receive regular training within Health & Safety, Fire Prevention, Moving and Handling, COSHH and Food Hygiene. The kitchen was observed to be clean, and safety audits are maintained to ensure a safe working environment, and ensure food hygiene standards are met. Ashby House DS0000069276.V340663.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 3 X 3 X X 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 2 13 3 14 2 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP26 Regulation 23.2 (d) Requirement The manager must ensure all areas of the home are clean and free of unpleasant odours to ensure a pleasant environment for the service users. As identified and agreed at the site visit the manager must ensure sufficient staff numbers are employed or deployed to meet the needs of the service users at all times, with particular reference to meal times. Timescale for action 25/08/07 2 OP27 18. 1 (a) 25/07/07 Ashby House DS0000069276.V340663.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 OP15 Good Practice Recommendations The manager should ensure staff are able to offer service users’ assistance in eating as their meals are served so that the service users’ can safely enjoy their meal. The manager should ensure choice of meals are given to all service users’ with particular reference to those service users’ who have a liquidized meal, and maintain a record to evident the choice made by the service users’. 2 OP15 Ashby House DS0000069276.V340663.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. 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