Inspection on 11/01/06 for Ash Court Care Home

This inspection was carried out on 11th 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.

Other inspections for this house

Ash Court Care Home 04/03/08

Ash Court Care Home 18/05/06

Ash Court Care Home 27/05/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashcourt Care Home Brookside Avenue Liverpool Merseyside L14 7NB Lead Inspector Pat Kearney Unannounced Inspection 11th January 2006 01:30 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 Ashcourt Care Home DS0000063424.V278502.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. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashcourt Care Home Address Brookside Avenue Liverpool Merseyside L14 7NB 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) 0151 259 7522 Meridian Care Limited Mrs Sarah Ann Molloy Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th May 2005 Brief Description of the Service: Ashcourt is a purpose built home which was built 5 years ago. Ashcourt was January 2005 purchased by Meridian Care Limited who since the last inspection has almost completed a refurbishment programme which has increased the number of single bedrooms at the home from 37 to 40 all have en suite facilities. A reconfiguration of the rooms at the home has seen a new assisted bathroom and walk in shower room being installed. All communal spaces and service users bedrooms have been redecorated and are in the process of being recarpeted. Meridian Care Limited have since the last inspection appointed a new manager who has been registered with the Commission for Social Care Inspection. (C.S.C.I.). The Deputy at the home left in December. The home is located in a residential area of Liverpool and is within easy access to bus routes, churches and local amenities. Communal space within the home consists of a conservatory and three lounge areas, one of which is equipped with facilities for service users/visitors to make their own drinks /snacks. There is a garden area at the front of the home and a small area to the rear which has a water feature for service users to enjoy. It is anticipated that the refurbishment will be completed early February 2006. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection took place over five hours on 11th January 2006. A tour of the premises including the kitchen and laundry took place. The inspection consisted of examination of documents and records which included, care plans, risk assessments, training records and staff personnel files service contracts fire safety records and the complaints record book The inspector spoke to service users and visitors, the Registered manager, 1 senior care staff 4 care workers and the newly appointed cook. What the service does well: What has improved since the last inspection? A new manager has been appointed to lead the staff team and the manager has been registered with the Commission for Social Care Inspection. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 6 Meridian Care Ltd has published a full set of policies and procedures to be used at the care home these policies will provide clear direction in the management of all areas of the care home. The investment in the complete refurbishing of the care home by Meridian Care Ltd has already improved the decor and amenities at the home. The refurbishment when completed will provide a comfortable and homely environment for service users to live. Both service users and visitors commented about “ How nice the home was looking.” A second cook has been appointed changes in the kitchen rota has enabled a cook to be on duty seven days per week this facilitates the provision of varied and wholesome meals 7 days per week. The recruitment of other staff members will see an improvement in the service provided. What they could do better: The many changes at the care home have left both service users and staff feeling unsettled. There needs to be a period of consolidation, which sees the implementation of Meridian Care Ltd new policies and procedures. All records including service contracts care plans need to be organised and available at all times for inspection. Care plans must consistently record the changes in any service users condition. The weighing of service users must be recorded and any changes reported to senior staff. The dietary needs of service users must be addressed food and fluid intake observed and recorded. Medication Administration Charts must be fully completed and signed as required by the Care Standards Act. Training and development could be improved for all staff, with management ensuring that all staff update their mandatory training and receive specialist training. Effective cleaning rotas need to be implemented to ensure that the home is clean and free from malodour at all times. Deep cleaning of the kitchen must be completed to ensure the health safety and welfare of service users at all times. Contracts must be issued to all service users. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 7 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. Ashcourt Care Home DS0000063424.V278502.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 Ashcourt Care Home DS0000063424.V278502.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): 1.2.3.4.5.6. The homes Statement of Purpose and Service User Guide are well written providing service users and prospective service users and /or relatives with details of the services the home provides enabling them to make an informed decision about admission to the home. Service users have a holistic assessment prior to admission, from which a plan of care is developed which ensures that service users needs are identified. Not all service users at the home currently have a contract of the terms and conditions of their residency at the care home this means that not all service users are fully informed. EVIDENCE: The Service Users Guide and Statement of Purpose have been revised and updated in December 2005,both documents are informative easy to understand and comprehensive. Copies of the statement of Purpose and Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 10 Service Users Guide are left in the service users bedroom. The font size on both documents is small given the level of dependency and age of the service users admitted to the home it is recommended that the font size of both documents be increased to improve the readability of the documents for service users. Service users admitted to the home since Meridian Care Ltd had become the owners have been issued with a contract/ terms and conditions which are kept on their files. Those service users who have been resident at the home prior to Meridian Care Ltd do not currently have written contracts this needs to be addressed so that all service users and/or their representatives have information regarding their terms and conditions. The homes manager undertakes a pre admission assessment on service users before they are admitted to the home, to ensure all care needs are identified. Other health or social care professionals known to the service user are also involved in the assessment. Service users are able to visit the home several times with varying lengths of stay tailored to meet their individual needs before they decide to move in on a permanent basis. The home does not provide intermediate care. Ashcourt Care Home DS0000063424.V278502.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): 7.8.9.10. Care plans do not show a clear or consistent approach to recording information Daily recordings lack information about visits by health care professionals and details about any other critical incidences making it difficult for the changing needs of service users to be met. Medication management needs improving to ensure that service users are not placed at harm or risk EVIDENCE: All service users in the home have an individual care plan, which is formulated on admission to the home, reviewed monthly by senior care staff. Records viewed showed an inconsistent approach to the care planning process and gaps in information were evident. One service user admitted with a diagnosis of weight loss and lack of appetite had not been weighed in the six weeks since admission. No records were available to indicate that dietary/fluid intake was being observed and managed. Another service user with a diagnoses of poor swallowing did not have a detailed care plan/risk assessment document implemented about how the condition would be managed if a crises should occur. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 12 Daily records are documented for each service user, more detail is still required to record critical incidences and daily /nightly events in the service users lives plus any visits from GPs, specialist nurses etc. Two days prior to this inspection a pharmacist from Lloyds pharmacy had audited the medication procedures at the home while most of the report recorded a compliance with the British Pharmaceutical Society Guidelines the Administration of Medication in Care Homes. Recording and signature on Medication Administration Chart (M A.R) requires attention, as some M.A.R. charts did not have a signature or record why the medication was not given to the service user. On the day of this inspection the inspector spoke to service users and visitors who said that “Staff treat them with respect” Ashcourt Care Home DS0000063424.V278502.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): Each service user who stays at the home is able to exercise choice, preference and flexibility regarding daily routines, which maintains their individual lifestyles. The meals at this home are good offering both choice and variety and catering for individual dietary needs. Organised social activities for service users are not being undertaken on a daily basis in the home, this may lead to boredom, frustration and apathy amongst the service users. EVIDENCE: Service Users said “they were able to choose how they spend their time” and visits from relatives and friends are encouraged. Service users and visitors said that during the refurbishment there had been lots of disruption to their daily living but they said “It had been worth it” and commented that their “bedrooms were looking nice and fresh” Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 14 There was evidence that the cultural needs of service users is considered and were being met. A service user whose birthplace was not England was enjoying a visit from a person who was conversing in the service users first language. During the inspection the “Community Wardens “ employed and funded by the local house building company to assist in maintaining community safety were visiting the home. The service users enjoyed the visit and spoke about the entertainment and party the Wardens had organised for them at Christmas fundraising to provide service users with a gift each. Service users said they had enjoyed all their Christmas festivities stating that the food had been “wonderful”. All service users had received a Christmas gift purchased from funds provided by Meridian Care Ltd. The ongoing activities programme requires reviewing to ensure that the service users have access to a range of leisure activities that they want to be involved in. On the day of the inspection bingo should have been held but did not take due to lack of prizes available. A visitor had made a special journey to take part in the bingo and was disappointed when it did not take place. Ashcourt Care Home DS0000063424.V278502.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): 16.17.18. Ashcourt care home has clearly written complaints and adult protection policies and procedures in place which ensures the safety and welfare of service users. EVIDENCE: The home has a complaints procedure, and a record of any complaints are kept. No internal complaints are recorded since the last inspection. A copy of the complaints procedure is placed in each of the Service users bedrooms. Service users and their relatives told the inspector that they were “Able to raise any issues of concern with the senior staff and they would be addressed” Staff demonstrated that they have an understanding of Adult Protection issues, however there were no records on personnel files that staff had completed the mandatory training in Adult Protection. To ensure that staff have an up to date knowledge of Adult Protection issues the Registered Manager has booked two training sessions one late January 2006 another is booked for February 2006. Ashcourt Care Home DS0000063424.V278502.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): 19.20.21.22.23.24.25.26. Recent investment and refurbishment has significantly improved the appearance of this home once the refurbishment and refurnishing is completed the home will be a comfortable and safe environment for service users. EVIDENCE: Meridian Care Limited have since September 2005 been in the process of a undertaking an extensive refurbishment and refurnishing of Ashcourt.The refurbishment is almost complete and on the day of this unannounced inspection new carpets were being laid in service users bedrooms. There have been several changes at the home due to change of user of some rooms three additional bedrooms have been added. A new assisted bathroom and walk in shower room have been created. All areas of the home has been redecorated, carpets and new curtains and bed linen for service users bedrooms are on order and due to be fitted. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 17 On the day of the inspection the home was clean however one toilet inspected smelt of urine and faecal matter was evident on the tiles and toilet roll. There were broken tiles in the same toilet. On the ground floor there was a strong smell of urine evident in some of the bedrooms. The kitchen which has been deep cleaned since the last inspection remains dirty the registered manager informed the inspector that she had complained about the quality of the kitchen cleaning and was awaiting a further deep clean of the kitchen by another cleaning company. Ashcourt Care Home DS0000063424.V278502.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): A period of considerable instability in management at the home has resulted in low staff morale, staff turnover and poor attendance that have had a detrimental impact on the standard and consistency of care offered within the home. Staff personnel files did not contain all the appropriate documentation needed to ensure the health and safety of both service users and staff. Records of staff training lack detail and do not evidence the competence of staff to do their jobs. The specialist care training needs of staff must be reviewed to ensure the health, safety and well being of all service users. EVIDENCE: Since the last inspection a new manager has been appointed to Ashcourt however the deputy manager and a several staff have left the home. The manager has been able to recruit to vacant posts with the exception of the deputy managers post which Meridian Care Ltd consider to be supernumerary and therefore will not be filling the post. The manager said that the level of absenteeism amongst staff has reduced. Ashcourt has for a number of years had an unstable management and staff group which has all impacted on the quality and consistency of care provided to the service users. Staff rotas viewed showed that the staffing levels were appropriate to meet the dependency needs of the service users at the time of this inspection. Visitors Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 19 spoken to commented that the “staff were kind and helpful but they often changed and that it was difficult for her Mum to adjust to the many changes” A second cook has been appointed since the last inspection. This appointment has meant that there is a qualified cook on duty seven days per week which has seen an improvement in the quality of meals provided to service users at all times. Meridian Care Ltd have a robust recruitment and selection policy. On the day of the inspection several staff personnel files were reviewed not all files were organised or contained the appropriate information. One file had no evidence that a P.OV.A or Criminal Records Check had been obtained although the manager said that the check had been completed evidence that the check had been completed was faxed to the C.S.C.I. office the following day. The files seen did not contain complete training profiles of what training and/or qualifications the staff had gained. Evidence of the mandatory training completed was not available. It was difficult to assess from viewing files to know the percentage of staff who currently hold the N.V.Q Level 2 award. The manager must prioritise the organisation of staff files to ensure that all the information needed during an inspection is readily available accurate and up to date. Ashcourt Care Home DS0000063424.V278502.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): The home has gone through a period of considerably instability and needs to have clear direction and leadership which will ensure the health safety and welfare of the service users. The management of service, user information, recording and communication systems must be improved so that the health safety and welfare of service users and staff is maintained at all times. EVIDENCE: The home has had 6 different managers in the past two years this has caused the service users to feel unsettled and anxious. The current manager has been in post since June 2005 she has a number of years experience working with Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 21 the service user group and holds the N.V.Q Level 4 Registered Managers Award Since her appointment she has become registered with the C.S.C.I. Since September 2005 there has been ongoing disruption in the home due to the complete refurbishment. The main building work and redecoration was completed just prior to Christmas and on the day of this inspection carpets were being laid in service users bedrooms. Service users and relatives commented that they liked the improvements and that “ the disruption had been worth it as the home was looking very nice” Documentation and records relating to the management of the home was not always readily available files viewed were disorganised and did not contain all relevant information needed for inspection and to maintain the health safety and welfare of service users. This included service users financial contracts, gas safety certificates, staff personnel information, C.R.B. checks staff supervision records and evidence of staff training. The manager said that during the refurbishment she had concentrated on maintaining the safety of the service users at all times and that the various documents were in the home but had not been filed. Priority needs to be given to the organisation of all records and relevant documentation. The current gas safety certificate was faxed to C.S.C.I. on the day following the inspection. On the day of this inspection the bottles of paint used for the service users art activities were left in the smokers lounge unattended, this is a health and safety risk as service users may confuse the paint for cordials and drink it. These need to be kept in a locked cupboard when not in use. The cleaning rota must address the malodour and faecal staining in the toilets and maintain a high standard of cleanliness in the home at all times. Service users monies are kept in separate, secure facilities, and records of all transactions are kept. The regional manager visits the home on a monthly basis and completes the Regulation 26 visit a copy is forwarded to C.S.C.I. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 3 2 2 2 2 Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP2 Regulation 5 Requirement Timescale for action 01/03/06 2 OP7 15 3. OP9 13 4. OP12 16 The Registered Person is required to provide for each service user a written contract detailing terms and conditions in respect of accommodation, amount and method of payment of fees and facilities to be provided by the registered manager. The Registered Person shall 01/03/06 prepare a written care plan as to how the service users needs in respect of his health safety and welfare are to be met This must include detailed recording of daily events and record visits by health care professionals. 15/02/06 The Registered person shall make arrangements for the recording, handling safekeeping safe administration and disposal of medications into the care home. All Medication Administration Charts must be appropriately signed at all times. The registered person shall 15/03/06 ensure that organised activities for residents are facilitated in the care home, according to the DS0000063424.V278502.R01.S.doc Version 5.1 Ashcourt Care Home Page 24 5. OP26 16 6. OP28 18 7. OP30 23 8. OP37 17 9 OP38 13 choices and preferences of the service users.. The registered provider shall make suitable arrangements for maintaining satisfactory standards of hygiene and cleanliness at the home. To include service users bedrooms and communal areas. The registered person shall ensure that at all times suitably qualified competent and experienced persons are working at the care home in such numbers as are appropriate for the health safety and welfare of the service users. Evidence of the competence and integrity of staff should be available at all times for inspection. The registered person is required to ensure that all staff receive training to prevent service users being harmed or suffering abuse or being placed at risk of harm Mandatory and specialist training as required by the Care Homes Regulations 2001 must be updated.Care staff must have access to N.V.Q. Level 2 training to meet the requirements of the 50 ratio. The registered person shall ensure that records required by regulation for the protection of service users and the effective and efficient running of the business are maintained up to date and accurate. The registered person shall ensure that unnecessary risks to the health or safety of service users and staff are identified and so far as possible eliminated.The registered person must take steps to develop a cleaning programme that minimises the smell of urine throughout the DS0000063424.V278502.R01.S.doc 01/03/06 01/03/06 01/03/06 01/03/06 01/03/06 Ashcourt Care Home Version 5.1 Page 25 10 OP38 13 home. The registered person shall ensure that unnecessary risks to the health safety and welfare of service users and staff are identified and as far as possible eliminated. By staff having access to training appropriate to the work they are to perform which includes updating of all mandatory training i.e. food hygiene, health and safety and Protection of Vulnerable Adults. 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that the font size on the Statement of Purpose and Service Users Guide is increased to make both document more accessible to service users. Ashcourt Care Home DS0000063424.V278502.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Ashcourt Care Home DS0000063424.V278502.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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