Inspection on 11/01/07 for Ashfields

This inspection was carried out on 11th January 2007.

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

The inspector 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

Ashfields 18/02/09

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

CARE HOMES FOR OLDER PEOPLE Ashfields 31 Salhouse Road Rackheath Norwich Norfolk NR13 6PD Lead Inspector Ruth Hannent Key Unannounced 11th January 2007 09:30 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 Ashfields DS0000067711.V326890.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. Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashfields Address 31 Salhouse Road Rackheath Norwich Norfolk NR13 6PD 01603 426177 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) www.barchester.com/oulton Barchester Healthcare Homes Limited Mrs Tracey Ann Bunting Care Home 43 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (42) of places Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Ashfields is a care home offering personal care for up to forty-three elderly residents who are mentally frail. The home is owned and operated by Barchester Healthcare who purchased the home from Andrew Frederick Care Homes Ltd in 2004.The homes accommodation is located on the ground and first floor. There is one single room and one double room on the first floor. The home is situated in the village of Rackheath, a few miles to the north east of the city of Norwich. The front of the property provides a good degree of parking space and there are enclosed and well maintained gardens to the rear and sides. Fees £380 - £690 per week. Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been completed following a visit to the Home and by using evidence received at the Commission since the last inspection twelve months ago. The Commission had received 9 comment cards from relatives and one from a GP prior to the visit that all reflected positively on the Home. The Manager had completed, comprehensively, a pre inspection questionnaire, which included staff rota’s and menu’s. Throughout the year the Commission had received information on deaths or serious incident/injuries as appropriate as soon as the event occurred with clear details recorded. The Home is part of the Barchester Healthcare organisation who regular visit the Home and send a copy of their report to the Commission at least monthly. Throughout the visit many residents were spoken to along with four staff members, a Senior carer, 1 Deputy Manager, 1 Manager and the Administrator who were all asked questions regarding Ashfields. Records that were looked at included care plans, medication administration records, staff training and personnel records, health and safety records and the service records of equipment used for moving and handling. Although the inspection was unannounced all assistance was offered to the Inspector throughout the visit. What the service does well: The Home has a core of staff who have been at the Home for a number of years and know the residents well which was evident when seeing the interaction between staff and residents. The Home works hard to ensure residents are offered the care that is required by using a person centred approach. The environment is comfortable and accommodating to meet the needs of residents with dementia. The meals are planned and very varied to ensure all tastes and needs are met. Ashfields DS0000067711.V326890.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. Ashfields DS0000067711.V326890.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 Ashfields DS0000067711.V326890.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): 1, 3 and 5 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Potential residents have the information they need to help them decide if the Home is suitable. All potential residents are assessed fully before being offered a place at the Home. Relative and friends have the opportunity to visit the Home with the potential resident to assess the quality of the Home. EVIDENCE: The Home has clear information that gives all interested people information about the Home to help then make a decision about moving their relative into Ashfields. On talking to the Manager either she or the Deputy Manager will visit the potential resident and carry out a full assessment of need. The Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 9 assessments of two of the most recently admitted residents were seen. The documents had been completed comprehensively and the information had assisted with the development of the care plans. One comment card received at the Commission from a relative told of how she and her family were welcomed on visiting and that there was plenty of opportunity to decide if the Home was suitable or not. From all four comment cards received each person had ticked the appropriate box to say they had received a contract. Ashfields DS0000067711.V326890.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 excellent. This judgement has been made using available evidence including a visit to this service. The Home has very comprehensive person centred care plans for each resident. Health care needs are fully met. The home staff follow the medication procedures of the home to ensure safe handling of medication is in place. Residents are treated with respect and their privacy is upheld.. EVIDENCE: The care plans for all residents are now available in shelving brackets in each resident’s rooms. The two looked at during the visit showed clear detail of needs for residents with areas of information showing person centred Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 11 information. The plans are tidy, easy to read and readily available for staff to ensure the care or change of care needs can be read while assisting someone in their room. The daily records are also aiming towards information about the person but some of the language used could be improved to preserve the dignity of those residents. Comments such as ‘messy’ or in a ‘filthy state’ are not appropriate. (Recommendation). While walking around the Home it was very evident how much the staff know about the residents and how this knowledge can help the interaction throughout the daily routines. When assisting residents who have some form of dementia it is important that the staff are aware of the signs to look for when someone is distressed or trying to ask something. It was clear on this day that staff do recognise the signs and information in the care plans is reflected in their practise. Two comment cards were received from GP. They praise the home with comments such as ‘ the level of care is excellent, sensitive and respectful to both residents and their families.’ The Home has a regular visit from the GPs and one resident will have a review of health needs and medication added to each of these visits to ensure all residents throughout the year receive a medical review. The Community Nurses visit when required as does the chiropodist and optician. The procedure at lunchtime for administrating medication was observed. All residents have a recording chart that has been completed correctly. (Two looked at). The staff member was dispensing the tablets correctly into a pot and observed the person ingesting the medication. On talking to the staff member responsible for medication ordering, it was clear a good relationship with the pharmacist is in place who supports, offers information and will train staff to ensure the best practise is offered to residents. Examples were stated by the Senior staff member such as how smaller tablets were found when swallowing is difficult, or how and when tablets can be crushed or not crushed, or if the medication is available in liquid form for easier ingestion and when medication must be administered to a person when they are upright and not lying down. All details such as these are recorded for staff to follow. From observation, comment cards received, previous visits and past inspections residents are treated with respect, privacy and dignity. No one was hurried, each resident was spoken to correctly and doors were knocked upon or kept closed to preserve privacy. Daily records need to be slightly improved to ensure dignity is recorded in a way that is sensitive to the resident. Ashfields DS0000067711.V326890.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents have their interests and needs met Visitors are welcomed and interact with the Home. Residents are offered opportunities to exercise choice. Meals are very varied, well balanced and available whenever and where residents wish. EVIDENCE: The Home has improved further the way it offers stimulation to residents. Throughout this unannounced visit the majority of people were occupied and although the Home has a number of residents who need interaction regularly this was available with enough staff around to meet the high level of activity required. Some residents were listening to the radio, some reading or looking at picture books, one man was enjoying the daily paper, four were painting and some were walking the building with finger food, fruit or items of interest collected on their travels around the building. After lunch activities are set up Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 13 ready so that residents are not left unoccupied once they arrive in the lounge or activities room. The atmosphere appeared calm and no-one appeared agitated as a staff member would recognise the signs and assist a resident and alleviate the possible anxiety. A new residents kitchen has been installed with the opportunity to bake, make simple foods, make a drink or just wash up. Some residents have already started to use this area and appear to enjoy the facility.( Recorded information on file) Another area has been created with music in mind and offers various instruments to shake bang or ring. The piano is also available in this area and one resident will play on occasions. (photo seen). The Home now has a minibus that enables trips out. A zoo trip in the warmer weather was a great success with many photographs on display of the event showing happy residents. The staff also produced a pantomime at Christmas that has been mentioned in the comment cards by families as a lot of hard work ‘often in staff’s own time’ for a very enjoyable show. Visitors come and go regularly as noted in the visitors signing in book. The six comment cards received all reflect on the welcome they receive from a professional team. Many of the families are involved with the Home and a recent pantomime carried out by the staff at the home was praised highly in the comments. Another comment was of the regular family/residents meetings that inform the families of the comments in the inspection reports. Residents freely walk about the Home and have choice throughout their life at Ashfields. Their rooms are as they would wish them with bedrooms very personalised. They choose exactly what food they would like to eat and what and when they wish to do with their day. The meals have been praised highly in the past inspections and on this visit it was no different. Plenty of alternatives were on offer. Due to the diverse needs of many of the residents a needs led approach is required. Some people were eating the choice on the menu but others were offered finger food, or yoghurts, build up drinks or ice-cream. One person was eventually encouraged to eat when chocolate bars arrived. The Home has fruit, biscuits and sweets placed in fruit bowls around the Home and can easily be picked up while residents walk the building. During the lunchtime period residents were assisted by many staff to eat their food. It was noted that one staff member was not interacting with the residents being assisted, which was addressed by the Manager at the time but elsewhere lots of encouragement and different tactics were used to entice residents to eat. The Senior on duty keeps a record of what has been eaten of residents who’s appetite may not be too good to ensure all effort is made to offer the food liked by that person.. Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are confident their complaints are listened to and acted upon. Residents are protected from abuse. EVIDENCE: The Home has not received any complaints with nil recorded on the pre inspection questionnaire . The Commission has not received any complaints and Comment cards x 2 reflected that any concerns shared with the staff are dealt with immediately by the Management. The Home has a complaints procedure, which is issued to all new residents and their families and is also displayed in the Home (seen). Staff are offered annually training and updates on the protection and awareness of abuse. Each staff member signs to say they have attended and this is then signed by the Manager. (Seen) The Home regularly supervises staff and on talking to one member of staff the Home has a whistle blowing policy and all staff are aware of the signs of potential abuse and would report to the Manager if they were at all concerned. The Manager does need to send for POVA checks before the person starts their employment and this is a recommendation under the staffing standards. Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 15 Ashfields DS0000067711.V326890.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, 23, 24, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s live in a safe, well-maintained environment with exception of the bedrooms in the roof space . Resident’s own rooms suit their needs. Resident’s bedrooms are personalised and comfortable. The Home is safe but the water pressure needs to improve. The Home is clean and pleasant. EVIDENCE: Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 17 A tour of the building took place with the Manager. From the information sent to the Commission prior to the inspection visit it was evident that some alterations had taken place and that more plans for change were due in 2007. The premises are well maintained with records held within the office and items picked at random such as fire records, health and safety checks on water and risk assessments were all up to date. The environment is tidy, suitable for the residents who live there with exception to the rooms within the roof space. The three residents who have bedrooms up there are at potential risk due to the difficult staircase, no other exit than the stairs and a difficult gate at the top of the stairs to get through in an emergency. The door at the bottom of the stairs has a number keypad to open it and all these rooms are directly above the main kitchen. During the visit the Manager discussed the plans to change the use of the room and for all residents to have bedrooms on the ground floor. The Inspector contacted the Regional Manager for the Barchester Company who assured the Inspector the work is to begin in two months time. Due to the concerns shared and the potential risk an immediate requirement for the Home is to complete a comprehensive risk assessment on the situation and put in place any systems to alleviate this possible risk. (Immediate Requirement). Downstairs three bedrooms were seen with all rooms suitable and comfortable for the residents. Some new beds have been purchased which are controlled electronically and will lower to the floor. These beds are ideal for people who may be at risk of attempting to get out of bed at night and falling. The Home has also changed the room used for activities and the lounge. Both rooms are more suitable and the lounge now has a homely feeling with a fireplace and nice furniture and features. The dining room now has the added skills kitchen at the end of the room, which is used and has enhanced the residents activities. The Home has a problem with the water system. On testing the water for temperature control it was noted that some parts of the Home had little or no water pressure and the three residents upstairs had barely a trickle. Again with the alterations about to take place this problem must be taken into consideration and suitable water pressure be available for all residents. (Requirement). The Home has a high level of domestic staff who work hard to keep the Home clean and free of offensive smells. The laundry (seen) was very busy. The staff place all soiled items in a dissolvable bag and two machines have the ability to wash at a high sluice temperature. The staff (on discussion) do find it difficult to move equipment around the home to clean, such as commodes and equipment used for toileting. A (Recommendation) is that some type of room be considered in the next building alteration phase for a place to clean and store equipment that is used for the assistance of toileting. Ashfields DS0000067711.V326890.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 good. This judgement has been made using available evidence including a visit to this service. Residents do have their needs met by a staff team who are skilled. The home has a high ratio of qualified staff. Residents are protected by the Homes recruitment policy but need have POVA checks before staff commence employment. Staff are trained and competent to do their jobs. EVIDENCE: The staff rota’s were sent to the Commission along with the pre inspection questionnaire. The levels required for this client group is suitable. The staff seen during the visit were carrying out their duties competently and there appeared enough staff to ensure needs of residents were met. Comment cards reflected on the professional team of staff who work hard and were available when residents needed assistance. The Home has worked hard on achieving a high level of qualified staff. (70 ). With the Manager, Deputy and Senior all qualified assessors for NVQ. Listening Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 19 to the conversation with staff it was evident that the qualification achievement is due to the enthusiasm of the Senior Management of the Home who encourage staff at all times to achieve the qualification. Two recently recruited staff members personnel file were seen. All the correct paperwork was in place and each one had an induction pack. One person was still awaiting their CRB check but was an extra staff member working with a Senior and being supervised all the time. The POVA checks are carried out but the POVA First element needs to be received before a staff member is working in the Home (even on induction). This one staff member had started but the POVA was only being emailed through on the day of the inspection visit. (Recommendation) The Home should be commended for the training provided for staff. The training computer is in place and is used by some staff for basic training. The Senior staff regularly update their knowledge with training and conferences and cascade this knowledge to the staff. Memory Lane training is regularly planned and all records including signatures of those attended are held on file. (seen). On talking to staff members it was evident that learning was taking place and the practice observed on the inspection visit evidenced that learning. Ashfields DS0000067711.V326890.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 excellent. This judgement has been made using available evidence including a visit to this service. This Home is managed well by a person who is fit to be in charge. The Home works hard to ensure the best interests of the residents is in place. Resident’s financial interests are safeguarded. The health, safety and welfare of residents is protected. EVIDENCE: Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 21 The Manager has been in post for a number of years. She is very well qualified to carry out this position and as the person has not changed since the last inspection no further evidence for this standard is required. A very impressive quality monitoring process has taken place since the last inspection with very positive results. 85 surveys were sent out to residents, regular visitors and relatives. 36 were returned. Questions asked were on the environment, care and activities, hospitality, customer care and a question asked at the end as to if you would recommend this home to others. 35 replied yes and 1 did not answer. There was also extra comments at the end which have all been looked at and addressed since. This is a very positive action taken by the Manager with pleasing results. At the last inspection there was concern shared over the Management of resident’s personal money. The Home has now a new procedure for billing families and no longer hold any money for residents in the Home. This has proved much easier for Managing the personal money as the majority of the residents can no longer manage their own. (Some residents do carry small amounts of money on them although they do not need to use it). The Home has all records in place to ensure health and safety promotes and protects all users of Ashfields. Staff are trained in all the required areas of moving and handling, infection control, fire safety, food handling and first aid. (dates and attended staff seen). Water checks are carried out and temperatures of water are controlled and recorded. (seen). The accident records were looked at and already an accident that had occurred that day had been recorded comprehensively and was about to be added to as an injury had now been identified by the hospital. Risk assessments are in place but more indepth detail is needed to ensure all areas of the Home is covered. (This is to take place on the 16/01/07). All equipment used within the Home is serviced correctly and the dates of servicing were seen of all hoisting equipment. All the policies and procedures, that include health and safety are signed by all staff members as read and these were seen in the front of each procedure file. Ashfields DS0000067711.V326890.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 4 x 4 x 4 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 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x 3 3 2 3 STAFFING Standard No Score 27 4 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 13.4 c Requirement The Manager must ensure a comprehensive risk assessment is carried out on the use of the bedrooms in the roof space and action taken to eliminate as much as possible that risk. (Action carried out and risk eliminated before report was completed). The Manager must ensure the plumbing throughout the building is suitable and hot water is available at all times. Timescale for action 12/01/07 2 OP25 23.2 j 01/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP26 Good Practice Recommendations It is recommended that staff are helped to understand what is suitable language for completing daily records to ensure dignity is fully in place for all residents. It is recommended that consideration be given to where staff clean and store equipment such as toileting aidswith DS0000067711.V326890.R01.S.doc Version 5.2 Page 24 Ashfields 3 OP29 infection control in mind. It is recommended that all potential staff have a POVA check completed before they start their induction. Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashfields DS0000067711.V326890.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!