Inspection on 29/09/05 for Aston Grange

This inspection was carried out on 29th September 2005.

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

Aston Grange 17/12/07

Aston Grange 01/06/07

Aston Grange 24/01/07

Aston Grange 08/05/06

Aston Grange 15/04/05

Aston Grange 04/08/04

Aston Grange 21/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Aston Grange 484-512 Forest Road Walthamstow London E17 4PZ Lead Inspector Vivienne Patchett Unannounced Inspection 29th September 2005 10:30 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 Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 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. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Aston Grange Address 484-512 Forest Road Walthamstow London E17 4PZ 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) 020 8509 1509 020 8509 1609 manager@astongrange.fsnet.co.uk Aston Grange Limited Mrs Michele Jaqueline Cunnington Care Home 45 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (16) of places Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th April 2005 Brief Description of the Service: Aston Grange is registered to provide care to 45 elderly people, 29 of whom have a diagnosis of dementia. The home is operated by ‘Aston Grange Ltd’, linked to ‘Carebase Ltd’, who own other care homes. Short-term respite stays are offered where there are vacancies between long-stay placements. Each of the three floors is designed as a separate unit, the upper two accommodating residents with dementia. All residents have a single bedroom, with an en-suite lavatory and washbasin. There is one bathroom with a bath suitable for assisting people with limited mobility, a shower room, and a sluicing facility in each unit. A large lift links all levels. One of the seating areas on the middle floor can be used by residents to meet visitors in private. Meals are prepared in the kitchen on the second floor and served in the dining area on each unit. The ground floor sitting/ dining room also has a kitchenette area where residents or staff can prepare drinks and snacks. The building is on a main road in Walthamstow, near shops and transport links. There is limited garden area, but it has seating areas and space to walk. Overall space standards for residents are adequate, but office and storage space is limited. A bonus for visitors is a good-sized parking forecourt as the neighbourhood has restricted parking. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection of Aston Grange took place on Thursday, 29th September 2005 between 10.30 a.m. and 6 p.m. The manager was working in another home to cover the absence of a manager there. The Head of Care had been made acting manager at Aston Grange and assisted the inspector during the inspection. In addition, the inspector spoke to residents on all three units and to a range of staff, including the acting Head of Care, other care staff, the activities coordinator and the administrative officer plus a visiting masseuse. A full inspection of the premises was not undertaken at this time but three sitting rooms were visited and two bedrooms seen. The inspector looked at various documents, such as care plans, policies and procedures, complaint records etc. The inspector had lunch with the residents and was introduced to the two cats, newly resident in the home. The operational manager for Carebase, who does the quality control visits to the home, joined the inspector and acting manager for feedback of the findings of the report. The inspector would like to thank staff and residents who contributed to the inspection. What the service does well: What has improved since the last inspection? The registered manager had completed a 1-year course in Dementia Care. Senior staff have attended a course in supervisory management. Care Staff have been working hard to attain their NVQ level 2 and 3 qualifications and a good percentage have achieved this, or will have, by the end of the year. The Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 6 home reported good support from the training consultancy they have been using. The home has been implementing ideas to improve the service offered to all residents but particularly those with dementia. At the time of the inspection, the top floor unit was being decorated in ways recommended to help people with dementia find their way about better. An occupational therapist has also given advice to assist this process. A new Activities co-ordinator had been appointed who was concentrating on motivating residents and ensuring activities are individualised and available on all the units. A karaoke machine, newly installed in the downstairs lounge, has proved popular. Two cats the have been welcomed to live in the home, looked after by residents. Shelving had been fitted in the office, which has been re-organised to give more floor space for the manager and administrative officer to work and welcome visitors. 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. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 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 Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5. Prospective residents and their relatives are invited to visit the home and residents are assessed prior to admission. However, the home could do more to record the assessment undertaken in order to ensure that all of the aspects, wishes and needs of the residents are assessed and included in the care plan. This will ensure that no resident moves into the home without his/her needs being fully assessed and allow the manager, staff and the resident to be clear that these needs can be met and how this will be achieved. It will also lay the foundation for a full plan of care to be agreed with the resident and their relatives or representatives. EVIDENCE: A small random sample of care plans showed that pre-admission assessment forms had not been completed for residents admitted recently and other information such as life history, strengths and needs etc had not been recorded, contrary to the homes admission procedures. Similar omissions were noted and raised at the last inspection. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 9 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, 10, 11 Residents privacy and dignity are respected and the inspector was satisfied that, at the time of their death, staff would treat residents and their family with care, sensitivity and respect. Care plans need to be more detailed, to cover all aspects of residents’ health, personal, financial and social care needs, to set goals and give guidance to staff on the action they are to take to provide care, meet needs and achieve goals. EVIDENCE: Residents spoken with during the inspection felt that they were treated with respect. Observation during the visit by the inspector confirmed that residents were treated with sensitivity and dignity and their privacy respected. A system of care planning was in place and reviews were noted. The acting manager and other staff obviously had good knowledge of residents and their needs but this was not always reflected in the records. Assessment and Care plan documents were not fully completed to give a picture of residents or their needs or to include all areas in the standards. In order to be a useful tool for all staff, the care planning process would benefit from being more integrated into the day-to-day running of the home. The manager, head of care and Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 10 senior care staff should look at ways of involving all staff in gathering and recording information, as part of the ongoing assessment and care planning, so that it can help staff consistently provide the best possible individualised care for each resident. The daily logs written by care staff should be more detailed and entries relate to care plan goals. The manager, head of care and senior care staff should record any discussion or consultation they may have with residents, relatives and representatives to show how the home encourages their involvement in decision-making. Service users wishes regarding arrangements in the event of their death were recorded. An information and training session was taking place in this area for both residents and staff at the time of the inspection. Staff and residents had attended the recent funeral of a service user. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 11 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): 12,13, 14 There is an Activities Coordinator and residents are given opportunities for stimulation through a range of leisure and recreational activities both within and outside the home. However, this is an area for continued improvement by all staff, particularly for residents with dementia, linked to their care plan. Visitors are encouraged into the home and residents are enabled to maintain links with the local community. EVIDENCE: The new Activities Coordinator had established a full and varied programme and was working hard to individualise this for residents and encourage all staff to contribute to a stimulating and fulfilling environment. This would benefit from being more integrated into the care planning process. Several residents were asleep in the lounges for long periods during the inspection and some residents complained of being bored. In one lounge the TV was on at one end and a music centre at the other. Two residents had been colouring in a childrens painting book. One resident had been given a 500-piece jigsaw but said she had not started it because she knew she would not finish it quickly and it would have to be cleared away. A board for saving jigsaws was recommended. Fund raising events are held for the residents amenity fund. An example arose when the frequency of an activity for a resident was being decided by a relative rather than by the resident - despite them being able to Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 12 decide and pay for themselves. Residents should be enabled to exercise choice and control over all areas of their lives, including handling their own finances. Freshly produced and attractively presented meals were served. Food likes and dislikes are recorded and should be reviewed as part of the care plan. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 13 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 Residents spoken to were confident that their comments and complaints would be listened to and acted upon. EVIDENCE: Relatives are involved in regular meetings to review the care being offered and for discussion of general issues in the running of the home. There is a comments, suggestions and complaints policy and a procedure for dealing with complaints. The requirement made in the last report to amend and update the procedure is repeated. The record of complaints was inspected and showed one complaint since the last inspection, dealt with appropriately. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 14 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): 19,20,21,23,24 The home was clean, well maintained and accessible for people with physical disabilities. Redecoration was taking place on the top floor unit to offer a physical environment more suitable for people with dementia. The home meets the minimum standards for the physical environment with sufficient sitting/dining rooms, bathrooms and lavatories, and adequate bedroom sizes and ensuite facilities to meet residents needs. The residents rooms seen were comfortable but would benefit from more personalising and the provision to seat visitors. EVIDENCE: Although purpose built as a care home, the original design did not incorporate any of the recommendations regarding a suitable environment for people with dementia as set out in relevant good practice guidance. The current work on redecoration aims to use colour schemes recommended to help residents with dementia find their way around. The intention is to continue appropriate refurbishment to include the entire premises. The manager is hoping to introduce other appropriate ideas and an occupational therapist has contributed suggestions. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 15 Bedroom sizes meet current standards and are equipped with appropriate furnishings and fittings - although could benefit from 2 comfortable chairs and more personal and homely touches. There is one bathroom and shower room on each floor, and eight separate lavatories in addition to the en-suite facilities of a toilet and wash hand basin in each bedroom. Rails and other aids suitable for people with physical disability are available in the corridors, en suites and toilets in the home. The bathrooms contain specialist baths and the shower-rooms have drop down seats and rails. The lift is large enough to take a person in a wheelchair and their carer. En suites are of a reasonable size for people with frames or for carers to assist. All radiators are covered to protect residents from injury and hot water outlets have individual thermostatic controls, although temperatures were not checked during this inspection. The maintenance man carries out regular tests of hot water outlets and emergency lighting. The ventilation in the corridors on all floors, and in the staffroom, kitchen and laundry room is poor, which means that heat and unpleasant odours can linger. The manager hopes magnetic noise-activated doorstops for the fire doors will help the flow of air through the home. There had been a recent outbreak of vomiting and diarrhoea in the home, dealt with appropriately, although, at the time of the inspection, infection control policy and procedures were not available. The inspector found a cockroach in the head of cares office. Pest control officers had visited and measures were being taken to deal with the infestation. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 30 The manager and staff demonstrated their intention to provide a high quality of individualised care for people with dementia and some progress is being made. Staffing levels will be need continual review and the knowledge and skills of care staff will continue to need to be updated to ensure that these aspirations and the assessed needs of residents can be met at all times. Recruitment procedures were not robust in order to protect residents and arrangements for the induction and supervision of new staff require urgent development. EVIDENCE: During the day, two members of care staff are on duty on each unit/floor (i.e. 2 staff for each group of 16 or 17 residents) plus a senior carer, making a total of 7. At night there are 4 waking care workers across the 3 units. In addition there is the activities organiser for 20 hours per week and ancillary staff such as cleaners, cooks, an administrative assistant and a handyman. The number of trainee care staff employed for part of the week has dropped since the last inspection. Care staff generally work on the same unit to provide consistency of care. There is a comprehensive rota showing when staff are employed or are on training etc. Care Staff have been working hard to attain their qualifications at NVQ level 2 and 3 and a good percentage have achieved this, or will have, by the end of the year. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 17 Records showed staff had been employed in the home without appropriate references and CRB/POVA checks being received. The recruitment policies and procedures were not detailed enough to assist managers and staff and thereby ensure that residents are protected. There was no evidence of newly appointed staff having had structured induction training or being supervised during the period of induction by named staff member/s. Induction training that had taken place in the past was not to Skills for Care (TOPSS) specifications. Some day to day supervision of staff was taking place but formal sessions were not recorded. Arrangements for the induction and supervision of new staff was therefore not to the level described in the National Minimum Standards and Care Homes Regulations as amended in July 2004. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 36, 38 The management of the home is generally efficient, organised and effectively facilitates the smooth operation of the service. However, presently records do not always demonstrate how practice is informed, supported or evidenced in an acceptable manner. Further development is required in relation to the recording of assessments and care planning and to implementing robust policies and procedures to assist staff and protect residents e.g. recruitment, training and supervision of staff. EVIDENCE: The home is currently being managed by the Head of Care while the registered manager is temporarily running another home until such time a manager is appointed. The acting manager has a nursing background and hopes to start a 1-year dementia course. The registered manager has been coming into the home one day per week to give support. The registered manager has a City and Guilds certificate in the Advanced Management of Care and 6 years Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 19 experience as a homes manager. She has completed a one-year course in Dementia Care offered by the Alzheimers Society and Stirling University and is due to complete the NVQ level 4 in care and management later in the year. Seniors and care staff have had training in a system of staff supervision but formal staff supervision sessions were not taking place for new, probationary or permanent staff, the last ones recorded as being in April 2005, except for one in July 2005. Some day to day, ad hoc supervision of staff was taking place but was not recorded. An appropriate system needs to be implemented urgently. Workmen had put up a barrier of chairs while they were painting the corridor. However risk assessments had not been carried out. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 2 3 3 X 3 2 X X STAFFING Standard No Score 27 2 28 X 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 2 X 2 Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 21 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 OP3 OP4 Regulation 14 Requirement Timescale for action 01/10/05 2 OP7 OP12 15 The manager must: - ensure, in consultation with the service user and their representative, that the needs of residents are fully assessed prior to admission, recorded and regularly reviewed. - confirm in writing to the service user that the home is suitable to meet their needs. The assessment should include all of the information listed in standard 3.3. (Outstanding from April 2005 report. Date for compliance of 1 May 2005 not met.) A written care plan to be 01/11/05 generated from a comprehensive assessment and drawn up with each service user to provide the basis of the care to be delivered. The plans must be in sufficient detail to provide clear guidance to staff on the actions to be taken to ensure that all aspects of the health, personal, cultural, financial and social care needs of the service user are met. The plan to be reviewed regularly, at least once a month, and updated DS0000007241.V255064.R01.S.doc Version 5.0 Aston Grange Page 22 3 OP14 12, 13 4 OP16 22 5 OP27 18 6 OP19 23 7 OP29 19 to reflect changing needs and current objectives for health and personal care. The care plan to be agreed and signed by the service user, whenever capable, and/or their representative. (Outstanding from April 2005 report. Date for compliance of 1 June 2005 not met.) The registered persons to ensure that residents control their own money wherever possible and that safeguards are in place to protect the interests of the resident. Details to be included in the care plan. The complaints policy and procedure to be amended to include timescales for dealing with more complex complaints and to update the CSCI contact details. All complaints to be recorded. (Outstanding from April 2005 report. Date for compliance of 1 July 2005 not met.) Staffing levels to continue to be reviewed to ensure that the assessed needs of residents can be met at all times. The home to be decorated and organised to provide an environment suitable to meet the needs of people with dementia, as recommended in good practice guidance. (From April 2005 report. Date for compliance of 1 October 2005 partly met.) The Manager to operate a thorough recruitment procedure to ensure the protection of residents. Staff must not be employed in the home unless suitable references, CRB checks and POVA checks have been obtained and the information listed in schedule 2 (as amended DS0000007241.V255064.R01.S.doc 01/12/05 01/12/05 01/12/05 01/04/06 01/10/05 Aston Grange Version 5.0 Page 23 8 OP30 18 (2) (a)(b) 9 OP30 18, 19 10 OP36 18 2004) is on file. The manager to ensure that the documentation kept evidences a robust recruitment procedure. Sufficient, appropriate, detailed information to be requested from referees. References and qualifications to be verified and any gaps in the employment record explored. Records to include sufficient information to demonstrate the person s fitness to work in the care home. Newly appointed staff to have 01/11/05 structured induction training to Skills for Care specifications (ex TOPSS) and be supervised during the period of induction by a designated member of staff on duty at the same time. (Regulations as amended in July 2004). All care Staff to receive specific 01/02/06 training in care planning and in providing activities for people with dementia. A schedule of planned and 01/11/05 structured supervision sessions to be implemented for all staff to start as part of the induction process, through the probationary period and then establish a regular pattern of supervision at least six times a year. A supervision contract to form part of the supervision procedure, defining the length and frequency of sessions and the areas to be included. Staff to have a named supervisor, be able to add items to the agenda, the sessions to be minuted and a signed copy given to the supervisee and kept by the supervisor for the staff records. Sessions to cover: all aspects of practice; philosophy of care in the home; career development DS0000007241.V255064.R01.S.doc Version 5.0 Page 24 Aston Grange 11 OP38 12 12 OP38 13 needs. (Outstanding from previous reports. Timescale for compliance of 1 November 2004 and 1 July 2005 not met) All policies and procedures to be available to the manager and staff at all times. Recruitment policies and procedures to be amended to reflect Department of Health POVA Guidelines and Care Homes Regulations. Risk assessments to be carried out when workmen are in the building. 01/11/05 01/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP12 OP24 OP24 Good Practice Recommendations Boards to be provided to save half finished Jigsaw puzzles. Staff to assist residents in personalising their bedrooms. If any furniture or facilities recommended in the standards e.g. comfortable seating for two people, lockable facilities in bedrooms, keys to front door or bedrooms etc., are not available either because the residents do not wish to have these or there are practical/room-size difficulties, this to be recorded in the care plans with a note of who made the decision, the reasons why and regularly reviewed. Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Aston Grange DS0000007241.V255064.R01.S.doc Version 5.0 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!