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Inspection on 30/08/07 for Bassingham Care Centre

Also see our care home review for Bassingham Care Centre for more information

This inspection was carried out on 30th August 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.

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

What the care home does well

Residents are cared for in a safe, well-maintained environment, by staff who are knowledgeable about the people they care for and are responsive to their needs. They said, `it`s a lovely home` and `I have visited many homes and this is one of the best`. People said that residents had been assessed before they moved into the home to make sure that their needs could be met. Residents and relatives said that they were happy with the care they receive. Comments included, `the staff are very helpful and nice` and I am very pleased with the staff and the care they give me`.

What has improved since the last inspection?

Since the last inspection a new manager has been appointed and she was recently successful in being registered with the Commission as the Registered Manager of the home. Records and staff comments showed that the requirement made at the last inspection regarding staff supervision being provided on a regular basis had been addressed.

What the care home could do better:

Care plans, which tell staff what support people need and how they prefer to have their care delivered, need to contain more detail so that staff have a clearer picture of their role in supporting each individual person. All residents need to have a detailed social care plan, which tells staff what they would like to do and how this will be facilitated. The activities coordinator and staff can then use this information to make sure that suitable stimulation is provided on an individual basis. Other areas that would benefit from some attention included the following. The documentation of potential risks in care plans could be improved. The content of the monthly care plan reviews should clearly reflect any changes in the resident`s conditions. Staffing levels should be monitored to ensure that there are enough staff on duty to meet peoples needs. The training plan for 2007 should include subjects that staff have identified as being necessary for them to carry out their job

CARE HOMES FOR OLDER PEOPLE Bassingham Care Centre The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9EY Lead Inspector Dawn Podmore Unannounced Inspection 09:00 30 August 2007 th 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 Bassingham Care Centre DS0000002504.V338694.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. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bassingham Care Centre Address The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9EY 01522 788215 01522 788509 bassingham_sherry@hotmail.com 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) Cornward Limited Shelagh Gillingham Care Home 61 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (61) of places Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide nursing and personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (61) Dementia - over 65 years of age (DE(E) (1) The category DE(E) applies to one named person over 65 years of age who is named in the pre-registration letter dated 21 February 2006. The maximum number of service users to be accommodated is 61. 2. Date of last inspection 27th April 2006 Brief Description of the Service: Bassingham Care Centre is situated in its own grounds in a village location, which has a church, shops and public house. Parking is available at the front and side of the building. The home is registered to provide care and accommodation for people over 65 years, offering nursing and personal care for up to 61 people. Accommodation is provided in two areas. The main house was a former rectory and has been adapted and extended to provide accommodation for residents on two floors. The first floor is accessed by a shaft lift. Rooms are shared or single and some have en-suite facilities. The second area consists of bungalow style units, which are currently unoccupied; the manager stated that it is the provider’s intention to sell these. There is a large garden, which has a lawn with flowerbeds and seating for people to use in fine weather. At the time of the inspection the manager confirmed that the weekly fees ranged from £348 - £635 depending on the residents assessed needs. This does not take into account any monies paid in relation to nursing care determination assessments, which would be deducted from the total cost. Additional charges are made for services such as chiropody, hairdressing and newspapers. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, is available in the manager’s office. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took any previous information held by the Commission about the home into account. The inspection included a site visit, which took place over five hours. The main method of inspection used is called case tracking. This involves selecting a proportion of residents and tracking the care they receive through the checking of records, discussion with them, the care staff, and observation of care practices. A partial tour of the premises was also conducted which included looking at 3 bedrooms and communal areas. Documentation was sampled and the care records of three residents were examined. Interviews with residents and staff took place and two visitors also gave their opinion of the care and facilities provided. Survey forms were also used to gain peoples view on the service they were receiving. Six were returned mostly containing positive comments. On the day of the visit 22 people were living at the home. What the service does well: What has improved since the last inspection? Since the last inspection a new manager has been appointed and she was recently successful in being registered with the Commission as the Registered Manager of the home. Records and staff comments showed that the requirement made at the last inspection regarding staff supervision being provided on a regular basis had been addressed. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 6 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. Bassingham Care Centre DS0000002504.V338694.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 Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a satisfactory system in place to assess people’s needs prior to admission. This means that people can make sure that the home can support them appropriately before they move into the home. EVIDENCE: People told us that they or their relative had visited the home to make sure it was suitable before they moved in. They said that someone had talked to them about their needs and provided them with information about how the home operated. Comments included: ‘I’m settling in well’ and ‘we looked round and were given an information pack, which told us about the home’. In the case of one person who had been admitted urgently the manager had collected information from the hospital and relatives before agreeing to admit them. Assessment records in the three residents files we looked at included detailed information about their needs, as well as their preferences and any potential risks. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 9 The manager confirmed that the home is not currently providing intermediate care. Bassingham Care Centre DS0000002504.V338694.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 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal care and health needs are being met by staff who understand their needs and deliver care in a respectful manner, but documentation of care needs is inadequate. People are able to manage their medications themselves if they can, but if they need help staff are trained to support them with it in a safe way. EVIDENCE: Each resident had an individual plan, which contained information relating to his or her care needs. We looked at 3 care files and although they contained lots of information this had not all been pulled together to form a person centred care plan that covered all their needs. Areas needing improving included: social stimulation and some medical conditions. Guidance to staff about their role in supporting the residents also needed additional information, so that they have access to clearer instruction as to how people want to be supported. Staff had recorded potential risks such as safely moving and handling people and any risks of pressure damage. However the Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 11 content of these assessments had not been fully incorporated into the care plans. The planned care had been reviewed regularly, but they contained statements such as ‘planned care valid’ rather than a meaningful evaluation of any deterioration or improvement in the resident’s condition over the previous month. It was therefore suggested that this was an area that could be improved. Care plan audits and comments by the manager demonstrated that some of these issues had been highlighted and were being addressed. Records and peoples comments showed that outside agencies such as doctors, district nurses, dentists and chiropodists visited the home regularly to meet people’s health care needs. People said that they were happy with the level of support they received. We saw a variety of equipment being used around the home to assist people, these included hoists, mobility aids and specialist beds. The provider’s Annual Quality Assurance Assessment (A.Q.A.A.) and past inspection reports demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Records and a discussion with the nurse in charge and a senior carer showed that medications were being handled safely and staff had received training in this subject. Residents and relatives we spoke with said that they were happy with the way care was being delivered and confirmed that they had been involved in the care planning process. They felt that their needs were being met and said, ‘the girls are very helpful and nice’ and ‘they look after us well’. Staff demonstrated a good knowledge of peoples needs and preferences and we saw them looking after people in a caring and responsive manner. Discussions with residents, relatives and staff demonstrated that staff respected people’s privacy and dignity; they were seen knocking on resident’s bedroom doors and consulting them about their preferences. Bassingham Care Centre DS0000002504.V338694.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 & 15 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s social and recreational needs are not being fully met by the home. People maintain contact with their friends and relations and make choices about their day-to-day lives. EVIDENCE: The home employs an activities coordinator who has produced a programme of activities for the people who live at the home. People’s comments and records showed that this included things like, painting, memory lane bingo, hand massage, aromatherapy, games and puzzles. Although care files contained a social assessment, which had details about peoples past hobbies and interests, there were no social care plans that told staff what stimulation residents were able to participate in. One assessment said that the resident liked to go to the pub, but there was no plan to show if this had been facilitated or not. A separate file recorded what activities had taken place, but it was difficult to evaluate which residents had joined in or if they had enjoyed it or not. This means that they may not be receiving social activities that meet their individual needs. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 13 Three of the six people who returned surveys said they usually received appropriate stimulation, but the other three said that they were unable to take part in the activities provided. On the day of the visit residents were making cards and doing jigsaws. People told us, ‘staff get her talking books from the mobile library’, ‘she doesn’t take part in anything, but plenty of staff go in and check on her, and they help her with the menu’ and ‘we keep occupied, but we don’t get out much’. The manager had identified in the Annual Quality Assurance Assessment that outings into the community were an area that needed improving. A hairdresser visits the home weekly and the vicar holds monthly communion services. People said that the home encourages visitors, and entries in the visitors’ book showed that people had visited regularly. Two visitors told us that the manager and staff were welcoming, approachable and friendly. People gave examples of how they were offered choice in their daily lives. Care plans highlighted residents preferences, such as, the time they liked to go to bed, whether they liked a duvet or blankets and their favourite drinks. Bedrooms had been personalised and residents confirmed that they had been encouraged to bring small items of furniture, photographs and mementoes into the home. The dining room looked welcoming and the menu displayed outside the door offered the choice of two main courses. We observed the serving of the lunchtime meal and people told us that they enjoyed the variety and quality of the food available. They commented: ‘it always looks good and we get a choice’, the quality is good and we always get plenty to eat’, ‘yesterday at teatime we had a buffet with lots of different things to choose from’ and ‘it’s very tasty’. Five of the six people who returned the surveys said that the food available was always or usually good with just one person saying that it was only sometimes good. Bassingham Care Centre DS0000002504.V338694.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 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has satisfactory procedures for handling complaints and people feel confident that any concerns would be addressed appropriately. Residents are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. A copy is given to all new residents as part of the Service User Guide and displayed in the home. Information provided by the manager showed that the home had received one complaint since the last inspection. Records demonstrated that this had been correctly addressed and documented. People we spoke with said that in the main they were happy at the home and had no complaints. Four people who returned surveys to us said that they had no complaints, but one said that they did not know how to make a complaint. The home has a policy and procedure about safeguarding adults from abuse so that staff know what they should do if they have any concerns in this area. They also use the local authority policy and procedure regarding this subject. Training records, as well as staff comments, demonstrated that they had received training in this subject and had a good understanding of the types of abuse that may happen and who to report any concerns to. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 15 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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home live in a clean, comfortable and homely environment, which offers a satisfactory standard of décor and furnishings. EVIDENCE: We took a partial tour of the home which included looking at the bedrooms of the residents being case tracked. The general environment was clean, tidy and homely, with no unpleasant odours. Information provided prior to the visit highlighted that a redecoration programme was in place. Garden areas were well maintained and seating was available so that residents could sit out in fine weather. People we spoke with and those who returned surveys said that they were happy with the facilities provided and that the home was always clean with no unpleasant odours. Comments included; ‘I am happy with my room, I stay in Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 16 here a lot, it’s what I prefer’ and ‘we are happy with the home, the bedroom is a little minimal because she prefers not to have pictures on the walls etc’. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 17 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 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are safeguarded by the home’s robust recruitment procedure, which ensures that staff are suitable to work with vulnerable people. Residents receive care from staff who are knowledgeable about their needs and have received satisfactory training and support. EVIDENCE: The home was meeting minimal staffing levels, but some people said that they thought that at certain times of day more staff would be beneficial, especially in the early evening. They told us: ‘staff always seen busy, but they are there when you ring’, ‘since the number of residents dropped we only have 3 staff on duty in the afternoon so it is really busy from 5pm until 9pm’ and ‘I am very happy with the staff’. It was recommended that the manager review the staffing levels against the dependency levels of the people currently living at the home to make sure that they are adequate to meet people’s needs. We looked at the recruitment files for two new staff, which showed that all essential checks, such as obtaining written references and C.R.B. (Criminal Records Bureau) checks had been made prior to staff starting work. These are carried out to make sure that potential staff are suitable to work with Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 18 vulnerable people. Where staff had started to work with only a P.O.V.A. (Protection Of Vulnerable Adults) check, they had received a structured induction and worked under supervision until the full C.R.B certificate had been received. Files also contained other information that the manager had used to evaluate if people were suitable for the job. These included obtaining proof of their identity and interview notes that recorded their overall suitability for the job. People’s comments and training records showed that a training programme had been provided over the last year. This included: dental and oral care, health and safety, manual handling, safe administration of medications and abuse. Some staff had also attended specialist training such as palliative care and catheter care. Staff confirmed that the training and support they received was appropriate to meet people’s needs, but said that they felt that infection control training was needed so that they had a better understanding of the subject. New catering staff and some care staff also need basic food hygiene training. The manager said that she was arranging for a food hygiene course as soon as possible. She said that she intended to develop a training programme once she had assessed what training individual staff needed. Staff said that the managers encouraged them to undertake an N.V.Q. (National Vocational Qualification) course, to help them understand their job better. The providers annual quality assessment audit showed that almost 50 of care staff had completed an N.V.Q course with others waiting to start. People told us that staff seemed competent in their work and that they were happy with the care they received and the way in which it was delivered. They said, ‘the girls are lovely’ and ‘I am very pleased with the staff and the care they give me’. Three people commented that sometimes talking to the staff from overseas was difficult and they felt that they did not always understand what they were saying. This was discussed with the manager and it was suggested that additional English language classes might be beneficial. Staff told us that they had received regular supervision including staff meetings and one to one support sessions. Staff spoken with said that they felt adequately trained and supported by the company. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 19 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 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good leadership, guidance and direction are provided to staff to ensure that residents receive a good standard of care. Residents are happy with the service they receive. EVIDENCE: The Registered Manager, Mrs Shelagh Gillingham, has managed the home since January 2007 and has recently been registered with the Commission. Residents, visitors, and staff, said that she was supportive and approachable and that they felt confident to take any concerns to her. Staff said that the running of the home had improved since she became manager. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 20 The home has a quality assurance system, which includes meetings and surveys to gain the views of residents, relatives and outside agencies. These ensure that people have the opportunity to discuss how the home is run and what improvements can be made. The results from a recent residents survey were available and the manager had produced a summary of the findings, which she said would be used to improve the service provided. On the day of the visit, and in surveys returned to us, people said, ‘it’s a lovely home’ and ‘I have visited many homes and this is one of the better ones’. The home has a robust system in place to record and monitor any residents monies held by the home in safekeeping. This includes monitoring sheets, receipts, signatures and regular audits. There are a range of policies and procedures regarding health and safety available to guide and instruct staff. There is also a programme in place to service and maintain the equipment in the home on a regular basis. Information provided by the manager prior to the visit, and sampling on the day, demonstrated that checks on equipment such as hoists and the electrical installation, had either taken place or were booked for the near future. Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15(1) 15(2) (b) Requirement Care plans must be in sufficient detail to enable care staff to provide comprehensive care. Staff will then have access to better information about what peoples needs are and their role in supporting them. Social care plans must to be formulated from the assessment detail available and an activities programme devised that reflect the needs of the people currently living at the home. This will help to make sure that residents have access to appropriate stimulation that meets their individual needs. Timescale for action 01/11/07 2. OP12 16[2] [m] & [n] 01/11/07 Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 23 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 OP7 Good Practice Recommendations Information provided in risk assessments should be incorporated into the care plans more clearly so that staff have better guidance as to how to minimise identified potential risks. Monthly reviews of care plans should contain a more meaningful evaluation of the planned care so that they show any improvement or deterioration in the resident’s condition and if the planned care is working. The manager should review the staffing levels against the dependency levels of the people currently living at the home. This will help to make sure that there is adequate staff available at all times to meet the needs of the people currently living at the home. The training programme for 2007 should include cross infection and basic food hygiene, with priority given to catering staff for the latter. This will ensure that staff have the knowledge and skills they need to do their job. 2. OP7 3. OP27 4. OP30 Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area office Unity House The Point Weaver Road Off Whisby Road Lincoln LN6QN3 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 Bassingham Care Centre DS0000002504.V338694.R01.S.doc Version 5.2 Page 25 - 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!