Inspection on 13/11/07 for Bowood Mews

This inspection was carried out on 13th November 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

Bowood Mews 17/09/08

Bowood Mews 14/07/06

Bowood Mews 31/01/06

Bowood Mews 10/07/05

Bowood Mews 31/01/05

Bowood Mews 23/08/04

Bowood Mews 23/02/04

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

CARE HOMES FOR OLDER PEOPLE Bowood Mews Hewell Road Redditch Worcestershire B97 6AT Lead Inspector Chris Potter Unannounced Inspection 09:30 13 November 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 Bowood Mews DS0000018485.V336885.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. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bowood Mews Address Hewell Road Redditch Worcestershire B97 6AT 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) 01527 60029 01527 592750 www.schealthcare.co.uk Southern Cross Healthcare Services Limited Mrs Susan Dianne Parkinson Care Home 34 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (34) of places Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is primarily for people over the age of 65 who have a dementia illness but may accommodate people who in addition have a physical disability. 14th July 2006 Date of last inspection Brief Description of the Service: Bowood Mews is a care home providing personal care for up to 34 older people with a dementia type illness. The home is owned by Southern Cross Healthcare Group, which is a national organisation. Bowood Mews is situated within ½ a mile of Redditch Town centre, which is convenient for visitors using public transport. It is a purpose built building providing single en-suite bedrooms for the residents. The home is on two floors with a lift to assist residents with mobility problems. There is a secure garden for the residents to use when the weather permits. It shares laundry and kitchen facilities with Bowood Court, both of which are on the Bowood Court premises. The weekly fees for this service at the time of the inspection ranged between £353.00 to £469.66. For up to date information please contact the home direct. The fees do not include Hairdressing, chiropody, newspapers and costs towards some transport. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was Bowood Mew’s key unannounced inspection; this is an inspection where we look at a wide range of areas. To help us plan the inspection we looked at pre-inspection information in the form of an Annual Quality Assurance Assessment requested from the home some week’s earlier, survey forms received from relatives. During the visit to the home care records, staff records and other records and documents were inspected. There was a tour of parts of the accommodation and interviews with staff, including the manager and other senior staff. Time was spent speaking privately with relatives and residents in their rooms as well as spending time out and about in the home observing what was happening and talking to residents. The inspection took place on the 13th and 15th of November 2007 by two inspectors from the Commission for Social Care. The inspection lasted a total of 20 inspector hours. We have received five complaints about this service between May and October 2007. Two relate to odours in the home, two are in repsect of one resident which were referred to the safeguarding team. A further one relates to the pre–admision process and whether the resident was assessed appropriately prior to admission. Please see complaints section in the report. The home have also advised us of complaints made directly to them and the action which they have followed which is considered good practise. What the service does well: The home is well maintained, attractively decorated and furnished. Considerations given to the Resident group, with colour themes to assist residents in finding their way around the home. Many of the resident’s bedrooms have been personalised which reflects their personality. Residents were observed being treated respectfully by the staff and their privacy and dignity was being maintained whilst receiving personal care. Staff were seen to address residents in a caring and friendly manner. Visitors are made welcome in the home and are able to visit at any time. Residents are assessed prior to going into the home to ensure the home is able to meet their needs fully. Bowood Mews DS0000018485.V336885.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. Bowood Mews DS0000018485.V336885.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 Bowood Mews DS0000018485.V336885.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): Standards 1,2,3,5 (6 is not applicable) Quality in this outcome area is good. The home provides prospective residents and relatives with appropriate information and advice to assist them in making their choice about the home. The manager and deputy manager assesses all potential residents prior to their admission to ensure the home can meet the assessed needs of the resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the home has updated their Statement of Purpose and Service User Guide’s. Copies of both documents were available in the reception area of the home for all residents and relatives to view. The home also provides their Service User’s Guide in audio to assist residents with sight Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 9 problems. It is required that the home publish their charges within the Service User’s Guide, and detail what the fees cover. Relatives spoken to at the time of the visit confirmed they had been provided with the relevant information to assist them in choosing the home. They had also been invited to view the home and meet the staff. One stated that they just turned up and were made to feel most welcome. All residents are admitted on a one months trial to complete further assessments and ensure that the placement is suitable. The home provides all residents with a contract of terms and conditions on admission to the home. When signed a copy is maintained in the home. The manager and deputy manager complete the pre-admission assessment for every potential resident. Six residents care records reviewed at the time of the inspection had copies of the pre-admission assessment included. This assessment then forms the basis of the residents care documentation. It was recommended that the home record the potential residents medication prior to offering a place. This had not been consistently completed on all assessments. Bowood Mews DS0000018485.V336885.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): Standards 7,8,9 and 10 Quality in this outcome area is adequate. By not maintaining accurate medication records can place residents who use the service at risk. The care needs of the residents are being met and a record of general health care information is maintained but there are some inconsistencies with recording and accurate medication records are not being maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The management of medication was reviewed during the inspection; the home provides two trolleys one for each floor. All senior staff administering medication have received training and the deputy manager completes a monthly audit of the system. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 11 Several residents’ medication and records were reviewed. Shortfalls were identified during the medication review, and requirements made for the home to address the shortfalls. These included: 1. A number of people are prescribed medication on a variable dosage. The actual dose given was not always recorded. 2. Medication was booked in on the Medication Administration Review sheets (MAR), on some occasion’s hand written amendments did not have a second signature to verify that another person checked the entry. 3. An audit of a course of antibiotics balanced for one resident. Another course of antibiotics for another resident did not balance. The MAR sheet stated Co-Amoxiclav 250/125 – take one tablet three times a day. The medication was booked in on 30/10/07 and showed 21 tablets. ‘A’ refused. Another dose was recorded as ‘E’ refused and destroyed. A total of 25 signatures were in place, if the tablet ‘E’ was destroyed this would equal 26 entries for a total of 21 tablets. 4. A number of gaps were noted on 3 residents MAR’s, the need for accurate recording on the MAR was discussed at the time of the inspection. 5. When administering controlled medication there should be two signatures recorded in the register. The care plans for seven residents were reviewed at the time of the inspection. It was noted that the home had worked hard in improving the format and contents of the care records. The care plans are person centred with appropriate risk assessments included. The care plans provide the carers with clear guidance on how to meet the residents care needs. In the majority of care records reviewed the evaluation had been reported in the daily entry section and not in the evaluation record. The evaluation entry recorded “review in 28 days”. It is recommended that staff make a meaningful entry in the evaluation section i.e. record the number of falls a resident highlighted at risk may have sustained in that period. In another residents care record the daily entries made reference about an x-ray to hand, but the reason and follow up for this could not be found in the documentation. The care plans in place for residents with specialist needs for example Diabetes were seen to be lacking clear directives for the care staff. Several assessments included within the records seen had not been signed or dated. The importance of all staff signing and dating their entries was discussed with the manager and care manager at the time of the inspection. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 12 Comments from relatives confirmed that they were consulted about the care plans and had time to sit and talk with the manager and deputy manager. Residents also commented: “the staff work hard and they deserve a medal” “Staff are very polite” “Very satisfied with the care would recommend them to anyone.” “Staff always react to requests.” Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 ,13,14 and 15 Quality in this outcome area is good. The opportunities for some residents to partake in activities are satisfactory. The food in the home is of a satisfactory quality, well presented and meets the dietary needs of the residents. Staff are sensitive in their approach of helping individuals who need help when eating. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been no change since the last inspection with the catering arrangements for the home. The food is prepared and cooked in the sister home; which is directly opposite. The food is transported through the grounds in heated trolleys and records are maintained of the food temperatures. The home is hoping to alter the home to provide their own Kitchen and provide meals at source. The majority of comments received from relatives, residents and staff were that it had improved with the new chef. Comments included “ I Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 14 have stayed for a few meals and the food was good” “ Good wholesome food” some stated that the food was variable depending who was on in the kitchen. The meals being served during the inspection appeared appetising and well presented. It was noted that the meal was different to the menu that was displayed for that day. Staff were observed assisting residents with their meals. A member of staff was observed standing to feed a resident it is recommended that staff sit with the residents when feeding. An additional staff member has been employed by the home to wash up the following teas to provide the care staff more time with the residents. An activities organiser is employed by the home to work 25 hours per week and covers various times depending on the activities. The activities organiser confirmed about 60 of residents participate with the activities. Those unable to join in are encouraged to sit and chat individually. A record is maintained of the activities, which the residents have undertaken. She also confirmed that the care staff are very supportive and give up their own time to assist in taking residents out. A program of the planned weekly activities was displayed in the home. It was pleasing to see the themed areas designed in the home, the indoor garden and the seaside areas. The manager confirmed that the residents have responded positively to these areas. The home is in the process of obtaining quotes to landscape the garden so this is more suited for the residents to use. The home also has a pet cat, which the residents find therapeutic. One relative commented that the home could provide more outings for the residents. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. There is a complaints procedure in place that is up to date, and available to both residents and relatives. The service always responds within the agreed timescale. The policies and procedures regarding protection of people who use the service are satisfactory. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home maintains a clear record of all complaints received either directly or from the CSCI. Since the last inspection the home has received 4 complaints directly and 3 via the CSCI. The manager investigated the complaints using their own policy and details of the investigation and outcome of the complaints were clearly recorded. The complaints upheld were in respect of odours and laundry. A complaint in respect of lifting equipment was not upheld. The home is in the process of investigating the two most recent complaints, one in respect of odours and Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 16 another in respect of a pre – admission assessment. The other complaints to do with staff attitude were referred to the Safeguarding team and were not upheld. Relatives spoken with confirmed that they were aware of the homes complaints policy and who to report a complaint to. Staff spoken with confirmed that they would have no hesitation of reporting poor practise. The manager confirmed that staff had received training and were aware of the whistle blowing policy. The home also displays information about elder abuse for visitors to read. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. The home provides a pleasant well-maintained environment for the residents to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and provides all residents with a single bedroom and en-suite facilities. Since the last inspection the home has employed a maintenance operative to complete the required safety checks and complete daily repairs where required. The home is in fairly good decorative order throughout with the exception of the kitchenette on the first floor. Plans are being discussed about changing this into a specialist shower room. The home assists residents with short-term memory impairment by using colour-coded Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 18 themes. This assists the residents to locate their bedrooms, toilets and bathrooms easier. The home has a passenger lift so residents with mobility problems can access all areas of the home. Many of the bedrooms have been personalised by the resident to reflect their personality. Residents and relatives spoken to confirmed that they were satisfied with the homes environment and facilities. One comment received from the pre inspection survey felt the home would benefit from air conditioning. The home do have mobile air-conditioning units, which they use in the residents lounges in the hot weather. The laundry service for the home is variable, with a slow turnaround for clothes. The manager feels the reason for this is all laundry is taken over to the sister home. Relatives confirmed that generally the outcome was good, but clothing tends to go missing for a while. Generally the home is clean and tidy throughout. The home has a problem with a couple of residents who urinate inappropriately and this leads to odours. The home is currently looking into replacing floor coverings in some areas to assist the housekeeper with the cleaning schedule. Given the size of the home and the number of incontinent residents it is recommended that the home review the number of hours for the domestics. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is adequate. Staffing levels are within the adequate for the number of residents. The service recognises the importance of training, and tries to deliver a programme that meets the requirements of the National Minimum Standards. The service has a recruitment procedure that meets the regulations and the National Minimum Standards. The procedure is followed in practise and there is accurate recording at all stages of the process. There is acceptable use of agency staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On both days of the inspection the home was accommodating 34 residents. The duty rotas for the home were reviewed and these showed that the home was providing appropriate staffing levels for the number of residents being accommodated. Relatives and staff stated that they felt that the staffing levels were appropriate. The home uses agency staff to cover any recognised shortfalls and try to use the same staff for continuity for the residents. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 20 Since the last inspection the home have developed a training matrix which records that all staff have received mandatory training. The need to record the training content and length of the courses was recommended. The home must also ensure that a suitably qualified person completes training. It is also recommended that the home provide specialist training for the carers to further assist them in meeting the needs of the residents for example Diabetes. 12 of the carers have completed the NVQ level 2 award that meets the standard of having over 50 of staff qualified to that level. Three staff files were reviewed during the visits. Generally the home had followed their recruitment procedure with appropriate checks having been completed prior to the member of staff commencing. The home should ensure that the job description matches the role for the employee. All correspondence in respect of recruitment should be signed and dated for verification i.e.: the interview record. The home has an equal opportunities policy in place and staff are advised of this. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 21 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): Standards 31,33,35,36 and 38 Quality in this outcome area is good. The manager has the required experience and is competent to ensure the needs of the residents are met. The home has a quality audit system in place to monitor the service and the outcomes. Staff receive regular staff supervision. The home has a good system in place for ensuring the health and safety of the residents and staff are met. This judgement has been made using available evidence including a visit to this service. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has many years experience and has nearly completed the Registered Manager’s Award. The deputy manager is also very experienced and has completed an NVQ level 3 qualification. The deputy is also completing a training course at Bromsgrove College. Comments from staff, relatives and residents were complimentary about both the manager and deputy. Both managers demonstrated a good knowledge and understanding of the residents care needs. The home holds staff and relatives meetings and the minutes of these are available at the home. The home conducts regular audits and surveys about the quality of the service they provide and the results of these were available and up to date at the time of the inspection. The Responsible Individual provides CSCI with regulation 26 reports every month. The manager undertakes regular supervision sessions with the staff; copies of these were available at the time of the inspection. Since the last inspection the home has changed its financial system for residents petty cash. It is an integrated funds solution, and allows the residents to accrue interest on their individual amount at the given rate for the account. The administrator maintains all receipts for every transaction undertaken. All records requested were available and up to date at the time of the inspection. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 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 3 X 3 Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 OP1 Regulation 5 (1) (b) Requirement The Service User’s Guide must be updated to advise potential residents /relatives of the fees structure for the home. The home must ensure that all staff maintain accurate recording on the residents’ medication administration record and follow the policy to ensure that the residents’ health needs are met. To provide an odour free environment for the residents the home should review additional domestic hours and alternative floor coverings. Timescale for action 28/02/08 2. OP9 13 (2) 13/11/07 3. OP26 23 (2) (d) 28/02/08 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 OP3 Good Practice Recommendations All pre – admission assessments are dated to evidence DS0000018485.V336885.R01.S.doc Version 5.2 Page 25 Bowood Mews 2 OP7 3 OP30 4 5 OP15 OP29 when the assessment was completed. To assist in establishing information about the potential resident a record of the resident’s medication should be included on the pre- admission assessment. To assist the carers in meeting the residents care needs the care plans should clearly detail how the carers should provide the care for specialist areas i.e. Diabetes and wound management all entries should be clearly dated and signed by the carer for verification. It is also good practise that the evaluation is recorded with the identified need and not within the daily entry. To ensure that staff are appropriately trained in meeting the resident’s needs it is recommended that all training is delivered by a competent person, and the course content and length of course is recorded. To assist residents with their meals it is recommended good practise that the carer sits with the residents’ to assist them with their meals. To further protect the residents all correspondence in the applicants file should be dated and signed. The job description should also be relevant for the employees post applied for. Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Bowood Mews DS0000018485.V336885.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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