Inspection on 16/01/06 for Brabyns House

This inspection was carried out on 16th January 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brabyns House 11/09/07

Brabyns House 13/10/06

Brabyns House 18/04/05

Brabyns House 01/11/04

Brabyns House 08/06/04

Brabyns House 11/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Brabyns House 98 Station Road Marple Stockport Cheshire SK6 6PA Lead Inspector Sylvia Brown Announced Inspection 16th January 2006 08:00 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 Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brabyns House Address 98 Station Road Marple Stockport Cheshire SK6 6PA 0161-427 4886 0161 427 4886 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) Mr John Arthur Odell Mrs. Kathryn Joan Odell Mrs Lynette Anne Stainton Care Home 39 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (39) of places Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 39 OP and up to 5 DE (E) Date of last inspection 18th April 2005 Brief Description of the Service: Brabyns House is a large, detached property situated adjacent to Marple locks and canal. Local shops, parks, public houses and restaurants are all close by, enabling service users to independently, and with support from family and staff, visit places of interest. The home is owned by Mr Odell, who takes an active interest in the home and visits each week to undertake an assessment of the building and to consult with the manager. The home is well maintained in both the communal and private parts of the building used by service users. Service users have the use of four lounges during the daytime and evening. There are two dining rooms one of which overlooks the rear gardens and is enjoyed by service users at all times of the day and evening when, after meals, it is used by service users who play cards and dominoes. Twenty-one of the 31 single bedrooms have en-suite facilities. The home offers four double bedrooms to those service users who prefer to share. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An announced inspection was originally planned for December 2005, however due to illness at the home, it was rescheduled to the current date. As stated, this inspection of Brabyns House was announced and completed in one day, commencing at 8am, with a total of eight hours being spent on the premises. The inspector spent time talking to residents, staff and visitors, observing the day to day routines and evaluating records. Prior to the inspection comment cards were sent to residents, relatives and professional visitors to the home. At the time of writing the report, eight comment cards had been returned by residents and nine by relatives or visitors, including four letters. Feedback from relatives was extremely mixed and the report has included both the negative and positive comments received. The home completed a pre-inspection questionnaire prior to the inspection, the details of which, where applicable and relevant, have been included in the report. The main focus of the inspection was on the home’s administration systems, particularly: staff files, complaints and medication. The building was looked at, as were meals and mealtimes. What the service does well: The home presents itself to a very high standard. Decoration, fixtures and fittings are of good quality, with the home being bright and homely for the pleasure and comfort of residents. All residents’ comment cards and those spoken with felt they were well cared for and their privacy was respected. Seven of the comment cards reflected that residents felt safe. One resident did not respond to the question. All comment cards from relatives stated they were made to feel welcome when visiting and that they were satisfied with the overall standard of care provided. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Staff files evaluated did not contain all the required information to confirm that all staff had contracts of employment or that induction and foundation training had been completed to the required standard. There was no indication of the interview process or letter of employment offers evident for new staff. It also appeared that some staff required essential training, such as infection control, moving and handling and COSHH. The home provides opportunities for social stimulation. However, when consulted, some residents felt that this area could be developed to ensure they are made aware of all activities taking place and that additional activities would be appreciated. It was identified that the home could consult more with residents regarding the home’s activities programme and their satisfaction with the arrangements. Though the home records daily entries about the residents within their care files, the records did not include enough information relating to the residents’ day to day life. The home failed to have enough bathing facilities to meet the needs of all residents whilst one bathroom was out of order. One showering facility was not available for use, whilst another is not suitable for the less mobile or agile residents. Relatives’ comment cards also identified their dissatisfaction with the time the home took to complete repairs, particularly the bath hoist. It was also evident that staff practices varied considerably when providing support to residents. One resident spoke about the differing standards of support she had received with ‘full washes’ in her room whilst the preferred bathroom was out of order. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 7 Though the home provides a varied balanced menu a number of residents’ comment cards identified that, on occasions, food was not cooked to their liking. Two residents confirmed this at inspection, although they both stated the overall food and meals served were “still nice”. Though the registered provider visits the home regularly, he does not undertake Regulation 26 visits or quality assurance procedures, which ensure monitoring of all aspects of the home and the views of residents, visitors, staff and professional visitors are sought and acted upon. 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. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 The information provided to residents about the home is out of date and incomplete. EVIDENCE: All relatives’ comment cards received stated they were kept informed on important matters concerning their relatives. The home advised that information is passed onto them about the home upon enquiry and again at the point of admission. The home’s statement of purpose was out of date, in that, it detailed incorrect staffing details. The homes has a service user guide as required by Regulation 5 however it could not be located at the time of the inspection nor is routinely provided to residents. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 10 Contracts of residency were on file, as were assessments of need. The home must ensure it dates assessments and details who the assessor is, who they have consulted with and where the assessment took place if the home is to evidence that it meets with residents in their own home or current placement. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Residents’ health care needs are met through effective planning and delivery of care. EVIDENCE: Each resident has a written care plan, however more personalised plans would be of benefit to both residents and staff. Recommendations have been made for the inclusion of details specific to personal care like oral health, morning and evening care support, promotion of independence and preferred bathing routines. Feedback from residents and relatives about care were mixed. Whilst all residents’ comment cards stated they felt their dignity and respect were valued, one resident did point out that practices can vary considerably between staff which slightly bothered her, however, overall, she felt that the care provided was of a good standard with some staff being exceptional. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 12 One visitor spoken with felt that without her own input her relative would not receive the care she desired or needed. Whilst another relative wrote that they frequently visited the home and found that their relative was well cared for. Another stated “ the manager and staff team are competent and no request is too much trouble”. Since the previous inspection the home has reviewed its management systems for medication and developed routines. Observation of medication administration processes showed they were of the required standard. Initial information is obtained at the time of admission regarding residents’ requests or preferences should they become ill or die. Many leave arrangements with their family members, however it was pleasing to see one resident had felt able to express her wishes in the absence of family. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Most residents are satisfied with their lifestyles and are able to make their own decisions and choices. EVIDENCE: Four residents’ comment cards stated their satisfaction with the home’s activities programme; one stated there were not enough activities. One relative spoken with felt that the home did not provide sufficient stimulation for residents and that the majority of residents were left to their own devices. As the ageing process continues for residents, it is recognised that activities are taking longer and require increased patience, understanding and endurance on the part of staff to fully involve residents. One resident commented that they are not always kept informed of what activities are being undertaken on any given day and, as a consequence, missed out on a visiting entertainer. The resident also wished to be informed when the activities person is actually on the premises and what activities are being undertaken, so they can make their decisions at the time rather than in advance. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 14 The inspector had the opportunity of speaking with the external activities provider, he explained that in addition to group activities, he spent time with individuals to ensure that they received a visitor. However after consulting with the activities person and staff, it does appear that a more structured approach to providing activities would benefit residents and enable staff to plan appropriately. Records could not demonstrate who had undertaken activities either on a group basis or as individuals. Residents spoken with stated that they were happy and contented with the services of Brabyns. One comment card from a resident stated that the “carers are wonderful, kind and generous ladies, who were respectful in all their duties”. Mealtimes continue to be pleasant and unrushed experiences for residents. However, one relative stated that “things were not as they used to be” and that “the little extras’ were not as frequent”. Other comment cards identified that some residents would prefer more variety of fresh vegetables. A relative stated “the food, though of good quality, is not always cooked as well as it could be”. Another stated the food was excellent and very well presented”. The main cook confirmed that fresh fruit and vegetables were delivered three times a week, however systems for monitoring the quality of cooked food could be developed further to ensure the homes high standards are maintained and that as far as possible residents are satisfied with food served to them. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Residents and relatives have access to the home’s complaint procedure. Staff have not had training in adult protection procedures. EVIDENCE: The home has a written complaints procedure in place. The pre-inspection questionnaire identified that one complaint had been received since the last inspection, which had been investigated and substantiated. All relatives’ comment cards stated they were aware of the home’s complaint procedure; one had used the complaints procedure. Adult protection policies and procedures are in place, however up dated training for the management team and staff remains outstanding. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 & 26 Residents live in an environment which is well decorated and homely. Bathing facilities at the time of the inspection were not adequate to meet the needs of residents. EVIDENCE: Brabyns House prides itself on the high standard of decoration and comfort it offers the residents. At the time of the inspection the home was clean and well presented. One relative comment card stated “the home is spotless and sets very high standards”. Bedrooms observed continued to be maintained to high standards, individually decorated and personalised. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 17 A number of residents prefer to remain in their rooms rather than sitting in communal areas of the home. Time was spent with two of those residents during the inspection. Though both were frustrated with their own ageing process, which poses limitations upon them, they spoke positively about their rooms and the comfort they find in having their own things around them. Call points could be accessed and additional lighting was in place to support reading and writing and other daily activities. Communal lounge and dining areas are pleasant places for residents, however one relative stated that dining chairs that had been removed for repair had not been returned, culminating in less seating for residents. At the time of the inspection repairs had been completed. Whilst the home has a number of bathing and toileting facilities in place, one bathroom is preferred and used most by residents but has been out of order for some considerable time. The registered manager informed the inspector that an alternative bathroom has been available which has a bath hoist and that showering facilities were also available for residents’ use. Observation of the two showering facilities identified one as being unsuitable to meet the needs of most residents and the other being inaccessible. One relative’s comment card stated “my only complaint is that the bathroom is out of order and my friend did not receive a bath for several weeks”. Another: “that it is inconceivable that the ground floor bathroom has been out of action for so long”. A resident also stated she had been offered an alterative bathroom but felt unsafe. As a consequence, she had chosen to receive bathing support in her room. This resident was not made aware how long the bathroom would be out of order or where repairs were currently up to. Staff confirmed that some residents did not like the alternative bathroom currently being offered. Since the inspection it has been confirmed that the bathroom is now operational, however requirements have been made regarding the continuing arrangements to ensure residents have sufficient usable and suitable bathing facilities available at all times, including showering facilities. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 18 There is a call system fitted throughout the home. Handrails are not fitted in corridors to support residents’ mobility. The registered provider stated that, after consultation with the registered manager, it was not felt necessary to have handrails in place and diminish the homeliness of environment and that the lack of handrails do not place residents at an increased risk of accidents. The inspector advises the registered provider to complete, after consultation and assessment by a occupational therapist, to have a full risk assessment evident for inspection which confirms there are no residents placed at risk through the lack of handrails. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Residents’ needs are met by staff who have appropriate skills and are, in the main, competent in their duties. EVIDENCE: The pre inspection questionnaire identified that seven staff have left the home within the past inspection year. The staffing rota presented detailed staff positions and their frequency of work. When spoken with, residents were complimentary about the care staff and the support they received, however, as stated previously in the report, one resident stated that staff practice was inconsistent and that some staff completed their support correctly, whilst other provided the bare minimum. Evaluation of staff files identified that not all staff had received formal supervision. Evaluation of the files for new employees had completed application forms in place and references received before the commencement of employment. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 20 Files failed to identify the process undertaken to interview staff or letters of confirmation regarding their employment. Furthermore, the home does not have an induction or foundation programme which meets the required standard. Supervision was not completed at the required frequency and there was no formal process to identify when or if the registered manager completed spot checks on staff and directly observed their care practices. The pre inspection questionnaire identified that 65 of the staff team have completed NVQ training at levels 2 or 3 and that 25 held first aid certificates. It was also observed that first aiders were identified on each duty on the rota. Notwithstanding the above comments, one relative’s comment card stated “staff are extremely caring, but a bit short in numbers”. Another wrote in detail how satisfied they were with the home and the care provided, whilst others stated: “the manager and her staff team are all wonderful, friendly and very caring”, “staff are competent and know what they are doing”, “the staff are very kind and considerate at all times”. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 & 38 Brabyns House is a well run and managed home, however effective quality assurance procedures are not in place. EVIDENCE: Throughout the inspection it was evident that most residents and relatives were happy with the services offered and provided by the home. However, it was also apparent that some residents received an inconsistent service and one relative was far from satisfied with the management and organisation of the home. Following the inspection, the CSCI received a letter further detailing a number of issues concerning staff dissatisfaction. As a consequence, the CSCI is providing all levels of staff with a comment card to enable them to share their views on the services they provide. The outcome of which may be included within the next inspection report. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 22 At the time of the inspection it was difficult to have individual time with the staff as they were going about their duties. However, one relative stated that staff had said they were not listened to and felt undervalued. One relative’s comment card stated that “staff very caring but, on the whole, have to work on their own initiative”. Comments were also made regarding staff working additional hours to cover uncovered duties. Though the registered provider is said to visit the home on a weekly basis, there is no recorded evidence that he is undertaking his responsibilities to check out practice, evaluate records and ensure the home is running to the satisfaction of residents. The CSCI had repeatedly brought this matter to the attention of the registered provider and manager but no improvements have been made. The home has, in the past, sought the views of residents on the service but has yet to complete a full quality assurance audit which meets the required standard, including the publication of a report of the outcome which should be made available to the CSCI. The home does not manage any residents’ finances and has policies and procedures to safeguard residents. For those who require it or without support, the home arranges advocacy and legal services to represent the resident. Health and safety records were maintained appropriately and up to date. Certificates of insurance were up to date as were fire safety and safety checks. All accidents were recorded and appropriate action was taken to ensure treatment was provided when required. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 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 2 3 2 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 2 3 3 4 2 4 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X x 2 X 3 X X 3 Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 24 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 OP1 Regulation 4 Requirement The registered person must ensure that the home has an up to date and accurate statement of purpose. The registered person must ensure that the home produces and distributes to all residents an up to date service user guide. The registered person must ensure that all levels of staff undertake up-to-date Adult Protection Training. (Previous timescale of 31/07/05 not met). The registered person must ensure there are sufficient usable numbers of bathing facilities available for use. The registered person must ensure that they notify the CSCI of any significant event which affects the health, wellbeing and safety of resident, as stipulated within Regulation 37. Timescale for action 01/05/06 2 OP1 5 01/04/06 3 OP18 13(6) 01/05/06 4 OP21 23(2)(j) 25/01/06 5 OP21 Reg 37 16/01/06 Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 25 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. 6 Standard OP33OP31 Regulation 26 Requirement The registered person must ensure that statutory Regulation 26 visits are undertaken from which a report must be produced and supplied to the CSCI. The registered person must complete quality assurance procedures to the required standard, as stipulated within Regulation 24 Timescale for action 31/03/06 7 OP33 24 01/06/06 Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 26 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 4 5 6 7 8 9 Refer to Standard OP3 OP7 OP12 OP15 OP15 OP21 OP29 OP30 OP30 Good Practice Recommendations The registered person should ensure that all assessments undertaken clearly detail the person assessing, the date and, where possible, the place of assessment. The registered person should ensure that all aspects of the residents’ personal care are included within their care plans and on daily records. The registered person should ensure that daily activities are planned for and organised to ensure the individual and group needs of residents are met as far as possible. The registered person should ensure that residents are consulted regarding their satisfaction with all service provision. The registered person should ensure that vegetables and meat are cooked appropriately to meet the needs and requests of residents. The registered person should undertake a full assessment of the home’s showering facilities to determine if they are suitable to meet the needs of the residents. The registered person must ensure that the home can demonstrate that staff have attended interview, been accepted and been provided with job descriptions. The registered person should ensure that all care staff receive formal supervision no less than six times a year and ancillary staff as they require. The registered person should ensure that staff complete induction and foundation training as set by Skills for Care. Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Brabyns House DS0000008542.V257480.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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