Inspection on 26/06/07 for Byker Hall

This inspection was carried out on 26th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Byker Hall 27/10/08

Byker Hall 12/05/08

Byker Hall 29/06/06

Byker Hall 05/12/05

Byker Hall 22/04/05

Byker Hall 09/12/04

Byker Hall 27/07/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Byker Hall Allendale Road Byker Newcastle Upon Tyne NE6 2SB Lead Inspector Suzanne McKean Key Unannounced Inspection 09:30 26 June (13 & 30th July) 2007 th 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 Byker Hall DS0000000396.V338216.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. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Byker Hall Address Allendale Road Byker Newcastle Upon Tyne NE6 2SB 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) 0191 224 0588 0191 276 3080 Byker.Hall@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (5) of places Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 5 service users can be admitted in the category PD aged 50 years plus. 29th June 2006 Date of last inspection Brief Description of the Service: Byker Hall Care Home is purpose built and is situated in a residential area of Byker. The site is shared with another home owned by the same company. The Home is within easy reach of shops, public transport and all other amenities. Byker Hall provides general nursing care for up to 49 older people in single en-suite rooms. The home has communal lounges, dining rooms and smoking rooms on each floor. The laundry and kitchen areas are on the lower ground floor, from resident areas. All areas of the home are accessible and a passenger lift services all floors. Externally there is a garden and patio area and there is ample car parking. The home charges fees of between £355 and £505 per week depending upon the needs and requirements of the individual residents. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary: This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 29th June 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 26th June and two further visits were made on 13 & 30th July 2007. During the visit we: • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, We told the newly appointed manager what we found. What the service does well: The resident and relatives were very positive about the staff said that they work hard to help them. There was a homely, pleasant atmosphere in the home throughout the visits and residents said that the staff were “lovely” and that they felt that they “were well looked after”. Staff recruitment records were clear and concise and contained all relevant information. The vetting process helps protect residents. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 6 The care planning in the home is good. 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. Byker Hall DS0000000396.V338216.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 Byker Hall DS0000000396.V338216.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, the home is not registered for intermediate care) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good pre-admission assessments are carried out and this is shown in the care plan, this means that the residents can be confident that they can have their needs met. EVIDENCE: The care plans showed that there are comprehensive assessments carried out before any resident is admitted to the home. The care manager’s preadmission assessment was in the care plans. Those residents who need nursing care were assessed by the NHS nurse assessor and the written assessments were also in the plan. These records form the basis of the care planning process for the resident and these are added to during the placement. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning in the home is good. The health and social care needs of service users are being met and there are records to support this. Medicines are generally being managed effectively and residents receive their medication safely as prescribed and in line with safe practice guidance. However some medication storage is poor and the recording of disposal of controlled medicines should be improved. Residents feel they are treated with respect and their right to privacy is upheld, however some practices could be improved. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 10 EVIDENCE: Each resident has a care plan, based on the admission assessment. These are up to date and detailed with entries dated and signed. Care plans for the prevention of falls, pressure sore and wound care, moving and assisting, catheter care, continence promotion, and nutrition were completed effectively. The record of the daily care provided was good and detailed. Risk assessments were available for the safe use of bedrails. Monthly health observations including weights are recorded and any changes acted upon. However, communication with the cook could be better and would allow them to make adjustments to residents meals to ensure an increase in calorific content as part of the preparation of their meals. The way the nursing staff document changes in the condition of people’s healthcare needs is clear and concise, and shows that reviews take place regularly. There are appropriate pressure relieving devices and other aids available to support the staff and residents in daily activities. Advice is sought from tissue viability specialists, speech therapists and continence advisors. Visits from the multi disciplinary team are recorded in individual care plans. During the visit some care was being given in a public area, this included a man being shaved in the lounge. Residents were also being asked very personal questions or talked about in public areas in relation to their personal care needs e.g. toileting. This compromises people’s dignity. Staff used residents preferred names and to knock on doors before entering. The relationships between the staff and residents were professional but friendly. Residents said that the staff were “nice” and “always helpful” and residents said that the “staff are lovely”. There are policies and procedures available for safe receipt, recording, storage, handling, disposal and administration of medicines. These were being followed. The treatment room and medicine store cupboards were tidy, and more organised than at the last inspection although changes to the room are still required to ensure that adequate cleaning can be carried out. Controlled Drugs were examined were being recorded effectively. Medications receipt administration and disposal are recorded effectively. Medicines for disposal are now being removed using a nominated waste management supplier. However, the recording of the Controlled Drugs was not as robust as it should be as it didn’t record the medicines going into the denaturing kit or their its removal from the home. Tubes or tubs of medication were in the bedrooms and three open tubes of medication were in an on-suite, these were out of date and one did not have a Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 11 prescribing label on it. And were not stored appropriately or disposed of within the recommended time which, may have an effect on the effectiveness of the medication. Byker Hall DS0000000396.V338216.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s social and recreational needs are not being met. The home supports residents well to maintain contact with family/ friends/ representatives and the local community as they wish. Residents are well supported to continue to exercise choice. This helps them to maintain independence and control over their lives. Resident’s nutritional intake is not always being adequately supported which, may negatively impact on residents nutritional status. However, the overall quality of the food is satisfactory but the variety on offer limits choice for residents. EVIDENCE: The home does not have an activities organiser. Activities are displayed and evidence is available to support what some events have taken place both Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 13 inside and outside the home. However a number of residents and their relatives expressed their concerns that this was not sufficient to meet their social and recreational needs. The last visit included a discussion with the new manager who had only been in post for one week, he had identified a member of staff who was to change role and become the activities co-ordinator. Returned questionnaires also suggested that he social needs of the people living in the home were not being met. There were a number of relatives in the home during the inspector’s visits and residents were spending time in both the lounge areas and in their own bedrooms with them. A number of residents spend long periods sitting in the lounges but there was little going on and the position of the chairs made it very difficult for them to watch the television or chat together. There is no loop system in the home, which means that a number of residents cannot listen to the television without the volume being so loud that it disturbs others. The home encourages visits from the local community including the local school and churches. This helps people keep links within the community that they enjoyed before moving into a residential care home. The residents are encouraged to bring personal possessions with them, making their own rooms individualised and reflective of their lifestyles, culture, religion/beliefs and interests. The food being served offered choice and was well presented and well received by the residents. There were two choices for the main meal and a hot pudding, fresh fruit or yoghurts. The residents were complementary about the food and said it was “lovely” and “really nice”. However returned questionnaires suggested that the quality of the food was variable and not always served at the appropriate temperature. One resident required a short period (one week) on a specialist diet and this was not achieved. Communication of this requirement was poor between nursing staff and the kitchen and this resulted in a last minute problem in providing something suitable on the day. The provision of specialist diets should be reviewed to ensure that the staff have good advice. This should also The care staff served the lunchtime meal from a hot trolley. The staff offered a choice of drinks throughout the meal and gave assistance in a sensitive manner. Residents have the choice of eating meals in the dining room or in their own rooms. Regular drinks were served throughout the day and fresh fruit was easily available in the dining rooms. There are dining rooms on both floors. The tables were appropriately set with cutlery and crockery. The kitchenette cupboard units have been recently Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 14 replaced and were clean and tidy. The tea trolleys were circulating the home in the morning and afternoon and had a choice of beverages and home made cakes or biscuits. Fruit was available in the home and some residents were choosing what they wanted either for meal times or just as snacks. Byker Hall DS0000000396.V338216.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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are managed satisfactorily and the home takes necessary action to investigate and make any necessary improvements as a result. Robust systems are in place to protect people from abuse and staff are aware of these. EVIDENCE: The home has a complaints policy, which is available in a number of places in the home. Residents and visitors said that they knew who to talk to if they were unhappy and had confidence that these would be dealt with. One had made some concerns known and had felt that these had been resolved to their satisfaction. This has been more difficult for recently as the registered manager has moved to another home and there was no manager in the home for a few months. A manager was recruited during this time but she did not stay (2-3 weeks) and this has been unsettling for the residents and relatives. Returned questionnaires confirmed that the complaint policy was well known to both the people living in the home and the relatives. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 16 The staff are aware of the whistle blowing policy and how to inform the Manager of any incidents or issues of which there are concern. Staff confirmed this on discussion. It was unclear from the training records which staff had completed Safeguarding Adults training (commonly known as POVA – Protection of Vulnerable Adults). All staff spoken to had completed the training and demonstrated a good level of knoweldge about how to detect/prevent abuse. The manager will need to clarify this so that additional training can be provided if necessary. There have been three complaints made since the last key inspection all of which have been resolved to the satisfaction of the complainants. The records show the company policy is being followed and there is a good record of the process and the outcome with the necessary action taken regarding any identified problems with the service. There is currently a safeguarding adults investigation being carried out and the home are co-operating with the adult protection team to resolve the issue. The new manager was aware of the issues and was up to date with the process. Byker Hall DS0000000396.V338216.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): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a safe and well maintained environment. But there are areas of the home where the standard of decoration remains poor. This affects the overall quality of the environment for people living at the home. The home is clean and odour free, and control of infection procedures are clear and followed well by staff. EVIDENCE: The homes location and layout is suitable for the current needs of the residents. There is easy access to the garden area from the downstairs dining room and the main reception. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 18 A refurbishment and redecoration programme is in place and this included the corridor carpets. Communal areas are being redecorated and refurbished as necessary although there is still some furniture, which is yet to be replaced. The kitchenettes on both floors have been refurbished. All of the bedrooms have an en-suite facility and there are bathrooms, shower rooms and toilets close to all resident areas. Some bedrooms need to be redecorated and the carpet replaced. Also some furnishings are needs of replacement or repair. The bedrooms are all for single occupancy. Residents have brought small items with them making their rooms personalised and homely. Some of the bedroom furniture is showing signs of wear and several of the rooms have wheelchair damage to doors and walls. The home is clean, bright and no unpleasant odours were present. The sluices were locked and there are disinfectors on both floors. The laundry is on the lower ground floor. There are separate areas for clean and soiled linen. Both areas were generally clean and organised. Staff were observed to follow infection control procedures throughout the day. Byker Hall DS0000000396.V338216.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): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing in the home has been problematic but a new manager is now in post which, will create some stability for residents and staff in how the home is managed. Staffing levels are adequate to meet the needs of residents but covering sickness/absence has not always ensured that this is consistent. This may mean that the home is shortstaffed at times. There is an effective recruitment and selection system, which make sure that staff employed are fit to work in the home and that equality legislation has been adhered to when selecting staff. The statutory training programme is up to date including both health and safety and clinical practice. This ensures staff are knowledgeable about the care and support residents need. EVIDENCE: There have been problems with staffing in the home involving a number of changes in the care and senior management. The registered manager has Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 20 moved to another home and although the company recruited a replacement this person only stayed in the home for around three weeks. This was quite disruptive to the home. A new manager has been appointed and he has now taken up the post. Although staffing levels are being maintained on the rota to ensure that adequate numbers of staff are available to meet the needs of the residents sickness and late reporting of this results in less staff being on duty than necessary. Staff files showed that the recruitment and selection process was being followed. There was evidence of two references, Criminal Record Bureau checks, POVA First checks, and medical references, proof of identity, completed application forms and contracts of employment. The staff spoken with confirmed that they have received training in safe working practices. Specialist training for staff includes care planning, record keeping, infection control, wound care, and adult protection. Byker Hall DS0000000396.V338216.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): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has recently not been well managed and although there is now a permanent manger in post it will take some time for him to re-establish an effective management strategy. The views of the people living in the home and their representatives are not being taken into account as part of the quality systems although this is being re-established and developed. The new manager is making sure that the residents are cared for in a safe environment and that the staff are following health and safely guidelines when working in the home. Clear systems ensure that resident’s financial interests are safeguarded. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 22 EVIDENCE: There has been a recent period of time when there was no manager in the home. This occurred when the registered manager moved to another service in the company. A manager was recruited but was only in post for a short time (approx 3 weeks) before leaving. This was quite disruptive and residents said that they were concerned that they needed a manager in the home to give them the confidence that the standards would be maintained. Some management of staff issues and supervision slipped during this time. By last of the three visits the new manager had begun his employment and he was beginning to become familiar with the home and the people living in the home. Residents and relatives were positive about the start he had made and one said, “he seems to know what is needed” and another said, ”he took the time to introduce himself and I think he is going to listen to us”. He has not yet applied to the Commission for Social Care Inspection to become the registered manager for the home, but confirmed that it is his intention to do this in the near future. The formal company strategies to take into account the wishes and views of the people living in the home and their representatives are in place. But the people living in the home said that they felt that their views had not been listened to recently e.g. relative meetings or access to a single point of contact through the manager. Staff are receiving supervision in line with the annual programme although this has slipped because of the absence of a manager to co-ordinate it. The staff have received training in safe working practices including first aid, moving and handling, food hygiene, fire and infection control. Fire training and fire risk assessments were up to date. Accident recording is satisfactory with weekly audits carried out. Contract maintenance certificates were available and in house weekly tests are carried out with records kept. Residents personal allowance records were being completed appropriately. Two people sign all transactions and descriptions of purchases are provided. There is good recording of their balances with personal accounts in place for some residents. Most resident’s moneys are being held in a central noninterest bearing account. The Company is planning to change this system to enable residents with accumulating amounts to get interest on their own money. This has not happened yet. Byker Hall DS0000000396.V338216.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 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 OP10 Regulation 12 (4) Requirement All people living in the home must have their dignity maintained. Storage of medication must comply with the guidance on the package information. The disposal of controlled medication must be recorded accurately. Timescale for action 01/09/07 2. OP9 13 01/09/07 3. OP12 16 Social activities must be provides 01/12/07 so residents can have the opportunity to live active and stimulated lives. The registered provider must ensure that residents are given t adequate food and fluids particularly those requiring a specialist diet. The necessary redecoration must be completed to bring the home back to the required standard. This must include the bathroom and toilet areas. The home must ensure that there is suitable furniture, fitting and floor coverings in residents’ DS0000000396.V338216.R01.S.doc 4. OP15 16 01/09/07 5. OP19 23 01/01/08 6. OP24 16,23 01/01/08 Byker Hall Version 5.2 Page 25 bedrooms. Redecoration of the bedrooms should be completed where there has been wheelchair or other damage. 7. OP33 12 The home should be managed in the best interest of the residents and their views must be taken into account in the development of the service. 01/10/08 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 OP18 Good Practice Recommendations The manager should clarify if all staff have received adult protection training and arrange additional training as necessary. Byker Hall DS0000000396.V338216.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Byker Hall DS0000000396.V338216.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. 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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