Inspection on 05/09/06 for Carentan House

This inspection was carried out on 5th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Carentan House 06/08/09

Carentan House 13/08/07

Carentan House 16/01/06

Carentan House 13/10/04

Carentan House 21/04/04

Carentan House 02/09/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Ravensworth Lodge

Braeburn House - North Yorkshire County Council

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

CARE HOMES FOR OLDER PEOPLE Carentan House Carentan House Brook Street Selby North Yorkshire YO8 4AU Lead Inspector Kate Shackleton Key Unannounced Inspection 5th September 2006 09:00 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 Carentan House DS0000034630.V309663.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. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carentan House Address Carentan House Brook Street Selby North Yorkshire YO8 4AU 01757 702 815 01757 706443 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) North Yorkshire County Council Mrs Rachel Louise Bowes Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All Service Users admitted for Intermediate Care (up to a maximum of 8) will be accommodated in the Homewards Rehabilitation Unit 16th January 2006 Date of last inspection Brief Description of the Service: Carentan House is operated by North Yorkshire County Council and provides personal care for 21 older people aged 65 years and over who do not have any specialist requirements and 8 older people requiring intermediate care or who are working towards rehabilitation. The home was purpose built approximately 25 years ago. It is located within a short distance of Selby town centre. Accommodation is provided on 2 floors and the upper floor can be reached by vertical passenger lift. All bedrooms are designed for single occupancy. There are enclosed outdoor seating areas. At the time of this visit the weekly fee is £368-90. There are no additional charges made by the home. The Commission for Social Care Inspection report is displayed in the home for anyone to read. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • A review of the information held on the homes file since its last inspection. • Information submitted by the registered provider in the Pre Inspection Questionnaire • Surveys received from ten service users, three professionals who have contact with the home and one General Practitioner. •An unannounced visit to the home conducted by two inspectors and lasted six hours. The majority of the time was spent in the care home with a short visit to the rehabilitation unit. The visit included a tour of the premises; talking to service users, care staff, visitors and management. Examining some records and observing staff working with service users What the service does well: The home is managed in a manner that is service user focussed. It concentrates on the needs, wishes and views of the people who use the service. The home is clean and comfortable. Staff are kind and helpful. Routines are flexible and emphasis is placed on maintaining independence and enabling people who use the service the opportunity to exercise choice in key areas of their lives. This ensures that service users maintain some control. Comments made by service users included staff are “very nice, you get all the attention you want” and they “are like friends and have a laugh” People who use the service have access to the primary health care team and other health professionals. A good choice of food and drinks are available. This means that service users receive a varied and nutritious diet. One service user spoken to said “The food is very good” Visitors are encouraged and made welcome. This helps service users maintain contact with family and friends. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 6 There is a clear and user-friendly complaints procedure and complaints are taken seriously. Arrangements are in place to measure the quality of the service delivered which includes feedback from service users. This ensures that the staff continue to deliver care in the best interests of people who live in the home. The staff are provided with comprehensive training to improve their knowledge and skills. This makes sure that service users receive care from a wellinformed staff team whose practice is up to date. The safety of service users is an important aspect of the service delivered. It is demonstrated through good recruitment practices, risk assessments, staff training and the servicing of equipment and maintenance of the premises. What has improved since the last inspection? What they could do better: Arrangements should be made to enable someone from the service to visit prospective service users in their own home or hospital before an admission date is arranged. This provides valuable time for both parties to discuss in detail any relevant matters. It provides the opportunity for the prospective service user to be reassured and for the staff member to assess whether or not the service can meet the needs of the individual. Care planning needs to follow the North Yorkshire County Council procedure. The manager must make sure that all aspects of the paperwork is completed appropriately. This makes sure that service users needs are identified and the service can be tailored to meet each individual’s specific needs. Greater attention needs to be paid to the safe storage of medications when service users are looking after their own medicines. Personal storage arrangements must be secure. All containers containing cleaning fluids should be clearly labelled. They should never be left around the home unattended. This will help reduce the risk of accidents. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 7 There needs to be more opportunities for activities and stimulation. Where service users have particular interests every effort should be made to help them maintain their interests and community involvement. This will help to promote a fuller and more interesting lifestyle . 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. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 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 Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users have the opportunity to discuss all of their needs before they move into the home. This ensures that no-one is admitted whose needs cannot be met. EVIDENCE: The files of the three people case tracked showed that prior to their first admission to the home they had been visited by a community care manager but had not received a visit from Carentan House staff. The organisations admission procedure shows that community care managers do the initial visit and complete a needs assessment followed by a care plan. The plan is given to the homes management for them to read and decide if the service can deliver the care and support needed. The procedure considers it appropriate for the homes staff to arrange to visit the prospective service user for further discussions about the service and complete their own assessment. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 10 Best practice dictates that someone from the homes management team should always visit the prospective service user to give them the opportunity to discuss any concerns that they may have and have any questions answered. The homes managers are in the best position to discuss what it is like living in Carenten House and it is the registered managers responsibility to make sure that no one is admitted to the home until she is sure that their needs can be met. The registered manger explained that practice has improved since these three people were admitted and prospective service users will in future be visited by a manager before an admission date is arranged. The registered manager said the service is sometimes expected to take people being discharged from hospital at short notice and can feel pressured to do this. Because of the shift patterns that the managers have to work there is limited times when they can leave the service to visit prospective service users. Senior managers within the organisation who have responsibility for Carenten House need to look at how this can be managed more efficiently. The outcome of these discussions need to be clear that other than in an emergency the management of the home should be given time to arrange a visit to the prospective service user to talk about their needs and explain how the service can or cannot support them. Care managers arranging admissions need to be made aware of this. Prospective service users are always offered the opportunity to visit for a look around and stay for a meal, before deciding to move in. It is at this time that they are able to have any questions answered. They are then admitted on a six week trial period, after which a review is held to determine if the placement is to be a permanent arrangement. On admission a keyworker is assigned to take a special interest in the person using the service. The keyworker has particular responsibilities other than the day to day routines of the service. Multi disciplinary assessments are completed on everyone referred to the rehabilitation unit. There is a range of activities to support people to achieve maximum levels of independence in order to return home as quickly as possible. Visitors spoken to were very pleased with the service provided by the rehabilitation unit. Discussions with service users and surveys received confirm that people were given enough information prior to admission. An information pack is given to each service user or their representative, which provides information about how the service user can expect the service to be delivered Discussions with staff confirmed that they are aware of all new admissions to the service and they have the opportunity to read the care managers care plan. They were sensitive to the feelings that an older person may have when faced with having to move into a care home. Staff were able to describe how they made people feel welcome and helped them to settle in and feel safe. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Service users health and personal care needs are met. EVIDENCE: Two of the three files examined did not have a care plan. This document is central to ensuring that all of the diverse needs of service are identified and the appropriate support provided to meet individuals health and personal care needs. Without this plan it is difficult to assess that service users receive all of the support that they need in the manner that they wish. The procedure that guides staffs practice has clear documentation in order to produce a comprehensive plan of care. The manger explained that she is in the process of getting this done for all service users but it will take time. Discussed ways that this process could be speeded up. Despite the lack of a care plan all of the feedback from surveys and discussions with service users show that they always receive the care and support that they need. Service users spoken to said that staff are “very nice, you get all the attention you want” and staff “are like friends and have a laugh” Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 12 Feedback from surveys show that peoples health and personal care needs are met. Comments included “I am happy and content I have peace of mind” and “Staff always helpful from office to carers.” Service users looked clean and well cared for. Staff complete a daily record for each service use and inform management of any changes to service users needs. Staff were observed providing support in a kind and helpful manner. They were able to give examples of best practice relating to the promotion of respect for the privacy and dignity of service users. Service users are registered with a General Practitioner and are able to access the primary health care team. Medications managed and administered by staff are undertaken in a safe manner. Medicines are stored securely and appropriate records kept. This however is not the case when service users self medicate. They are provided with a lockable drawer in their bedroom to keep medicines safe. In two cases the keys had been left in the locks and a manager said this was usual practice. This is a dangerous practice with the potential to harm service users. The manager locked the drawers and removed the keys immediately. Carentan House DS0000034630.V309663.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users receive a service that they are content and satisfied with. EVIDENCE: Service users spoken to confirmed that daily routines are flexible and arranged around their particular needs They were able to give examples of how they are able to exercise control and make choices. They were aware of residents meetings and said that they have the opportunity to get their views heard. The home strongly promotes independence and risk assessments are completed to enable people to be independent in a safe manner. Staff training and the homes policies and procedures focus on service users being in control of their lives. Staff spoken to were able to give numerous examples of how they support service users to make their own decisions in key aspects of their lives. Examples given included: rising and retiring times, clothes to wear and food. Staff were observed delivering the service in a manner that offered choices to service users and respected their right to remain in control. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 14 Visitors are made welcome and are offered a drink. Visitors spoken to confirmed that staff are friendly and welcoming. Service users can see their visitors in private. The home makes use of a local advocacy service for service users who would benefit from some independent support. Menus are varied and nutritionally balanced. There is a choice of food at each mealtime and special diets are catered for. Service users mostly eat in the dining rooms but can have their meal in their bedroom if they prefer to eat alone. Dining room tables were set properly with tablecloths, appropriate cutlery and condiments. In the main dining room catering staff plated meals that staff serve with discreet support being provided when needed. To further aid independence consideration should be given to enable service users who can to serve themselves at the table from tureens. Mealtimes were relaxed and unhurried allowing service users as much time as they needed to complete their meal. Service users said that the food was very good. Feedback from surveys showed that people like the meals provided. Case tracking confirmed that service users interests are not recorded and they are not provided with the opportunities for stimulation through leisure and recreational activities in and outside the home. Service users spoken to were not aware of any programme of activities that is available other than playing bingo. Feedback from surveys suggests that activities are satisfactory with the exception of one which states “There is a need for more activities.” There is no activities programme and no one is designated to take charge of this aspect of the service. Information requested from the home prior to this visit regarding activities showed that only board games and flower arranging were on offer. The majority of service users were observed sitting in the lounges mostly sleeping with the television on. The manager is aware of the lack of stimulating activities and intends to improve this area of service delivery. Religious beliefs are respected and clergy visit the home depending on service users requests. Religious services are held in the home for those wishing to take part. Carentan House DS0000034630.V309663.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Service users feel able to air their concerns without any fear of repercussions. EVIDENCE: The complaints procedure is given to everyone as part of the information pack provided when people come to live at the home. It is clearly written and easy to understand. Two service users spoken to say they would complain if there were a need to, one saying they would talk to the manager or a member of staff. Visitors to the home were unsure about how to complain but thought they would speak to someone in the office. Feedback from surveys confirmed that service users know how to complain. Comments received included “the staff always listen to any problems I might have” and “know how to complain but never had to.” Records examined showed that any concerns raised were acted on and an early resolution sought. There is a vulnerable adults procedure and staff receive training in this aspect of their work including whistle blowing. Staff spoken to were very clear about reporting any suspicion or allegation of abuse. Staff take complaints seriously and act on them without delay Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Service users live in a clean and comfortable home. EVIDENCE: The home is clean and fresh. The accommodation is arranged over two floors and all of the bedrooms are single. Some of them are smaller than the minimum standard and none have en suite facilities. Service users felt that the cleanliness of the home is good. The home employs domestic staff to do the cleaning. Feedback from surveys included a comment that “bedrooms are spotless” Service users are able to furnish their rooms with personal possessions. This helps to promote feelings of ownership. Communal areas are comfortably furnished and decorated to a good standard. There are additional sitting areas around the home where service users can get away from others without having to go to their bedrooms. Hot and cold drink making facilities for anyone to help themselves to are provided. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 17 Aids and adaptations are provided and regularly serviced. There are three assisted bathing facilities and there are a number of toilets strategically placed around the home. Bedrooms have commodes. Call bells are sited in way that service users can easily summon help if needed. The home employs a handyman who is responsible for routine maintenance and the monitoring of some health and safety aspects of the premises. The gardens have been improved since the last inspection and provide an attractive area for service users to sit in. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The safety of service users is promoted by good recruitment processes and a well trained staff team, EVIDENCE: Staff were observed responding quickly and appropriately to requests from service users and spent time talking with them. Service users spoken to say that staff are always available to provide appropriate support and that they felt safe living in the home. Feedback from service users surveys confirmed that staff are available and provide the care and support needed. The rota shows that there are enough staff employed on each shift and especially at times of peak activity. Some recent changes to the rota means that staff have a proper “handover time” which ensures that each shift receives all the information about any changes that may affect service user lives and subsequent service delivery. Staff files examined showed a satisfactory recruitment process, which endeavours to make sure that only suitable people are employed. All staff are subject to a probationary period. There is an induction programme that ensures new staff members are given the right information to be able to do their jobs well. Staff spoken to said that the on going training programme is good, providing them with the skills and knowledge to meet service users needs. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 19 The training programme includes all the mandatory training needed to meet service users basic needs such as lifting and handling, food hygiene, and health and safety. Specialist training provided includes dementia care, promotion of independence, and medication. Future training planned includes sensory impairment, falls prevention, nutrition and management training. Staff say that they are able to identify their training needs in regular supervision sessions with their manager. A high percentage of staff have achieved National Vocational Qualifications level 2 or above. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The management style promotes the rights of service users to have a say in how the service is run and experience a lifestyle that meets their needs. EVIDENCE: The manager is relatively new into post and is experienced and qualified. She has recently achieved registration from the Commission for Social Care Inspection, which means that she is fit to manage a care home. The manager demonstrates a strong commitment to developing the service and is aware of the shortfalls. She has ideas and plans for addressing the aspects of the service that she knows needs to improve. She has however some additional management responsibilities that impact on the time she has available to plan, implement and monitor the changes. The additional duties take her away from the home. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 21 People who use the service say that they receive a reliable service from staff who are courteous, respectful, communicate well and deliver services in a responsible and professional manner. They also say that the management team are approachable and easy to talk to. Regular service user meetings, staff meetings and staff supervision promotes an open and transparent management style that is focussed on providing a service that meets the needs of service users. The home has sound policies and procedures in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures in their practice. Residents meetings are arranged where ideas for improvements can be put forward. There are quality assurance and quality monitoring systems in place, which include surveying service users to get their views. There is a service improvement and development plan that sets timescales for improvements to be achieved. A senior manager of the organisation does monthly audits of the service. These visits include discussions with service users. Service users are encouraged to manage their own financial affairs and spend their money as they wish. Staff provide support for service users who require help in managing their finances and there is a robust procedure in place to direct staff in their practice and protect service users from financial abuse The home works to a clear health and safety policy and regular safety checks are carried out. Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Following consultation with the service user a written service user plan must be prepared. The plan must set out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the service user are met. To prevent the risk of accidents, in instances where service users look after their own medication. The lockable facility provided must be secure at all times. Following consultation with service users a comprehensive programme of activities that matches their interests must be arranged. To prevent the risk of accidents all containers holding cleaning substances must be clearly labelled and must not be left unattended anywhere in the home. Timescale for action 30/11/06 2 OP9 23 05/09/06 3 OP12 16(2) 30/11/06 4 OP19 13(4) 05/09/06 Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 24 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 A member of the homes management team should visit prospective service users prior to admission. The main purpose of the visit is to ascertain that Carenten House can meet the needs of the person. In order to do this a comprehensive needs assessment should be completed. To promote independence consideration should be given to allowing service users who can the opportunity to serve themselves from tureens at mealtimes. 2 OP15 Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Carentan House DS0000034630.V309663.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!