CARE HOMES FOR OLDER PEOPLE
Castle Hill House Bimport Shaftesbury Dorset SP7 8AX Lead Inspector
Mike Dixon Unannounced Inspection 3rd November 2005 12:00 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 Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Castle Hill House Address Bimport Shaftesbury Dorset SP7 8AX 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) 01747 854699 01747 858760 Community Health Association of Shaftesbury Limited Mrs Immacula Ballard Care Home 30 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (13) of places Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. A maximum of 2 bedrooms, measuring 15.5m sq metres or more, may be used for double occupancy at any one time. 23rd February 2005 Date of last inspection Brief Description of the Service: Castle Hill House is owned by the Community Health Association of Shaftsbury, a charitable company limited by guarantee. The home is managed by Mrs I Ballard and is registered to accommodate up to thirty older people including a maximum of seventeen service users who are mentally frail and suffering from dementia. The home also offers respite care to up to three older persons. Service user accommodation is provided on three floors; there are two double and twenty-six single bedrooms. The home has two passenger lifts; all service user areas are accessible by the lifts and there are no steps or ramps in corridors or bedrooms. The home has a range of baths including one of variable height and a fixed hoist, and another with a fixed hoist only. A visiting activities co-ordinator leads regular activities in the home (at extra charge to service users). Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted by the Commission as part of its regulatory duty to inspect all care homes twice a year. The purpose was to assess the home’s compliance with some of the key national minimum standards for older persons and to review the requirements and recommendations from the previous inspection report. Prior to the visit, comment cards were sent to the home for distribution to a variety of people who have an association with the home. The Commission received a total of thirty-one responses, as follows: three from service users, seventeen from relatives/friends, five from GPs, six from health care practitioners and three from social care professionals. The inspection was conducted by M Dixon and took five hours, during which time the he spoke with six service users, six staff members and the deputy manager. He visited all communal areas and a sample of bedrooms. He looked at a variety of records and documentation relating to the running of the home. What the service does well:
The staff are good at treating service users with respect, promoting their dignity and encouraging them to maintain their independence. Many very favourable comments were received from a wide variety of people about the kindness and understanding of the staff. Two such examples are: “a homely environment with a high standard of individual care provided” and “my mother is beautifully cared for, is very happy and is given lots of loving attention.” Service users are able to retain control over their own lives, with guidance and support where needed, and to “personalise” their bedroom by bringing in additional items. The home offers a weekly programme of activities, providing a stimulating environment for service users. Visitors are always made welcome and the staff encourage friends and relatives of service users to keep in contact. Service users enjoy their meals at Castle Hill and are provided with a nutritious diet. The complaints procedure is clearly set out so that service users or their representatives can raise any concerns. There are policies and procedures in place to help protect service users from coming to harm. The home is well maintained and refurbishment is carried out when the need arises. The services and equipment are regularly maintained. The accommodation is comfortably furnished and suitably equipped to enable staff to provide care safely to the service users. The premises are kept in a clean
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 6 and odour free condition. The laundry arrangements are very good and staff take a lot of trouble to look after service users’ clothes. There are staff on duty in sufficient numbers to meet the needs of the service users. The staff enjoy the confidence of service users, relatives and external professionals alike, many of whom have expressed their praise either personally to the inspector or through comment cards. Staff are in the process of receiving the training which will help to further develop their skills. The home is run efficiently by an experienced and qualified manager. The manager runs the home in such a way as to encourage the service users and staff members to participate in decision-making. The management promote the health, safety and welfare of all who live and work at the home by minimising risks and by encouraging staff to be observant and careful. What has improved since the last inspection? What they could do better:
The pre-admission assessment should include the sources of information used for the assessment, including comment on the extent to which consultation has taken place with the service user. The registered person must provide evidence that each service user and/or his/her representative has been consulted with regard to the content of the care plan. Where it has not been possible to achieve this, a note to this effect must be made on the care record. The record of meals provided must be in sufficient detail to enable any person inspecting to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. When assisting individual service users to eat their meal, staff should sit down, where space allows. The menu should be displayed in larger writing and should be in a more prominent place.
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 7 Staff induction and foundation should be completed within a six week and six month time period respectively. If induction and foundation is combined, as set out under revised guidelines from the Learning Skills Council, the whole programme should be completed in three months. As planned, all staff members should receive training in dementia awareness. 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. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 The home ensures that it only admits service users whose care needs it can meet by carrying out a thorough pre-admission assessment. EVIDENCE: The manager or deputy manager conducts a pre-admission assessment on all prospective service users prior to admission. The assessments are comprehensive, covering relevant topics, and a record of the outcome is made. From examples of assessments seen by the inspector it was not always clear if the service user him/herself had been consulted/involved in the gathering of information. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Staff treat service users with respect and dignity, promoting service users’ feelings of worth as valued members of the household and community. EVIDENCE: Service users are dressed in clean clothing and particular attention is paid by staff to those mentally frail service users who are no longer able to see to themselves. Each care staff member has “keyworker” responsibilities for a small number of service users; amongst their duties they ensure that service users’ clothes, personal effects and bedroom are kept in good order. Staff assist service users where necessary with personal care tasks in a discreet manner. Service users are encouraged to retain control over their lives and to remain as independent as feasible. Staff members assist service users to make choices as to how they spend their time, the frequency and timing of bathing, what they have to eat etc. During the visit staff members were observed to approach service users in a courteous and friendly manner. Service users may look their bedroom door if they wish. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 11 This positive view of the home was confirmed in comment cards received from service users, relatives and health and social care professionals. The following views reflect the views of those who responded: “I feel that the standard of care at Castle Hill is extremely high and the staff really care about the clients.” “My mother is beautifully cared for, is very happy and is given lots of loving attention.” Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 The home offers a varied programme of activities, thus providing a stimulating environment for service users. The home makes visitors welcome and thereby helps service users maintain contact with the local community. Service users are assisted to make choices about their daily routine and retain control over their lives where this is feasible. The catering provision ensures that service users are offered nutritious meals at regular intervals during the course of the day. EVIDENCE: The home has a programme of activities in place which includes quizzes, games, “extend” exercise sessions, music, singing and occasional use of the “memory box” library. Periodically there are social gatherings, special events and entertainment. Three or four times a year there are outings by minibus and in the warmer weather staff take service users out for a walk. Service users have access to a secure and well-maintained garden. Photographs of past events and a notice of forthcoming events are displayed in the front hall. The activities coordinator works at the home on three mornings of the week; two volunteers visit on a regular basis to spend time talking to service users and in one case to read a story. Once a fortnight a lady visits to provide a hand massage to those service users who would like one.
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 13 The activities programme is adapted to suit the mentally frail service users who form the greater part of the current resident group. From observation during the course of the visit and from comments received from a variety of sources it appears that for the most part service users are happy with the provision. A view was expressed that there should be more outings; the management’s position is that more frequent outings are not feasible because of the staffing input that is required to provide the necessary level of support. Some service users pursue their own interests and make their own arrangements. Service users who spoke to the inspector in their own bedroom confirmed that they were able to do as they pleased and follow a routine that suited them. Service users receive visitors whenever they wish and their visitors are always made welcome by the staff. It was evident to the inspector from speaking with service users and a visiting relative that friends and relatives of service users were encouraged to participate in the life of the home and to maintain contact. Information regarding visiting arrangements is contained in the home’s service user guide. Service users have the opportunity to “personalise” their bedroom by bringing in additional items to their room, including pictures and other features of interest. Service users retain control over their own lives, where feasible; their relatives or other representative assist them with financial affairs, where necessary. There is information about advocacy services and accessing personal records in accordance with the Data Protection Act is in the service user guide. Service users are provided with a varied and nutritious diet. Service users have a choice of items at breakfast and at teatime; at lunch there is a choice between a meat or vegetarian dish; once a week fish is served. The staff take account of the dietary needs and likes and dislikes of service users. The menu is reviewed periodically in accordance with the changing seasons; service users are asked informally for their views on the food and the subject of catering is sometimes discussed at residents’ meetings. Those service users who talked with the inspector and were able to articulate a view made positive comments overall about the quality of the food. One service user confirmed that an alternative was provided if staff were notified that a particular dish or item was not liked. The record of meals at present does not note where alternatives are offered. The weekly menu is displayed in small print by one of the entrances to the main dining room. The inspector observed the serving of lunch which was carried out in an unhurried manner. Staff were attentive to the needs of service users; the inspector recommended that where space allows it would be preferable if the staff sat down when helping individual service users to eat. Meals are spread out between 8.30 am and 5.30 pm; there is an opportunity for an additional
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 14 snack when evening drinks are served at 7.30 or 8 pm. Hot and cold drinks are offered regularly during the course of the day. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 The home has a complaints procedure which enables service users and/or their representatives to address any concerns they might have. The policies and practices of the home ensure that service users are safeguarded from abuse or harm. EVIDENCE: The home has a suitable complaints procedure which is contained in the home’s service user guide and terms and conditions of residence which is provided to all service users and/or their representative following admission. From discussion with service users who were able to articulate a view and a visitor and from views expressed in comment cards from service users and relatives, it was clear that people felt that they could approach the manager or other senior staff member if a problem arose. The home has adult protection and “whistle blowing” policies/procedures, a copy of the Dorset County Council “No Secrets” guidance and policies/procedures that relate to the management and protection of service users’ finances. The majority of staff members have received training on the subject of adult protection from an external training provider. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 The rooms and areas that are accessed by service users are well-maintained, light and spacious, providing a pleasant and comfortable environment for service users. The premises are clean and odour free, ensuring that high standards of hygiene are maintained. Laundry facilities and arrangements are very good, providing service users with clean clothing and linen. EVIDENCE: The inspector looked at all communal rooms and areas and a sample of bedrooms. Everything was found to be in good order. All areas of the home may be accessed by passenger lift or stairway. There is a well-maintained and secure garden to the rear of the building. Maintenance and upgrading of the premises continues underway: recent projects include the reflooring of the kitchen, repair/replacement of windows and refurbishment of bedrooms as they become vacant. Bedrooms and communal areas are spacious and receive plenty of natural light. Rooms are comfortably furnished and equipped to meet the needs of the service users who are currently living at the home.
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 17 The home meets the requirements of Dorset Fire and Rescue Service by the implementation of fire safety measures which include the regular servicing of the fire precaution and emergency lighting systems and the carrying out of staff training. The kitchen and food storage arrangements were inspected by the Environmental Health Officer on 30th June 2005; the deputy manager informed the inspector that the minor issues raised had been addressed. The premises are kept very clean and free from unpleasant odours. Service users who were able to articulate a view confirmed that their rooms were regularly cleaned and that the arrangements both for cleaning and laundry were in accordance with their wishes. The management and staff take particular care to ensure that clothing is labelled and neatly folded/arranged in cupboards and chest of drawers. A senior staff member has responsibility to oversee this aspect. The laundry room is a suitable size and the machinery in use meets disinfection standards. Staff put into practice infection control procedures and have the necessary protective gear to assist them. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 and 30 The stable and well-motivated staff group ensure that all duties at the home are carried out efficiently. Staff are competent at their work and enjoy the confidence of service users, relatives and external professionals alike. The staff training programme is generally comprehensive and covers most of the areas that are necessary for the promotion of health and safety and good care practice. EVIDENCE: The staff team has retained all its members during the course of 2005, a situation which has helped the home to provide a consistent level of care and quality of service. Staff rosters are displayed and maintained up-to-date. Care staff levels provide for five assistants on duty for the greater part of the day, four for the mid to late evening period and three during the nighttime. Ordinarily, the home is able to sustain these levels, with staff covering for each other in the event of sickness or annual leave. November is the first month this year when there has been a need to make use of agency staff. Staffing levels are adequate to meet the care needs of service users; there is recognition by the management that an additional staff member in the mornings would be of benefit and the matter is to be reviewed early next year. The management has a commitment to promoting the attainment of NVQ level 2 or above by the care staff. At present 40 of the care staff have achieved this qualification; a further six members are in the process of working towards
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 19 gaining either level 2 or 3. The home is on course to achieve the required standard during 2006. There is an induction and foundation programme for newly appointed staff members; in the case of three staff members the completion of induction has been delayed. The training needs of each staff member is assessed and recorded, together with a note of the training undertaken so far. The home undertakes to provide all staff with the necessary health and safety and care practice training in order to equip them to carry out their duties competently. Examples of topics covered during the past year are infection control, health and safety, handling of medication, manual handling and p.e.g. feeding. The main area for development is training in dementia awareness, an important topic in view of the high number of service users suffering from this condition. Some staff have attended training on this subject in the past. As noted earlier in the report, the staff enjoy the confidence of service users, relatives and external professionals alike, many of whom have expressed their praise either personally to the inspector or through comment cards. The following views represent those comments received: “We have been absolutely delighted with the care, kindness and attentiveness of the staff.” “The staff work so hard.” Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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): 31,32,36 and 38 The manager is experienced and competent and discharges her responsibilities fully. The inclusive management style enables service users and staff members alike to contribute to the running of the home. Staff members are supported and supervised by the manager which contributes to the high standard of care that service users receive. The health and safety measures that the home takes ensure that service users are protected from harm. EVIDENCE: Both the manager and deputy have achieved an advanced management in care qualification, which is equivalent to NVQ level 5. They have not yet been able to ascertain if this award also equates to NVQ level 4 in care. They both undertake periodic training to keep abreast of current practice. There are clear lines of responsibility both within the home and with the external management (Dr Tapper, Chairman of the Board of Trustees). The management structure is
Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 21 explained in the home’s statement of purpose. Both the manager and deputy have a job description which reflects their level of responsibilities. There are regular staff and service user meetings, the outcome of which is recorded. From views expressed either in person or through comment cards from service users, relatives and staff, the manager and deputy are considered to be both approachable and supportive. Communication with relatives and friends of service users is achieved through face-to-face contact and telephone, through a newsletter and periodic social events which are arranged by the home. The manager has offered relatives the opportunity to meet as a group and discuss issues of common interest but it appears that at present relatives do not want such an arrangement. The management have an “open door” policy and encourage staff to discuss problems and raise issues as these arise informally. Dr Tapper also makes frequent visits to the home and is available for consultation. Staff receive oneto-one supervision every few months and a record is made of the outcome of each session. Supervision is not yet occurring at the frequency recommended under this standard but this has not had a detrimental effect on service users’ welfare. The management adopts a proactive approach towards health and safety in the interests of service users, their visitors and staff. There is suitable transferring equipment and staff receive training in manual handling. The inspector observed staff using equipment competently during the course of the visit. There are notices displayed advising staff regarding infection control procedures. The staff training programme takes account of all required health and safety topics. The facilities and equipment are regularly serviced, in accordance with recognised guidelines. Accidents are recorded and periodically audited. Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 4 STAFFING Standard No Score 27 3 28 2 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 x x x 2 x 3 Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 23 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 OP7 Regulation 15(1) Requirement The registered person must provide evidence that each service user and/or his/her representative has been consulted with regard to the content of the care plan. Where it has not been possible to achieve this, a note to this effect must be made on the care record. Previous timescale of 30/11/04 not met. The record of meals provided must be in sufficient detail to enable any person inspecting to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Timescale for action 31/01/06 2 OP15 17(2) sched 4 12 31/01/06 Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 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 The pre-admission assessment should include the sources of information used for the assessment, including comment on the extent to which consultation has taken place with the service user. This recommendation has been amended to reflect the fact that it has been partially addressed and is made for the second time. When assisting individual service users to eat their meal, staff should sit down, where space allows. The menu should be displayed in larger writing and should be in a more prominent place. Staff induction and foundation should be completed within a six week and six month time period respectively. If induction and foundation is combined, as set out under revised guidelines from the Learning Skills Council, the whole programme should be completed in three months. As planned, all staff members should receive training in dementia awareness. Supervision sessions for care staff should take place every two months. 2 OP15 3 OP30 4 5 OP30 OP36 Castle Hill House DS0000026778.V263350.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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