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Inspection on 20/09/05 for Castle Park Nursing Home

Also see our care home review for Castle Park Nursing Home for more information

This inspection was carried out on 20th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Resident`s comments indicate they hold the staff in high regard, one individual said that `the staff were friendly, helpful and always supportive`. The home offers residents the opportunity to make choices and decisions around their daily lives. One individual said that `the staff are great, they offer help and support when you need it and respect your wishes when you need to be alone`. Residents are provided with a warm, safe and comfortable environment that is homely and welcoming. The home is clean and staff work hard to make sure the building is odour free. The home has an enthusiastic team of staff who enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care.

What has improved since the last inspection?

The home exceeds the minimum standards in a number of areas and this is down to the hard work and attention to detail that the unit manager and staff put into the home.

What the care home could do better:

There is a need to talk to the residents to find out their opinions around the meals served in the home and the range of activities on offer, as there have been some people who have said they would like to see some changes to the menus and daily activities. Individuals spoken to said `the food is repetitive and the activities are boring`.Medication recording needs to be improved to ensure staff sign in all the medication received into the home, so that there is no mishandling of medication and the residents health is looked after.

CARE HOME ADULTS 18-65 Castle Park Nursing Home Noddle Hill Way Sutton on Hull East Yorkshire HU7 4FG Lead Inspector Eileen Engelmann Uhannounced 20 September 2005 th 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Castle Park Nursing Home Address Noddle Hill Way Sutton on Hull East Yorkshire HU7 4FG 01482 879334 01482 835651 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Barchester Healthcare Plc Mrs Janet Cooper Care Home with Nursing 51 Category(ies) of PD Physical Disability (51) registration, with number TI Terminal Illness (51) of places Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd November 2005 Brief Description of the Service: Castle Park is part of the Barchester Healthcare group and is a single storey, purpose built home providing 51 placements for male and female service users over the age of eighteen, who have a physical disability or a terminal illness. Accommodation is mainly in single rooms (the home does have one double room), some with en-suite facilities. Service users have the choice of three lounges and a dining room for relaxing in with others; designated smoking areas are provided. The home has a garden and patio area, which is accessible to those in wheelchairs and with mobility problems. Activity programme workers are employed by the home to ensure service users have the opportunity to participate in a range of social and leisure activities and the home has a computer suite plus links to Hull College for those individuals who like to participate in communication and educational learning. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out with the nurse in charge, staff and residents of Castle Park Care Home. The inspection took 4 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Six residents were spoken to in an informal manner; their comments have been included in this report. What the service does well: What has improved since the last inspection? What they could do better: There is a need to talk to the residents to find out their opinions around the meals served in the home and the range of activities on offer, as there have been some people who have said they would like to see some changes to the menus and daily activities. Individuals spoken to said ‘the food is repetitive and the activities are boring’. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 6 Medication recording needs to be improved to ensure staff sign in all the medication received into the home, so that there is no mishandling of medication and the residents health is looked after. 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 Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2. The needs assessment process at the home is robust and thorough, enabling residents to be confident that their needs can be met by the service. EVIDENCE: Each resident has their own individual file and three of those looked at had a full needs assessment completed within them. All assessments include input from outside sources such as family and state registered health professionals who are involved in the resident’s care. Any additional support the individual may need (such as 1-1 care) is clearly documented at this point and an agreement for funding arranged with the relevant funding authority. The information from the assessment process is used to formulate the individuals care plan. Three residents spoken to were able to give detailed information about their care needs and the input they required from the staff, service and outside professionals, and this was found to be accurately documented within their care plans. Discussion with the nurse in charge indicated that she or the unit manager would visit all residents before they are admitted to the home to ensure they have received sufficient information about the home, and to introduce herself so there is someone they recognise when they come in. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 9 Those residents at the home who receive nursing care have undergone an assessment by a NHS registered nurse from the Health Authority, to determine the level of nursing input required by each individual. A copy of their assessment is kept within their care plan. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9. The health, personal and social care needs of the residents are clearly documented and are being met by the service and staff. Residents are encouraged to be independent within their daily lives using a risk assessment approach to care. EVIDENCE: Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. Those residents requiring one-to-one input have a diary kept by the care worker detailing the service users needs throughout the day. Risk assessments were seen for moving and handling, pressure sores, activities of daily living and nutrition. These are reviewed regularly and the care plan amended as necessary. Risk management plans were seen in some care plans for challenging behaviour and handling of money. Three of the plans looked at have been evaluated on a regular basis and any changes to the care being given is documented and implemented by the staff. One recommendation made by the inspector was that the staff should take the Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 11 time to rewrite the problem sheet section of the care plans. Although these are up to date they include information about old problems dating back to 2001 that are no longer relevant. The residents sign their own care plan and those individuals spoken to were aware of the plan content and had input to the way it was written. Three residents talked about attending reviews of their care and demonstrated a good understanding of their health care needs. They said they had good access to their local GP and other community professionals including the diabetic nurse, community psychiatric nurse and dietician. Discussion with the residents clearly showed that they make a number of decisions and choices regarding their care, and staff respect these and are supportive towards helping individuals achieve independence wherever possible. One resident commented that ‘staff listen to you, they are there for you when you need them and are very approachable’. Two residents said that they like to attend the meetings held by the home. These are available every month and individuals are able to voice opinions and viewpoints, which are listened to and action is taken by the staff where needed. Individuals spoken with felt that they could make changes to the services offered at the home through attendance at the meetings or during one to one talks with their key worker. Staff enable residents to take responsible risks in their every day lives and information within the care plans includes a number of risk assessments covering activities of daily living and individual ones linked to residents choices and wishes regarding their care. Two individuals have electric wheelchairs and they said that they enjoy visiting the other two homes on the site and can do this independently. One person spoken to is very independent and said that the staff respect her need to do as much for herself as possible, she is able to make her own drinks and enjoys a smoke after her meals. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14, 16 and 17. Residents are provided with choice and diversity in the meals and activities provided by the home, but there is a need to ensure their views are gathered on a regular basis about menus and social events within the home. EVIDENCE: Residents spoken to are very happy with the way that staff look after them, they felt that they are given choices in their everyday life and staff respected their privacy and dignity. Observations of the interaction between staff and residents showed that there is a good relationship between the two groups of people based on trust and friendship. Menus seen offer the residents a balanced and varied diet, with meal times being flexible enough to accommodate individual preferences and give staff time to assist those who need help with feeding and drinking. Discussion with five residents indicated that the quality of the food on offer is good and a choice is always available, however some individuals felt that the meals were boring and repetitive. Changes to the menus have been made in the past Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 13 through discussion at the residents meeting, and comments from the people living at the home show that this needs to take place again. Residents are able to take part in different types of activities, both in-house and within the community. Simon is the human resource manager employed by the home (also known as the counsellor/therapist) and he conducts the learning sessions in the IT room with the residents. Hull College has teachers coming into the home once a week to offer service users access to their education and training facilities through the IT suite (Castle park has an IT facility with six computers). Information within the care plans and talking to the residents indicates that they are able to participate within the local community by having the freedom to come and go from the home as they choose. Some residents visit the local shops and access public transport independently. Four individuals spoken to said that they were feeling bored as there was nothing to interest them in the daily activities. These people are very mentally active, but have physical disabilities and they did not feel that sessions of bingo or dominoes were sufficient stimulation. Observation of resident’s daily life showed that the majority of individuals spent large amounts of the day in their bedroom, watching television or listening to music and the lounges remained empty. A number of residents were observed sat in the corridors in their wheelchairs, as this was the best place to see what was going on in the home and staff interacted with them as they past by. One resident is very independent and said she ‘felt lonely most of the time’ as staff did not come into her room very often as they knew she was self-caring. The activity information on the notice boards said that there are trips out each week, but three residents said these had not happened for a couple of weeks due to staff holidays. Given the dissatisfaction expressed by these individuals the inspector recommended that the home should talk to the residents individually or in groups to find out what activities they want to take part in and discuss what is possible or feasible to carry out. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. The health and personal care needs of the residents are clearly documented and are being met by the service and staff. EVIDENCE: Information, within the care plans looked at, shows that each resident has their own preferred daily routine including their choices and wishes regarding care giving. Discussion with the staff indicated that they have a good knowledge and understanding of the care needs of each individual and how they like this care to be given. Residents who have communication difficulties are able to access the computer suite or use a possum system within their room to aid their independence and ensure their wishes are made known to the staff. Three residents described their care needs and reported that staff are quick to offer help where needed but also respected their wishes to be as independent as possible. All the individual care plans seen during this visit clearly document the visits and input each resident has received from various outside professionals, including local GPs, diabetic nurses, epilepsy nurses, chiropody, dentist, optician and hospital outpatient clinics. Staff spoken to, said that they would Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 15 accompany the resident’s to any appointment or support them to attend independently if wished. Information within the care plans indicates that the resident’s health is monitored on a regular basis and any concerns are promptly referred to the appropriate specialist. One individual spoken with has leg ulcers that are being looked after by the staff, these are redressed according to his plan and are healing slowly. The home’s staff training programme covers diabetes, wound care, catheter care, supra pubic catheter course, Parental (PEG) feeding, infection control, malnutrition and dysphasia, pressure area care, epilepsy, stroke care, Huntington’s and Alzheimer’s disease; so residents can be confident that they are being looked after by knowledgeable and skilled staff. The medication policy for the home says that individuals can self-medicate if they want to and after a risk assessment has been completed and agreed. Five of the residents spoken to prefer to have staff administer their medication and are happy with the way this is carried out. Staff need to ensure they sign every time for medication received from the pharmacy, to ensure there is no mishandling and the resident’s health is protected. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Staff and residents are confident about reporting any concerns and the unit manager acts quickly on any issues raised. EVIDENCE: The home has a complaints procedure that residents and staff are aware of and are confident of using if needed. The complaints records show that there has been four informal complaints made since the last inspection and these have been investigated and resolved by the unit manager. One resident spoken to said ‘Elaine (the unit manager) comes round to see me most days and will talk to me about any niggles I may have. She tries to solve them immediately and will get back to me if she needs to take time to resolve them’. The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention and restraint and management of resident’s money and financial affairs. Information in the staff training files showed that they have received Protection of Vulnerable Adults (POVA) training and that this was an ongoing part of the homes staff development programme. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 26. Residents are provided with a safe, comfortable and clean environment. They are able to personalise their own rooms, and the provision of door locks means that their personal belongings can be kept secure. EVIDENCE: The home is on one level and purpose built. Wheelchair access is unrestricted throughout and access to the front door is via a ramp. The outside area includes a courtyard garden and the lawned gardens of the Castle’s complex. The home’s location affords easy access to local public transport services and amenities. There is an ongoing programme of repainting and refurbishment that is reflected in the clean, warm, comfortable and homely environment of the home. Residents spoken to were happy with their personal accommodation, which is provided in single rooms. Two residents are married and have one room as a sitting area complete with television, fridge and computer, and use the other as their bedroom. Individual rooms are decorated to suit the tastes and choices of the occupant and have a suitable door lock for privacy. Different styles of furniture and the personal belongings of the residents make the rooms homely and welcoming. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36. The standards of staff training and supervision are very good and staff have a clear understanding of their roles, ensuring that residents are protected from risk and looked after by motivated and knowledgeable people. EVIDENCE: The home offers staff a wide range of training aimed at meeting the needs of the residents, in addition to a comprehensive induction and foundation programme, which meets the NTO workforce training targets. Staff receive in excess of three days paid training per year and the home has individual staff training plans that are discussed through supervision and appraisal. Four staff files were looked at and they contained evidence of a variety of training events attended over the past year, including Hoist training, customer care, first aid, vulnerable adults, epilepsy, Huntington’s disease, rehabilitation and mobility, as well as those pertaining to safe working practices. Individuals receive regular supervision, both formal and informal and feel that this aspect of support is useful and offers them an opportunity to discuss their views and get feedback on their performance. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42. The unit manager is supported well by the senior staff in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The home has an up to date quality award from Investors in People, the local councils quality award (QDS) parts one and two and the local councils Heartbeat award. Continuous monitoring and assessment of the home and its practice/service by the various authorised bodies is an essential part of the process leading to the awards being reaffirmed year after year. Resident meetings are held on a regular basis and minutes are circulated to people living in the home. Staff have meetings with the manager and everyone is encouraged to join in with discussions and voice their opinions. Residents and staff agreed that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 20 necessary to bring about positive change. Policies and procedures within the home have been reviewed and updated to meet current legislation and good practice advice from the Department of Health, local/health authorities and specialist/professional organisations. The unit manager completes in-house audits of the home and its service on a monthly basis, and the registered individual does spot checks and completes the regulation 26 visits. A copy of the monthly visit is sent to the commission. Maintenance certificates are in place and up to date for all the utilities and equipment within the building. Accident books are filled in appropriately and regulation 37 reports completed and sent on to the Commission where appropriate. Staff have received training in safe working practices; with designated persons appointed for fire warden duties, health and safety audits and safe working practices. The unit manager has completed generic risk assessments for a safe environment within the home and risk assessments were seen regarding fire, moving and handling, cot sides and pressure relieving equipment. It was noted that doors within the home were being propped open with a variety of items including, wedges, doorstops, zimmer frames, shoes and wastepaper baskets. The inspector recommended that the unit manager talks to the local fire service and establishes what is the most appropriate method to hold open the doors, which is also safe in a fire emergency. Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x x x Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x Standard No 11 12 13 14 15 16 17 x 3 x 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 4 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Castle Park Nursing Home Score 4 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x 3 x 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 20 Regulation 17 Requirement Accurate records of all mediation coming into the home must be kept, to prevent any mishandling and protect the residents health. Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 6 14 Good Practice Recommendations Staff should take the time to rewrite the problem sheet section of the care plans and file any old paperwork about problems no longer relevant to the individuals care. Residents views about suitable activities and social events should be listened to and acted on wherever possible. Feed back to the residents must be given so they know their ideas and suggestions are being given serious consideration by the management team of the home. Residents should be given the opportunity to discuss their ideas and suggestions around the food served within the home. Evidence of where this has affected change to the service should be documented and feedback given to the residents. The unit manager should talk to the local fire service and establish what is the most appropriate method to hold open the bedroom doors, which is also safe in a fire emergency. 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 23 3. 17 4. 42 Castle Park Nursing Home Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Castle Park Nursing Home 20050920 Castle Park IR J54 v221252 s927 Stage 04.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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