Inspection on 03/05/05 for Chadderton Total Care Unit Limited

This inspection was carried out on 3rd May 2005.

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

Other inspections for this house

Chadderton Total Care Unit... 23/06/09

Chadderton Total Care Unit... 26/06/07

Chadderton Total Care Unit... 27/02/07

Chadderton Total Care Unit... 27/09/05

Chadderton Total Care Unit... 20/10/04

Chadderton Total Care Unit... 21/04/04

Chadderton Total Care Unit... 19/11/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Chadderton Total Care Unit Ltd Middlewood Court Middleton Road Chadderton OL9 9RS Lead Inspector FIONA BRYAN Announced 3 May 2005 09:00 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 Older People and Care Homes for Adults 18 – 65*. 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. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Chadderton Total Care Limited Address Middlewood Court, Middleton Road, Chadderton,Oldham Lancs OL9 9RS 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) 0161 627 0027 0161 628 7769 Chadderton Total Care Unit LimitedMiddlewood Court, Middleton Road, Chadderton, Lancashire, OL9 9RS Mrs Mary Alison Green Care Home 123 Category(ies) of DE Dementia – 17 registration, with number OP Old age - 70 of places PD Physical disability - 40 PD(E) Physical dis - over 65 - 70 Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One Registered Mental Nurse to be on duty on Saddleworth Unit throughout each 24 hour period. Three Registered Nurses to be on duty between 8 am and 9 pm, two Registered Nurses to be on duty between 9 pm and 8 am on Lakeland and Middlewood Unit. Manger to be supernumerary to the above. Two Registered Nurses to be on duty between 8 am and 9 pm and one Registered Nurse to be on duty between 9 pm and 8 am on Chadderton Unit. Date of last inspection 20th October 2004 Brief Description of the Service: Chadderton Total Care provides care and accommodation for 123 service users with a variety of needs. It is divided into four distinct suites, including care for older people with dementia (Saddleworth Suite), general nursing (Lakeland and Middlewood Suites) and a suite for younger adults with disabilities (Chadderton Suite). The suites are staffed separately with qualified staff who have the knowledge and skills to provide the appropriate care for each service user category.The home has its own physiotherapy unit and is able to offer exercise and therapy to those who require it. The home is owned by Chadderton Total Care Unit Limited, which is a private company, and is managed on a day-to-day by a registered manager who is also a nurse. Accommodation is provided on the ground floor throughout the home. Fourteen rooms are single en-suite, whilst a further 93 rooms are single and are furnished with a washbasin. Ten double rooms are also available for couples or those who wish to share. The home has several courtyard areas accessible for wheelchair users and a pleasant garden with seating at the back of the building. The lounge/dining spaces are open plan and provide ample space for movement by wheelchair users. Disabled facilities are also provided. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this announced inspection, spending a total of 18 hours in the home. Time was spent talking to six residents and one relative. The care of nine residents were assessed at in detail, looking at their experience of the home from their admission to the present day. Staff duty rotas, records of care, medicine records and staff personnel files were examined. Comments cards were left at the home. Four residents responded positively. One relative responded stating that Chadderton Total Care was a “caring environment”. Comments cards were also sent to GP’s who visit residents in the home. One responded positively stating that staff had a clear understanding of the care needs of residents. What the service does well: What has improved since the last inspection? Improvements have been made in the presentation of the meals provided for residents requiring a soft/liquefied diet. Work has commenced (although not yet completed) on providing a kitchen on the unit for younger adults to enable residents to make their own drinks, Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 6 snacks or meals and to enable them to undertake other independent household tasks, if appropriate to maintain life skills. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 for older people and standard 2 for adults 18-65 Residents’ needs are assessed before they move into the home. EVIDENCE: The case files of nine residents were looked at in detail. The files provided lots of information about the residents, especially in respect of their physical needs. The home has a system whereby the resident and/or their representative are involved in the assessment, at which time the care plans are also developed from the information they give. Staff knew residents’ physical needs very well and said they got their information by reading the care file of a newly admitted resident and from the nurse in charge. Changes to a resident’s condition are relayed to staff during a handover period at the start of every shift. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 for older people and standards 6, 18,19 and 20 for adults 18-65 More rigour is needed in the care planning process to ensure that residents’ needs are fully met. Residents are protected by the home’s procedures for the administration of medicines. Residents are treated with dignity and respect Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 10 EVIDENCE: The care files for nine residents were looked at in detail. Records showed that GP’s, opticians, practice nurses, dieticians, nurse specialists and physiotherapists had seen residents. One resident attended an out patient appointment at the hospital on the day of the inspection. The home has developed very good links with the tissue viability service and ensures that staff attend training and meetings arranged by this service, therefore staff are aware of best practice in respect of wound care and access specialist advice promptly if required. Some care plans lacked detail, for example the care plan for one resident who was registered blind contained little information about how this could best be managed. Some care plans were not dated or were confusing to the reader as to the date they had been reviewed. This could lead to difficulties in evaluating if new treatment or changes to the care of a resident were effective. Care files contained less information for some residents about their social history, previous occupations and family contacts. Consequently some staff were unsure about these areas. Better information in care plans would help carers to find ways in which to provide meaningful activity for residents. It was clear that carers did regard each resident as an individual and treated them as such. Risk assessments had been undertaken for the majority of residents but were not always updated at appropriate times, for example one resident had sustained a fall but the risk assessment for falls had not been subsequently reviewed to ensure that further interventions were not required. Residents looked clean and well cared for. Their preference for showers or baths was recorded in their care plans and residents confirmed they were assisted with baths as many times as were stated in the care plan. Some residents had baths most days as their needs required. Residents said staff were caring and friendly and kept them informed and discussed with them changes to their care, which made them feel that their views were respected. Staff practices were observed to promote the dignity and privacy of residents. The home’s procedures in respect of the storage and administration of controlled medicines were satisfactory but oxygen cylinders were not stored properly and safety signage was not displayed. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 11 One resident on the unit for younger adults said that following discussion with staff he had been able to go out much more as staff had acknowledged that he was aware of the risks but was happy to accept them. Another resident on the younger adults unit receives one-to-one care for a designated number of hours per week, which enables him to go out of the home and have more autonomy over his life. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 for older people and standards 13,15,16 and 17 for adults 18-65 The lifestyle needs of the majority of residents are met, but improvements are needed in the provision of activities for residents on the unit for younger adults. Meals are varied enough to suit most residents’ tastes and a fair choice of menu is offered. EVIDENCE: Residents said they are able to get up and go to bed as they wish and choose if want to stay in own room or go in one of the lounges. One resident had been to a carol service at Bridgewater Hall at Christmas and other trips outside the home have taken place for groups of residents and individually. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 13 A church service is held in the home every Thursday, which is well attended. Members of the local congregation come and chat with the residents after the service. One resident on the unit for younger adults is assisted to go home once a week to spend time with his family. Residents and the relative spoken to all said that visitors were made welcome by staff. A computer is available on the unit for younger adults, which residents can use freely. The home has several therapists who organise activities each morning, such as exercises and group discussions, and who also work with residents on an individual basis and explore areas of interest to them. However, care files lacked information about preferred leisure pursuits for some residents and development of this information and increased consultation with residents would give more direction to carers about ways in which they could expand residents’ interests and activities. Some residents on the unit for younger adults said they were bored at times – a situation which is unchanged from the last inspection. Of six residents spoken to, four enjoyed the food provided in the home, whilst two did not. Residents said that they filled in a menu requesting their choice of meal for the following day. Lunch on the day of the inspection was a choice of egg and chips, sandwiches, salad or crumpets followed by jelly, yoghurts, flan, fruit salad or fresh fruit. Residents requiring a soft diet were served chicken, mashed potatoes and green beans. This meal looked appetising, with each food component individually presented on the plate. Hot meals on the unit for younger adults were being served on side plates, which reduced the presentation of the meals. Work is in progress to provide a small domestic kitchen for disabled residents to be able to make their own drinks and snacks. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 for older people and standard 23 for adults 18-65 Further staff training is required regarding the home’s procedures to ensure that residents are fully protected. EVIDENCE: Staff said that they were informed about which residents had challenging behaviour and discussions took place regarding how to deal with individual residents in the most suitable way. Not all staff had undertaken training in adult protection and some staff were vague about the procedure that should be followed. Staff must receive training in adult protection so that they can recognise signs of abuse and understand the procedures to follow. Some residents had been assessed as requiring bed rails but it was not recorded in all cases if the resident or their representative’s consent had been obtained. As bed rails are a form of mechanical restraint evidence must be provided that the appropriate consultation has taken place and that any concerned parties are in agreement that the use of them is in the best interest of the resident. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26 for older people and standard 30 for adults 18-65 The home is clean, pleasant and hygienic. EVIDENCE: All the rooms seen during this inspection were clean, tidy and comfortable. No malodours were detected. Residents said that their rooms were cleaned daily and one resident said that the home services were “excellent”. Residents were very happy with the laundry service. One visitor said that her relative’s clothing was always well maintained, clean and neatly pressed. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 for older people and standards 32,34 and 35 for adults 18-65 The home does not always have the correct numbers of staff on duty. Shortfalls in the recruitment procedure present the risk that unsuitable people may be employed. Extensive training is available for staff. EVIDENCE: The personnel files for three staff members were examined and showed that recruitment procedures were incorrect – staff had been appointed and commenced employment after a request had been made for the POVA list to be checked but before the results had been received. Staff must only commence employment at the home when it is confirmed that they have not been entered on to the POVA list. New staff said induction training was thorough, taking place over three days before they went to work on one of the units, supervised by a senior carer. Staff and residents said that at times the home was short staffed and there was little use of agency staff. Sufficient staff must be on duty at all times to meet the needs of the residents. In the event of staff sickness or absence Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 17 every effort must be made to cover shifts using either staff from the home, or agency staff if needed. A clear staffing structure on each unit meant that staff were aware of their roles and worked well as teams. Staff morale appeared to be high and staff were enthusiastic and committed to delivering a high standard of care. Junior staff in particular appeared to be closely supervised and supported. Some units had staff meetings more often than others but all staff said they were able to discuss issues at handovers and informally with the nurses in charge. There is an ongoing programme of mandatory training for all staff in health and safety topics. Other training is provided to meet the needs of the residents. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 for older people and standard 39 for adults 18-65 Residents are not provided with sufficient opportunities to give feedback on how the home is run or discuss changes that may improve their quality of life. The storage of oxygen did not comply with health and safety regulations. EVIDENCE: Social events are organised by the “Friends of Total Care” which offer some opportunity for stakeholders in the home to offer feedback. Meetings are held to discuss fundraising and to plan social events. However, smaller meetings related to each unit would enable residents to raise issues that may not affect the whole home but may need addressing on their particular unit. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 19 No residents could recall having received any questionnaires or surveys requesting their views about how the home is managed. A variety of methods should be used to gain the opinions of residents and their representatives, in order that these views can be used to continually improve the service. Although standard 38 for older people and standard 42 for adults 18-65 was not fully assessed, oxygen cylinders were noted to be stored incorrectly and safety signage was not displayed. Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 20 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 x 2 x 3 3 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score x x x x x x x 3 Score Standard No 7 8 9 10 11 Score 2 3 2 3 x Standard No 27 28 29 30 2 x 2 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 2 34 x 35 x 36 x 37 x 38 2 Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 21 yes 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 7 Regulation 15(1) Requirement The registered person must ensure that care plans are accurate, dated and detail the action which needs to be taken to meet all aspects of residents health, personal and social care needs. The registered person must ensure that unnecessary risks to the health and safety of residents are identified and so far as possible eliminated. The regsitered person must ensure that oxygen cylinders are stored appropriately with recognised safety signage in place. The registered person must ensure that main meals are served on adult sized dinner plates. The registered person must ensure that all staff receive training in the protection of vulnerable adults and dealing with challenging behaviour. The registered person must ensure that consent is obtained and recorded for the use of bed rails. Timescale for action 30/6/05 2. 7 13(4) 30/6/05 3. 9,38 13(2) 30/6/05 4. 15 16(2) 30/6/05 5. 18 13(6) 30/6/05 6. 18 13(7) 30/6/05 Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 22 7. 27 18(1) 8. 29 19(1) The registered person must ensure that at all times suitably qualified, competent and experienced persons are working at the home in such numbers as are appropriate for the health and welfare of residents. The registered person must ensure that new staff only commence employment subject to confirmation that they are not included on the POVA list. 30/6/05 30/6/05 9. 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 33 Good Practice Recommendations The registered person should use a variety of methods to ensure that the views of residents, relatives and other interested parties are obtained about how the home is meeting its objectives. The registered person should ensure that details regarding the preferred leisure pursuits of residents on the Younger Adult Unit are recorded on indiviidual care plans. The registered person should provide a record of any consultations that are undertaken with residents regarding leisure activities. 2. 3. 12 12 Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Chadderton Total Care Unit Ltd F54 F04 s25429 Chadderton Total Care v218479 030505 Stage 4.doc Version 1.30 Page 24 - 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. 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