Inspection on 18/07/05 for Chamber Mount

This inspection was carried out on 18th July 2005.

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

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

Other inspections for this house

Chamber Mount 04/07/07

Chamber Mount 01/12/05

Chamber Mount 07/11/05

Chamber Mount 19/08/04

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 HOMES FOR OLDER PEOPLE Chamber Mount 197 Chamber Road Werneth Oldham OL8 4DJ Lead Inspector Michelle Haller Unannounced 18th July 2005 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. 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. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chamber Mount Address 197 Chamber Road Werneth Oldham Lancashire OL8 4DJ 0161 928 2940 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) Elizabeth & Anthony Knight Barbara Meredith CRH 23 Category(ies) of DE(E) Dementia over 65 - 6 registration, with number OP Old Age - 23 of places Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home is registered for a maximum of 23 service users to include: * up to 23 service users in the category of OP (Older people not falling within any other category) up to 6 service users in the category of DE(E) (Dementia over 65 years of age). 2 The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 9th January 2005 Brief Description of the Service: Chamber Mount is a residential home providing 24-hour personal care and accommodation to upto 23 service users over the age of 65 years. The home is situated approximately one mile from Oldham’s town centre and is close to local shops and amenities. Bus services are available close by providing access to Oldham town centre or Manchester city centre. The home was originally two Victorian houses that have been converted to one, and the front faces onto Chamber Road. A ramp has been installed at the side entrance to the home and this provides level access into the home. The home has a small barbeque area to the rear and gardens to the front and side of the property. Bedroom accommodation is provided on three levels including lower ground floor, ground floor and first floor. A passenger lift and a chair lift are available for the use of service users. The home provides twelve single bedrooms and five twin rooms. Bedrooms are pleasantly decorated with complementary curtains and bedding. Bathing facilities include one assisted bath, one unassisted bath and two shower rooms. There is a choice of lounges and dining areas that are furnished to a comfortable standard. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Chamber Mount residential care home took place over the course of seven hours. During this time interveiwes were completed with six service users; two relatives and members of the staff team. In addition a tour of the private and communal areas of building was undertaken, activities and one meal was sampled and the interactions between all people in the home was observed. Seven service user case files were examined as were other documentation including the staff rotas, past menus and staff files, the accident book and other records concerning the welfare of the service users. On arrival, the home was busy, with some service users independently using the facilities while staff continued to deal with the needs of other service users. The home was clean and warm on a summers day that was cold. What the service does well: The home’s assessment of needs and response to service users needs is of a high standard. The health and physical care and support provided are exemplary, all health care instructions are carried out as directed and the effectiveness of any intervention is noted and appropriate action taken. Advice from specialist health professionals is sought in order to reduce risk and not only when a health need has actually arisen. The home provides nourishing, well-prepared traditional meals and snacks. There are a variety of recreational activities enjoyed by service users provided within the home. The home provides clean, comfortable and nicely decorated communal accommodation and the bedrooms can arranged to satisfy the individual preferences of service users. Staff receive comprehensive induction and training in issues related to physical and social care. The environment and ethos of the manager fosters good relationships between service users, staff and visitors. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 6 Service users are content living in the home and the general service can be summed up in the words of one service user who said, “It’s a nice place, it’s clean and you get help when you need it’.” What has improved since the last inspection? What they could do better: The support offered to service users who require assistance could be improved. Service users must be offered a choice of main meal and those who require special diets fully catered for. The home must ensure that that all staff working in the home are properly vetted. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 7 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. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4 and 5 The home provides sufficient information to prospective service users about the services provided in the home Service users are provided with a written contract about the terms and conditions of living in the home. Detailed assessments of the care needs of prospective service users are completed prior to admission. Service users and their representatives are able to spend time in the home prior to admission. EVIDENCE: During this unannounced inspection 5 service users where interviewed and 2 relatives visiting the home. All of the service users stated that they or their representative had visited the home prior to admission. In addition 7 service user files were examined. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 10 The service users guide produced by the home details most of the services available and how health and care needs will be met. Service users and their family commented that they where made aware of the home’s abilities through the referring social worker and because the home has a good reputation locally. Of the seven service user files examined all contained comprehensive assessments of the needs of service users. The most recent files also contained pre-admission assessments that had been completed by the manager prior to the person moving. This assessment helped to identify high-risk areas that needed to be considered prior to admission. In the case of one service user falling was a particular issue both at home and in hospital- it was pleasing to note that the home was able to introduce strategies that had substantially reduced the incidence of falls for this person. Service user contracts where examined and these detailed the terms and conditions of residency in Chamber Mount, and these are completed and signed under the understanding that the first month of occupancy is considered a trial period. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Comprehensive care plans developed from the needs assessments are in place for all service users. The health needs of service users living at Chamber Mount are met and service users general and specific health needs improve following admission to Chamber Mount. The homes medication policy and procedures protects means that medicines and dealt with safely. Service users are treated with dignity and respect in relation to personal and health care. EVIDENCE: Seven service user files were examined during the inspection process. All files contained detailed care plans outlining the action to be taken to ensure that health, personal and emotional care needs were met. A number of these care Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 12 plans had been signed by the service user or their representatives, therefore demonstrating some involvement in the process. More detail needs to be written in the daily reports relating to the experiences and condition of service users in relation to the support and treatment received. It was also clear from the records that care plans are reviewed and updated every 4 to 5 weeks. The service user records confirmed that health care professionals including opticians, dentists, podiatrist, nursing and general practitioner regularly attended service users for routine checks and specialist treatment or advice. Improvement in the health of service users was identified for three service users. The records demonstrated that service users regained skills and abilities due to their admission to the home, one person had previously experienced frequent falls and was considered at high risk of developing pressure sores, another was unable to remain continent, and a third suffered with debilitating oedema and pressure areas in her leg. In all cases it was possible to track the input and specialist health care provided by the home to improve the situation for these service users. The service user records also contained the outcomes of routine observations such as weight as a means of monitoring the general well being of service users. Initial nutritional screening of service users is undertaken. Medication policies and procedures met the required standard at the previous inspection. Observations made of service user being supported in taking medication and receipt of medication into Chamber Mount demonstrated that the policy was being followed. Over the course of the day it was possible to observe that service users were treated with dignity in relation to personal care. Service users at Chamber Mount appeared well groomed and supported to maintain a high standard of appearance. Discussion with service users indicated that staff ensured that privacy was respected. This was confirmed by the family members who where interviewed. One service user commented that, ‘The staff are very good- kind hearted, the young staff are thoughtful’. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and15 Chamber Mount provides opportunity for service users to participate in a variety of activities within the home, in the local community and further a field. Service users are able to voice their opinion and have choice over their lives. Mealtimes for independent service users are generally a pleasant experience however the experience of service users who require support while eating is not considered satisfactory. EVIDENCE: Charts maintained on behalf of the service user recorded their involvement in a variety of activities that included, board games; armchair exercises; sing-alongs; film evenings and entertainers. Those service users interviewed were content with the level of activities taking place in the home but commented that they would like more excursions, the last one having taken place around Christmas 2004. Service users were observed relating to each other in a positive manner and friendships have developed. Service users who shared bedrooms stated that this was a preference and did not want any changes. Service users stated that visitors could be received at time convenient to themselves and their visitors. This was confirmed by the visitors who where interviewed. One visitor Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 14 confirmed that she had visited at different times of the day without any problem. The spiritual needs of more independent service users were met, however, discussion with the service users identified that a Church of England Minister had not attended the home for a while and that this service was missed. Discussion with the manager confirmed that no action had as yet been taken to remedy this. The menu is varied and includes traditional meals including roast, grilled or braised meats with potatoes, cottage pie, meat pies; past dishes, fish and chips all served with two portions of vegetables. Teatime choices included home made soup; pies, salads, or sandwiches. On the day inspection lunch was stewed steak and dumplings, potatoes, cauliflower, swede and carrots followed by creamy rice pudding. This meal was sampled and thought to be tasty and nicely presented. Service users were observed for a brief period at lunch and again at teatime. There are two pleasant dining areas for more independent service users. In the afternoon fresh fruit was offered to all service users. Although the home caters well for the majority of the service users it was disappointing to find that little consideration was afforded to a service user who preferred a vegetarian diet. An alternative meal was not offered on this occasion, and there was no indication that a vegetarian alternative was routinely available. This was discussed with the manager and registered provider. In addition, diabetic alternatives seemed to lack imagination with the cook stating that the alternative for desserts was generally yoghurt or fruit. Service users requiring assistance to eat and drink revceive meals in the lounge area, sitting in easy chairs at tray tables. Service users neeeding assistance at mealtimes are served before everyone else. The assistance provided to service users appeared rushed as staff were either standing over or crouching down by the service users while they were offered support. This practice was discussed with the manager. A record of all the food served to service users is not consistently maintained. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 standard(s) 16,17 and 18 Service users are confident their complaints will be acted upon. The legal rights of service users are safeguarded. Service users are safeguarded from abuse. EVIDENCE: The home’s complaints policy is readily available. Service users stated that if they had a complaint they would discuss these with a deputy manager or the owners. Service uses stated that they felt there was open access to the management team and this meant issues where usually quickly resolved. Service users commented that they had taken part in this years General Election and the manager also commented that some service users were assisted to attend the local polling station. All staff have undertaken training in the protection of vulnerable adults and whistle-blowing, and a fact sheet has been provided in an easy to understand format. The homes policy and guidance is in line with that of the Local Authority. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,22,23,24,25 and 26 Chamber Mount is a clean and comfortable place to live. The home has taken the necessary precautions to provide an appropriate and safe environment for service users. Specialist equipment is available to maintain the independence of service users. EVIDENCE: The gardens to the front and side of the home were neat and tidy. The entrance to the home was warm, welcoming and free of unpleasant odours. In the course of this unannounced inspection a tour of the entire building was undertaken. The three lounge areas are pleasantly decorated clean and warm. Service users where observed watching television, reading and conversing with Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 17 one another. The smaller lounge has recently been decorated. Service users stated that they liked the newly decorated lounge areas. Furniture and fittings throughout the home was clean and in good repair. Service users use grab rails, ramps, a chair lift and an elevator. Thereby allowing them access to different facilities in the home. Service users where observed using the adaptations and equipment both independently and with staff assistance. The minutes of staff meetings indicated that fire safety issues where appropriately addressed in the home, in addition staff were able to detail the homes fire-safety protocol and stated that an external fire-safety course had been run for all staff. This was confirmed by the management team and corresponding certificates. The home provides bathing and toilet facilities in sufficient number to maintain and develop the independence of service users. There are two assisted baths and one newly installed fully adapted shower room. Although en-suite facilities are limited, all commodes were clean and washable floor protection provided to limit any lingering smells and prevent soiling. This precaution was effective in all but one bedroom. Throughout the day the new shower-room was extra warm and comfortable, and whilst staff stated that the best improvements to the home were the shower room and water heating system because service users can “have a shower whenever they want. “ During the inspection process all the bedrooms were inspected and all appeared comfortably furnished, and many contained furniture belonging to individual service users. It was noted that a number of bedrooms have been redecorated in neutral colour schemes since the last inspection. All the beds in the home are rise and fall, this provides additional safety and convenience to staff and service users. Privacy screens were noted in all shared bedrooms. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Staff are employed in sufficient numbers to meet the needs of the service users. Failings in staff recruitment processes could put service users at risk. Care staff are given sufficient training to ensure that they can meet the needs of the service users. EVIDENCE: On the day of this unannounced inspection there were four care staff including the proprietor and registered manager, one cook, one cleaner and a cooks assistant attending to the needs of 18 service users. Previous staff rotas where examined and confirmed that at least two care staff and the manager or deputy was on the premises at the busiest times of the day. Examination of three staff files, including the newest recruit, was undertaken as part of the inspection process. The files of the most recent recruit revealed that CRB and POVA checks had not been completed. This was discussed with the manager of the home. Over the past six months a number of training opportunities have been provided to all care staff and the majority have participated in two or more of the following courses: First Aid training; prevention of abuse; introduction to Parkinsons disease; toenail cutting; food hygiene; moving and handling and administration of medication. In addition a number of staff have gained NVQ level 2 and 3 in care. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 19 The minutes from the staff meetings also demonstrated that these meetings are used as an opportunity to inform and update staff. Agenda items included, how to review care-plans; the role of the key-worker, and updating on the homes policies and procedures. It was also possible to identify that care staff made requests in respect of training and had recently requested additional infection control training. The staff interviewed were keen to detail the training they had received and how it benefited them and the service users. The service users interviewed unanimously agreed that staff were caring and attentive, and relatives confirmed this to be case, adding that staff would make sure service users where provided with personal toiletries, clothes and any other item needed. The key-worker system was discussed with staff, and they identified that an important part of the role was to get to know the service users preferences and develop a relationship, as well as to ensure that practical needs were met. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31;36;37and 38 The home is competently and efficiently managed. The ethos and leadership of the home is clear and understood by service users, their relatives and staff. Service users have control over their money. Formal staff supervision of staff needs to be introduced. Action is taken to promote and protect the health, safety and welfare of service users and staff. EVIDENCE: The manager of Chamber Mount has 20 years experience in care and the high standard of health and personal care in the home demonstrates her ability to lead to staff and support service users. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 21 In the course of the inspection the registered manager, the owner and two members of care staff were interviewed. In addition 6 service users were interviewed in a small group and individually. Two people visiting their relatives were also interviewed. The service users and relatives interviewed where able to identify the management structure of the home, naming the deputy manager, manager and owners. A completed appraisal record was seen in one staff file. The manager stated that she had recently introduced the process of appraisal and following the completion she would introduce one to one supervision. The homes accident book was examined and found to be in order. The service users records are available for them and information is stored and recorded in locked cabinets. The home has recently been inspected by environmental health. All health and safety checks are in place, fire safety equipment is in place and documentation confirmed regular checking. Safety procedures where observed to be on display throughout the home. Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x x x x 3 3 3 Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 23 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 15 Regulation 17 schedule 4 para 13 16 Requirement Timescale for action 01/10/05 2. 15 3. 29 19 The registered person must ensure that detiled records of the dietary intake of each service user is maintianed. The registered person should is ensure a choice of food suits the 01/10/05 preferance of each service users living in the home is provided. The registerd person must 01/10/05 ensure that a POVA First check is obtained prior to the appointment of any staff working in the home. 4. 5. 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 15 7 Good Practice Recommendations The registered person should ensure that assistance with eating is offered to service users descreetly, sensitivly and individually. The registered person should ensure that daily reports are completed in more detail. F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.doc Version 1.40 Page 24 Chamber Mount Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 OQD 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 Chamber Mount F54 F04 s60625 Chamber Mount un v240138 180705 Stage 4.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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