Inspection on 03/05/05 for Chaseside Residential Care Home

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 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chaseside Residential Care Home 14/09/06

Chaseside Residential Care Home 19/08/05

Chaseside Residential Care Home 09/02/05

Chaseside Residential Care Home 02/06/04

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Chaseside Residential Care Home St Georges Square St Annes Lancashire FY8 2NY Lead Inspector Denise Upton Announced 3 & 4 May 2005 rd 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 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. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Chaseside Residential Care Home Address St Georges Square St Annes Lancashire FY8 2NY 01253 724 784 01253 838 936 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) Mr Philip Tandy Care Home 24 Category(ies) of Old Age (23) registration, with number Physical Disability (1) of places Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: The registered person shall at all times employ a suitably qualified manager who is registered with the National Care Standards Commission. The home may accommodate 23 service users in the old age (OP) category and one named service user in the physical disability (PD) category. Date of last inspection 9th February 2005 Brief Description of the Service: Chaseside residential care home is currently registered to accommodate up to 23 older people and one named adult in the physical disability category who do not require nursing care. The home is owned by Mr Phillip Tandy, however as Mr Tandy is not in day-to-day control of the home, as a requirement of registration, a registered manager with the appropriate experience and qualifications must be appointed to undertake day-to-day management responsibility. A new manager has recently been appointed at Chaseside Care Home and an application to register this person under the Care Standards Act 2000 is currently being processed. Chaseside Care Home is located in a quiet residential area of St Annes but in close proximity to the main shopping centre, a local park and community facilities and resources.The home is arranged over three floors with the majority of service users accommodated in single bedroom accommodation. Only one bedroom is for shared occupancy. Communal areas of the home consist of two lounges, a separate dining room and combined lounge/dining area.Although bedroom accommodation does not provide an en-suite facility, bathing and toilet facilities are sufficient in number, conveniently situated and provided with appropriate aids to promote independence. A passenger lift is provided. There is a lawn area with flowerbeds to the front of the building and a patio area to the side with tables and seating. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a day and a half and in total spanned a period of 12 hours. The inspector spoke individually with the home’s manager and individual in-depth discussion also took place with 3 of the 16 residents living at the home and 4 members of the care staff team. General discussion also took place throughout the course of the inspection with various other residents who were ‘at home’. A number of records and policies and procedures were also examined and a partial tour of the building took place. At this inspection, the Commission For Social Care Inspection pharmacist inspector also visited and assessed the medication standard. The findings of this are included in the summary report. What the service does well: What has improved since the last inspection? The manager has made a significant improvement to the way medication is managed within the home and the majority of the staff team have now received training in this subject. The manager was able to show how they have improved some of the policies and procedure so that staff have clear information on how they should be working however further work is needed until this task is completed. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 6 The environment within the home is improving and it is now more homely and comfortable. A resident said that she was very happy with her own bedroom accommodation that was decorated and furnished with some of her own personal belongings. Residents were comfortable in the lounge areas and said that they liked the support of the staff and could talk easily with them. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 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) Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 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) 1 & 3 The home’s Statement of Purpose and Service Users Guide have been recently re-developed but still require further inclusions. When completed, this will provide service users and prospective service users with sufficient detail of the services the home provides to enable an informed decision about admission to the home. The pre admission assessment form to identify what the prospective service user can do well and what help may be required has also been redeveloped but should contain more information. This would ensure that the written information held is in sufficient detail to establish if current strengths, needs, wants and wishes could be met at the home. EVIDENCE: Although the Statement of Purpose and Service User Guide have recently been reviewed, it was clear that not all of the requirements and recommendations identified in this Standard have been met and further inclusions are required. For example, the Statement of Purpose must include detail of the facilities Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 9 available and identify for whom the service is intended and the Service User Guide should include the collated views of service users on how the home is meeting their needs. It is recommended that reference be made to Regulations 4 & 5, Schedule 1 of the Care Homes Regulations 2001 and Standard 1 National Minimum Standards–Care Homes For Older People to ensure compliance. Service users are only admitted to the home following a pre admission assessment by the manager of current strengths and needs. However the information obtained is not recorded in sufficient detail to provide a holistic account of the service user health, personal and social care needs in order to evidence that current requirements could be met or to inform the care planning process. Whilst staff spoken with were clearly aware of the needs of the most recently admitted resident, this was not reflected in the pre assessment documentation that did not have full assessment information recorded. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 10 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) 7,8,9,10 and 11 Although there is a consistent care planning and risk assessment process in place, this is not recorded in sufficient detail to adequately provide staff with the written information they need to ensure service user requirements are fully met. The systems for the administration of medication have improved since the last inspection with clear and comprehensive arrangements now in place to ensure service users medication needs are met. The health care needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 11 EVIDENCE: All service users at Chaseside Care Home have an individual plan of care based on current assessed strengths and needs that is developed from the initial assessment process. In addition, appropriate individual risk assessments are undertaken with outcomes recorded. However, the outcome of the individual risk assessment is not necessarily incorporated in the plan of care that would provide a more holistic account of individual requirements. Whilst there is no suggestion that service users needs and requirements are not been adequately addressed in practice, care plans should be expanded and further developed to ensure that they provide a full and accurate account of current strengths, needs and requirements. Care plans should also be reviewed on at least a monthly basis and signed by the service user wherever possible. A service user spoken with was able to confirm that she was aware of her care plan and that this had been discussed with her by with a member of staff. The recording of administration had significantly improved over the last few months, very few dose omissions without explanation were noted and those evidenced were clearly due to the resident not being in the home, the manager should remind staff of the correct recording procedures for using the key code system to ensure the records reflect exactly what has occurred. Handwritten records were on the whole accurate and detailed. Changes to medicines regimes, particularly warfarin which had been very poorly handled in the past, were handled with care and accuracy. The signed prescriptions from the GP were seen prior to the pharmacist dispensing, the manager evidenced this and clearly the prescriptions were being carefully checked. It was evident that a great amount of time had been spent by the manager and staff to ensure the records and medication were accurate. Minor shortfalls were however noted that confirmed the need for all staff to receive medication training, more detailed recording in certain areas and risk assessments undertaken for any service user self medicating. It was evidenced through discussion, observation and documentation that service users health care needs are fully met. There is a good relationship with health and social care professionals in order to maintain service users health and social well-being. A Commission For Social Care Inspection comment card completed by a professional involved stated that ‘the team showed a good deal of care and effort towards my client despite facing a number of challenges’. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 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 Links with the community have been developed to support and enrich service user’s social opportunities. Contact with family and friends are actively encouraged to maintain relationships and to provide continuity. Service users wherever possible, are also encouraged to exercise choice and control over their life to maximise their rights and independence. EVIDENCE: It was observed that routines of daily living and activities are flexible and varied in order to address individually assessed strengths and needs that was also confirmed by service users spoken with. A number of service users access community resources and facilities independently while other service users enjoy the one to one support of staff for outings and activities. In addition an ‘in-house’ activity programme has been arranged by staff that takes into account the individual abilities of residents accommodated. Staff spoken with commented positively regarding the range of activities now offered to service users and that they spent time talking to service users much more. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 13 Service users are enabled to entertain visitors in the privacy of their individual bedroom accommodation or in any communal area of the home at a time of there choice. There are no restrictions on visitors unless this is the individual service user’s decision that would be recorded. Involvement of local community and interest groups are encouraged if this is in accordance with service users wishes and currently local clergy visit the home on a regular basis and offer communion to any service user who wishes to participate. All service users with mental capacity are encouraged and enabled to retain independence in respect of financial affairs for as long as they wish to and as long as they are able to. During discussion with a service user in her bedroom accommodation, it was evidenced that service user’s are enabled to personalise their bedroom with items of importance to themselves that can include small pieces of furniture that is agreed at the time of admission. This service user stated that she enjoyed having her personal things around her to make it more like home. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 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 Staff have a good knowledge and understanding of adult protection issues, which protects service users from abuse. EVIDENCE: Robust policies and procedure for responding to suspicion or evidence of abuse or neglect are in evidence along with a recently revised whistle blowing policy. The procedures were required to be instigated by the manager in the recent past to good effect, which involved a multi-disciplinary approach to the investigation under the local Adult Abuse Protocol. It is clearly evident that the registered provider and manager demonstrated commitment to ensuring the safety and protection of all service users accommodated at Chaseside Care Home by following this appropriate course of action. Although no action was taken as a result of the adult abuse investigation, the employment of the person in question was terminated because of another disciplinarily matter. At present the manager is reviewing and updating all policies and procedures that will include the adult abuse policy to reflect the requirements of the home. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 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) 19.24 & 25 The standard of the environment within this home is improving. This has enhanced the internal accommodation and provides service users with a safe, homely and comfortable place to live. EVIDENCE: Residents at Chaseside live in a comfortable environment that is domestic in character and has been designed to meet the individual and collective needs of service users accommodated. The manager has rearranged some furniture and seating arrangements that has provided a more welcoming and homely interior for service users accommodated. In addition, re-decoration of various rooms is a continuing process in order to enhance the accommodation. Grounds are kept neat and tidy with tables and seating provided. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 16 Service user bedroom accommodation is comfortably furnished to suit the needs of the occupant and provided with a lock to the bedroom door and a locked facility for the safe storage of items of a private nature. All radiators in bedroom and communal accommodation are now fitted with guards to prevent the risk of accidental injury and thermostatic devises have been fitted to all hot water outlets in service user accommodation to prevent the risk of accidental scalding. If a service user is informally assessed as not safe to hold a key to their individual bedroom accommodation, this should be formally risk assessed and documented. Residents spoken with stated they were happy and comfortable with their personal environment. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 17 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) 28 After a period of considerable instability in staffing there is now a good mix of staff that are committed to offering consistency of care within the home and are pro-active in undertaking a variety of training initiatives. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. EVIDENCE: At present two members of the care staff team have achieved an NVQ Level 3 award in care with a further member of staff attaining Level 2 of this qualification. In addition, six further members of staff are currently undertaking an NVQ Level 2 qualification and the cook and housekeeper, in order to increase their understanding and knowledge, are also about commence this course of study. It is anticipated that at least 50 of the care staff team will have achieved at minimum, NVQ Level 2 in the near future. In addition, further short course training has been undertaken by the majority of staff that includes dementia care, medication, principles of care and health and safety. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 18 A staff member spoken with reported that ‘the home is a lot more organised, the training is very good and you can identify own training needs that are provided, the manager is very helpful’. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 19 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) 31 & 33 The manager is very experienced and qualified and has a clear development plan and vision for the home that is effectively communicated to service users, staff and other stakeholders. This has created confidence with a clear vision of how the service can be improved for the benefit of service users accommodated. The systems for service user consultation are good with evidence that indicates service user views are both sought and acted upon to influence change. EVIDENCE: At the time of the inspection visit, Chaseside Care Home did not have a manager registered with the Commission For Social Care Inspection. However, Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 20 a new manager was recently appointed and an application to register this person as registered manager has been submitted to the Commission For Social Care Inspection and is currently being processed. The prospective registered manager is well qualified and experienced and has achieved a Certificate in Social Service, Diploma in Management and a D32/D33/D34 training certificate. To further increase skills and knowledge, the prospective manager has also undertaken a variety of further recent training that includes mentoring in the work place training, ‘life coach’ training and dementia awareness training. Effective quality assurance and quality monitoring systems have been developed in respect of residents and staff and the home has achieved the ‘Investors In People’ award. Service user questionnaires have been developed and service user meetings introduced that supplement the informal daily dialogue that encourages discussion and information sharing. The views of family, friends and other stakeholders are informally sought at present and consideration could be given to developing a further questionnaire for all stakeholders as this would also inform the internal quality audit. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 x 3 2 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x x x x 3 3 x Score Standard No 7 8 9 10 11 Score 2 3 2 3 3 Standard No 27 28 29 30 x 2 x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 3 34 x 35 x 36 x 37 x 38 x Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 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 1 Regulation 4&5 Requirement Reference must be made to Regulations 4 & 5, Schedule 1 of the Care Homes Regulations 2001 and Standard 1, National Minimum Standards-Care Homes For Older People The manager must ensure an accurate record is kept of all medicines received into the home. The manager must ensure all staff are competent to handle medicine. Timescale for action 30/06/05 2. 9 13 30/05/05 3. 9 13 30/05/05 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. 3. 4. Refer to Standard 3 7 12 18 Good Practice Recommendations Pre admission assessment document should be expanded to enable a holistic overview of the prospective service users current strengths and needs. Care plans should be further developed and expanded with outcomes of risk assessments incorporated. Social interests should be incorporated in the care plan. The Adult Abuse policy and various other policies/procedures should be personalised to reflect the F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 23 Chaseside Residential Care Home 5. 24 6. 7. 8. 25 28 33 requirements of the home. The audit of individual bedroom accommodation should be completed and formal risk assessments should be undertaken if the service user is not provided with a key to their individual bedroom accommodation. It is recommended that hot water outlets in service users accommodation be tested regularily to ensure the temperature remains constant. At least 50 of the care staff team should have achieved at minimum, NVQ Level 2 by 2005. Collated outcomes of service user surveys should be published and consideration would be given to introducing annonymous questionnaires in respect of all stakeholders. Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 Chaseside Residential Care Home F57 F09 S38212 Chaseside V221381 030505 Stage 4.doc Version 1.20 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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