CARE HOME ADULTS 18-65
Cheddle Lodge 29 Ashfield Road Cheadle Stockport Cheshire SK8 1BB Lead Inspector
Sylvia Brown Unannounced Inspection 8th & 23rd November 2006 09:00 Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Cheddle Lodge Address 29 Ashfield Road Cheadle Stockport Cheshire SK8 1BB 0161-428 5189 0161 428 5189 cheddle@ukonline.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Stockport East Cheshire & High Peak Cerebral Palsy Society Mr William Delaney Care Home 13 Category(ies) of Learning disability (13), Physical disability (13) registration, with number of places Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users to include up to 13 LD and up to 13 PD. Date of last inspection 17th January 2006 Brief Description of the Service: Cheddle Lodge is owned by Stockport, East Cheshire and High Peak Cerebral Palsy Society. It is situated in a quiet residential area in Cheadle. Cheddle Lodge is registered to provide a specialist provision to 12 younger adults and one service user over the age of 65. Accommodation is provided on one level in 12 single bedrooms. Cheddle Lodge is designed for the long-term care of adults with cerebral palsy, a physical or learning disability. There is one additional bedroom, which is for the specific purpose of supporting service users on a respite care basis. The service users have the use of a lounge and dining area which are in the same area, enabling service users and staff to interact without hindrance. Families have formed an active group which meets regularly and is able to contribute to the development of the home. Family members are often on the premises and have become part of daily life at Cheddle Lodge. The fee structure for Cheddle Lodge varies according to the care support required. Currently, the lowest fee is £825 and the highest £1,600. The respite care service is based on a nightly fee and is, at this time, £155.73p per night. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection site visit to Cheddle Lodge was conducted as part of the overall annual inspection process of the home. It was completed over two days, with approximately 13 hours spent on the premises. Time was spent observing staff’s practice and interactions with the service users, looking at records and talking with both the director of the service and the registered manager. The care of two service users was specifically monitored during the inspection. Their records were looked at to see if their needs were recorded and that they were receiving the support they required. Health and safety records were also looked at, as was the building. Comment cards were provided to the home for service users, staff and relatives. At the time of writing, no comments cards had been returned from service users. Five comment cards have been received from relatives and one from staff. Where applicable and relevant, comments received have been included within the report. The next inspection report will incorporate all comments received between this and the next inspection. What the service does well:
The standard of care at Cheddle lodge is high. The home ensures, as far as possible, service users have as full a life as possible and have the opportunity for ordinary and extraordinary experiences. Service users are supported to visit skills centres, which enables them to mix with others and learn skills which will enhance their physical, mental and emotional wellbeing. Service users are also supported to visit places within the community which enables them to meet and see others without disabilities. The health and overall welfare of service users are seen as a priority. Staff are trained and experienced in caring for and supporting those with complex needs and who require specialised care and attention. Medication records were correctly detailed and systems were in place to ensure medication was stored safely. Meals and mealtimes are service user led. The staff knew service users’ favourite foods and specialised requirements. Food served was plentiful and appeared to be enjoyed by all service users. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 6 The home acts in the best interest of service users at all times. Wherever possible, service users are supported to make their own decisions and choices in all aspects of their lives. One service user was receiving support regarding their long term plans and ways in which they want their medical condition to be managed. Service users are supported to have extra ordinary experiences and enjoy life. Two service users have plans in place to see Kylie Minogue, another Cliff Richards and others are going to the Bridgewater Hall to listen to and join in with the singing of Christmas Carols. Service users go on holiday and maintain contact with their family. Christmas festivities were underway, one of which was at the request of service users having a music group to entertain at the home’s Christmas party. Members of the group have cerebral palsy and one service user at the home is a member of the group. Christmas day celebrations were in place, with arrangements for shopping and transport for visits home organised. Families are able to visit and spend time with service users. Those visiting on Christmas day have been invited to have a full Christmas lunch and tea if they desire. What has improved since the last inspection?
The refurbishment of the building continues. The kitchen upgrade was in progress which has included new equipment, units, work surfaces and redecoration. The lounge and dining areas have been fully refurbished. New settees and lighting have been provided and redecoration completed. All of this has improved service users comfort and living environment. Plans have also been passed for the building of a conservatory style room, which, once completed, will offer service users more communal living space. Tracking systems to support safe transfers continue to be put in bedrooms. All toilets and bathrooms have these systems. The systems offer improved safety and comfort to service users whilst also aiding staff. The home recognises that service users are ageing and that their medical problems are increasing. As a consequence, consideration is being given to service users’ continuing care needs. The home is evaluating whether Cheddle Lodge can be a home for life or if it may be necessary for those who may now have or may in the future need nursing care to have long term plans regarding where they will live when or if nursing support is required. Currently, this service cannot be provided by Cheddle Lodge.
Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 7 The Society is giving consideration to the employment of trained nurses, however there may need to be a feasibility study conducted to see if the home can financially sustain the provision of a full-time nursing service. 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. The summary of this inspection report can be made available in other formats on request. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 Quality in this outcome area is excellent. Information is provided to prospective service users and their representatives to enable them to make informed decisions about their future placement. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home has written statements of purpose and service user guides which are made readily available up on initial enquiry. Copies are available and on view within the home. Relatives stated they are given sufficient information regarding the home and services on offer. Service users are able to visit the home and meet with others prior to making any decisions about their full time placement. Respite services are also offered to enable a service user to take their time whilst thinking about their future. The respite service also supports some people to remain at home rather than being in full-time care. In-depth assessments are completed by the home prior to any service user staying at the home. The registered manager and/or a member of the management team visits the service user in his or her own home or current placement to assess the individual’s needs and requirements. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 10 The home could improve the recording of the initial visits of the service user to the home, which also form part of the assessment process. Such recording systems would enable the home to fully demonstrate the excellent practice which appears to be in place regarding the introduction process for new service users. Contracts are provided to all service users and are signed by them or their representatives. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. Service users are involved in decisions about their lives. They play an active role in planning the care and support they receive. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Care plans (Essential lifestyle plans) are in-depth and informative. In addition to the service users’ health conditions, their personal dreams and aspirations are recognised and recorded. Preferences for their daily living routines are recorded, as are any changes made. Records demonstrated that service users are able to make decisions and choices for themselves. Some choose to attend the skills centre, others spend their day within the home. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 12 Staff were observed asking and checking with service users about their comfort and needs throughout the inspection. They were asked about television viewing and music, ensuring the activity undertaken was what the service user wanted to do. Though there are no issues regarding how the home supports service users, systems could be developed further to consult with them about general routines within the home and services offered, particularly how personal support is provided. The information gathered could be incorporated into the home’s quality assurance procedures and aid the development of practice. For some service users, undertaking ordinary everyday tasks increases risk to their safety, security and health. Notwithstanding that, after assessment, they are supported to have everyday experiences, as far as possible. The home places great emphasis on balancing the health needs of service users while providing them with a purposeful and fulfilled life. The home was able to demonstrate how they supported service users to have everyday experiences. Risk assessments and plans were in place regarding risks to service users. Some service users are able and make their own decisions, however many have supportive families who are also, where appropriate, consulted. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. Service users are able to and supported to make choices about their life. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Service users have the opportunity to develop through various activities and skills centre. Due to the physical and health conditions of some service users, they are restricted from making dramatic achievement, however their small, important achievements are recognised by the home and celebrated. Service users’ full involvement within the general community is limited only by the community’s lack of appropriate community facilities. Staff attempt to involve service users within the immediate community and visit local shops and centres in the village. Each service user’s preferred leisure activities are recorded and planned for. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 14 Family relationships and friendships are promoted, however due to the nature of service users’ conditions, forming new friendships and relationships is limited. Most people visiting the home have been lifelong friends and acquaintances and are known to the service user’s family. The home’s structures ensure that service users are, as far as possible, supported to take control over their own life. Rising and retiring routines are often led by medical conditions and routines for attending skills centre. However, weekends are more relaxed and service users have a wider choice of deciding their individual routines. They are consulted over bathing frequency and daily tasks and are also consulted regarding where they would like to go on holiday and leisure activities. The home has a four-week menu plan that incorporates a variety of dishes suitable for the needs of those who live in the home and who are from a mixed age range. Spicy dishes are made, as are more traditional meals. Service users’ favourite food is known and provided. Families are able to share meals with service users at any time and arrangements are in place to provide a full Christmas lunch to family who want to spend the day with service users who cannot visit home. Soft diets are appropriately prepared, with service users able to have the experience of tasting individual foods. Those on food supplements have their own stock which is ordered in varieties they individually like. From records looked at, it was unclear what times meals were served throughout the day when service users go to the skill centre. Breakfast for some is early, however it was unclear what time lunch is received. Also, the time of the main tea time meal and supper is not recorded. Advice was given about the development of recording systems which record food times. Such records will enable accurate monitoring and ensure service users receive food at regular intervals and snacks as they desire. Service users’ weights are monitored and are seen as an important part of their care support. Some have significant health issues and weights fluctuate greatly. Professional nutritionists are consulted and programmes developed to maintain service users’ weights at a healthy level, as far as possible. Without exception, all relatives’ comment cards stated that they were satisfied with the care support at the home. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 Quality in this outcome area is excellent. The health and personal care that service users receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Throughout the inspection service users were seen to be receiving all the care and attention they needed and desired. Personal care was given discreetly, with staff being courteous and respectful. Records showed service users’ preference for how care support was to be provided. Key workers are designated to oversee the care of service users and ensure all their personal preferences are met, as far as possible. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 16 Medication administration is completed by trained competent staff. Service users do not have the independent abilities to administer their own medication. Notwithstanding that, some service users can make their own decisions when to receive their medication. The home has consulted with medical professionals where one person prefers to periodically sleep in late. As a consequence, medication administration is given later than that prescribed. Records demonstrated clearly the practice undertaken. In the main, all service users have close family support. The issues of service users’ last wishes and feelings are usually dealt with by their family. The home has supported one service user to make informed decisions about their last wishes and is in the process of making a living will. As a consequence, legal services and advocates have been secured by the home to ensure that the service user’s wishes are independently known and recorded. The family is aware of the process being undertaken and understand that the home is acting in the best interest of the service user rather than the family. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. Service users are protected and kept safe from abuse and have their complaints recognised and dealt with appropriately. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home has written complaints procedures in place and staff receive training on how to record and manage complaints when they are received. Records identified that complaints are recorded and investigated with the complainant receiving formal acknowledgement of their complaint and the outcome of the action taken. One relative’s comment card stated “Complaints sometimes have to be made but are attended to quickly and to our satisfaction”. Adult protection procedures are also in place with staff receiving basic training at induction and further training is provided through NVQ and specific adult protection training. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 & 30 Quality in this outcome area is good. Service users have a safe, clean and comfortable living accommodation which is adapted to meet their needs. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Since the last inspection considerable investment has been made by the home to upgrade the communal living areas and kitchen. Service users have a comfortable lounge and dining area with appropriate fixtures and fittings. Redecoration and new furniture has minimised the effects of institutionalisation and offers a more homely environment to service users. Bedrooms continue to be very personalised according to service users’ individual tastes and preferences. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 19 Bathing and toileting areas were maintained in a hygienic manner, however improved housekeeping routines, such as putting away continence aids, would help encourage the development of a more homely environment. Extensive work has commenced on upgrading the kitchen. Stainless steel units have been fitted and new equipment is in place. Work continues as units are completed and new worktops are fitted. As stated in the summary, planning permission has been granted to the home for a conservatory styled extension. On completion, service users will have extended communal space and be able to have a wider variety of areas to relax in and undertake activities. All parts of the home were clean and well cared for, with health and safety records identifying that servicing and checks are made to all equipment, including fire safety Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. Service users are supported by staff in sufficient number, who are trained and competent. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Inspection of staff files identified that the home completes appropriate recruitment and selection procedures. Staff undertake face to face interviews and statutory checks are completed prior to employment commencing. Staff undertake induction training to the required standard and continue with their learning through NVQ training. The Society has a training organiser whose role and responsibility it is to ensure staff have all the training they require to fulfil their role. Staff files were without a full training and development plan. Staff records indicated that whilst they received day to day guidance and supervision, they did not receive formal one to one supervision at the appropriate frequency. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 21 Throughout the inspection staff completed their duties in a competent and professional manner. They were courteous and pleasant to service users. It was also evident that friendships had formed and service users enjoyed staff’s company. The one comment card received from a member of staff confirmed they had been recruited correctly, trained and were aware of the home’s policies and procedures. Two relatives’ comments card stated that they did not feel staffing levels were in appropriate numbers. Staffing levels are based on the assessed and individual needs of service users. One to one support is required for some service users and, at times, it takes two to complete transfers. Whilst staffing within the home is appropriate, at times of sickness staffing levels may be reduced or adjusted which may slightly affect the general running of the home, however the staffing levels appeared appropriate on the days of inspection. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. Service users live in a home which is well managed and run in their best interest. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Cheddle Lodge is a well run home. Service users are supported, as far as possible, to live full lives and have everyday experiences. The registered manager has the relevant qualifications for running a care home and has a management style which is calming and friendly, whilst at the same time professional. His style of management is suited to the type and size of service provided at the home. There is a senior management team which directs each shift and takes responsibility to medication administration. The care workers have, in the main, been at the home in excess of one year and have established good working routines together.
Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 23 Informal systems for consulting with service users are in place. However, service users may find it beneficial to have discussions with the registered manager regarding their views on service provision. Such information would enable service users’ ideas for influencing, developing and making changes to how the home’s practices developed to be formalised. Health and safety records were looked at and found to be in correct order. Accidents are recorded and safety checks carried out to fire safety equipments and hoists. Servicing records were in place for all electrical equipment and other services to the home. Kitchen records were appropriately maintained and in accordance with guidance from the environmental health department. Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 4 3 x 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 4 x LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 4 4 X 2 X X 3 x Cheddle Lodge DS0000008546.V319055.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1 Good Practice Recommendations The registered person should consider ways of developing information in to suitable formats which will enable service users to be kept informed of services and developments within the home. The registered person should develop ways to record service users’ introductory visits to the home and of any additional assessment processes. The registered person should develop systems that include consulting with service users regarding their satisfaction with the services offered and care they receive. Information should enable service users to develop the service and influence change. The registered person should ensure that meal times are recorded when documenting the food eaten by service users, ensuring that food is served at appropriate intervals and as required or desired by service users. The registered person should ensure that staff have full training and development records in place.
DS0000008546.V319055.R01.S.doc Version 5.2 Page 26 2 3 YA2 YA8 4 YA17 5 YA35 Cheddle Lodge Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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