Inspection on 16/01/07 for Cherryfield House

This inspection was carried out on 16th January 2007.

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

Cherryfield House 14/01/09

Cherryfield House 24/01/06

Cherryfield House 13/09/05

Cherryfield House 15/11/04

Cherryfield House 22/06/04

Cherryfield House 10/12/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cherryfield House Petersburg Road Edgeley Stockport Cheshire SK3 8UF Lead Inspector Kath Oldham Unannounced Inspection 16th January 2007 09:45 X10015.doc Version 1.40 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 Cherryfield House DS0000008602.V315478.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 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. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherryfield House Address Petersburg Road Edgeley Stockport Cheshire SK3 8UF 0161-474 1787 NO FAX 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) Cherryfield Homes Limited Samantha McCoy Care Home 29 Category(ies) of Dementia - over 65 years of age (29), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (29) Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Cherryfield House is owned by Cherryfield Homes Limited. The home is a two storey detached property set within the community of Edgeley. The care home is close to the town centre of Stockport, situated in a residential area and is within walking distance of a local park. Cherryfield House offers 21 single rooms, of which 18 have an en-suite facilities, and four double rooms. The home is equipped with a passenger lift. Service users have access to a large lounge and dining room on the ground floor and a lounge and dining room on the first floor. There is a small garden for use during fine weather and a roof garden on the first floor provides service users with additional outdoor seating. Cherryfield House is registered to accommodate service users over the age of 65 who may or may not have mental health frailty. Fees for accommodation and care at the home range from £315 up to £500 per week. Additional charges are made for hairdressing and chiropody services, newspapers and personal toiletries. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection site visit took place on 16th January 2007, commencing at 9:45am. The deputy manager was on duty throughout the inspection and provided documents as requested by the inspector. The inspection focused on the requirements and recommendations of the last inspection to see how the home had developed. In addition, records were examined which are required to be kept by the home in line with regulations. A total of four service users’ identified needs were looked in detail. Individual details of their experiences and care were examined from the point of admission to their current care. A tour of the building was conducted and a selection of staff and service users’ records were examined, including records of care, medication records, employment and training records. Comment cards were left at the home to give out to a sample of the service users who live at the home, their relatives or visitors and for staff. The comments from those questionnaires are included in this report. Time was spent on the inspection speaking to service users and any visitors that were at the home, observing staff routines and practice and speaking to service users to get their views on what it was like living at the home. A number of service users have dementia type illness and they contributed their feelings to the inspector. Twenty-seven people were living at the home at the time of the inspection, one being in hospital. The home had one vacancy. What the service does well: Relatives spoken to said that they felt that Cherryfield provided a happy family atmosphere and they looked after service users well. They said that they felt secure that their cared for service user was well looked after and had everything they need. Service users’ comments about the home included some of the following statements: ‘staff are very kind’, ‘they look after you’, ‘they are kind to everybody’ and ‘they are smashing every one of them.’ Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 6 The atmosphere of the home is relaxed and friendly, it offers a flexible routine based around the needs of the service users. The manager and deputy listen to service users and their representatives and lead by providing a good example to staff. The manager and deputy of the home are approachable and interested in the lives of the service users. Cherryfield provides information and opportunities for potential service users to make an informed choice about moving into the home; the manager ensures that sufficient information is received about service users prior to their admission into the home. The service has a good relationship with nurses, doctors and other health care and social service professionals; this assists in maintaining a good standard of health and social support when required for service users. What has improved since the last inspection? A number of requirements and recommendations were issued on the last inspection to improve the administration, recording and storage of medication to service users. The management of medication has improved, with systems being in place to ensure that service users receive their medication as prescribed by their doctor. The stock is checked on arrival and excess stock is promptly returned to the pharmacist. Since the last inspection all care staff with responsibility for administering medication consistently use the same coding on medication record sheets, have undertaken a 12-week medication course and a list of staff members authorised to administer medicines, which includes a record of their signature and approved initials, is maintained. The medication trolley is not excessively overloaded, which now means that medication is administered in some semblance of order and care and attention is taken when giving service users medication. Since the last inspection a service user meeting has been arranged where service users were consulted regarding portion sizes and quantities of food at meal times. The statement of purpose and service user guide have been reviewed and amended. The deputy manager said service users or their relatives have been provided with these documents so they have clear information about the home. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 7 The lounge carpet has been replaced which eliminates odours that were prevalent on previous inspections. A new front door has been installed which was reported to be in line with fire authority regulations. Glass panels are to also be installed at the side of the front door and these are still being waited for. The manager is permanenently at the home and no longer provides routine management support to a second home. This ensures that the hours that she works are dedicated to the management of Cherryfield. 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. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 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 the following standard(s): 1 & 3. Standard 6 is not applicable. Quality in this outcome area is good. Service users and their representatives have access to information about the home to assist them to make an informed choice. Systems are in place to ensure the service users’ needs can be fully identified and met by the home. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home’s statement of purpose and service user guide were available to service users and members of the general public. The documents have been revised since the last inspection and provide information required to make an informed choice of care home. Service users have a copy of the guide in their bedrooms and some relatives also have copies. Individual care needs assessments were contained within the four care files examined as part of the inspection. The home also has a process of assessing potential service users’ needs carried out by a senior member of staff. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 10 Prospective service users and their relatives are also invited to visit the home so that they can meet other people and see the accommodation for themselves. By completing such an assessment, the home can be sure that individual needs can be met. Two relatives who were visiting the home said they had been involved in the assessment process carried out by the service user’s social worker. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. Service users’ personal care, health and welfare needs are fully documented and reviewed. Service users are treated with respect and their privacy is maintained. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Four care plans were examined as part of the inspection process. They clearly set out the service users’ individual personal care needs. The care plans document the action to be taken by the carers to ensure all aspects of health, personal and social care are met and reviewed. Risk assessments were in place, including those people identified as being at risk from falling. Where identified, service users’ health is monitored and addressed by the appropriate health care professionals. The district nurses are involved on a regular basis, as are the chiropodist, audiologist and dietician. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 12 One relative said: “I have nothing but praise for the care workers, the place is clean and the meals are very good standard. My mother’s health has improved since she first went there”. District nurses confirmed their regular involvement with the service users and contact with the staff. They said that carers are observant and responsive to the service users’ changing needs. The carers worked well together and had a clear understanding of each other’s roles and responsibilities. A relative said, “Cherryfield is not just a residential home, it is a home from home for all the residents, as the care, dignity and love that is given by all the care workers is unparalleled.” Further comments included: “All the girls are caring and patient, brilliant”. A number of service users’ hair look unkempt and dishevelled. The deputy indicated that they were having some problems with getting a regular hairdresser. Staff set service users’ hair and a member of staff’s relative calls at the home periodically to provide hairdressing services. Based on observation, it was apparent that the staff respected service users’ privacy by knocking and waiting before entering rooms. The carers responded to service users in a respectful manner. Relatives said they were highly satisfied with the care provided and felt they were kept informed of any changes in condition. A service user said they were happy at the home and although they could not name the carers, they knew they were there “to help” them. Observation of staff practice prior to lunch identified service users who need support are assisted to the dining room. A number of service users were sat at the table 35 minutes before the meal was served. This resulted, in some cases, in them being disorientated and wanting to leave the dining room before having their meal. Staff routine needs to be changed so that service users are not sitting waiting for such a long period of time before the meal is served. The senior staff are responsible for the administration of medication. There was evidence to show they had received training to correctly administer medications. Records are retained to show changes to medications and medical interventions. There is a policy and procedure in place to ensure all medications are administered in the correct manner. The medication storage was satisfactory. Examination of the medication records identified that handwritten medication was not verified and signed by a second staff member to ensure accuracy of these records. This additional safeguard would promote best practice. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 13 Some service users are prescribed variations to the dose of medication, for example, one or two tablets. The medication records did not always indicate whether one or two tablets or spoonfuls of medicine had been given. This needs to be indicated so an accurate record is made of medication administered to service users. Observation of medication administration identified that it was administered sensitively by the senior, taking into account service users’ abilities and patience and an understanding of their needs. Advice was given to the deputy that they need to make sure the medication trolley was always secure when administering medication. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. The choices offered to service users enable them to exercise day-to-day control over their lives and participation in a programme of daily activities. The meals served were enjoyed by service users. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Service users were observed to be provided with assistance in a timely and patient manner. A relative confirmed the atmosphere in the home was usually relaxed. Cherryfield provides a varied programme of activities, from group work to one to one discussions or hand massages, all sessions are documented. A relative indicated, “The care staff work very hard and try their best to motivate the residents.” A group of service users went for a few days to Pontins last year and photographs record the few days away. Service users said they enjoyed the holiday and look forward to doing something similar this year. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 15 The home’s assessment procedures document the prospective service user’s religion. Spiritual needs are met by churches in the local area who visit the home at regular intervals. A service user who had recently come to live at the home stated she received great comfort from visits from her local church. One relative said in the comment card that they visited at any time during the day and were always made to feel very welcome. They said that staff always acknowledged her and the other visitor by name. Based on observation, the service users benefit from relaxed informal contact with the staff. The kitchen is appropriately equipped, with all appliances reported to be in full working order. The window in the kitchen was open and a fly screen was not in place. The kitchen door was open throughout the inspection. The cook said that the door is closed when there is no-one in the kitchen as a safeguard to service users. The home needs to speak with the Environmental Health department of the local authority to check whether fly screens are needed. The lunchtime meal was shared with service users. The menu didn’t detail any alternatives to the main menu. The cook said service users could have anything they want to eat. Teatime meals identified clear choices on the menu. One service user commented that they didn’t fancy the meal and she was patiently asked what she would like as an alternative. This was provided with the minimum of fuss. An individual record is maintained of the meals served to service users so that anyone assessing the record can judge whether the diet is sufficient. Those service users who spoke with the inspector confirmed their enjoyment of the meal. One person said they had put weight on since they had come to live at Cherryfield. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 16 & 18 Quality in this outcome area is good. The complaints procedure ensured that all interested parties were aware of how to complain and the process that would be undertaken, however all staff were not trained in adult protection. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home has a policy and procedure concerning reporting and investigation of complaints. This is available to the residents in written form. Those service users who spoke with the inspector were not aware of the process but did say they would either tell their relative of any concerns or speak with a member of staff. They said their expectations would be that the concern would be looked into and made better for them. Examination of the complaints record identified three complaints recorded. The detail of the investigation was recorded and the outcome for the complainant. The deputy said they try to deal with any comments or concerns as they happen and put things right. Relatives, in comment cards, confirmed this. The records did not evidence the complaints and comments received and should be used as a monitoring tool to further develop the service provided. There have been no complaints made to the Commission for Social Care Inspection and no POVA inquiries since the last inspection. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 17 Staff had not all received training in what constitutes abuse; this should be arranged to highlight areas of potential abuse and to identify the action that must be taken on any suspicions. Staff were aware of what constitutes physical and sexual abuse. Some staff have previously had adult protection training. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 18 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 the following standard(s): 19 & 26 Quality in this outcome area is good. Cherryfield provides a warm, clean, safe and well-maintained environment with a good standard of decoration, furnishings and fittings. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Cherryfield House offers 21 single rooms, of which 18 have en-suite facilities, and four double rooms. The home is equipped with a passenger lift. Service users have access to a large lounge and dining room on the ground floor and a lounge and dining room on the first floor. There is a small garden for use during fine weather and a roof garden on the first floor provides service users with additional outdoor seating. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 19 Individual bedrooms were evaluated. It was evident that service users had been supported to personalise their rooms with items from their own homes. All were well furnished to a good standard and were pleasant areas in which to spend time. The home is clean and provides a homely feel. Service users said they were happy with their accommodation and had comfortable bedrooms. The lounge carpet has been replaced which eliminates odours that were prevalent on previous inspections. It was the deputy’s understanding that the dining room carpet is to be replaced in forthcoming months, which will further enhance the appearance of this room. Some toilets on the first floor did not have any indication on the door what the room was. Having names or pictures on doors assists service users to orientate themselves, which promotes their independence. Thought should be given to putting names or pictures on doors. A new front door has been installed which was reported to be in line with fire authority regulations. Glass panels are to also be installed at the side of the front door and these are still being waited for. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. Staff recruitment procedures were robust and provided protection for service users. Suitable staffing levels were maintained in the home. Specific training would further assist in the skills of the staff team. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A small number of staff files were examined. They contained the required documentation and there was evidence of references, including satisfactory checks with the Criminal Record Bureau. New staff complete an induction/orientation programme. The induction and foundation training had not commenced to the levels set by Skills for Care. There were sufficient numbers of staff on duty to meet the needs of service users. Staff said there were enough staff on duty to look after service users. A staff duty roster indicates the names of staff on duty, their role and the hours worked. Service users said staff were good workers and they knew them well, they added that this gives them a good level of care and staff’s manner was sensitive to their needs. One service user said they could ask staff “to do anything for them and they would”. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 21 Staff receive ongoing training in moving and handling and food hygiene; other practice topics are also arranged. A number of staff need to have updates to their moving and handling training to ensure they are familiar with safe practice and in keeping with health and safety standards. Specialist training in dementia care and other mental health related illness would further enhance the skills of the care staff team. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. Practices and routines within the home ensure the health and safety of service users are promoted and protected. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The registered manager has the appropriate skills and experience to manage Cherryfield. There was evidence to show she continues to update her knowledge and skills by attending various courses. Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 23 The registered provider remains in contact with the home and is responsible for all financial dealings. Reports of Regulation 26 visits made to the home by the registered provider or their representative were available for inspection. A report of this visit is forwarded to the Commission. No hazards to health were noted during the inspection. The health, safety and welfare are further ensured by the systems in place to report accidents and incidents. Practices and routines within the home ensure the health and safety of service users are promoted and protected. The records and areas of the home seen on the day of the inspection were satisfactory, with no obvious signs of any health and safety hazards. Staff receive regular supervision to support them in their work and records of such meetings were made available. Staff meetings are currently arranged annually. Staff would benefit from more regular team meetings when they can have an opportunity to develop the service provided and take forward any ideas. The deputy said that she would take this development forward. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. The home recorded information in respect of falls and accidents by service users. Cherryfield House DS0000008602.V315478.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cherryfield House DS0000008602.V315478.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 Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 26 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 OP7 Good Practice Recommendations The registered person should further promote the dignity of service users by assisting them to promote their appearance through obtaining the services of someone to do service users’ hairdressing. The registered person should amend the practice and routine at mealtimes of assisting service users to the table for meals that are not ready to be served. The registered person should ensure that handwritten medication is signed and verified by a second member of staff in the medication administration records for confirmation of accuracy. The registered person should ensure that when a variable dose of medication is prescribed to service users for example one or two tablets/spoonfuls the record always includes how many have been administered. The registered person should provide service users with a clear choice for the main meal, which is recorded on the menu. The registered person should further develop the recording within the complaints record demonstrating the comments and concerns received and the outcome of the investigation. The registered person should make arrangements by training staff to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. The registered person should provide all staff with moving and handling training so that staff are familiar with techniques to ensure their own and service user safety. The registered person should confirm that the homes induction and foundation training complies with NTO standards and details which staff are currently undertaking such training. The registered person should provide care staff with training in specialist topics for example dementia care and other mental health related illness. 2 3 OP7 OP9 4 OP9 5 6 OP15 OP16 7 8 9 OP18 OP30 OP30 10 OP30 Cherryfield House DS0000008602.V315478.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 11th Floor, West Point 501 Chester Road Old Trafford Manchester M16 9HU 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. 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