Inspection on 11/12/07 for Chestnut Park Care Home

This inspection was carried out on 11th December 2007.

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

The inspector 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

Chestnut Park Care Home 05/05/09

Chestnut Park Care Home 19/01/09

Chestnut Park Care Home 19/08/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Chestnut Park Care Home Ashwelton House Care Home 15 Magdala Road Mapperley Park Nottingham NG3 5DE Lead Inspector Rehana Rashid Unannounced Inspection 10:15a 11 December 2007 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 Chestnut Park Care Home DS0000070838.V355145.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. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Park Care Home Address Ashwelton House Care Home 15 Magdala Road Mapperley Park Nottingham NG3 5DE 0115 960 8935 0115 960 2791 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) Mr Perdeep Ahluwalia Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old Age not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 15 This is the first inspection following change of ownership. Date of last inspection Brief Description of the Service: Chestnuts Park Care Home is situated in Mapperley Park, off Mansfield Road. Parking is available on the premises. There are local shops close by together with a bus route from the city centre. The home provides personal care for up to fifteen older people. On the ground floor there is a large lounge and dinning room. The bedrooms are located on the ground and first floors severed by a lift. The home has front and rear gardens, which can be accessed by ramps. Current fee levels at the home range from £310 to £425 per week depending on care needs. Information about the service Inspection reports can be accessed via the CSCI website: www.csci.org.uk. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection was unannounced and took place on 11 December 2007 over approximately five and half hours by one Inspector. On the day of the inspection there were eight residents in residence. The main method of inspection used was called ‘case tracking.’ This involves selecting two residents and looking at the quality of the care they receive by talking to them, examining their care files and discussing how support is offered to them by staff members. Four residents and two relatives were spoken with during the inspection visit. Two members of staff and the registered provider were spoken with as part of this inspection, documents were read and medication briefly inspected to form an opinion about the quality of the care provided to residents. A partial tour of the environment was also facilitated. Prior to the inspection the Annual Quality Assurance Assessment (AQAA) was sent out to Chestnuts Park Care Home, which asked questions around the service including staffing levels and number of service users. The AQQA, which was returned to the Commission for Social, was used within this inspection report. No service user, staff surveys were returned to the Commission for Social Care Inspection. What the service does well: Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 6 Chestnuts Park Care Home provides a homely and clean environment for its residents. Residents and relatives spoken with commented positively on the redecorating, which has been taken place since the new took over. Staff were observed to interact with residents in a respectful and caring manner. Residents spoken with expressed the following “the staff are nice,” “I cannot fault the staff,” “the food is nice,” “I get plenty to eat and there is always an alternative available.” What has improved since the last inspection? What they could do better: The statement of purpose needs to be updated. This will ensure that prospective service users have sufficient information to enable them to make an informed choice about whether or not the home is suitable. Care plans need to kept under review ensuring that residents changing needs are reflected and action required to meet needs. The assessment of residents needs should be kept under review and revised at anytime when it is necessary to do so having regard to any change of circumstances. This refers to reassessments of a resident who is presenting with mental health needs. This will ensure whether the current placement suitable and if additional support is required. The registered person should ensure that all residents have nutritional screening on admission and records of nutrition including weight gain and loss in place. This is to ensure any weight loss or gain, is planned and monitored. All staff must receive training in safeguarding adults to ensure they are knowledgeable. There must be robust procedures in place for responding to and reporting suspicion or evidence of abuse or neglect. This will ensure residents are protected. The registered person should ensure safety of residents. This refers to the radiators in two residents bedrooms and the ground floor bathroom, which were not fitted with radiators covers. The registered person must ensure that Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 7 any unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. All staff files must contain required documentation to ensure service users are protected. The registered person must ensure that new staff do not commence work in the home until all the necessary recruitment checks have been carried out which include Protection of Vulnerable Adult (POVA) first check and a satisfactory Criminal Record Bureau (CRB) disclosure. These checks need to have been applied for and obtained before staff commence employment. This will ensure that residents are protected from poor practice and abuse. The registered person must appoint a suitable manager and submit an application for registration to the Commission for Social Care Inspection (CSCI). This will ensure that residents live in a home, which is managed by a competent and experienced person. The registered person shall ensure that there are effective quality assurance and quality monitoring system in place. This will ensure that the quality of care provided is improved and reviewed in consultation with service users. The registered person must ensure that service user records are kept securely in the care home. This will ensure that resident’s personal records are secure and their privacy will be maintained. The registered person should ensure that consultation takes place with the Fire Authority regarding the current fire evacuation procedures. This will ensure the safety of all staff, residents and visitors. 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. Chestnut Park Care Home DS0000070838.V355145.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 Chestnut Park Care Home DS0000070838.V355145.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents needs are assessed prior to them moving to the home, ensuring identified needs can be met. EVIDENCE: The statement of purpose does not meet the Care Home Regulation (2001). There was no service user guide available at the inspection. By not having this information prospective service users are not given the information required to enable them to make an informed choice about whether or not the home is suitable and able to meet their particular needs. The files viewed contained assessments completed by Social Services identifying the specific needs of prospective residents. These also contained assessments of needs completed by the home. Chestnuts Park Care home does not offer intermediate care. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Due to basic care plans and risk assessments resident’s needs are not fully met and they are not fully protected from potential risks. EVIDENCE: Care plans for two residents were examined and these were seen not to provide detailed information. Care plans are not reviewed at the required intervals. During the inspection the care plans had been left unattended on the dinning table. One residents care plan specified that they are to be weighed monthly, but no weight monitor chart could be located. There was also no nutritional assessment in place. Another residents care plan states the resident has dementia. There was no evidence on the file that a review has taken place following this diagnosis. The registered person must make arrangements to review this residents needs to ensure that the placement remains suitable. Risk assessments were in place but are basic and these have not be reviewed regularly. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 11 There is evidence that residents have access to health care. Care plans viewed, contained records of visits by district nurses, General Practitioners and other professionals. A healthcare professional was observed visiting during the inspection. The homes medication policy viewed did not contain information regarding what action is required around medication error. Medication administration records were viewed for two residents. These records were found to have been completed and there were no gaps in entries. Medication was stored in a lockable trolley. Residents are treated with respect, staff were observed to treat residents in a respectful manner. Residents spoken with stated that staff maintained there right to privacy for instance one resident sated “staff knock on my bedroom door before coming in. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s individual expectations, preferences and social needs are not fully catered for. EVIDENCE: Care plans did not contain information regarding residents social care needs. There was no evidence that residents had been consulted and arrangements made for them to engage in activities and interests. The registered provider and acting manager stated that a member of staff has been allocated hours to organise activities. From the staff rota provided there was no evidence of extra hours for social activities. Two residents commented that there was not enough to do. Another two residents said the home did not organise social activities, but there was enough for them to do. Relatives who were visiting sated that they felt there was not enough activities for the residents to participate in. Residents spoken with stated that the routine at the home was flexible. One resident stated, “this is my home and I can spend my time as I wish.” Residents were observed to move around the home without restrictions. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 13 Residents spoken with said that the food provided is good. and there were choices at all mealtimes. A resident stated “there is always an alternative available if you don’t like what’s on the menu.” The kitchen facilities, where appropriate fridge and food temperatures were monitored and recorded. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are not fully safeguarded by the homes complaints and adult protection procedures. EVIDENCE: The Commission for Social Care Inspection has not received any complaints about the service since the current owners took over October 2007. A copy of the complaints procedure was displayed within the home. The acting manager stated that there was no complaints record. Four residents spoken with said that if they were unhappy for any reason they felt comfortable approaching staff with any concerns they may have and that this would be addressed. The home does not have a policy for responding to suspicion or evidence of abuse, or neglect in place. The acting manager stated that there had been no allegations or investigations of safeguarding adults since the new owners took over. Two staff members were spoken with both demonstrated an understanding of safeguarding adults and their responsibility to alert the manager of any disclosure or suspicion of abuse. One staff member commented that they had not received training in adult protection. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and homely environment. EVIDENCE: A partial tour of Chestnuts Park Care Home showed that the home is generally decorated to a good standard. Since the new owners took over in October 2007 Chestnuts Park Care Home is undergoing a program of extensive refurbishment. One relative commented that they welcomed the redecorating, as this was long overdue. There was a homely atmosphere around the home. Bedrooms viewed were personalised. A carpet was stained in one resident’s bedroom. Residents and relatives spoken with commented that the home was clean. One relative stated, “There are never any offensive odours in the home.” Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 16 During the partial tour of the premises, it was observed that a few radiators were not fitted with radiator covers. This included two bedrooms on the first floor and the ground floor bathroom. The communal areas of the premises viewed were kept clean and hygienic. The laundry room was locked, which contained an industrial washer and dryer. Sluicing facilities are in place. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment practices are not sufficiently robust to ensure that residents are protected from harm or abuse. EVIDENCE: The staff rota seen at the day of the inspection showed that shifts are covered and that adequate staffing levels are in place to meet the needs of the current residents. The staff rota did not contain a record of the hours the covering manager is working at the home. Two members of staff spoken with stated that the staff levels were sufficient due to the current number of residents. Residents spoken with stated there are enough staff on duty. Two relatives spoken with also said that there is usually enough staff on duty. Three staff files were seen at the inspection. The files did not contain all the pieces of documentation, which are essential to ensure that staff are suitable to work with vulnerable adults. Two staff files viewed showed that a Criminal Records Bureau (CRB) check was in place after the staff members had commenced employment. The third member of staff records showed that their CRB was transferred from a previous employer. It is essential that the staff member without the CRB is fully supervised by another responsible member of staff who has a satisfactory CRB check in place. This should not be undertaken as routine practise. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 18 Protection Of Vulnerable Adults (POVA) check had been carried out after the three members of staff commenced employment. The registered person must ensure that new staff do not commence work in the home until all the necessary recruitment checks have been carried out which include POVA first check and a satisfactory CRB disclosure. Staff files viewed demonstrated that new staff working at the home had not attended mandatory training including moving and handling, infection control and safeguarding adults. One member of staff spoken with stated that since being at Chestnuts Park Care Home they have commenced training in Dementia. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of residents and staff are not fully promoted and protected. EVIDENCE: There is currently no registered manager appointed at the home. The current management arrangements are that a registered manager from another service from the same group is providing some management support. A manager should be appointed and an application for registration be submitted to the Commission for Social Care Inspection. There is no quality assurance system in place to obtain the views off the residents about the service they receive. Financial records were examined for two residents and found to be satisfactory. Receipts are kept to show each transaction. Individual records Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 20 are held for each resident providing detail of expenditure and balance. Personal allowances are held separately. A selection of health and safety records were viewed. The fire testing records showed that these were taken place at the required intervals. However it was unclear what the fire testing included. The registered person must ensure that there are adequate precautions and procedures against the risk of fire. This will ensure that the staff, residents and visitors at the home are safe. The gas servicing certificate was not available to be checked on the day of the inspection. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 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. 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 1 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X 2 3 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X X X 2 2 Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP1 Regulation 4, Sch 1, 5 Requirement The registered person must ensure that there is an up to date statement of purpose in place, together with a service user guide. This will ensure that prospective service users have sufficient information to enable them to make an informed choice about whether or not the home is suitable. The registered person should ensure that care plans are kept under review and reviewed at the required intervals. This will ensure that changing needs are reflected and any action required meeting needs. The registered person shall ensure that the assessment of the service user’s needs are kept under review and revised at anytime when it is necessary to do so having regard to any change of circumstances. (This refers to reassessments for service user presenting with mental health needs to ensure placement remains suitable). This will ensure that the placement remains suitable. DS0000070838.V355145.R01.S.doc Timescale for action 31/01/08 2. OP7 15 30/12/07 3. OP7 14 11/01/08 Chestnut Park Care Home Version 5.2 Page 23 4. OP8 17(1)(a) Sch 3 5. OP18 13(6) 6. OP18 13 7. OP25 13(4) 8. OP29 18 9. OP29 19 The registered person should ensure that all residents have nutritional screening on admission and records of nutrition including weight gain and loss. This is to ensure any weight loss or gain, is planned and monitored. The registered person must ensure all staff receive training in safeguarding adults. Also for all staff to receive annual updates to ensure that they are aware of updates and best practice. This will ensure service users are safeguarded from all abuse. The registered person must ensure there are robust procedures in place for responding to and reporting suspicion or evidence of abuse or neglect. This will ensure service users are safeguarded from all abuse. The registered person should ensure safety of residents. This refers to the radiators in two residents bedrooms and the ground floor bathroom were not fitted with radiators covers. The registered person must ensure that any unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. The registered person should ensure all staff files contain the documentation as required by Schedule 2 of the care home regulation 2001. This will ensure service users are safeguarded from harm The registered person must ensure that new staff do not commence work in the home until all the necessary recruitment checks have been DS0000070838.V355145.R01.S.doc 31/10/08 03/03/08 03/03/08 31/01/08 29/02/08 21/12/07 Chestnut Park Care Home Version 5.2 Page 24 10. OP30 18(1)(c) (i) 11. OP31 9 12. OP33 24 13. OP37 17 (b) 14. OP38 23(4) carried out which include POVA first check and a satisfactory CRB disclosure. These checks need to have been applied for and obtained before staff commence employment. This will ensure that residents are protected from poor practice and abuse. The registered person must ensure the staff are trained and competent so that they can understand and fully meet the needs of the residents in the home. The registered person must appoint a suitable manager and submit an application for registration to CSCI. This will ensure that residents live in a home, which is managed by a competent and experienced person. The registered person shall ensure that there are effective quality assurance and quality monitoring system in place. This will ensure the home is being run in the best interests of service users. The registered person must ensure that service user records are kept securely in the care home. This refers to the care plans having been left out in the dinning room. This will ensure that resident’s personal records are secure and their privacy will be maintained. The registered person should ensure that consultation takes place with the Fire Authority regarding the current fire evacuation procedures. This will ensure the safety of all staff, service users and visitors. 30/03/08 31/01/08 29/02/08 31/12/08 31/01/08 Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 25 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 OP9 OP12 OP16 OP33 Good Practice Recommendations The medication policy to be updated to ensure all service users are protected. All residents must be consulted and arrangements made for them to engage in activated and interests according to their personal preferences and wishes. The registered person should ensure a record is kept of all complaints made and includes details of investigation and any action taken. The registered person should ensure results of service user surveys are published and made available to current and prospective service users and the Commission for Social Care Inspection. Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 © 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 Chestnut Park Care Home DS0000070838.V355145.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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