Inspection on 27/09/06 for Choice Care Home

This inspection was carried out on 27th September 2006.

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

Choice Care Home 08/12/07

Choice Care Home 04/10/05

Choice Care Home 16/06/05

Choice Care Home 22/02/05

Choice Care Home 25/05/04

Choice Care Home 15/01/04

Choice Care Home 16/07/03

Choice Care Home 06/08/02

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

CARE HOMES FOR OLDER PEOPLE Choice Care Home Choice Care Home Cary Avenue Babbacombe Torquay Devon TQ1 3QT Lead Inspector Michelle Finniear Unannounced Inspection 10:00 27th September and 23 October 2006 rd 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 Choice Care Home DS0000018337.V291600.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. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Choice Care Home Address Choice Care Home Cary Avenue Babbacombe Torquay Devon TQ1 3QT 01803 403026 F/P 01803 403026 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) Rosepost Healthcare Ltd Lorraine Cunningham Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (24) Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Choice care home offers accommodation with personal care to older people (65 ), older people with physical disability and older people with dementia. It is registered to provide a service for up to 24 residents both male and female. The home is laid out over 3 levels ground, mezzanine and first floor. The mezzanine and first floors can be accessed by stair lifts. Choice offers 18 single bedrooms, 17 of which have en suite facilities and 3 double bedrooms, 2 of which are en suite. In terms of communal space, the home offers a large lounge, 2 conservatories, a dining room and a pleasant fully accessible garden. It also has communal bathrooms and toilets. Choice is a large detached property set in its own grounds. It is located in the residential area of St. Marychurch and is close to local shops and Babbacombe downs. Torquay town centre is approx one and a half miles from the home. Fees range from £300-£385 per week. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report reflects a summary of a cycle of Inspection activity at Choice since the last inspection site visit to the home in October 2005. To help CSCI make decisions about the home the owner and manager gave us information in writing about how the home is run; documents submitted since the last inspection were examined along with the records of what was found at the last inspection; Two site visits totalling 11 hours were carried out with no prior notice being given to the home as to the specific date and timing of the visits; discussions were held with the manager and staff on duty; various records were sampled, such as care plans and risk assessments; questionnaires were sent to service users and staff who work at the home; a tour was made of the home and garden; time was spent with the people who live at the home individually; and discussions were held with visitors who were at the home during the site visits. In addition a sample group of service users were selected and their experience of care was ‘tracked’ and followed through records and discussions with staff and management from the early days of their admission to the current date – looking at how well the home understands and meets their needs, and the opportunities and lifestyle they experience. Time was then spent with these service users, and questionnaires were sent to their relatives, general practitioners and care managers where appropriate. This approach hopes to gather as much information about what the experience of living at the home is really like, and make sure that service users experience of the home forms the basis of this report. What the service does well: Choice has an established core team of staff, who work well in meeting the needs of the service user group. Staff receive training relevant to their work, and many have undertaken NVQ qualifications to enable them to support service users appropriately. Staff were positive and advocated strongly for service users. This helps to ensure service users are cared for by people who can understand and meet their needs. Meals are wholesome and nutritious, home-cooked and were enjoyed by service users. The home has benefited from a programme of redecoration, and communal areas are comfortable and homely. All areas of the home seen were clean and free from significant odour, which means that service users can live in a hygienic and pleasant environment. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 6 The home has newly renovated bathroom areas, with an in bath hoist and new clinical area on the ground floor. This means service users can bathe and receive care in comfortable and hygienic surroundings. Service users rooms vary in size and shape, but some are large and attractive with period features. Most rooms have en-suite facilities, of at least a WC and wash hand basin. There is a choice of communal areas available so service users do not have to be all together if they do not wish to mix. Comments from relatives included “The staff are really kind. She just has to ring her bell for help” “I am very happy with the care given at Choice”. and “The care at Choice that my mother gets is wonderful. Everyone is friendly and helpful to me and my mother, everything is spotlessly clean and the food is excellent. I have no complaints at all.” Service users were also complimentary about the home and the care offered, and were complimentary about the staff and the support they gave. The home had a happy and busy atmosphere on both visits, and are working on increasing the activities for all service users. What has improved since the last inspection? What they could do better: The statement of purpose and service user guide must be updated to reflect the current situation in the home. This is so that potential service users know what the home is providing. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 7 Service users must receive a contract or statement of terms and conditions in relation to their residency at the home. This is so that service users know the conditions of living at the home, and what they can expect in return for the fees paid. The home should increase the amount of person centred planning in the service user care plans. This is so that staff are better able to care for each individual, knowing about their past history and how they would like their care to be delivered. New staff should follow through a full standardised programme of Induction. This helps to ensure that all staff understand their role, how care is to be delivered at Choice, and are working in the same way. Supervision for staff should be carried out six times a year. This is so that staff are working to their full potential and in a consistent fashion. Service user plans should include specific risk assessments where there is an identified infection control issue. This helps to ensure staff and other service users are protected from any risks of cross infection. 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. Choice Care Home DS0000018337.V291600.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 Choice Care Home DS0000018337.V291600.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, 2, 3, 4, 5, 6 Quality in this outcome area is adequate. Some information about the home which would be given to service users prior to admission is out of date. This judgement has been made using available evidence including two visits to this service. EVIDENCE: The home has a statement of purpose and a service user guide, which was last updated in 2002, and no longer reflects all current aspects of the home. the statement of purpose and service user guide can be given to current or prospective service users to help them decide if the home is the right place for them. Files for four service users were chosen to examine on the inspection site visit, which included the most recent two admissions to the home. The files for the most recent admissions showed evidence of some pre-admission assessments having been undertaken. This is important in ensuring the home can meet the service users needs before they are admitted and the home are clear about Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 10 exactly what care the service user needs and how compatible they will be with the current service users. Files also showed that service users wherever possible have opportunities to visit the home and see what it is like before they make a decision about whether to finally move there. Not all service users spoken to were able to confirm that this had happened in their case, but it is understood that in an emergency this process may not be possible. Most service users who completed questionnaires indicated that they had received enough information about the home before they moved in, however several indicated that they had not received a contract or statement of terms and conditions. For newer service users contracts could be seen, but these were not evident for service users who had been at the home for longer periods. Contracts or statements of terms and conditions are important as they confirm what the service user an expect to receive for the fees paid and lay out certain conditions under which the service user may no longer be able to stay at the home. The home does not cater for intermediate care. This means that they do not provide specialist programmes of rehabilitation to enable a person to return to their own home. Choice Care Home DS0000018337.V291600.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 was good. Service users receive they support need to manage their health and personal care needs. This judgement has been made using available evidence including two visits to this service. EVIDENCE: Four service user files were selected at random to be examined on the site visit. The information contained within the files and service user plans of care was then referred to the service users statement on their own needs and discussions with the staff who delivered their care. Plans were in general a good reflection of the care actually being delivered to service users, but minor areas were inconsistently recorded in some areas. This may be due to new systems being implemented, but still running alongside the old system until this is complete. Plans would benefit from additional information being gathered on how the service users would like their care to be delivered, and also information on service users personal history, however were very clear about physical needs. Information about service users personal history is particularly important when the person has increasing frailty or memory loss, Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 12 as it helps staff to support the service user with an understanding of the whole person in the context of the life they have lived. Service users care needs are regularly assessed and reviewed to ensure that the service user plans in place. For the plans seen that had been within the last month for each element of care undertaken, which is good practice. For other instances this may occur much more frequently, for example if a service users condition changes rapidly. Evidence was seen and heard from service users and staff of the personal care delivered at the home and of the input from community medical and nursing staff. For example one service user told of the support she received from the district nursing service, who came to the home regularly to re-dress her legs. Other evidence was seen of regular blood tests occurring, and information being available for staff on conditions found in old age, to support them in anticipating and meeting needs. Areas of identified risks for service users were evidenced in their files. Risk assessment involves a process of risk reduction and management, ideally ensuring that restrictions on the service user are kept as minimal as possible. Infection control risks were being identified, but actions to be taken were not consistent throughout the service user plan. Medication systems seen were satisfactory, and the week before the first site visit the home had been inspected by their supplying pharmacist. Staff spoken to had received training in how to administer the medication and the home uses a monitored dosage system which means that medication is pre-packed by the supplying pharmacist in a series of blister packs. This reduces the risk of errors and makes it easier for staff to check that medication has been administered. One staff member spoken to indicated that they look up medications and their side effects so that they know what each medication is given for. This is good practice. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. Choice management and staff are working on developing further service user activities. This judgement has been made using available evidence including two visits to this service. EVIDENCE: During the two site visits opportunity was taken to sit and spend time with service users in a group, as well as individually in their rooms. Many of the service users at Choice have some degree of memory loss or physical frailty, and this means that for many opportunities have to be bought into the home rather than them being able to seek them out for themselves locally. Although there are shops and facilities locally, few service users are now able to access them without support from staff or relatives to take them. Since the last inspection the home has engaged an activities co-ordinator who is compiling individual activities profiles for each service user. Evidence of this could be seen in an activity record, and ranged from craft work with some service users to just sitting and reading on a 1:1 basis with another. One service user was compiling a scrapbook on travel they had undertaken with Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 14 support. This approach is commendable and ensures that each service user receives something that is of benefit to them, what ever their level of ability. During the two days of the visits the home had a busy and active feel, with staff and the owner engaging people in conversation and discussion in the lounge. This was centred around a recent charity walk that staff had undertaken to raise money for charity. Staff had also been to the home in costume and photographs of the event were on display, so that service users were involved as far as possible. Service users who wish to smoke can do so outside of the home in the garden where there is seating and an ashtray provided. Service users spoken to confirmed that they were able to follow their chosen routines as far as communal living will allow, and that included participation in activities. Visitors said they were welcomed to the home and confirmed in one instance that the service user did not wish to mix much with other people but preferred their own company. Meals are home cooked and service users confirmed that they were well presented and plentiful. On the day of the second site visit the meal being served was lamb casserole with dumplings and fresh vegetables followed by dessert. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. Choice has a satisfactory complaints system, which ensures service users have opportunities to air their views. This judgement has been made using available evidence including two visits to this service. EVIDENCE: The home has a complaints procedure, issued to all service users and on display within the home. The complaints procedure makes it clear how and to whom to make a complaint, and gives information on timescales for responses. One complaint had been received by the home since the last inspection cycle which related to a period of respite care. The issue was investigated by the home through their own complaints procedure and resolved amicably with both parties. This demonstrates that the home addresses complaints in an appropriate manner. Relatives spoken to on both visits were clear about who they would speak to in the case of a complaint. The manager confirmed that staff have attended Adult protection training or are due to attend in the near future. One member of staff had received training the day before the site visit. The home has a policy and procedure on Adult protection and ‘whistle-blowing’ and this is backed up with a copy of a video from the local Adult protection team. These procedures and an understanding of what abuse is helps to protect service users from poor or abusive practice. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 16 Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 17 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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. Choice provides a safe, comfortable, and homely yet adapted environment for older people. This judgement has been made using available evidence including two visits to this service. EVIDENCE: During the site visit all areas of the home that were unlocked service user rooms were seen. Service user rooms varied in size and shape, and showed evidence of the personality of the occupant. Many service users had bought items of personal belongings into the home with them, including some items of furniture, photographs etc, which helps the home feel more their own. The majority of service user rooms have en-suite facilities, affording better privacy, and views over Cary Park or the homes garden. There is a choice of communal areas for Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 18 service users, including a large lounge and separate conservatory, so service users have a choice of where to sit. All areas seen were free from significant odour, and were clean, warm and comfortable. This means service users can live in comfortable and hygienic surroundings. The home has three rooms for shared occupancy, all others being single, and a variety of communal space. The home has good parking facilities, and onstreet parking is freely available outside. There is a private and attractive garden to the rear of the home, visible from many bedrooms and the conservatory, so residents have access to sheltered seating and outside space. The Fire Officer last visited in May 2006, and the environmental health officer on the 13th of April 2005. These agencies produce a report to the home indicating any areas requiring attention, increasing safety for service users. Recent alterations have taken place to provide a new assisted bathroom, improved disabled access toilet, and new office/clinical space, as well as renovation to the other communal bathrooms and general redecoration. Replacement safety glass or a safety film should be fitted to low windows identified to the manager to ensure that the service user would be kept safe from glass breaking if they were to fall against the window. The owner has previously confirmed that all the water supply to service user areas is automatically regulated to a maximum temperature of 43 degrees centigrade. The water temperature to one wash hand basin tested was just below this figure. The basement laundry seen was clear of an excessive build up of clothes and bedding waiting to be washed. Kitchen areas seen were clean and clear from obstruction. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 19 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 good. Staffing recruitment arrangements are satisfactory, however some work needs to be undertaken on the homes Induction systems. This judgement has been made using available evidence including two visits to this service. EVIDENCE: Discussion was held with the manager on staff recruitment practices at the home, and during the course of the site visit a potential new staff member came for an interview. This was observed to be lengthy and include a tour of the home and opportunities to meet some service users. Staff files were seen for three members of staff, selected at random and including the most recent staff member appointed. The home has a personnel file and a training file for each staff member. Staff who attend for interview complete an application form, copies of which were seen on the staff files inspected, along with two references and a criminal records bureau check. This helps to ensure that service users are cared for by staff who are suitable to work with potentially vulnerable people. The home has a new Induction programme for staff, and a system, not previously used, which will be an improvement on the current system in use. The old system as seen on the files did not include all required areas and did not appear to be carried out in a systematic fashion. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 20 Other training for staff has included NVQ’s, moving and handling, fire awareness, medicine management, infection control, Abuse prevention and awareness and basic first aid. Further training is planned in food hygiene, first aid and health and safety. The owner has also purchased a DVD based training programme for staff, with associated training materials. This should ensure staff can receive this important training when they start working at the home rather than having to wait for a course from an external provider. Staff spoken to had a good understanding of the needs of the staff they were caring for, and could describe clearly actions to be taken in the case of a sudden deterioration. This demonstrates that service users are in safe hands. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 21 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, 36, 38 Quality in this outcome area is good. The home is being well managed. This judgement has been made using available evidence including two visits to this service. EVIDENCE: The new manager of the home is Lorraine Cunningham. Lorraine has many years experience working in care and has recently been registered as the manager. That means she is accountable for the care that goes on at the home, along with the owners. Discussion was held on the quality assurance systems at the home. Questionnaires have been circulated to service users and heir relatives, and to community medical staff, such as GP’s and district nurses to gather views on the operation of the home. The results of the last survey have been collated Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 22 and will form part of an annual development plan for the home, when combined with the results of other internal and external audits. The company has also been awarded the Investors in people award, and are planning additional service user meetings where service users views can affect how the home operates. By the second visit the manager had completed a supervision session with all staff. Supervision is a system where staff spend time with their manager on a 1:1 basis looking at their performance, training needs and any practice issues. This should help service users be cared for in a consistent fashion and ensure that staff are working to their full potential. It should be carried out as a minimum 6 times a year. Discussion was held on the homes health and safety practices. The owner confirmed that all windows have restricted opening so that service users could not fall from them accidentally; that period glass bas been replaced by safety glass in older windows; that water temperatures were automatically regulated to a safe temperature and that all staff have received training in health and safety practices. Risk assessments were available for some areas of the environment and for safe working practices, such as moving and handling and the storage of chemicals and cleaning materials. Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 23 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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 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 2 x 3 Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 24 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, 5 Requirement The statement of purpose and service user guide must be updated to reflect the current situation in the home. Service users must receive a contract or statement of terms and conditions in relation to their residency at the home. Timescale for action 25/11/06 2. OP2 5 25/11/06 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 home should increase the amount of person centred planning in the service user care plans. Plans should include specific assessments where there is an identified infection control risk. New staff should follow through a standardised full programme of Induction. Supervision for staff should be carried out six times a year. 2 3 OP30 OP36 Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Choice Care Home DS0000018337.V291600.R01.S.doc Version 5.2 Page 26 - 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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