CARE HOMES FOR OLDER PEOPLE
Copperfields Residential Home 42 Villa Road Higham Kent ME3 7BX Lead Inspector
Jo Griffiths Unannounced 24 May 2005 11:00am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Copperfields Residential home Address 42 Villa Road Higham Kent ME3 7BS 01474 824122 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Larchwood Court Limited Miss Janet Aldridge CRH Care Home 20 Category(ies) of OP Old age (18) registration, with number DE(E) Dementia - over 65 (2) of places Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: (1) Care for older people with dementia is restricted to 2 older people whose dates of birth are 29/05/11 and 23/05/09. (2) Care of 1 service user with learning disabilities is restricted to one person whose date of birth is 02/11/1931. Date of last inspection 18/01/05 Brief Description of the Service: Copperfields is set in a residential area in the village of Higham near Gravesend. Shops and amenities are located within a short walking distance. The home is registered to provide residential care and support to 20 older people and has a range of single and double bedrooms. There is a rear garden and a number of communal lounge and dining areas. The home is accessible to wheelchair users. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Regulatory Inspector, Jo Griffiths. For the purposes of this report the people living at Copperfields would prefer to be collectively referred to as the residents of the home. All areas of the premises were seen and some records were inspected. A number of residents and relatives were spoken with and the deputy Manager gave feedback on the progress made toward achieving the requirements from the previous inspection. What the service does well:
Residents at Copperfields say that they are happy at the home. They like the house and the décor and are pleased with their bedrooms. The residents said they have plenty of space and can choose where to spend their time in the home. The home is clean and well maintained and residents’ bedrooms are fully furnished and personalised with their own belongings. Prospective residents interested in the home are provided with plenty of information to help them make their decision. Before moving in residents said they were given the chance to do a trail visit to see if they liked the home. Care plans show that the needs of prospective residents are fully assessed before a place is offered to ensure their needs can be met. Care plans are detailed and have been agreed and signed by the resident or their relative. The care plans are reviewed with the resident every month and changes made as needed. Residents’ health needs are well met by various professionals and their needs are clearly recorded in the care plan. Residents can receive visitors at any time and it was good to see plenty of visitors coming and going throughout the day. The visitors spoken with held high regard for the home. They said that “they always keep us informed of how mother is” and “this was our first choice of home after looking at many”. Residents enjoy the meals and they are happy with the choices available. The dining room provides a pleasant mealtime environment and residents can choose to eat here or in their own rooms if they prefer. The home has a complaints procedure that is easily accessible to residents. Residents and their relatives know how to make a complaint if they needed to and feel confident that their views would be listened to.
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 6 The staff treat the residents with respect and carry out their wishes. This was seen during the inspection and residents said “the staff are very nice”. Some staff have achieved their NVQ qualification and others are working toward this. Most of the staff have completed the training they need to do their job well. Residents enjoy the range of activities that are brought into the home including hairdressing, massage, music and sing-along, Bingo, reminiscence and Holy Communion. Residents said they can choose whether to participate or not in the activities provided. Some residents enjoy going out to the local shops. What has improved since the last inspection? What they could do better:
The Manager of Copperfields is also registered as the Manager of the 2 other company homes in Kent. This situation does not allow the Manager to be in full time day to day charge of the home and as such the Manager cannot ensure effective running of the home for the benefit of the residents. It is therefore required that the Registered Provider appoint a Manager who is fit to be registered either to this home or to the 2 other homes run by Larchwood Court Ltd. This requirement was first made in October 2002 and has not yet been achieved. CSCI will be discussing following this issue up separately with the Provider. Residents are not fully protected by safe recruitment procedures and to rectify this 2 written references must be obtained for all new employees before they are permitted to start work at the home. Some staff have not yet completed
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 7 their core training and in particular they must undertake Moving and Handling, Fire Safety and POVA as a priority. The Manager has begun to implement supervision sessions for staff and this needs to be increased for all staff to at least 6 times per year. As described above the Manager has carried out a quality review of the care provided at Copperfields. To further develop this it is recommended that the results of the review be summarised and made available to prospective residents and relatives, as this will help them to make their decision about moving to the home. Residents’ health and safety needs must be protected by ensuring that toiletries are not shared, to avoid cross infection and razors are removed from the unlocked cupboard in the communal bathroom, to remove the risk of injury. To ensure that any accidents are reviewed and prevented in the future it is recommended that a section be included on the accident report form to allow for comment to be made on the action taken to reduce risk. The wheeled commode situated over the toilet should be removed to avoid injury to residents and replaced with a fixed piece of equipment that will meet the mobility needs of all residents. It is recommended that the menu be reviewed to ensure that it meets the dietary needs and likes and dislikes of the current group of residents. It would be beneficial to residents for a board to be displayed in a prominent position in the home to tell them on a daily or weekly basis what is on the menu. This board could also be used to let residents know the activities that are available each day. The requirement from the previous inspection to purchase a suitable lockable medication trolley has not yet been completed. Residents’ privacy must be protected with the provision of suitable locks to all residents’ bedroom doors. The Garden must be made safe and pleasant to use by removing the broken furniture and commodes that are being stored there. 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. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4, 5, 6 Prospective residents have the information they need to make an informed choice about moving to the home. They have their needs fully assessed to ensure they can be met and they are able to visit the home for a trial visit before making their decision. EVIDENCE: Residents are provided with information about the home in the Statement of Purpose and Service User Guide. These documents are presented in an appropriate format for the residents. All residents have their needs assessed before they move into the home and these assessments cover all areas of the resident’s life including social, emotional, mobility, nutritional and personal care needs. Residents are offered a place at the home only if their needs can be met. A variety of staff training is in place to ensure the varied needs of individual older people can be met. Residents are encouraged by the Manager to visit the home prior to moving in and stay overnight if possible. Some residents said they had done this and it
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 10 gave them a chance to see if they liked the home before making their final decision. Copperfields does not provide intermediate rehabilitative care. Therefore standard 6 is not applicable. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10, 11 Residents have a plan of care that ensures their health, social, emotional and physical needs are met. Residents are treated with respect and dignity and they know that they will be supported sensitively at the time of their death. Residents are not fully protected by safe procedures for administering medication at the moment. EVIDENCE: All residents have a care plan that is based on the assessment of their needs. The care plans are detailed and provide staff with the information they need to offer the level of support needed by residents. Care plans are reviewed monthly by the Manager and deputy alongside the resident and their relatives. These reviews are recorded in the care plan and changes to the plan are made as an outcome of the reviews. All care plans have been signed by the resident or their representative. Residents are registered with a local GP and their health needs are met by various NHS professionals. All input regarding residents health care needs are recorded in the care plan. The pharmacy dispenses residents’ medication in a Monitored Dose System. Senior staff administer the medication and have received training to do this. All medication is stored safely in locked cabinets,
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 12 however the recommendation from the pharmacy inspection to purchase a lockable trolley has not been implemented. This means that whilst staff are administering medication it is being left on an unlocked trolley. Residents said that the staff treat them with respect and that they are given the privacy they need. Staff were seen to interact in a respectful manner with residents. One resident described how they can use the homes portable telephone in private in their bedroom. Residents’ wishes regarding their care at the end of their life have been discussed with them and recorded in the care plan. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 15 Residents enjoy the range of activities provided within the home. They are able to maintain contact with the local community if they wish and can receive visitors at any time and in private. Residents enjoy the meals at the home and are offered a choice from a varied and nutritious menu. EVIDENCE: Residents are able to choose to participate in activities that are provided in the home. These include Bingo, Reminiscence, Massage, Hairdressing, Music and sing-along. Residents spoken with said they enjoyed the activities available. It is recommended that a board displaying the planned activities for the week be displayed in an area that residents can see it. Some residents said that they are able to go out to the local shops or attend the local church. For those that are unable to a communion service is held at the home on a monthly basis. Residents said that they can have visitors whenever they want and there were lots of visitors to the home during the inspection. The home does not have
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 14 separate visitors room but residents said they like to receive their visitors in one of the lounge areas or their bedroom. Relatives spoken with said that they home communicates well with them about the well being of their mother and they felt comfortable to visit at any time. Residents all said they enjoyed the range of meals available. The menu showed a choice of at least 3 meals are available at lunchtime and 2 meals at tea. The menu displayed was last reviewed in December 2003 and it is recommended that this be reviewed again to ensure it is catering for all needs and is varied. Desserts are available and a supper of tea and biscuits is offered. The dining room is light and airy and the tables are always laid with flowers. Most residents eat in the dining room and some residents choose to eat in their bedroom. Residents spoken with were not sure what was for lunch and it is recommended that the menu for each day be displayed in a format that residents can understand. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 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 standard(s) 16, 18 Residents know how to make a complaint and are confident that their views will be listened to. They are protected from abuse. EVIDENCE: Residents said they were aware of how to make a complaint and leaflets describing the complaints procedure are available in the entrance hall. One resident said that staff are always busy so it is sometimes difficult to get a chance to talk to them about concerns, but the majority of the residents felt that their concerns were listened to and acted upon. Most staff have completed protection of vulnerable adults training and the home has a policy on adult protection that is consistent with the Kent and Medway Multi Agency policy. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 16 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 standard(s) 19, 20, 21, 23, 24, 25, 26 Residents live in a comfortable and safe environment. They have access to plenty of communal space and their own rooms are appropriate to their needs. There are sufficient toilet and bathroom facilities to meet the needs of all residents and the home is clean and hygienic. EVIDENCE: Residents have access to a number of communal areas including 2 lounges and a dining room. Residents said they can choose where to spend their time and can get around all areas of the house with the use of the lift. All areas of the home are well lit and the lounge and dining room have an airy feel. There is a rear garden that residents said they enjoy using in the summer. The home is generally well maintained and the carpets in the stairways have been recently replaced. Some old furniture that has been removed from a bedroom is being stored in the garden. This is unsightly and needs to be removed.
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 17 All residents have the choice to occupy a single bedroom and currently only 2 residents choose to share. The bedrooms are appropriate in size and are fully furnished. Residents can bring their own furniture if they wish providing they meet fire safety standards. All residents’ bedrooms were seen and these are personalised with their own possessions. Some bedrooms require locks to be fitted to the door to ensure privacy for the resident. These must be appropriate for the resident to use and accessible from the outside in an emergency. Residents have access to sufficient toilet and bathroom facilities. Each bedroom has a wash hand basin and 6 bedrooms have ensuite facilities. There is a main bathroom and additional toilets on the first floor. There are 2 toilets on the ground floor. The 1st floor toilet still has a mobile commode placed over it and this could be unstable for residents to use. It therefore remains a requirement that advice be sought from an occupational therapist regarding a fixed piece of equipment to aid residents using the toilet. Residents’ clothes are laundered by the home and the laundry room is sited on the lower ground floor away from residents’ bedrooms. The laundry facilities are clean and hygienic and able to cater for the needs of the residents. Residents said that they have no problems with the laundry service in the home. Residents said they liked the home and the décor and all said they were happy with their bedrooms. Relatives commented that the home is warm and homely and that it was their first choice after viewing a selection of care homes. All areas of the home are kept clean. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Residents are supported by sufficient staff to meet their needs. Residents are not supported by staff that are fully trained and recruitment procedures are not providing full protection for residents. EVIDENCE: Residents and relatives said that they feel there are sufficient staff on duty at all times. The rota showed that there are 3-4 carers on shift during the daytime hours. There is also a cook and a cleaner on duty each day. During the inspection there were sufficient staff on duty to meet the needs of the residents. Residents’ benefit from being supported by staff that are qualified. 4 staff have achieved their NVQ award and 1 staff member is currently working toward achieving it. A staff training matrix has been introduced since the last inspection to allow easy monitoring of courses attended by staff. There is a wide range of courses available for staff to undertake. Most staff have completed the core training required including fire safety, Manual Handling, Health and Safety and the Protection of Vulnerable Adults. It is required that the staff that have not completed these courses do so to ensure the safety of residents. Some role specific training has also been completed including Dementia, Communication and epilepsy. Staff files seen contained a CRB check, application form, Interview checklist, Proof of ID and one reference. It is required that 2 written references must be
Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 19 obtained before allowing a new employee to start work to ensure the protection of residents. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35, 36, 38, EVIDENCE: The manager of the home has the CQSW and DipSW qualifications and is working toward completion of the Registered Managers Award and aims to complete by September 2005. The Deputy Manager is also working to complete the RMA. The Manager of the home continues to be registered for 2 other care homes managed by the company. This is unacceptable, as sufficient time cannot be devoted to each service. The manager has attempted to recruit a Manager for the 2 other homes but has been unsuccessful. This now needs to be resolved as a matter of urgency as it has been a requirement since October 2002. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 21 The Manager has begun to introduce supervision sessions for staff but the recommended frequency of every 2 months is not yet being achieved. The Manager has completed a quality assurance exercise to gather the views of the residents and relatives. It is recommend that this be summarised and presented in a format that can be given to prospective residents who are looking to move to the home. Residents can choose to hold their own money and for this they have a lockable space in their bedroom. Where a resident chooses to ask the home to hold money on their behalf this is held securely by the senior carer. Since the last inspection the procedure for managing residents money has been updated to ensure receipts are obtained and issued for all transactions. 2 members of staff are now required to sign all financial transactions. This robust procedure ensures protection for residents against financial abuse. Risks to the health and welfare of residents have been assessed and recorded in the care plan. Where accidents do occur they are reported immediately to the senior or manager. Accident reports were seen on residents care plans and these had been completed with sufficient detail about the incident. However, it is recommended that a section be included for commenting on the action taken following the incident to prevent it occurring to the resident again. Most areas of the home were free from hazards, however, shared toiletries including razor blades were found in the unlocked cupboard in the main bathroom and this poses a risk to residents of cross infection by sharing toiletries or injury from the razors. The deputy said these would be removed immediately. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 2
COMPLAINTS AND PROTECTION 2 3 2 x 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 1 x 2 x 3 2 x 2 Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31 Regulation 8 (b) (i) Requirement The Registered Provider must appoint a Manager who has sole responsibility for the day to day management of the home. The Manager must not employ any person to work at the home unless 2 written references have been received. Arrangements must be made for staff to undertake the training required for the protection of residents, including Moving and Handling, Fire Safety and POVA Toiletries must not be shared between residents and razors must not be left in the unlocked cupboard in the communal bathroom. Appropriate fixed equipment, as recommended by a person qualified to assess, must be provided to replace the mobile commode over the toilet. The broken furniture and equipment must be removed from the garden. An appropiate locked medication trolley must be purchased as required following the pharmacy inspection. Timescale for action To be arranged with the provider 25/05/05 2. OP29 19 (1b) 3. OP30 18 (1)(c)(i) 30/06/05 4. OP38 13(3)(4) 25/05/05 5. OP21 23(2n) 30/06/05 6. 7. OP19 OP9 23(2o) 13(2) 30/06/05 30/06/05 Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 24 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. 5. Refer to Standard OP36 OP33 OP15 OP12 OP24 Good Practice Recommendations Care staff should receive formal supervision a minimum of 6 times per year. It is recommended that the results of quality assurance reviews are published and made available to the CSCI and prospective residents. It is recommended that the menu is reviewed and displayed in a format that is accessible to the residents. It is recommended that an activity board be introduced to inform residents of the proposed activities for the week. All residents bedrooms should be fitted with a lock of a style that is appropriate for the individual. Copperfields Residential Home H56-H06 S23919 Copperfields V221039 240505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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