Inspection on 22/01/08 for Cranham Court Nursing Home

This inspection was carried out on 22nd January 2008.

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

Cranham Court Nursing Home 16/06/06

Cranham Court Nursing Home 05/02/06

Cranham Court Nursing Home 20/09/05

Cranham Court Nursing Home 21/02/05

Cranham Court Nursing Home 19/10/04

Cranham Court Nursing Home 26/02/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Cranham Court Nursing Home 435 St Marys Lane Upminster Essex RM14 3NU Lead Inspector Liz O`Reilly Unannounced Inspection 22nd January 2008 10:00 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 Cranham Court Nursing Home DS0000015588.V357295.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. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cranham Court Nursing Home Address 435 St Marys Lane Upminster Essex RM14 3NU 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) 01708 250 422 01708 227 728 THE HOLMES CARE LTD vacant post Mrs Indumati Lakhani Care Home 82 Category(ies) of Old age, not falling within any other category registration, with number (82) of places Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 82 BEDS FOR ELDERLY INFIRM MINIMUM STAFFING NOTICE Date of last inspection 16th June 2006 Brief Description of the Service: Cranham Court Nursing Home is registered to provide accommodation and nursing care to eighty-two older people. Originally opened in 1982 with twelve places, considerable expansion has occurred with the addition of a rear extension in the late nineteen-eighties, and the well-designed Woodlands Unit being opened in 1995. Currently there are fifty single, and sixteen double bedrooms. The original house with rear extension, and the more modern Woodlands Unit are operated separately. One of the owners, Mrs Lakhani, has managed the home since it opened, with each of the two distinct units having a Care Manager, both of whom have been at the home for more than ten years. It is set in eleven acres of attractive, well maintained woodlands and grounds, the original house retaining many of it’s distinctive architectural features. Due to its location, the families of prospective residents are told that access by public transport can be difficult. The range of care needs is wide - from those who are mentally alert but have physical frailties, some of whom need to be nursed in bed - to people showing signs of dementia. On the day of the inspection the range of fees for the home was between £537.00 and £675.00 per week. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit was carried out by two regulation inspectors over six hours. The inspectors had the opportunity to speak with fourteen people who use the service, a small number of staff and the home manager. Surveys were provided for people who use the service, staff and visitors. Ten surveys were returned from people who use the service, six were returned from visit ors/relatives and six from staff. We examined a sample of various records. The home manager has also completed their own assessment of the service for the CSCI. Judgements in this report have been made using evidence from all of the above sources and observations made at the time of the visit to the service. What the service does well: People who use this service felt that one of the best things about the home was the staff. People told us the staff were “excellent”, “kind and caring”, “friendly” and “cannot be faulted”. We observed staff working with people in a sensitive manner with the privacy and dignity of individuals protected. Relatives told us “staff are fantastic”, “I was constantly impressed by their dedication” and one person reported that their relative was “loved and cared for in every possible way”. When asked what the service did well in a survey one visitor said ‘everything. Staff provide a good service in meeting the health and personal care needs of individuals. Good relationships with other professionals means that people who use the service are referred quickly for further health care treatment or advice if needed. The environment is well maintained and individual rooms are personalised. One person told us “I love my room, it’s just how I want it”. Another person told us “I am glad I am living here, I would not like to go anywhere else”. A number of positive comments were made about the bird feeders around the grounds and how much enjoyment people get from watching these. People enjoy the food and made positive comments about the amount and quality of the meals provided. Staff are provided with good opportunities for training which ensures that they are kept up to date with good practice. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 7 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 Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 8 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 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. No one is admitted to the home until a full needs assessment has been undertaken. Admissions only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of individuals. Information on what people can expect from the service is provided in a Service User Guide. This service does not provide intermediate care. EVIDENCE: People who use the service said they felt they, or their relatives, had enough information about the service before they moved in. The service has produced a Statement of Purpose and Service User Guide which sets out the aims of and the service people can expect. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 9 We found a copy of these documents on each unit and in the main reception. A copy of the latest inspection report is available in the main reception area. The service user guide could be made more easily accessible and interesting. This was discussed with staff at the time of this visit. We found that before anyone was admitted to the home an assessment of their individual needs had been carried out. Copies of the assessment were on file and provide staff with information to set up an initial care plan for each person when they arrive. Where individuals are placed through a local authority the assessment is carried out by a local authority Care Manager. If people are self funding senior staff from the home will carry out the pre admission assessment. Cranham Court Nursing Home DS0000015588.V357295.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 & 11 People who use this service receive good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Individual care plans provide good information on the health and personal care needs of individuals. The inclusion of more of the social, emotional and cultural needs and wishes of people who use the service along with how these will be met would assist in moving towards a more person centred approach. Staff support people who use the service and their family through end of life care. The health care needs of people who use the service are met and medication is well managed. EVIDENCE: Nine people who use the service told us they always received the care and support they needed. One person said usually. All ten of those who responded to the survey said they always received the medical attention they needed. One person told us “if I’m not feeling well they call the doctor straight away”. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 11 Four of the six relatives or friends who sent in surveys said that the home usually meets the needs of people who use the service. Two people said needs were always met. People felt that they were kept informed of any issues such as hospital admissions or accidents. We found care plans in place which gave good information on the health and physical care needs of people who use the service. Care plans are provided for individuals and their family to comment on with a copy provided in their bedroom. Staff were found to have very good knowledge on the individual needs of the people in their care. In order to provide a more person centred approach the social, emotional and cultural needs and wishes of individuals could be expanded within the care planning. We found some instances where staff had sought a basic life history. This information could also be expanded to provide staff with a better insight into the life experiences of the people they support. We found care plans were being reviewed on a regular basis. Staff should make sure that these reviews follow through actions and include any changes. Where the care plan states staff should find out the likes and dislikes of an individual this should be completed and noted. In one instance the care plan included directions for staff to introduce and orientate one person to the home. This was still in place despite this person having now lived in the home for over a year. In another instance the care planning information stated that the person likes interacting with people but the daily notes stated this person was spending all of their time in their room. Health care assessments were found to be well maintained. We found end of life care plans contained good information and input from families. The service has good contacts with other health care professionals and make referrals to the tissue viability nurses, and palliative care team for advice and support. The majority of people who use the service are registered with one local GP practice who visit the home on a regular basis. Three people have retained the services of their own GP. Arrangements are made for regular visits by dental, optical and chiropody services. We found medication to be well managed. All medication was stored appropriately and records were up to date and accurate. Staff were seen to be respecting the rights of one person who was declining to take their medication. Staff were keeping all those concerned informed of this situation. Since the last inspection of the service we have received seven letters from the family and friends of different people who have died at the home. These letters make very positive comments on the care and support they and their relatives have received. Comments included ‘the kindness and friendship from staff meant a lot to me’, we have happy memories of her time there, she was Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 12 loved and cared for in every possible way’, ‘the care and attention was outstanding, nothing was ever too much trouble for them’. Cranham Court Nursing Home DS0000015588.V357295.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience adequate quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use the service are given the opportunity to take part in a variety of activities. Improvements could be made in providing support for people to be more occupied when the activities organiser is not available. The food is of good quality and provides a varied diet with alternatives available. Mealtimes could provide more opportunities for people to maintain their independence and socialise. EVIDENCE: In completed surveys three people who use the service said there were always activities which they could join in with, three said usually and three said sometimes. Individuals appreciated the one to one activities which were provided for people who were unable to join in group activities. The service employs an activities organiser for 10 to 12 hours a week with her time split between the two units. The activities available include; games, quizzes, exercises, flower arranging, painting and ‘sing songs’. A number of people told us they enjoyed sitting in their rooms watching the birds come to Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 14 the bird tables which are around the home. One person told us they enjoyed it when visitors came with a dog. The activities organiser keeps an individual activity record which includes when people have declined to take part and carries out evaluations of the activities to assess what is more popular. A profile is being introduced for each person which will include family history, important events, values and beliefs and individual likes and dislikes. Consideration should be given to including this information in the main care plan and involving key workers in setting up and maintaining the profile. We observed individuals joining in group activities and clearly enjoying the experience. Later in the day we observed people sitting with little to occupy themselves. Consideration should be given to introducing things into the lounge areas which individuals can occupy themselves with. The use of ‘rummage’ boxes, soft toys, clothing, hats, jewellery and photo albums for instance may offer more opportunities for people who are living with dementia to be occupied. All of the people we spoke to during this visit said they enjoyed the food. Comments included “the food is excellent here”, “I can’t fault the food” and “they are very good cooks here”. A relative stated that the standard of meals was “excellent”. Four people who use the service who completed surveys told us they always liked the meals, three people said they usually liked the food and three people said they sometimes liked what was on offer. We noted the menu for the day was written up on a board in the lounge area. A number of alternatives are available. The cook told us that people make their choice of meals on the day and that an alternative is always available. We found the cook had a good understanding of the likes and dislikes of individuals. A record of food must be kept for each person with enough information recorded to show that each person is receiving a varied and balanced diet. We observed lunch being served. Consideration should be given to reviewing mealtimes to offer more opportunities for people to participate, alternatives to bibs, the way in which food is served and staff joining people in a meal. Visitors to the home told us they “always feel welcome” and people who use the service told us they could have visitors at any time. Cranham Court Nursing Home DS0000015588.V357295.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good quality outcome in these areas. This judgement has been made using available evidence including a visit to this service. The complaints procedure is provided to everyone who uses the service. Good systems are in place to record and deal with any concerns. Staff are provided with training on safeguarding adults. EVIDENCE: All of the people who use the service we spoke to and who completed the survey said they knew who to speak to if they had any complaints or concerns. Only one person said they were not sure about how to make a complaint. A copy of the complaints procedure is supplied to everyone when they first move into the home. We found the complaints procedure also on display. The home manager keeps a record of all complaints along with actions taken and outcomes. These records showed that people who use the service are listened to and action is taken to resolve any concerns. Staff were found to have a clear understanding of what to do if someone comes to them with a complaint or concern. Staff are provided with training on safeguarding adults. This ensures that they are able to recognise abusive behaviour and understand their responsibilities in reporting any concerns they may have. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 & 26 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use this service are provided with a comfortable, homely environment. The building is well maintained, clean and free from odours. EVIDENCE: A major redecoration and refurbishment programme has recently been carried out. The majority of the home has been redecorated. New carpets, curtains, beds and furniture have been installed. We found all areas of the home in good condition. The home is well maintained with two people employed to ensure that repairs are kept up to date. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 17 People who use the service told us they liked their bedrooms. We found individuals had personalised their rooms with their own belongings, photos, furniture, ornaments and pictures. Individuals told us they had arranged their rooms how they liked them. During the redecoration people who use the service were given a choice of colours for their room. Visitors told us they found the home “warm and cosy”. The service has a large garden and grounds which people told us they enjoy using in the warmer weather. When redecorating bathrooms consideration should be given to making these rooms less clinical in appearance. Staff should take care to ensure that notice boards in lounge areas are not used for staff information as this detracts from the homely atmosphere. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use the service have confidence in the staff who support them. There are sufficient staff on duty to meet the needs of individuals. Staff are provided with good opportunities for training. The skills and experience of the staff group could be improved with more in depth training on dementia care. Appropriate checks are carried out before anyone starts to work in the home in order to protect people who use the service. EVIDENCE: All of the people who use the service we spoke to and who completed surveys told us that staff listen and act on what they say. One person did add that on occasion things were forgotten. Five people said staff were always there when they needed them and five said staff were usually available when they were wanted. People told us “staff are always there for me”, “ all I have to do is ring my bell and they are there” Comments from visitors to the home included; “the staff are very helpful”, “as far as mum is concerned they could not look after her any better”, “staff are always very welcoming” and “staff appear to be genuinely concerned with the welfare of people”. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 19 We observed staff supporting people in a considerate and caring manner. Requests and comments from people who use the service were listened to and staff were seen to take care to protect the privacy of individuals. We found staff are provided with good opportunities for training. Recent training has included; end of life care, the mental capacity act, moving and handling, safeguarding adults and infection control. Staff who completed the survey all felt they were provided with appropriate training which assists in keeping them up to date with good practice. All care staff have completed NVQ level two training and six staff have NVQ level 3 in care. Trained staff confirmed they were supported to attend appropriate training. In order to make sure that the needs of people who use the service continue to be met consideration should be given to staff receiving more in depth training on supporting people who are living with dementia. Staff told us they felt well supported and enjoyed working as a team to meet the needs of individuals. We examined a sample of staff records. Pre employment checks, including Criminal Records Bureau checks and references, are carried out. This assists in protecting people who use the service from abuse. In future a full employment history must be sought from each person with explanations for any gaps in employment. A recent photograph of each member of staff also needs to be on file. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 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 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 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The manager has the appropriate qualifications and experience to run the service. People who use the service and staff feel their views are listened to in the running of the service. A quality monitoring system is in place. The results of in house surveys and actions taken could be better advertised in the home. The health and safety of people who use the service is promoted and protected. EVIDENCE: Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 21 People who use the service and relatives made positive comments about the manager. People told us the manager was “always available”, “sorts things out straight away” and “is very kind”. Staff felt well supported by the manager. Staff meetings take place on a regular basis. One member of staff felt that meetings of qualified staff could be more frequent to discuss up to date practice. This should be considered. We found the service to be well managed. Good systems are in place to monitor the performance of the service with monthly audits carried out by the manager. Feedback from people who use the service is sought through regular meetings and surveys. The results of surveys along with the actions taken could be better advertised for people who use the service and visitors to the home. At the time of this visit no money was being held for anyone who uses the service. Staff make regular checks on the building, equipment and working practices to ensure the health and safety of people who use the service, staff and visitors. We found the health and safety records to be well maintained and up to date. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X N/A X X 3 Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 23 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 OP15 Regulation 17(2) Schedule 4 (13) 19 Schedule (2) (1)(4)(6) Requirement Timescale for action 01/05/08 2. OP29 To ensure that the diet of each individual who uses the service can be monitored a record of the food provided must be kept. To further safeguard people who 01/05/08 use the service the following must be sought before any member of staff commences work in the home:• A recent photograph • A full employment history, together with a satisfactory written explanation of any gaps in employment. • Where a person has previously worked in a position which involved contact with children or vulnerable adults, written verification of the reason why they ceased to work in that position unless it is not reasonably practicable to obtain such verification. Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 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. Refer to Standard OP1 Good Practice Recommendations Consideration should be given to providing a more easily accessible Service User Guide and including the views of people who use the service. This will provide a more personal view of the service for those considering moving in. To ensure that people who use the service are provided with the care and support they need and wish for, care plans need to be up dated and include the social, emotional and cultural needs and wishes of individuals along with information on how these will be met. A review of mealtimes should be carried out to include, looking at ways in which people who use the service can be more involved, the way in which meals are presented, the use of bibs and staff sharing mealtimes. Consideration should be given to providing more opportunities for people to be occupied at times when the activities organiser is not available. In order to ensure that people who use the service are provided with care and support which meets their needs staff should be provided with dementia care training appropriate to their role in the home. 2. OP7 3. OP15 4. 5 OP12 OP30 Cranham Court Nursing Home DS0000015588.V357295.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Cranham Court Nursing Home DS0000015588.V357295.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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