CARE HOMES FOR OLDER PEOPLE
Denewood House Care Home 12-14 Denewood Road West Moors Ferndown BH22 0LX Lead Inspector
Jo Palmer Unannounced 21 July 2005 11:00 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. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION
Name of service Denewood House Care Home Address 12-14 Denewood Road, West Moors, Ferndown, Dorset, BH22 0LX 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) 01202 892008 01258 841255 Samily Care Ltd Mrs Caroline Anne Bleach CRH 21 Category(ies) of OP - 21 registration, with number of places Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28 September 2004 Brief Description of the Service: Denewood House is a detached house in a residential area of West Moors, local shops churches, pubs and a library are available close by following a level walk. The home is registered with the Commission for Social Care Inspection to accommodate a maximum of 21 older people. It is privately owned by Samily Care Ltd and managed by Mrs Bleach. The bedrooms are located on the ground and first floors. There are two double bedrooms and 17 single rooms. The home does not have a passenger lift but a stair lift operates to the first floor. Due to the layout of the home the service users are assessed on admission to determine that they are independently mobile. Public transport is available from outside the premises. The rear garden has seating available for service users some of the rooms have patio doors opening out to the garden.
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection on 21st July lasted for four hours and forty five minutes. On arrival, Alison Mouqtassid, deputy manager was present, Mrs Bleach, registered manager arrived shortly afterwards. Samily Care Ltd is owned by Mr & Mrs Bleach, Mrs Bleach is also registered to manage the home on a day to day basis. The purpose of this inspection visit was to monitor progress in addressing requirements of the last inspection and to review practices in relation to some of the National Minimum Standards. This was a positive inspection, which concentrated on the outcomes of care and services for residents, measuring against some of the standards. The inspector spoke with four residents, one care assistant the manager and deputy manager, took a tour of the home and examined relevant records. Relatives of one resident who had recently left the home were spoken with. What the service does well:
Residents are admitted to Denewood House with assurance from the home that is able to meet their needs and provide the services they require. Resident’s health and welfare needs are met through effective planning and care delivery systems. Residents spoken with confirmed that they are respected and that their rights to privacy are maintained. There are good systems for managing medication in the home. Residents can be assured that they are able to maintain their individual preferences for social activity and leisure pursuits and that they can maintain contact with friends and family. Should residents have any concerns, staff are aware of the appropriate procedures for addressing these; complaints and protection procedures are in place to ensure that any incidents or complaints will be effectively and sensitively managed. Denewood House provides a safe comfortable environment where residents are able to make their rooms feel like their own with their own possessions around them and where there is sufficient communal space, in which to enjoy each other’s company. Staff are employed in sufficient numbers both day and night to meet residents health, personal and social care needs. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 6 Staff demonstrate a commitment to training and statutory training courses are undertaken, some attention is required to ensure that training outcomes are measurable. The home benefits from effective management practices from Mrs Bleach and her senior staff. Good progress has been made to ensure the views of residents are sought with regard to the care and services provided. Residents are protected by sound procedures for management of their finances and general record keeping. What has improved since the last inspection? What they could do better:
A requirement of the last inspection dated 28th September 2004 has not been addressed with regard to holding the required information on all staff employed. The registered persons must ensure that procedures are robust and protect service residents from persons not suitable to work in the care home industry. Whilst considerable improvements have been made in care documentation, it has been recommended that systems are in place for ensuring and evidencing that residents have been involved in making decisions about how they want their care to be delivered. It has also been recommended that where residents exhibit any form of mental health needs or emotional distress that these are addressed through multi-disciplinary care input. Social care plans should also demonstrate resident consultation to ensure their preferences for social interaction and recreational activities are noted. Repeated from the last inspection, it is recommended that a routine plan of maintenance is produced demonstrating the regular upkeep of the premises and that the home is assessed by a qualified person to establish the extent of the disability equipment required.
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 7 Finally, it has also been recommended that the home’s training programmes provide more evidence regarding the methods of learning for staff and that records indicate the system of assessment to ensure their competence. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 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 Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 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) 3 & 4. Standard 6 is not applicable Prior to admission, the needs of each prospective resident are assessed, following which they are assured in writing that based on the assessment; the home can provide the appropriate care and services. EVIDENCE: Residents spoken with confirmed they had sufficient information about the services to enable them to make an informed choice about moving to Denewood House, information presented in the Service User Guide was not examined during this inspection although the last inspection dated 28th September 2004 identified that information resented was accurate and met the relevant standards. One resident did state however that the decision to move to Denewood House was made by her family on her behalf and she therefore did not worry about getting information herself. Examination of resident’s care files demonstrated that prior to admission, an assessment of need is undertaken to ensure the resident is suited to a placement at Denewood House. Assessments seen contained information identifying the resident’s needs, although basic, it was sufficient for the home
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 10 to identify that they would be able to care for the resident. Assessments had been signed by the resident or the person providing the information indicating their involvement in the process. A standard form of letter is sent to residents following initial assessment informing them that, based on the assessment findings, the home is able to meet their needs and provide the services they require. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 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. There is a structured approach to planning how resident’s health and welfare needs will be met being developed which is working well in the best interest of residents and which is informative for staff. Systems for resident consultation and participation in the assessment and care planning process are inconsistent although resident’s rights are respected and their right to privacy is supported through care delivery and relationships with staff. Medication is well managed promoting good health. EVIDENCE: Care files examined demonstrated that a series of assessments are undertaken when the resident arrives at the home or shortly afterwards, these assessments detailed all health and welfare needs and had been reviewed regularly. Following the assessments, care plans are drawn up identifying how the residents care needs are to be met. Care plans are designed to provide an account of how each need is to be met by staff and any specific care
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 12 intervention required. Of those care plans examined, most demonstrated an understanding of the resident’s needs in respect of their personal care, physical and some social and leisure needs showing respect for their individuality. Some areas of some care plans need to be more specific. The manager and deputy manager explained that the care planning system is being revised as currently, all instructions are on one sheet, leaving little room for additions or amendments. Specific areas that require some attention are in relation to bathing, continence needs and some aspects of mental health. Examining two particular sets of care records, the inspector identified an element of mental health, emotional and support needs for both residents, these had not been addressed in care planning. These residents had expressed particular feelings and views that caused them distress, staff at the home need clear direction on how to manage specific psychological and emotional needs; advice should be sought from multi-disciplinary professionals in order that these are addressed. Where residents have specific needs in relation to their physical health, systems are in place to ensure they receive care and treatment appropriately. Records demonstrate the involvement of the district nursing services and GP’s in resident’s care. Where a district nurse is in attendance with regard to diabetic care or wound care, plans are written up by the home detailing the action required by the home and when. Pre-admission assessments had been signed by the resident or their representative, care plans and further assessments were not. To ensure that residents remain involved in the decision-making process regarding how they would like their care to be delivered and why, records must demonstrate that they have been consulted and agree with the planned care outcomes. Residents spoken with confirmed that their care needs were being met by a kind and considerate staff group, all spoken with confirmed that they felt their rights were respected and their dignity and privacy upheld. Examination of medication systems in the home demonstrates that appropriate, accurate procedures are adopted. Medication enters the home following prescription from a GP, records document the numbers of tablets received, when medicines are given to the residents and any that are disposed of when no longer required. Stocks of medication held are accurate in accordance with recorded information. There were some gaps in administration records, although not a significant number. The manager must ensure that all staff use a consistent approach to record keeping in relation to medication administration and any gaps are accounted for indicating whether the medication has been given or for what reason it was omitted. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 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 & 14 Social, cultural, and recreational activities are dependent on individual preferences and the resident’s capacity for involvement. Residents are supported in maintaining contact with their friends and family and in making decisions about their lives in the home; this is not however, always documented. EVIDENCE: Daily care records to some extent demonstrated resident’s participation in various social activity including visits from family and friends. Daily records are however; more concerned with the personal and physical care of residents and do not fully demonstrate how residents lead fulfilled lives in the home. Residents spoken with confirmed that they are able to make choices with regard to their everyday routine and activities, several staying in their rooms whilst some choose to enjoy the company of others in the lounge. One resident spoken with stated that ‘there’s not much going on’ but continued by confirming that she was quite happy in her room with her library books. Another resident chooses to stay in her room, as she does not like to mix with the other residents, this she says leaves her feeling a bit isolated. All those spoken with confirmed that they are able to receive visits from friends and families appropriately. As noted under standard 10, care records do not indicate the resident’s participation in decision-making processes regarding care delivery or planning.
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Complainants are directed through a written procedure in the Service User Guide detailing how their concerns will be addressed, therefore, they can be confident that their complaints will be listened to and taken seriously. Procedures for responding to suspicions of abuse are held in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively EVIDENCE: The complaints procedure provides details of who to contact if a person wishes to complain, no complaints have been received by the home or the Commission, Mrs Bleach and the deputy manager demonstrated an awareness of ensuring that any complaints are appropriately managed and recorded. Adult protection procedures are in place; no incidents have been reported and it was evident that staff receive training with regard to these procedures. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 22, 23, 24 & 25 Residents live in a safe, comfortable, clean environment with their own belongings around them. Bedrooms, bathrooms and communal areas provide sufficient room for residents and communal space is sufficient for the size of the home. Individual residents have the equipment they need for their independence, however the premises could benefit from additional aids for residents safety. EVIDENCE: A recommendation has been repeated from the last inspection dated September 2004 as this area was not assessed during this visit. Another recommendation of the last report is repeated as this had not been addressed, this concerned an assessment of the premises by qualified persons to establish the extent of any disability equipment that may be required to aid access around the home. Resident’s rooms were appropriately furnished and decorated and it was evident that residents are able to bring various personal items into the home
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 16 including small items of furniture, ornaments, pictures etc. The home was suitably lit, ventilated and at a satisfactory temperature for the time of year and weather conditions. Mrs Bleach confirmed that hot water temperatures are regulated to prevent accidental scalding. Radiators in resident areas are not guarded to prevent accidental scalding although it was evident that risk assessment had been undertaken appropriately to identify any action necessary to reduce or eliminate risk. Bathrooms and toilets are sited appropriately throughout the home and are accessible to residents, additionally, ten of the single rooms have en-suite facilities. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 29 & 30 The deployment and number of available staff is sufficient to meet the needs of the residents. Procedures for the recruitment of staff are inconsistent and do not always therefore protect residents. There is a commitment to staff training although the training provided that conforms to the expected standards is not measurable in terms of learning outcomes for staff. EVIDENCE: Rotas examined demonstrated that there are sufficient numbers of staff on duty. Three care assistants are on duty in the mornings and two in the afternoons. An under 18 year old is employed in the mornings and afternoons to provide assistance although not to undertake any personal care with residents. One carer with an additional carer sleeping in/on call covers the night shift. The manager or deputy manager is in the home daily from 8.00am until 6.00pm. A cook is employed from 8.00am until 5.00pm and a cleaner from 8.00am until 2.00pm. Residents spoken with confirmed that there are enough staff to provide the necessary assistance and that call bells are answered rapidly and effectively. Staff recruitment procedures require attention to ensure that all staff are employed only following thorough checks on their backgrounds. Of two staff files seen for staff recently employed in the home, one file did not hold copies of the person’s identification, one file held one reference and one file had an up to date Criminal Records Bureau certificate confirming that a POVA First* check
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 18 had been carried out. All staff have been issued with a copy of the General Social Care Council’s Code of Conduct. A training programme has been devised that conforms to the expected standards of induction. National Training Organisation (NTO) workforce training targets are set out in the workbook which is given to new staff. NTO standards expect staff to complete an induction period of training within the first six weeks of employment and foundation training in the first six months. Denewood House does not yet have a Foundation training programme. Of the two staff files examined, it was evident that they had been supplied with the induction workbook; however, all five of the units of the induction had been signed and dated over two days. Mrs Bleach confirmed that the manager or deputy would go through the workbook with the staff member who then signs and dates to confirm that she has understood. The inspector discussed other methods of ensuring that the range of topics to be covered can be absorbed and understood and how the employee’s learning can be measured. *POVA First – Protection Of Vulnerable Adults - confirmation that the employer has checked the employee against a list held of persons who are unfit to work with vulnerable adults. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 & 37 The management arrangements of the home support good care practices for residents. The manager is supported well by senior staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities. Some progress has been made toward carrying out a review of the standards in the home and the systems for service user consultation in this home are good with evidence that resident and their representative’s views are sought. Resident’s financial interests are safeguarded and all records seen are held in accordance with good practice and demonstrate respect for resident’s confidentiality. EVIDENCE: Mrs Bleach is registered to manage the home on a day-to-day basis although has appointed a person to train as manager to enable her more time to manage the company, which runs two care homes. Since the last inspection, a new manager was appointed who, although not present during this inspection,
Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 20 it was evident that much progress has been made in developing good systems for resident care and day-to-day management. This person is now leaving Denewood House to take alternative employment and the current deputy manager, Alison Mouqtassid, has taken on much of the management and administration of the home with the support of Mrs Bleach. Ms Mouqtassid demonstrated a high level of competence and understanding of resident care needs and capably assisted with the inspection process, she is currently undertaking her NVQ level 4 in care and hopes to go on to do the managers award. Ms Mouqtassid expressed several good ideas for the further development of resident assessment and care planning processes. A questionnaire survey has been sent to all residents and their relatives, those that had been returned were examined and it was evident that the majority of residents are extremely happy with the care and services received. Where some respondents identified specific issues, these were concerning their individual care requirements, is these cases Mrs Bleach has been advised to review or amend care plans in consultation with the residents concerned. Whilst resident surveys have not highlighted any specific areas for improvement, the registered persons are advised to formulate a development plan giving consideration to auditing all services, staff and care practices. Mrs Bleach who since the last inspection has been carrying out monthly inspections on the home as required under regulation 26, has made progress on this. These inspections include interviews with staff and residents, examination of some records and an inspection of the premises. Records were examined relating to those residents who request help managing their finances. The home looks after small amounts of cash on behalf of some residents, records evidence that good accounts are kept, monies held were noted to be in accordance with records kept; all money and associated records are held securely. Staff records demonstrated a good supervision process, each member of staff receives regular supervision where all areas of practice are discussed along with any training or development needs. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 x
COMPLAINTS AND PROTECTION 2 3 3 2 3 3 3 x STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 3 x 3 3 3 x Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 22 No 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 29 Regulation 18 Requirement Evidence of a new employees identification must be held on file. Two written references must be held in respect of each employee. New staff must only be confirmed in post following completion of a satisfactory police check that includes POVA First check and must be supernumerary until such time as this confirmation is received. Previous time-scale for action 30.11.04 Timescale for action 31.08.05 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. Refer to Standard 7 8 Good Practice Recommendations Care records should demonstrate extent to which residents have been involved in the decision making processes regarding their care. Where it has been identified that a resident has a specific emotional or mental health need, care is needed to ensure that this is approrpiately addressed with advice from the multi-disciplinary team. The social and recreational interests of residents should be
D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 23 3. 14 Denewood House Care Home 4. 5. 19 22 6. 30 included in their care assessments and care planning and should demonstrate the decisions residents have made with regard to their preferences. There should be a routine plan of maintenance for the home. An assessment of the premises by qualified persons, including an occupational therapist, should be made to establish the extent of the disability equipment to be provided and environmental adaptations required to meet the needs of service users. The registered person should consider more methodical and evidential ways of measuring the learning of members of staff undergoing induction training. A foundation training programme should be devised that is in accordance with the expected standards. Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole BH17 0NF 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 Denewood House Care Home D55 S61333 Denewood House V220842 210705 Stage 4.doc Version 1.20 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
