Inspection on 30/07/07 for Eastbury House

This inspection was carried out on 30th July 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eastbury House 12/08/08

Eastbury House 07/02/07

Eastbury House 31/07/06

Eastbury House 06/01/06

Eastbury House 14/09/05

Eastbury House 11/01/05

Eastbury House 01/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Eastbury House Long Street Sherborne Dorset DT9 3BZ Lead Inspector Gloria Ashwell Key Unannounced Inspection 30th July 2007 13:00 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 Eastbury House DS0000048854.V346635.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. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastbury House Address Long Street Sherborne Dorset DT9 3BZ 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) 01935 812132 01935 814164 eastburyhouse@btinternet.com Eastbury House (Sherborne) Ltd Vacant Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2007 Brief Description of the Service: Eastbury House is situated close to the centre of Sherborne within easy level walking distance of the town amenities. The home is registered to provide care and accommodation to a maximum of 19 people over the age of 65 and offers long and short-term places. Mrs Appleyard is the previously registered owner of the home and the responsible individual on behalf of the limited company: Eastbury House (Sherborne) Ltd. The home is at present without a registered manager and is being managed by Mrs Appleyard and an acting manager. Parts of the building date back to the 17th century, in particular the hallway and main staircase, dining room and front lounge. These areas retain many of the original features such as oak wood panelling, stonework and leaded lights. The accommodation for service users is arranged over the ground and first floor of the home. Due to the age of the building and extensions to the house made many years ago there are a number of internal stairs and steps and changes of level, therefore some parts of the accommodation cannot be easily accessed by people who experience severe mobility problems. A stair-lift fitted to the back staircase provides access to bedrooms situated on the first floor. Nine bedrooms are situated on the ground floor: two bed/sitting rooms are in a building close to, but separate from the main house. In addition to personal care and support the services provided include all meals, laundering and housekeeping. The home has mature private gardens where residents can sit and relax in the warmer weather. There is a small parking area to the side of the house and a public car park is also situated a short walk from the home and close to the town centre. The fee range quoted in the service user guide at the time of inspection was £440 to £660 per person per week. Up to date fee information may be obtained from the service. The home has a visiting hairdresser and chiropodist; there are additional charges for these services and also for private telephone lines and dry cleaning. Sundries such as personal luxury toiletries and newspapers are not included in the weekly fees. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 5 General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place at the home over two days, comprising a total of six and a half hours. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a plan for the inspection visit. The inspector arrived on 30 July 2007 and spoke to residents and staff and toured the premises. By arrangement with Mrs Appleyard she returned to the home at 10.00 on 2 August 2007 and assisted by Mrs Appleyard and the acting manager discussed and examined documentation relating to the care provision and administration of the home. The care records of four people who live at the home were examined in detail. The inspector was able to meet and speak with most of the residents both individually and in small groups in the communal areas. Additional information used to inform the inspection process included the reports routinely sent to the Commission by the Registered Provider. What the service does well: New residents are only admitted to the home after a pre-admission assessment to ensure the home can meet their needs. Residents bedrooms are decorated to a good standard Staff treat residents with dignity and respect and were observed to treat them with kindness and consideration, taking time to support their needs. Residents made comments including “it suits me very well… it is my home….they do their very best and it works”. Residents benefit from living in a nicely decorated and furnished home which provides a nutritious and varied diet with fresh produce and home baking. Specialist diets are catered for. Residents gave high praise about the choice and quality of the food. One said the meals are “…very good, and plenty”. There is a range of social and recreational activities for residents to take part in. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 7 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. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does not provide Intermediate Care so Standard 6 does not apply. The service user guide contains relevant information about the home providing prospective residents and their representatives with an accurate understanding of the people for whom the service is intended. The service user guide is not provided in formats alternative to a standard printed document supported by photographs of the home. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 10 The service user guide is made available to all residents and prospective residents. It contains general information about the home and includes reference to the outcomes of the most recent user satisfaction questionnaire. The Statement of Purpose and service user guide are available in a standard format; it is recommended that this information be made available in alternative formats, appropriate to the needs and capacity of individual prospective residents or their representatives who might find the standard format difficult to read and fully understand. The records of two recently admitted residents included details of preadmission assessment carried out by a senior carer who visited the prospective residents at their previous addresses. The assessment records identified the needs of the prospective residents and enabled the staff to determine that Eastbury House would be able to properly meet them. One of the people visited Eastbury House on a number of occasions in advance of admission and ate lunch in the home, thereby obtaining an impression of the service provided by the home and having the opportunity to meet residents and staff. On behalf of the other person, who was too frail to visit the home in advance of admission, the closest relative visited. Following pre-admission assessment of the persons needs and circumstances the home writes to them confirming agreement and ability to accommodate and care for them; it is recommended that a copy of each ‘letter of offer’ is kept on file. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of health and social care is generally good; particular aspects of need are not routinely assessed for all residents so staff may not have sufficient information upon which to base their care practice. Residents are all treated with respect and their rights are upheld. Medicines prescribed by doctors are safely stored and correctly administered by staff trained in this work. EVIDENCE: Care records of four residents were examined and found to contain risk assessments forming the basis for care plans and daily records describing the care of each person. There was evidence that individual residents or their Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 12 representatives are routinely involved in the development and review of planned care provision. The home has adopted the policy of only recording nutritional and/or skin assessments for residents believed to be at risk in these aspects; it is required that these assessments are recorded for all residents and are regularly reviewed to ensure that staff have all necessary information available to guide their work, and thereby protect residents from harm and avoidable adverse conditions. Some care folders contained a great many documents, including a high number now outdated and superseded by more recently written information; to minimise opportunities for confusion and error it is recommended that care folders are periodically reviewed and out of date records filed in archives. The records of a resident who had recently died in the home failed to include any reference to the death; the necessary entries were made by Mrs Appleyard during the inspection. The acting manager stated her intention to become familiar with provisions of the recently enacted Mental Capacity Act and to develop and implement associated policies and procedures. Medicine handling is carried out by staff trained in this work. Medication administration records and reliable audit systems indicate that residents receive prescribed medicines at the correct times and in correct amounts. It was noted that some signatures on medication administration records did not reliably match those on the sample list of signatures; it is recommended that staff are reminded to clearly sign records to provide a reliable audit trail. Residents wishing to do so can manage their own medicines in accordance with a risk assessment process; at present one resident self-medicates. There are suitable facilities for storing medicines and for transporting them through the home; the layout of the home renders use of trolleys impractical on the first floor so there are alternative methods for taking medicines to residents which are considered acceptable by the CSCI pharmacy inspector. Residents are treated with respect and their privacy and dignity is protected at all times. Residents believe they are properly cared for; comments received during the inspection included “They’re very good….very kind….I like it here…”. Eastbury House DS0000048854.V346635.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. On the ground floor there is a dining room adjoining the main lounge; residents may also take meals in their bedrooms. EVIDENCE: Residents are very satisfied with all aspects of the home, including the range of activities, meal provision, staff and premises. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 14 Mrs Appleyard and care staff arrange local excursions, one-to-one and small group social and recreational activities and twice a week visiting activity organisers lead a session of gentle exercise with music. Residents indicated that the standard of meal provision was very good with variety, choice, good presentation and sufficient quantity. Visitors are welcome at any time and those present during the inspection said they are always made to feel welcome and placed at ease by the staff. Eastbury House DS0000048854.V346635.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure provides information on the procedure to follow to persons wishing to make a complaint; all complaints are recorded and investigated and the home has implemented an adult protection procedure. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home; it is recommended that a copy is provided to each resident and the complaints policy/procedure displayed in the home. Residents and visiting relatives know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home keeps records of all complaints received and investigated. Since the last inspection no complaints against the home have been received or investigated. Residents enjoy living in Eastbury House and feel safe there; in response to enquiries made by the inspector about the complaints procedure a resident said there had been “no cause to complain…if there were, I’d have a quiet word with Mrs Appleyard”. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 16 The home has written policy/procedures for whistle-blowing and safeguarding adults and all staff receive associated training to ensure they understand the importance of protecting the people in their care, and know how to report any allegation or suspicion of abuse. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortably and nicely decorated home. More work is required in the area of risk assessments to ensure the home provides a safe environment. Service users bedrooms are pleasantly decorated and furnished reflecting their personal tastes. The home provides service users with a clean, tidy and hygienic environment to live in. EVIDENCE: During the inspection a tour of the premises was carried out including visiting all the communal areas including the dining room, lounge, bathrooms and toilets. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 18 Hot water outlets are not all controlled by a temperature thermostat. The baths have controlling valves in place but communal toilet sinks and individual sinks in service users rooms do not. The acting manager has ensured a generic risk assessment is carried out in relation to the risks of possible scalds from the hot water taps in sinks, and there are also clear hot water signs up in each sink area where this is the case. The home provides very limited equipment for residents requiring assistance to access baths; one resident described feeling unsafe when bathing because the bath was uncomfortably high to step into. In response Mrs Appleyard offered to provide a stool/step from her own home. Care records do not provide sufficient detail about the methods used by each resident when bathing, so staff may be unsure of how to assist them and the necessary assessment of associated risks is incomplete. It is required that for each resident a full mobility assessment is recorded and periodically reviewed, to include bathing and any additional mobility aspects. The premises is very old and is a listed building, which creates issues around making changes to the physical environment of the home. Consideration has been given to service users mobility needs by providing a stair lift. However the home has many sets of little steps on the ground and first floor, which would pose problems to service users with high mobility needs. The home is thereby unsuitable for service users who need a wheelchair to mobilise; it would be necessary for wheelchair users to leave the building and come in at another place to take meal times in the dining room. Residents bedrooms are attractively decorated and they are encouraged to bring items of furniture and other personal effects from their own homes. Residents can have a television, telephone and lockable storage facilities in their own bedrooms if they wish. Each resident has a key to their bedroom door that they can lock from the inside for privacy. Staff can unlock the doors in the case of an emergency. During the inspection the home was noted to be clean and tidy and free from any unpleasant odours. In some bathrooms and toilets there were items of wooden furniture (e.g. toilet seats, wooden stools) which are not ideally suited to thorough cleaning; similarly some of the commodes in residents bedrooms were made of wood. Rubber bath mats were seen to have been left wet, in baths available for general use. These aspects indicate poor control of infection methods and it is recommended that a thorough review for control of infection be carried out and recorded. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the management and training provision. The records of a recently employed staff member were examined and found to contain all essential information including written references, an interview Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 20 assessment, health details and evidence of identity. Criminal Records Bureau (CRB) disclosures are obtained for all staff in advance of employment. The home has developed and implemented a comprehensive induction process for all staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. Staff are encouraged and supported to undertake training in appropriate subjects including moving and handling, infection control, dementia, food hygiene and specific aspects of care. At present at least 50 of the care staff hold National Vocational Qualification in care, or an equivalent qualification; the home thereby meets the associated standard. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed and suitably staffed and much liked by residents. The quality asssurance system requires further development to ensure maintenance of standards and to provide service users with related information. Staff receive training and are regularly supervised in relation to the work they carry out in the home. The premises and equipment are properly maintained in good condition. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 22 EVIDENCE: The acting manager has commenced the process of application to CSCI to become the registered manager of the home; she has extensive experience in this work and maintains good professional awareness by developing links with other care providers, and by attending training in relevant subjects. The home has implemented the use of a questionnaire based satisfaction survey but must further develop quality assurance to ensure there is evidence of a systematic cycle of planning-action-review, reflecting aims and outcomes for service users. To ensure continuity of approach the home operates in accord with an extensive selection of policy and procedure documents. The home does not manage the finances of any residents; those unable to do this for themselves have appointed relatives, friends or other representatives to act on their behalf. Staff trained in First Aid are on duty in the home at all times. All staff are supervised and each has a personal profile containing records of appraisal. The premises are well maintained and there are regular checks/tests of all equipment. The inspector examined some records to verify this information including those for the stair lift and fire safety; in this regard the inspector was told that emergency lighting had been tested at the required monthly frequency but the associated written record had not been accurately maintained during recent months. Also, the battery operated ‘hold open’ devices attached to some doors have not been checked/tested in accordance with the manufacturers guidance because the home was unaware of this guidance. The inspector provided associated documentation and was assured future checks of emergency lighting and battery operated fire safety equipment would be reliably carried out and recorded. Records are kept of all accidents and a periodic audit is recorded to identify any patterns in time, place, person or activity. To further strengthen these records there are clear records of investigation and subsequent changes to care planning. Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X X X 2 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 3 X 2 X 3 X X 3 Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP8 Regulation 12 (1)(a) Requirement The registered person shall ensure that the care home is conducted so as (a) to promote and make proper provision for the health and welfare of service users. (This relates to ensuring service users assessments are carried out in relation to service users nutritional and skin care needs.) This requirement is made for the second time; the previous timescale of 07/04/07 has not been met. Timescale for action 01/09/07 2. OP21 13(4)(a)( b)(c) The registered person shall 01/09/07 ensure that(a) all parts of the home to which service users have access are so far as reasonably practical free form hazards to their safety; (b) any activities in which service users participate are so far as reasonably practical free form any avoidable risks; and (c) unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. (This relates to for each resident recording a full DS0000048854.V346635.R01.S.doc Version 5.2 Page 25 Eastbury House mobility assessment to include bathing.) 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 OP1 OP3 Good Practice Recommendations The statement of purpose and service user guide should be made available in alternative formats. It is recommended that (following pre-admission assessment of the prospective residents needs and circumstances) a copy of each ‘letter of offer’ be kept on file. It is recommended that care records are periodically archived to minimise risks of confusion. It is recommended that staff are reminded to clearly sign records to provide a reliable audit trail. It is recommended that a copy of the complaints policy/procedure be provided to each resident and displayed in the home. It is recommended that a thorough review for control of infection be carried out and recorded. 3. 4. 5. 6. OP7 OP9 OP16 OP26 Eastbury House DS0000048854.V346635.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 - 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. 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