Inspection on 04/05/05 for Englewood Care Home

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Englewood Care Home 25/01/10

Englewood Care Home 06/04/09

Englewood Care Home 30/04/08

Englewood Care Home 24/01/08

Englewood Care Home 14/08/07

Englewood Care Home 21/11/06

Englewood Care Home 25/05/06

Englewood Care Home 26/01/06

Englewood Care Home 20/12/04

Englewood Care Home 18/06/04

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

CARE HOMES FOR OLDER PEOPLE Englewood 42-44 Egerton Park Rock Ferry Birkenhead Wirral Lead Inspector Leila Mavropoulou Unannounced 04 May 2005 09.30 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. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Englewood Address 42-44 Egerton Park, Rock Ferry, Birkenhead, Wirral CH42 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) 0208 597 559 Englewood Care Limited None at present PC - Care Home Only 24 Category(ies) of OP Old Age - 24 registration, with number of places Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. 2. A maximum of 24 adults over the age of 65 years may be accommodated in the category OP Date of last inspection 20/12/04 Brief Description of the Service: Engelwood is a care home providing personal care and support for 24 older people both male and female over the age of 65. Accommodation is provided on three floors, which are all accessible by a passenger lift. The home has two communal areas on the ground floor. There is lounge and a large dining room and convservatory to the rear of the buildiing overlooking the garden. The home has a call system, assisted baths, grab rails etc to assist service users and to promote their independence. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over two days. At the time of the inspections most of the residents and six staff members were present. Residents care plans, risk assessment, medication and staff recruitment and training records were inspected. Six residents and six staff members were spoken to get their views of the services offered at Engelwood. A tour of the building was also conducted to assess the quality of the environment and to ensure the health and safety of the residents. What the service does well: What has improved since the last inspection? Some of the bedrooms have been redecorated and two bedrooms have had new carpets. The car parking area to the front of the property has been extended. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 6 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. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5,&6 The home must review its Statement of Purpose to ensure it continues to reflect the staffing and services provided at the care home. The registered person must inform all residents of fee increases and amend their terms and conditions to improve the auditing of financial records. EVIDENCE: The home has a Statement of Purpose providing prospective residents about the services provided at Englewood. However, this must be reviewed to ensure it continues to be an accurate reflection of the services, staffing etc provided at the care home. The weekly fee level should also be included in the Statement of Purpose. All residents are issued with terms and conditions of stay at the care home. However, inspection of the service user’s contract and other financial information in the care home did not correspond. The registered person must ensure that all residents or their next of kin is notified in writing of changes in the weekly fees and copies of the letter kept on file. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 9 Discussion with staff and inspection of the residents’ files showed that a staff member from the care home assesses the prospective resident needs prior to admission to ensure that their needs could be met at Engelwood. Discussion with residents recently admitted to the care home and staff showed that prospective residents are encouraged and supported to visit Engelwood before making a decision. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10, The validity of some of the residents risk assessments and care plans are questioned, as discussion with one resident and staff showed that changes in the service users care plans and risk assessments were not amended to reflect their current needs. EVIDENCE: Inspection of a six resident’s files showed that each had service user plan and risk assessments, showing that they are reviewed monthly. However, discussion with the staff and one of the resident highlighted some assessed needs that no longer existed. This raises issues of the service user plan being fully developed and discussed with the resident, even though in most instances the resident has signed showing their agreement. Reading through one resident daily progress report showed that advice and support was not sought from specialist health professional when there was significant change in the resident’s needs, until external agencies were involved with the resident. Routine health checks from dentist, optician, chiropodist, were recorded in the resident’s files. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 11 Most of the residents require assistance with their mobility, thus they are unable to engage in physical activity without the support of a staff member. Presently, the residents are not given the opportunity to participate in appropriate exercise and physical activity due to staffing level. Residents are able to administer all or some of their medication once staff at the care home makes an assessment. The medication records inspected were fully completed showing a list of all the resident medication received into the care home and returned to the pharmacist. However, there was some out of date medication still stored in the medication trolley and hand written entries in the resident’s medication records were not countersigned as required by the guidance of the National Pharmaceutical Society. The training records showed that many staff had attended a training course on the administration of medication. Observation of the way the staff went about their duties and provided personal care and support to the residents’ showed that their rights and dignity were respected. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 12 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) 12,13,14,15 The quality of care to residents at Engelwood could be improved through increase stimulation and accessing community facilities. Reviewing of the home’s existing budgetary controls would improve the level of food stock and promote resident’s choice of food/meals. EVIDENCE: Discussion and observation throughout the inspection showed that the residents who are physically able and can communicate their wishes exercise choice over their daily routines. However, for those residents that are less able it is difficult to assess the degree of choice they exercise over their daily routines. Discussion with the staff showed that very little recreational activities was provided for the residents as there was no budget allocated for this, nor was their existing resources available. The staff informed the inspector that the residents enjoyed watching the black and white films on video, however the video has been broken for several months. Visitors are welcomed to the home throughout the day and the resident can choose where to see their visitor. The home manages the personal allowance for some service users often at the request of the next of kin. Inspection of the home recording process of the recording of resident’s expenditure can be improved. The residents are encouraged to bring their furniture and other belongings into the care home to personalise their bedroom. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 13 Overall, discussion with the residents over the quality of the meals was generally good. Inspection of the food stock cupboard showed that stocks were low with very little choice of alternative meals for residents. Discussion with staff indicated that in recent weeks there has been an over spend on this budget, which also includes cleaning materials. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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 The registered person responds and seeks advice from appropriate agency where there are concerns about potential abuse in order to promote the health and well being of the residents. However, there is a gap in the acting manager’s knowledge in dealing with allege incident of abuse, which must be addressed to protect the residents and staff. EVIDENCE: The home has not had any complaints since the last inspection. However, in recent months there were two instances, which have been referred to Wirral Social Service Protection of Vulnerable Adult agency, one of which is ongoing at the time of this report. Discussion with the manager and staff showed that they do not understand fully the process of dealing with incidents allege abuse. The home has a complaints procedure and many of the staff in recent months have attended training on the protection of vulnerable adults. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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) 19,20,21,22,24,25,26 The registered provider must minimise all known risks to residents by ensuring it conforms to regulation of the various regulatory bodies such as: Fire Officer, Environmental Health and the Health and Safety Executive by ensuring correct water temperatures are maintained and suitable lighting provided. The quality of the physical environment at Engelwood could be improved to provide stimulation and increase the residents comfort. EVIDENCE: The home is clean throughout and in recent months some of the residents bedrooms have been redecorated and with two bedroom carpets being replaced. The home provides basic accommodation for its residents, which could be made more “homely” without additional expense, if more thought was put into the decoration of the residents bedroom. Some of the residents have brought their own furniture into the care home. However, in general the bedroom furniture needs to be replace, as they are old and very worn. The home has assisted baths, walk in shower, call system, emergency lighting throughout the home, grab rails etc. to promote the residents’ safety and independence. The passenger lift is in working order. However, a replacement Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 16 is planned in September 2005 because of its age. The grounds of the home were clean and tidy and the car parking space to the front of the home has been increased. Observation during the tour of the building showed that the corridors were lit only with the emergency lighting. Many of the residents at the care home has differing degrees of short term memory loss and some with sensory impairment, therefore it is important that the environment is decorated, well lit and appropriate aids and equipment are in place to meet their assessed needs and promote their safety. Inspection of the home records of the hot water temperature showed that a record is kept of hot water temperatures. However, the hot water records showed that the temperature was frequently several degrees below 43 degrees centigrade at the outlet used by residents. . The registered person must ensure that the hot water temperature at the outlets used by residents are as near to 43degrees centigrade as possible for the comfort of the residents and to minimise potential accusation of physical abuse to residents. In addition the temperature at which the hot water was stored was not recorded. Most of the bedrooms have an en-suite bathroom. However, many of the residents are unable to benefit fully from this due to their inability to get in and out of the bath without any lifting aid. The garden to the rear of the property could be made more pleasant by planting some annual plant to improve the outlook for the residents and improve the appearance of the rear garden. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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) 27,28,29,30 The staffing level at the care home must be reviewed to ensure staff have the time to promote the resident’s independence and maintain their skills. The recruitment process at the care home must be improved as it currently compromises the residents’ safety, as well as not satisfying the regulations by which the home is governed. EVIDENCE: Many of the staff at the care home have provided care and personal support for a number of years to the residents, through which they have developed an understanding and knowledge of the resident’s needs and preferences. However, this knowledge and understanding must be accompanied with specific training relating directly to the resident’s needs to improve the quality of care provided to the residents. The staff at the care home work well together and are very supportive towards each other. Through this they are able to meet the physical needs of the residents in the care home. Given the physical needs of the residents and their mental impairment staff do not have the time to promote the residents independence and to maintain the skills that they have. Discussion with the staff, inspection of some of the residents’ care plans and observation during the discussion showed that a very high percentage of the residents have a high dependency level due to their physical and mental health needs. The existing staffing level does not allow staff the time to promote the resident independence and wellbeing. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 18 The home is clean throughout and free from malodour even though there is high level of incontinence. This area of the residents’ care is managed very well with the support of the continence adviser. Inspection of the staff records showed that many did not have all of the necessary documentation required to meet the home’s recruitment policy as well as the requirements Care Homes Regulation Act 2001 such as: Criminal Records Bureau Checks and two written references. In addition staff induction records could not be validated, as there was no evidence of the staff being on duty at the time of the induction. Staff told the inspector that they are not paid for the time spent on their induction, as the induction took place prior to commencing employment. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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) 31,33,35,36,37,38 The registered person must ensure that the acting manager has the necessary skills and knowledge to carry out their role fully to promote the safety and well being of the residents. A quality assurance tool for the home would assist in improving the quality of care provided. The registered person should ensure that regular audit and risk assessments are carried out on the entire building to promote the health and safety of residents and staff. EVIDENCE: The acting manager is an experienced carer. However there are gaps in her knowledge and skills such as: supervision skills and knowledge of the regulations that governs the home, which must be addressed through formal training and supervision by the registered provider to enable her to perform her role fully as a manager of the home. As a consequence staff are not Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 20 receiving formal supervision and regulations maybe breached as a result of this. The registered provider does not monitor the quality of the service through their formal monthly visits and discussing with the manager their findings as required by the Care Homes Act 2001. The registered person must appoint a manager for the day to day running of the care home. The home does not have a quality assurance system in place to monitor the quality of care provided at the care home. The home’s lack of a quality assurance system does not allow them to formally acknowledge the service areas in which they are performing well, to highlight areas where improvements could be made and to target available resources. Thus, improving the quality of care provided to the residents. Inspection of the monies handed to staff for safekeeping showed that two of the residents’ balances were incorrect. Discussion with the staff highlighted areas where the recording of service user’s expenditure could be improved e.g. the payment of hairdressing and the frequency of internal audit of service users balance held at the care home. Discussion with the acting manager revealed that staff have not had formal supervision since the registered manager resigned in April. This was an area where the acting manager did not feel that she had the necessary training to provide effective “one to one” supervision with staff. During the inspection it was evident that not all information relating to staff and residents were kept in the care home, especially in relation to letters concerning notification of fee increases to residents or significant other e.g. next of kin, solicitor and staff contract. Some of the records at the care home were incorrect or incomplete, which potentially places residents at risk. Most of the staff have received training in moving and handling, first aid, fire awareness and food hygiene as part of their core training. The home’s fire equipment and other equipment used in the care home are regularly serviced. Currently, there is no formal risk assessment of building. The home maintains a record of all accidents to staff and residents at the care home. Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 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. 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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 2 3 2 3 2 2 3 STAFFING Standard No Score 27 2 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 3 x 2 2 x 1 x 2 1 2 2 Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Requirement The registered person shall ensure that the informtion contained in the homes Statement of Purpose are current. This should be reviewed in particular to staffing, qualifications and recreational activities. The registered person shall maintain a record of the care homes charges to service user, including any extra amount payable for additional services not covered by those charges, and the amounts paid by or in respect fo each service user. The registered person shall keep the service users plan under review to ensure it continues to reflect the assessed needs of the service user and demonstrate how those needs would be met. The registered person shall make arrangement for service users to receive where necessary, treatment, advice and other services form any health care professional. The registered person shall make arrangements for recording, handling, safekeeping, safe Timescale for action 30th September 2005 2. 2 17 30th August 2005 3. 7 15(2) 30th August 2005 4. 8 13 (1)(b) 30th August 2005 5. 9 13(2) 30th August 2005 Page 23 Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 6. 12 16 7. 14 17 8. 18 18 9. 22 13 10. 25 13 administration and disposal of medicines received into the care home. The registered person shall consult with service users about their social interests, and make arrangements to enable them to engage in local, social and community activities and to visit and maintain contact or communicate with their family and friends. The registered person shall maintain a record of all money or other valuables deposited by a service user for safekeeping or received on the service users behalf. a) shall state the date on which the money or valuables were deposited or received, the date on which the money or valuables were returned to the service user or used, at the request of the service user, on his behalf , where applicable, the purpose for which the money or valuables were used. The registered person should review the homes financial procedure for service user to conform the requirement of this regulation. The registered person shall make arrangements for providing persons who work at the care home with appropriate information about any code of practice published under section 62 of the Act. The registered person shall make arrangements for service users participate are so far as practicable free from avoidable risks by ensuring the corridors are well lit at all times. The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as F52 F02 S54702 Englewood V227256 040505 Stage 4.doc 30th August 2005 30th August 2005 30th August 2005 30th July 2005 30th August 2005 Englewood Version 1.30 Page 24 11. 27 18 12. 29 17 13. 30 17 14. 31 9 15. 31 8 16. 33 24 possible elimininated such as: ensuring that the hot water is stored at least 60degrees centigrade and distributed at 50degrees centigrade. The hot water at outlets used by service user should be at 43 degrees centigrade. The registered person shall ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of the service users. The registered person shall not employ a person to work in the care home until they have obtained the information and documentation listed in Schedule 2 of the Care Homes Regulation 2001. The registered person shall ensure that the persons employed in the care home receive suitable training appropriate to the work they perform. The registered person must ensure that staff induction training is evidenced in the staff rota. The registered person must ensure that the the person managing the care home has the necessary skills and experience necessary for managing the home. The registered person must appoint an individual to manage the care home where they are not in full time day to day charge of the care home. The registered person shall develop a system or reviewing the quality of care provided at the care home at regular intervals. F52 F02 S54702 Englewood V227256 040505 Stage 4.doc 30th August 2005 30th August 2005 30th August 2005 30th September 2005 30th August 2005 30th August 2005 Englewood Version 1.30 Page 25 17. 33 26 18. 37 17 The registered person shall visit the home in accordance with regulation 26 of the Care Homes Regulation 2001. The registered person shall ensure that the records relating to service users and staff are kept at the care home and that they are accurate and well maintained. 30th August 2005 30th August 2005 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 12 14 Good Practice Recommendations The registered person should ensure that a record is kept of residents participation in social activities. The registered person should review the homes policy on valuables/monies handed over for safekeeping. It is recommended that a twice weekly internal audit is carried by two staff members. The registered person should allocate a specific sum for weekly food expenditure and ensure that a variety of domestic size alternative meals/snacks are available for residents. The registered person should check staff understanding of the homes policy on abuse, whistleblowing etc after their induction and review their knowledge and understanding in supervision. The registered person should provide a planned programme of renewal of furnishings in residents bedroom. 3. 15 4. 18 5. 19 Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Liverpool Office 3rd Floor, 10 Duke Street Liverpool L1 5AS 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 Englewood F52 F02 S54702 Englewood V227256 040505 Stage 4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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