Inspection on 23/05/06 for Euxton Park Care Home

This inspection was carried out on 23rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Euxton Park Care Home 19/08/08

Euxton Park Care Home 31/10/07

Euxton Park Care Home 15/11/05

Euxton Park Care Home 19/04/05

Euxton Park Care Home 09/11/04

Euxton Park Care Home 24/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Euxton Park Care Home Wigan Road Euxton Chorley Lancashire PR7 6DY Lead Inspector Anne Taylor Unannounced Inspection 09:30 23rd May 2006 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Euxton Park Care Home Address Wigan Road Euxton Chorley Lancashire PR7 6DY 01257 230022 01257 230385 euxton.park@fshc.co.uk 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) Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (63), Physical disability (2), Terminally ill (2) of places Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 63 service users to include: Up to 63 service users in the category of OP (old age, not falling within any other category) Up to 2 service users in the category of PD (Physical Disability) Up to 2 service users in the category of TI (Terminally Ill) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 15th November 2005 2. 3. Date of last inspection Brief Description of the Service: Euxton Park is situated on the edge of Chorley, in the village of Euxton. The home is within easy reach of the towns of Chorley and Leyland. Euxton Park is on a bus route and within easy reach of railway and motorway networks. The home is purpose built and caters for a total of sixty-three people of either sex with either nursing or personal care needs. Of the sixty-three places two beds may be used for residents with physically disabilities and two places for residents that need care associated with a terminal illness, the remainder of places are for older people. At the time of inspection fifty-two people were living at the home. Accommodation is over two floors, served by a passenger lift. Each floor has communal lounges, dining room and access to a kitchen. There are a range of single and shared rooms, the majority of residents with nursing needs are located on the first floor and those needing only personal care on the ground floor. The home is set in extensive grounds with seating areas to the front and rear of the home which service users access as they wish. As of April 2006 the fees at Euxton Park range from £305.50 to £605 per week with additional charges being made for hairdressing, private chiropody, personal toiletries and newspapers. Information about the facilities and services provided can be found in the home’s statement of purpose and service user guide. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 5 Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 9am, lasted eight hours and was carried out by two inspectors. All of the key standards were assessed and progress on requirements and recommendations made at the last inspection was monitored. The inspection focussed on outcomes for people living at the home. It involved discussion with residents, staff and visitors, examination of records, policies and procedures and a tour of the premises. There have been no complaints made to the Commission about this service since the last inspection. One allegation of suspected verbal abuse has been reported and appropriate action in relation to this has been taken by the home. What the service does well: What has improved since the last inspection? A major refurbishment has improved the standard of accommodation and the environmental surroundings are of a high standard. Concerns about staffing arrangements on the nursing unit have largely been addressed and outcomes for residents have improved. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 7 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. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 the following standard(s): 1, 2,3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Implementation of the admission process is inconsistent and does not make sure that all residents receive the same information and a full, detailed assessment before coming to live at the home. EVIDENCE: The service has developed a statement of purpose, which sets out the aims and objectives of the home and a service user guide that provides information about the service. The guide is made available to residents in a standard format and copies of both documents are kept in residents’ rooms or in communal areas of the home. Both the documents are not up to date and do not reflect the current arrangements in the home, for example the name of the present manager and other key staff. The home has a number of residents who have a visual impairment and the current format of the statement of purpose and service user guide is not suitable for them so they are not able to access the same information as other residents. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 10 The home has developed statements of terms and conditions of residency that cover long term and short term periods of residency. The home’s policy is to make sure that prospective residents, regardless of the source of funding, receive a copy of this statement, along with a copy of the service user guide prior to moving to the home so that they are clear about the service they should receive. Evidence suggests that prospective residents have a needs assessment carried out before they are admitted to the home to make sure that individual needs can be met. For residents that are self-funding the home is able to show that they have undertaken an assessment before admission. The quality of information obtained varies and two different assessment forms are being used. The new home manager hopes to standardise the assessment tool and carry out most of the preadmission assessments herself to try and improve the current shortfalls. The home does not always receive copies of the summaries and care plans from those assessments carried out through care management arrangements and do not insist that summaries and care plans are sent to the home before admission. Assessment forms used by the home have been developed to show when residents or a representative are involved in the assessment but in some cases the section of the form was blank and it was not clear whether they have had the opportunity to be involved or not. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9,10 The quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. The approach to the management of health and social needs is inconsistent. Some improvements are needed to make sure individual needs are consistently and properly identified and managed EVIDENCE: The home’s policy is to develop a plan of care for each resident on or shortly after admission. The majority of residents have a plan of care. The plan in most cases includes information necessary to plan individual care and includes a risk assessment element. However, one resident staying on the residential unit did not have a plan of care despite being in the home for approximately six weeks. An immediate requirement notice has been issued in relation to this as the development of a care plan is crucial to the care process and helps to make sure individual needs are met. Some care plans, particularly on the residential unit do not identify health care needs and so it has not been possible to determine how the home is meeting those needs. Risk assessments for most safe working practices are in place. However, at least one resident Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 12 who has a history of falling does not have an appropriate risk assessment in place so it is not clear how the home is managing the risk. Evidence of updating information and changing actions appears on care plans and some relatives confirm their involvement in developing and reviewing the plan. Care practices are supported by policies procedures and practice guidance so that staff are clear about what is expected of them and are familiar with best practice. Residents’ health is monitored and appropriate action taken when needed. Staff seek advice from other health care professionals when required and act upon it. The home is able to provide or access aids and equipment needed to help with the management of health care needs. One resident is supported to administer his or her own medication but a written assessment of safe self-administration has not been completed and the storage cabinet the resident uses does not lock and medication is left out in the room. Qualified nurses or trained carers administer all other medicines. The pre-printed medication administration records (MAR) are generally up-todate, but some handwritten entries had not been signed, independently checked and countersigned. The medication storage was orderly and secure and the refrigerator temperature recorded. New arrangements have been made for the disposal of medicines; the procedures need to be updated to reflect this change, as some staff are not familiar with the new arrangements. The home has policies and procedures that cover the rights of residents including the right to respect, privacy and dignity. The home’s policy is to make sure these topics are covered during induction. Staff are able to discuss how they respect the privacy and dignity of the people they care for. However, some residents think that staff speak to them as if they are children and feel this is not respectful and shows a lack of understanding about their condition. Other residents say that staff knock before entering their bedroom but do not wait for an answer before they come in and this can sometimes be embarrassing. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15 The quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements for organising daily life and social activities are varied so that not all residents find the lifestyle experienced is meeting their needs. EVIDENCE: The routines of the home are planned around residents’ needs and wishes. Systems in the home enable the service to be flexible and changed to meet individual wishes and residents are encouraged and helped, wherever possible to make choices about the activities of daily living. Staff listen to residents and try hard to provide a flexible service, which helps them to enjoy a better quality of life. Individual staff are involved in one to one or group discussion with residents and staff resources are provided to allow time for resident activities and stimulation. However, the home accommodates a number of residents with a visual impairment and activities have not been developed to meet their specific needs. Feedback cards from residents show a general dissatisfaction with the range of activities available. However, the recently appointed activities organiser is in the process of reviewing the programme of activities and consulting residents about their preferences. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 14 Family and friends feel welcome and know they can visit the home at any time. Staff make time to talk to visitors and share information if agreed with the resident. The design of the home provides seating areas within the communal areas of the home where residents can meet their visitors, in addition to meeting them in the privacy of their own rooms. Staff will support those residents who need help in financial matters and work to a robust policy that protects residents from financial abuse and directs staff in their practice. The home is able to offer information and telephone numbers to residents for contacting independent people who will act as advocates on their behalf. Residents have the choice to bring goods into the home and are encouraged to keep personal items that are important to them in their own room. The food in the home is of good quality, well presented and meets the dietary needs of residents. The cook is experienced and tries to meet the preferences and suggested dishes when preparing the menus. Staff help those residents who need help when eating and on the residential unit, sensitive in their approach. The approach to helping residents with their meals is different on the nursing unit and staff interrupt meal times to administer medication and help more than one person with their food. This is not good practice and does not help meal times to be a pleasant and relaxed experience for residents. Residents enjoy the flexibility of meal arrangements and enjoy being able to eat in their own room if they wish. Regular dinks and snacks are available and staff will always make a cup of tea at anytime when asked. Tables are set attractively with necessary cutlery and aid to help individuals during their meal. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust complaints procedure, and satisfactory arrangements are in place to protect them from abuse. EVIDENCE: The home has an up to date complaints procedure that meets the National Minimum Standards and Regulations. The complaints procedure is displayed within the home and residents know how to make a complaint. A copy of the complaints procedure is included in the service user guide and the home’s policy is to provide each prospective resident with a service user guide before they come to live at the home. Polices and procedures regarding protection are satisfactory and have recently been reviewed and updated in line with regulations and other external guidance. Within the policy it is clear when incidents need external input. Links with external agencies are satisfactory and includes CSCI, police and adult protection teams. Staff can demonstrate an awareness of the policy and know what immediate action to take and when and who to refer any incident to. Training has been provided for all staff so they are up to date with legislation and current best practice. The outcomes from any referral are satisfactorily managed, with Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 16 issues resolved. Residents and others associated with the home say that they are satisfied with the service provision and feel safe and supported. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment. EVIDENCE: The home has a well-maintained environment, which provides aids and equipment to meet the care needs of the residents. It is a very pleasant, safe place to live with rooms that meet the national minimum standards or are larger and some have en-suite facilities. The fixtures and fittings are of a high quality, well maintained and well adapted to meet the wishes of the current residents. Residents are encouraged to personalise their rooms and bring in their own furniture. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 18 There is a selection of communal areas, suitable for the number of residents. This means that residents have a choice of place to sit quietly, meet with family and friends or be actively engaged with other residents. There is a choice of bathing facilities, both assisted and unassisted showers and baths and there are a number of toilets placed strategically around the home. Residents say the home is always warm and there is usually plenty of hot water. The problems with the heating system have been investigated and are being monitored by an external heating engineer so that prompt action is taken if any problems arise, but there are still occasions when the home does not have continuous hot water. The grounds are accessible, safe and very well maintained providing a pleasant area for residents and visitors to enjoy. The home is very, clean, tidy and free from unpleasant odours. An infection control policy is in place that reflects current best practice. Staff are able to discuss how they implement the policy and make sure that any risks are minimised. Confirmation is still needed to show that the facilities and services provided at the home is comply with the Water Regulations (Water Fittings 1999). Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are employed in sufficient numbers to meet the aims of the home and meet the changing needs of residents. Training is provided so that staff receive training that will help them to do their jobs effectively. EVIDENCE: Residents have confidence in the staff that care for them and are satisfied with the overall standard of care received. Rotas show that the home is staffed appropriately with a suitable skill mix of staff. The management team is addressing concerns highlighted in comment cards about staffing levels on the nursing unit and the recent appointment of a new unit manager has improved outcomes for residents. There is currently little use of any agency staff. Staff are encouraged to undertake external qualifications and vocational training is available to all care staff. Currently thirty five per cent of care staff has a nationally recognised care qualification and the home is working towards achieving the fifty per cent needed to meet the national minimum standard. The annual training and development programme is not yet in place. The new manager is aware of this and will be developing a detailed training programme after identifying individual training needs for staff. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 20 The organisation provides job descriptions and staff are clear about their roles and what is expected of them. The service has a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice and the service recognises the importance of effective recruitment procedures in the delivery of good quality services and the protection of residents. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,38 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is based on openness and outcomes for residents. EVIDENCE: The manager is new in post at Euxton Park. She is in the process of applying to be registered with the Commission as manager of Euxton Park. Staff feel that the manager’s approach is open and inclusive and that motivation and morale has improved since she came. The service is planned to be resident focused and generally works in partnership with the family of residents and other professionals. A statement of purpose that sets out the aims and objectives of the home is in place and available to residents and any other interested parties. The organisation has Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 22 developed systems that monitor practice and compliance with the homes plans policies and procedures. The new manager needs to demonstrate that she is able to implement these systems and show that the home continues to be run in the best interests of the people who live there. A health and safety policy is in place that generally meets health and safety requirements and legislation. The management team are aware of any areas where they need to make improvements and have a plan for undertaking the work. Residents have the opportunity to manage their own finances if they wish and facilities are provided to help keep it safe. Where the home manages money on residents’ behalf a system is in place to record transactions and accounts for spending. Checks show that records are up to date and entries are clear. Residents are satisfied with the systems for handling or helping manage their money. Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X x 3 Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 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 OP1 Regulation 6 Requirement Timescale for action 31/07/06 2. OP1 12 (4) 3. OP3 14(1) 4. OP7 15 The statement of purpose and service user guide must be kept under review and where appropriate revised. The registered person must notify the commission and residents of any such revision within 28 days. The registered person must 31/08/06 ensure that the home is conducted with due regard for any disability of service users. Residents with any sensory impairment must have access to the same information about the service and facilities available as other residents. Prospective residents or their 31/07/06 representative must be given the opportunity to be involved in the pre admission assessment. A written plan of care as to how 26/05/06 a residents needs are to be met must be drawn up for every resident and wherever possible be drawn up and reviewed with the involvement of the resident or a representative. All care plans must include any identified medical needs. DS0000025559.V287165.R01.S.doc Version 5.1 Euxton Park Care Home Page 25 5. 6. OP7 OP9 13 13 7. OP10 12 8. OP12 12 8. OP12 16 9. OP19 23 (Immediate requirement notice issued). A risk assessment must be carried out for any resident with a history of falls. Residents who choose to self medicate should do so within a risk management framework. A risk assessment must be in place for any resident who chooses to self-medicate and storage facilities they might use must be safe. The registered person must ensure that the home is conducted in a manner that respects the dignity of residents. Staff must understand the physical condition of residents and the implications of any disability so that they are able to properly manage any limitations that residents might have. Arrangements for helping residents at meal times must be reviewed to make sure that staff provide assistance in a manner that respects the dignity of residents and takes into account their wishes and feelings. Activities must be provided that are suitable to the specific needs of residents and consideration given to residents that have a sensory impairment or other disability. The ongoing problems with the heating system must be resolved to make sure the home has a continuous supply of hot water and is adequately heated at all times. 31/07/06 31/07/06 31/07/06 31/07/06 31/08/06 31/08/06 Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 4. Refer to Standard OP3 OP3 OP9 OP9 OP12 Good Practice Recommendations The manager should ensure that the pre admission process is consistent. The home should ensure that care management summaries from local authorities are received prior to any new resident coming to live at the home. The home’s procedure for the disposal of medicines should be update to reflect recent changes in legislation. All handwritten entries in medication administration charts should be witnessed and countersigned. The manager should ensure that information obtained by the activities organiser is collated and used to develop a programme of activities that meets the expectations of residents. The registered person should be able to demonstrate that the premises are compliant with the Water supply (Water Fittings) Regulations 1999. It is recommended that fifty per cent of care staff are qualified to NVQ Level 2. 6. OP26 7. OP28 Euxton Park Care Home DS0000025559.V287165.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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