Inspection on 09/01/06 for Fairburn Chase

This inspection was carried out on 9th January 2006.

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

Fairburn Chase 24/04/07

Fairburn Chase 12/07/06

Fairburn Chase 04/07/05

Fairburn Chase 01/06/05

Fairburn Chase 11/11/04

Fairburn Chase 29/06/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Wheldon View Care Centre Wheldon View Wheldon Road Castleford West Yorks WF10 2PY Lead Inspector Gillian Walsh Unannounced Inspection 9th January 2006 10:00 X10029.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 Wheldon View Care Centre DS0000006266.V277422.R02.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 and Care Homes for Adults 18 – 65*. 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. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wheldon View Care Centre Address Wheldon View Wheldon Road Castleford West Yorks WF10 2PY 01977 559703 01977 517664 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) Wheldon Health Care Limited Ms Michelle Julie Mehta Care Home 76 Category(ies) of Old age, not falling within any other category registration, with number (76), Physical disability (29), Terminally ill (2), of places Terminally ill over 65 years of age (2) Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 20 service users with nursing care needs to be admitted to the general unit (first floor) That Michelle Mehta undertakes the Registered Managers award. Date of last inspection 4th July 2005 Brief Description of the Service: Wheldon View is situated on the outskirts of Airedale village and Castleford town centre with limited access to local shops although this is partly compensated for by the home having use of a minibus which is shared with two other homes on the same site. It is a purpose built home for 76 residents, 47 of whom are older people with the remainder of places being for younger adults with a physical disability. The home is registered for personal care and nursing beds. All bedrooms are single and offer en-suite facilities. There is a welltended central forecourt garden for residents to sit out in the good weather. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection made on 9th January over a period of 7 hours by two inspectors. Time was spent touring the home, speaking with residents, staff and managers and reviewing documentation. The inspectors would like to thank residents, staff and managers for their time, assistance and hospitality during the visit. Since the last inspection an additional visit was made to the home to investigate a complaint made to the Commission for Social Care Inspection. All elements of this complaint were upheld. What the service does well: What has improved since the last inspection? What they could do better: The planned review of care planning documentation should promote an improvement in this area. Better organisation of staffing arrangements is required and staff must demonstrate a better understanding of residents’ needs for privacy and dignity. Poor practices with regard to administration of medication must be addressed without delay. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 6 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. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP3 (YA5) Pre-admission assessments are completed but could be improved by including an assessment of the person’s social and psychological needs and personal goals and aspirations. EVIDENCE: Pre-admission assessments were seen for residents on both the older people’s and younger adults’ units. Physical needs had been fully assessed but there was little evidence that potential residents’ social and psychological needs are fully considered or that personal goals and aspirations (particularly in relation to younger adults) are discussed prior to admission. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): OP7, YA6, OP8, YA7, YA9, OP9, YA20, OP10, YA18. Care plans concentrate on physical needs only and give little indication of residents’ input into their care plans or of decisions they make about their lives. Some assessments and care plans are incomplete and others give conflicting information, which could be detrimental to the health and welfare of residents. Evidence is available to show that residents’ healthcare needs are met. Shortfalls in medication systems have potential to put residents at risk. Staff do not always protect residents’ dignity needs. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 10 EVIDENCE: Each resident has a care plan file and the inspectors looked at a selection of these. Care plan files contain a good deal of documentation which includes various assessments and sections relating to the life history and family of the resident concerned. In the files seen, not all of these sections had been completed which could result in staff not having a clear understanding of the person in their care. Care plans were not individualised and none seen gave any detail of personal goals or aspirations. Care plans concentrate on managing residents’ disabilities rather than promoting abilities. The care plan for one resident’s continence needs spoke of changing incontinence pads and maintaining hygiene but did not talk about the need for regular toileting or observing for signs that the person may be looking for the toilet. Some of the information within care plan files was contradictory. One person’s care plan and risk assessment said that bed rails should be used to maintain their safety but another risk assessment said that bed rails were a danger to this person and must not be used. The care plan file of a resident who had been at the home for two days was seen. Plans of care had been developed in relation to two of the persons’ physical needs but no detail of how other needs would be met in the short term was available. Care plans and daily records gave very little indication of how residents are supported to make decisions about their care and lifestyles at the home although residents spoken with said that they were able to make some choices and decisions about their lives and how they spent their time. Systems for the administration of medication were checked. On the older people’s unit, the nurse in charge was observed to be still administering morning medications at noon. The nurse, who had been supplied through an agency, said that they had prioritised the medications to ensure that residents requiring medication for diabetes or other conditions requiring timely administration of medication had been given theirs first and that the lunchtime medications would be delayed to ensure a time gap between people receiving their medication. It was noticed whilst speaking to the nurse that regular prescribed medication for one resident was out of stock. On the younger adults’ unit a number of discrepancies were identified. The balances of a number of medications were checked and found to be incorrect. Requirements in relation to the safe administration of medication at the home have been ongoing since June 2004 and this situation must be resolved without further delay to ensure the safety of residents at the home. Most of the residents spoken with said that staff treated them with kindness and were respectful of their needs in relation to privacy and dignity, although Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 11 three people said that sometimes when the home was short staffed and staff were tired, they could be a little short tempered. On the younger adults’ unit a number of charts detailing very personal care of residents were seen placed on the handrail outside the residents’ rooms. This meant that anybody walking along the corridor could read these charts. Two residents said that they were not happy about this and the charts were moved during the inspection. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP14, YA7 Residents do have choice and some control over their lives although this is not incorporated in the care planning process. EVIDENCE: Residents said that they were able to have some choice and control over their lives although care plans seen did not reflect this. Some care plans gave little or no detail of residents’ personal preferences with regard to how they wished to be cared for or how they wish to manage their lives. Some discussion took place around this with the registered manager and a recommendation has been made in this regard. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP16, YA22, OP18, YA23. Residents are confident that their complaints will be listened to and acted upon. Procedures are in place to protect residents from abuse. EVIDENCE: Since the last inspection, one complaint has been made to the Commission for Social Care Inspection which was investigated by the Commission and upheld. Current procedures for dealing with complaints were checked and found to be appropriate. Residents spoken with said that they would make their complaints and concerns known to the manager either directly or through resident meetings. Staff have received training in protection of vulnerable adults and the manager said that she has made the local authority’s procedures in relation to the protection of vulnerable adults available to all staff. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP19, YA24, OP26, YA30. Residents live in a safe and well maintained environment. Although mainly clean, better attention to detail in some areas would be beneficial. EVIDENCE: Generally the home is well maintained and provides a comfortable environment for residents. Push button door openers have been fitted to give better disabled access to and from the home and into the garden area and new flooring has recently been fitted to both dining rooms. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 15 Although mainly clean and tidy there were some areas such as a faeces stained air mattress, dirty bedding in one room and the toilets in vacant rooms which required attention. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, YA33, OP30 and YA35. EVIDENCE: On the older people’s unit there was an agency nurse supported by six care assistants caring for a total of 35 residents. Although 19 of the residents were receiving residential rather than nursing care, no senior care assistant was on duty, which meant that the nurse was having to administer medications to all residents. As described in the “Health and Personal Care” section of this report the nurse was still administering morning medications at 12 noon as she had needed to keep breaking off to attend to residents’ nursing needs and to make and receive telephone calls. The unit is very large with bedrooms situated on corridors away from the main communal areas. The majority of residents were in their own rooms which meant that staff had to cover a large area to attend to their care needs. This resulted in residents who needed observation to maintain their safety needs being left unobserved. One person who had recently had a number of falls was seen sitting in a wheelchair in the lounge area. This person made several very unsteady attempts to stand and walk but Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 17 was being encouraged to sit down, to remain safe, by another resident’s visitor. Another resident who was constantly shouting out for attention was being wheeled around the unit with the nurse whilst she was doing medication. Staff said that they did not really feel that there were not enough of them to meet residents’ needs once they got into the routine. Some residents said that they thought there were not enough staff and occasionally had to wait for attention. Residents who needed help with feeding were being given their lunch in their rooms at 11.35am; this involved 4 care assistants and, as the nurse was still administering medication, this left only 2 care assistants to assist other residents with toileting and preparation for lunch. The manager explained that one care assistant had called in sick that day and that she had not been successful in her attempts to arrange cover. The general appearance was that there were not enough staff on duty to meet residents’ needs although this appearance may be a result of poor deployment of staff. Residents on the younger adults’ unit said that there had been times when the unit had been short staffed and that some staff had been a little short tempered due to being tired but said that this was not particularly a problem at the moment. Staff training is ongoing and the manager is currently developing a training plan for the year. Induction training and most statutory training is covered within the company. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP33, YA39, OP35, YA23, OP38, YA42. The best interests of residents forms the basis of the quality assurance programme run by the home. Systems are in place to protect residents from financial abuse. Policies and procedures are in place for promoting the health and safety of residents and staff. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 19 EVIDENCE: A quality assurance programme is in place at the home whereby questionnaires are sent to residents, visitors and other people involved at the home. Results of these questionnaires are sent directly to the company’s head office and the home manager is then informed of any particular issues. A discussion took place with the manager and the operations manager about how it may be beneficial for the manager to be more involved in this process and to see the full results of any surveys. In addition to this there is a residents’ group which meets periodically to discuss issues within the home. The secretary of this group showed the inspector the minutes from the last meeting and also the agenda for the next meeting. One resident said that, although things are discussed at these meetings, they do not always get an answer about how things are progressed by the home’s manager. Small amounts of personal allowance are held in the home’s safe at the request of some residents. The amounts and the documentation relating to this money were checked and found to be appropriate and accurate. Several members of staff have recently completed an in depth health and safety course and are continuing to review and monitor the risk assessments and management of health and safety within the home. Documentation relating to safe practices and systems within the home were checked and found to be appropriate. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 20 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 X 2 X 3 2 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 2 STAFFING Standard No Score 27 1 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 2 34 X 35 3 36 X 37 X 38 3 Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 21 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 OP7YA6 Regulation 15(1) Requirement Unless it is impractical to carry out such consultation, the registered person shall, after consultation with the service user, or a representative of his, prepare a written plan as to how the service users needs in respect of his health and welfare are to be met. This must include psychological and social needs. This requirement has been brought forward from previous reports. The original timescale was 30 September 2004. Timescale for action 31/03/06 2. OP9YA20 13(2) The registered person shall make 09/01/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medications received into the care home. This requirement has been brought forward from the previous three reports. The original timescale was 29 June 2004. Suitable arrangements must be made to ensure that the home is DS0000006266.V277422.R02.S.doc 3. OP10YA18 4(a) 31/01/06 Page 22 Wheldon View Care Centre Version 5.1 4. OP27YA33 18(1) conducted in a manner which respects the privacy and dignity of service users. This requirement has been brought forward from previous reports. The original timescale was 17 November 2004. The registered person must ensure that at all times suitably qualified staff are working in the care home in such numbers as are appropriate for the health and welfare of service users. 31/01/06 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 Refer to Standard OP3YA2 OP14YA6 OP26YA30 OP33YA39 Good Practice Recommendations Pre admission assessments should include details of prospective residents social and educational needs and personal aspirations. Care plans should give details of decisions residents have made in relation to their care and lifestyle. Cleaning routines should be improved to ensure that the home provides residents with a clean environment. To improve the quality assurance at the home, residents should be informed of the outcome of suggestions or requests made of management during residents meetings. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. Wheldon View Care Centre DS0000006266.V277422.R02.S.doc Version 5.1 Page 24 - 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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