CARE HOMES FOR OLDER PEOPLE
Fairview 42 Hill Street Kingswood South Glos BS15 4ES Lead Inspector
Grace Agu Unannounced Inspection 27th July 2007 09:15 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 DS0000034844.V346888.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000034844.V346888.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Fairview Address 42 Hill Street Kingswood South Glos BS15 4ES 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) 0117 9352220 0117 9476234 Mrs June Phillips Mr Gordon Norman Brooking, Mr Derek Marsh Mrs Jacqueline Yvonne Reed Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places DS0000034844.V346888.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. May accommodate up to 24 persons aged 65 years and over requiring personal care May accommodate one named individual aged under 65 years with a physical disability, this condition will be removed when this resident leaves the Home or reaches the age of 65, whichever is the sooner 23rd August 2006 Date of last inspection Brief Description of the Service: Fairview is situated in a quiet cul-de-sac in Kingswood and is close to local shops and amenities. Private parking is available in the front of the house. The home is registered to provide personal care and accommodation for up to 24 persons who are over 65 years of age. The home is an older property arranged over three floors. There is a large communal space separated into a lounge and dining area. Bedrooms have been refurbished. There is a shaft lift servicing all floors except for bedrooms 20 and 21. These two rooms are accessed by a small flight of stairs and can only be used by ambulant residents. The cost per week to reside at Fairview will range from £348.00-£480.00. Fees are reviewed annually and if care needs increase. This weekly fee does not include provision for items such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Prospective residents can be provided with information about the home by accessing the Service Users Guide, which will detail the services and facilities available at the home. DS0000034844.V346888.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was undertaken as a part of key inspection over two days to review the care practice to ensure that it is in line with legislation and that best practice is followed at the Home. The inspection also followed up the last inspection requirements to ensure that the action plan provided by the home on how they intended to meet the requirement had been fully implemented. Review of notes, discussion with the deputy manager and staff showed that the home had strategies in place to meet some residents’ complex and demanding needs. A tour of the building was undertaken and a number of records were viewed. Five residents, eight staff members and three relatives were spoken with on both days. What the service does well:
Generally the home was found clean, tidy and warm. Staff were working as a team and interacting with residents in a positive, dignified and sensitive manner, residents were found relaxed and looked well cared for at the home. The home assesses all prospective residents before admission to the home incorporating needs, choices and preferences. Residents and relatives have the opportunity to spend time at the home before accepting placement. The home has regular resident/ relatives meetings to listen and act on their views. The home undertakes monthly reviews of residents with the key workers and comprehensive six monthly reviews including the relatives and or friends to update individual care plans. Meaningful activities are provided for service users and individual interaction is provided as necessary and in particular individuals who prefer to be in their rooms. Good meals are provided for the residents and staff ensure that meals are not hurried and residents who are unable to feed themselves are fed in a respectful, sensitive and dignified manner. A robust complaint procedure is in place and all complaints are investigated properly and action taken where required. DS0000034844.V346888.R01.S.doc Version 5.2 Page 6 There are ongoing training courses to enable staff to meet individual residents needs and ensure residents are protected from harm and abuse. A stringent recruitment procedure is followed to ensure that appropriate staff are employed at the home. The home is adequately staffed to include care and domestic staff. Aids and equipment are provided in sufficient quantity to assist care staff in meeting the needs of residents. To ensure that the home promotes and incorporates equality and diversity in the services, religious service or visits from religious denominations are offered on an individual basis. What has improved since the last inspection? What they could do better:
To ensure that residents are protected, residents who self -medicate must sign giving their consent following a risk assessment. Residents would be better protected and their needs met if their care plans are clearly and comprehensively written after assessment and consultation with them and or their representatives. In particular residents with specific needs as identified in the social services care Plan. The inspector saw that some care files contain risk assessments in relation to residents’ moving and handling and falls. The home must ensure that this is consistent especially for a resident with frequent and recent falls. The risk assessment must be kept under regular review. Whilst touring the building the inspector noted that some fire doors were wedged open. This practice creates a hazardous situation that could potentially harm the residents. The home must ensure that the appropriate devices are in place in order to protect the residents in real fire emergencies. DS0000034844.V346888.R01.S.doc Version 5.2 Page 7 The home must undertake risk assessment of the dining area and any other area that residents have access to, in particular, the dining areas, corridors in order to minimise hazards to the independent and mobile residents. It was noted that home has limited stimulating activities for the residents who have difficulty with concentration, the home must review the activities programme with the residents and or their relatives to ensure that activities are tailored to meet individual capabilities and choices. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000034844.V346888.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000034844.V346888.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2.3.4.5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the admission processes provide safe guards to meet the assessed needs of the residents. EVIDENCE: A review of two care files of recently admitted residents showed that the residents were assessed before admission, to ensure the home is able to meet their needs. Both care files contained full needs assessment carried out by the relevant Social Services departments. One resident spoken with stated that the manager came to see him whilst in hospital and that he was aware of the one month trial period to that ensure that he was well informed about his stay at the home.
DS0000034844.V346888.R01.S.doc Version 5.2 Page 10 The resident stated that he was satisfied with the services provided at the home. Another resident stated that the social worker found the home for him, he likes the home and that staff were aware of their care needs. Each resident is provided with terms and conditions of their stay. DS0000034844.V346888.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the home offers support to the residents including at the end of their lives, it fails to protect identified residents in relation to health care needs and appropriate medication administration practices. EVIDENCE: Three care files reviewed showed evidence of pre-admission assessments to enable staff to develop personalised care plans of how the needs were to be met. Care plans seen were detailed and explicit and the daily report contained entries of what, when and how care was provided. Reviewing the care file of residents with recent falls evidenced that there was no care plan and no risk assessment reviews in relation to how the individuals were to be managed in order to prevent further falls. It was also noted that a resident with a challenging need, had various entries of being “unsettled and wandering into peoples rooms” had no care plans on
DS0000034844.V346888.R01.S.doc Version 5.2 Page 12 how staff are to manage the identified needs. There was no evidence of appropriate supervision of the resident and no reviews following the incidents of challenging behaviour. The inspector noted the home had not drawn up care plans for this individual with reference to the needs assessment carried out by the social worker. This practice was noted in other care files reviewed. This was discussed with the deputy manager and the Group Manager who was at the home on the day of inspection. A requirement was issued for the home to ensure that there is an appropriate care plan in place based on all aspects of health social and personal needs of residents with reference to assessment by the social worker. Residents spoken with stated that staff supported and assisted them with personal care and that they were treated with dignity and respect. There was evidence of other professional visits to include opticians, chiropodists and dentists. Medication review showed that there were minor unsafe practices at the home. It was noted that there was no risk assessment and written consent for a residents who have chosen to self medicate. A requirement notice was issued to prevent this from further occurrence. All other areas of administration storage and disposal of medicine were satisfactory. The inspector noted that every room seen have locks to promote privacy. Whilst the home has made an effort to install the locks on the door, it was noted one resident was noted wandering into different rooms. One resident told the inspector “ the only thing that I am not happy about it sometimes, ‘A’ wanders into my room. I don’t mind about it now because I am used to it”. The home must ensure that action plan is in place to monitor the wandering resident to give privacy to the identified resident. Staff spoken with were aware of the policies and procedure in relation to death and dying and the importance of ensuring that information about residents are kept confidential. DS0000034844.V346888.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are enabled to maintain contact with families, friends and local communities. Choices provided to residents in respect of meals and mealtimes however, the home has not provided identified residents with structured and meaningful activities. EVIDENCE: Discussion with residents and staff evidenced that the home supports residents to maintain contact with friends and family and the local community. One resident spoken with stated, “my son visits when he can and my grandson comes to see me regularly”. Residents spoken with confirmed that they have a choice of when to get up and retire. One resident stated, “The staff are so good at making you feel at home. You can stay in bed for longer if you like”. The home has an activities person who ensures that as many residents as choose to are able to participate in the activities organised by the home. Staff
DS0000034844.V346888.R01.S.doc Version 5.2 Page 14 members confirmed that various activities were taking place and the recorded activities include musical movement, drawing, exercises with music and dusters. There is also a monthly church service. The Group Manager said that there are also external entertainers organised through a professional organisation specialised in activities for older people. Evidence of the above was noted in the activities book. However, the inspector noted that one resident was wandering at the home. There was no programmed activity seen on how this individual was being engaged to promote concentration and minimise wandering. The home is required to demonstrate how it meets the social need of the resident and other individuals who chose to stay in their rooms. One resident told the inspector that she goes to Kingswood weekly on her own and to buy ‘few things’. The menu on the day was noted to be nutritious attractively presented in adequate quantities. Residents spoken with stated that they enjoyed their meals. Residents, who were unable to feed themselves, were assisted with sensitivity and respect. One resident stated, “the food is good, we have a choice and it is well cooked”. The kitchen was found clean and the risk assessments in relation to various areas of the kitchen and hazardous equipments were in place. A record of fridge and freezer temperatures and food probing were also noted to be up to date. DS0000034844.V346888.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 – 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to complain and are confident that their complaint will be listened to. Practices at the Home ensure the protection of residents from harm and abuse EVIDENCE: The home has a complaint procedure, which is displayed at the reception. This document contains information about the Commission for Social Care Inspection to enable the residents and or the relatives to contact the Commission if their complaint was not satisfactorily resolved. No complaint was recorded and the Commission for Social Care Inspection had not received any complaint since the last inspection. The Commission for Social Care Inspection received an allegation prior to this site visit.This was followed up with two multi agency meetings in accordance with the Protection of Vulnerable Adult from Abuse Procedure. The allegation was unsubstantiated after thorough review of the evidence provided. The inspector spoke to staff members about the subject of abuse. They were very clear about their understanding of different forms of abuse including the more subtle forms. They were also able to demonstrate appropriate actions they would take if they had suspicion of abuse taking place.
DS0000034844.V346888.R01.S.doc Version 5.2 Page 16 Two files of recently recruited staff members contained Criminal Record Bureau (CRB) disclosures, two satisfactory references and proof of identity before commencement of employment. There is also the South Gloucestershire copy of the guidance to follow in suspected abuse case. Staff are aware of the Whistle Blowing policy and would report any bad practices to the Manager without fear of reprisal. DS0000034844.V346888.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents enjoy a suitable, safe and well-maintained environment EVIDENCE: Fairview is situated in a quiet cul-de-sac in Kingswood and is close to local shops and amenities. The home is registered to provide personal care and accommodation for up to 24 persons who are over 65 years of age. The home is an older property arranged over three floors. There is a large communal space separated into a lounge and dining area. Bedrooms have been refurbished. DS0000034844.V346888.R01.S.doc Version 5.2 Page 18 There is a shaft lift servicing all floors except for bedrooms 20 and 21. These two rooms are accessed by a small flight of stairs and can only be used by ambulant residents. The home was found clean, tidy and free from offensive odours. The communal area is an open plan lounge and dining area. The home must ensure that risk assessment of the dinning area id undertaken to protect mobile and independent resident. Residents seen looked comfortable and relaxed. All the corridors have handrails fitted on both sides. The toilets and bathrooms had grab rails and various manual handling equipment and aids to assist the staff with meeting residents needs. The laundry was noted to be clean with good flooring and ventilation. The washing machines have sluicing programme to ensure that a good infection control is maintained. The Home has Control of Substances Hazardous to Health Policy. The maintenance book was up to date. The work to be done is clearly written in the maintenance book with date completed and any relevant comment in relation outstanding jobs is also documented. DS0000034844.V346888.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with sufficient numbers of staff to meet their needs, adequate training is also provided to staff to protect the residents. EVIDENCE: On the day of the inspection there were twenty-three residents at the Home. Evidence from the staff rota and discussion with the Senior Care Assistant met on the first day showed that the home has a sufficient staffing levels to meet the needs of the residents. In addition to the care staff, the home also employs, domestic and laundry staff and a handy man. Residents spoken with stated that staff attended to them promptly when they rang the bell and provided time for them to talk. The Home operates a key working system to enhance the resident/staff relationship. DS0000034844.V346888.R01.S.doc Version 5.2 Page 20 Staff training records showed that the home invests in the training of its staff to ensure that staff are aware of their roles and responsibilities and that a high standard of care is maintained. Records of training attended include on manual handling, fire updates, dementia awareness effective communication and other relevant courses. Evidence also showed that thirteen care staff have achieved National Vocational Qualification (NVQ) at level 2. Three care staff at level 3. The manager and deputy hold Registered Managers Award certificates. The deputy manager also has NVQ level 4. The inspector viewed staff files and noted that appropriate recruitment procedure was followed, before the most recent staff members were employed. These included application forms, references and Criminal Record Bureau disclosures. Records also showed that new staff members have received indepth induction training prior to attending to residents’ personal care independently. DS0000034844.V346888.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36.37,38. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is well managed; however it fails to protected residents through appropriate risk assessments. EVIDENCE: Ms Jackie Reed is the registered manager of Fairview House. On the day of inspection, there was evidence of a friendly and interactive atmosphere in the home. Residents looked well cared for and staff were noted interacting with the residents in informal dignified and respectful manner. The Deputy manager and a senior staff member met on both days showed satisfactory leadership qualities and assisted professionally with the smooth running of the home and the inspection process. The Group Manager Jill Evans
DS0000034844.V346888.R01.S.doc Version 5.2 Page 22 was also present on the second day to support the home whilst the manager was on holiday. Staff spoken with stated that they work as a team and that the manager and the deputy enable them to provide quality care and to support the residents. Residents spoken with made positive comments about the manager. One resident states ”Jackie is good, she always comes round to talk to us”. A group of residents met in the lounge stated, “Jackie is alright, nice and approachable”. Staff supervision record was reviewed. Evidence from the records viewed showed that staff has received supervision. Staff spoken with confirmed that they have received supervision and that they benefited from the exercise. The fire log book was noted to be up to date. Staff have attended fire awareness training and regulare fire drills. However whilst touring the building the inspector noted that some fire doors were wedged open. This practice creates a hazardous situation that could potentially harm the residents. The home must ensure that the appropriate devices are in place in order to protect the residents in real fire emergencies. Generic risk assessments of different areas of the home were noted in place however, there was no risk assessment for the dining area to protect independent mobile residents.A requirement was issued for this to be put in place. Other health and safety checks as well as the maintainace book were up to date. The accident book showed a recorded number of accidents to seven individuals between June and July 2007. One individual had three recorded falls between June and July. Another individual had two falls in June. The other four residents had one recorded fall each.in June. Each resident had.care plans and risk assessment in regards to falls, however, these were not reviewed following each fall in order to minimise accidents to these residents. It was agreed that there must be a risk assessment in place for the residents and that this must be regularly reviewed following the falls. A requirement was made to ensure that this happens in order to protect the residents. Ways used at the home to audit the service include the provider’s monthly monitoring visits, reviewing of care plans on a monthly basis. Staff meetings and resident/ relative meetings provide a forum for discussion in relation to service improvement. The inspector witnessed a well-organised resident /relatives meeting taking place on the afternoon of the second day of the inspection. Issues discussed include activities, menu, and cleanliness.
DS0000034844.V346888.R01.S.doc Version 5.2 Page 23 Other methods used to audit the quality of its services include care plan reviews, resident and staff meetings. The home has policies and procedures to include recruitment and employment, supervision, restraint and Protection of Vulnerable Adults from Abuse. The residents’ money reviewed was satisfactory. The deputy manager explained that the home do not deal with residents money however families can deposit small amounts to cover hairdressing and chiropody. This is stored in a safe and locked cabinet and receipts are obtained and are recorded for every item paid for. The amount recorded in the book corresponded with the amount found in the safe. Other residents’ information was noted securely locked away. DS0000034844.V346888.R01.S.doc Version 5.2 Page 24 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 X 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 DS0000034844.V346888.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 OP10 Regulation 12 Requirement Timescale for action 31/08/07 2. 3. 4. OP9 OP7 OP7 13 15 15 Ensure a system of monitoring and supervision is provided to support a resident with confusion in other to prevent intrusion into people’s privacy. Ensure risk assessment and 31/08/07 consent is place for residents that chose to self medicate. Ensure risk assessment and care 31/08/07 plan are reviewed following residents’ fall. Ensure that residents care plans 31/08/07 accurately reflect their needs at all times with reference to social services care plan. Ensure that fire doors are not wedged to protect residents staff and visitors in event of fire emergency. Undertake risk assessment of the dining area to protect mobile independent residents. The home must review the activities programme in order to ensure that these are tailored to meet individuals capabilities and choices.
DS0000034844.V346888.R01.S.doc 5. OP38 13 31/08/07 6 7 OP38 OP12 13 12 31/08/07 31/08/07 Version 5.2 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. Refer to Standard Good Practice Recommendations DS0000034844.V346888.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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