Inspection on 11/09/06 for Farm Lane Care Home

This inspection was carried out on 11th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Farm Lane Care Home 19/01/09

Farm Lane Care Home 21/04/08

Farm Lane Care Home 24/09/07

Farm Lane Care Home 09/02/06

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Farm Lane Care Home 17 - 25 Farm Lane Fulham Broadway London SW6 1PX Lead Inspector Jackie Derbyshire Unannounced Inspection 11th September 2006 09:30 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 Farm Lane Care Home DS0000064137.V305967.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. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Farm Lane Care Home Address 17 - 25 Farm Lane Fulham Broadway London SW6 1PX 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) 0207 386 4180 manager.burroughs@careuk.com Care UK Community Partnerships Limited Mrs Sarjit Jagroop Care Home 66 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (40) Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration be for: Care Home with Nursing Ground Floor - 14 Older People First Floor - 25 Older People Second Floor - 25 Older People First and Second Floor 1 Younger Adult per Floor 9th February 2006 Date of last inspection Brief Description of the Service: Farm Lane is a care home providing accommodation and nursing care for older people, people with dementia and people in need of rehabilitation before returning home after a stay in hospital. The home opened in September 2005 and is located in a residential area of Fulham, close to shops and other local facilities. Accommodation is provided on the ground, first and second floors and there is a large attractive roof garden and conservatory. Passenger lifts enable people living in the home to use all parts of the building. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday 11th September and Tuesday 12th September 2006. Two Inspectors spent a total of 24 hours talking with service users and relatives, the Homes Manager and staff, inspecting care records, staff records and touring the premises. One of the inspectors spent time with one of the maintenance team checking all relevant safe working practices and looking at maintenance records that were seen to be well recorded. The Inspectors found evidence that standards of care in the home are good. Service users were tracked during the inspection and observation took place over lunchtime in the dining rooms. The quality of the staff interaction was also assessed. The 4 requirements set in February 2006 have been met, 12 new requirements have been set from this Inspection. Farm Lane provides an excellent standard of accommodation 21 service users, 8 relatives/visitors and 2 health and social care professionals returned confidential questionnaires and their comments are included in this report. The weekly charge for the home is £649.00-£850.00. What the service does well: What has improved since the last inspection? Records of food and fluid intake were seen with accurate records in place. Surplus medication is now disposed of by the home and collected by the relevant contractor. Hot water temperatures are taken regularly with records in place and actions to show when maintenance has taken place. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has all of the procedures in place for new service users they must ensure however that the information about the home is given to service users, their families and or a representative. EVIDENCE: The Inspectors spoke to service users on all three units and they were not sure of the homes Service user Guide and of the fire alarm procedure. There are welcome packs in the reception area and in discussion with the Manager who stated they are given to all new service users and available to any visitors. It was discussed that a designated person should spend time with any new service users and go through the pack and ensure they are familiar with the home. All service users have a contract with the Home the Inspector looked at 4 service user contracts. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 9 The Inspectors looked at 4 service user files, one from the rehabilitation unit, 2 from the dementia unit and one older person the original referral was in place with a care plan that shows how the home will meet their needs. Care plans also included relevant medical and social reports. Two service users on the rehabilitation unit were not sure of their care plan, this was discussed with the Manager who stated she will make sure all service users are made aware of their care plan. There is a rehabilitation unit on the ground floor of the home, the Inspectors spent time talking to 7 of the service users who stated they were happy with the care they were receiving and that the staff were very attentive and met their needs. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of care with care plans and records that show how they meet the service user needs. EVIDENCE: The care plans of four service users were checked during the inspection. Attempts have been made to identify service users’ strengths, but further work is needed to build on the identified strengths and ensure that more information is made available about the lifestyle/biography & interests of service users with dementia. A more person centred plan should be developed. There was no evidence that the service user had been consulted with or if they were in agreement with their care plan. The care plans need to be more person centred looking at individual’s needs, goals and aspirations. The care of 2 service users who had developed pressure sores was tracked, both being admitted into the home with them. The risk of developing a pressure sore had been identified on admission and steps had been taken to ensure that the appropriate preventative equipment Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 11 was in place. A care plan was put in place to address the identification of the pressure sores. The nurse in charge confirmed that advice has been sought from the Tissue Viability nurse and the suggested dressings have been prescribed by the GP. It is a requirement that the wounds are regularly assessed, mapped and a photograph taken of the wounds. Staff must document/comment what dressings were used and how the wound is looking including the grade of the wound. The inspector saw evidence that one of the service users is turned four hourly, the other service user is assisted to mobilise at intervals throughout the day. The management of medication was assessed on two of the three units. Staff were familiar with the home’s policies and procedures for managing medication. Medication was securely stored on both units and the date of opening was clear noted on the container of all liquid medication. Controlled drugs were in use and a controlled drugs register was maintained with evidence that two staff checks and witness the administration of controlled drugs. The controlled drug balances were correct at the time of inspection. The room temperatures of where medication is stored and the medication fridge temperatures are recorded daily. Within the rehabilitation unit, service users are given the opportunity to administer their own medication following a risk assessment. Each service user has a lockable facility in their room for the safe storage of their medication. The medication administration records of service users on both units were well completed. It is a requirement that any known allergies are noted on the MAR sheet. Where no allergies are known, this should be noted. There is a GP that all service users can register with that visits the home twice a week on a Tuesday and Friday. The GP is also available for advice and emergency visits. The Inspectors saw records were the GP had visited the home out of hours and were staff had contacted them on the telephone. Some service users choose to stay with their own GP. One questionnaire from a GP states that there are not sufficient urine bottles and bedpans and there seems to be some confusion who should supply them. In discussion with staff on floors they state that there are sufficient numbers of both on all units. The Inspectors observed good practice on the 2 days of the inspection were all care was given in the privacy of the service users own room or one of the bathrooms. 21 Questionnaires also stated that service users were treated with respect and they were happy with the care provided, comments included. ‘I am very happy with the care and staff are doing a hard job very well’ ‘I am very happy with the care and support I receive and it’s very good’. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are supported to take part in a range of appropriate activities and outings. An excellent variety of nutritious meals are provided. EVIDENCE: The inspectors checked the files of 4 service users and assessment records and care plans were in place to show how the home would meet their needs. In discussion with service users they stated that they were happy with the choice they are given including what to wear and what activities they would get involved with. Service users Interests are recorded and in discussion with one of the activities coordinators they endeavour to see and spend time with all of the service users daily whether that be in a group setting or on a 1 to 1 basis. Records of activities were in place in the service user files the Inspectors looked at. Comment from service user questionnaires stated ‘I am very happy with the activities there is always something going on and you never get bored’. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 13 ‘I don’t like to do the activities in the home as I like to read my newspaper and watch TV’. In discussion with the Manager the Inspectors were aware in reading service users information that there was a need to have more history of the service users in place two social care plans showed that one service user was a teacher and the other a cleaner but there was no information written. The Inspectors discussed putting autobiographies for service users in place that could be used in meeting service users aims and aspirations. The inspector noted that there were examples of good interaction between service users and staff with staff being attentive and encouraging service users during mealtimes. Examples of good interaction included explaining and facilitating choice of meals and enabling service users to eat their food independently by cutting up the food. A service user experienced an episode of outpacing when a staff member removed their plate and swapped the plate for pudding. The service user still had a spoon in their hand at the time and was still eating. Staff must take care to avoid this type of poor interaction and allow service users to set the pace and encourage a more relaxed pace. On the two days of the Inspection visitors were seen on all units with staff welcoming them and liaising with them answering any questions. 8 Service user family/visitor questionnaires were positive about how they are welcomed and had a good relationship with staff. The home employs a cook and assistant cook who prepare all meals for service users. A cook/chill system is used and meals are delivered to each unit in heated trolleys. Menus are provided to all service users with a choice of three different meals offered at lunch and evening meals. Cooked breakfasts are only available at the weekend, in discussion with the Manager she stated that they are at present monitoring this and if service users want a cooked breakfast they will supply it. The home does cater for specialised dietary needs. In discussion with service users it as stated that they enjoyed the food most of the time, three service users stated that the gravy and custard was not very good. In discussion with the Manager she stated that gravy and custard will be provided in house. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place. EVIDENCE: The home has a clear complaints policy and this is displayed on notice boards on each unit. Three relatives told an Inspector that they were unaware of the home’s complaints procedures. In discussion with service users they stated they would talk to a member of staff if they had a complaint or issue. The Manager should make sure that all relatives are informed of the home’s policy and procedures. One of the Inspectors went through the complaints with the Manager there are 7 complaints with 6 having been dealt with relevant investigation and actions in place. There is 1complaint that is at present being investigated. The home follows the local authority’s protection of vulnerable adults procedures and these are available in the home for reference. The Manager confirmed that there have been 2 adult protection concerns and the relevant records of investigations were in place. Service users who spoke with the Inspectors and 21 people who returned questionnaires all said that they feel safe at Farm Lane. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 15 Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 16 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): 19,20,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides excellent standards of private and communal accommodation. EVIDENCE: The inspectors had a full tour of the home and 10 service users bedrooms were seen with their permission. The inspectors felt that all of the service users rooms were seen to be individual and comfortable, some of the service users had their own furniture. Communal areas were comfortable with lounge/dinning areas on all floors. There is a garden patio on the 3rd floor that is very nice, a service user told an Inspector that they had been to a BBQ on the patio and they really enjoyed it. There is also a garden at the rear of the home that service users were sitting out in on the day of the Inspection. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 17 There is an intercom system into the home with security cameras. Throughout the home there is a keypad security system to all doors and for access into the two lifts. The home also has a gym, a library and a chapel that are used by service users. The hydrotherapy pool is not being used at present in discussion with the Manager this is due to lack of funding for professional physiotherapists. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a thorough recruitment procedure in place with all documentation checked by the homes Manager. EVIDENCE: One of the Inspectors looked at the homes staffing rotas and spoke to staff, service users and visitors. Each unit has a separate rota and is managed by the unit Manager. The rehabilitation unit has varying numbers of staff depending on the service users needs, on the 2 days of the inspection staffing was seen to be sufficient. The Older peoples unit also had sufficient staffing. The dementia unit was seen to be extremely busy on both days the Inspectors were aware of service users sitting in their own rooms and lounges with no stimulation. Talking to service users and visitors and observing work practices on the dementia unit the Inspectors in discussion with the Manager required her to look at staffing levels to ensure all of service users needs are met including stimulation. The training and development plans of staff were looked at and discussed with the Manager and with staff. Staff stated they were very happy with the training they have received from the organisation. Service users spoken with stated they felt staff were appropriately trained to meet their care needs. 63 of staff has got an NVQ qualification with 5 staff doing level 2 and 3 at the moment; these statistics include the domestic staff. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 19 There is a requirement that the Manager make sure that staff are up to date with mandatory training including food hygiene and moving and handling. The Manager did show the Inspector dates that staff were going to attend these courses. An Inspector checked the staff recruitment files for 2 nurses and 2 home care staff working in the home. The files are very well organised, all checks are in place with up to date CRB disclosures. There are no vacancies in the home at present. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 20 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): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and service users are cared for safely. EVIDENCE: The home Manager is a qualified RGN and CPN she also has a diploma in Management. The Manager is very qualified and in discussion with the Inspector stated she attends training to ensure she is up to date in all aspects of her role. In discussions with staff and reading questionnaires it was noted that the Manager is very approachable and understanding. The home does have quality assurance monitoring in place internally and externally by the organisation and commissioners of their service. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 21 The Inspectors looked at questionnaires from service users, family/friends and visitors that were positive. In discussion with the Manager they are looking at the questionnaires as they do not flow very well and the same format is given to everyone. The Inspector was also given a copy of the last visit by the Clinical Governance officer from the organisation that was very positive. There is a need for the Manager to collate all of the information and produce a quality assurance survey. One of the Inspectors checked the finances of 4 service users and all records were seen to be accurate with receipts in place to show what expenditures the service user had incurred. In discussion with the Manager and staff and looking at records it was apparent that supervision sessions have not been as frequent as they should be. The Manager stated that as the home was new and staff were still settling in that she had concentrated on priority areas and was now making sure that all staff receive regular supervision sessions. One of the Inspectors spent time with a member of the maintenance team looking at all relevant health and safety records. All records were seen to be accurate and up to date. There is a need for all fire extinguishers to be annually maintained in discussion with the Manager it was that they had recently changed providers and they were being checked at the end of the week. The Inspectors were aware that on all floors staff were wedging open the staff room doors, the doors are fire doors and this is breeching fire regulations. In discussion with the Manager it was stated that if staff require the doors open then magnetic fire door openers should be fitted to the doors. Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x x 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 4 x x 3 3 4 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 2 x 2 Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 23 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 OP1 OP38 Regulation 5 Requirement All new service users are inducted into the homes Service User Guide and fire alarm and safety procedures. Care plans to be person centred looking at individuals needs, goals and aspirations. Service users on the Rehabilitation unit to have their care plan explained to them. The Manager to ensure all service users with pressure sores are mapped. MAR sheets to have service user allergies recorded on them. The Manager to ensure that there are sufficient qualified staff to meet the needs of service users that have dementia. The Manager to ensure that all staff are up to date with moving and handling mandatory training. The Manager to ensure that all staff are up to date with food hygiene training. The Manager to produce an annual quality assurance survey for the home that has all DS0000064137.V305967.R01.S.doc Timescale for action 11/10/06 2 3 4 5 6 OP7 OP7 OP8 OP9 OP27 15 15 13 13 18 31/12/06 30/09/06 30/09/06 30/09/06 30/09/06 7 OP30 18 15/10/06 8 9 OP30 OP33 18 24 15/10/06 31/12/06 Farm Lane Care Home Version 5.2 Page 24 10 OP36 18 11 12 OP38 OP38 23 23 relevant information in place. The Manager and Unit Managers 30/11/06 to make sure all staff are receiving regular supervision sessions. The Manager to make sure that 19/09/06 all fire extinguishers are annually maintained. Magnetic fire door openers are 31/12/06 fitted to all offices on all floors` as the doors are being wedged open. 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 OP16 OP12 OP12 OP15 Good Practice Recommendations The Manager should make sure that all relatives are informed of the home’s complaints policy and procedures. The Manager to introduce autobiographies and develop interests of all service users with dementia. Activities to be provided to service users staying on the Rehabilitation unit specifically at weekends. Staff to ask whether service users would like gravy on their meals. The Gravy and custard to be provided in house as service users do not like the taste of the provided sauces. All staff to write in daily records when a bath or shower has been provided. All staff to ensure that all records are legible. 5 OP37 Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Farm Lane Care Home DS0000064137.V305967.R01.S.doc Version 5.2 Page 26 - 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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