Inspection on 15/06/06 for Friary Fields Care Home

This inspection was carried out on 15th June 2006.

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

Friary Fields Care Home 01/04/08

Friary Fields Care Home 17/04/07

Friary Fields Care Home 30/11/05

Friary Fields Care Home 01/07/05

Friary Fields Care Home 28/06/04

Friary Fields Care Home 05/03/04

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

CARE HOMES FOR OLDER PEOPLE Friary Fields Care Home 21 Friary Road Newark Nottinghamshire NG24 1LE Lead Inspector Lee West Key Unannounced Inspection 15th June 2006 10:30 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 Friary Fields Care Home DS0000008764.V300013.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. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Friary Fields Care Home Address 21 Friary Road Newark Nottinghamshire NG24 1LE 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) 01636 706 105 01636 702 747 Mr Leckraz Ramchurn Mrs Devhootee Ramchurn Mr Leckraz Ramchurn Mr Ashvin Ramchurn Care Home 34 Category(ies) of Dementia (31), Old age, not falling within any registration, with number other category (3) of places Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Rooms 10, 11 and 12 are not to be used for people with dementia due to their close proximity to a staircase. Only residents who are assessed as being able to call for assistance should be placed in rooms on the 2nd floor. Within the total number of beds, a maximum of 31 may be used for service users included within the category DE over 60 years old Within the total number of beds, a maximum of 3 may be used for the category OP The double bedroom is not used until the decoration is complete. Date of last inspection 30th November 2005 Brief Description of the Service: Friary Fields is a care home providing personal care and accommodation for 36 older people, 31 of whom may have dementia. The home provides short and long term care and will accept emergency admissions. The home is owned by Friary Fields Limited, which is run as a family business. The home is located in a residential area close to Newark town centre where there are shops, pubs, post office, theatre, churches and other amenities. The home was opened in 1982 and consists of an extended domestic dwelling.21 of the homes bedrooms are single, and none of these bedrooms have en-suite facilities. Bedrooms are located on 3 floors; some rooms are served by a passenger lift and others a stair lift. The gardens have been landscaped following the completion of the building work to the six bedded extension and conservatory. The rooms in the extension have en-suite facilities and are on the ground floor of the home and the large conservatory opens out onto the rear gardens. There is car parking available in a small parking area at the front of the home. The fees range from £279 to £350 dependent on level of need. Friary Fields Care Home DS0000008764.V300013.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 carried out over 5 hours on Thursday 15th June 2006, beginning at 10.45am. Mr Lechraz Ramchurn and Mr Ashvin Ramchurn were present during the inspection and assisted with information contained in this report. Case tracking was the method used, where Service users were spoken with about their experiences and expectations of living at the home, a tour of the home undertaken, and talking with members of staff to ensure that those living at the home have their needs met and their health and welfare maintained appropriately; together with analysis of available records. Visitors to the home were also spoken with. All the judgements made in this report have been made using all this available evidence, including the visit to the service. What the service does well: What has improved since the last inspection? The unused medication has been returned to the pharmacy and all medication was appropriately stored at this inspection. The training matrix was produced for inspection, showing all training received and organised. Staff supervision is formally recorded and also reflects training needs. All wheelchairs in use during this inspection were observed to have the appropriate footplates in place. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 6 Staff spoken with were aware of the adult protection procedures within the home. What they could do better: Electric shavers should be kept with each individual service user, instead of in a central drawer in the bathroom. This ensures that each service user has their own shaver, but also reduces the risks of cross infection from using someone else’s shaver. The practice of leaving all the shavers in one drawer within the bathroom, even though they are labelled and this is the area with the shaver socket, gives an inference that individualised care is not carried out. Giving the service users no choice in whether to have a shave within the bathroom, or in their own personal rooms. E45 cream, supplied in a pump container, should be removed from the bathroom. Service users must have their own, labelled tube of cream. E45 cream should only be used for service users for whom it has been prescribed. Various toiletries, perfumes and aftershaves must be removed from the bathrooms. These should be kept within the service user’s own room if it is their property. There is a risk that service users with dementia could be harmed by these substances. The notice within the office which instructs staff not to give drinks and biscuits to service users after 7.30pm until 9.30pm should be removed and drinks, especially in the heatwave period, be offered frequently and when requested by service users. This to avoid the problems that occur with dehydration and to promote a more individualised approach to food and drink, instead of just drinks rounds. Service users who are on reducing, or any kind of diet, must have this recorded within their individual care plans and also service users should be weighed regularly to ensure there is no undue weight loss or gain by individuals. Any on reducing diets must regularly be weighed to monitor the effectiveness of such a diet. Such reducing diets should only be prescribed by the medical practitioner for the service user. The cook within the home must also have a copy of the dietary requirements of the service users to enable the appropriate food to be prepared for the service users. Care plans require improvement to address all aspects of care needs, physical and psychological, together with appropriate risk assessments, to ensure that all service users’ needs are met. Information contained within the communication sheets in the care plans must be written in such a way as to avoid stigmatising and labelling service users as difficult or causing trouble. Behavioural issues to be also risk assessed within the plans to ensure conflicts Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 7 between service users are minimised appropriately, so as not to cause distress to any of the service users. Any service user with any injury or illness should be referred for medical help as a matter of urgency, to avoid distress to service users, or their condition worsening. The door to the corridor of the new extension requires attention to stop it banging loudly every time someone goes through it, which causes annoyance to the service users in the vicinity of the door and in the conservatory. There are two wardrobes requiring repair and areas around the older building requiring attention to “tired” décor and furnishings. Lampshades, pictures on walls and ornaments in bathrooms and other communal areas require dusting, to improve the areas in line with the remainder of the home’s cleanliness. 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. Friary Fields Care Home DS0000008764.V300013.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 Friary Fields Care Home DS0000008764.V300013.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6, Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Information was provided for relatives of a prospective service user. Assessments are being carried out for service users. EVIDENCE: Visitors to the home looking for a place for a relative stated that they were treated with politeness and “given information to make a choice.” They were given a tour of the building and a statement of purpose to take home with them. Service user files case tracked contained evidence of assessment of needs which were transferred to care plans. None of the service users case tracked were admitted for intermediate care. Friary Fields Care Home DS0000008764.V300013.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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The care plans set out health, personal and social care needs, but these are not always fully met, with some health and social care needs not being identified or dealt with. The policies and procedures for dealing with medicines has improved since the last inspection and, apart from the dispensing of a cream from a communal pump container, medication was appropriately stored. Service users are generally treated with respect. EVIDENCE: The care plans case tracked did not appear to address all aspects of care. A service user was observed during the inspection to have an uncovered, bleeding wound which was causing distress. No recording of this was seen in the care plan, nor any action taken to deal with the wound, or to contact Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 11 medical assistance recorded. During the inspection, this was dealt with by contacting family and also the District Nursing Service. Care plans did not include the residents’ preferred method of shaving, how, or where this is to be carried out. There were a number of electric shavers in a drawer in the downstairs bathroom, some with clear labels, others with red labels with the name, although imprinted, not clearly visible. This collection of shavers leads to the suggestion that male service users are shaved at this one point. The registered manager did say that this was the only shaver point, which also infers this is the place where service users are shaved, with no choice of perhaps being shaved in their own rooms with the use of an adapter. A notice displayed in the office stated that many service users’ were on reducing diets, yet none were recorded in the care plans and no weights were recorded in the care plans. There was also no mention of dietary requirements for diabetic service users. The Medicines Administration Records were observed to be completed appropriately and there was no evidence seen during the inspection of any medicines being stored incorrectly. The storage areas were all locked appropriately. There was, however, a pump dispenser of E45 cream on the set of drawers in the downstairs bathroom, which staff said, was used for many service users. Whilst, being a pump this reduces the risks of cross-infection, only service users who have been prescribed this cream should have it applied. No evidence was seen on the Medicines Administration Records case tracked that E45 had been prescribed. At present there are no service users, the manager states, that are able to self medicate. Generally, the service users were seen to be treated with respect by the staff. However, care plans had statements which appeared to label service users, statements like “keeps tormenting” were seen in the plans. Privacy was maintained when staff were dealing with service users in their own rooms. Friary Fields Care Home DS0000008764.V300013.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): 12,13,14,15 Quality in this outcome area is adequate This judgement has been made using available evidence, including a visit to this service. Service users maintain contact with their family and there are some activities provided within the home. Service users have some choice and control, but this is limited. The food served during the inspection appeared wholesome and appetising. EVIDENCE: Service users spoken with said they were satisfied with day to day activities within the home. One said that “I sit here and watch the world” others said that they have visits from their family and that they are welcomed when they arrive. The hairdresser visits each week and one service user said “I love having my hair done every week.” Other service users said that they “don’t do much during the day”, others said they like a game of bingo. There were some activities carried out within the home, staff said they do play bingo and other games. The rapport between the staff on duty and the service users appeared positive and supportive. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 13 Service users said that they were not given choices of food, but the cook said she was aware of their preferences, in view of the difficulty of service users to make decisions and this was confirmed by one service user who doesn’t like milk in any form, and this preference was catered for. The service user said that “they always look after this for me.” The meal served during the inspection appeared to be enjoyed by all the service users. The meal, served from a trolley in the dining room, appeared wholesome and appetising and service users spoken with said that the “food was good” and “there is always enough to eat.” The dining room was adequately furnished and clean. There were service users who were served away from the table, but one was observed to have difficulty as the meal table was at the side of the chair and the service user had to twist to eat. The service user said that “I always have my meals in the armchair as it saves me from walking, I have difficulty in walking to the table.” This it was observed meant that this service user had meals in isolation, reducing the opportunity for any interactions with other service users. There was a notice displayed in the office for the staff to not give drinks and biscuits to service users at 7.30pm but to wait until 9.30 for drinks only. It also stated that there were a number of service users who were overweight and on reducing diets. This was not recorded in any care plans case tracked, nor was any weight of service user recorded. There was also no evidence in the kitchen of service users who were on reducing, or special diets and the kitchen staff said they were unaware of anyone on reducing diets, but were aware of diabetics within the home. Friary Fields Care Home DS0000008764.V300013.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): 16,18, Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Policies and procedures for complaints are in place and staff are aware of their role in safeguarding adults. EVIDENCE: There were no complaints seen during this inspection, but service users and staff all said that they were satisfied any complaints they had would be dealt with appropriately. Staff spoken with explained their roles within the safeguarding of adults and were aware of the whistleblowing policies in place. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The new extension is well maintained and well furnished. The older building is in need of redecoration and repairs to furniture in some rooms. The service users rooms have their own possessions around them. There are sufficient toilet and washing facilities for the number of service users. Wheelchairs and walking aids were being used and in good order. The home is free from odour, with the rooms generally clean. EVIDENCE: The new extension is well maintained and well furnished, except for the door between the dining room and corridor to the bedrooms, which bangs loudly when closed. This can be heard in the conservatory and dining areas every Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 16 time someone goes in or out of the corridor. The garden is landscaped and secure and creates a pleasant open space for service users to enjoy, accessed through the spacious, well furnished, conservatory. The older part of the home has a number of areas requiring routine maintenance. A double room has two wardrobes in need of repair, both having drawers missing in them. Some rooms have decorations and furnishings requiring maintenance and repair, looking tired and in need of attention. One room had one curtain across the whole window. The bathrooms, some bedrooms and the corridors, had dusty pictures, ornaments and light fittings, but floors and surfaces were clean and hygienic. The service users spoken with said they were “ok with my room, it suits me.” Whilst another said that “the place could be a bit more cheerful.” The hairdresser was working with service users and the area used for this activity was seen to be roomy and appropriate. The hairdresser said she had been attending the home for “some years now” and was always made to feel welcome and promptly paid by service users, or manager, for the work done. Ladies spoken with said they enjoyed having their hair done and the gentlemen also said the hairdresser “gives a good cut.” Wheelchairs being used were noted to have the footplates in place and the walking aids used by service users appeared to be in good order. Access to the upper floors is by passenger lift, or stairlift and these were seen to be in good working order and well maintained at the time of inspection. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The staff numbers and skill mix on duty during the inspection were appropriate to meet the service users’ needs. The home does have an adequately robust recruitment policy. The staff are trained and competent to do their jobs. EVIDENCE: Staff spoken with confirmed that they work with enough staff on each shift and that they do receive regular training, including dementia care. The staff rota showed sufficient staff on duty. The training matrix was seen, showing the carers and training courses they require and have attended. The staff spoken with have not yet gained National Vocational Qualifications, but have received training in administration of medicines, fire training, moving and handling and induction for new staff was also seen. All the staff records inspected contained the appropriate application forms, identification, references and criminal records bureau checks. This includes the adaptation nurses from abroad. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 18 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): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. There is suitable management and procedures in place to promote safety and welfare of residents. Procedures are also in place to assist service users with their finances. EVIDENCE: The home has both Leckraz Ramchurn and son, Ashvin Ramchurn as registered managers, with Ashvin carrying out the day to day administrative management and Leckraz involved with the care aspects of management. Ashvin has achieved the registered manager award. The development of a quality assurance system is in progress, but not fully operational at this time. Service users spoken with said that they were Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 19 satisfied with the home and “how the staff look after me.” But, the notice written in the office about drinks and biscuits not to be given after 7.30pm and before 9.30pm does not reflect individualised care. Directed at the staff, it appears to instruct service users should not be given drinks when they want, only at certain times. Service users’ finances are securely kept and records signed and kept accurately to ensure safe keeping of the personal allowances. Any service users’ money is individually kept to avoid confusion. Service users spoken with said they could have money if they wished, and the hairdresser was present during the inspection and she confirmed that payments were always receipted and signed. Staff spoken with said they did have regular supervision and that they had a chance to discuss their personal development within the supervision sessions. Ashvin also confirmed that supervision takes place regularly and the staff records had evidence of these sessions, completed, signed and dated. The training matrix provided evidence that personal development was being addressed within the training courses identified. Records were seen evidencing the recording of mandatory tests, including fire alarm tests, electrical equipment tests. Staff and service users spoken with all confirmed that fire alarms were tested regularly. Lift and other servicing records were available and those seen were current. Policies and procedures seen were up to date and provide a framework for protection of both service users and staff. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 N/a 3 N/a N/a N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 N/a DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/a 18 3 2 3 3 3 3 2 2 2 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 N/a 2 N/a 3 3 3 3 Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 21 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 OP7 Regulation 13(1) Requirement Timescale for action 21/08/06 2 OP8 13(1) 3 OP15 17(1) 4 OP15 16(4) Ensure individual care plans include regular monitoring of the service user’s psychological health, and actions required to meet these needs. Especially care plans for service users with dementia. Make arrangements for service 21/08/06 users to receive where necessary treatment, advice and other services from any health care professional, to include emergencies, where service users have developed wounds or pressure sores and ensure all staff are aware of the procedures for this. Ensure details of any plan 21/08/06 relating to the service user in respect of nutrition are kept up to date, to include monitoring of any weight loss or gain and appropriate action taken. To provide in adequate 21/07/06 quantities of suitable drinks which are varied and available at such time as may be reasonably required by the service users. Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP10 Good Practice Recommendations Ensure that creams are only used for the prescribed service users. Ensure service users are shaved in a manner that respects their privacy and dignity and that they are shaved with their own razor and their preference is recorded in the individual care plan. Ensure all care plans, notices or other records avoid terminology which labels, stigmatises or reduces individualised care of service users. Ensure all parts of the home to which service users have access are free from hazards to their safety by removing the various bottles of toiletries from the bathrooms within the home. To maintain the cleanliness of the home by ensuring all dust is removed from lampshades, pictures and other ornaments around the home. 3 OP10 4 OP19 5 OP26 Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Friary Fields Care Home DS0000008764.V300013.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!