Inspection on 15/01/07 for Gattison House

This inspection was carried out on 15th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Gattison House 04/01/08

Gattison House 07/12/05

Gattison House 30/08/05

Gattison House 30/11/04

Gattison House 22/07/04

Gattison House 12/03/04

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

CARE HOMES FOR OLDER PEOPLE Gattison House Gattison Lane Rossington Doncaster DN11 0NQ Lead Inspector Ian Hall Key Unannounced Inspection 08:00 15th January 2007 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 Gattison House DS0000032092.V307416.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. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gattison House Address Gattison Lane Rossington Doncaster DN11 0NQ 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) 01302 864993 01302 866520 NONE Doncaster Metropolitan Borough Council Mrs Norma Cooke Care Home 36 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (18) of places Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Support for a variety of day care centres must not impact on the staffing needs of Gattison House. There must be no removal of staff from rota. Wheelchair dependent service users must be allocated private accommodation that has 12 square metres of useable floor space. To allow a 64 year old client respite care within the elderly mentally infirm unit. 7th December 2005 Date of last inspection Brief Description of the Service: Gattison house is a residential care home for both elderly service users and elderly mentally infirm (EMI) service users above the age of 65; it is owned and operated by Doncaster Metropolitan Borough Council (DMBC). The home can accommodate up to 18 elderly mentally infirm service users and up to 18 elderly service users; it also provides up to 6 day-care places. The day care service is neither registered nor inspected under existing legislation. Gattison House is a purpose built home. Access to the separate EMI unit is via the main house. There is level access throughout the home. All private accommodation is in single bedrooms. There is a range of lounge seating areas that vary in size; two have their own sink units and tea and coffee making facilities. There are enclosed gardens with seating for service users that are planted to provide colour throughout the year. Copies of the last Commission For Social Care Inspection report were kept in the entrance for service users and their families to read. Information gained on the 15th January 2007 indicated the current fees range from £350.00 to £490.00 for residential care and additional charges are made for hairdressing and chiropody. These fee charges only applied at the time of inspection, more up to date information may be obtained from the manager of the home. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over seven hours and followed a risk assessment carried out with the CSCI risk assessment tool The emphasis of the inspection was placed upon meeting residents, relatives, visitors and the staff team. The inspector toured the whole site to observe the redecoration and refurbishment that had taken place since the last inspection. The inspector case tracked 3 resident’s files and associated records. What the service does well: What has improved since the last inspection? What they could do better: The day care service is being well used; there is no separate staff to supervise and support these day service users; Gattison House carers are being diverted from their primary role to meet day care service users needs. Opportunities for activities are limited by the lack of an activities person and the minimum staff levels currently provided. The Doncaster Metropolitan Borough Council (DMBC) has continued with the programme of updating and refurbishing the premises. The progress is however slow. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 6 Conditions of registration that are no longer applicable should be removed from the homes registration status. 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. Gattison House DS0000032092.V307416.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 Gattison House DS0000032092.V307416.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): 2, 3 and 6. Quality in this outcome area is adequate. This judgement has been made using available written evidence, discussion with service users, their relatives and staff. The home had written information about the service for potential service users and their relatives. Assessments of service users had not always been completed prior to them moving into the home, they are required to ensure that the home and staff were able to meet their needs. The staff team had received a range of training to ensure that they understood the needs of service users. EVIDENCE: Two of the three case records examined did not have copies of pre-admission service user care assessments. These are needed to ensure that the home is suitably equipped and able to meet prospective service users care needs. A visitor and 5 service users spoken to confirmed that they had been involved in the choice of care home, and had taken the opportunity to have a tea visit Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 9 before making a decision to live at Gattison House. This was confirmed during discussions with care staff. Case files inspected did not contain a copy of a contract/statement of terms and conditions. These should clearly detail the fees, including any extra charges, and the facilities and standard of care service users can expect to receive. Intermediate Care is not provided at Gattison House. Gattison House DS0000032092.V307416.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. The judgement was made using available written evidence, discussion with service users, their relatives and observations made during the visit to the home. There were plans in place to identify what help and support service users needed. Service users appeared well cared for. However incomplete needs assessments caused the content of care plans to be limited. Staffing levels did not enable staff to meet all the identified service user’s needs. Service users felt that the staff although busy treated them with respect and kindness. The medication system was well managed with policies and procedures in place to guide staff and protect service users. EVIDENCE: Care records of 3 service users were inspected; one care needs assessment had not been completed the other two contained adequate information to enable a care plan to be constructed. Additional information was required to enable staff to meet service users needs fully and maintain their safety. Staff duty rosters demonstrated that insufficient housekeeping and support staff were employed to enable care staff to spend quality 1:1 time with service Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 11 users. Service users and relatives confirmed that staff were always busy and that this limited opportunities for staff to assist service users to exercise and undertake physical activity. Staff stated that they were often diverted from their care role to undertake laundry and housekeeping duties. Changes to care plans and reassessment of physical and psychological needs were not always documented in a timely manner. The daily records commentary of care given was found to be brief and not fully reflect the activity or care provided for each service user. Two service users stated that they were unsure about and did not understand care plans. A visitor and one service user confirmed that they had helped draw up care plans and that they could have access to them whenever they wanted. Care plans detailed the service users religious and cultural needs and the gender of staff that they wished to support them with their personal care. Staff had received additional training for the administration of medicines, they were observed assisting service users to take their medication safely. Service users who were able, could retain control of their own medication, a lockable facility was provided to store such items. Records were kept of medication received, and disposed of. Medication was securely stored and administered according to the doctor’s instructions. Policies and procedures to inform staff and protect service users taking medications were current and available. Service users and visitors to the home confirmed that “staff were caring and helpful” and that “nothing was too much trouble, they were always willing and keen to help”. All the service users spoken to said that the staff promoted their privacy and dignity. The inspector observed staff knocking on bedroom doors waiting to be invited in before entering. Service user meetings had been held on a regular basis and minutes of these meetings were available within the home. Discussion with five service users and four staff identified that a range of health professionals visited the home to assist in maintaining health care needs. These included district nurses, chiropodist and general practitioners. A wide range of aids to assist service users with mobility problems were provided; these included lifting hoists, assisted baths, walking frames and wheelchairs. Gattison House DS0000032092.V307416.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 for standards is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Service users felt that suitable activities provided at the home to keep them stimulated, however opportunities to do things they enjoyed were often limited by lack of staff time to provide them with support. Visits from relatives and friends were encouraged ensuring that service users kept in touch with people who were important to them. Service users said the food was good and they were offered choice; special dietary needs and preferences were recorded in the individual care plans. There was no record of service users choice of meal or diet consumed. EVIDENCE: Service users confirmed that they were able to go to bed and rise as they chose. A multi denominational service is held regularly for service users who wish to follow their religious faith. Their own ministers of religion visited several service users. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 13 Service users were observed to be reading, listening to music and watching television. None of the service users currently leave the home unless accompanied by members of their family or staff. There have been few opportunities for staff to accompany residents to places of local interest. The home does not employ an activity organiser to stimulate and encourage social interaction, leaving care staff to organise activities on the occasions that staffing levels permit. Guest performers including an organist provide entertainment each week for service users enjoyment. Visitors confirmed that they were able to visit at any time and were always welcomed by the staff team. They stated that when they called to collect a service user for an outing staff was supportive and helped service users to prepare in good time. The inspector observed the breakfast and lunch offered to service users the food provided was of good quality, served hot, well presented and a good choice was offered. Several service users who required them had special diets provided for health reasons. Staff were observed to encourage and assist service users with meals as needed. Mealtimes were unhurried; meal size was in accordance with service user choice with extra portions available as required. Breakfast was being served throughout the morning to service users who had chosen to stay in bed longer. The dietician had assisted with compiling the balanced diet. The menu was clearly displayed in the dining room however there was no record maintained to evidence service users choice of meal or amount of diet consumed. Adapted cutlery was available to assist service users to maintain their independence. Service users and their visitors confirmed that nourishing drinks and fluids were provided throughout the day and night time as needed. Gattison House DS0000032092.V307416.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 good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The home had a complaints procedure to allow service users to raise any concerns. The staff had been trained in the recognition and reporting of abuse and relevant checks were made prior to them starting work, this reduced the risk of harm to vulnerable service users. EVIDENCE: Visiting relatives and some residents were able to describe how they would raise concerns with staff. They stated that any matters they raise however trivial they may seem were acted upon promptly by staff and that they were satisfied with the outcome. The complaints procedure was available for service users, their relatives and staff. No allegations of abuse have been made to the CSCI since the last inspection. Service users who had no advocate or next of kin have been provided with access to advocacy services provided by Age Concern. Staff had been provided with training in adult protection procedures to ensure service users were safe, and to inform staff what to do if an allegation was Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 15 made. The inspector’s discussions with staff demonstrated that they felt confident and able to respond to concerns or complaints effectively. Gattison House DS0000032092.V307416.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 and 26. Quality in this outcome area is adequate. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The home was clean, tidy and generally well maintained ensuring that service users live in pleasant and safe surroundings. The bedrooms were clean and reflected personal choice. Redecoration and refurbishment of the home had improved the service user’s environment. Décor and furnishings in some parts of the home was poor. EVIDENCE: The service users said the home was always clean, warm, well lit and there was always enough hot water. Some areas of the home had been redecorated but other areas still had damaged wallpaper and wooden doorframes. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 17 A number of bedrooms continue to require redecoration and replacement of carpets. Many items of furniture and armchairs were identified that show evidence of wear and require replacement. There are a substantial number of office style metal frame chairs and tables in use throughout the home. These are not domestic in appearance or appropriate for service users. One seating area had been equipped with computers that are not connected to the Internet and are unused by service users. This reduces available day space for service users. There is level access throughout the home with handrails provided to assist service users to maintain their independence and mobility. Toilets were easily accessible as they were close to both lounge and dining areas. Not all toilets had been adapted for service users with physical disabilities. Extractor fans appeared to need cleaning and most failed to work when tested. Door locks for identified toilets were difficult to operate and required repair or replacement to promote service user privacy and independence. There was an adequate number of baths, with an assisted bath within each separate area of the home. One bathroom was being used to store equipment and dry laundered items of clothing and was not available to service users. One bath was badly stained; another presented a moving and handling risk to staff assisting service users. Numerous bottles of bath products were found in one bathroom, they had not been returned to the service users bedroom after use. Items of clothing were being dried on clothes hangers in a corridor being used by service users. This is both unsightly and presents a risk of tripping or falling to service users. Service users were able to smoke in a designated smoking area. Appropriate seating has been provided in the garden for service users wishing to sit outside whenever the weather permitted. One identified fire exit had a steep wooden ramp without handrails and the outside light was broken this presents a trip hazard should this exit be used. The home had a proactive infection control policy and they work closely with external specialists e.g. the Health Authority, Environmental Health and their own staff to ensure spread of infection was minimised. Clinical waste was properly managed and stored. Staff confirmed that they were provided with protective clothing if they needed it and that equipment was in working order, being serviced as required. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 18 Low surface temperature radiators have been provided to reduce risk to service users of being burnt. Gattison House DS0000032092.V307416.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 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 written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Insufficient staff were deployed to meet service user’s needs. Staff had received statutory training to help them meet the needs of service users. Checks had been made on staff to reduce the risks to vulnerable people. EVIDENCE: The staff group were well motivated and enthusiastic about their work. They confirmed that they were supported by the manager and encouraged to train and update their skills. This had been difficult for the manager and her staff to achieve due to the number of persistent ongoing staff vacancies. Recruitment problems had caused Gattison House to be reliant upon the care team to work many hours in excess of their contracted hours. The prolonged period and number of vacancies has had a detrimental effect upon staff morale. The dependency level of the current service user group and their needs has continued to increase; this has placed additional pressures upon staff. Staff confirmed that they had difficulty fulfilling more than basic care needs. Holidays, days out, one to one quality time is seriously restricted. Staff were Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 20 clearly unhappy and disappointed with this ongoing situation, they were keen to improve the standards of care and service offered. There is no Activities Person employed, this is a key component of maintaining independence and personal skills. The personnel files sampled confirmed that the home follows the staff recruitment procedures. A recently appointed staff member confirmed they had completed an application form, provided references; this was followed by an interview and following employment an induction programme. One of the staff files selected was unavailable for inspection from the DMBC personnel department. The inspector was therefore unable to confirm that CRB checks and correct staff recruitment policy and procedures had been followed in each of the three files selected for inspection. The manager’s staff training and development plan was examined and was seen to identify their training needs, courses completed and courses being undertaken by staff. The DMBC training programme for 2007 had not been received from the training department, the manager was therefore unable to forward plan effectively. The staff group without exception were well motivated and enthusiastic about their work. Staff had undertaken statutory training and updates e.g. moving and handling, fire prevention. They were involved in national vocational qualification training and medication administration training. The numbers of staff trained to NVQ in care exceeded the minimum 50 required by The National Care Standards Act 2000 and the associated Regulations. Gattison House care staff was providing care and support for up to three day care service users in each separate area of the home. This reduces the available care staff time for service users who reside at the home and is in breech of the conditions of registration. Gattison House DS0000032092.V307416.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 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 written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Staff felt their managers were supportive and approachable and there was a well-established system of professional supervision. Service users were involved in making decisions about their care and had control over issues that affected their lives. Checks had been made on the major systems in the home such as fire and gas installations to ensure the home was safe for service users. Fire training had been provided for staff to reduce the risk to service users in an emergency. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has a wide range of experience within both the public and private sectors and has achieved the registered managers award and NVQ4. The service users, relatives and staff spoken to say the manager was approachable, very professional and they felt confident in her. The manager had a job description that clearly defines her roles and responsibilities and staff were aware of her role. Staff had received training on moving and handling, fire prevention, food safety and infection control. There is no recognised quality assurance system used by DMBC to seek the views of service users and relatives. Regular service user and staff meetings are held minutes are kept and were available. The responsible individual visits the home on a regular basis, a report is written following the visits. A copy of the responsible individuals monthly report is sent to the local office of the Commission for Social Care Inspection. No fire exits were obstructed and hazardous substances were securely stored. Statutory servicing and checks of equipment were complete. The manager handles money on behalf of some service users, account sheets were kept, receipts were available for all transactions, and all transactions were witnessed by a second individual. DMBC auditors audit these accounts annually. All staff had received management supervision this had not taken place at regular monthly intervals; this is required to fully ensure individual staff development and monitoring care practices. Records were mainly up to date and well ordered to ensure the best interest of service users. The homes policies and procedures met the required standards. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 18 Requirement The registered person must ensure that the DMBC employs adequate numbers of staff (care staff, activities, housekeeping laundry, and catering staff) to meet the residents needs, outstanding from 01/03/06 Gattison House care staff must not be used to provide support and care for day care services at the home. Additional staff must be employed for this purpose. Each service user must have a written contract /statement and conditions with the home. New service users must only be admitted following a full assessment care needs and be assured that the home can meet their needs. Service user’s health, personal and social care needs must be assessed and set out in a care plan. Service users must be provided with varied opportunities for exercise and physical activities both inside and outside the home. DS0000032092.V307416.R01.S.doc Timescale for action 01/03/07 2. OP29 18 01/03/07 3. 4 OP2 4 14 01/03/07 01/03/07 OP3 5 OP7 15 01/03/07 6 OP8 15 01/04/07 Gattison House Version 5.2 Page 25 7 OP15 17 8 OP12 13 9 OP19 23 10 OP33 24 11 OP38 23 Records of the food provided for service users in sufficient detail to enable any person inspecting to determine whether the diet is satisfactory must be kept. Service users must be provided with varied opportunities for social and recreational activities both inside and outside the home. Renewal and refurbishment of the fabric, furnishings and decoration of the building must be actioned to deal with the shortcomings identified in this report. Effective quality assurance and quality monitoring systems, based on seeking the views of service users must be implemented to measure success in meeting the aims, objectives and statement of purpose of the home. The health, safety and welfare of service users and staff must be promoted with risk assessments undertaken and remedial works undertaken to ensure a safe environment is provided 01/03/07 01/03/07 01/04/07 01/04/07 01/03/07 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 Refer to Standard OP1 Good Practice Recommendations Conditions of registration no longer applicable should be removed from the home’s registration status. Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Gattison House DS0000032092.V307416.R01.S.doc Version 5.2 Page 27 - 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!