Inspection on 20/02/08 for Godden Lodge

This inspection was carried out on 20th February 2008.

CSCI found this care home to be providing an Good service.

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

Godden Lodge 17/10/06

Godden Lodge 02/03/06

Godden Lodge 02/03/06

Godden Lodge 02/03/06

Godden Lodge 15/11/05

Godden Lodge 15/08/05

Godden Lodge 15/08/05

Godden Lodge 23/02/05

Godden Lodge 09/08/04

Godden Lodge 22/01/04

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

CARE HOMES FOR OLDER PEOPLE Godden Lodge 57 Hart Road Thundersley Benfleet Essex SS7 3GL Lead Inspector Carolyn Delaney Unannounced Inspection 28th March 2008 10:00 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 Godden Lodge DS0000015536.V361497.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. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Godden Lodge Address 57 Hart Road Thundersley Benfleet Essex SS7 3GL 01268 792227 01268 565474 warnersu@bupa.com www.bupa.com BUPA Care Homes (CFHCare) Ltd 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) Mrs Sunita Warner Care Home 120 Category(ies) of Dementia (60), Dementia - over 65 years of age registration, with number (60), Old age, not falling within any other of places category (120), Physical disability (10), Terminally ill (10) Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. People who have a diagnosed physical disability to be nursed on Cedars House only. People who have a diagnosed Terminal Illness to be nursed on Cephas House only and be aged over 40 years. People who have a diagnosis of Dementia to be nursed on Boyce and Murelle House only. 17th October 2006 Date of last inspection Brief Description of the Service: Godden Lodge provides nursing and personal care for up to a maximum of one hundred and twenty people. The home is situated in Thundersley close to local shops and bus routes. Accommodation is provided within four separate houses and residents have single bedrooms and access to communal lounge/ dining rooms and separate garden spaces. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a routine unannounced Key inspection. As part of the inspection process twelve ‘ Have your say about..’ service users questionnaires were posted to the home prior to the inspection visit and twelve people responded. In addition residents living at the home and their relatives were spoken with during the inspection visit. The comments and views of residents and those people who responded to questionnaires have been used in conjunction with the findings of the inspection visit so as to make a judgement about the level of services provided by the home and have been included throughout the report. Records including assessments, care plans, daily care notes, and medication records and risk assessment documents in respect of people living at the home were examined. Residents and relatives were spoken with during the inspection A number of staff and the manager were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out. Key standards as identified in the intended outcomes sections of this report are inspected at each key inspection. Key standards are identified for each section of the report. Where other standards have not been assessed these will have been assessed at previous inspections. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk. What the service does well: Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 6 Godden Lodge provides a safe, clean and comfortable home for the people who live there. The home is well managed and residents and their families are consulted regularly about their views about the way the home is run. People are provided with information about the home and staff carry out a detailed assessment of their needs before they are offered a place in the home. Once a person moves into the home a detailed plan of care is developed in respect of the care and treatment for the individual. Risks to a person’s health and safety are identified and a plan is developed to minimise these risks. Residents have access to medical and healthcare treatments as required. Residents are provided with opportunities for socialising and keeping themselves occupied. Residents are so far as possible supported to spend their time as they choose. Visitors to the home are welcomed and relatives are kept informed of any changes to a resident’s condition. Meals at the home are planned so as to be nutritionally balanced and appetising. Complaints are received and dealt with in accordance with the home’s policy. People feel that their concerns are taken seriously. Staff are recruited consistently, trained and supported to enable to them to provide care and support to residents. What has improved since the last inspection? What they could do better: Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 7 The staffing levels on Cephas house should be reviewed so as to ensure that residents’ needs are met. Information about the arrangements for residents’ bank accounts and how they can access their money should be clearly recorded and available. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Godden Lodge DS0000015536.V361497.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 Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with sufficient information about Godden Lodge and have their needs assessed to enable them to decide if they would like to move in. EVIDENCE: From the AQAA we were told that there is a comprehensive system for assessing prospective residents’ needs and that relatives are invited to view the home. All of the residents who completed surveys said that they had received enough information about the home to be able to decide if it would be suitable for them. The majority of residents move into Godden Lodge from hospital and it is not possible for them to visit the home. Instead relatives generally visit the home and make the decision on behalf of residents. Relatives who were spoken with during the inspection said that they had visited the home before the person was admitted. One person said that they Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 10 ‘liked the atmosphere and feel of the home.’ another relative said that ‘staff had made them feel very welcome and they knew that their loved one would be happy in the home.’ One person said that they had chosen the home on the basis of the good reputation and another person said that they had read the last inspection report when making their decision. The assessment documents were sampled for a number of people who had been admitted most recently onto Cephas, Murrelle and Boyce houses. The manager had carried out an assessment before the person was admitted to the home. Assessments were very detailed in respect of each individual’s nursing and care needs. Once the person moved into the home the information was reviewed by staff on the relevant house and amended where necessary. All residents and relatives who were spoken with during the day of the inspection felt that Godden Lodge could meet the resident’s needs. Godden Lodge does not provide intermediate or rehabilitative care. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Godden Lodge receive care and support in line with their needs and risks to their health and welfare are monitored and minimised. EVIDENCE: From the AQAA we were informed that each resident has a detailed care plan. We were also told that residents have access to general practitioner or other healthcare professionals and that risks to each person’s health and welfare are minimised. People who completed surveys and who spoke with the inspector made very positive comments about the care and support provided by staff. One person said that residents are ‘well groomed, well fed and well cared for and that staff keep them informed if anything happens to residents such as falls or accidents’ Another relative said that their loved one ‘was very well looked after since he moved into the home.’ Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 12 Care plans were assessed on Cephas, Boyce and Murrelle. Information about residents’ needs was very well written and there was evidence that where possible residents or their relatives had been involved in developing the plan. Care plans were reviewed and updated each month or more often if needed. This helps to ensure that accurate information is available to enable staff to provide individualised care for residents. Relative’s views and expectations were recorded in a number of care plans. There is a consistent system in place for assessing and minimising the risks to the health and safety of people living in the home. Each resident has a plan for assessing risks including risks associated with poor mobility, poor appetite and risk of falls. From these assessments a plan to minimise risks is developed. In addition there is a system for monitoring falls and accidents, incidents of pressure sores. This enables the manager to identify any trends so that further work may be done to protect residents. When people move into the home they are assessed to determine whether they would be capable of safely retaining and administering their own medicines. However the majority of people are dependent on staff for their medicines. Records in respect of medicine administration were sampled. Records were well maintained and staff regularly monitor practices to ensure that records are signed and that residents receive the medicines as prescribed for them. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in Godden Lodge are supported so that they can so far as possible live their lives, as they would wish. EVIDENCE: From the AQAA we were told that residents that all residents are given a choice in their routines of daily living and that is documented in their plan. We were told that there is an activities programme, which is tailored to the needs of residents. We were also told that residents have a choice of what and when they eat. Relatives who were spoken with during the inspection confirmed this. Relatives said they were welcomed into the home and offered refreshments. All of the residents who completed surveys said that there are activities arranged that they could take part in. Activities are planned on a weekly basis and are displayed throughout the home. Dedicated activities co-ordinators are employed in the home to plan and deliver a programme of activities including games, parties and outings to Southend on Sea and pub meals. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 14 Residents were offered the choice about how they wished to spend their time and the activities coordinators regularly speak with residents so as to help enable them to provide activities, which they will enjoy and record this in the individuals care plans. Some activities are provided during some evenings and some weekends. Residents who were spoken with said that there were activities available, which they enjoyed. Some residents said that they go to other houses on occasions for activities if they choose to. People who completed surveys said that the needs of different people are met regarding issues such as race, age, sex and faith. Two relatives who spoke with us commented on how the staff cater for the individual needs of residents. There are opportunities for residents to attend religious services according to their faith. A number of residents said that they were ‘very happy’ in the home. Throughout the inspection staff were observed to ask residents what they would like to do. At the last inspection inspectors observed the interaction between staff and residents who have dementia using a specifically designed observation tool called the Short Observational Framework for Inspection (SOFI). This allowed inspectors to gauge how staff interact and the impact this had on the mood of residents. I was positive to note that following on from this that staff had devised their own assessment tool which they used to monitor and improve how they engage with people who have poor recognition and memory skills. Residents who were spoken with and who completed surveys said that they generally enjoy meals provided. BUPA have introduced a menu master system so as to ensure that meals meet the nutritional needs of residents. Residents weight is monitored regularly and a number of people who had lost weight while in hospital had gained weight once they moved into the home. Some people made very positive comments about the food. One person said that the food is ‘excellent’. During the inspection the serving of meals was observed on Murrelle and Cedars house. Residents were offered a choice of meal and had the opportunity to have an alternative choice if they had changed their mind about what they had ordered. Meals were served in an unhurried way and staff were available to support residents according to their needs. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems, including policies and procedures and robust recruitment practices, help to safeguard people living in the home and assure them that complaints are taken seriously. EVIDENCE: From the AQAA we were informed that all complaints would be dealt with in accordance with the homes policy and procedure. We were told that there had been 18 complaints received within the past 12 months. Of the complaints received 98 had been dealt with and resolved within 28 days. Seven of the 18 complaints had been upheld. The complaints policy and procedure is displayed prominently throughout the home. All of the residents and relatives who completed surveys and who spoke with the inspector confirmed that they knew who to speak to if they were unhappy or needed to make a complaint. People who spoke with the inspector said that they would usually raise any issues with the manager and feel confident that these would be resolved. None of the people who were spoken with said that they had ever had cause to complain. Staff who were spoken with during the inspection could demonstrate that they knew what action to take if they witnessed or suspected any ill treatment of residents. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 16 From the staff training matrix it was noted that all nursing and care staff had received safeguarding training. One person whose relative was living on Murrelle house said that staff were very calm when dealing with residents who were aggressive. All of the residents and relatives who were spoken with during the inspection commented as to how caring staff were when dealing with residents. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Godden Lodge provides a safe, comfortable and well-maintained home for residents. EVIDENCE: Godden Lodge is a purpose built home which provides accommodation in four houses. The premises are homely in nature and communal space is provided in the form of lounge / dining room. Residents are accommodated in single bedrooms. Equipment such as lifting hoists and bathing hoists are available in sufficient numbers for the needs of residents. This equipment is tested, maintained and renewed as required. There is a programme for renewal and redecoration for the home. As rooms become vacant they are redecorated. Communal areas are redecorated Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 18 periodically. People who completed surveys and those who were spoken with during the inspection visit commented that the home was clean and homely. Furniture including chairs and dining room furniture is renewed as needed. A dedicated team of cleaning staff is employed. A brief tour of each of the four houses was carried out. Communal areas and bedrooms, which were viewed, were all noted to be clean and free from unpleasant odours. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Godden Lodge are cared for and supported by staff who are recruited robustly, trained and supervised. This helps assure residents that their needs will be met. EVIDENCE: The duty rotas were seen on each of the four houses. These evidenced that staff have appropriate off duty time and they do not work excessive hours. With the exception of Cephas house relatives, staff and residents who were spoken with said that they felt there were enough staff on duty to meet residents’ needs. Staff, residents and relatives on Cephas house felt that there are not always enough staff available to meet residents’ needs. The staffing levels on this unit had been reduced due to the number of empty beds. The manager said that he was aware of the needs to increase staffing levels on Cephas and this was being hindered by the time it was taking for checks such as CRB and PoVA First to clear for staff who are waiting to commence work at the home. Seven members of staff who were spoken with during the course of the inspection said that they felt supported and a number of staff said that they really enjoyed working at the home. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 20 During the inspection staff on all four units were observed to spend time chatting with residents and there was a warm and welcoming atmosphere on each of the units. Residents and relatives who completed surveys and who spoke with the inspector made positive comments about staff. One person said that ‘staff are wonderfully supportive and take a genuine interest in residents and relatives’. Another person commented that ‘the home is very good and staff are always delightful. and that the care is excellent.’ Another relative commented that staff ‘show a thoroughly professional commitment to residents.’ The recruitment files for three people who had commenced work at the home since the last inspection were examined. There was evidence that for each person that rigorous checks had been undertaken so as to determine that the person would be suited to working in the home. References had been obtained from previous employers and satisfactory Criminal Records Bureau (CRB) disclosures had been undertaken. In addition a senior member of staff had interviewed each person so as to determine if they would be suitable to work in the home. Upon commencing work at the home all staff had undertaken a period of induction, which included supervised practice and training in moving and handling, health and safety, safeguarding people from abuse etc. Care staff complete a workbook based upon the skills for care induction. A training matrix was provided by the manager and this evidenced the wide ranging training programme for staff which includes core training such as health and safety, safe moving and handling, fire safety and safeguarding. In addition staff undertake training including providing activities for residents, managing aggression, palliative care and medication training. Each of the relatives who completed surveys said that staff have the right skills and experience to look after people properly. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Godden Lodge is managed in an open and positive manner. EVIDENCE: Godden Lodge is generally well managed. The results of recent resident and relative satisfaction surveys carried out by BUPA show that 84 of relatives and 85 of residents who participated were happy with the home. The operations manager has recently started to carry out regular quality and compliance audits. This includes regular checks for auditing medication, health and safety, recruitment and training practices within the home. Records reflect the positive findings as described within this report. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 22 Residents, relatives and staff all made very positive comments about the home’s manager and people feel that any issues raised will be resolved. BUPA’s operations manager visits the home regularly to carry out assessments of the home in accordance with Regulation 26 of the Care Homes Regulations and reports in respect of these visits are sent to the Commission each month. People living at the home have the opportunity to have their money banked in an interest bearing bank account. Residents who chose to do this do not have an individual account, however the rate of interest applied to their account is calculated in proportion to their account balance. Residents do not have access to money at weekends or evenings. The homes administrator said that this has never been an issue. There was evidence that staff receive regular supervision so as to monitor and maintain quality in staff practice. Staff spoken with confirmed that they receive regular supervision and support. Maintenance personnel are employed so as to ensure that the repairs and maintenance including decorating are carried out as needed. Records are maintained which evidence that electrical, gas, fire and mechanical systems and equipment are kept in good order. Throughout the inspection there were no health and safety issues in respect of premises or equipment noted. Records and certificates in respect of the maintenance, repair and renewal of systems and equipment in the home were examined. These were organised, up to date and evidenced that all equipment including fire safety, gas and electrical installations were maintained in good working order. We were told in the AQAA that regular Health and Safety meetings are held and the home has the back up of the organisations policies, procedures and a team of staff within BUPA’s Quality and Compliance Directorate. Incidents of pressure sore development and accidents / injuries to residents are monitored so as to identify any trends and to make plans to minimise these. Records are well maintained Godden Lodge DS0000015536.V361497.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 3 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 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 X X 3 Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 24 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 OP27 Regulation 18 Requirement Staffing levels must be reviewed and staff must be employed in sufficient numbers to meet the assessed needs of residents. This refers to the staffing levels on Cephas House. Timescale for action 30/04/08 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 OP35 Good Practice Recommendations The arrangements for resident’s access to monies held for them by the home should be clear and included within the service users guide. Godden Lodge DS0000015536.V361497.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Godden Lodge DS0000015536.V361497.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. 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