Inspection on 29/08/07 for Gwendoline House

This inspection was carried out on 29th August 2007.

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

Gwendoline House 09/02/07

Gwendoline House 28/02/06

Gwendoline House 10/12/05

Gwendoline House 31/05/05

Gwendoline House 14/06/04

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

CARE HOMES FOR OLDER PEOPLE Gwendoline House 17-19 Pleasant Road Staple Hill South Glos BS16 5JN Lead Inspector Odette Coveney Key Unannounced Inspection 09:30 29th August 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 Gwendoline House DS0000003325.V340820.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. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gwendoline House Address 17-19 Pleasant Road Staple Hill South Glos BS16 5JN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0117 9571957 F/P 0117 9571957 Mr Philip Frederick Moss Mrs Moira Ann Moss Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 16 persons aged 65 years and over requiring personal care only 9th February 2007 Date of last inspection Brief Description of the Service: Gwendoline House is a privately owned care home for older people situated in Staple Hill, a residential area of Bristol. It is close to local shops and a bus route. Gwendoline House is a detached property with three floors. The proprietor, Mr Moss, lives and works full time at the home, taking overall responsibility. He concentrates his time mainly on cooking and some paperwork tasks. Mrs Moss is the registered manager and is significantly supported by the senior member of staff, Marian Vargheese, who oversees the main management of care to the service users. The property has been extended to provide space for sixteen service users. The communal areas comprise a lounge, dining room and conservatory. All bedrooms are single occupancy and thirteen have en-suite facilities. In addition there are three toilets, two shower rooms and a bathroom. There is a secluded courtyard garden with seating, potted plants and a water feature. There continues to be a warm and cheerful atmosphere in the home and activities are organised on a regular basis. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key standard site visit, it was carried out in one day over a 7-hour period by one inspector for the Commission. This inspection was very positive and overall a judgement of good was made. The purpose of the visit was to establish if the home is meeting the National Minimum Standards and the requirements of the Care Standards Act 2000 and to review the quality of the care provision for the individual’s living in the home. Prior to the site visit the Commission received from the Matron a completed an annual quality assurance assessment (AQAA). The annual quality assurance assessment is a new process that is being used for all regulated services from April 2007. An opportunity was taken to view the home and a number of the records relating to the management of the home and plans of care for three individuals were reviewed. The registration certificate for the home was reviewed at this site visit. 15 comment cards were received prior to the site visit, 7 of these were from relatives of those who live at the home, 7 were from individual’s who live at the home, the other comment card was from visiting health/social care professional who visits individuals at the home. Comments made were reviewed during the visit and these, maintaining individual’s confidentiality, were shared with the registered matron and Mr Moss and have been incorporated within this inspection report. What the service does well: During this site visit the inspector had the opportunity to speak with five relatives of individuals living at the home and ten residents in communal areas, time was also spent with two individuals with high support needs in their rooms. All spoken with demonstrated high levels of satisfaction with the services provided at the home, comments made are incorporated within this report. Examples of comments made included: ‘I love it here’, ‘The staff are the best!’ ‘Mr Moss is a great cook and the food here is wonderful’, ‘nothing is too much trouble’, this is my home’. There are ongoing training courses that are attended in order to enable staff to meet individual residents needs and ensure residents are protected from harm and abuse. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 6 A stringent recruitment procedure is followed to ensure that appropriate staff are employed at the home. The home is adequately staffed to include care and domestic staff. Aids and equipment are provided in sufficient quantity to assist care staff in meeting the needs of residents. A comment card received from a doctor who supports residents living at Gwendoline House, prior to the site visit recorded that Gwendoline House is a ‘Well run home and an excellent matron!’ The home is well managed and is run in the best interests of the residents. The management at the home monitors the quality of the care and there are sound systems in place to underpin this. What has improved since the last inspection? What they could do better: This was a very positive visit to the home and only one requirement and one recommendation were made. In order that residents can feel confident that staff have clear information to support them safely it is required that manual handling assessments must contain full information of staff action/support and it was recommended that a review of residents care files be undertaken in order that ‘historical’ information could be filed/stored elseware Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 7 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. Gwendoline House DS0000003325.V340820.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 Gwendoline House DS0000003325.V340820.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): 1, 2, 3, 4, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is comprehensive information describing the service available to individuals living at Gwendoline House. Individual’s needs are assessed prior to admission and these are kept under review EVIDENCE: The home has a comprehensive statement of purpose in place at the home, at the time of the site visit this document was under review and was being amended slightly. The information within this document was comprehensive and contain clear information for residents and their relatives about the services and facilities provided at the home and furthermore contained information about the staff arrangements at the home, information about the admissions process into the home and how to raise issues of concern and how these would be responded to. There is a clear process to ensure that the service is able to meet the assessed care needs of prospective people moving to the home. There is an admission Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 10 procedure, which is included in the statement of purpose and full assessments of needs were undertaken. It was noted at the last site visit that some amendments were needed to resident’s terms and conditions of their placement, it was recommended that these documents be reviewed and updated on an annual basis. The inspector saw that a system has been set up at the home a record of when documents are amended and when new contracts are issued, these corresponded with correspondence seen at the home. Intermediate care is not provided at this home. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual’s personal and health care needs are being met. Individuals are protected by the home’s medication practices and procedures EVIDENCE: Three care files reviewed during this site visit showed evidence of preadmission assessments to enable staff to develop personalised care plans of residents and record how the needs were to be met. Care plans seen were detailed and explicit and the daily report contained entries of what, when and how care was provided. Information recorded on care documentation corresponded with information given from residents, staff and relatives about the level and individualised levels of support that residents received. It was clear that support provided was flexible and tailored to individuals identified and requested support needs. It was noted within care records that there was a great deal of information within care files, with some information now not being relevant, it was recommended that a review of residents care files be undertaken in order that ‘historical’ information could be filed/stored elseware. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 12 Residents spoken with stated that staff supported and assisted them with personal care and that they were treated with dignity and respect and kindness. It was very evident from talking with staff and the individuals living in the home that people receiving a care service can choose when to get up and retire to bed. Each person had their one recorded daily routines. A recommendation was made that individual’s daily routines to be reviewed and updated where required, a review of these during this visit found this had been done and records were well written. Comment cards received prior to the visit to the home from relatives stated: ‘We have been very happy with the care our relative receives’, ‘a caring and homely environment’, ‘The care home treats all relatives with consideration and due respect’ ‘we are always kept well informed of important issues affecting our relative, Marion (the matron) visited our mother on many occasions whilst she was unwell in hospital’. In response to the question in comment cards sent to relative, which was; ‘what do you feel the care home does well?’ Many favourable comments were recorded, one also recorded ‘the home gives residents their independence, while keeping them safe, I visit the home regularly and residents are always chatty and happy, I am extremely happy with the care and attention my relative receives’. Care documentation provided clear information to staff to inform and guide their practice, the records provide information to show that individual’s are supported in their life in the manner they require and prefer. Individuals confirmed that they were supported to purchase their clothes and toiletries. A survey completed by the GP stated that they could always see the individuals in private and the home is meeting the health care needs of the individuals. A professional survey returned stated “ the staff communicate effectively” and one state. The survey stated that the home maintains good contact with them in relation to the individuals living at Gwendoline House and acts upon advice that is given to them. Due to a lack of clarity at the last site visit it was recommended that clear guidance to be produced for staff in respect of medication to be given ‘as and when’ prescribed. This had been implemented with clear guidance for staff. Medication held in the home was stored appropriately and the documentation was up to date and in good order. A recommendation was made at the last site visit that the home should seek and record the wishes of individuals in the event of their death a review of care documentation at this visit found that this sensitive information had been gathered. Gwendoline House DS0000003325.V340820.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. Residents are enabled to maintain contact with families, friends and local communities. Choices provided to residents in respect of meals and mealtimes. The home provides residents with structured and meaningful activities and they are able to choose whether they wish to participate or not. EVIDENCE: Discussion with residents and staff evidenced that the home supports residents to maintain contact with friends and family and the local community. One resident spoken with stated, “My daughter visits when she can and my family comes to see me regularly and are always made welcome by the staff”. Residents spoken with confirmed that they have a choice of when to get up and retire. One resident stated, “The staff are so good at making you feel at home”. During lunch residents were seen enjoying their meal in the dining room and lounges, as per their choice, other residents were supported to have their meal in their room. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 14 Residents told the inspector they enjoyed the entertainment provided at the home and in particular enjoyed it when the piano was played and ‘sing-along’ were held. Residents confirmed they are able to participate, or not, in activities as per their choice. Residents were seen enjoying a daily newspaper, local news and magazines had been delivered. Residents were seen listening to music of their choice, knitting and enjoying conversations with each other. Gwendoline House DS0000003325.V340820.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. There are sound and robust complaints and adult protection protocols in place. EVIDENCE: There is a copy of the South Gloucestershire Council policy on The Protection of Vulnerable Adults from Abuse at the Home to ensure that the Home is aware of the protocol to be followed if incidences of abuse occur. The complaints policy and procedure shows a clear timeline and action to be taken in event of a complaint. It also directs the complainant to the CSCI and South Gloucestershire Social Services. A copy is made available to residents and relatives should they request it. The Commission has received no complaints since the last site visit to the home. All of the comment cards received from service users prior to the site visit recorded that they all knew who to speak with if they wanted to make a complaint; individuals said they would speak with the matron, staff or a family member. No concerns were raised to the inspector during this site visit. Records of recently employed staff members were viewed and contained personal information and record of identity. Other information seen included, record of previous employment, and satisfactory Criminal Record Bureau disclosures. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 16 One of the staff members was asked about their understanding of what constitutes abuse and what their responsibilities in this area would be; the staff member told the inspector of the protection of vulnerable adults training they had undertaken, ensuring the rights of the resident were upheld, not making judgements and the importance of reporting and recording. This staff member demonstrated a sound understanding of this subject and linked it into their knowledge obtained whilst undertaking a NVQ, National Vocational Qualification in care practice. Gwendoline House DS0000003325.V340820.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, 20, 21, 22, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals live in a home that is safe and the quality of furnishings are of a high standard and suitable for the needs of residents EVIDENCE: Gwendoline House is a small residential care home, set within the residential area of Staple Hill; the home is three storeys and is detached. The home was formally two cottages. There is an enclosed rear garden, which resident’s enjoy. There are adaptations in place throughout the Home and specialist equipment including mobility aids, sensory aids, a stair lift and bathing aids. There is a spacious dining area and a comfortable lounge area with a small sun lounge. Individuals were observed sitting in the lounge, the small sun lounge and going into their rooms, looking very relaxed and comfortable in their environment. The whole home is extremely ‘homely’ with lots of soft furnishings such as Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 18 plants, ornaments, footstalls and pictures and photographs all enhancing the areas within the home. The home has sufficient bathroom areas for individuals with both shower and bathing facilities in place. Due to odour noticed at the last site visit, which was undertaken in February 2007, a requirement was made that the home must eliminate the source of odour in an individual’s room, there were no odours present during this site visit. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from clarity of staff roles and staff who are trained and recruited in line with the home’s policies and procedures. EVIDENCE: There is a well- established staff team at Gwendoline House. During the visit staff were able to demonstrate a clear understanding and knowledge of the individuals who use the service, and of their role in the home. On the day of the site visit there were sufficient numbers of staff on duty with flexible working by staff in order to meet individual’s needs and aspirations. Staffing provision appeared to be consistent with levels and skills needed due to assessed care needs of the individual’s. The staff team have a varied range of knowledge and skills, they were observed by the inspector to be good listeners, effective communicators and were interested and motivated in meeting the needs of those living at the home. A comment card received prior to the site visit, which had been completed by a relative of a service user, recorded that ‘all staff appear to be caring and considerate’. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 20 Morale is high within this home and staff spoke positively about their role and the work they do and were able to give a number of examples of areas within their role which gave them job satisfaction such as one to one time with individuals, supporting residents in they way they prefer and building relationships based on trust. Mr Moss said that he valued his staff and that they were an asset to the home. Staff files were viewed and all of the required documentation was in place in respect of recruitment and selection practices and it was found that these were robust. Records of formalised one to one supervision support sessions were seen, these evidence that staff are given appropriate information and advise and are supported by the matron within their role. Following a review of staff training records at the last site visit to the home a requirement was made that staff must received training in manual handling and first aid. Following discussion with the matron and staff and certification seen it was evident that this training had been completed. Staff spoken with said that the training had given them additional information in order to work safely and for the benefit of residents. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home benefits from good leadership and management, its practices have offered protection to the health and safety of residents. However some improvments are needed to manaual handling assessments. The home is run in the best interests of the residents. The home is well managed ensuring that individual’s interests and rights are promoted and protected by a committed staff team EVIDENCE: Gwendoline House is privately owned and is the sole care home of the proprietor Mr Moss, Mrs Moss is the registered manager of the home and complimenting the management team it the matron Marion Vargheese. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 22 The matron has a wealth of knowledge and experience in working with and supporting and of care of older people and has management experience in developing and supporting a staff team. During the inspection Mrs Vargheese was able to demonstrate a clear understanding of the aims and objectives of the home and of her role and responsibilities for both residents and the staff team. The home has good systems for monitoring the quality of the care provided to the individuals living at Gwendoline House these included regular reviews of care plans, review meetings where the individual was involved, supervisions, staff meetings and a quality assurance tool, which encompasses the Care Homes National Minimum Standards. Prior to the site visit to the home the matron had completed an Annual Quality Assurance Assessment about the facilities and service provided at the home, this document was found to be extremely detailed, well written and an honest, and provided a clear reflection of how life is at the home. Comments cards received prior to the site visit from relatives of individuals who live at the home recorded; ‘The matron gives a sympathetic eat to everyone and the manager does and excellent job in ensuring that individuals have choices made available to them’ Staff spoken with said that they are positive that the management team are committed to ensuring the needs of service users are met, that ideas and suggestion are listened to with regular individual supervision being held for continuity of care and effective communication. There was evidence that the home ensures so far as is reasonably practicable. the health and safety of resident’s staff and visitors. The home has robust policies and procedures in relation to aspect of health and safety. The home have manual handling assessments in place and these outline information about the support needed by residents and gave an indication of their level of risk in this area however in order that residents can feel confident that staff have clear information to support them safely it is required that manual handling assessments must contain full information of staff action/support. The fire logbook was viewed and was well maintained. The home was completing the appropriate checks on the fire equipments and recording of training and testing of equipments were satisfactory. Staff has attended fire drills to ensure that they have clear knowledge of action to be taken in the event of fire emergency. Staff supervision was reviewed. Evidence from the records viewed showed that staff have received supervision. This provides the opportunity to express their opinion about the services provided at the home and to discuss areas of Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 23 concern in relation to residents’ care. Staff members spoken with said that this support was valuable to them in order to ensure clarity of their role and the expectations upon them, furthermore it ensured effective communication and continuity and consistency of service provided to residents. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 (5) Requirement Manual handling assessments must contain detail as to how staff will support residents in this area. Timescale for action 29/10/07 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 OP7 Good Practice Recommendations A review of residents files to be undertaken and historical information no longer required to be filed. Gwendoline House DS0000003325.V340820.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AP 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 Gwendoline House DS0000003325.V340820.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. 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