CARE HOMES FOR OLDER PEOPLE
Haven Lea Shaw Lane Prescott Merseyside Postcode Lead Inspector
Joanne Revie Unannounced 12th May 2005 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 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. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Haven Lea Care Home Address Shaw Lane Prescot Knowsley L35 5BS 0151 430 8434 0151 430 8434 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) York Valley Limited Mrs Ena Hampton Care Home 30 Category(ies) of Old Age (30) registration, with number of places Physical Disability over 65 (30) Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Service users to include up to 30 (OP) and up to 30 (PD(E)) Date of last inspection 09/09/04 Brief Description of the Service: Haven Lea is a purpopse built home which provides personal care to thirty Residents who are of retirement age. Acommodation is arranged on two floors. It has a lounge and separate dining room and is set in established gardens. The home is situated close to Whiston Hosptal so it can be easily reached by road. The home is owned by a private company called York Valley Ltd. The majority of bedrooms within the home are single occupancy rooms. Some double rooms are available but these tend to be let as large single bedrooms. The bedrooms do not have ensuite facilities. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The visit took place over six and a half hours and was carried out as an unannounced inspection. Requirements were issued following the last inspection, which occurred in September 04. Compliance with these requirements was checked during this visit. The inspection focused on key national minimum standards for Older Persons. Not all standards were inspected during this visit. Those outstanding will be assessed during another visit later this year (before April 31st 2006) What the service does well:
A good standard of care is delivered from a caring staff team who are quick to respond to changes in the Residents needs. All residents spoken with praised the staff for their ” patience and kindness”. Relatives and representatives feel involved in their loved ones care which reassures them that their needs are being met. One relative made comments such as “they always let me know if mum is having an off day”. It was also stated by a relative that because they were involved it made them feel as though “the staff have nothing to hide” The staff team are long established and consistently staff the home. Staff feel valued by the Manager, and as a consequence agency staff are seldom used. This means that care is given to Residents by staff members who know them well. Staff are provided in sufficient numbers to be able to meet the needs of the Residents. Many of the staff spoken with hold a NVQ care qualification at either level 2 or Level 3, which means that they are trained to carry out care practices. Relatives, Staff and Residents commented positively about the Manager saying “ she’s always got time for me”(resident), “ She’s always approachable” (Staff) and “ nothings too much trouble”(relative). Residents are encouraged to make choices on a day-to-day basis, such as choices of rising and retiring times, choice of food etc. The home is kept clean and tidy. Relatives commented that its always clean”` no matter what time you visit” Positive comments were made by Resident’s, Staff and Relatives regarding the standard of home cooked food, which is provided. Residents confirmed that
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 6 they could choose what they would like and that if they prefer some thing different, which hasn’t been offered, staff are willing to try and oblige. Residents are encouraged to make their bedrooms “ feel like home”. Contracts have been developed with outside firms to ensure that systems such as Fire Alarms, Nurse Call bells, Emergency Lighting and the passenger lift are regularly maintained. What has improved since the last inspection? What they could do better:
An activities programme has been implemented since the last visit although it was identified that this requires further development. Residents and relatives do not feel that enough is on offer. The manager has arranged residents and relatives meetings when this matter should be thoroughly discussed with all parties then and monitored at future meetings.
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 7 The service is exploring the possibility of purchasing a minibus so that residents can enjoy trips out. Effort must be made by staff to make sure the residents to go out more now. This was the main concern raised by both relatives and residents. Residents receive home cooked food on a daily basis, however no records were available which showed that forward planning of meals had occurred. This should be considered as it could provide Residents with the opportunity to have dishes of their choice included and planned for rather than choices that are available within the home. Many areas of the home have been redecorated since the last inspection except for the communal corridors. Quotes have been obtained to carry out this work and the Manager should follow through her intention to ensure this work is done. An established garden exists which was neat and tidy and Residents have access to a veranda, which overlooks the garden.Unfortunately items, such as equipment that was broken or no longer required, had been placed here for disposal, The Manager should ensure that these items are removed . The Manager is new to post and needs to obtain a management qualification. . and familiarise herself with current legislation. Staff training has been an outstanding issue for some time, even though the Manager has implemented systems to address this, time needs to be spent developing Induction training for new staff. This will mean that new staff will have received an acceptable level of training before giving care to residents. The Manager should research the local area for support with this as many local authorities/colleges are providing support and funding on this subject. All staff should also be given a copy of the Code of Conduct, which is supplied, from the General Social Care Council. Staff confirmed that some training in key areas has already been given to them, however more dates need to be arranged so that all subjects have been covered. Once the programme of training has been completed the Manager should ensure that refresher training is provided before timescales lapse so that all staff at all times have had up to date training. All care homes require a manager that is registered with the Commission.A completed application and fee must be sent to the Commission. The named responsible person who acts on behalf of the company, Dr Hany is not fulfilling the obligations placed upon him by the Care Standards Act 2000 and the Care Standards Regulations 2001.This is a serious matter. If the responsible individual has changed, then application must be made to the Commission as a matter of urgency.
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 8 Accident records were reviewed. Advice was given regarding the recording of accidents. The form in use had limited space and there was no evidence that a senior manager was taking any action once the accident had occurred. This must be rectified to prove that action is being taken to reduce the risk of further accidents happening. The gas boiler was serviced four weeks prior to the inspection. The certificate to confirm that this had occurred was not available at the home. The manager must ensure that a copy of this is forwarded to CSCI.This will prove that the boiler is in a good state of repair. 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. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 9 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 Standards Statutory Requirements Identified During the Inspection Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 10 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 standard(s) NA Not applicable EVIDENCE: No standards were assessed from this section on this occasion. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8,10 A good standard of Care is delivered from a caring staff team who are quick to respond to changes in the Residents needs. Relatives and representatives feel involved in their loved ones care which reassures them that the residents needs are being met. Staff are respectful to residents at all times. EVIDENCE: A training consultant had developed new documentation in the form of Care plans and risk assessments. This had been developed to meet a requirement, which was made following the last inspection. It was made so that Residents would be receiving care and support that was in line with the National Minimum Standards. On the day of the visit the Deputy Manager had completed one care plan for one resident as an example for staff to follow. Staff stated that a meeting had been held to discuss this with them all so that they could familiarise them selves with this new documentation. The Manager
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 12 advised that the new format would be implemented in the near future and recognised that this must be addressed in order to fully meet this standard. The new care plan document is very clear and if completed correctly will give a thorough overview of the residents needs to staff who are delivering care. The documentation, which had been used prior to the new format, was also viewed. During discussions both Residents and Relatives confirmed that staff respond quickly to changes in the Residents health. Relatives commented that they were “very quick to get the doctor out”, with another stating that “they always let me know if mums having an off day” Viewing documentation confirmed that these statements were correct. Staff were recording wound care appropriately so that improvement or deterioration can be quickly detected and responded to. A chiropodist visits the home six to eight weekly and an Optician visits every twelve months. Residents also have access to a dentist. Discussions were held with four relatives and six residents. All were very complimentary about the standard of care delivered by the staff and all confirmed that they believed that the residents privacy and dignity were respected. Comments were made such as “ they’re so patient”, and “ Mum is very well looked after”. Throughout the visit staff were seen to be respectful towards the residents. All those spoken with confirmed that this is normal practise with one relative commenting, “ staff are lovely they’re always very polite”. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents are encouraged to make choices on a day-to-day basis, which includes choices of home cooked food. Although there have been improvements in the provision of activities since the last inspection the range provided is not sufficient to meet the resident’s needs. EVIDENCE: The service has an open visiting policy. All relatives spoken with stated that they were always made to feel welcome and that” everybody is always so nice” The provision of activities was discussed with Residents, Relatives and Staff. A requirement, which was issued following the last inspection had been met, which stated that the provision of activities must be reviewed. This has been done and Staff have implemented a programme of activities. However Residents do not feel that activities occur often enough and staff feel frustrated as not many of the Residents attend. Residents have been asked to attend a meeting in the near future and it is the Managers intention to discuss activities. Relatives confirmed that they had also been invited to the meeting. Individual residents are encouraged and supported to visit family and friends outside the home with staff escorts were necessary. Staff and residents confirmed this. Usually the staff escort will accompany the Resident in a private taxi.
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 14 Residents and Relatives expressed a wish for outings to be arranged. Residents and Relatives generally agreed that it was a long time since the residents went out. One relative stated “ it’s the only thing wrong with this place”. Throughout the visit evidence of Residents being offered choices was observed e.g choice of meals etc. Residents confirmed that they chose what clothes to wear when to get up and when to go to bed. Residents were served a home cooked meal that had been prepared with fresh ingredients. Records were viewed which showed that a healthy diet is offered on a daily basis but no records were available to evidence forward planning of meals. One Resident stated that if ever she was unwell staff always offered her something light. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents have access to a complaints procedure, which is easy to understand and therefore easy to use. EVIDENCE: Documentation was viewed which showed that the service has a complaints procedure, which is written in easy to understand language. Many of the residents have copies of this in their bedrooms. Residents confirmed that they knew what the complaints procedure was and how to use it however none of them had felt the need to raise a formal complaint as any concerns they raised were quickly addressed. On the day of the visit no new concerns had been recorded at the home and no concerns had been made to the CSCI about the service. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 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 standard(s) 19,20,23,24,25,26 Residents live in a clean home, which has recently undergone extensive redecoration. Residents are encouraged to make their bedrooms “ feel like home”. EVIDENCE: All outstanding requirements in relation to these standards have been addressed. The residents’ bedrooms have been redecorated. New curtains have been purchased and fitted throughout. The Dining room, which is separate to the lounge, has also been redecorated. Quotes have been obtained for the redecoration of the corridors. The garden area of the home was well maintained however unused equipment and some furniture was being stored on the veranda, which looked unsightly. Pictures and personal effects have been put into areas such as bathrooms and corridors, which helps to promote a homely atmosphere. Residents confirmed
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 17 that they are encouraged to personalise their rooms and on the day of the visit one resident was returning home to gather belongings to enable him to do this. Furnishings viewed were of a good standard. A variety of floorings are available in each of the bedrooms and the Manager should ensure that Residents are informed of this prior to moving into the home so that those who wish either carpet or hard flooring can make a choice. Since the last inspection the trees, which surround the home, have been attended to which allowed more daylight to come into those bedrooms, which were closest. All areas viewed inside the home appeared `clean and tidy. Three residents and one relative commented positively on the cleanliness of the home with one relative stating” its always very clean no matter what time you visit” Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,and 30 The home employs a dedicated staff team in sufficient numbers to meet the needs of the residents. Most of the staff hold suitable qualifications in care. However, induction training for new staff is not up to date. EVIDENCE: Viewing documentation and holding discussions with Staff, Residents and Relatives confirmed that an established team consistently staffs the home. It was commented, “Agency staff are rarely used as staff are very reliable and cover for one another when needed”. Residents believe staff are provided in sufficient numbers to be able to undertake their duties and meet the needs of the Residents. Staff also held this view. Viewing staff files confirmed that the home operates a safe recruitment procedure and that a request for police clearance checks from the criminal records bureau is undertaken before a new staff member is employed. The Manager had recently been given information from another organisation regarding police clearance checks, which conflicts with the most recent guidance. This was discussed during the visit. Once staff begin employment they undertake a period of training to learn key aspects of their role. This is known as the induction period. This has been developed by the home. Although the induction covers duties, which are specific to the home, it does not cover all topics expected such as maintaining dignity and privacy, maintaining independence etc. Staff confirmed that all new staff have to work with a senior member until they have proved that they understand their role. The Manager must ensure that the induction period is
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 19 developed to include the subjects promoted by the National Training Organisation. During the visit discussions were held with staff and the Manager regarding staff training and qualifications. Many of the staff spoken with held a NVQ care qualification at either level 2 or Level 3 The Manager has found an outside training agency that is implementing training for staff. This has been developed since the last inspection. Topics covered include Health and Safety, Moving and handling, first aid, fire safety and awareness of dementia care. These are appropriate subjects for staff to undertake. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,38 The home is managed well and Residents, Relatives and Staff believe in the Managers abilities. The Manager needs to prove her Fitness to manage and must make an application for registration as required by the Care Standards Act 2000. This also applies to the “responsible individual “ EVIDENCE: The Manager has been employed as Manager of the service for approximately six months. Since she has come to post many of the outstanding requirements from previous inspections have been addressed. Although the Manager doesn’t hold a management qualification she is experienced in the day to day running of the home as she has been employed for many years as both a carer (since 1992) and the assistant manager (since 1998). The Manager has enrolled to undertake a qualification in management (NVQ Level 4) in the near future. This could be of benefit to the home .Relatives, Staff and Residents commented positively on the Managers ability by saying that “ she’s always got time for me”(resident), “ She’s always approachable”
Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 21 (Staff) and “ nothings too much trouble”(relative). Health and Safety was reviewed. The assistant manager has undertaken training, which will enable her to become the named Health and Safety person for the home. This means that she will take responsibility to ensure that the home provides a safe environment. Advice was given to the assistant manager on how accident records are being stored. A change in the law earlier this year has meant that these records need to be stored separately from each other. On viewing the records it was noticed that there is a limited amount of space for staff to record their findings on accident reports and there is no space for the manager to review that she has overseen the process or that she is happy with the staff members actions. Documentation from outside contractors was also viewed. This proved that systems such as fire alarms, nurse call bell, emergency lighting and the passenger lift are regularly serviced. Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3
COMPLAINTS AND PROTECTION 3 3 x x 3 x 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x 1 x x x x x x 2 Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15.(1)(2) 16.-(2)(n) Requirement The Manager must carry through her intention to ensure the new care plan format is implemented for all residents. The Manager must ensure the provison of Activities is reviewed following discussion with Residents Relatives and Staff. The Manager must ensure that outings are arranged following discussion with Residents and Relatives. The Provider must ensure either transport or funds for transport are made available for this purpose. The Manager msut ensure that a copy of the services complaints procedure is added to the Statement of Purpose The Manager must ensure that the induction period is developed to include the subjects promoted by the National Training Organisation. The Manager must ensure that the intention for training to be delivered to all staff is carried through. The Manager must develop a training plan so that staff receive regular updates rather than Timescale for action 31 July 2005 31st July 2005 30th June 2005 2. OP12 3. OP13 16.(2)(m) 4. OP16 4.-(1)(c ) 30th June 2005 31st July 2005 5. OP29 18.- (c )(i) 6. OP30 18.-(1) ( c)(i)(ii) 18.-(1)(c ) 31st August 2005 31st August 2005
Page 24 7. OP30 Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 8. OP31 9.-(1) (2) 9. OP38 12.-(1)(a) 10. OP38 13.-(4)(a) 11. OP31 7.-(1)(b)( c)(3)(a)(b )( c) (i)(ii)(iii) allowing timescales to expire before refresher training is provided. The Manager must ensure that a completed application form for the post of Registered Manager is forewarded to the Local CSCI Office The Manager must ensure the accident form is adapted to provide further space for staff to record findings and to include a section which shows that management are reviewing all accidents within the home. Once completed this information must be stored confidentially. The manager must ensure that a copy of the certificate which proves that the Gas Boiler has been serviced is forwarded to the local CSCI office once it is available The existing responsible indivdual must ensure the proposed new responsible individual completes an application form and that this is forwarded to the Commision without further. 30th June 2005 31st July 2005 31st July 2005 31st July 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 OP15 OP19 Good Practice Recommendations The Manager should carry through her intention to amalgamate both styles of plan which will enable an individual care plan to be produced for each resident. The Manager should consider the provison of weekly menus to aid planning and to encourage Residents to be further involved in choice. The Manager should carry through her intention to ensure that the redecorating of the corridors is undertaken.
F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 25 Haven Lea 4. 5. 6. OP19 OP24 OP29 7. 8. OP29 OP31 The Manager should ensure she follow up her request to have items no longer required by the home disposed of rather than them being stored on the veranda. the Manager should ensure that Residents are informed of the variety of flooring in the bedrooms prior to moving into the home. This will enable Residents to make a choice. The Manager should familiarise herself with up to date guidance on police clearance checks to ensure that the service only employs staff who are suitable to care for elderly people. The Manager should ensure all staff recieve a copy of the Code of Conduct which is supplied from the General Social Care Council. The Manager should follow through her intention to undertake the Level 4 NVQ in Management qualification Haven Lea F53 F03 S21472 Haven Lea V228312 150605 Stage 2.doc Version 1.30 Page 26 Commission for Social Care Inspection 2nd Floor Burlington House Crosby Road North Waterloo L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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