Inspection on 05/02/07 for Hawthorne Manor

This inspection was carried out on 5th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hawthorne Manor 06/02/06

Hawthorne Manor 15/08/05

Hawthorne Manor 29/03/05

Hawthorne Manor 23/02/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hawthorn Manor 369 Maidstone Road Gillingham Kent ME8 0HX Lead Inspector Sue McGrath Key Unannounced Inspection 5 February 2007 1.30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawthorn Manor DS0000028876.V326154.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. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawthorn Manor Address 369 Maidstone Road Gillingham Kent ME8 0HX 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) 01634 263803 Mr Richard Michael Radzik Mrs Stephaneie Jane Radzik Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To accommodate one service user under the age of 65 whose date of birth is 17/03/1943. To accommodate one service user DE(E) whose date of birth is 27/11/1919 6th February 2006 Date of last inspection Brief Description of the Service: Hawthorn Manor offers accommodation in a detached property, situated in a residential area close to local shops and on a bus route. Rainham town centre is approximately two miles away. Mr and Mrs Radzik (Proprietors) oversee the daily management and running of the home. The home is registered for 37 older people; there are 33 single bedrooms and 2 double rooms within the home. The home caters for low to medium dependency residents. The home has ample off road parking and a large pleasant rear garden and patio area. Fees are from £369 to £430. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 5th and 6th February 2007 and was conducted by Sue McGrath, regulation inspector, from The Commission for Social Care. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. Overall this was a very positive inspection with good outcomes for service users. What the service does well: The home provides a good level of care in a very well maintained and safe environment. Thorough assessments prior to admission ensure the home can meet the assessed needs of the residents. The home is mainly aimed at residents with a low to medium dependency. The residents confirmed that Hawthorn Manor is a pleasant place to live and that the staff are caring and friendly. Residents spoken to also confirmed that their individual rooms are comfortable and very pleasant. The home is very clean and tidy. The décor is of a high quality. The food is generally good and choices are offered. Visitors are made welcomed and can visit at any reasonable time. The home informs relatives of any changes in their loved ones condition. Activities are provided by the home. Residents state that the food is very good with most meals being home cooked with fresh ingredients. Drinks are freely available. Staff are well trained and competent in the roles and offer a very personal type of care. All of the residents stated how well they felt cared for. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Staff need to understand the need to write daily records at the end of each shift. The home does offer and deliver good levels of care, but these are not recorded anywhere. The home must be able to provide evidence of the care given to the residents. The management could be at risk if ever asked to confirm care activities in the home. This needs to be managed in a more proactive manner. The owners must ensure they follow their written procedures for the safe recruitment of staff and ensure all the necessary pre employment checks are completed. Regulations require the home to establish and maintain a system for evaluating the quality of the services provided by the care home. Although the owners have started investigating the optimum way to achieve this, the exercise has not yet started. This was a requirement from the last inspection and must be completed in the very near future. The requirement remains in place. Hawthorn Manor DS0000028876.V326154.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. Hawthorn Manor DS0000028876.V326154.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 Hawthorn Manor DS0000028876.V326154.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, 5,and 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 the information they need to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The statement of purpose provided sufficient information about the home to enable prospective residents and their families to make an informed choice about the home. One visitor confirmed she had received a copy when her Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 10 mother was admitted. It is recommended that the proprietor include their guidelines on dementia care for residents who develop dementia during their stay. The home is not registered for dementia care and must not admit anyone who has a diagnosis of dementia. Each resident has a contract/statement of terms and conditions with the home. This is signed by either the resident or their family. The owner confirmed they complete a comprehensive assessment of need before admitting any new residents and normally visits the prospective resident prior to admission. A completed assessment form was seen. A recent admission from out of area, where the visit was not made, is proving unsuccessful and highlights the need to follow their procedures closely. Families and residents confirm they visit the home prior to admission and this has helped them make the decision to choose the home. Relatives are happy with the level of care offered and feel their relative’s needs are being met. All of the residents spoken with felt their needs were being met and were very happy to remain in the home. The home does not offer intermediate care. Hawthorn Manor DS0000028876.V326154.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, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst the residents benefit from receiving a high level of care this is not reflected in their written care plans. Health needs are met and residents benefit from having full access to all professional health care services as required Residents welfare is protected by the home’s policy and procedures with regard to the handling and administration of medication. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Each resident has a care plan that has been drawn up with the individual resident’s involvement and gives guidelines for staff to follow and reflects the Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 12 needs of the residents. These documents normally are a good source of evidence to show that good care is being provided. Daily records, when written well, help ensure a consistent approach and good quality for residents. The records at Hawthorn Manor are inconsistent and not completed on a daily basis. There is an overview form but this is in a tick format and does not reflect the level of care that is provided. Residents, staff and families confirm that care is consistently good but this is not reflected in the daily notes. The manager must ensure these daily notes are fully completed so that the level of care offered and performed is truly reflected and evidenced. The inspector is happy that good care is taking place but records must improve. It is advised that nutritional assessment are undertaken and reviewed on a yearly basis (standard 8.9). Better recording of tissue viability is also strongly recommended (standard 8.8, 8.4 and 8.5). The same issue of poor recording is again of concern but the inspector is satisfied good tissue viability care does take place. Staff regularly review the care plans and some notes regarding GP and DN visits are recorded. All residents are registered with a local doctor and have full access to specialist medical, dental, pharmaceutical, chiropody services according to need. One family member confirmed that her sister had recently had new glasses. The administration of medication follows the guidelines laid down by The Royal Pharmaceutical Society of Great Britain. All staff that administers medication have completed an accredited course. Currently the home does not have any residents who wish to self medicate but senior staff are aware that a full risk assessment would be required if this changed. All of the residents spoken with commented on how good the staff are and how well they felt treated. Comments like ‘The staff are very good to me and I do not have any problems’ and ‘The staff are lovely and very helpful, nothing is too much bother and they are so friendly’ were made. Visitors also confirmed that staff treat the residents with respect and one visitor commented that she was very happy for Mum to be at Hawthorn Manor. Evidence seen on the day also confirms that staff interact very well with residents and are very caring. One resident stated that is just like one big happy family. Hawthorn Manor DS0000028876.V326154.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. Residents benefit from the appetising meals and balanced diet offered by the home and those service users requiring specialist diets are well catered for. EVIDENCE: Conversations with several residents confirmed they are happy with the level of activities in the home and enjoy taking part in events. The home employs an activities coordinator for one afternoon a week and staff arrange activities at other times. All said they were happy at the home. The home does have links with the local churches. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 14 Several residents commented on how lovely Christmas was at the home and how much they enjoyed the party. Some residents commented that they enjoyed the freedom of having several areas to enjoy, including the patio area outside. Residents state they feel free to make decisions about how they spent their time. Residents also confirm they can have visitors at any time and that they can go out with their relatives whenever they wished. Staff were seen being supportive and offering choices. Visitors spoken with on the day said they are always made welcome and are offered refreshments. One resident commented on well the home manages her laundry. Comments regarding the food are generally positive and many say they enjoyed the variety and the home cooking. Staff state that a choice is always given at mealtimes. Residents confirmed that they are offered three meals a day and that they can have hot or cold drinks when they wish. Supper is also provided on request. The meals seen on the day looked wholesome and were well presented. A menu board was seen. Hawthorn Manor DS0000028876.V326154.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from robust adult protection policies and procedures that ensure they are protected from abuse. The home has a clear complaints procedure and residents and relatives are aware of how to complain. Residents can be confident they will have access to postal voting if required. EVIDENCE: The home has a comprehensive complaints policy and procedure, which clearly identified timescales for responding to written complaints. The senior carer stated that all issues were taken seriously and that problems were normally dealt with informally before it becomes necessary to use the formal complaints procedure. Visitors confirm they are aware of the procedure and are happy to talk to either the senior carer or the owners. There have been no formal complaints since the last inspection. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 16 The home has adopted the revised Kent and Medway Multi Agency Adult Protection Policy, Protocols and Guidelines and staff have been trained in the protection of adults. Staff spoken with confirmed a good understanding of adult abuse and protection. All residents are registered for postal voting. Hawthorn Manor DS0000028876.V326154.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, 23, 24 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. EVIDENCE: The home is very well maintained and decorated to a very high standard. The lounges provide safe and comfortable surroundings in which to relax and enjoy. Several bedrooms were viewed and were found to be clean, comfortable and well maintained. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 18 The rear garden and patio areas are pleasant and contain a safe area for residents to enjoy. One resident says she likes watching the birds and squirrels in the patio area. The home complied with the requirements of the local fire service and the environmental health department. The furnishings throughout the home were of very good quality and domestic in nature. One visitor says she particularly likes the good quality paintings hanging on the walls. All of the rooms viewed have a call system in place and emergency lighting is provided throughout the home. As recommended in the last report the home still needs to assess the method of cleaning commodes and if necessary take advise from the Infection Control Nurse as to whether a sluice is required. (26.6). Gloves and aprons are provided for staff. During the inspection it was noted that the homes was very clean, tidy and fresh. Several residents and visitors commented that it is always like that. One visitor said her sisters room was always spotlessly clean and the bed linen always clean and fresh. The majority of radiators in the home are guarded, however a few remain unguarded. The owner is advised to complete a written risk assessment to identify that the surface temperature does not present a risk to residents. There are sufficient toilets and bathrooms. Several residents were spoken with in their rooms and all say they are happy with their rooms and they suit their needs. Another resident said she was able to bring in some ‘bits from home’ and this had helped her to settle in. Many have photograph and personal ornaments in their rooms. Hawthorn Manor DS0000028876.V326154.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 and 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 being cared for by well trained staff who have a good understanding of their needs. Residents may be at risk from lapses in the home’s recruitment procedures. EVIDENCE: Information taken from the pre inspection questionnaire and discussions with staff and residents confirm the home has sufficient staff to meet the needs of the current service users. The home employs seventeen staff, eleven of whom have gained a National Vocational Qualification (NVQ) to level two or above (65 ). Five other staff are currently completing their award. Other training courses include an accredited safe administration of medication, first aid, moving and handling, infection control and adult abuse and protection. Several staff commented that the training offered to them is good. Recruitment procedures are normally robust, however during this inspection it was noted that the last member of staff to be employed did not have the Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 20 required paperwork in her files. This was discussed with the manager who stated that references had been applied for but had not been returned. During the day new references requests were prepared. A POVA check or CRB check had also not been applied for. The manager agreed to complete this task immediately and guidance was given regarded the process for completing POVA checks on line. The manager confirmed the member of staff concerned did not work on her own but was supervised at all times. The manager will be required to follow the home’s recruitment procedures in future. All other files viewed had completed and appropriate information as required by regulation. Evidence seen on the day confirmed that staff are trained and competent to complete the tasks required from them. Hawthorn Manor DS0000028876.V326154.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, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from having a manager who has a clear vision for the home, which she effectively communicates to the residents, staff and relatives. Quality assurance needs to improve to ensure the residents opinions are taken into account. Sound financial procedures protect residents. Current arrangements are sufficient to fully protect the health, safety and welfare of residents and staff. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 22 EVIDENCE: Mrs Radzik has completed her National Vocational Qualification level four in both Management and Care and has the necessary experience to manage the home and to meet its stated purpose and aims and objectives. The atmosphere in the home is very positive and relaxed and staff confirm that the management approach of the home creates an open, positive and inclusive atmosphere. Staff state they feel well supported and fully involved with the home. Discussion took place around the employment of a full time registered manager for the home. It is strongly recommended that this post be fully investigated, as undoubtedly this would improve the daily management of care records etc. and relieve some of the pressure on the owners. As discussed at the last inspection the owners are required to have effective quality assurance and quality monitoring systems based on seeking the views of service users in place. This is to measure their success in meeting the aims, objectives and statement of purpose of the home. Although the owners have started some work on this, it has not been completed. This was a requirement from the last inspection and will remain a requirement. It is acknowledged that some work has taken place this should be completed. The owners are strongly recommended to follow the guidance given in the guidance logs on CSCI’s website(Standard 33). Staff meetings are conducted and recorded but residents meeting are no longer happening. This is a good way of obtaining feedback regarding the quality of care and it is recommended that these meetings be reinstated. The home endeavours not to deal with residents’ personal monies and prefer families to take on this role. Small amounts of personal monies are dealt with by the home and these are well managed. Staff training and appraisals are happening and the staff spoken with say they benefit from these meetings. Records are maintained. The home is advised to review the policies and procedures within the home and evidence they remain under review. Information given in the pre inspection questionnaire and evidence seen on the day confirm the owners maintain the health, safety and welfare of residents and staff. One area of concern was the temperature of the hot water. The home does have thermostatic mixers valves but the water appeared to be very Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 23 hot in some of the bathrooms. The home is advised to monitor the water temperatures to ensure the thermostatic mixer valves are fully operational. The home complies with the requirements form the local fire service and is fully aware of its responsibilities under the Fire Safety Legislation. Regular fire drills are undertaken and records kept. Hawthorn Manor DS0000028876.V326154.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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 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 3 18 3 4 4 3 x x 4 3 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 3 2 3 Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP33 Regulation 24(1)(a)( b) (2)(3) Requirement The registered person shall establish and maintain a system for effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in meeting the aims, objectives and the statement of purpose of the home. This is an outstanding requirement from the last inspection. The registered person shall ensure that two written references, POVA and CRB checks are completed on all staff. The registered person shall ensure the adequate records are maintained in care plans. Timescale for action 30/04/07 2 OP29 19 28/02/07 3 OP7 15 Schedule 3 28/02/07 Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 26 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. 4. 5. Refer to Standard OP26 OP11 OP31 OP25 OP7 Good Practice Recommendations It is recommended that advise is sought from the Infection Control Nurse as to whether a sluice is required. It is recommended that resident wishes regarding terminal care and death be recorded on the individuals care plan. It is recommended that consideration is given to employing a registered manager. It is recommended that the temperature of the hot water supplied to the bathrooms be recorded. It is recommended that nutritional assessments be completed for all residents. Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Hawthorn Manor DS0000028876.V326154.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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