Inspection on 06/06/06 for Hazeldene Care Home

This inspection was carried out on 6th June 2006.

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

Hazeldene Care Home 25/07/07

Hazeldene Care Home 18/10/05

Hazeldene Care Home 05/05/05

Hazeldene Care Home 08/09/04

Hazeldene Care Home 26/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hazeldene Care Home 49 Ribchester Road Clayton-le-dale Blackburn Lancashire BB1 9HU Lead Inspector Mr Graham Oldham Key Unannounced Inspection 6th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 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. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hazeldene Care Home Address 49 Ribchester Road Clayton-le-dale Blackburn Lancashire BB1 9HU 01254 340360 01254 240360 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) Sage Care Homes (Hazeldene) Limited Mrs Teresa Maria France Care Home 59 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (39) of places Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The manager must gain qualifications in dementia care. The home is registered for a maximum of 60 users to include: Up to 39 service users in the category of OP (over 65 years of age not falling within any other category). Up to 21 service users in the category of DE(E) (Dementia, over 65 years of age) Date of last inspection 18th October 2005 2. Brief Description of the Service: The home is a traditional detached building with a purpose built extension to provide upgraded facilities. The home is set within its own grounds with garden areas available for residents to utilise. The service is located in the semi-rural village of Wilpshire approximately three miles from Blackburn. The home provides care for residents who are elderly. There is a separate dementia unit. There are a variety of lounges, dining rooms and most bedrooms are equipped with en-suite facilities. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Hazeldene range from £310.50 - £372.25. Extras residents or their families have to pay for include hairdressing, newspapers or periodicals and outings. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 6th June 2006. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Four residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the resident’s case tracked. Four visitors commented upon their viewpoints. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. 18 resident surveys were returned to the CSCI prior to completing the report. What the service does well: The assessment of residents was thorough to ensure the needs of residents could be met at the home. Plans of care were up to date and enabled staff to deliver effective care to residents. The administration of medication was good and protected residents from possible harm. The food served at the home was well liked by residents. Comments included, “the food is good, better than some homes”, “my lunch is very nice thank you”, “not bad at all” and “very nice”. The cook said, there are now 25 residents having a cooked breakfast. I talk to the residents and ask them what they want. I try to make things nice for them its the highlight of their day. We don’t scrimp on food. I would argue if we did. Food was provided in sufficient quality and quantity to provide a varied and nutritious diet. One visitor said, “I come very often. Staff are welcoming. I have just had a cup of tea”. Another visitor said, “There are no problems with visiting”. Resident’s case tracked confirmed visiting was unrestricted. Visitors were encouraged at the home for the benefit of residents. One of the residents case tracked said, “everybody does their best here”. Comments about staff were complimentary. There was a good rapport Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 6 observed between staff and residents which helped provide a homely atmosphere. What has improved since the last inspection? What they could do better: 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. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP2, OP3, OP4 and OP5 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were professionally assessed and received confirmation in writing their needs could be met at the home. Each resident had a copy of the terms and conditions for living at the home to ensure they were aware of their rights. Residents were able to have a trial visit to meet other residents and staff to test the service prior to long term admission. EVIDENCE: 18 resident survey forms were returned to the Commission for Social Care Inspection. 17 residents had received a contact and 1 was unsure. Two comments made were, “We found the contract very informative” and “I am happy with the contract”. The financial administrator said, “Every resident has a contract”. Residents were aware of the terms and conditions of the home. 18 resident survey forms were returned to the Commission for Social Care Inspection. 16 residents said they had received enough information about the home. Two residents commented, “I am pleased to be here and feel welcome” Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 9 and “I am very happy to have chosen Hazeldene”. One visitor said, “I looked around the home for my mother and it was much better than another home she had been in”. The registered manager said, “Prospective residents or their families can have a look round, take a meal and meet staff”. One resident case tracked said, “My son brought me for a look around. I thought it was nice and chatted to staff. They arranged for me to come in and made me feel very welcome”. Residents were able to make an informed choice to move into the home. Four files examined during the case tracking process demonstrated each resident was assessed prior to admission. If suitable, residents received written confirmation their needs could be met at Hazeldene. The assessment of residents ensured their needs could be met at the home. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP7, OP8, OP9 and OP10 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Plans of care contained good information for staff to deliver care to residents. Residents had access to specialists to meet their health care needs. Administration of medication was satisfactory. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: 18 resident survey forms were returned to the Commission for Social Care Inspection 17 residents always received the care they needed. Four plans of care were examined during the case tracking process. Plans of care detailed the care each resident received. Residents confirmed the care they received was what they required. Staff members were accurate in describing the care they gave matched what was written in the plans. Plans had been developed with the assistance of residents or a family member. Plans of care had been reviewed. Plans of care enabled staff to meet the needs of residents. Of 18 resident survey forms returned to the Commission for Social Care Inspection 15 residents thought they always received medical support and 3 residents usually received the medical support needed. One resident Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 11 commented, “I am not very satisfied with the homes GP”. Residents case tracked said they were satisfied with medical arrangements. The plans of care for four residents case tracked contained information residents attended specialists such as their GP, District Nurses, Speech Therapists, Occupational Therapists, Tissue Viability nurses, Chirpodists and Opticians. Plans contained a falls risk assessment; nutritional assessment and pressure area care assessment. Appropriate equipment was provided when necessary. One resident case tracked said, “My psychiatrist came today to review my drugs”. Resident’s health care needs were met by attending health care specialists. There were policies and procedures for staff to follow for the administration of medication. There was a controlled drug cupboard and register. Drugs were securely stored. The medication administration chart was examined and contained no errors. Records were maintained of medication entering and leaving the home. There was a British National Formulary and a copy of the Royal Pharmaceutical Societies guidelines. Staff had undertaken medication training. The temperature of stored medication was recorded. The good administration of medication protected residents from possible harm. Staff were observed to treat residents with privacy and dignity when delivering personal care. One resident case tracked said, “I am very comfortable with the care I get”. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP12, OP13, OP14 and OP15 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Leisure activities were provided but were not to all residents’ tastes. Visiting was open and unrestrictive to encourage families to enter the home. Residents were able to exercise choice and retained some independent living. The food served at the home met residents needs. EVIDENCE: 18 resident survey forms were returned to the Commission for Social Care Inspection. 13 residents believed staff listened to what they said. Residents confirmed they had a good choice of food. One resident case tracked said, “I prefer my own company and come to my room when I want to watch television. I get up and go to bed when I want”. Residents case tracked confirmed they retained a choice of routine to help them retain some independence. 18 resident survey forms were returned to the Commission for Social Care Inspection 7 residents thought there were always enough activities and 11 residents did not. Two comments made were, “I like to do my own thing” and “I feel I am too old to take part”. Residents were sat outside socialising or playing games with staff on the day of the inspection. Other residents were observed reading, watching television or helping in the garden. One resident said, “I like music and movement”. The registered manager could help Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 13 stimulate residents further by pursuing activities suitable to the resident group accommodated at the home. 18 resident survey forms were returned to the Commission for Social care Inspection 13 residents always liked the meals. Three comments received were, “meals are very good, “All meals are prepared and presented to a high standard” and “excellent”. A meal was taken on the day of the inspection which was hot, tasty and nutritious. Staff were observed feeding residents discreetly. Environmental checks had been maintained by the cook. The kitchen was clean and very orderly. Food served at the home was good and provided residents with a nutritious diet. Residents case tracked said visiting was allowed at any time. Residents were observed entering and leaving the home at will. Visitors to the home were encouraged. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP16 and OP18 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were aware of their right to complain and confidant to approach management with any concerns. Residents were protected from possible abuse. EVIDENCE: 18 resident survey forms returned to the Commission for Social Care Inspection. 16 residents knew who to speak to if they were unhappy. 18 resident survey forms were returned to the Commission for Social Care Inspection. 14 residents knew how to make a complaint. There was a complaints policy which met CSCI guidelines. Part of the inspection process was to gain evidence of a complaint hich had been made against the serice. Complaints were professionally dealt with at the home and allowed residents or their families a chance to voice their concerns. The home had a copy of the ‘No Secrets’ document. The home had policies and procedures for the protection of adults. One resident case tracked said, “I feel very safe”. The home followed the Blackburn with Darwen Adult Abuse procedures to follow a local initiative. One ex-member of staff had been referred to the Protection of Vulnerable Adults register to protect possible abuse in another establishment. Policies were available to protect residents from financial abuse. Residents were protected from possible abuse. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP19, OP20, OP21, OP22, OP23, OP24, OP25 and OP26 The quality outcome for this standard group was poor. This judgement has been made using available evidence including a visit to this service. Residents lived in a safe environment. The home was generally clean and tidy. The garden area for residents accommodated in the dementia part of the home was unsuitable. EVIDENCE: Of 18 resident survey forms returned to the Commission for Social care Inspection all 18 comment cards said residents thought the home was always clean. A complaint had been made to the CSCI. The complaint highlighted certain areas of the home as smelling and maintenance not being completed. The inspector toured many areas of the home and found two rooms, which did have an odour. Whilst the residents in this area may be incontinent this was unacceptable. Several rooms had items missing or broken. The registered manager said, “We had a problem with the last maintenance man. We have a new man who is very good but is having to catch up on work not completed”. The residential side of the home was clean and tidy. The registered manager must undertake an audit to highlight rooms where there is a problem with offensive odours and broken or missing equipment. In general the home was well maintained. Furnishings and décor was domestic in character. Each room Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 16 was lockable and had a lockable facility within the room. Windows had suitable restrictors to help protect the health and safety of residents. Sinks in the dementia unit must have suitable temperature control devices fitted. Baths had suitable devices fitted. The registered manager was looking at a device for the residential unit. A resident case tracked said, “my room is nice – the toilet is kept spotless. They tend to do anything with a cheerfulness which is a credit to them”. The environment adequately met the needs of residents. It was extreemly disapointing to discover work in the area of the garden set aside for the dementia unit had not been undertaken. The responsible person gave a firm undertaking to complete the improvements when this part of the home was registered during the winter. The registered person must provide a response in the action plan. The CSCI will consider enforcement action if the response is not satisfactory. The outside space for some residents did not meet their needs. There were policies and procedures for the control of infection. The laundry was sited away from food preparation areas and contained suitable equipment to clean clothes and bed linen. The walls and floors of the laundry were clean. Hand washing facilities were available where clinical waste was produced. There were systems in place to protect residents from contracting Legionella. Infection control procedures protected residents and staff from possible harm. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, OP28, OP28 and OP29 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Resident’s needs were met by the numbers and skill mix of a well-trained staff group. The recruitment procedures were very good and safeguarded residents from possible abuse. EVIDENCE: Of 18 resident survey forms returned to the Commission for Social care Inspection 14 residents thought staff were always available when needed and 4 thought staff were usually available when needed. One comment was, “the home have excellent staff who are very helpful”. Two staff files contained evidence staff had undertaken training relevant to their role. More than 50 of staff had successfully completed NVQ2 or 3 training. There was a staffing rota which demonstrated there were sufficient numbers of well trained staff on each shift. Two staff files examined during the inspection contained documents to prove the home had recruited staff in a responsible manner. References had been obtained. There was a copy of the CRB check. Other documentation such as an application form, interview form, terms and conditions of employment, job description and record of induction was contained within the files. Copies had been retained of training undertaken. Staff had received a copy of the codes of conduct. Supervision had been ongoing and staff had been supervised at least six times per year. Two members of staff confirmed the training had been undertaken. There was a well-trained staff team to care for the residents needs. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The quality outcome for this standard group was adequate. This judgement has been made using available evidence including a visit to this service. The registered manager was suitably qualified and competent to run the home. Quality assurance systems had not been fully developed to take into account the views of residents, family members and stakeholders. Resident’s financial interests were safeguarded. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The registered manager had the experience and qualifications to perform the role. She had recently completed a course on dementia and was a trainer for moving and handling having recently completed the moving and handling trainers course. The registered manager updated her knowledge to help provide more skills to the role and better care for residents. The home had completed some quality assurance questionnaires with residents. The questionnaires had not been collated into a summary. Quality assurance had not been sought from stakeholders. There were recorded Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 19 meetings held with staff and residents. There was a business plan. Quality assurance work was ongoing but did not meet the required standard. The financial administrator said, “We do not look after anybodies finances or are power of attorney for anyone. The money is paid directly into individual bank accounts and they pay the fees. Relatives give us pocket money to pay for hairdressing and an individual record is maintained for any money paid out”. The financial procedures and records were observed and proved to be accurate. The system used protected residents from possible financial abuse. Gas and electrical appliances and installations had been maintained. The fire alarm system had been maintained. The call bell system had been maintained. The lift had been maintained. Hoists had been maintained. There was a contract for the removal of clinical waste. There was a health and safety policy and procedures. A health and safety poster was observed in the building. The registered manager had a copy of the legislation as detailed within the standard. Water systems met current legislation. Staff had been trained in health and safety issues such as first aid, health and safety, infection control, food hygiene and moving and handling. The health and safety systems helped protect the health and welfare of residents and staff. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 3 3 3 3 2 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 X 2 X 3 X X 3 Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 21 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 OP19 Regulation 23(o) Requirement The registered person must ensure outdoor facilities are provided which are suitable and safe for the residents accommodated at the home. The registered manager must ensure hot water outlets do not pose a threat to the health and safety of residents. The registered manager must make arrangements to keep all areas of the home clean and free from offensive odours. The registered manager must undertake a quality assurance system that takes account the views of residents, family members/stakeholders and collate the results into a summary. Timescale for action 15/06/06 2. OP25 12(1) 30/09/06 3. OP26 16(2)(k) 30/06/06 4 OP33 24 31/10/06 Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 22 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 OP12 OP19 OP19 Good Practice Recommendations The registered manager should provide stimulating leisure activities for all residents. The registered manager should undertake a room audit with the maintenance man and form a plan to catch up with the backlog of repairs. The responsible person should ensure that advice be taken on the correct type of garden and plants for the dementia unit. Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hazeldene Care Home DS0000022480.V289619.R01.S.doc Version 5.1 Page 24 - 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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