Inspection on 08/03/07 for Hazlehurst

This inspection was carried out on 8th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hazlehurst 16/02/06

Hazlehurst 07/07/05

Hazlehurst 07/12/04

Hazlehurst 06/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hazlehurst 1 Dyche Drive Jordanthorpe Sheffield S8 8DN Lead Inspector Stephen Robertshaw Key Unannounced Inspection 09:00 8th March 2007 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hazlehurst DS0000035749.V314582.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. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazlehurst Address 1 Dyche Drive Jordanthorpe Sheffield S8 8DN 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) 0114 293 0174 0114 203 7703 none None Sheffield City Council Mrs Linda Dutton Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Hazlehurst is a single story purpose built home, in the Jordanthorpe area of Sheffield. The home provides a service on long term and short term basis. Ten beds are used by the NHS, 4 beds for people discharged from hospital and awaiting packages of care to allow them to return home, 4 beds for people receiving rehabilitation, which involves input from the physiotherapist and occupational health, the remaining 2 beds are used for those assessed as vulnerable and to prevent hospital admission. The home has 3 long-term care beds and 7 short term care beds mainly used for stays on a rolling programme or to meet other short term needs. All the bedrooms are single; there are dining rooms, lounges, toilets and bathrooms sufficient to meet the needs of the service users, all of which are easily accessible. The home is close to public transport, shops and community facilities. Previous inspection reports are made available to the service users and visitors to the home. The current fees for the home are between £296 and £331 per week. The homes statement of purpose and service user guide explains what services are provided for the set fees. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit to the service took place on the 8th of March 2007. the inspector was in the home for approximately six and a half hours. Prior to the inspection taking place a pre-inspection questionnaire had been returned from the management of the home to the Commission. Surveys had also been sent out by the Commission to the staff working at the home and to the service users. Only one of each questionnaire was returned to the Commission to be considered in this report. The inspector spoke to four staff, the management of the home, three visitors, and eight service users. These discussions were also used to provide some of the evidence for this report. What the service does well: The staff are very friendly towards the service users and seem to understand what they need. They have a good understanding of older people and this means that they can look after the service users and care for their individual needs. The experiences of the service users appeared to be positive in relation to how their care needs are met at the home. The service users are provided with a homely and friendly environment The staff work very well together and most of the staff have worked at the home for a long time. There is very little change in the staff group. This means that service users are able to get to know the people that are working with them and gives them time to build up good working relationships with them. Service users said to the inspector that when they are unwell the staff at the home always get them the health care that they need very quickly. One service user stated how the home had helped their rehabilitation and they were due to be discharged back in to the local community. The service users said that the atmosphere of the home was very relaxed and the environment was very homely. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 6 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. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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 Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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): 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. This means that the service users are given the opportunity to visit the home before they agree to move there and their needs are fully assessed to make sure that the home is able to care for them. EVIDENCE: The home has a statement of purpose and service user guide that detail the services that are provided in the home and explains what services should be expected for the fees paid. The details of the management and staffing structures for the home were also included. The inspector case tracked four of the service users living at the home and all of their care files included terms and conditions of their residency at the home. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 9 All of the service users had received a full assessment of their individual needs before they had been admitted in to the home. The care files included a copy of the service users care management of healthcare assessment of need and these were supported with a pre-admission assessment that had been completed by the home itself to ensure that the service users needs could be met there. There was sufficient evidence to support that the home was able to meet all of the assessed needs of the service users. This included staff training records that showed that all the staff receive the correct training to make sure that they understand and can support the needs of the service users, and also included discussions with service users and visitors to the home. One service user commented to the inspector ‘I couldn’t be looked after any better, and another stated ‘its my third time here and I cant fault it’. All of the service users spoken to by the inspector stated that they had either visited the home before they moved in to it, or their representative visited the home to make sure that it would be OK for them. The visitors spoken too by the inspector also stated that they are always made to feel welcome at the home, and that there is good access to the management if they want it. One visitor said of the home and staff they are ‘so polite, considerate and helpful’ and what they liked about the home was that it was relaxed and you can ‘have a laugh and a joke with the staff and the other service users’. The home does not provide intermediate care for service users with nursing needs, however it does accept admissions that would otherwise be made to hospital due to ‘social reasons’. The home also receives early discharges from hospital so that rehabilitation packages can be put in to place to ease the service users involved back in to safe independent living. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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): 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. This means that the service users healthcare needs are generally met in the home, however the recording of the service users medication needs to improve to ensure their health and safety is maintained. EVIDENCE: The inspector observed the care plans for four of the service users living at the home. The care plans had been developed from the needs identified in the service users original assessments. However the detail in the care plans was quite limited and would benefit from being developed further and include the detail of how each individual need must be met, for example if a service users requires a hoist to mobilise them, how many staff are required and what actions they must take to ensure the safety of the service user. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 11 The service users files showed that they receive appropriate healthcare treatment from appropriate professionals that are based in the community. This included GP’s, dentists, opticians and community nurses. Individual service users that are receiving rehabilitation services/therapies in the home have this detail recorded on green sheets so that they stand out from the general care plans. One service user said to the inspector ‘I am enjoying the occupational therapy, but I have been living on my own for ten years doing the same things’. However they acknowledged that this was to make sure that they would be safe when they returned to their own home. None of the service users resident in the home administered their own medication. The management of the home had been given some conflicting advice on the safe administration and recording of controlled drugs in the home. The inspector took advice from the lead pharmacy inspection for the Commission in this region. It was confirmed that Temazepam must be stored, administered and be recorded as a controlled drug. This is the advice that the inspector gave to the management of the home at the time of the site visit. The controlled medication book showed that on discharge from the home some of the service users had not had it recorded that their Temazepam had been returned to them, although they were not in the controlled cupboard. The medication in the home is audited on a quarterly basis through the pharmacy that provides the prescribed medication to the home. One of the local GP’s also visits the home every week and sees any service users that need to see them. The district nursing team also access the service users at the home on Mondays and Thursdays. There appeared to be very good working relationships between the staff working at the home and the professional healthcare workers that support the home in the care for individual service users. The service users spoken to by the inspector stated that their dignity and respect is upheld at all times in the home and staff were ob served knocking on service users doors and waiting for permission to enter before going in to the rooms. They also said that when they have appointments with healthcare professionals they can always be in private, however if they want a member of the care staff to support them with the appointments then they would. The service users weights are recorded on a regular basis, however there was some confusion over the recordings. The scales used measure both imperial and metric weights. When the staff had transcribed some of these records they had miscalculated them. In one instance there was a difference of over five stone measured in a just over a two month period. Observation of the service user confirmed that the last weight record must have been completed in error as it showed that they were over fifteen stone and this obviously was not the case. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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): 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. This means that the service users have freedom to choose what they want to become involved in at the home. EVIDENCE: The routines in the home were observed to be very flexible and one service users told the inspector ‘I don’t have to get up (from bed) if I don’t want to, but if I am in bed too long the staff come back and ask me if I want to get up’, another service users commented ‘I go to bed when I want to’. The inspector spoke to three visitors at the home on the day of the site visit. They were all very positive in relation to the care that their family or friends were receiving at the home. The visitors also confirmed that they are free to visit the home at any reasonable time and that they are always made to feel welcome. The visitors said that they are always offered drinks and two stated that they had also eaten at the home when they were visiting at meal times. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 13 The management of the home are not responsible for any of the service users personal finances. This is left to the service users themselves or their representatives. Some of the service users have pocket money accounts at the home and these were observed to be appropriately stored and recorded. The inspector observed a mealtime. The lunch was unhurried and service users were observed to being offered appropriate levels of support to complete their meals in a dignified manner. The service users spoken to by the inspector said that the meals provide for them were always very good. An observation of the kitchen provided evidence that it was well maintained and clean. This was supported by a recent environmental health assessment. There were no service users at the home that were identified as having any diverse cultural or ethnic needs. However the manager stated that if any cultural or ethnical needs arose these would be met on an individual basis. The home were able to produce documentation that supported this had happened previously in the home. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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): 16, 17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are able to make complaints and they are protected from abusive situations at the home. EVIDENCE: The home is owned and managed through the local authority. All of the staff working at the home receive training for the protection of vulnerable adults that is provided through the authorities training department. The staff spoken to by the inspector were aware of what could be seen as abusive, and they had a clear understanding of how to report any suspicions of abuse. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 15 The homes complaints procedure was available throughout the home and was included in the statement of purpose. The complaints records were observed by the inspector and there had been no formal complaints registered at the home since the last inspection. However there had been several staff disciplinary meetings and these were still ongoing at the time of the site visit. Some of these may result in individuals being recommended to the protection register. Service users spoken to by the inspector stated that they knew how to make a formal complaint if they wished to and believed that any complaints would be listened to and be acted on appropriately. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the environment provided in the home is suitable to meet the needs of the service users. EVIDENCE: The inspector toured the building. Much of the environment has been improved through a substantial renewal and refurbishment plan provided through the local authority approximately two years ago. There were no offensive odours in the home and the bathrooms and toilets were very clean. The domestic duties in the home are contracted out to another social service department. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 17 The home has a staff training area that includes an area for moving and handling training including the appropriate equipment. The homes corridors and communal areas were very well decorated and maintained. The only problem with the environment was a small area of damp from directly under one of the flat roofs in the rehabilitation area of the home. The management were already aware of this and stated that this was an ongoing problem with the flat roof. Four service users invited the inspector to look at their rooms. These were seen to be very clean and the service users had been able to personalise them with their own pictures and ornaments and small pieces of furniture. The heating and lighting in the home was domestic in character and all hot surfaces were protected. The temperatures of the hot water in the home are regularly monitored and recorded, and a full risk assessment for the water system was in position. This included Legionella testing. The washing machines in the home are programmable to disinfection and sluicing standards. Previously service users clothes had been returned to the wrong service user once they had been laundered. This was as a result of names washing out, or never having been included in the clothes. To minimise these errors happening again service users washing is placed in individual zipped bags that are placed in the washing machine. They remain in that until they are ironed and returned to the service users. The bathrooms included Argo multi clean machines that are used to sanitise the equipment There were two fridges around the home that did not have their temperatures recorded on a regular basis. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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 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): 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. This means that the care staff have the necessary knowledge and skills to care for the service users that are resident in the home. EVIDENCE: The staff training records and the pre-inspection questionnaire provided the evidence that the staff have all of the training needed to make sure that they can care for the service users. This included all of the mandatory health and safety training specific to the needs of the service users. The staff and management of the home are very supportive of the NVQ training. The homes records indicate that approximately seventy two percent of the staff have already achieved a minimum of NVQ 2 in care. This is well above the government’s requirement of fifty percent. The induction and foundation training at the home meets the requirements of the national bodies. The inspector observed the personnel and training files for three of the staff working at the home. These supported the evidence that equal opportunities are followed in the employment of new staff at the home, and that appropriate security vetting is followed to ensure the health and safety of the service users. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 19 On the day of the inspection there was an agency worker that was working at the home. They stated that they enjoyed working in the home as the ‘staffing levels were good’ and said ‘ the staff are supportive’ and there are ‘good hand over periods included in the homes rotas. One visitor stated that they had seen ‘good practice’ in the home and continued that ‘the staff are never in a fluster no matter how busy they are’. Several service users commented that ‘the staff are very nice’, or ‘the staff are very helpful’. Direct observations supported that the staff were very professional in their work, but still had time to ‘laugh and joke’ with the service users on a one to one and group basis. On the day of the site visit all of the care staff were wearing identification badges to make it easier for service users and visitors to remember who they were. The staff and management informed the inspector that they are currently developing a ‘tree’ to identify the staff working in the home and their responsibilities. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 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 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): 31, 32, 33, 34, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management of the home understands the needs of the service user and staff groups. EVIDENCE: The registered manager of the home was not available on the day of the inspection, however the operational manager of the service was available. The operational manager has an NVQ 4 in management and is currently undertaking the NVQ 4 in care. The registered manager of the home is enrolled on the Registered Managers Award, but has not yet completed it. The manger Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 21 receives regular supervision from senior management within the local authority. Interviews with staff and visitors and discussions with service users supported that the management in the home is open and provides a positive and inclusive atmosphere. The home has an effective quality assurance and monitoring system in place. Results of previous surveys were on display around the home and the home received the local authorities ‘Charter Mark for Customer Service Excellence’ in March 2005. The certificate stated that it was valid for a period of three years. A service user informed the inspector that the management and staff at the home had supported them to follow their religious beliefs and had arranged for them to be visited at the home by a cleric of their choice. The quality assurance system identified that there were some difficulties in the variety of the menus in the home. As a result of the surveys a new healthy food range and guidance document called ‘Food for Thought’ had been developed and this provides the recipes for the food. The inspector was led to believe that this system would be used city wide within the local authority resources. The inspector observed the finances for four of the service users that had money held for them at the home. These were all up to date and the records had been accurately recorded. The home also has a community account that is used to purchase activities for the service users. Monies for this account are raised through fundraising and through donations made to the home. The inspector observed this account and there was an error in the recording of the account. The monies available at the home were £20 over the records for the account. A clear audit of this account needed to be completed to ensure the correct recording of the monies held in the home and to ensure that the service users account is not being abused. The staff records and interviews with management and staff confirmed that the staff do receive supervision that identifies the work that they are involved in and their personal training and development needs. However interviews with the management and staff confirmed that the recommended minimum requirements for recorded supervision are not met in the home. The organisational manager stated that part of this was due to a difficulty with some of the senior staff in the home not undertaking their supervision responsibilities. She also stated that this had now been addressed and the records showed that the supervision of individual staff was beginning to be held on a more regular basis again. The home is currently using some agency staff, there was no evidence to support that they receive the appropriate supervision to make sure that they can meet the needs of the service users. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 22 All of the information held in respect of the individual service users were stored in accordance with the Data Protection Act 1998. The maintenance and renewal records in the home showed that the management of the home act as far as is reasonably practicable to ensure the health and safety of the service users and the staff group. This included up to date insurance and certificates to verify the safety of the gas and electrical systems in use in the home. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X 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 3 3 3 3 3 3 3 2 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 2 3 4 3 2 2 3 3 Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13.2 Requirement The registered person must ensure that all controlled medications in the home are appropriately stored, administered and recorded. Timescale for action 01/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 Good Practice Recommendations The registered person should develop the individual care plans to include greater detail of how individual needs must be met. The registered person should make sure that when service users weights are taken they are appropriately and accurately recorded. The fridges in the dining area should have the temperatures recorded on a minimum of a daily basis to ensure the health and safety of the staff and service users when eating food or taking drinks from the fridge. The registered manager should continue with the development of the supervision processes in the home and maintain the minimum recommended standards for all of DS0000035749.V314582.R01.S.doc Version 5.2 Page 25 OP8 OP26 4. OP36 Hazlehurst 5. OP37 the care staff working there. The registered manager should make a clear audit of the service users community fund in the home and make sure that all transactions to this account are accurately recorded. Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Hazlehurst DS0000035749.V314582.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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