Inspection on 02/08/05 for Henlow Court

This inspection was carried out on 2nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Henlow Court 14/08/06

Henlow Court 10/01/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Henlow Court Henlow Drive Dursley Glos GL11 4BE Lead Inspector Ruth Wilcox Unannounced 2 August 2005 09.30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Henlow Court Address Henlow Drive Dursley Glos GL11 4BE 01453 545866 01453 549949 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Orders of St John Care Trust Mrs Janice Hopkins Care Home with Nursing 40 Category(ies) of Old Age not falling within any other category registration, with number of places Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31 January 2005 Brief Description of the Service: Henlow Court is a care home for older people over the age of 65 years, which provides nursing and personal care. It is situated in the town of Dursley, and is managed by The Orders of St John Care Trust. Residents who are admitted for personal care only, but who may need the services of a nurse, have the District Nurse service accessed from community resources. One room is available to provide respite care, and is contracted to Social Services for this purpose. The home is purpose built and provides easy access throughout, including access for wheelchairs. The home has two floors, with a shaft lift providing access to the first floor. There are two lounges, a lounge dining room, and a spacious dining room divided between the floors. Residents’ accommodation is situated on both floors, and are all single rooms, each of which has its own washing facilities. Only one room has its own full en-suite facilities. There are spacious and easily accessible bathing and toilet facilities conveniently situated throughout the home. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this unannounced inspection over five hours on one day in August. Two weeks prior to this, a pre-inspection visit was also carried out, and a number of conversations with the Care Services Manager at The Order of St John Care Trust have been held regarding certain developments in the home. Care records, opportunities to exercise individual choice, and access to social activities were inspected, as were the policies and procedures for protecting the rights of vulnerable residents. A tour of the premises took place, and staff were observed going about their duties whilst interacting with the residents. The care of three residents in particular was closely scrutinised. Eleven residents and one visitor were spoken to directly to obtain their view of the care and services they receive in the home. There was direct contact with six staff, all of whom were cooperative with the inspection process. The overall management situation at Henlow Court was looked at, as were the numbers of staff available and how they are supervised and monitored in their work. What the service does well: New residents are admitted to Henlow Court on the basis of an assessment of their health and personal needs showing that the home will be able to meet their individual needs. Some of the residents spoke well of the staff, saying that they were kind and attentive to them. Some of the residents were also very glad to have a good degree of independence, depending on their abilities, confirming that the staff were respectful to their personal choice and ability to retain control over their daily lives. The home generally provides a safe and pleasant environment for the residents, though some concerns have been identified at this visit, which will have to be addressed. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 6 The regular visits by the Care Services Manager from the Orders of St John Care Trust have proven very useful in terms of identifying certain shortcomings in the home, and she has worked very cooperatively with the whole inspection process. What has improved since the last inspection? What they could do better: Written care plans, which are supposed to clearly demonstrate how each resident’s needs are being met, are poorly recorded, and contain inadequate information in many cases for staff to follow. Staff must receive training in this area, so that care plans are appropriately detailed to avoid the possibility of residents’ needs not being consistently met by the staff. Judging by some of the residents’ and staff comments it appears that staff are not being properly supervised when working, and on occasions this is giving rise to residents’ needs not being met in the most appropriate way. It is vital that staff receive clear guidance on how to work most effectively for the benefit of the residents, and that some working practices improve. Leadership and clear lines of accountability would improve staff motivation for the future; some staff were very keen to forge ahead and raise the standards in the home. Residents have the option of joining in with the programme of social activities, which is provided by the home on a regular basis; however this unfortunately is not currently meeting the needs of all the residents, particularly the frailer ones amongst them, and consideration must be given to this. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 7 There is a particularly offensive odour in one location in the home, and despite the best efforts of the staff to control this, they have proved unsuccessful, with the odour affecting the well being of some of the residents accommodated in the vicinity. This sensitive issue will require an increased focus in order for a resolution to be found on a permanent basis. 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. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. The home’s admission procedure ensures that all residents are admitted on the basis of a full assessment of their needs, so that they can receive the care that they require. EVIDENCE: Pre-admission assessment forms were seen for three of the most recently admitted residents. In addition to these, there was evidence that the home had obtained information about the needs and care of the individual from the previous care home, and from other health care professionals involved in their care. In each case a new assessment for their transfer to Henlow Court had been carried out by Social Services. Henlow Court does not provide Intermediate care. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 standard(s) 7, 8 & 10. The failure to operate a consistent care planning system, with adequately detailed information for staff to follow will compromise the staff’s ability to satisfactorily meet residents’ needs. There are some inconsistencies in the manner in which support in this home is offered, and this has resulted in some residents’ dignity being compromised. EVIDENCE: Residents have their own plan of care. Three were specifically chosen as part of a case tracking exercise, and were scrutinised in great detail. Assessments had been completed, though one Activities of Daily Living assessment was incomplete and one manual handling assessment was undated. Some assessments and care plans had not been completed on admission, but days afterwards; some up to ten days later. In some cases there was no documented care plan for a particular need, which had been identified on assessment; these included pressure sore risks, continence needs, mental health needs, mobility needs and risks of falls. Care plans for wound care were unclear about the nature and cause of the wounds, and in the main were poorly reviewed and recorded. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 11 In two cases the residents were nutritionally at risk; care plans were recorded, though regular monitoring of weight was not a feature of the plan. Recent weights for these residents could not be found, though had apparently been taken since admission; food charts were in progress. The community psychiatric services, the district nurses, the continence nurse, physiotherapist and general practitioners were reported to have visited the residents since admission, where appropriate, though records pertaining to these visits were wholly inadequate. Support equipment to reduce the risks of pressure sores had been introduced; one mattress had been set to support a 60kg person, and in the absence of a recorded weight it was not possible to determine the appropriateness of this at the time. One person had apparently been admitted to the home with previously sustained pressure sores, though there was no record that this was the case in the home’s records. The nurse on duty said that given the amount of time nurses needed to devote ‘on the floor’, it was proving difficult to properly maintain care plans. Residents spoken to had very mixed views about the way in which their care is delivered. Some said the staff were very good, that they were very mindful of their privacy and dignity and were very respectful to them. One person actually said that ‘this was the best home around’. Staff were observed on this day to be attentive and respectful to the residents generally, and it must be reported that staff were witnessed being very gentle, kind and caring with frail residents, and were very aware of their particular needs when spoken to. Other residents indicated that some staff were less painstaking than others, with two saying that they ‘don’t like to ask for anything’. They also said that they can be kept waiting a long time for help, and don’t always get what they ask for. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 standard(s) 12 & 14. A regular activities and entertainments programme is offered, however the nature of activities is not meeting the needs of all the residents. Staff are respectful towards residents wishing to exercise choice and control over their lives. EVIDENCE: The home has a designated activities coordinator, who evidently works hard to provide a programme of entertainment and outings for the residents as a whole. Residents in the main are consulted about their ideas and preferences for social activity, and a record of activities undertaken with those participating is maintained. A weekly programme is displayed on the notice board, and on this day a large number of residents were attending a musical entertainment session in the afternoon. The programme displayed was hand written on a small piece of paper; this manner of display was inaccessible to some residents. Three residents said that they were either bored or were unaware of any social programme for them. Some residents were seen sitting for long spells with apparently no stimulation, whilst others were able to pursue their own choices and activities, and were quite contentedly occupied. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 13 Three residents were very glad to retain some independence, saying that staff were very respectful of their choice to do so. One visitor confirmed the amount of choice and independence his relative had, and said that he had nothing to complain about in the home at all. One resident in particular enjoys a good quality of life, and indicated her fulfilment in all regards; this person exercises complete freedom of choice and control over her life. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 standard(s) 18. Staff increasing their awareness and understanding of the home’s adult protection policies with additional training, will help to provide a safe environment, with the rights of residents upheld. EVIDENCE: The home has written policies and procedures for the protection of vulnerable adults, and has copies of other relevant documents and information available; a revised policy is being introduced by The Orders of St John Care Trust, though this was not seen at this time. As reported under standard 10, some staff practices have compromised residents in a small number of cases. In order to enhance staff’s understanding and appreciation of recognising and dealing with all forms of abuse a video training session has been given to all of them; more interactive training sessions are scheduled to take place over the two weeks following this inspection. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 standard(s) 19 & 26. Certain environmental factors in this home have begun to adversely affect the standard of accommodation for some of the residents to live in. EVIDENCE: A part time handyman has a programme of redecoration to be undertaken, particularly in the corridors and communal areas. The garden has been allowed to become untidy and unkempt, and the additional support of a gardener from another home within the Orders of St John Care Trust group is now addressing this satisfactorily. There are other areas scheduled for improvement, which includes some window replacement and a new call bell system for the residents. A first floor lounge is sparsely furnished, and does not have a homely appearance. A bathroom on the ground floor is becoming inaccessible due to the amount of stored items in there. The Care Services Manager for Henlow Court has identified a number of concerns recently regarding cleanliness and cross infection risks, arising from Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 16 some staff practices. As a consequence of that all staff are having additional infection control training. The laundry room was unattended later in the morning due to the assistant going off duty, and the amount of laundry was ‘backing up’; dirty laundry was seen lying on the floor. This situation was made worse by one of the washing machines breaking down; a new machine is soon to be delivered. There was a particularly overpowering and offensive odour pervading one of the top floor corridors, practically encroaching on the kitchen service area. This odour is emanating from a known source, and staff have done everything in their power to deal with it to date. However, at least three residents living in the vicinity complained about the ‘sickening’ and ‘disgusting’ odour, with one saying that she had requested to move because of it, and another saying that it penetrated into her room. Given that these set of circumstances are now impacting on other residents in the home, it must not be permitted to continue. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 It has been recognised that the staff morale in this home has been low, which has had a detrimental impact on the care and consistency for the residents; however measures are already being taken to ensure improvements in this regard. EVIDENCE: The ability of the staff to satisfactorily meet the needs of the residents has recently been reviewed, following some identified concerns. Additional staff have been provided, with a particular emphasis in the morning, when residents require a lot of assistance. It is anticipated that this additional staffing will also provide increased opportunities for staff to spend more quality time with the residents. Most residents spoken to confirmed their appreciation of good nursing and care staff, though three residents said that the staff are often too busy, indicating that they can be kept waiting for long periods for assistance. Staff themselves indicated that the dependency levels of residents had greatly increased, that they always had to rush around, and that in their opinion there were insufficient staff to cope. Conversations with staff indicated that there are long standing and outdated routines in this home, which some staff may be resistant to change. However, those spoken to appeared to have some good ideas to improve working conditions as they saw it, on a day-to-day basis. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 18 Some said that staff morale had been very low, and that there had been a lot of sickness; one person had not turned up for work on this day due to sickness, and the home had been unable to cover this absence at short notice. Despite this, there were also some positive reflections, with some saying that the core staff group was ‘good and worked well together’. They also said that improvements were beginning to be detected in the home, following recent developments. Ancillary support is provided, though the absence of a laundry assistant at the most crucial time for the workload in the laundry has increased the amount of non-care tasks incumbent on the care team. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34 & 36. Management arrangements specific to this home are currently impacting on the way in which it is being run, however the overall management and corrective measures being undertaken will address this for the staff, and ultimately for the benefit of the residents. EVIDENCE: The home has been without its registered manager for several weeks, and during this time the deputy manager has been acting up in the role. The Care Services Manager for Henlow Court from The Orders of St John Care Trust (OSJ) is also giving additional support. An experienced registered manager from another care home in the OSJ group has also worked in the home providing guidance and support on some days. Management emphasis during this time has been placed on identifying and addressing areas for improvement in the home, in particular communication, Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 20 staff provision, supervision and training, and staff practices generally to meet the needs of the residents most effectively. The deputy manager has increased her time in the home, has been monitoring the situation, endeavouring to provide some continuity under difficult circumstances, and has been attending hand over meetings between shifts. She has spoken with the senior care staff regarding the need to increase a supervisory and monitoring role ‘on the floor’. The nurse on duty on this day said that given the amount of other essential calls on the nurse’s time it could prove extremely difficult to adequately supervise the staff. Staff confirmed their awareness of the current circumstances in the home, and are eager to hear about resolutions. They have felt that communication has been poor, and also said that in recent months they had been prevented from attending some training due to being needed ‘on shift’. Staff spoken to were very keen to be able to voice their opinions and ideas for the home, as recently they have felt that they were not listened to. A formal supervision programme has not been consistently implemented in this home, with arrangements being on a more informal basis. Staff generally have lacked guidance and leadership to some degree, and the impact of this has come to the fore at this time. Staff said that they had had appraisals, but had not had a structured supervision session for a long time. A new carer said that she was receiving structured induction training, and had worked in a supervised capacity since joining the home. The overall management of Henlow Court is now provided by The Orders of St John Care Trust, and evidence of robust financial and business management systems was inspected as part of the recent registration process. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 1 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 2 2 x 3 x 1 x x Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 22 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 7 7 Regulation 14(1) 15(1) Requirement Staff must document residents assessments in full, and date them when they are undertaken. Staff must prepare written care plans, which will demonstrate how residents needs in respect of their health and welfare are to be met. Work to devise care plans must be commenced at the time of the residents admission. Written care plans must be kept under regular review. (This is with particular reference to the management of wounds on this occasion). Staff must receive additional training to equip them with appropriate care planning skills. In cases where a nutritional risk has been identified, regular weight monitoring must feature as part of the plan of care. The home must keep accurate records of all nursing and health care provided to residents, including any details of treatment. The home must keep records relating to the residents in respect of any specialist health Timescale for action 30/9/05 30/9/05 3. 4. 7 7 15(1) 15(2.b) 30/9/05 30/9/05 5. 6. 7 8 18(c.i) 12(1.a) 30/11/05 30/9/05 7. 8 17(1.a) Schedule 3(k) 17(1.a) Schedule 3(m) 30/9/05 8. 8 30/9/05 Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 23 care interventions. 9. 10, 18. 12(4.a) The Registered Person must ensure that the home is conducted in a manner which respects the dignity of all the residents at all times. A programme of social activities must be provided, which meets the needs of all the residents. The Registered Person must review the provision of furnishings and layout of the first floor lounge, to ensure that it can meet the needs of the residents in a homely and comfortable way. The Registered Person must make the ground floor bathroom currently being used for storage, accessible for safe use. Uncontained dirty laundry must not be placed on the floor anywhere in the home. The home must be kept free of offensive odours by taking necessary steps to satisfactorily address the problem odour on the first floor. The home must take into account the wishes and feelings of those residents affected by the odour on the first floor. The Registered Person must ensure that there are suitably skilled staff working in the home, in such numbers as are appropriate for the health and welfare of the residents. The Registered Person must ensure that good professional relationships are maintained between themselves and the residents and the staff. The Registered Person must encourage and assist staff to maintain good personal and professional relationships with 30/9/05 10. 11. 12 19 16(2.n) 23(2.i) 31/10/05 31/10/05 12. 19 23(2.j) 31/10/05 13. 14. 26 26 13(3) 16(2.k) 30/9/05 31/10/05 15. 26 12(3) 31/10/05 16. 27 18(1.a) 31/10/05 17. 31, 32 12(5a) 31/10/05 18. 31, 32 12(5b) 31/10/05 Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 24 residents. 19. 36 18(2) The staff supervision programme 30/11/05 must be implemented for all staff in the home (previous timescale of 31/3/05 not met) 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 12 26 36 Good Practice Recommendations The poster detailing the programme of social opportunities should be made easily visible, to increase its accessibility to residents. The laundry assistant hours should be reviewed in order to meet the needs of the home more effectively. Staff should receive formal supervision at least six times each year. Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Henlow Court D51_D03_S64619_Henlow Court_v237887_090805_Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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