Inspection on 08/10/08 for Highbeech Care Home

This inspection was carried out on 8th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highbeech Care Home 07/11/06

Highbeech Care Home 06/01/06

Highbeech Care Home 20/06/05

Highbeech Care Home 14/12/04

Highbeech Care Home 06/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Highbeech Care Home 124 Dorset Road Bexhill On Sea East Sussex TN40 2HT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Melanie Freeman     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Highbeech Care Home 124 Dorset Road Bexhill On Sea East Sussex TN40 2HT 01424221034 01424223535 hb@galleoncare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Marlene May Type of registration: Number of places registered: Galleon Care Homes Limited care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users to be accommodated is 27. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE). Date of last inspection Brief description of the care home Highbeech is a care home registered to provide support and care for 27 older people with a dementia type illness. It is owned by Galleon Care Homes, which was purchased in April 2008 and became part of Titleworth Healthcare Ltd Group along with the two sister care homes within East Sussex. The home is situated in a quiet residential area of Bexhill-on-Sea close to local shops, churches, pubs and other community facilities. The building was refurbished approximately five years ago and is purposely designed and planned for older people. It provides well-decorated, spacious and bright accommodation. Residents bedrooms are located over three floors, with the dining room and lounge on the lower ground floor. A shaft lift is provided which enables Care Homes for Older People Page 4 of 29 Over 65 0 27 Brief description of the care home residents to access all floors. The home comprises of 21 single bedrooms and three shared. There is a large garden and patio to the rear of the property, which is well maintained and accessible to residents when the weather permits. Copies of inspection reports and the homes Statement of Purpose are made available on request. Fees charged as from 1 April 2008 range from £400 to £485, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Highbeech care home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with visiting health and social care professionals. The allocated inspector spent approximately six hours in the home and provided feedback to the manager at the visits conclusion. The main focus of the inspection was to review the quality of live that resident’s experience, and time was spent with residents chatting and observing practice in the home. Care Homes for Older People Page 6 of 29 A tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, pre-admission assessment procedures, the systems in place for handling complaints and protecting residents from harm, staff recruitment files, quality assurance systems and some health and safety records. The care documentation pertaining to two residents were reviewed in depth and the inspector ate a midday meal in the dining room with a group of five residents. Four visitors were able to spend time during the inspection visit sharing their views on the home along with three staff members who were interviewed informally. The required Annual Quality Assurance Assessment (AQAA) was completed and returned prior to the inspection visit and information from this has been used to inform this report. At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from three residents and three staff members. What the care home does well: What has improved since the last inspection? What they could do better: The management of the home needs to improve the admission procedure. To ensure that all prospective residents or their representative are advised in writing, following their needs assessment whether the home is suitable to meet their assessed needs. This ensures that decisions around admission to the home are informed and evidenced. The care plans need to record that residents or their representatives are consulted regarding the formation of them and are involved in the review process.In addition the plans of care need to be reviewed and updated regularly to ensure the care guidance provided within them is relevant ,current, and records all care needs. Highbeech does not provide a high standard of environment and furnishings in all areas. A full schedule to address all shortfalls needs to be written with timescales for completion. This will ensure a high standard is maintained throughout the home. Care Homes for Older People Page 8 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home. The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by a competent person. Evidence: The home has a service users guide and statement of purpose which is displayed in the front entrance area of the home . These are held in a manual that also contains a copy of the last key inspection report and Annual Service Review completed since the inspection. These documents were informative but need slight amendment to reflect the current registering authority and changes to the ownership of the home. Care Homes for Older People Page 11 of 29 Evidence: An assessment of the admission process followed included the review of the documentation relating to the last two admissions to the home. This confirmed that those residents that are admitted to the home are subject to a full assessment prior to admission. These are completed by the registered manager and held on file. Although prospective residents and their representatives are told verbally if the home is able to meet their needs following their assessment there was no evidence that this is also confirmed in writing as required. This was discussed with the manager who confirmed that this would be completed in the future. Relatives spoken to about the admission process advised that it was comprehensive and they received all the information they needed. They were able to visit the home and were impressed with Highbeech and its staff and especially when they compared it with two other homes visited. Highbeech does not provide intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst the plans of care provide a framework for the delivery of care, they need to reflect all care needs and include individual health, social and psychological needs that are based on up to date assessments and discussion with the resident or their representatives. The home was found to be meeting resident’s health and general needs with accessed additional community support when needed. Procedures and practice in the home allow for the safe administration of medicines and the privacy of residents to be promoted. Evidence: The care documentation pertaining to two residents were reviewed in depth as part of the inspection process and each of these residents were seen during the inspection visit to the home. The home operates a key worker system and this designated person has a responsibility to ensure the records are maintained and up to date. Although the Care Homes for Older People Page 13 of 29 Evidence: plans of care gave staff guidelines and how to meet the care needs of residents, it was noted that not all of the individual needs are recorded and addressed. An example of this was one residents significant weight loss was not being reflected. The manager was able to confirm that this matter was being followed up and that the Doctor was also involved. A review of the care documentation also confirmed that regular monthly reviews are not being completed routinely and system to evidence the involvement of the resident or their representative in the planing of care need to be established. Risk assessments are used to inform the care and include bed rail risk assessments. The further use of risk assessment was discussed with the manager to cover a usable nutritional screening tool and a pressure area assessment. She confirmed that the care documentation is to be changed and upgraded with the change of ownership and the use of risk assessments are currently under review. All care documentation is kept in a staff rest room that allows for easy access and staff have an opportunity to discuss residents changing needs at staff hand overs and staff meetings. Discussion with staff demonstrated that they had a good understanding of resident’s individual needs and they were able to discuss how these were met. All feedback from visitors and visiting health care professionals was very positive about the standard of care provided at Highbeech. Comments received included Staff and care is excellent nothing is too much trouble the home have been responsive to the choices made by one resident accommodating to how he wants to live. No residents in the home self administer their own medicines, therefore staff are responsible for all medicine administration in the home. Records confirmed that those staff who administer medicines have been trained to do so and a record of their signatures was available for audit purposes. A selection of resident’s medicine records were reviewed and these were found to be accurate and practice observed in the home was seen to be safe. A tour of the home confirmed that there is a separate medicines room for storage and this was found to be clean, tidy and well organised. It was however noted that storage arrangements for Controlled Drugs did not comply with current legislation. This must be improved to ensure that when the home needs to store any controlled drugs that suitable arrangements have been put in place. Further information on this matter is available on the CSCI Internet within the guidance document ‘The safe management of controlled drugs in care homes’. Staff were observed to be respectful and considerate to all residents and visitors and a good atmosphere in the home was evident. Residents are addressed by their preferred name and were seen to be well dressed and in accordance with their individual; tastes and wishes. Peoples likes and dislikes are recorded within the care documentation. Care Homes for Older People Page 14 of 29 Evidence: Residents rooms were attractive and individual reflecting the residents past life and interests. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities are responsive to individual preferences and the meals are appropriate to meet residents needs. Residents are able to make a range of choices about their lives as well as maintaining links with friends and relatives. Evidence: A full time activities coordinator is employed to work across the three homes owned by Titleworth in East Sussex. She is able to spend one full day in the home and her assistant who works along side her is able to spend one and half days in the home. They provide a stimulating variety of activity which includes a good amount of individual time with residents. Residents respond very positively to this individual approach which allows them to go shopping and visit places of interest. The manager also promotes this individual approach to resident activity maintaining a normality for residents and a social interaction with the community. Visitors commented on recent events at the home that have included a French themed day and a well attended BBQ. One relative said how much her father in law enjoyed the activities he loves going out with one of the ladies he really looks forward to it and has an ice cream as a treat. The activity provision is good although discussion with staff and the manager indicated Care Homes for Older People Page 16 of 29 Evidence: that further time for individual activity would be beneficial. Visiting is very much encouraged and not restricted. A number of visitors were seen during the inspection coming and going as they wished some taking out residents and others spending long periods of time in the home. visitors were seen to be relaxed and to have a good and comfortable relationship with staff and the manager who was available to them and spent time with them along side the residents. This they said that appreciated and felt that they could raise anything with her. The meal that was eaten with the residents was satisfactory and the mealtime was social and not rushed with residents able to eat for as long as they wanted, and to move around to different areas if they wanted to. The residents enjoyed the meal and staff were available to assist and encourage as necessary, without rushing people. Feedback from residents and visitors about the food was positive one relative said that the food was very good. Although the dining room is an attractive room it would benefit from improved table dressing to include more suitable table cloths and improved cutlery. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that any complaint would be listened to and responded to appropriately. The homes management and information in the home ensures that any Safeguarding Vulnerable Adult issue would be responded to appropriately when identified. Evidence: The home has a complaints procedure and a review of this confirmed that it needed to be updated to reflect the current address of the Registering Authority and new Ownership of the home. Relatives spoken to during the inspection said that they were comfortable to raise anything with any one. The manager clearly has a relaxed and pro active relationship with staff, residents and relatives and this fosters and environment where people feel able to say what they want and raise issues around the care and services as necessary. During the inspection visit the manager advised that the resident dining area had been moved into another sitting room so that the dining room was separate from other communal space. This was in response to relatives suggestions and is being changed to see how this is received by residents. The home has an Adult Protection procedure that gives clear guidance for staff to follow. Care Homes for Older People Page 18 of 29 Evidence: Records confirmed that staff had received training on adult protection issues in the past but this now needs to be repeated and to take into account the changes in the local policies and procedures. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. On the whole Highbeech provides a comfortable, clean and safe environment for those people living and visiting the home although, ongoing maintenance, redecoration and furniture replacement needs to be progressed to maintain a good standard throughout the home. Residents and their families are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. Evidence: Highbeech is situated in a residential area of Bexhill on Sea, it is an attractive well maintained building with a large garden and patio area to the rear. Residents accommodation is found on the three floors and a shaft lift provides level access throughout the home. All communal space is found on the lower ground floor and includes a sitting room that is large enough to be separated into different areas for different activity, a sun room, and a separate dining room. The patio and garden area is an important therapeutic feature of the home. It was seen to be well used and enjoyed by residents and relatives alike. Residents are encouraged to exercise in the garden and to do a small amount of garden work. It was however noted for those residents with mobility difficulty the access to the patio could Care Homes for Older People Page 20 of 29 Evidence: be improved with ramping. This was raised with the manager for her to review. There are adequate communal bathrooms and shower rooms in the home with specialist equipment, which enables frail residents and those with a physical disability to be bathed safely. Residents bedrooms seen were all well decorated and personalised with respect to individual likes and interests. There are three double bedrooms in the home and these need to be used in accordance to individual preferences and reviewed regularly taking into account residents changing needs. Although the home was very clean and a high standard of decoration was noted in most areas it was noted that the communal areas did need certain upgrading, some chairs were worn, needing replacement, and there was a malodour in the sitting room. The home was purchased in April 2008 and the new owners having met with the relatives have confirmed that the communal areas are to be redecorated and upgraded. All feedback about the homes environment raised the need for the redecoration and furniture replacement to be progressed along with the provision of suitable chairs for all residents. The manager was unable to confirm when the improvements are to be progressed. Timescales need to be established to ensure the home continues to be suitably maintained and provides appropriate seating for all residents. All laundry is completed on site and the laundry area was found to be organised and suitably equipped. Residents clothing was seen to be well laundered and cared for. Infection control measures were discussed with the manager along with the most recent Department of Health ‘Infection control guidance for care homes’. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements are good and suitable and ensure the needs of the residents living in the home are met, staff training however needs to be maintained. Residents are protected by the home’s recruitment policy and practices. Evidence: The current occupancy of the home is 26, Highbeech normally runs at full capacity with vacancies at the home being rare. The staffing level at the time of the inspection visit consisted of five-care staff, one of which is a senior carer and the manager throughout the waking day. This is in addition to domestic and kitchen staff. These staffing arrangements were seen to be sufficient however staff spoken to and feedback received within the staff surveys indicated that staff shortages as a result of staff holidays and sickness. This causes difficulties resulting in staff feeling they are only completing the basics with no time for them. The staffing levels therefore need to be kept under review and maintained at a suitable level at all times. All feed back about the staff was positive and staff were found to be kind and well motivated about providing a good standard of individual care . Comments received included Nothing is too much trouble Staff are excellent and so is the care.The staff are absolutely wonderful. it is a relief to find somewhere that really cares for their residents. Care Homes for Older People Page 22 of 29 Evidence: The recruitment files pertaining to two staff were reviewed as part of the inspection process and were found to include an application form evidence of references and the required Criminal Records Bureau (CRB) and POVA checks on all staff. The manager was advised that files need to have a photograph of staff and she confirmed that she would ensure these were put on file. Staff training has been given a high priority in the past and the Annual Quality Assurance Assessment(AQAA) returned by the home confirmed that 72 of care staff have completed a National Vocational Qualification in care at level 2 or above. There was evidence in the home that full induction training is completed by all new staff although this could reflect more clearly the specific philosophy and care needs of the residents at Highbeech. Staff comments indicated that although staff training had been very good, recently staff training has not been maintained. This now needs to be re-established under the new owners of the home to ensure staff are suitably trained to look after the residents in the home. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s benefit from a qualified and competent manager who takes into account resident’s views to improve the quality of care and services in the home. Resident’s financial interests are safeguarded and systems are in place to protect the health, safety and welfare of residents and staff. Evidence: The manager has considerable experience in the care industry, and has relevant management qualifications including an NVQ level 4, the City and Guilds Advanced Certificate in Management and the Registered Managers Award. She is also a qualified NVQ Assessor. The manager continues to up date her knowledge and skills by attending relevant courses. She demonstrated throughout the inspection process to be competent and skilled with a caring attitude toward people. She is committed to the home and maintaining high Care Homes for Older People Page 24 of 29 Evidence: standards throughout the service provision. She has an open and positive approach to any feedback and is readily available to residents, staff and relatives. Much preferring to spend time close to the residents and limiting her time in the office that is rather isolated from the main area of the home. The home does have quality assurance measures in place that include the use of questionnaires to gain peoples views on the service. It was however noted that these have not been used over the last year. The AQAA was well completed and the required regulation 26 visits are completed and recorded. Resident and staff meetings are held regularly and responded to. An example of this is the management responding to a request to change the dining room facilities. The home does not take any responsibility for any of the resident’s finances and in most cases resident’s families deal with them. If any money is spent on behalf of a resident this is included in the monthly accounts. The home has a full time maintenance man who has worked in the home for a number of years and has a good understanding of all health and safety and maintenance issues. Records seen confirmed that regular risk assessments are completed along with regular safety checks. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 14 That the registered person 01/11/2008 ensures that the prospective resident is advised in writing that having regard to the needs assessment the home is a suitable placement. This will ensure any prospective resident has all the necessary information to make an informed choice about where they want to live That residents or their representatives are consulted regarding the formation of the plans of care and are involved in the review process.That the care documentation is reviewed regularly and records all care needs. This will ensure all care needs and care provided is recorded and residents are aware 01/12/2008 2 7 15 Care Homes for Older People Page 27 of 29 of the agreed care provision and are in agreement with it. 3 19 16 That clear timescales are established for identified works to redecorate and upgrade the home are set and adhered to within a planned programme. To ensure the home is suitably maintained and provides appropriate facilities for all residents. 03/11/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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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