Inspection on 21/02/07 for Highlands Residential Home

This inspection was carried out on 21st February 2007.

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 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

Highlands Residential Home 13/02/09

Highlands Residential Home 05/12/05

Highlands Residential Home 21/07/05

Highlands Residential Home 11/03/05

Highlands Residential Home 14/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Highlands Residential Home Fitzgerald Road Woodbridge Suffolk IP12 1EN Lead Inspector Tina Burns Key Unannounced Inspection 10:30 21st February 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 DS0000024416.V331043.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. DS0000024416.V331043.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highlands Residential Home Address Fitzgerald Road Woodbridge Suffolk IP12 1EN 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) 01394 386204 01394 386204 lyn@highlands1.plus.com The Abbeyfield Deben Extra Care Society Mrs Lyn Jane Ward Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places DS0000024416.V331043.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Highlands is one of a group of care homes, which is affiliated to the National Abbeyfield Society Group and is responsible to a local management committee, the Abbeyfield Deben Extra Society Limited. Highlands provides care for 24 older people. It is situated in a quite residential area of Woodbridge, within walking distance of the town centre. Woodbridge offers a range of amenities, which include restaurants, garden centres, shops, library, banks, post office, Riverside Theatre and swimming pool. The home is an adapted period house, which overlooks the Deben estuary. Lift or stairs can access all areas of the home. Most of the bedrooms and living areas, including a large conservatory, have views over the home’s wellestablished grounds and gardens. There is limited car parking provided at the front of the home. The 24 single bedrooms are located on the first floor and ground floors; all have en-suite wash hand basin and toilet. There are also communal toilets and bathrooms located close to the bedrooms. Communal areas include a large dining room, lounge and conservatory, all of which are decorated and furnished to a good standard. At the time of inspection fees were £388 per week. DS0000024416.V331043.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which focused on the core standards relating to care homes for older people. The inspection was undertaken on a weekday and took place over a period of approximately six hours. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection process included examination of a range of documents including three staff records, three residents care plans and a range of policies, procedures and health and safety records. The inspector also toured the premises and spoke with several service users and four care workers. Information was also gathered from thirteen resident’s survey forms and five relative’s/visitor’s comments card. The registered manager and deputy manager were present during the inspection and fully contributed to the inspection process. What the service does well: What has improved since the last inspection? What they could do better: The home needs to make an addition to its Statement of Purpose so that it includes details of the complaints procedure. It also needs to ensure that staff sign Medication Administration Sheets as soon as they have administered eye drops, in case it is forgotten or administered twice. DS0000024416.V331043.R01.S.doc Version 5.2 Page 6 The home also needs to ensure that staff that have a significant change in role undertake a new CRB disclosure check to comply with current guidelines. Although Health and Safety Procedures are generally sound the home needs to ensure that hot water temperatures are regularly monitored so that risks of scalding remain low. The frequency of formal staff supervision should be increased in line with national minimum standards and the quality assurance system should be developed to involve residents in outcomes and action plans. The home should also look at ways of having the medication room and the hairdressing facilities separate, so that neither one inconveniences the other. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000024416.V331043.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 DS0000024416.V331043.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive appropriate information about the home and make an informed decision about whether or not it can meet their needs. EVIDENCE: The home had a Statement of Purpose and Service User Guide in place. Overall both documents were appropriately detailed, however the Statement of Purpose did not fully comply with legislation, as it did not include the arrangements for making a complaint. Never the less, residents spoken with and feedback from surveys indicated that residents felt that they had received enough information about the home before they moved in. The homes certificate of registration and previous inspection report were prominently displayed in the homes foyer. Feedback from residents and records seen confirmed that appropriate contracts were in place. The contracts or ‘Client Agreements’ included DS0000024416.V331043.R01.S.doc Version 5.2 Page 9 information about fees and the homes terms and conditions. Records seen also indicated that pre admission trial visits took place. Residents spoken with and records examined also confirmed that appropriate assessments of need had been undertaken before residents moved into the home. Assessments covered a wide range of needs covering areas such as sight and hearing, communication, diet and weight, mobility, personal care, physical well being, personal safety and risks, social interests and cultural needs. Moving and handling risk assessments, pressure area risk assessments and falls risk assessments were also in place. The home did not provide any emergency or intermediate care. DS0000024416.V331043.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have their personal and health care needs met and their privacy and dignity respected. EVIDENCE: Individual care plans were in place in the three residents records examined and reflected the needs identified in the residents pre admission assessments. The care plans were appropriately detailed and covered areas such as routines on retiring to bed, daily routines and interests, routine on waking, breakfast, lunch and dinner, personal hygiene, special needs, likes/dislikes and allergies, medication, social needs and relationships. Care plans seen had been signed and agreed by residents and reviewed on a three monthly basis. Residents spoken with, records examined and feedback from surveys confirmed that the home supports residents with their health needs. Daily records also evidenced that the home ensures residents have access to health care services such as GP’s, community nurses and hospital outpatient services. Observations made. Records examined, discussion with staff on duty and DS0000024416.V331043.R01.S.doc Version 5.2 Page 11 training records seen confirmed that overall the home’s procedures in place for the safe storage, handling and administration of medications were sound. However, observation of a midday medication round evidenced that on the day of inspection eye drops administered before lunch had not been signed for at the time of administration. Discussion with staff on duty indicated that this practice occurred once a week when the hairdresser was at the home. The hairdressing facilities were in the same room as the medication and this caused some difficulty in accessing the records at the time the eye drops were administered. Following further discussion with the deputy manager and senior manager it was agreed that the records must be available as required and the practice would stop with immediate effect. They advised that in the future medication records would be held in the main office on the day that the hairdresser visited. At the last inspection the home had two requirements and three recommendations regarding medication. At this visit all of them were found to be met. Eye drops were stored correctly and according to manufactures instructions, Medication Administration Records were regularly audited by the manager or deputy manager, medications with a short shelf life (for example eye drops) had been labelled with the date of opening, stock levels were not excessive, and guidelines had been produced for staff that stated what action they should take if a medication error occurs. Action taken by the home to comply with previous requirements suggests that they will respond promptly to the requirement about medication made at this inspection. Feedback from residents and observations made during the inspection indicated that staff respected resident’s privacy and dignity. Personal care was provided in the privacy of the individual’s bedroom or privately in one of the homes bathrooms. Comments included “Independence and privacy is encouraged here…but the care is there when needed”, “Staff are always very caring” and “it’s almost always service with a smile”. DS0000024416.V331043.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to enjoy their meals and be satisfied with their lifestyle. They can also expect their friends and families to receive a warm welcome by the home. EVIDENCE: Although the home did not employ a dedicated member of staff to organise and plan activities, one of the care workers took primary responsibility for coordinating a programme of activities and events. That care worker and four other members of the team had recently undertaken a distant learning course ‘Activities in the Care Setting’. Feedback from residents and relatives and discussion with the manager and staff on duty evidenced that the home meets with the residents annually to consult with them about the range of activities they would like to see at the home. The programme of activities for February was on the notice board in the foyer and included bingo, scrabble, keep fit, reading and a quiz. The home also has a grand piano that is used for ‘sing a longs’. Of the thirteen residents that returned surveys eight said there were always activities at the home that they could take part in, two said usually, another two said sometimes and one made no comment. DS0000024416.V331043.R01.S.doc Version 5.2 Page 13 Feedback from residents and their relatives and observations made during the inspection indicated that resident’s visitors are welcomed at the home. Several residents said that friends and family visit them regularly. A notice displayed in the foyer advised that the home had a flat where friends or relatives can stay for a reasonable charge. Residents confirmed that they are able to meet with their visitors in one of the communal areas or in the privacy of their own room. Residents spoken with, care plans examined and observations made during the inspection confirmed that residents are helped to exercise choice and control over their lives. Residents visited in their bedrooms had brought some of their own furniture and personal belongings with them when they moved into the home. Of the thirteen residents that had completed surveys four said that they always liked the meals, seven said that they usually liked them and two said that they sometimes liked them. On the day of inspection the main meal was roast beef, Yorkshire pudding, roast and mashed potatoes and vegetables. Observations were that it looked very appetising. Residents confirmed that meals could be taken in the dining room or in the privacy of their own rooms. On the day of inspection most residents were using the dining room. The dining room was warm and comfortable, staff and residents chatted amongst themselves and there was a general sense of occasion about the meal. It was good to see the manager serving meals and care workers taking their meals with the residents. Comments from residents on the day of inspection included “The food is nice and varied, our cook is lovely and spoils us”, “They are marvellous,..the cook is exceptional”, “The meals are all very good I have no complaints”. Residents also confirmed that their special dietary requirements, for example diabetes, low fat and allergies are catered for. The cook advised that the home had a healthy catering budget that enabled them to buy good quality food. This meant that the standard of meals were not compromised by the budget. DS0000024416.V331043.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents can expect their complaints to be taken seriously and acted upon. Further more, they can expect to be safeguarded from abuse. EVIDENCE: The homes complaints procedure was included in the homes Service User Guide and displayed in the home. It included appropriate details about how to make a complaint and the stages and timescales of the complaints procedure. Of the thirteen survey forms returned from residents all thirteen confirmed that they knew how to complain. Of the five survey forms returned from relatives and visitors all five were aware of the complaints procedure and two had made a complaint. The homes complaints records indicated that since the last key inspection the home had received two complaints. Records confirmed that the first complaint had been handled appropriately. The second complaint remained on going and unresolved at the time of inspection. Records seen and staff spoken with indicated that care workers had received training to recognise the signs and symptoms of abuse and understood their roles and responsibilities regarding concerns and allegations. The homes Abuse Policy reflected local authority multi disciplinary guidelines for the protection of vulnerable adults. DS0000024416.V331043.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a clean, safe, well-maintained and comfortable environment. EVIDENCE: On the day of inspection the home was well maintained, pleasantly furnished and decorated, comfortable and ‘homely’. An appropriate fire alarm system was in place and records evidenced that equipment was routinely checked and tested. Communal areas consisted of one large dining area and two lounge areas. The ground and first floor also had small kitchenettes so that residents or their visitors could make hot and cold drinks. DS0000024416.V331043.R01.S.doc Version 5.2 Page 16 All bedrooms provided en-suite toilets and hand basins. There were also sufficient shared toilet and bathroom facilities through out the building including assisted bathrooms containing electronic and manual hoists. First floor bedrooms could be accessed via a shaft lift. All bedrooms at the home are single. Bedrooms seen were all individually furnished and decorated and provided sufficient and comfortable facilities. Resident’s had equipped their rooms with many of their own belongings and personal effects. Bedrooms seen had a call system in place, and in working order on the day of inspection. On the day of inspection the premises was warm, clean, hygienic and free from unpleasant odours. All thirteen surveys returned by residents answered ‘yes’ when asked ‘is the home fresh and clean?’ DS0000024416.V331043.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s can expect their needs to be met by a trained and competent team of staff. Further more, overall the homes recruitment procedures protect and safeguard residents. EVIDENCE: The recruitment records of three care workers were examined during the inspection. The records evidenced that Enhanced Criminal Record Bureau Checks (CRB) had been undertaken and were satisfactory for each member of staff, however a new CRB had not been undertaken when one of them had changed their role from a domestic to a carer. Individual’s photographs, two appropriate references and evidence of verification’s of identity were in place and the manager confirmed that statements of health were now also obtained for new members of staff. Records seen supported this. Records seen and staff spoken with indicated that the home provides appropriate staff inductions. Induction programmes included core training such as fire safety, health and hygiene, manual handling and health and safety. Care workers confirmed that new carers shadowed established carers for several days before working alone. Comments from care workers about training and induction were positive and included “They look after you when you start” and “There’s always courses coming up”. Staff spoken with and DS0000024416.V331043.R01.S.doc Version 5.2 Page 18 discussion with the manager indicated that seventeen of the homes twenty eight carers held NVQ level 2’s or above. Of the thirteen residents that had completed surveys; seven said that staff were always available when they needed them, five said usually and one did not complete the question. Comments included “They are very good at coming as soon as possible”, “They are usually very quick at answering the call bell” and “We have a very good call system”. DS0000024416.V331043.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect the home to be well managed and run in their best interests. Overall, the health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The manager was appropriately qualified, having completed the BTEC Diploma in Management of Care Services in 2002, and had many years experience within the care sector. In addition to the manager the home also had a deputy manager in post and a team of four senior care assistants. Observations and staff spoken with on the day of inspection indicated that there were clear lines of accountability within the home and staff and residents confirmed that they DS0000024416.V331043.R01.S.doc Version 5.2 Page 20 found the manager competent and approachable. Comments from residents included “Mrs Ward is a very good listener” and “She is a very caring person and easy to speak too”. Comments from staff included “The manager is always willing to help” and “I couldn’t ask for better support. The manager advised that the home undertakes a Quality Assurance review each year. Residents spoken with confirmed that they were asked for their views. The results of the audit are reflected in a report that is presented to the homes Executive Committee. The next review was due to be completed in April 2007. Discussion with the manager confirmed that in the past the results were not made available to the residents or used to develop an action plan for the home. The manager suggested that it would be a good idea to have a residents meeting for this purpose. Policies and procedures examined and records seen evidenced that the home had appropriate procedures in place for the handling of service users money. The home did not manage resident’s finances but they would hold money for safe keeping when required. Records seen included details of all monies held and included money paid in and money paid out. All entries were signed and dated and receipts had been given. Staff spoken with and records seen indicated that care workers received formal one to one supervision about twice a year. However, discussion with the manager, senior care assistant and care workers on duty confirmed that in formal and ‘on the job’ supervision consistently took place. Staff spoken with all felt that they received an adequate level of supervision and felt well supported. Records seen and staff spoken with evidenced that the home provides appropriate training in relation to health and safety, fire safety, manual handling and hygiene. Laundry areas seen were clean and well equipped and indicated that the home had infection control measures in place. Fire safety and maintenance records were in place and up to date and evidenced that overall the home has robust health and safety systems in place. Accident and incident records seen indicated that there had been nine incidents in 2007 and they were appropriately reported and recorded. On the day of inspection hot water temperatures at two hand basins were tested and found to be between 38°C and 40°C. Discussion with the manager and records seen indicated that the home considered hot water temperatures stable and the risk of scalding to residents low, however temperature readings had not been monitored on a weekly or monthly basis and could not evidence this. Although there was no immediate concern about hot water temperatures, systems in place to minimise the risk of scalding should be more robust. The manager agreed to develop the procedures in place in line with government Health and Safety guidance. DS0000024416.V331043.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 X 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 DS0000024416.V331043.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? None 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 OP1 OP9 Regulation 4(1) Sch 1 12(a) 13(2) Requirement The Statement of Purpose must include the arrangements for dealing with complaints. The registered manager must ensure that staff administering eye drops sign the Medication Administration Sheet at the time they are given. The registered manager should ensure that a new enhanced CRB Check is undertaken for the care worker named during the inspection. The registered manager must ensure that the homes system in place for monitoring hot water temperatures is more robust. Timescale for action 30/03/07 21/02/07 3 OP29 19 12/03/07 4 OP38 12(1)(a) 13(4) 12/03/07 DS0000024416.V331043.R01.S.doc Version 5.2 Page 23 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 OP9 OP36 OP36 Good Practice Recommendations The home should find a more appropriate area than the medication room for its hairdressing facilities. The home’s Quality Assurance procedures should be developed in line with National Minimum Standards. The frequency of formal staff supervision should take place in line with national minimum standards. DS0000024416.V331043.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000024416.V331043.R01.S.doc Version 5.2 Page 25 - 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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