Inspection on 06/09/06 for Highview

This inspection was carried out on 6th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Highview 06/04/09

Highview 14/04/08

Highview 26/07/07

Highview 18/03/06

Highview 10/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Highview 284-290 Great Clowes Street Higher Broughton Salford Gtr Manchester M7 9HD Lead Inspector Adele Berriman Unannounced Inspection 09:40 6 September 2006 th 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 Highview DS0000064499.V298058.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. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highview Address 284-290 Great Clowes Street Higher Broughton Salford Gtr Manchester M7 9HD 0161 792 2610 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) Highview Residential Limited Mrs Linda Yari Care Home 35 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (22), Physical disability (1) Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The category DE is for two named individuals under 65 years of age. If either of these people leave, the service user category will revert to OP. The dependency levels of service users must be assessed on a continuous basis and staffing levels adjusted, where appropriate, to ensure continued compliance with the Residential Forum Guidance in Care Homes for Older People. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The category PD is for the named individual under 65 years of age. If this person leaves, the service user category will revert to OP. 18th March 2006 3. 4. Date of last inspection Brief Description of the Service: Highview is a residential home providing care, support and accommodation for up to thirty-five older people. Of these twenty-five people require personal care only and ten people have dementia and require personal care. The home is owned by Highview Residential Ltd who took ownership of the home since the previous inspection. The registered manager of the home is Ms Linda Yari. The home occupies an elevated position off Great Clowes Street in Salford. Access is to the rear of the building via a level access route which leads to the main entrance/reception area. Parking is available to the rear of the building. The front of the building provides an enclosed patio seating area for residents. Accommodation is provided on three floors which are all serviced by a passenger lift. There are 32 single bedrooms, 6 with en-suite facilities and 3 double bedrooms. The cost of the service is £355.52 per week. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place between the 5th & 6th September 2006. During the course of the inspection time was spent talking to a number of residents, staff and the manager of the home. Examination of records, care plans, medication records, policies and procedures relating to the home took place. A tour of some areas of the interior of the building was also carried out. A pre-inspection questionnaire had been completed by the manager of the home and eight residents had completed questionnaires about the service they receive. During the inspection there was a pleasant and comfortable atmosphere around the home with lots of conversation taking place between residents and residents and staff. Staff were observed supporting resident in a positive manner. What the service does well: What has improved since the last inspection? Risk assessments had been updated and contained the name of the assessor and the date in which the assessment was carried out. Gates had been fitted to the front and rear of the property and outside lighting had been put in place. The manager had carried out a quality assurance audit to gather the views of the people living at the home. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Highview DS0000064499.V298058.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 Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home ensures that they are able to meet people’s needs by carrying out an assessment of needs prior to them becoming a resident. EVIDENCE: The home has a set format for recording an assessment of a person’s needs prior to them moving into the home. The assessment is carried out to ensure that the home is able to meet the needs of the individual. The set format has the opportunity for the assessor to document people’s needs and wishes in relation to communication, eating and drinking, elimination, personal hygiene, mobilising, medication, oral health, foot care, hobbies and leisure and any issues relating to health and wellbeing. Copies of the pre-admission assessments were stored on individuals’ files along with their care plan. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 9 A requirement was made following the previous inspection that all pre admission assessments were signed and dated by the person carrying out the assessment. All recently completed assessments contained the date and signature of the assessor. Highview does not provide intermediate care facilities. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The majority of care plans demonstrated people’s needs and wishes. The home manages medication procedures appropriately. EVIDENCE: Each resident had a care plan and a selection of these were assessed. Care plans contained information that gave staff details of what people’s needs and wishes were. This information included personal details, a short biography and daily living information for mental heath and character, pressure areas and skin, elimination, communication, socialising, waking, dressing and undressing, spiritual needs, bedtime and sleep, eating and drinking, washing and bathing. The majority of the information contained in these documents contained detailed and informative information. However, a couple of the care plans of people who had recently moved into the home required further development. A recording system was in place for key workers to review care plans on a monthly basis. Some care plans were in need of updating as they had not been reviewed since June 06. The manager of the service stated that she would address this issue. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 11 Individual care plans also contained risk assessments relating to specific risks identified for the individual. Risk assessments were seen on people’s files relating to pressure areas, skin integrity, nutrition, moving and handling, ‘zimmer’ frames, the front door, fire doors, harm to self or others and falls. Daily records formed part of the care plans where staff recorded what care and support had been given/offered to people throughout the day. Documentary evidence was available that demonstrated residents had regular access to primary healthcare services. During the visit to the home a community psychiatric nurse visited one resident and later a visit was made by a psycho-geriatrician to see a resident. A district nurse also visited to assess the condition of a resident’s support mattress. The district nurse spoke positively about the support she received from the staff team during her visits to the home. Medication was stored in locked cabinets. The cabinets were generally stored in a locked room. However, the manager discussed with the inspector about alternative safe storage of the cabinets to make them more accessible to the staff team. Medication Administration Records (MARs) were stored together in a file. These records were assessed and found to be completed appropriately. Information relating to homely remedies and directions by individuals’ doctors were also stored in the file. The inspector viewed a recent report of an inspection of the homes medication processes carried out by the dispensing pharmacist and no concerns had been raised. Controlled drugs were stored appropriately. An audit of this medication took place and was found to be correct. A fridge was available for the storage of certain medication. A tube of eye cream was found to be out of date for use by two days. The manager discarded the eye cream immediately. Discussion took place regarding the need for staff to write the start date on eye creams etc so that staff are aware of when to discard them. All eight residents who participated in completing service user surveys stated that staff listen and act on what they said. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in the outcome area is good. This judgement has been made using available evidence including a visit to the service. Activities are available for residents to take part in. Residents are consulted about what food is served in the home. EVIDENCE: A two week programme of activities was displayed in the home. Activities included hairdressing, arts and crafts, music and dancing, sing songs and reminiscence. The manager stated that the programme may be adjusted on occasions to meet the needs of the residents. An entertainer visits the home on a monthly basis. In July three residents went for a weekend away to Blackpool with the support of staff. Service user questionnaires completed by residents stated that some residents thought that there were ‘always’ activities to take part it and others commented ‘sometimes’ there are activities to part in. One resident commented that they especially liked to play carpet bowls and anther stated that they enjoyed playing bingo. Some residents were supported in maintaining contact with relatives in the wider community and one resident maintains weekly visits to the Salvation Army. Information was displayed in the hallway about when the next visit would be made by representatives of local churches. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 13 Information on a local advocacy service is openly displayed in the home. A review of menus had taken place since the last inspection. The manager stated that some residents had asked for cow heal and tripe and that these were offered occasionally in addition to the daily menu as a snack. There were stores of dry and frozen foods and a butcher delivers meat on a daily basis. Residents commented positively above the food served during the visit to the home. Residents commented on the service user survey forms that they usually or always like the meals served. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality outcome in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The policies and procedures of the home protect service users. EVIDENCE: The home had a complaints procedure that gave details of how to make a complaint. One resident commented on a survey form that they did not know how to make a complaint and three people said that they did. During the visit to the home several residents told the inspector that they would speak to the manager if they had a complaint or concern. One resident said that he would contact his social worker if he had a complaint. The manager said that it was her intention to ensure that a copy of the homes complaints procedure was available in every bedroom and would ensure that the procedure was discussed all each residents meetings. The home had not received any complaints since the previous inspection. One adult protection concern had been raised since the previous inspection and the home had dealt with the matter appropriately. A copy of Salford Social Services Adult Protection Procedure was available in the home. The homes has a policy/guidance to protect residents from abuse. The policy gives examples of physical, sexual, emotional, financial abuse and some examples of what constitutes neglect. It is recommended in this report that the homes policy contain the contact details of Salford Social Services. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 15 The manager stated that staff had received training in adult protection but documentary evidence was not available at the home as training certificates were being held at the office of the training organisation used. Following the inspection the proprietor advised that the training information was now stored in the home. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 25, 26 Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to the service. Improvements need to be made to the décor of the home and the bathroom facilities to ensure the comfort of all. EVIDENCE: The home has a part time maintenance person who carries out general repairs. A car park with electronic gates is situated to the rear of the building. At the front of the building there is a patio area decorated with flower tubs. There is an area of the patio in which the flags are uneven and therefore create a potential tripping hazard. Following a requirement made in the previous inspection report a gate had been fitted to the pedestrian entrance to the property that leads off the main road. Outside lighting had also been added to the side and front of the building. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 17 Several areas of the building were assessed and some carpets in communal areas were dirty, odorous and stained and were in need of heavy duty cleaning/replacement. Comfortable sitting chairs were available in all communal areas. However, some of the covers and arms of the chairs were stained and in need of thorough cleaning/replacement. The floor of the kitchen in the no smoking lounge was in need of attention as the covering did not fully meet the base of the kitchen units. The home has several bathrooms for people to use. However, two of these baths were not in use as one of the taps on each bath did not work. One of these baths was identified on the previous inspection as needing repair. This requirement was not met. Several bathrooms, corridors and bedrooms had wallpaper that was coming away from the wall and were in need of urgent redecoration. A requirement was made following the previous inspection that a full audit of the homes decoration must be undertaken and an action plan produced. This requirement is reiterated in this report. A requirement was made in the previous report that a full audit of bedroom furniture was required to ensure that bedrooms are furnished appropriately. This requirement did not appear to have been met and is therefore reiterated in this report. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. It is essential that staffing levels are reviewed on a regular basis to ensure that there are sufficient staff on duty to meet the needs of residents. EVIDENCE: At the time of the inspection the manager, a senior carer and three carers were on duty to meet the needs of the twenty five people in residence. A rota was available that demonstrated that three carers and a senior carer were on duty in the morning and two carers and a senior were on duty in the afternoon/evening. A cook is employed to prepare meals and finishes at 3pm each day. It is the role of the carers on duty in the afternoon to serve the tea that is pre-prepared by the cook. This results in a member of staff spending time arranging the meal and washing up, resulting in there only being two staff available to meet the needs of residents. The home needs to review the amount of staff on duty throughout the day to ensure that there are sufficient staff on duty to meet the needs of all the residents. The staff team on duty demonstrated a good knowledge of residents needs and wishes and demonstrated good working relationships within their role as carers. The home has a recruitment procedure. The records of four staff were assessed, the majority of these records related to recently recruited members of staff. Some staff files contained only some of the information required. For Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 19 example, of two references for one member of staff neither was from the previous employer and the dates on a member of staffs curriculum vita did not correspond with the dates in the reference supplied by their previous employer. There was evidence on some files that Criminal Record Bureau (CRB) and POVA 1st checks had been sought prior to the staff member commencing employment. However, the file of one member of staff contained a CRB that had been processed by a previous employer and another member of staff’s CRB certificate stated that they were employed by the ‘umbrella’ agency that processes CRB applications on behalf of the home. The manager stated that within the last 12 months some staff had attended training relating to dementia care, 1st aid, basic food hygiene, moving and handling and fire safety. Training relating to health and safety and medication were planned for the near future. The manager was also in the process of accessing training delivered by Salford City Council. Six staff hold their level 2 NVQ in care. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 Quality outcome in this area is good. This judgment has been made using available evidence including a visit to the service. The home is managed by manager who considers the needs and wishes of residents at all times. EVIDENCE: The registered manager of the home had several years experience in working in social care. The manager demonstrated a thorough knowledge of the needs and wishes of all the residents. A requirement was made in the previous three inspection reports that the responsible person must ensure that they or their representative visits the home at least once a month and they provide the manager with a written report of the visit. To date, this requirement has not been met and is therefore reiterated. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 21 One resident of the home handles their personal finances and is supported by staff to visit the bank. Other residents have the support of their families or the local authority client affairs department for the management of their finances. There is provision in the home for the safe storage of personal items. Any money transactions are fully recorded and receipts kept for any purchases made by individuals. Several personal money records were assessed and found to be correct. Some windows on the upper floors of the building were able to be opened fully. This issue was discussed with the manager and an immediate requirement was made that a risk assessment was carried out of all windows not fitted with a restrictor and where needed restrictors fitted. This requirement was addressed quickly by the home. A records of all accidents in the home was maintained. Records were available that demonstrated that weekly random testing took place of the fire alarm, emergency lighting and the nurse call system. The last recorded fire drill took place on 28.08.06 and the record contained the names of all staff who had attended the drill. A visit was made to the home by a representative of Greater Manchester Fire and Rescue Service on 01.06.06. During this visit several minor breeches of regulations were identified and the manager demonstrated a commitment to ensuring these breaches were rectified. Records demonstrated that a selection of hot water taps were checked on a weekly basis. However, on the day of the inspection the inspector tested the temperature of several hot water provisions and two were found to exceed 44°c. This issue was discussed with the maintenance person and manager who carried out an audit of the hot water provision immediately. In the main food preparation kitchen there was an area of the wall in which the paint had began to peel. The toilet adjacent to the kitchen was in need of redecoration. This issue had been raised during a health and safety inspection carried out by Salford City Council on 22.05.06. Prior to the inspection the manager of the home supplied the Commission with information that demonstrated that regular maintenance and servicing took place of equipment within the home. A requirement was made following the previous inspection that a full audit of policies and procedures in the home be carried out. During this inspection the manager stated that the majority of these policies and procedures have been reviewed and that it was her intention to put a copy of all policies and procedures in the foyer of the home to inform all. Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 2 3 2 X X 2 2 2 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 2 3 X 3 X X 2 Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Care plans must identify specific care needs and include what actions are required to meet the individual needs of the resident. The paving in the patio area at the front of the building needs attention to minimise the risk of people tripping. A audit of all decoration and furnishings in the home is required and an programme of renewal devised. A copy of this programme is required to be sent to the Commission. It is required that all bathrooms within the home are fully operational and maintained on a regular basis. A full audit of bedroom furniture is required to ensure that all bedrooms are furnished appropriately. Timescale for action 20/10/06 2. OP19 13 20/10/06 3. OP19 23 20/10/06 4. OP21 23 20/10/06 5. OP24 23 20/10/06 Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 24 6. OP29 19 The home must ensure that relevant references and Criminal Records Bureau checks are carried out as part of the recruitment process. The responsible person must ensure that they visit the home at least once a month and that they provide the manager with a report of the visit. It is required that all windows about ground level are risk assessed and the appropriate actions taken to minimise the risk of harm to individuals. 20/10/06 7. OP32 26 20/10/06 8. OP38 13 20/09/06 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. Refer to Standard OP18 Good Practice Recommendations It is strongly recommended that the homes adult protection policy contains all the contact details of Salford Social Services. It is strongly recommended that residents are given the opportunity to decide on what bed linen they require on their bed. The home must at all times ensure that there are an appropriate number of staff on duty to meet the needs of residents. It is strongly recommended that staff record the date that eye drops etc are opened to ensure that they are discarded at the appropriate time. 2. OP24 2. OP27 3. OP9 Highview DS0000064499.V298058.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Highview DS0000064499.V298058.R01.S.doc Version 5.2 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!