Inspection on 19/01/06 for Holmpark

This inspection was carried out on 19th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Holmpark 26/04/07

Holmpark 18/07/06

Holmpark 10/05/05

Holmpark 02/11/04

Holmpark 24/05/04

Holmpark 14/01/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Holmpark 212 Hagley Road Edgbaston Birmingham West Midlands B16 9PH Lead Inspector Ann Farrell Unannounced Inspection 19th January 2006 08:30 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 Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Holmpark Address 212 Hagley Road Edgbaston Birmingham West Midlands B16 9PH 0121 456 3738 0121 454 4495 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) Anchor Trust Mrs Pearl Moore Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39), of places Physical disability over 65 years of age (39) Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate 39 adults over the age of 65 who are in need of care for reasons of old age, not falling within any other category (39), Physical Disability over 65 years of age (39), Dementia (39). Flat 39 is to be used only for the purpose of respite care. Minimum staffing levels must be maintained to at least 4 care staff at all times during the waking day. This must be increased at peak times to meet the needs of the service users. Care manager hours, ancillary staff and activities co-ordinator should be provided in addition to care staff. 10th May 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Holmpark is situated on a main road close to the Birmingham city centre and is within easy reach of public transport facilities and other amenities. The building is a listed building, which had an extension built in 1988 and is well maintained both internally and externally. There is a large mature wellmaintained garden to the rear with adequate parking to the front of the property. Holmpark provides residential accommodation to 39 residents for reason of old age and dementia. Accommodation is provided over three floors, which are accessible via a passenger lift, in 37 single flats and 1 double flat. Each flat is provided with a small kitchen area and en-suite facilities that consists of a toilet plus wash hand basin. There is an en-suite shower in the two ground floor flats, one of which is only used for respite care. Telephone and television points are available in each room. The home has two passenger lifts enabling residents to access all areas. There is a range of assisted bathing facilities throughout the home. Services include laundry and weekly cleaning of the flats. The laundry and kitchen are situated on the ground floor and all staff facilities are based on the third floor. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted on an unannounced basis over a full day commencing at 8.30am on 19th January 2006. This is the second statutory inspection for the year 2005-2006 and it is recommended that this report be read in conjunction with the previous report. The deputy manager was present for the duration of the inspection. During the inspection process the inspector sampled residents files and case tracking was undertaking in addition to inspection of other documentation. The deputy manager, two members of staff and approximately six residents s were spoken to during the course of the inspection. All the requirements from the previous inspection were not assessed on this occasion. What the service does well: What has improved since the last inspection? Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 6 There has been an improvement in the medication system since the last inspection ensuring that residents receive the medication prescribed by the doctor. Staff have improved the system for welcoming residents who move into the home. There has been an improvement in the arrangements for staff supervision of residents, as a staff desk is now available in the reception area and staff are available. 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. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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 Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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, 4, 6 The home provides information to enable prospective residents to make a decision about entering the home. The admission process has been improved since the last inspection. Assessments still lack detail of residents needs and it cannot be guaranteed that all needs will be identified and met. Training is required in respect of caring for people with dementia in order to provide staff with the appropriate skills. EVIDENCE: The home admits residents primarily for long-term care, but do have one flat specifically for respite care. Information is available for prospective residents, but this was not viewed at the time of inspection. Staff liaise with social workers who provide written assessments or care plans for residents who wish to enter the home. The home also invite prospective residents to the home enabling them to view the facilities, meet staff and other residents and partake in a meal prior to admission. At this stage the home is also able to undertake an initial assessment to determine if they are able to meet residents needs and on inspection of records it was noted that records of assessment were available in files. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 9 Following admission to the home a more comprehensive assessment is undertaken and an individual lifestyle agreement (ILA) is drawn up. There is a trial period of one month when a review is held with the resident, staff and family. Since the last inspection the staff have improved the system for welcoming new residents to the home. On inspection of the records relating to the homes admission they lacked detail and this resulted in residents needs not being identified. In some cases the social workers assessment provided further information for the home to utilise, but this was not available in all cases. It was also noted that the home is registered to care for residents with dementia and yet there was no assessment of mental health needs. The manager will need to review the assessment process and ensure that a qualified and competent person undertakes assessments for all residents entering the home to ensure that all needs are identified and action taken to address them. It is also recommended that staff liaise with social workers in order to obtain a copy of their assessment to assist in the process. Some of the staff have undertaken training in respect of caring for people with dementia. On inspection it became apparent that there were some practices that were not appropriate when dealing with residents who had dementia or challenging behaviour. The managers will need to ensure that these issues are addressed through training and monitoring of staff. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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 The care planning system needs to be improved and monitoring systems put into place ensure all resident’s needs are being met. There have been improvements in the medication system ensuring residents receive the medication prescribed to them. EVIDENCE: The home draws up an individual lifestyle agreement (ILA) for each resident following admission to the home outlining how the resident’s needs are to be met by staff. On inspection of a sample of records they were found to be vague in areas, lacking in detail and all needs had not been included in the plan of care. Some of the care plans had not been signed or dated and in some cases where issues had been brought up by relatives there was no evidence that they had been addressed. Care plans had not been reviewed monthly as outlined in the National Minimum Standards. Daily records contained a significant amount of information, but this could be streamlined and more relevant in some instances. It has been stated that the organisation are reviewing the documentation for assessments and care planning and training will be given with the new documents when they are introduced. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 11 Staff had undertaken nutritional assessments and some residents had been identified as being at risk. Care plans and monitoring of intake had been commenced. On inspection it was noted that some residents had two charts for monitoring intake and they only demonstrated that residents were taking their three meals a day. There was no evidence of any extra snacks or nutritional drinks as described in the care plan. The manager will need to ensure there are suitable systems in place to check that care plans for all aspects of care are implemented. One resident had a urinary catheter in position and the care plan did not provide specific instructions about the care of it. On discussion with staff there was a lack of clarity about specific aspects of the care. All staff will require training in this area to ensure a consistent approach is achieved. The home uses a monitored dose medication system and on inspection it was noted that there had been an improvement in the administration and recording and the majority of audits were correct. There was noted to be some gaps in the recording, the administration of controlled drugs had not been recorded on the MAR chart, the timing for the administration of antibiotics had not been spread evenly over the 24-hour period and there were no guidelines for the administration of PRN haloperidol. On discussion with residents they were happy with the care provided. They stated, “the staff work very hard and you just have to ask for anything and you get it”. Resident’s privacy is respected and staff knock on doors before entering their flats. A telephone is available on each, but these do not afford privacy. On discussion with the deputy manager it was stated that appropriate arrangements could be made if requested. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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, 15 Meals were well managed providing a varied diet with choice and meals are of a good standard. The activities co-ordinator arranges a range of activities and it is hoped to provide an activities room in the near future. EVIDENCE: The home employs an activities co-ordinator. The home has a karaoke machine, television, video and DVD in the lounge. There is a plan of activities displayed on the notice board in the reception area, which include bingo sessions, progressive mobility, quizzes, games and crafts plus musical entertainment. It was stated that they are hoping to develop an activities room in the near future. Over the Christmas period there was a party, pantomime and a reminiscence theatre group visited the home. The hairdresser visits the home on a regular basis. Ministers of various religions visit the home at residents request. Visiting is fairly flexible and residents have a choice of areas to receive visitors. Residents take their own furniture into the home enabling them to create a home from home environment and can handle their own finances if they wish although assistance is available in the home. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 13 The home employs separate catering staff who provide three full meals per day, which includes a three-course lunch. On discussion with residents they all stated they enjoyed the meals and they were of a good standard. At the last inspection it was stated that they were to introduce a new system for meals enabling residents to order their choice on the day when they enter the dining room. Snacks are available and fresh fruit is available in the dining room. The catering manager also has a monthly food tasting session, which gives residents the opportunity to try dishes from different counties. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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 The home has a complaints procedure on display and residents expressed no concerns. Staff training is being provided in the protection of abuse. EVIDENCE: The home has the complaints procedure displayed on the notice board, which provides details of the Commission. However, it does not make it clear that the Commission can be contacted at any stage by complainants. Since the last inspection the Commission received a compliant in respect of the admission procedure, availability of staff, odour, carpets, medication and a reactive approach to care. The home produced an action plan and have implemented changes to address the issues e.g. changes in how residents are welcomed into the home, there have been improvements in the medication system and there is now a staff desk in the reception area with a call bell where staff can be found or they can be called if required. On discussion with some staff they stated that it was better as they were more aware of what was happening. The deputy manager stated that one carpet had been replaced and there was an ongoing programme of replacement. At the time of inspection some staff were undertaking training in respect of adult abuse and this is to be extended to include all staff. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25, 26 The standard of décor and furnishings in the home is good providing residents with a pleasant and homely environment to live. EVIDENCE: The home is a listed building that was refurbished and extended to provide residential accommodation. The home was warm, clean, odour free and well maintained. There is limited parking to the front with an attractive well maintained garden to the rear of the building. Access to the garden can be gained by the lounge and dining room and there is a pleasant patio area with seating, which can be used when the weather permits. Towards the end of the garden is a pond, which is to be landscaped in the future. However, in the interim a lock has been fitted to the gate to restrict access and improve safety. There is one lounge and adjoining dining room on the ground floor, which are decorated and furnished to a good standard. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 16 All flats are provided with locks and letterboxes to doors; they are carpeted and generally residents provide all their own furnishings, although furniture is available if required. The majority of flats are singly occupied and meet the minimum size requirements. Each flat has an en-suite facility consisting of a toilet and wash hand basin plus a small kitchen area, which has a fridge. Samples of rooms were inspected and were found to be decorated to a good standard, comfortable and personalised. The home has recently replaced one of the carpets and it was stated there is a rolling programme to replace others where required. Also it was stated they have increased the frequency of carpet cleaning. However, on inspection it was noted that a carpet in one flat was stained. Doors have appropriate locks and lockable facilities are available in flats for residents to store valuables or medication. Staff have a master key to doors in the event of an emergency. There are two assisted bathrooms and three showers in the home, but some do not provide a call ball accessible to the washing and toilet facility. Flats are individually and naturally ventilated and windows are provided with restrainers. All areas are centrally heated and radiators can be switched on and off. However, this does not enable service users to adjust the temperature in their flats if they wish. This is an issue that has been highlighted at previous inspections and the homes action plan states the radiators can be turned on and off. Laundry facilities are sited on the ground floor and have a washing machine with sluice cycle and resident’s laundry is undertaken separately. Part of the laundry area is segregated to provide sluice facilities. On arrival it was noted that the door to the cellar was not locked and the door from the corridor to the staff facilities where the kitchen, laundry and refrigeration area is kept open. It is recommended that this practice be reviewed. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 30 Improvements have been made in arrangements for staff to monitor residents more closely. Training is ongoing in respect of NVQ and induction. EVIDENCE: The home currently has six resident vacancies. Staffing rotas indicated that there are five care staff on duty during the morning, four care staff on duty during the evening and two overnight. In addition, there is the mangers, housekeeping, domestic, administration staff and activities co-ordinator. The home has an ongoing training programme. Currently 38 of staff have completed NVQ level 2 and it was stated that another four care staff have enrolled for the training, which should bring them up to 50 . The manger has not employed any new care staff since the last inspection, however there are currently four staff vacancies. Induction training is undertaken with all newly employed staff. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 18 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, 33, 34, 36 There is a stable management team, which contributes to the efficient running of the home. There is a quality assurance process, which provided positive feedback. Health, safety and welfare of residents needs to be further promoted and protected by ensuring that staff receive up to date fire training. EVIDENCE: The registered manager has been in post for a number of years and has been undertaking the registered managers award. On discussion with residents they stated there were regular meetings held in the home. Staff stated meetings occurred approximately every two months. Records indicated that some staff received supervision at least six times per year. The home has a quality assurance system in place and recently a company has been involved in a customer satisfaction survey obtaining feed back from residents and relatives. The report from this provided positive feedback and the home scored above the mean for 30 out of the 37 attributes measured. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 19 The home holds monies on behalf of residents in a separate account and on inspection of the records they were found to be satisfactory. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 20 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 2 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 3 3 2 X 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 3 X 2 X X Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The registered person must review and enhance the statement of purpose to cover all areas outlined in the regulations and provide a copy to the Commission. Timescale for action 30/06/06 2 OP3 14 30/03/06 The registered person must; - Review the assessment procedure and ensure a qualified and competent person undertakes an assessment for all residents who enter the home to determine if the home is able to meet needs. - Following admission a comprehensive assessment must be in place with risk assessments to enable a full care plan to be drawn up. - Where anyone is admitted with dementia/mental health problems a mental health assessment must be undertaken. The assessment must be updated where there is any significant change in service users condition and dated. Timescale of July 2003 not met. DS0000016908.V277781.R01.S.doc Version 5.1 Page 22 Holmpark 3 OP4 18(1) 12(1) 4. OP7 15 5. OP8 12(1) 6. OP8 12(1) 13(1) 7 OP8 12(1) The registered person must; - Ensure all staff undertake training in respect of caring for people with dementia and challenging behaviour. - Implement systems for monitoring practice in the home. The registered person must ensure; - Individual lifestyle agreements clearly cover all areas of need/risk. - They should set out in detail the action required by staff to meet all service users needs and risks. - They must indicate any specific interventions/care for service users who suffer with dementia. - The registered person must ensure they are reviewed monthly and are updated where there are any changes. - The registered person must have systems in place to ensure care plans are implemented and they are audited on a regular basis. Timescale of July 2003 not met. The registered person must implement a system for monitoring of service users psychological health and chronic diseases such as diabetes, asthma etc. Timescale of November 2004 not met. The registered person must ensure a nutritional assesment is undertaken on all residents and where a plan of action is written due to risk it is fully implemented by staff and records are maintained. The registered person must ensure that all staff undertake training in respect of catheter care to ensure a consistent DS0000016908.V277781.R01.S.doc 30/03/06 30/03/06 30/03/06 30/01/06 28/02/06 Holmpark Version 5.1 Page 23 8. OP9 13(2) 9 OP16 22 10 OP19 13(4) 11 OP19 16(2)(c) 12. OP21 23(2)(n) 13. OP29 18(1) approach to care. The registered person must ensure; - Accurate recording of all medication. Timescale of July 2003 not met. - The administration of all controlled medicaiton is recorded on the MAR chart. - Antibiotics are spread evenly over the 24 hour period. - Guidelines are available for all staff in respect of PRN medicaiton. The registered person must ensure the complaints procedure clearly indicates that complainants may contact the Commission at any stage in the process. The registered person must ensure; - The cellar door is kept locked at all times. - Review the arrangements on the ground floor and access to the staff facilities. The registered person must; - Undertake and audit of all flats and draw up a plan for replacement of damaged carpets. - Ensure all carpets are kept clean at all times. The registered person must ensure there is a call bell accessible to all bathing and toilet facilities in bathrooms/shower rooms. Timescale of May 2004 not met. The registered person must ensue that 50 of care staff are trained to NVQ level 2. 30/01/06 28/02/06 30/01/06 28/02/06 30/04/06 30/09/06 Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 24 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. Refer to Standard OP12 OP20 Good Practice Recommendations It is recommended that consideration it given to activitiies for residents with dementia. It is recommended that consideration is given to the provision of another sitting area. Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Holmpark DS0000016908.V277781.R01.S.doc Version 5.1 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. 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