Inspection on 21/11/06 for Holy Cross Priory

This inspection was carried out on 21st November 2006.

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

Holy Cross Priory 11/11/08

Holy Cross Priory 01/02/06

Holy Cross Priory 22/08/05

Holy Cross Priory 07/01/05

Holy Cross Priory 27/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Holy Cross Priory Cross-in-Hand Heathfield East Sussex TN21 0TS Lead Inspector Melanie Freeman Key Unannounced Inspection 21st November 2006 10:00 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 Holy Cross Priory DS0000021140.V318757.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. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holy Cross Priory Address Cross-in-Hand Heathfield East Sussex TN21 0TS 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) 01435 863298 The Grace and Compassion Benedictines Sister Jacintha Aruldass Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty-four (24). Service users must be older people aged sixty-five (65) years or over on admission. 1st February 2006 Date of last inspection Brief Description of the Service: Holy Cross Priory is a residential home registered to provide care and accommodation for up to twenty-four older people. The home has been owned and run by the Benedictine Sisters of our lady of Grace and Compassion, a registered charity since 1964. The Charity is the registered owner of a further six residential/nursing homes and several sheltered housing schemes nationally. The home is a large detached Victorian manor house comprising of two detached properties, with part of the home registered as a nursing home. Within the grounds of the home are also sheltered accommodation units. The building has had many uses in its history including a hotel in the 1930s and as a monastery during the 1950s. It is set within extensive grounds in a rural location, between the villages of Cross-in-Hand and Blackboys. The home is presented across three floors with a shaft lift providing level access to all floors. Residents accommodation consists of twenty four single rooms with the majority being en-suite. Shared facilities include a large lounge, dining room, entrance hall and chapel. Care staff and residents are principally from the religious community. The home provides care and support to residents who are both privately funded and those who are funded by Social Services. The home’s fees as from 01 October 2006 are £300 per person per week. Additional costs are charged for chiropody (approx £9) hairdressing(£6.50-£25), newspapers, magazines and toiletries. The homes literature states that one of its main aims is to provide the highest standard of care for every person living here at the home, their family and carers. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Holy Cross Priory will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. The unannounced visit included a meeting with the deputy manager who facilitated the inspection process and received the inspector’s feedback at the end of the inspection. On the day of the home visit the inspector spent most of her time meeting with residents and observing practice in the home. A tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, care plans, duty rotas, medication records, and recruitment files. The care documentation pertaining to three residents was reviewed in depth along with a number of policies and procedures and records relating to health and safety. The inspector was able to eat a midday meal with the residents in the communal dining room. In addition service users surveys were given to 10 residents or their representatives and 5 staff surveys were left in the home for staff to complete and return. The inspector received all 9 service users/representatives surveys and 5 staff survey were returned, information contained in the returned surveys has been incorporated into this report. What the service does well: The home provides prospective residents and their families, with a good level of information about what services are provided at the home. Residents and relatives said that they had chosen the home mainly because the home is run by a catholic religious order and one comment made included ‘I have lived here for 6 years and have no regrets the chapel is always open’. Holy Cross Priory continues to provide residents with a high standard of personal care and all residents were positive about the care provided and said Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 6 ‘I am extremely happy here and could not wish for a better place’ ‘I consider myself lucky to be in such a pleasant place in my circumstances’. All staff are adequately trained and have a good understanding of residents’ assessed needs. Holy Cross Priory is a beautiful building set within large attractive gardens. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Holy Cross Priory DS0000021140.V318757.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 Holy Cross Priory DS0000021140.V318757.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, 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the provision of comprehensive and well-presented documentation, which enables them to make an informed choice about whether to move into Holy Cross Priory. The needs of residents are not assessed prior to residents being admitted to the home for a trial/assessment week. Intermediate care is not provided. EVIDENCE: The home has a detailed Statement of Purpose and Service Users’ Guide in place. Both are kept on display within the main reception area of the home for residents and visitors to see, alongside a copy of the most recent inspection report. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 9 Both the Statement of Purpose and Service Users’ Guide were found to be detailed and comprehensive covering: the home’s philosophy of care, the facilities provided, the arrangements for leaving or temporarily vacating, complaints procedure, advocacy services and health and safety aspects. Both these documents have been updated recently to reflect the change in the homes registration. When reviewing the admission process it was identified that no assessment is completed prior to residents being accommodated in the home for a week assessment/trial period. It was noted that the assessment completed once the resident was residing in the home was comprehensive and provided a good basis for the care plan. Residents spoken to during the inspection have made a positive choice to live in Holy Cross Priory most of them feeling that they want to live within a religious organisation. Intermediate care is not provided at Holy Cross Priory. Holy Cross Priory DS0000021140.V318757.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 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s health and care needs are set out in an individual plan of care. Resident’s care needs are met taking into account resident’s dignity with evidence of regular input from health care professionals as necessary. Procedures and practice in the home allow for the safe administration of medicines. EVIDENCE: The care documentation pertaining to three residents was reviewed as part of the inspection process and each of these residents were met with during the inspection visit to the home. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 11 The care documentation was found to be comprehensive and to reflect the physical care needs well and they also identified resident’s social history and the social care needs. Risk assessments are well developed and include risks associated with falling and residents individual nutritional needs and risk of pressure area damage. It was however noted that the risk assessments completed are not always reflected in the care documentation and the changing care needs have not always been cross-referenced and recorded in the plan of care, for example one resident needs a daily cream applied and this has not been recorded in the care documentation. Her skin needs to be monitored as they have been damaged in past and needed District nursing intervention. All feedback received from residents and relatives was all very positive about the standard of care provided at the home saying ‘the sisters and nurses in the priory where I live do a fist class job done with great compassion. Care and support you need with real care and love of Christ’ ‘my Aunt is very happy in the home and she receives the care and support that she needs’. ‘the care is excellent’. Medicine practice within the home has been reviewed and improved since the last inspection and the deputy manager confirmed that the practice of potting up has been stopped. Records checked were found to be accurate and to include a recent photograph of the resident. Medicines are stored in the office area and a medicine trolley is used when administering medication unless it is one individual’s medication. Practice observed during the unannounced visit to the home was noted to be appropriate and to follow safe procedures. The deputy manager confirmed that only senior staff that had received relevant training were permitted to administer medication. There was evidence that the systems are in place to enable those residents who want to administer their own medicines are able to do this. All residents and observations of staff’s interactions with others confirmed that that staff uphold the privacy and dignity of residents and always speak to them in a kind and respectful manner. All residents have single rooms and many have en-suite toilet facilities, which residents appreciated. It was identified that those residents that do not have en-suite facilities may have to share communal toilet and bathing areas with residents of an opposite sex. When accommodating residents this matter needs to be taken into account. Holy Cross Priory DS0000021140.V318757.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 and 15 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are encouraged to remain in close contact with friends and relatives and are supported to make decisions and choices in most areas of their lives. Resident’s opportunities for stimulation through leisure and recreational activities are not fully developed in the home. The dining facilities are attractive and well organised and the food is adequate however the standard of the meals provided needs to be improved to ensure residents receive an appealing and nutritious diet. EVIDENCE: During the inspection visit residents were found to be moving around the home spending time in different areas of the home, as they wanted to. Cleary the religious services held in the home and the adjoining nursing home are very important to many of the residents and provide an important psychological and emotional support. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 13 Most residents spoken to during the inspection visit said how much they enjoyed living in the home one saying ‘. I have fallen on my feet here and I love the way everything is done’. Comments however received from a number of sources indicated that residents do not have many opportunities to satisfy their social and recreational needs. Observations in the home also confirmed that there was little interaction between staff and residents particularly in the afternoons. Residents who are able to are encouraged to take transport to local towns and those wanting to walk are able to enjoy attractive grounds although staff do not accompany. Due to the rural location of the home, local amenities are not easily accessible, however a mobile library visits the home on a weekly basis and transport can be arranged via Age Concern. All residents and visitors spoken with confirmed that relatives and friends are always made to feel welcome and are offered refreshments. When speaking with most residents they confirmed that their choices are respected and responded to and said that they were able to go to bed and get up when they wanted to. The dining room is attractive and allow residents to have all their meals served directly from kitchen by the care staff ensuring meals are well presented and served at the correct temperature. Unfortunately the main cook has left and this has impacted on the standard of food currently provided. Both residents and relatives have noted that the quality of the food has deteriorated. The deputy manager confirmed that the home is fully aware of the problem and are actively recruiting a replacement and that the sisters are working hard to maintain a suitable standard of food. Holy Cross Priory DS0000021140.V318757.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 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Appropriate systems are in place to ensure that all complaints are handled appropriately and that residents are safeguarded from harm. EVIDENCE: The home has a detailed and clear complaints procedure in place. It gives clear guidance with regard to how a complaint can be made and how the complainant can expect it to be dealt with. The complaints procedure is available in the homes brochure and feedback received from residents and relatives confirmed that they felt confident that if they raised a concern this would be listened to and responded to appropriately. One relative gave an example of how an issue raised by her was dealt with immediately resolving any concerns. The home has relevant guidelines on the protection of vulnerable adults and staff have received appropriate training. The deputy manager had a good understanding of possible adult protection issues and there are systems in place to ensure all staff are able to refer any matter directly to a manager in the home. Holy Cross Priory DS0000021140.V318757.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, 23 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in an attractive home with a safe environment that is well maintained and clean. Holy Cross Priory promotes individualised rooms with suitable facilities to meet resident’s needs. EVIDENCE: Holy Cross Priory is a converted premise that was formerly a country manor house. It has been upgraded and updated over many years to provide attractive and adaptable environment for older people who need personal care. The home has very attractive grounds that residents and staff can enjoy when weather allows. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 16 The home also has very attractive communal areas that include a beautiful lounge area and separate dining room that allows for residents to enjoy different areas and space. The home has recently upgraded and extended a number of rooms and provided then with en-suite facilities. These rooms provide and excellent environment for residents that promotes their independence. This improvement has resulted in the loss of some rooms and the registration of the home has been reduced accordingly. During a tour of the premises it was noted that a number of rooms were being held open with pieces of wood. This concern was identified to the deputy manager and confirmed in writing to the homes Responsible Individual for her to address. Since the inspection the CSCI have received written confirmation from her that this matter has been addressed. All the rooms viewed were found to be attractive and clean although some water damage was noted in a few areas, which was shown to the deputy manager. The laundry facilities were found to be appropriate and contact with relatives confirmed that the laundry is well managed. Some residents use commodes and sluice rooms are available in the home to ensure good infection control practice is followed at all times in the home. Holy Cross Priory DS0000021140.V318757.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 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing numbers and skill mix provides a competent staff team that can meet residents health and personal care needs. The recruitment practice was not thorough in all areas and therefore did not safeguard residents. EVIDENCE: At the time of this inspection 22 residents were living at Holy Cross Priory. The staffing arrangements seen during the inspection visit were found to be appropriate and covered the prayer time of the sisters ensuring suitable carers being available to meet the needs of residents at all times. Residents and staff spoken to confirmed that the home is always adequately staffed to meet the assessed needs of the residents accommodated. All feedback received from residents and visitors confirmed that the staff are ‘very kind’ ‘thoughtful and kind’ and ‘do their very best’. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 18 A large number of the staff team are Sisters from India, Africa and Sri Lanka, who come to England for a period of several years. All are able to converse well in English. In addition lay staff are employed to provide direct care to residents and include two registered nurses one of whom is the deputy manager. The staff training in the home is given a high priority and the pre inspection questionnaire completed by the deputy manager confirmed that 50 of carers have completed a National Vocational Qualification in care at level 2 or above. Staff training records demonstrated the training was wide-ranging and included induction training. Staff surveys were complimentary about the training provided but did not suggest that staff supervision was well developed and this needs to be reviewed along with the provision of individual training and development assessments and profiles. The recruitment records for three staff members were reviewed in depth and identified some shortfalls in the recruitment process: • • • One member of staff was working with a POVA check but without a CRB check and with no system for supervision in place. The recruitment /personnel files did not include photographs The references did not always include the last employer. These shortfalls were discussed with the deputy manager and the Responsible Individual was written to with regard to the shortfall that needed to be addressed immediately. The CSCI have received written confirmation that the home have implemented a supervision programme for the care worker who had not received a CRB. Holy Cross Priory DS0000021140.V318757.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 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and ensures the best interests of residents are protected. Quality assurance measures allow for residents and representatives views to be taken in to account and responded to. Although resident’s financial interests have been safeguarded systems for this need to be improved. The health, safety and welfare of residents and staff are generally well promoted and protected. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 20 EVIDENCE: The home’s manager has substantial relevant experience and has completed relevant care and management qualifications. Sadly the registered manager has not been well and is currently unable to work in the home. The CSCI have received confirmation that the deputy manager will be managing the home in her absence. The deputy manager is a registered nurse and has relevant experience of working in the care home sector. The home has developed a quality assurance system which that uses questionnaires and takes into account the views of residents, relatives, representatives and health care professionals. The questionnaires are not currently fully audited and reported on and discussion took place about how this could improve the quality monitoring system, which should include a survey of staff views. A record of the questionnaires are available within the service users guide. Most residents and/or their relatives manage their own finances with the exception of three individuals. Records relating to these three residents were reviewed the amounts of money were found to be accurate however receipts are not given when money is received and it was not clear where the money was coming from. A clear procedure was not in place to safe guard the money and the staff dealing with it and this was discussed with the deputy manager who retains the responsibility for this matter. Certificates relating to Health and Safety in the home were reviewed and found to be full and extensive. Environmental and fire risk assessments are completed although the environmental risk assessments need to be further developed to fully assess the outside areas of possible risk and the passenger lift has an open cage mechanism. Holy Cross Priory DS0000021140.V318757.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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 X X 4 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 2 X X 3 Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 22 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 OP3 Regulation 14(1) Requirement Timescale for action 01/01/07 2. OP12 3. OP29 4. OP33 5. OP35 That accommodation is not provided to residents until the home is satisfied that they can meet their care needs and that this is confirmed in writing to them. 16(2) That the home provides the necessary facilities to promote residents opportunity for activities and recreation. 19 That a thorough recruitment procedure is operated that includes securing two authentic/appropriate references and the retention of documentation as identified in schedule 2 including recent photographs of employees. 24(1)(2) That the results of residents’ (3) questionnaires are analysed/audited and reported on. 17(2)Sch4 That the systems for dealing (9)(a)(b) with resident’s monies is reviewed and improved to include the use of receipts and a procedure that reflects the practice in the home. 01/03/07 01/01/07 01/04/07 01/04/07 Holy Cross Priory DS0000021140.V318757.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 OP10 OP30 OP38 Good Practice Recommendations That further consideration is given to promoting residents privacy with regard to the sharing of communal bathrooms and toilets. That staff supervision is further developed along with individual training and development assessment and profile. That an external environmental risk assessment is completed along with individual risk assessments for the use of the passenger lift. Holy Cross Priory DS0000021140.V318757.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Holy Cross Priory DS0000021140.V318757.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. 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!