Inspection on 01/08/07 for Honey Lane Care Home

This inspection was carried out on 1st August 2007.

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 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

Honey Lane Care Home 28/01/09

Honey Lane Care Home 24/08/06

Honey Lane Care Home 08/02/06

Honey Lane Care Home 07/07/05

Honey Lane Care Home 14/12/04

Honey Lane Care Home 13/07/04

Honey Lane Care Home 07/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Honey Lane Care Home Honey Lane Waltham Abbey Essex EN9 3BA Lead Inspector Ann Davey Unannounced Inspection 1st August 2007 09:30 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 Honey Lane Care Home DS0000037535.V343858.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. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Honey Lane Care Home Address Honey Lane Waltham Abbey Essex EN9 3BA 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) 01992 718558 01992 653463 caroline.carter@carebase.org.uk Towertrend Limited Mrs Caroline Mary Carter Care Home 41 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (41), Old age, not falling within any other of places category (8) Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 8 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 41 persons) One person, under the age of 65 years, who requires care by reason of dementia The total number of service users accommodated must not exceed 41 persons 24th August 2006 Date of last inspection Brief Description of the Service: Honey Lane Care Home is a 2-storey purpose built home providing care for people over the age of 65. Residents’ bedrooms and communal areas are situated on the ground floor with administration office and staff room on the 1st floor. The home is divided in to three separate areas i.e. Forest (2 units), Abbey and Saxon. The home has a large car park. The home is located about 2 miles from the centre and main shopping area of Waltham Abbey. It is on a main bus route and there is good access by road as the home is in close proximity to the M25. The current scale of charges at the home ranges between £500.00 - £800.00 per week. The actual fee depends on the source of funding, assessed care needs and/or type of accommodation available i.e. double/single bedroom. There are additional charges for items of a personal nature. The home’s Statement of Purpose and Service User’s Guide has recently been updated and is available from the home. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced site visit which started at 9.30am and finished at 5pm. The last key inspection took place on 24th August 2006. The acting manager, area manager, staff, residents, visitors and a visiting health professional were spoken with during the course of the visit. The Commission had sent surveys to the home asking for them to be completed and returned. In the meantime, the home had also asked residents to complete detailed ‘internal’ surveys for their own Quality Assurance report. Comments arising from the homes own surveys will be included in their Quality Assurance report which will be ready by the end of the year. Any further or additional comments from the Commission’s surveys will be included in the next inspection report. The day was pleasant and the home was co-operative and helpful. The registered manager had left the home 3 weeks before the inspection (the registration certificate will be changed to reflect the situation) and the new manager had been in post for only 2 days prior to the inspection. The new manager and the area manager were present throughout the day. A partial tour of the home was made. Care practices were observed and a random selection of records viewed. A notice advising any visitors to the home that an inspection was taking place was displayed in the main entrance hallway. The notice extended an invitation to anyone who may like to speak with the inspector to make themselves known. Three visitors were spoken with. All matters relating to the outcome of this inspection were discussed with the area manager and the acting manager. Notes were taken by them. Full opportunity was given for discussion and/or clarification both during and at the end of the inspection. What the service does well: The environment is warm, friendly and relaxed. This creates a good atmosphere for residents who have care needs associated with dementia. Staff have good training opportunities which means that residents can be cared for using the right skills and expertise. The variety and choice of food provided for residents is good. The home has good working relationship with the local GP practice and means that communication is effective. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 6 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. Honey Lane Care Home DS0000037535.V343858.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 Honey Lane Care Home DS0000037535.V343858.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): 3 (standard 6 is not applicable in this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have their care needs assessed by the home to ensure that the proposed placement is suitable. EVIDENCE: The records of two recently admitted residents were assessed. Assessments were in place and the assessed care needs were documented. The wishes and preferences of both residents had been recorded within the process. It is the home’s practice to invite any prospective resident to spend some time in the home before any decision about their future is made. Where this is not possible, the family are invited to view the home. This had happened with these two residents. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have a plan of care drawn up by the home that details their assessed care needs and to receive the services of health care professionals as appropriate. EVIDENCE: Five care plan records and other associated care/health documentation were selected and assessed. Records included health care multi disciplinary records, risk assessment and history of falls documentation. Four records were fully complete, further necessary work on one care plan was undertaken by the home during the inspection. The home has recently revised its care planning recording formats and all but approximately 3/4 records are now complete. Care plan and risk assessment documentation was orderly and the home demonstrated that care needs are reviewed on a regular basis and records are amended when necessary. Documentation evidenced that both residents and their respective immediate Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 10 family have the opportunity to contribute to the planning of their care and a document entitled ‘care plan agreement’ is available and used. It was positive to note that residents (and/or those of the family) ‘end of life’ preferences and wishes are sought and sensitively recorded on care records. Records demonstrated that residents are referred to by their preferred or chosen name. This practice was demonstrated through observation during the day in that staff were overheard to be addressing individual residents by their preferred name. Care practices were observed during the course of the day. Staff were attentive to residents needs and were seen to knock on bedroom doors before going in. Two residents in bed during the morning period looked very comfortable and their care was being managed well. A brief view of the home’s internal surveys suggested that residents were satisfied with their care. Those residents spoken with and able to express a view about the way the homes cares for them were positive. One resident said that although it wasn’t her own home, she felt safe and liked the staff. Another resident said that staff ask about what clothing should be selected for the day and how personal care tasks are undertaken. Whilst another resident said that the home ‘was a nice place to be’. Relatives spoken with were positive about the care provided and confirmed that they are given the opportunity to be involved in the care planning process. Staff spoken with had a good understanding of individual residents care needs. All residents were dressed in keeping with their age and gender. Residents are registered with local GP’s. Opportunity was taken to speak with one GP during the inspection. He expressed a high opinion of the home and said that it provides an ‘excellent’ service. He was complementary about the staff and their commitment to residents care. The GP was happy for their views to be reported on within this report and said that they also spoke on behalf of their colleagues. A selection of medication administration records (MAR) and medication storage arrangements were assessed on Saxon unit. Records and storage were in good order. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will find that structured and organised activities are in the process of being reviewed and they cannot be assured that nutritional records demonstrate they are provided with a balanced diet. EVIDENCE: A general outline of residents social, recreational and religious needs are recorded on care plans. The manager is currently reviewing the social and recreational aspect of life within the home to make it more relevant and interesting for residents. Also this exercise will provide opportunity for the home to establish not only what is required on a corporate level, but also what is appropriate for individual residents who because of their complex care needs associated with dementia may be limited in what they can participate in. There was evidence that residents have been consulted, draft programmes had been drawn up and staff were in the process of being recruited who will have particular responsibility for this area of care. Residents spoken with said that they do get a ‘bit bored sometimes’ and are looking forward to the new plans. The manager accepts that this area of care requires developing and is actively addressing the situation. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 12 The home acknowledges on care plans that residents have spiritual and religious needs and these are respected and facilitated. One resident said that regular visits to the home are undertaken by the church and felt that staff had respect for individual beliefs. Relatives spoken with said that they were always made to feel welcome and had tea/coffee making facilities available to them on the 1st floor. Relatives felt that the manager was very approachable and all expressed confidence in the knowledge and understanding staff had of their respective family member. There is a comfortable visitors room should private meetings be preferred. Care plan documentation demonstrated that wishes, choices and preferences had been sought from either residents or their respective family. Each resident had a personal profile which provided specific detail of this. Residents said that that they asked if they would like more to eat or drink. Staff were overhead to ask residents if they had sufficient to eat at breakfast time. Practice throughout the visit demonstrated that residents are able to exercise choice and control about where they sit whilst others exercised choice about staying within the privacy of their bedrooms. One resident was enjoying breakfast as late as 9.30am through personal choice. The home operates a four-week rotation menu system. The menu for the day was displayed. The system demonstrated that residents are offered a wide variety and choice at each meal. The system recorded what residents had requested for lunch and tea, but no records were available to demonstrate what each resident had requested or eaten for breakfast or supper. The chef explained that sometimes a lunch dish is ‘ordered’ by a resident, but they may change their mind and an alterative is provided. Records do not reflect this good practice. The system in place demonstrates that residents are offered choice and variety, but the home does not maintain a daily record demonstrating what individual residents necessarily choose on the day and had eaten and in what quantity. The reason for maintaining this regulatory record was explained. Positive comments were received about food provision from residents and relatives. The chef demonstrated pride in their work and this was reflected in the presentation of menus and the choice offered. At this inspection a mealtime was not observed, but the dining area(s) were attractive. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have their complaints taken seriously and be protected by the home’s ‘safeguarding adults from harm’ procedures. EVIDENCE: Residents and relatives said that they knew how to make a complaint and would be happy to approach the manager. The complaints procedure is displayed. The content should be amended to reflect current guidance issued by the Commission. The home maintains a complaints record book which demonstrated that complaints are managed appropriately. The home maintains links with local advocacy services. Whilst speaking to a resident, a matter of concern was raised with the inspector. The issue was causing distress to the resident. The resident demonstrated confidence in the manager by expressing the concern to her. The issue was well managed and the resident expressed satisfaction in the outcome. Senior staff and care staff had a good understanding of ‘safeguarding adults from harm’ procedures and were able to describe what they would do should a matter of concern be noted. Staff are trained in ‘safeguarding adults from harm’ procedures and demonstrated a good understanding that residents with care needs associated dementia are particularly vulnerable. Staff spoke with confidence in being aware of seeing any unusual body language and/or a resident being unusually withdrawn. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 14 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a clean and comfortable environment. EVIDENCE: A partial tour of the home was made. Bedrooms seen were personalised, clean and comfortable. Communal areas were well furnished and decorated. Residents have access to safe outside patio areas. There were no unpleasant odours in the home. Corridors and communal areas were free from obstruction and hazards. The kitchen and laundry areas were orderly and clean. All equipment within these areas was in good working order. Cupboards and rooms containing COSHH materials, cleaning products and electrical equipment were secure. A keypad system on all external doors ensures that residents are kept safe. The Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 15 acting manager said that all bathrooms and toilets are going to be upgraded starting September 2007. The inspection coincided with a hot day, but ventilation throughout the home was good and the air temperature comfortable for residents to live in and for staff to undertake their duties. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be cared for by a team of training staff in numbers that area adequate to meet assessed needs. EVIDENCE: The home has three designated working areas i.e. Saxon, Abbey and Forest (2 units in this area). Rotas demonstrate that on Forest there is a minimum of 2 care staff on duty during the day, and on Abbey and Saxon there is a minimum of 1 care staff on each during the day. An additional 4th member of care staff is a ‘floater’ and works between the 3 units and there is always a senior on duty. Domestic, laundry and kitchen staff provide cover for 7 days a week. There was no rota for domestic, laundry and kitchen staff but this was addressed during the inspection. The manager is full time, an administrator is employed for 30 hours a week and the home employs a maintenance person 5 days per week. A post has been created to provide 25 hours a week activities/social input and the manager is currently exploring either recruiting a deputy of another senior carer. At night 1 senior member of staff and 2 care staff are on duty. Following a recent recruitment drive, the home has no staff vacancies. Whilst recruitment processes are being undertaken, some staff are working double Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 17 shifts and agency staff are working in the home to maintain staffing levels. There was evidence that there are sufficient staff on duty to meet assessed needs. The ‘unit’ method of deploying and allocating staff means that residents are supervised in small groups at all times during the day. The recruitment records of two recently recruited members of staff were viewed. Documentation was in good order apart from the induction records. One induction record was incomplete, the other record stated that all elements of the induction process had been undertaken and completed on 1 day. Neither record complied with required Skills for Care criteria. The area manager acknowledged this shortfall and will work with the acting manager to ensure compliance with all new staff. The home was able to demonstrate and staff confirmed that team meetings and supervision sessions take place. The home provided a staff training matrix which demonstrated that staff are provided with good training opportunities. Staff looked smart and clean in their uniforms. Staff wear different colours identifying their role and responsibility within the home. This practice assists residents with dementia care needs in identifying staff. One resident identified the ‘chief lady’ (who was a senior member of staff) by her uniform because it had a stripe on it. Whilst uniforms serve a practical purpose within the work place they also assist residents by recognition. Residents able to express a view were open about their thoughts on staffing. Naturally with such a large group of residents and staff there were ‘favourites’. Residents liked all the ‘home’ staff, but expressed some negative views about agency staff. They said that the care wasn’t so good and sometimes communication through language was a problem. Staff related to residents in a natural friendly way. There was a good sense of humour around the home. Staff were undertaking their duties in a calm orderly manner which created a relaxed and informal atmosphere for residents. Staff impressed the inspector as being helpful and cooperative. All were happy to speak with the inspector. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 & 38. (Standard 35 was not assessed on this occasion as the home does not safeguard, manage or keep residents personal monies.) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a home, which is managed in a competent manner. EVIDENCE: The home has been without a registered manager for a month. The manager who took up the post 2 days before the inspection and was the deputy manager for the home up until 7 months ago, but had agreed to be transferred to a sister home to assist with the management matters. The acting manager is experienced in residential care, holds relevant qualifications, is currently undertaking further study and intends to apply for registration. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 19 The acting manager’s appointment was met with by a very positive response from residents, staff and visitors. Staff expressed confidence in management style and residents said they felt comfortable and safe. One relative said ‘it’s good to have her back’. There has been a recent residents meeting and residents surveys are currently being collated. This means that residents (and their families) have the opportunity to be open about their views of the home and help shape and influence future changes and developments. The home was able to demonstrate that regular Regulation 26 requirements (visits to the home by the owner or representative) take place. During the interim period of time when the registered manager left and the new manager took up her post, the area manager was a regular visitor to the home. Staff spoke positively of the support given during this time. The home is currently collating surveys from residents, relatives and other stakeholders. A Quality Assurance report will be ready by the end of the year. Accidents records were seen and maintained in good order. Documentation on individual residents case records reflected the information in the accident book. A random selection of service and maintenance records were sampled and assessed to be in good order. Records were available to demonstrate that fire drills are undertaken on a regular basis but the records to demonstrate that the fire fighting equipment, emergency lighting and fire alarms are checked to ensure they are in good working order could not be located. Three members of staff confirmed that these duties are undertaken on a regular basis, but unfortunately the person who has responsibilities for these duties was on holiday. The home acknowledged that the current system must be reviewed to ensure that these records are accessible upon request. The home was able to demonstrate that current environmental and safe working practice risks assessments were in place. Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X N/A X X 3 Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 21 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 OP12 Regulation 16 Requirement Social/recreational/occupational programme(s) must be developed and implemented following consultation with residents and families (where appropriate). The programme(s) must be suitable and meaningful taking into account the category of registration, the layout of the home and individual residents limitations and capabilities. The home must maintain a form of record to demonstrate that residents have been provided with food and drink which are in adequate quantities, suitable, wholesome, nutritious and varied. The home must ensure that all staff undertake a structured induction training programme that is in line with current guidance i.e. Skills for Care. Timescale for action 31/10/07 2 OP15 16 31/08/07 3 OP30 18 31/08/07 Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Honey Lane Care Home DS0000037535.V343858.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. 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