Inspection on 22/11/06 for Honresfeld Cheshire Home

This inspection was carried out on 22nd 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Honresfeld Cheshire Home 07/02/06

Honresfeld Cheshire Home 18/05/05

Honresfeld Cheshire Home 16/02/05

Honresfeld Cheshire Home 29/07/04

Honresfeld Cheshire Home 05/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOME ADULTS 18-65 Honresfeld Cheshire Home Halifax Road Littleborough Rochdale Lancashire OL15 0JF Lead Inspector Bernard Tracey Unannounced Inspection 22nd November 2006 09:30 Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 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 Honresfeld Cheshire Home DS0000017344.V298286.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 Adults 18-65. 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. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Honresfeld Cheshire Home Address Halifax Road Littleborough Rochdale Lancashire OL15 0JF 01706 378627 01706 370678 laura.keita@lc-uk.org www.leonard-cheshire.org.uk Leonard Cheshire 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) Mrs Laura Janet Keita Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (5), Physical disability (28) of places Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 28 service users to include: up to 28 service users in the category of PD (physical disability under 65 years of age); up to 5 service users in the category of OP (older people). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th February 2006 2. Date of last inspection Brief Description of the Service: Honresfeld Cheshire Home is a large period building with extended accommodation, situated in 2 acres of well maintained lawns and gardens. Patio areas are accessible to people in wheelchairs. There are good car parking facilities. The home is approximately half a mile from Littleborough centre where there is a good selection of shops and other community services, including the railway station. Hollingworth Lake Country Park and the Pennine Way are also situated nearby. Whilst the home is on a main bus route, the service is infrequent. The home accommodates male and female residents aged between 18 and 55 years (on admission), in single bedrooms on two floors. Qualified nurses, supported by care assistants, physiotherapists and therapists, provide twenty-four hour nursing care. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody Hairdressing Newspapers Toilet requisites Transport Clothing A costing and pricing tool determines fees charged by the home. Individual needs are assessed and then costed accordingly. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not made aware that this site visit was going to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The home was also asked to fill in a questionnaire. The Inspector spent 4.5 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. He also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. The Inspector spent time speaking to 7 residents as well as speaking to 2 relatives, 7 staff, and the manager. What the service does well: This is a care home where residents are well looked after. One resident said “ I didn’t plan to come into a care home as part of my life, but now it is necessary this home is very acceptable” The staff team work well together and show a good understanding of the needs of the people living at the home. The home was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Meals and mealtimes were considered to be an important part of the residents’ day. The dining rooms are nice places to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. They were satisfied with the choice of meals and the way they were cooked and served. Honresfeld Cheshire Home DS0000017344.V298286.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. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Admissions are not made to the home until a full needs assessment has been undertaken. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, by a senior member of the nursing staff from the home. The assessment documents of three residents were looked at. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement if any, of their relatives. The Inspector spoke with the relatives of a resident who had recently been admitted, who stated that the manager had been out to the residents whilst in hospital to undertake an assessment of his needs and also provided information that helped them to come to the decision that the home would be able to meet his needs. The majority of the questionnaires returned to the Commission confirmed that each individual felt that they had received enough detailed information prior to making a decision to come into the home, and residents spoken to confirmed they had been to look around prior to admission. Comments received included: Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 9 “No but I like it here” “I chose Honresfeld and had visited before I came to live here” “Visited beforehand and previous service manager visited me at my home before I was admitted.” Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good People living at the home are provided with information enabling them to make decisions about activities of daily living. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has reviewed and, where necessary, rewritten the care plans for all residents since the last inspection. The care plans are now extremely informative to enable staff to identify with residents specific care needs, together with their preferences, likes and dislikes. All health, social and emotional care needs are identified and individual care plans are prepared for each of the identified need. The care plans are signed to confirm agreement with them. Relatives spoken to on the day of the inspection confirmed that they had discussed the care plans with the manager or nurse and were able to discuss the resident’s preferences in relation to meals, times of going to bed and getting up and how the service users like things done. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 11 Risk assessments are undertaken on all residents in relation to daily living and appropriate measures are put in place to reduce or remove any potential risk. These are recorded in the care files and the agreement of family members is obtained for the use of bed rails and for the use of any other protection equipment. All care plans and risk assessments are reviewed on a regular basis, or as changes in care needs are identified, and these are updated as appropriate. Staff actively promote the resident’s right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure appointments are not missed. Records show that the home arranges for health professionals to visit frail residents in the home and provides facilities to carry out treatment. Staff keep a regular check on health aids, making sure they are working effectively and that each resident has the necessary aids to improve their quality of life. Records held in the home provide evidence of the input by other healthcare professionals and advice is sought from the Dietitian and the Tissue Viability Specialist Nurse as necessary. Residents have choice over their personal care and are encouraged to be independent and responsible for their own personal hygiene where possible. The home has a robust medications policy and inspection of the medications records provide evidence that the staff follow the procedure. All records relating to medications were found to be well maintained and up to date. The medications room and trolley were seen to be clean and organised. Appropriate arrangements are in place for the disposal of unwanted medications through a contract with a disposal company. Visitors confirmed that the residents were treated with respect and in a dignified manner at all times. Privacy is respected at all times. Residents are free to meet with their visitors in the privacy of their own bedroom or in one of the communal areas. Visitors confirmed that they were welcome to visit the home at any time and that the staff were approachable and available to speak with them whenever they wished. One visitor said that it was lovely that the staff were forthcoming with updates of their relatives care without having to ask. Visitors spoke highly of the manager, the care and ancillary staff and commented on how committed and caring they were. Comments from residents regarding the care include: “Staff are excellent” “The care is really good and I feel really safe here” Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate Opportunities for integration into community life and leisure activities need to be further expanded so that residents can develop their skills and live more independent and fulfilling lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents felt that opportunities to access the community are very limited especially in the evenings and at weekends. This is mainly due to availability of staff support and a driver for the home’s transport. Feedback from residents included; “I wish I had more opportunities to go out on a weekend” “I have a personal outside carer who does a lot for me” “Arranging transport can sometimes be a problem” “Organising staff and drivers can sometimes be a problem” Concerns about difficulties in supporting service users to access the community have featured in previous inspection reports. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 13 Residents said they were “bored”, “fed up” and “I did not expect a lack of activities I would like a choice of activities.” Whilst staff had started to consult with residents to find out what their past interests and hobbies had been, the majority of files did not contain reference to preferred activities. The manager has arranged a meeting with the residents for the day after the inspection to discuss activities in the home. Records of service users attending activities are kept. There was evidence of people going to events, to colleges and shopping in town. There was no reference to any evening activities outside of the home, although one resident had recently attended a George Michael concert. As a rule, most social events are arranged for residents in-house. Residents were observed to be able to access all areas of the home. A number of daily routines for residents were looked at. These provided evidence of residents being encouraged to be as independent as possible in daily living tasks. Menus confirmed that there is a mixture of freshly prepared food with either fresh vegetables or salad and frozen food served with chips. Each day there is a choice of two main meals and two snacks for tea. Relatives and other visitors spoken to said they could visit at any time and were made welcome by the staff. They were offered drinks and for a nominal price, could choose to eat with the person they were visiting. The food was said to be “excellent” and “of a high quality”. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Health care needs are carefully monitored with residents and relatives confident that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff have a good understanding of residents healthcare needs. The staff team work positively with local health care professionals to offer a responsive and supportive approach in assisting people to maintain good health. There was one resident currently holding their own medication and a risk assessment system was in place. The system in place for the storage, disposal and administration of controlled drugs was satisfactory. Nursing staff were responsible for the administration of all medication. The qualified staff are experienced nurses and well able to address the physical and psychological needs of a dying person. The carers interviewed, also demonstrated their knowledge and awareness of caring for residents who were very ill. The nurses were good at passing their knowledge to the care staff team and effective team working was evident. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home has a satisfactory complaints system with residents being able to express their views on the home, and these are acted upon. The policies and procedures for the protection of residents are in line with good practice and are updated when required. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The systems for resident consultation are good with a variety of evidence that indicates that residents views are valued, sought and acted upon. The home has an adequate complaints procedure with a copy in each person’s Guide. The manager had identified the written complaints procedure and other written documents in the home as needing to be more user-friendly and was currently working with the organisation to develop these. All residents comment cards stated that they knew how to make a complaint. The policies and procedures regarding protection of residents are of a high quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to. There are a low number of referrals made as a result of lack of incidents, rather than a lack of understanding when incidents should be reported. The outcomes from any referral are managed well and issues being resolved to the satisfaction of all involved. Staff have received Adult protection training in line with Rochdale Inter Agency Abuse Procedures, and demonstrate an awareness of the content of the policy and know the immediate action to take, and who to refer to. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 16 Feedback from relatives and others associated with the home state that they are very satisfied with the service provision, and are confident that residents are safe and well supported by the home, which has their protection and safety as a priority. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good There is an ongoing maintenance and refurbishment programme in place making sure that the home continues to meet the needs of the people living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides pleasant accommodation for people living there with access to a variety of large communal areas and accessible gardens. Ongoing maintenance issues are dealt with as they arise. There was evidence of prompt referral and action through the processes in place. There are aids to assist any residents with a mobility problem and there are sufficient bathing and toilet facilities to meet the assessed needs. Individual bedrooms are of a good size and the home has a choice of sitting rooms and separate dining room, which provides a good a range of shared and individual space. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 18 Policies/procedures were in place for the control of infection and it was evident that staff were adhering to them. The home was clean and hygienic throughout and the domestic received many compliments regarding the standard of cleanliness and her contribution in maintaining this. Staff were seen to observe good hygienic practices by wearing blue disposable aprons for serving of food and white ones for assisting with personal care tasks. They used differently coloured bags for soiled laundry. There was a plentiful supply of disposable gloves, and liquid soap and paper towel holders were fitted throughout the home. Staff were aware of the importance of washing their hands after attending to each resident. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The recruitment practices of the home are good which ensures that service users are safeguarded and that staff have the qualities and aptitudes to work in the home. The home has a competent and well-trained workforce with a good mix of skill, experience and age. This leads to good levels of confidence and satisfaction from residents, relatives and professionals with the care that is delivered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The selection procedure includes obtaining two written references, a formal interview and an informal interview involving residents, wherever possible. All staff had enhanced CRB disclosure checks. Upon appointment staff are issued with a handbook, which includes job descriptions and terms and conditions. Appointments are subject to a six-month probationary period. These are all good practices and ensure that a carefully selected and vetted staff team supports service users. The service ensures that all staff within its organisation receives relevant training that is targeted and focused on improving outcomes for residents, and is coordinated with the home by a Regional Trainer. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 20 All care staff have either completed or are registered on NVQ to level 2, and follow a rolling programme of mandatory training essential to ensuring a skilled work force. The manager and staff team are experienced, trained and demonstrate that they are competent, and the home has a low staff turnover rate. Care staff reported that they received good support from senior staff and have regular supervision to discuss their role and personal development. This all leads to a stable and consistent service for people living in the home. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Resident’s benefit from a service that is well run by the manager, and by the systems of the organisation, which ensure that service users are central, and their views are valued and acted upon. The registered manager has a clear developmental plan for the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has the required qualifications and experience and is competent to run the home. There is a strong emphasis of being open and transparent in all areas of running of the home. The Home operates to Leonard Cheshire’s Quality Assurance standards that include physical aspects of running the Home as well as monitoring the delivery of care and support. The manager has developed an Annual Service Development Plan, which allows for close monitoring of both care standards Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 22 and the running of the home, which includes frequency of staff supervision and training. The provider, Leonard Cheshire, appoints an operations manager to carry out Quality Assurance checks (regulation 26). These are sent into the Commission for Social Care Inspection on a monthly basis. From these reports areas for improvement are highlighted and the actions were checked at inspection. These were judged to work well in monitoring and improving the service for those living at the Home. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? 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 YA14 Regulation 16 Requirement The activity programme must be reviewed to reflect the needs, preferences and capabilities of the resident group, including those who are confined to their rooms. Such programme must be implemented and maintained. Timescale for action 30/03/07 2. YA14 12 The social and emotional needs 30/03/07 of residents, who through illness, are confined to their rooms, must be addressed. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 25 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 YA12 YA14 Good Practice Recommendations Staff should further assist residents in taking up a wider range of opportunitiesincluding further education, More regular local trips out should be arranged. Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Honresfeld Cheshire Home DS0000017344.V298286.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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