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Inspection on 27/02/07 for Hopes Green Care Centre

Also see our care home review for Hopes Green Care Centre for more information

This inspection was carried out on 27th February 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Each of the nine residents relatives who completed surveys made comments about what the home does well. People commented that the home `feels like a home..` and that there is a good relationship between staff and residents. Three people said that they were very happy with the home and the care provided. There was evidence that people are only offered a place at the home once a detailed assessment of the persons needs has been carried out. People who are looking for a place in a care home are offered the opportunity to visit the home to see if it will be suited to their needs. Care plans are generally very well written and residents wishes and preferences for how they wish to receive their care and spend their time was recorded for those people whose care notes were assessed. There is a range of activities available and residents spend time socialising and conversing with each other. Meals are served in a congenial setting and mealtimes are unrushed. The home is generally well maintained, clean and comfortable. Overall the management of the home continues to improve.

What has improved since the last inspection?

There have been a number of improvements made since the last inspection. The way in which staff record information about residents has improved. Mealtimes have improved with residents being offered a choice of condiments to accompany their meal. Most of the residents and their relative`s felt that the food provided by the home has improved. A number of people have commented that the atmosphere of the home has improved.

What the care home could do better:

Six of the nine residents relatives who completed surveys made comments about how the home could improve. Four of these people commented that there could be more staff and that the people working at the home should be `trained to understand the needs of resident..` Some people said that due to lack of staff working at the home some residents did not have anyone to speak with. Some people also said that there could be more activities provided by the home.Staff could record more information about residents needs in some cases and where there has been a change to the needs of the resident this should be recorded so as to ensure that the care provided is consistent and appropriate. Where residents are at particular risk of falls, sustaining pressure sores etc more information could be recorded and the care plans should be revised where the level of risk changes. More could be done so as to ensure that when people make complaints about the home that they acted on promptly and dealt with in accordance with the homes complaints policy and procedure. People must only be employed at the home once all of the checks including references and Criminal Records Bureau (CRB) disclosures have been undertaken and are satisfactory. Staff must receive training for the work they are to carry out and the needs of the people who live at the home.

CARE HOMES FOR OLDER PEOPLE Hopes Green Care Centre 16 Brook Road Benfleet Essex SS7 5JA Lead Inspector Carolyn Delaney Unannounced Inspection 27th February 2007 09:00 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 Hopes Green Care Centre DS0000018097.V329539.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. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hopes Green Care Centre Address 16 Brook Road Benfleet Essex SS7 5JA 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) 01268 752327 01268 755518 the.willows@ashbourne.co.uk Exceler Healthcare Services Limited Manager post vacant Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Personal care to be provided to no more than fifty service users over the age of 65 years. Total number of service users for whom personal care is to be provided shall not exceed 50. Date of last inspection Brief Description of the Service: Hopes Green Care Centre is a large home providing accommodation and personal care for up to fifty older people aged over 65 years of age who need assistance with personal care. The homes facilities include several communal lounge/dining areas and fifty single bedrooms all with ensuite facilities. The home is situated within easy walking distance of local shops and amenities, with Southend and Canvey Island main shopping centres a short car or train journey away. There are good bus and train links to the area. The garden enables service users to access a patio area and garden safely. There is ample car parking for visitors and the home has adequate wheelchair accessibility throughout. The fees for accommodation at the home range from £369.15 to £563.00 per week. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced Key Inspection carried on 27th February 2007. Records including assessments, care plans, daily care notes and risk assessment documents in respect of three people living at the home were examined. The relatives of thirteen residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. Nine responded. A number of residents and relatives who were visiting the home on both days of the inspection were spoken with. Six members of staff including the homes acting manager were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out and the serving of lunch and supper were observed. Each of the Key Standards as identified in the intended outcomes sections of this report have been inspected during this Key Inspection. Other standards, which have not been assessed at this time, may be assessed at the next inspection visit. Where other standards have not been inspected on this occasion they will have been inspected at the previous inspections. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk Below is a brief overview of the findings of the inspection, which are covered more fully throughout the main body of the report. What the service does well: Each of the nine residents relatives who completed surveys made comments about what the home does well. People commented that the home ‘feels like a home..’ and that there is a good relationship between staff and residents. Three people said that they were very happy with the home and the care provided. There was evidence that people are only offered a place at the home once a detailed assessment of the persons needs has been carried out. People who Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 6 are looking for a place in a care home are offered the opportunity to visit the home to see if it will be suited to their needs. Care plans are generally very well written and residents wishes and preferences for how they wish to receive their care and spend their time was recorded for those people whose care notes were assessed. There is a range of activities available and residents spend time socialising and conversing with each other. Meals are served in a congenial setting and mealtimes are unrushed. The home is generally well maintained, clean and comfortable. Overall the management of the home continues to improve. What has improved since the last inspection? What they could do better: Six of the nine residents relatives who completed surveys made comments about how the home could improve. Four of these people commented that there could be more staff and that the people working at the home should be ‘trained to understand the needs of resident..’ Some people said that due to lack of staff working at the home some residents did not have anyone to speak with. Some people also said that there could be more activities provided by the home. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 7 Staff could record more information about residents needs in some cases and where there has been a change to the needs of the resident this should be recorded so as to ensure that the care provided is consistent and appropriate. Where residents are at particular risk of falls, sustaining pressure sores etc more information could be recorded and the care plans should be revised where the level of risk changes. More could be done so as to ensure that when people make complaints about the home that they acted on promptly and dealt with in accordance with the homes complaints policy and procedure. People must only be employed at the home once all of the checks including references and Criminal Records Bureau (CRB) disclosures have been undertaken and are satisfactory. Staff must receive training for the work they are to carry out and the needs of the people who live at the home. 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. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 8 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 Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 9 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&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are only offered a place at the home once their needs has been carried out by suitably qualified staff. EVIDENCE: The pre- admission assessments for three people who had been recently admitted to the home were examined. These assessments had been carried out by the acting manager or deputy manager prior to the person being offered a place at the home. Each of the assessments were detailed and there was sufficient information recorded so as to determine to enable staff to determine whether that the home could meet the persons needs. Hopes Green does not provide intermediate or rehabilitative care. Hopes Green Care Centre DS0000018097.V329539.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 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home generally receive a good level of care however more could be done so as to ensure that residents receive appropriate treatment and that risks to their health and safety are managed. EVIDENCE: One of the nine residents relatives who completed ‘Have Your Say About…’ surveys said that they always get enough information about the home to help them make decisions, six said that they usually did, one said they sometimes did and one said they never did. One person said that they only get information if they ask for it. Each of the nine said that usually the care home meets the needs of residents. Five of the nine said that they are always kept up to date with important issues affecting residents. The remaining four said that they usually did. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 11 Care plans and assessments, which were assessed during the day of the inspection, were generally well written. However staff do not always update these plans when the care and treatment for the person changes. For example where residents have fallen the plans to minimise the risk of falling are not reviewed or revised. Southern Cross has a policy and procedure for monitoring the condition of a person following a fall or injury. There was no evidence for those people whose records were assessed that staff follow this procedure. There were no records to evidence that five of the eight staff who administer medication had received training. The records in respect of the administration of medicines to residents were assessed and were noted to be well maintained. One resident is supported in administering their insulin as part of their treatment. There was evidence that regular audits are carried out in respect of the practices for administering medication. One relative made a complaint to the Commission in respect of staff ‘running out of’ medication including analgesics and the medication taken so as to prevent the risk of blood clots. The relative confirmed that this had not been one isolated incident and that in the past that staff had run out of medicines. There was no evidence that staff had taken appropriate measures so as to ensure that these medicines had been obtained. Three relatives said that the care provided was as expected or agreed. One commented that at times standards of care ‘slip..’ Hopes Green Care Centre DS0000018097.V329539.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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The majority of people living at the home are provided with opportunities for socialising, occupation and recreation and are supported in living their lives so far as possible according to their wishes. EVIDENCE: The home employs a dedicated activities coordinator for 5 hours per day Mondays to Friday. Resident’s preferences for what activities they would like provided and how they would like to spend their time was recorded in some residents care plan. There was evidence that there are planned activities including board games, films, crafts, music and ball games. Two of the people living at the home have pet birds and staff support these residents in keeping their pets. The home has a resident cat, which a number of residents enjoy the company of. A number of resident’s relatives said that the activities were good. One person said that there was ‘ a good relationship between residents and staff..’ Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 13 Eight of the nine residents relatives who completed surveys said that the home helped residents keep in contact with friends and relatives. A number of residents have telephones in their bedrooms and visitors can visit the home at any reasonable time. A number of people commented about the ‘homely’ and ‘happy atmosphere’ of the home. Residents have the choice of meals from a menu, which is reviewed every four weeks. The serving of the lunchtime and suppertime meals were observed. Meals looked appetising and there was a choice of home made beef and onion pie or sausages and onion. However it was reported that there were not enough sausages and some residents were given sausage rolls instead. It would have been more appropriate for staff to purchase sausages from one of the local shops to ensure that residents received the meal of their choice. Residents have their meal in a homely dining room and can enjoy their meal in a normal way. Condiments were available for residents to choose, however staff added gravy to the meal when serving without offering the choice to residents. All of the residents who were spoken with during the inspection said that the usually enjoyed the meals provided by the home. One relative commented that the quality and quantity of food was so poor that they had taken to bringing food into the home for the resident. However two relatives said that the food was good and that residents enjoyed the meals at the home. Another relative commented that there is rarely a hot meal option at teatime and that residents ‘always have sandwiches..’ Hopes Green Care Centre DS0000018097.V329539.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 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are not dealt with consistently in line with the homes policy and the provisions of the Care Homes Regulations 2001. EVIDENCE: Hopes Green has a detailed policy and procedure for dealing with complaints. Each of the nine residents relatives who completed surveys said that they knew how to make a complaint about the care home. Six people indicated that the home responds and deals appropriately when concerns are raised. One person said that they had to bring their complaint to the attention of the organisations managing director before any action was taken and commented that ‘everything is a battle and that no one cares or takes ownership..’ Records, which were made in respect of complaints received, were not well maintained. It was not always clear what action had been taken and for one complaint where specific action had been identified in respect of the staff involved there was no evidence that this had been implemented. One of the resident’s relatives who were spoken with during the day of the inspection said that they had complained about the level of personal care. There was no record of this complaint and the acting manager said that she was unaware that the complaint had been made. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 15 A number of residents and their relatives commented that staff working at the home are kind and caring. 62 of staff have received training in respect of protecting people living at the home from abuse or harm. During the day of the inspection staff were observed to interact in proper manner with residents. Residents looked well cared for. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained and the environment is homely and clean. EVIDENCE: The home employs dedicated domestic and maintenance staff. On the day of the inspection the home was noted to be clean and free from odours. There are ample communal spaces including lounge and dining room areas. The home looked homely and comfortable. One person did comment that equipment including hoists regularly breakdown, which affects the care, provided to residents living at the home. Hopes Green Care Centre DS0000018097.V329539.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, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are not recruited robustly and consistently, trained or employed in sufficient numbers so as to meet the needs of the people living at the home. EVIDENCE: Staff duty rotas, which were examined on the day of the inspection, showed that there are frequently insufficient staff on duty to meet the needs of people living at the home. It was also evident that some staff regularly work excessive hours including late and night duty duties consecutively. Some staff work in excess of sixty hours per week. Resident’s relatives commented that some of the overseas staff while caring did not always speak or understand English well enough to be able to communicate effectively with residents and relatives. One relative commented that ‘some staff were better than others..’ in providing care. The acting manager advised that one member of staff was undertaking the first day of their induction. It was noted on checking the staff file for this person that no references had been received and no interview had been carried out so as to determine the persons suitability to work caring for older people. There was no evidence that this person was eligible to live and work in the United Kingdom. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 18 Two members of people who had been employed to work in the home as domestic staff had worked providing care to residents. There was no evidence that these people had received any training or information in respect of the roles and responsibilities of providing care to residents. From the staff training matrix it was noted that 100 staff had undertaken moving and handling training. 70 of staff working at the home had received fire safety training, 43 had health and safety training and 62 had received training in respect of the protection of people who may be vulnerable, from abuse harm and neglect. Staff working at the home do not receive regular supervision. Where following complaints about care practices it had been identified that the member of staff involved was to receive supervision and training in communication there was no evidence that this had been implemented. Hopes Green Care Centre DS0000018097.V329539.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, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally managed well and run on a day to day basis taking into consideration the needs and wishes of the people who live there. EVIDENCE: The acting manager is undertaking the Registered Managers Award and is due to submit their application to be registered with the Commission as manager of the home. There have been longstanding issues in respect of the management of the home however these have improved in the past twelve months. The majority of people who commented about the home expressed their satisfaction with the way in which it is managed. Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 20 There are regular audits carried out so as to maintain and improve the quality of the services provided by the home. These audits do not always include the views of the people who live at the home, which would provide a more valid result. The records in respect of monies held for safekeeping on behalf of residents were well maintained and audited on a regular basis so as to minimise the risks of mishandling or errors. People living at the home have access to their monies at any reasonable time. There was evidence that regular checks are carried out in respect of the safe and effective working of gas, electrical, fire and mechanical equipment and systems in the home. One person commented that ‘equipment was always breaking down..’ which meant that care provided was not adequate. Fire alarms, emergency lighting & fire doors are checked on a weekly basis and there are regular checks carried out for fire fighting equipment. Records in respect of these checks were up to date however they were not all stored in good order. For example where checks had been carried out so as to assess that hot water temperatures are maintained at a safe level the records in respect of some of these checks had not been signed and the date when the checks were carried out was not recorded. Hopes Green Care Centre DS0000018097.V329539.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 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 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 1 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 2 3 Hopes Green Care Centre DS0000018097.V329539.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 OP7 Regulation 15 Timescale for action Care plans must be reviewed and 30/06/07 revised at any time where the care and treatment for residents changes. (Previous timescales following the last five inspections including timescales of 30/03/06 & 30/07/06 have not been met.) Requirement 2. 3. OP9 OP16 12(1) 22 4. OP19 23(2) (c) 5. OP29 18 People must receive the care and medical treatment they need. Complaints must be dealt with in accordance with the homes policy and the provisions of the Care Homes Regulations 2001. The equipment required for the provision of care for residents must be suited for purpose, maintained and repaired or replaced as needed. People must only be employed to work at the home once all of the checks as required by regulation have been carried out and are satisfactory. 30/05/07 30/05/07 30/05/07 30/06/07 Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 23 6. OP30 18 Staff working at the home must 30/06/07 be provided with training for the roles they are to perform and the needs of the people living at the home. (Previous timescales of 30/03/06 & 30/08/06 following the last inspection of has not been met.) 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. 4. Refer to Standard OP8 OP12 OP15 OP18 Good Practice Recommendations Assessments in respect of risks to residents health and welfare should be reviewed and updated regularly. More could be done to provide activities at weekends and evenings. More choice could be offered to residents in terms of the meals offered and the choice of sauces and gravy etc. All staff working at the home should receive training in respect of the protection of people who may be vulnerable from abuse, neglect and harm. All staff working at the home should receive regular supervision. Records should be maintained and stored in good order 5. 6. OP36 OP37 Hopes Green Care Centre DS0000018097.V329539.R01.S.doc Version 5.2 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI Hopes Green Care Centre DS0000018097.V329539.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!