Inspection on 23/06/08 for House On The Hill

This inspection was carried out on 23rd June 2008.

CSCI found this care home to be providing an Good service.

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

House On The Hill 03/12/07

House On The Hill 12/12/06

House On The Hill 02/05/06

House On The Hill 17/01/06

House On The Hill 01/12/04

House On The Hill 12/09/04

House On The Hill 25/02/04

House On The Hill 06/08/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE House On The Hill 61 Rosemary Hill Road Little Aston Sutton Coldfield West Midlands B74 4HJ Lead Inspector Mandy Brassington Unannounced Inspection 23rd June 2008 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 House On The Hill DS0000005119.V367246.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. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service House On The Hill Address 61 Rosemary Hill Road Little Aston Sutton Coldfield West Midlands B74 4HJ 0121 353 0464 0121 353 0464 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) Bonehill Limited Mrs Gerlinde Taylor Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13), Physical disability over 65 years of age (3) of places House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd December 2007 Brief Description of the Service: House on the Hill is a residential home that provides a service for up to 13 older people. The home is an attractive building located in a residential area within Little Aston. Two lounges provide an area for service users to relax in. Communal areas are comfortable and personalised by people who use the service. All the bedrooms are located on the ground floor, each one for single occupancy; six of the bedrooms have an en-suite facility. Individuals are able to furnish their rooms. Bathing facilities are located at each end of the home. There is a small laundry and storage room used for hairdressing. Located off the dining room is a wellappointed kitchen; all of the meals are prepared and served from the kitchen. Parking for visitors and staff is available at the front of the home on the gravel drive. The front entrance has steps and a ramp and there is a secure mature garden to the rear with a seating area. The registered provider is Bonehill Ltd who has overall responsibility for the home. The Service User Guide did not reflect information relating to the fees in the home as required. The reader may wish to approach the care provider for up to date details of the fees payable. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use the service experience good quality outcomes. This visit was an unannounced key inspection and therefore covered the core standards. The inspection took place over 6.5 hours by one inspector who used the National Minimum Standards for Older Persons as the basis for the inspection. Prior to the inspection, the manager completed an Annual Quality Assurance Audit (AQAA) for us. There were questionnaires sent to people who use the service, professionals and staff members. One completed survey was received from a relative of a person who used the service. On the day of the inspection, the home was accommodating ten people. We, the commission examined records, carried out indirect observation of seven people who used the service, and four staff on duty. Four care plans and three staff records were examined and observation of daily events took place. A tour of the home was undertaken. Inspection of the storage system and medication procedures was inspected. What the service does well: The home is a large house with lots of space for people to enjoy. There are two communal lounges where people are able to talk to each other, discuss the news of the day, carry out activities or watch TV. Visitors can visit throughout the day and people can see visitors in private or in their personal room. People can choose whether to be involved in activities with other people or to stay in their room. Some people like to do quizzes and play cards. At the time House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 6 of the visit people were excited about the Wimbledon Tennis tournament, which individuals were watching on the Television. People are given a choice of meals and a written menu is prepared daily. Food can be served to people in their room or in the dining area. All meals are served individually from the kitchen dependant upon what people have choosen. Ordinary dinner crockery and equipment is used and people can have a glass, mug or cup and saucer to drink from and a glass of sherry is offered to people to have with the meal. People felt they were supported by well trained staff who were able to spend time with each person, and people were respected. Staff provide sensitive care, providing choices and respecting people’s preferences. Comments about staff and home included: ‘Staff do listen, they’re very nice’ ‘the staff here have unending love, it’s lovely isn’t it’, ‘they can never do enough for you, they’re always there’, ‘when I was in hospital, staff visited me, it was lovely to see them’. People are supported to maintain good personal care and everybody is able to dress smartly with co-coordinating clothes, shoes and jewellery. Clothes are laundering to a good standard and care taken to keep items looking smart. What has improved since the last inspection? The medication systems and practices have been reviewed. All medicines are stored appropriately and staff have received further support regarding administration procedures. People are supported to manage their own medicines and keep them safe in their room. The senior staff carry out regular audits to ensure that all medicines are accounted for, and any errors are dealt with immediately and staff receive further support. This means the home is ensuring that people receive their prescribed medicines at an agreed time in a safe way. The home’s recruitment procedures have been reviewed to ensure that new staff complete the required checks to ensure they are suitable to work with people in the home. New laundry equipment has been provided which has enabled people to have their clothes washed to a good standard. The laundry is done on a regular basis, so people always have a good supply of clean and ironed clothes. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 7 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. House On The Hill DS0000005119.V367246.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 House On The Hill DS0000005119.V367246.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): 1, 2, 3, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions only take place after an assessment has been completed, so the home can make a decision about how it is able to support people. Individuals have access to information about the home and are able to spend time in the home before deciding whether they would like to move in. EVIDENCE: The manager has reviewed the Statement of Purpose to include up to date information about the home and the service it provides. The manager reported within the AQAA that this is now available in large print for people upon request. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 10 We examined three records including one person who had recently moved to the home. Each person had been given a Service User Guide, which included information about the homes and the terms and conditions of occupancy. Each person had a contract with the fees payable, and the manager reported each person has a copy. It is recommended that the fee level also be included within the Service user Guide. Prior to moving in to the home, the manager completes an assessment with the individual and family members to determine whether the home is able to meet people’s needs. Individuals confirmed they were involved in the assessment process and were also able to look around the home and view vacant rooms. The manger reported that people are now able to stay over night as part of the introduction process, although this service has not yet been used. The home does not provide intermediate care. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. People who use service are able to continue to see healthcare professionals to make sure their health needs are met. People can be responsible for their own medication or have trained and experienced staff administer medicines to ensure their well-being. EVIDENCE: We examined three plans of care, which demonstrated that people had information recorded about the support they require with personal and health care. There was information about the support people wanted for bathing, eating and dressing, how people moved around the home and any equipment House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 12 people needed. The plan included a history of any health concerns and how individuals are able to see and hear. This information means that all staff are aware of how to support people, and risk assessments are completed for any identified concern and mobility. Each person has a Key Worker who reviews the plan with individuals each month. The plans evidence where people have agreed with the information and been involved in the review. One plan inspected was being developed with a new member of staff who was to become the person’s Key worker. Discussion with staff revealed that a senior staff member was supporting her to understand how to write a plan, to record all relevant information, and to ensure the person was able to contribute and agree to information. Information about health care visits and any appointments were recorded along with details of any relevant information. People who use the service commented that they prefer to be supported by family members with health visits, but where this was not possible, staff at the home would accompany them. One plan recorded that the person required catheter care. Discussion with the manager revealed that staff had not completed any training. One member of staff had received training with a previous employer and was taking a main role in catheter care and guiding staff. Discussion with the staff revealed a very good knowledge about infection control and necessary care. It is recommended that all staff receive this training and where a health need is identified upon assessment, any training is to be carried out prior to the person moving into the home. During discussion, staff demonstrated a good knowledge of people’s needs and were observed providing sensitive care throughout the visit, including talking to people about what was happening, and giving people choices. People in the home were well presented, wearing their own clothes which were ironed and clean. People reported ‘our clothes always look lovely, they take care of them for us.’ One person commented ‘I like to look nice, you have to show your best side.’ Medication was stored appropriately in the home and the medication systems had been reviewed since the last visit. Observation of medication practices revealed that people were offered a drink with medicines and given time to take them at their pace. Medication Administration Records were completed appropriately and a weekly audit of medicines were completed. Any errors or concerns were raised with staff and further training and advice was given. Regular ‘spot checks’ of medicines were also conducted to ensure the system in the home was safe. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 13 One person is responsible for administering their own medication and has a lockable box in their room. The service has developed systems to ensure that they can monitor medicines are bring taken as prescribed and to support the person to keep well. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 14 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. People are involved in daytime activities of their own choice and according to their individual interests and needs. People are able to welcome family and friends into the home throughout the day and visit family outside of the home. EVIDENCE: The manager recorded within the AQAA that daily activities are organised based upon what people have told staff what they want to do. This information was obtained from surveys carried out every six months. As part of staff supervision staff agree to how they will support people to be involved in activities. The manager reported that staff have arranged a bring and buy sale, flower arranging and knitting egg cosies. Discussion with people who use the service and staff also revealed that recently, there have been quizzes, knitting, discussions, and film evenings. One staff commented that people enjoy participating in ‘Who wants to be a millionaire’ quiz, and people House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 15 confirmed that there is a lot of jovial banter about what the true answer could be. On the day of the visit, people were enthusiastically talking about the start of The Wimbledon Tennis tournament and many people planned to watch this event. During the afternoon, people were able to view and choose clothes from a Clothes Show. A wide variety of stock was displayed and discussion with people revealed the clothes available impressed them, and many people purchased new items of clothing. Individuals reported that family members also helped to ensure they had appropriate clothing; some people chose to go shopping and some people preferred clothes to be chosen by family. Lunch was shared with people who use the service. A menu is displayed on each table of the meals and choices for that day. On the day of the visit lunch was melon to start, and the main meal was liver and onions or steak and kidney pudding with potatoes and vegetables, and people are able to have a glass of sherry with their meal. Dessert was jam sponge and custard. Discussion with one person who used the service revealed that the pudding was their own recipe. The person was able to spend time with staff and share how to make the sponge and ingredients needed. After the meal the staff approached the person for feedback and if anything could be improved. Further discussion demonstrated that where people have an interest in cooking, recipes can be shared and staff will support people to prepare a recipe or cook a favourite dish. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 16 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, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given information to make a complaint so that where any concern is identified they are confident this will be acted upon. The staff understand the procedures for Safeguarding Adults and have a good knowledge of how to respond to an alert to ensure people are protected. EVIDENCE: The home had a Complaints Procedure, which was displayed in the home and within the Service User Guide. Within the AQAA the manager recorded that this could be available in large print upon request. In the front reception area, forms are available for people to make a written complaint and the manager reported she responds personally to any complaint made. There has been one complaint made since the last visit and the manager addressed the concerns promptly to ensure people were satisfied. Staff have received training for managing safeguarding alerts, and discussion with staff revealed they were aware of actions to take and would have no hesitation reporting any concerns. New staff receive training as part of their induction. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 17 The home records any valuables that the person brings into the home. Each room has a lockable facility for storage or a safe is available in the home. On the day of the visit, there were no personal monies held by the home, people or their family retained responsibility for their money and allowances. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to decorate their room with personal possessions so that it is comfortable and pleasing to each person. People are confident that the home is a safe place to live. EVIDENCE: The home is an attractive building located in a residential area within Little Aston. Two lounges provide an area for service users to relax in. Communal areas are comfortable and personalised by people who use the service. All the bedrooms are located on the ground floor, each one for single occupancy; six of the bedrooms have an en-suite facility. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 19 We examined three bedrooms and found all areas to be clean and tidy and all rooms had been individually furnished according to the interests of people using the service. One person commented, ‘my room is my home, it’s where I live and where I like to go.’ Since the last visit, the registered person has purchased new laundry equipment with sluice facilities, and people reported they are happy with the current facilities. Located off the dining room is a well-appointed kitchen; all of the meals are prepared and served from the kitchen. New tablecloths and dining facilities have been provided since the last visit. Parking for visitors and staff is available at the front of the home on the gravel drive. The front entrance has steps and a ramp and there is a secure mature garden to the rear with a seating area. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 20 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. People are able to have confidence in the service provided as staff receive ongoing training needed to support people, and there is a good recruitment procedure to ensure that people are suitable to work in the home. EVIDENCE: On the day of the visit there were three staff on duty on each shift. The manager works across the shifts and is also available on-call if required. There were ten people residing at the home, and the manager and staff reported that the people’s needs could be met within the current staff group. The manager reported that agency is sometimes used to cover shifts, though generally the staff team cover any holidays and sickness to provide continuity of care. People in the home stated they preferred to be supported by female staff and the manager stated this is respected when requesting Agency staff. We examined three staff files that demonstrated the service had reviewed the home’s recruitment procedures to a good standard. All individuals completed an application form and a record of the interview and responses were House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 21 maintained. Two written references were obtained along with a copy of identity, a PoVa First (Protection of Vulnerable Adults) and a Criminal Records Bureau Check (CRB) were obtained. Within the AQAA the manager reported that staff are able to complete a week at the home being supported by senior staff before working alone and complete a basic Induction to ensure staff are safe to work. A full induction covering all care practices is completed within six months. Discussion with one member of staff revealed they were being supported by senior staff to prepare and write plans of care, and had completed training for moving and handling and fire safety. The person had completed a National Vocational Qualification Level 2, and was to start the level 3 qualification. Examination of the training records and discussion with the manager revealed that staff had also received training for using mobility equipment, infection control, the Mental Capacity Act and dementia. Discussion with staff revealed the care in the home had been developed as a result of the training and staff had developed further knowledge of how to support people with dementia and ensure people had capacity to make decisions. People using the service spoke very highly of the staff and the support provided. Comments included, ‘Staff do listen, they’re very nice’, ‘the staff here have unending love, it’ lovely isn’t it’, ‘ they can never do enough for you, they’re always there’, ‘when I was in hospital, staff visited me, it was lovely to see them’. Discussion with staff and from observation of daily events revealed that people were sensitively supported and given opportunities to be involved in the general running of the home, one person was observed preparing the tables for lunch and filling the bird feeders, one person shared a recipe with staff for the pudding prepared at lunch time. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 22 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a clear understanding of the key principles and focus of the service and people who use the service are able to benefit from a professional management approach and a supported team. EVIDENCE: It is evident from observation and discussion with staff, that the manager is enthusiastic and committed to promoting people’s rights and providing a good service. The manager is person-centred in her approach and open and House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 23 transparent in all areas of managing the home. Staff commented they felt valued and would have no hesitation approaching the manager. Prior to the Inspection, the manager completed an Annual Quality Assurance Audit (AQAA) for us. The AQAA contained clear, relevant information that was supported by a wide range of evidence. The AQAA identified the changes that had been made since the last visit, and where they still need to make improvements. Evidence within the AQAA was sampled and found to be accurate. The visit demonstrated that the manager has addressed the concerns with recruitment and medication systems to a good standard, and staff were confident with how medication needed to be managed. The manager has a clear understanding of the key principles and focus of the service and is continuously improving services to provide people with a good standard of care in the home. The manager and staff are promoting positive beliefs for equality and diversity issues, especially in relation to gender, race and religion. The manager confirmed that staff are aware of how people’s beliefs can impact on care and support, and are working closely as a team to act as a positive role model. House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP1 Good Practice Recommendations The Service User Guide should include details of the fees payable in the home along with the terms and conditions of occupancy Where a need is identified upon admission, relevant training should be provided prior to any person being admitted to the home To ensure identified need are met, training should be provided for catheter care 2 3 OP4 OP30 House On The Hill DS0000005119.V367246.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 House On The Hill DS0000005119.V367246.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. 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!