CARE HOMES FOR OLDER PEOPLE
Hoyland Hall Market Street Hoyland Barnsley South Yorkshire S74 0EX Lead Inspector
Mrs Janis Robinson Unannounced Inspection 27th September 2005 08:45 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 Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 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. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Hoyland Hall Address Market Street Hoyland Barnsley South Yorkshire S74 0EX 01226 745480 01226 742622 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) Healthmade (Hoyland Hall) Limited Mrs Cherryl Michelle Hayles Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The 40 beds may instead be used for PD - Physical Disability, for persons 60 years and above where the physical disability is related to the aging process. Staffing must be provided at, at least, the levels specified by `Residential Forum Care Staffing in Care Homes for Older People` published April 2002. The Manager`s hours (37 per week) must be over and above those specified at Condition 2. 10th June 2005 2. 3. Date of last inspection Brief Description of the Service: Hoyland Hall is a care home providing personal care and accommodation for 40 older people. The homes registered owner is Healthmade (Hoyland Hall) Limited. Hoyland Hall is situated off the main road, close to the town centre at Hoyland, Barnsley, giving easy access to all local amenities and shops. The home is a two-storey building. The home stands in its own grounds and has a garden area that is accessible to residents. There are car-parking facilities at the front of the building. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over seven hours from 8:45am to 15:45pm. A partial inspection of the premises took place and samples of records were examined. Care practices were observed. The majority of residents and staff were seen during the inspection and the inspector spoke in more detail to the manager and two of the staff on duty about their knowledge, skills and experiences of working at the home. Ten residents were spoken with about their views on aspects of living at the home. One relative visiting the home was spoken with. What the service does well: What has improved since the last inspection?
Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 6 The service user guide had been updated to include all of the required information. Pre admission assessments were routinely dated and signed. Medication administration systems were undertaken safely, staff signed records after medication had been administered to individual residents. The complaints procedure and adult protection procedure had been updated to include all of the required information. All of the residents said the teatime meal was enjoyable, and the food was good quality. All of the bathrooms and toilets checked had been provided with soap and towels. The manager undertook Residential Staffing Forum guidance on a weekly basis to ensure sufficient staff were provided. Care staff breaks were acknowledged within this equation. The rota available indicated that the manager worked supernumerary to the care hours provided. New kitchen equipment had been purchased in line with plans to refurbish the main kitchen. What they could do better:
The notice board in the grounds indicated that the home provided nursing care, however, the home is no longer registered to provide this type of care and the board needs replacing. The contract required updating to include information on who is responsible for the payment of fees. On the whole the care plans were comprehensive and identified all issues relating to residents health, personal and social care. However, one plan did not contain up to date information on one aspect of a resident’s health. Some activities were offered to residents. The manager was recruiting to a part-time activity worker post to improve the range of activities offered. The majority of the environment was well maintained. However, the entrance area did not create a positive first impression. Woodwork on the front porch was rotten and had damaged paintwork. The carpet in the entrance area was damaged with cigarette burns. Whilst the manager undertook Residential Staffing Forum calculations each week, these did not acknowledge that care staff were removed from care duties to undertake kitchen duties for a short time each evening. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 7 Individual training profiles were not kept at the home. The systems to efficiently monitor the training provided were insufficient. The inspector acknowledges that the manager was in the process of introducing a training matrix to improve this system. Staff recruitment files indicated that all of the required information was not routinely obtained. A quality assurance system was not in operation, to seek the views of residents, their representatives and professional visitors. Records of financial transactions were not kept at the home, to evidence that residents’ financial interests were safeguarded. Staff supervision, to support and inform staff, did not take place at the required frequency. A system to monitor the staff fire training provided was required. A minority of staff had not participated in a fire drill at the required frequency. 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. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 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 Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. Standard 6 does not apply to this home. The statement of purpose and service user guide contained relevant information for prospective residents so that they could make an informed choice of where to live. A written contract/statement of terms and conditions was undertaken with each resident. These required some additional information. Assessments of needs were undertaken prior to admission to ensure the home could meet all identified needs. Residents’ specialist needs were met, and staff had a range of skills and experience. Prospective service users were able to visit the home prior to admission. EVIDENCE: A statement of purpose and service user guide were in place. The service user guide had been updated to include information on the arrangements for smoking. Each resident had been provided with an information pack, which included copies of a service user guide. Contracts were in place for all residents. These contained the majority of information required, but did not include information on who was responsible for payment of fees.
Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 10 The manager undertook needs assessments with prospective service users prior to admission. These contained all of the required information and evidenced that the prospective service user and their representative had been involved in the assessment. Following assessment, letters confirming that the home could meet identified needs, and a copy of the contract, were sent to prospective residents. These were kept in individual files with care plans. Access to specialists was provided to meet individual needs. The staff had a range of experience and undertook training on a regular basis to ensure that had the skills needed to care for residents. Residents confirmed that they had been able to look around the home, stay for a meal and meet other residents and staff before they moved in. One resident said ‘I came for a look around with my family, the staff were very welcoming and that helped me make up my mind’. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Each resident had a care plan, which contained a range of information. Up to date information on health issues required recording in fuller detail for one resident. Health care was monitored and access to health professionals was available. Systems for the safe administration of medicines were in place. Residents felt they were treated with respect and their right to privacy and dignity was upheld. Each care plan contained information on residents’ wishes regarding dying and death. EVIDENCE: Care plans were well indexed and on the whole included relevant information about the residents. Two care plans were inspected in depth. They contained a comprehensive range of information on personal, health and social care. They were reviewed on a monthly basis. Risk assessments had been undertaken to promote safety. Documented risk assessments were in place in regard to the resident maintaining control of their keys and finances. The plan had been drawn up with the involvement of the resident and/or their advocate and agreed and signed by them. Staff could clearly state how they assisted residents with their personal care and residents said staff offered this appropriately as and when needed.
Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 12 One plan did not include specific information on one aspect of a resident’s health, but was referred to in general terms of moving and handling needs. Residents confirmed that access to health care professionals was available. Care plans recorded regular contact with GPs, chiropodists, dentists, opticians and district nurses. Systems were in place for the safe administration of medicines. The inspector observed staff signing administration records appropriately. All of the staff that administered medication had received training. Residents said their privacy and dignity was respected. Residents were wearing clean clothes and were well groomed. One resident said that staff were ‘very thoughtful and gentle’ when helping them shower. The visitor spoken with said the staff were ‘very good, they telephone me at home to keep me informed’. All of the residents said that their health care needs were well met. One resident informed the inspector that their key worker helped them to attend hospital visits to see an eye specialist. The care plans examined contained information on residents’ wishes regarding funeral arrangements. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Some activities were offered to residents. An activities worker was being recruited to improve the range of activities offered. Residents were able to maintain contact with family and friends. Residents were encouraged to make decisions. Access to advocacy services was available. Residents were able to bring personal possessions with them into the home. Access to personal records was provided. A varied diet was available. EVIDENCE: Care staff organised some activities with residents. These included one-to one chats and weekly dominoes. Church services took place on a regular basis. Some residents said that they would like to go out of the home more often, for walks in the grounds or visits to local shops. Staff reported a reluctance of some residents to participate in any activities offered, and this was respected. The manager was in the process of recruiting an activities worker for twelve hours each week to improve the range of activities offered and meet individual need. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 14 All of the residents asked said that their visitors were able to come to the home when they wished, and they were able to see their visitors in private. One visitor said ‘I visit (my relative) every morning, the staff always make me feel welcome’. One resident moved into the home on the day this inspection took place. Relatives were involved in the admission and helped personalise the bedroom. The manager and staff were observed to be welcoming and flexible in their approach to support the resident and their family. All of the residents spoken to said the food at the home was good. The homes menu was varied and alternatives were offered. The kitchen staff were aware of residents likes and dislikes, and special diets were catered for. One resident said ‘I really enjoy my cooked breakfast, it sets me up for the day’. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home had a clear and accessible complaints procedure, to ensure service users rights were protected and any concerns listened and responded to. An adult protection procedure was in place, to ensure service users safety was promoted. EVIDENCE: Documents within the home had been updated to ensure they contained consistent information regarding the homes complaints procedure. The homes complaints procedure was on display in a communal area of the home. This contained relevant information and provided the reader with details of who to contact outside of the home, to ensure any complaints were taken seriously. The home kept a record of complaints. No complaints had been received by the home since the last inspection. The staff spoken with were clear about the homes complaints policy. The adult protection procedure had been updated to include information on the action to be taken if an allegation was made. All staff undertook training in adult protection. The staff interviewed could describe indicators of abuse and were aware of the procedures to follow if abuse was suspected. Any allegations of abuse were responded to promptly. The staff, visitor and service users spoken with all stated that they had confidence in the homes manager to listen and respond to any concerns raised. One service user told the inspector that they felt safe at the home. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20,21,24, and 26 Internally the environment was, on the whole, well maintained. The home was clean. Communal areas were well decorated. Resident’s bedrooms were comfortable and clean. Sufficient bathing facilities were provided. The kitchen and laundry were provided with sufficient equipment to meet resident’s needs. The front porch had worn woodwork and paintwork. The reception area carpet was damaged with cigarette burns. EVIDENCE: A partial inspection of the building took place. The home was clean and in the main well decorated and well maintained. The communal lounges and dining room were well decorated and appeared comfortable. The ground floor lounge had been identified as a smoking area. Plans were in place to replace the one large lounge with two smaller lounges, providing a non-smoking lounge on the ground floor. Prospective and existing residents needed to be informed of these plans. The dining area was large enough to cater for all residents. All areas of the home were accessible to people in wheelchairs.
Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 17 Sufficient bathing facilities were available. Bathrooms were clean and provided with soap and towels to control infection. Residents’ bedrooms were well decorated and well personalised. One resident said’ I have my own things around me and this has made it my home’. All of the residents spoken with said they were happy with their rooms and communal areas were comfortable. The grounds were well maintained and a patio area was provided for residents to enjoy. The laundry and kitchen contained sufficient equipment to meet residents’ needs. New kitchen equipment had been purchased as the kitchen was being refurbished later in the year. The entrance area did not create a positive first impression. Woodwork on the front porch was rotten and had damaged paintwork. The carpet in the entrance area was damaged with cigarette burns. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Residential staffing forum calculations were undertaken. Some further adjustments were required to identify care hours available. The home had a commitment to NVQ training. Staff recruitment files contained the majority of information required, improvements to the system had been undertaken for some new staff. Staff were undertaking training, which enabled them to meet the needs of the residents in the home. Staff training files were not kept at the home. EVIDENCE: The manager undertook weekly residential staffing forum calculations to identify the number of staff hours required. The system had been updated to recognise care staff breaks and the layout of the building. This system needed to be further improved to reflect that some care staff were not available for care duties as they undertook kitchen duties for a short time each evening. The manager confirmed that she was supernumerary to care hours. In exceptional circumstances she would cover care duties. The current weeks rota was available at the home, this evidenced that the managers 37 hours were not calculated as care hours. Other rotas were kept at the homes head offices. The homes rota was being updated to evidence staff breaks had been included in any calculations. This was available for inspection on the homes computer. All staff reported an improvement in staff numbers and availability as three new care staff had been recruited. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 19 Levels of NVQ trained staff over and above those required had been achieved. Fourteen of the seventeen care staff had achieved NVQ level 2 in care. A further six staff were undertaking the award at level 3 in care. Two recruitment files were inspected. These contained the majority of required information, and included proof of identity, CRB disclosures, and two written references. The recruitment system had been improved to include evidence that the employee was physically and mentally fit to carry out their duties. One recent employees file also contained evidence that gaps in employment history had been explored. A further recent employees file did not contain this information. Staff confirmed that they undertook a range of training. Individual staff training files were not kept at the home in order to monitor and evidence that relevant training had been undertaken. New staff undertook induction training to equip them with the skills needed to carry out their duties. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 The manager was a qualified nurse. Staff reported that she was approachable and supportive. A quality assurance system needed to be put into operation. The manager worked within set budgets and insurance cover was in place. Records relating to residents finances were not kept at the home. Staff supervision did not take place at the required frequency. Records were stored securely. Health and safety systems were in operation. Equipment was serviced and checked. A procedure to efficiently monitor staff mandatory training was not in place. A minority of staff had not participated in a drill at the required frequency. EVIDENCE: All of the residents and staff spoken with said the manager was approachable, supportive and a good listener. Staff said they were able to contribute to the development of the home.
Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 21 A quality assurance system, to obtain the views of residents, their representatives and professional visitors to the home, was not in place. The manager confirmed that budgets were in place and insurance cover was provided. Records were stored securely. Staff had access to all policies and procedures. The inspector was unable to inspect the finance records of residents, as previous requirements for financial records of residents to be kept at the home had not been met. Staff supervision, to support and inform staff, did not take place at the required frequency. A health and safety procedure was in place. Staff undertook training on a range of topics including moving and handling, first aid, food hygiene, health and safety and infection control. However, monitoring of training was difficult, as staff training files were not kept at the home. The manager stated that a matrix of staff training was being undertaken to address this issue. The accident book was being completed, however, accident-recording sheets were not removed and filed appropriately. A tour of the building identified no fire exits were blocked indoors and hazardous substances were securely stored. Fire fighting equipment had been serviced and was in date. Weekly fire alarm checks took place. A record relating to staff fire training contained relevant information, however, there was no clear system to monitor this training efficiently. Further examination of these records indicated that three staff had not participated in a practice drill at the required frequency. Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 22 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 2 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 x x 3 x 3 STAFFING Standard No Score 27 2 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 1 3 2 2 3 2 Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 23 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 Requirement Care plans must contain all information relating to residents physical health and contact with GPs. A range of activities, including the opportunity to visit the local community, must be available to residents. The environment must be well maintained at all times; The rotten woodwork and worn paintwork to the front porch of the home must be replaced. The carpet in the entrance area must be replaced. When care staff are undertaking other duties than care, these must be identified on the staff rota and removed from the calculation of care hours when identifying care hours provided using the staffing forum guidance recommended by the Department of Health. (Previous timescales of 31 January 2005, and 31st August 2005 not met). Evidence that gaps in
DS0000006485.V251114.R01.S.doc Timescale for action 30/11/05 2 OP12 16 30/11/05 3 OP19 23 31/01/06 4 OP27 18 30/11/05 5 OP29 19 30/11/05
Page 24 Hoyland Hall Version 5.0 6 7 OP30 OP33 18 24 employment history are explored must be recorded in all recruitment files of new staff. Individual staff training profiles must be maintained at the home. An effective quality assurance system must be put in place based on seeking the views of service users to measure the success in meeting the aims and objectives of the home. The system must cover all areas to meet the National Minimum Standards. (Previous timescales of 31 May 2004, and 30 June 2005 not met). Written records of all financial transactions, including payment of fees and personal allowances must be kept at the care home. (Previous timescales of 31 January 2005, and 31 August 2005 not met). Staff supervision must take place a minimum of six times each year. A system to audit and monitor staff mandatory training, including fire training, must be put into operation. All staff must participate in a practice drill at least twice each year. The staff identified as not undertaking this training must be provided with this training. Written confirmation must be forwarded to the local office of the CSCI. 31/12/05 31/12/05 8 OP35 17,25 30/11/05 9 10 OP36 OP38 18 13 30/11/05 30/11/05 11 OP38 13 17/10/05 Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 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 OP1 OP1 Good Practice Recommendations The notice board advertising the home should be replaced to accurately reflect the registration category of the home. The company should identify the date when the plan to enclose the smoking area will be undertaken. Prospective and existing residents and representatives must be informed of these plans within the written information provided. The terms and conditions/contract for service users should include a breakdown of the fee and who is responsible for the payment of that fee. Previous rotas should be kept at the home. The accident reporting record should be removed and filed appropriately. 3 4 5 OP2 OP27 OP38 Hoyland Hall DS0000006485.V251114.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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