Inspection on 31/08/06 for Inglewood (Wigton)

This inspection was carried out on 31st August 2006.

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 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

Inglewood (Wigton) 11/03/08

Inglewood (Wigton) 22/03/06

Inglewood (Wigton) 04/10/05

Inglewood (Wigton) 14/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Inglewood (Wigton) Lowmoor Road Wigton Cumbria CA7 9QL Lead Inspector D Jinks Unannounced Inspection 10:00 31 August 2006 st 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 Inglewood (Wigton) DS0000035221.V300707.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. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inglewood (Wigton) Address Lowmoor Road Wigton Cumbria CA7 9QL 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) 016973 66158 016973 66159 www.cumbriacare.org.uk Cumbria Care Mr David Edkins Care Home 40 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (40) of places Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of forty older people (OP40) may be accommodated of whom nine may have dementia (DE(E)9). The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 22nd March 2006 Date of last inspection Brief Description of the Service: Inglewood is a care home providing accommodation and care for up to 40 older people, 9 of whom may have dementia. The home is operated by Cumbria Care, an internal business unit of Cumbria County council, and is situated close to the centre of Wigton. The home is divided into four living areas or units, each having a lounge/dining room and a small kitchen area with bedrooms, toilets and bathrooms nearby. Other communal lounges and sitting areas are available and can be used by service users who want a quiet area. There is also a designated area for those who wish to smoke. There is a passenger lift, handrails, grab rails and assisted bathrooms and toilets to help people in their day-to-day lives. The home has pleasant garden areas including a central courtyard, a secure garden area and a small car park to the front of the home. A large room at the home is used to provide day care for older people from the local community. People living at the home may also use this room during the evening, weekends and for special events. The home produces a guide to the services and facilities provided by the home and this is available on request from the manager. The scale of charges range from £363.00 - £422.00 per week (August 2006), subject to the assessment. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home, which took place over one day. During this visit all the key standards of the National Minimum Standards were assessed. The visit included discussions with the manager and staff at the home as well as meeting and talking to some of the residents. Questionnaires were also sent out to health care professionals, residents and their relatives or representatives. These helped to obtain personal views of the services provided by the home from people with varied backgrounds and experiences. Good responses were included in the questionnaires and the comments made were generally very positive about the home. The registered manager had completed a pre-inspection questionnaire prior to this visit. This assisted in verifying information throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Although there were no complaints received about the food at the home, improvements could be made to the amount of information included in the daily/weekly menus. This would help to keep residents fully informed about the food choices that are available to them. A survey with the residents has been undertaken and the results should be followed up to ensure that comments and suggestions are considered and included in the new menus. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 6 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. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home obtains full care needs assessments prior to people moving into the home. This helps the manager to check whether the home will be able to meet the needs of the service user. EVIDENCE: The home has produced a statement of purpose and a service user guide. This information is available to people living at the home and prospective residents. Further information was provided to people living at the home in their contract/statement of terms and conditions with the home. People living at the home said that they were able to visit the home and look around prior to moving in. Samples of service user records were looked at during the visit. Full care needs assessments had been provided by the local social services department or by the local hospital – depending on the circumstances leading to the service user’s admission to the home. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the health, social and personal care needs of service users are recorded in the care plan and are kept under regular review. This helps to ensure that any changing needs are identified and met in a timely manner. EVIDENCE: The sample of service user files looked at during the visit each contained a detailed care plan identifying the person’s needs and the action that should be taken by care staff in order to meet them appropriately. The plans identified the tasks that service users could manage for themselves and the areas where they required assistance. This indicates that the home recognises each service user as an individual and encourages them to maintain their independence for as long as possible. Care plans are reviewed at least every month and are updated if the person’s needs change. These updates are also written into the individual’s daily notes which are kept at the home. Care plans and assessments are kept on the units where the residents live and staff have access to these working documents, this helps to ensure that staff are kept aware of the changing needs and requirements of the people living at the home. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 10 People living at the home have access to health care services and evidence was seen to confirm that district nurses, doctors, community psychiatric nurses and podiatrists are consulted and make regular visits to the home when necessary. Healthcare professionals taking part in the inspection indicated that the home always asked for advice regarding the care of individuals in order to help resolve any difficulties. Where service users are cared for in bed, appropriate equipment and advice has been obtained to help prevent the development of pressure sores. Full and detailed nutritional assessments had not been made but service users at risk are weighed frequently and their food and drink intake is monitored. Some people living at the home are on weight reducing programmes. The advice of the dietician has been obtained. This information has been passed on to the resident, their link worker and the cook to help ensure that their requirements are met. The home has a policy and procedure regarding the administration of medication and staff have received training. Medication storage boxes contain a photograph of the service user to help with identification and minimize drug errors. The medication records looked at during the visit had been accurately maintained. Where people had refused medication this had been clearly recorded. The home has implemented several good practice procedures, which also help to reduce the risk of medication errors being made. People living at the home are able to take responsibility for managing their own medication within a risk management framework and are provided with a secure storage space in their own room. People living at the home are treated with respect and dignity. Staff were observed working with residents. There is a very friendly environment at the home but staff are also mindful of respecting and protecting the dignity and privacy of the residents. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home tries to be flexible and attempts to provide a service, which is as individual as possible by using its staff and resources effectively. This helps to ensure that residents are given the opportunity to take part in a variety of activities both in the home and in the community. EVIDENCE: The home employs an activities co-ordinator to help meet the social, recreational and leisure needs of people living at the home. There are many varied activities available for service users to take part in, if they wish. The activities include board games, trips out for meals, coffee, and shopping or just a ride out. Occasionally outside entertainers come into the home and special activities and celebrations are arranged at various times of the year. The co-ordinator spends much of her time working with the people who may have dementia. On the day of the visit a gentle exercise class was underway and residents were able to join in or watch, as they wished. The co-ordinator also spends time with other people living at the home either individually or in small groups and it is up to the service users to choose what they would like to do each day. Every two weeks a large group of service users meet for activities. They are encouraged to ‘mix’ and sit with people who may not live in their particular part of the home. Some of the service users spoken to during Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 12 the visit indicated that they have a very eventful social calendar. They frequently go out together into the local community and on trips with the local church, which they attend regularly. One of the service users has recently learned how to send e-mails to keep in touch with her family. This was done with the help of the manager at the home. There is an Amenities Fund Committee at the home and residents are represented at their meetings. The fund is set up to buy equipment for the home to help enhance the lifestyle of the people living there. The home is set out in small units each with a kitchenette area. Drinks and snacks are available at any time and residents are able to make themselves drinks, subject to an assessment to ensure the safety of all concerned. Residents commented that the food is excellent and that there is always a choice and always plenty to eat. The relief cook was on duty at the time of the visit. The menus were discussed with her as they do not provide sufficient information to confirm that a sufficiently varied and nutritious diet is provided. There are choices at each mealtime and people are offered alternatives if either of the choices are unsuitable. The cook is aware of people on weight reducing programmes or with other special dietary needs. The advice of the dietician has been obtained and a visit to the kitchen showed that people living at the home are offered fresh fruit and vegetables as part of their daily diet. The meals offered to residents requiring pureed food were not presented in an acceptable manner and this needs to be reviewed quickly. A service users survey had recently been undertaken regarding the food and the menus at the home. Following this survey the manager and the cook plan to have a meeting to discuss the results and review the menus. A copy of the Commission for Social Care Inspection’s good practice guidance was left with the manager and also discussed with the cook to help with any improvements that need to be made. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies, procedures and staff training programmes at the home recognise and promote the rights and choices of service users. This helps to ensure that residents are listened to and protected from potential harm. EVIDENCE: The home has a policy and procedure in relation to comments, complaints and suggestions. Residents and their relatives indicated that they know who to direct any comments or complaints to. They indicated that they would be listened to and their concerns would be acted upon. The home has not received any complaints this year. Staff at the home are made aware of the complaints process as part of their induction and on-going training and this helps to ensure that complaints and comments are dealt with appropriately and quickly. There is a comments, complaints and suggestions box in the reception area of the home, which, can be used by service users and visitors to the home. A copy of the complaints process is also kept in this area. There are policies and procedures in place to help ensure the protection of the residents. Staff have received training in the protection of vulnerable adults and this subject is included in their induction training and National Vocational Award training programme. The manager demonstrated that staff are reminded of the policies and procedures at frequent intervals. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service provides a homely environment, which is clean, fresh and generally maintained to a reasonable standard. EVIDENCE: Several areas of the home have been redecorated (including service users rooms) and it is maintained to a clean and pleasant standard. New carpets and flooring have been laid in the Hawthorns unit. The home has an annual programme to help ensure that improvements are made to the environment and improvements planned for this year include the redecoration of the entrance hall, improvements to the kitchen and the redecoration of four residents’ bedrooms. There are areas of the home that are beginning to look out dated and attention is needed to improve the décor. These areas need to be included in the improvement/maintenance plan. Residents bedrooms are small but comfortable and residents able to bring some of their own possessions with them when they move into the home. This helps to personalise their private space. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 15 The home is comprised of four small units. Each unit is equipped with a kitchenette, dining area and communal lounges. There are adequate bathrooms and toilets, which are close to the communal areas, in each unit. Bathrooms and toilets are fitted with equipment and aids to assist service users to access these facilities safely. Emergency call bells are fitted to all rooms that are accessible to residents. A smoking area is available for residents who wish to smoke. There is a small ‘quiet’ room at the home that can be used by residents for private meetings if they wish. The room is also available for use by relatives when they need to have a quiet moment. Arrangements can be made for the relatives of poorly residents to stay overnight in this room if necessary. There are some problems with lack of storage space, particularly for large items such as wheelchairs and hoists. The home has made some arrangements to try to alleviate this problem. There is a large communal room at the home, which is used as a day care centre during the week. Residents at the home have access to this room in the evenings and during the weekends. The kitchen and food storerooms are generally kept in a clean and tidy condition, but some attention needs to be given to the safe storage of some perishable food products. There are some issues regarding the use of the dishwasher in the kitchen by the day centre staff. These arrangements need to be reviewed as they potentially pose a risk of infection by outside staff walking through the kitchen. The laundry at the home is suitably sited and equipped. It was found to be in a clean and tidy condition. Protective clothing is available for staff and this helps to minimise cross infection in this area. There is a storeroom adjoining the laundry, which contains bed linen. The door to this room appears to be a fire resistant door. On the day of the visit it was open and blocked by equipment that had also been stored in the room. This was discussed with the manager, as it required his attention. The home has complied with previous requirements following a recent visit from the local fire service and a copy of the action plan was also supplied to the Commission. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are generally enough staff on duty at the home. This helps to ensure that residents needs are met appropriately. EVIDENCE: The home employs care staff, including relief and senior support workers, cooks and domestic assistants. Sufficient numbers of staff were on duty on the day of the visit and resident’s needs were being met appropriately. The manager was confident that sufficient numbers of staff are on duty at all times, including during the night. At the time of this visit there were several residents at the home requiring two members of staff to attend to their care needs at night. Some of these people were being cared for in bed all the time and had high dependency needs. The manager indicated that there were arrangements in place to bring in a third member of staff at night if necessary but this is subject to authorisation. The manager indicated that the role of the night staff was primarily care but they do have some domestic and laundry responsibilities. Meetings have been held with the night staff and problems with staffing levels had not been identified. The home has a robust recruitment and selection process, which helps to ensure that staff are not confirmed in post until all the required checks have been carried out. No further staff have been recruited since the last inspection. A sample of staff records were looked at during this visit and were found to be in order. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 17 Staff participate in various training courses including National Vocational Qualifications (NVQ), manual handling, food hygiene, dealing with challenging behaviour, dementia training, fire awareness, emergency action, health and safety, adult protection, continence management, medication and induction. Almost half of the staff employed at the home have obtained an NVQ qualification. Training is provided both in-house and by external training providers. Further training is planned for the future and includes equal opportunities and infection control. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home, which is run in their best interests. The health, safety, welfare and financial interests of service users are protected by the systems in place at the home. EVIDENCE: A qualified and experienced social care manager runs the home. There is an amenities committee at the home, which helps to decide where and how it’s funds will be spent to make improvements to the lives of people living at Inglewood. Residents are represented on this committee. The sample of records kept at the home, which were looked at during this visit had been maintained to a good standard. Records relating to the training of staff in fire prevention and evacuation procedures indicated that these tasks were regularly carried out. Fire training consisted of various methods, including verbal instruction, questionnaires and practising fire drills and evacuations. There is a fire risk assessment that has been seen and approved Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 19 by the local fire officer. Fire records showed that the fire detection systems, fire fighting equipment and emergency lighting are checked frequently and any defects are reported to the engineers for repair. The cook kept records of food and fridge/freezer temperatures and there was a cleaning rota in place to help ensure that all areas of the kitchen were regularly cleaned. Some of the arrangements for the safe storage of food required attention. Not all opened food products had been labelled and dated. Some dry food products had been stored directly on the floor and needed to be moved to a more suitable storage space. There are adequate and safe facilities for the storage of service users finances and valuables. Accurate records are kept and receipts are given and obtained, including instances where money has been spent on behalf of residents. During this visit some issues regarding potential risks of infection and fire safety were identified and discussed with the manager. Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 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 2 Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP15 Regulation 16 Requirement The registered persons must ensure that service users receive a varied, appealing, wholesome and nutritious diet. The menu plans must also take into consideration the results of the recent consultation with the service users. The registered persons must ensure that food, including pureed meals, is presented in an attractive and appealing manner The registered persons must review the arrangements regarding the use of the dishwasher in the main kitchen at the home to ensure that suitable arrangements are in place to prevent infection and the spread of infection at the home. The registered persons must ensure that food storage areas are re-organised and tidied in line with food hygiene requirements. Food must be stored and covered correctly and must be clearly labelled and dated. DS0000035221.V300707.R01.S.doc Timescale for action 31/10/06 2 OP15 16 09/10/06 3 OP38 13 (3) 16 31/10/06 4 OP38 13, 16 09/10/06 Inglewood (Wigton) Version 5.2 Page 22 5 OP38 23 (4) The registered persons must ensure that the fire doors of rooms used for storage are not obstructed and are kept locked when not in immediate use. 09/10/06 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 OP8 Good Practice Recommendations It is recommended that the registered persons undertake a full and detailed nutritional assessment in respect of each resident upon admission to the home and subsequently on a periodic basis. Significant factors such as levels of mobility and oral health should also be considered and recorded. It is recommended that the registered persons review and update the renewal and maintenance plan for the home to ensure that all areas of the home, which require attention, are included in the plan. It is recommended that the registered persons review the levels of waking night staff in line with the identified needs of people living at the home to ensure that their care needs will be appropriately met in a safe and timely manner. 2 OP19 3 OP27 Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 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 Inglewood (Wigton) DS0000035221.V300707.R01.S.doc Version 5.2 Page 24 - 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!