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Inspection on 22/06/05 for James Hince Court

Also see our care home review for James Hince Court for more information

This inspection was carried out on 22nd June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

This was a very positive inspection with many aspects of good practice highlighted in the main body of the report. The observed interaction between staff and residents was of a very good standard. The resident spoken with during the inspection said that the staff are very good, always pleasant, and can`t do enough for you. All of the visitors spoken with during the inspection, said that staff are friendly and that they provide assistance to residents in a discreet and respectful way. One visitor said that they would describe the staff as "kind and loving". The manager is ensuring that the home is run in the best interests of the residents. One visitor said that the manager is like a " breath of fresh air" and has really improved the facilities and services at the home. The resident spoken with describe the food at the home as very good and said that there is always plenty of food available and they will provide an alternative if you do not want the food suggested on the menu. Two of the relatives spoken with during the inspection said that they frequently have Sunday lunch with their relatives at the home. One person said the food is better than in a top-class hotel. The residents care plans looked at during the inspection had been well maintained, updated regularly and appropriate risk assessments have been completed. The premises are purpose built, well equipped and maintained to a good standard. The home was appropriately clean and there were no offensive odours at the time of this inspection. The gardens are also well maintained and are fully enclosed to provide a safe environment for residents.

What has improved since the last inspection?

The homes bathrooms and toilets have been refurbished since the last inspection. The manager has taken steps to ensure that residents and where appropriate their relatives are involved in the care planning and review process. One visitor confirmed that he regularly reviews & signs his wife`s care plan. Some areas of the outside of the home have been redecorated since last inspection.

What the care home could do better:

The home must provide more detailed information in the literature it provides to prospective residents, to enable them to make an informed choice as to whether the home will meet their needs. Residents must not be admitted to the home until a full assessment has been completed and staff has sufficient information to ensure that they will be able to meet the prospective residents needs. The records of food, a refrigerator and freezer temperatures must be updated each day to ensure the health and safety of residents. The home must always provide sufficient staff to meet the assessed needs of the service users. Radiators must be maintained at a temperature that ensures residents are not at risk of burning themselves.

CARE HOMES FOR OLDER PEOPLE James Hince Court Windsor Gardens Carlton-in-Lindrick Worksop S81 9BL Lead Inspector Richard Ramsden Unannounced 22 & 23 June 2005, 10:00 nd rd 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 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. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service James Hince Court Address Windsor Gardens Carlton-in-Lindrick Worksop S81 9BC 01909 733821 01909 541108 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Nottinghamshire County Council Ms Julie Allsop. (Not Registered) Care home 45 Category(ies) of DE(E) Dementia-over 65, x 45 registration, with number of places James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 22 March 2005 Brief Description of the Service: James Hince Court is a purpose-built, single storey care home, providing personal care and accommodation for forty five residents. It is owned and operated by Nottinghamshire County Council Social Services. The home was opened in 1986 and is located in the middle a housing estate in the village of Carlton in Lindrick, three miles north of Worksop. A day centre is attached to the home and is jointly used by social services and the local health authority as a specialist dementia assessment unit. The home is separated into five units each with its own kitchenette dining and sitting areas, bathroom and toilet facilities. All of the bedrooms are for single occupancy and have wash hand basins. One of the units is designated to provide respite care. The home is surrounded by well maintained gardens which have been upgraded to provide a large raised decking area. All of the gardens are enclosed by fencing and provide a safe area for people to wander freely. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed over two days and lasted for approximately 10 hours. It included the inspection of care and of the records, a discussion with the manager, two care staff, as well as speaking with one resident and three visitors to the home. A partial tour of the building was also completed. What the service does well: This was a very positive inspection with many aspects of good practice highlighted in the main body of the report. The observed interaction between staff and residents was of a very good standard. The resident spoken with during the inspection said that the staff are very good, always pleasant, and cant do enough for you. All of the visitors spoken with during the inspection, said that staff are friendly and that they provide assistance to residents in a discreet and respectful way. One visitor said that they would describe the staff as “kind and loving”. The manager is ensuring that the home is run in the best interests of the residents. One visitor said that the manager is like a “ breath of fresh air” and has really improved the facilities and services at the home. The resident spoken with describe the food at the home as very good and said that there is always plenty of food available and they will provide an alternative if you do not want the food suggested on the menu. Two of the relatives spoken with during the inspection said that they frequently have Sunday lunch with their relatives at the home. One person said the food is better than in a top-class hotel. The residents care plans looked at during the inspection had been well maintained, updated regularly and appropriate risk assessments have been completed. The premises are purpose built, well equipped and maintained to a good standard. The home was appropriately clean and there were no offensive odours at the time of this inspection. The gardens are also well maintained and are fully enclosed to provide a safe environment for residents. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,5,6 The literature supplied to prospective residents and their representatives does not contain sufficient information to enable them to make an informed choice as to whether the home will meet their individual needs. The staff have not always ensured that prospective residents have their needs fully assessed prior to their admission to the home. People are offered an opportunity to visit the home prior to their admission. EVIDENCE: Every resident has been given a copy of the Statement of Purpose produced by Nottinghamshire County Council and a copy of the County Councils Terms and Conditions of Residence. It is recommended that the residents, or where appropriate their representatives sign to confirm that they agree with the information contained in the Conditions of Residence document. The Service User Guide must contain more detailed information, including the qualifications of the staff, the resident’s views of the home, and a copy of the most recent inspection report. This additional information will help people to decide whether the home will be able to meet their individual needs. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 9 Of the four residents records that were assessed during the inspection, three contained Extended Social Work Assessments that had been obtained prior to the resident’s admission to the home. The inspector was advised that the other resident was not from Nottinghamshire and that the area social services where she lived prior to her admission had declined to provide an assessment. This resident had visited the home on three occasions, prior to her admission, but no formal written assessment had been completed. The manager was advised that in the absence of Care Management Assessment the registered person must complete his or her own assessment document. This information is essential to ensure that the home can provide an appropriate service to the prospective resident. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Residents have an individual plan of care that appropriately identifies their personal, social and health care needs. The homes policies and procedures for the Administration medication are well maintained and appeared to provide adequate protection to residents. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: All of the Care Plans viewed during the inspection contained relevant information and were being reviewed and updated to reflect the individual residents changing needs. Due to the residents cognitive abilities their relatives/representatives were being involved in the implementation and review process. The manager had recently introduced a format to record this involvement. (This is good practice). The care records show that peoples health care needs are being appropriately met. The resident’s relatives/representatives spoken with during the inspection stated that they believe that staff makes appropriate referrals when medical intervention is required. One relative said that her mother had had a number of falls in the home but that she was satisfied that these had been James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 11 checked out with the doctor to ensure that there is no underlying medical problem. Tissue viability risk assessments have been completed with every resident. (This is good practice). The homes medication is stored safely and the records of receipt and disposal of medication are well maintained. The staff who administer medication have all received appropriate training. (Staff training records were sampled during of the inspection). The controlled medication was checked at random and was well maintained. At the time of this inspection none of the service users had been assessed as safe to administer their own medication. The one resident spoken with during the inspection said that staff are always friendly and respectful and that they ensure that her privacy is and dignity is maintained at all times. The relatives spoken with during the inspection said that the staff always provide assistance in a tactful and caring way. One person said they have witnessed staff being very “kind and loving”. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15. Residents are provided with an impressive range of activities. People are encouraged to maintain contact with family and friends. The diet provided for residents is wholesome, well balanced and varied. To ensure the health and safety of the residents the records of food, refrigerator and freezing temperatures must be completed on a regular basis. EVIDENCE: The activities to be provided each month are prominently displayed in the main entrance hall. Staff keep comprehensive records of which residents have participated in the activities each day and how successful the activities have been. This enables them to review the activities provided and ensure that they are appropriate. (This is good practice). One relative stated that there have been lots more entertainment since the new manager was appointed. The homes policy on visitors is included in the Statement of Purpose. The relatives spoken with during the inspection said that they are always made to feel very welcome. Several people said that they have lunch each Sunday, at the home, with their relatives. (This is good practice). The resident spoken with said that she could have visitors at any time. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 13 The lunch on the day of this inspection appeared appealing and nutritious there is a choice of food at each meal. One resident required a liquidised diet; each element of the meal was liquidised separately to preserve flavour and appearance. The manager has recently introduced a new five weekly rotating menu, which provides a good variety of food. She stated that she intends to ensure that more fresh vegetables are used in the future. Fresh fruit is always available. The resident and the relatives spoken with a full of praise for the food provided within the home. At the time of this inspection a relief cook was preparing some of the meals and agency staff were also being employed. It was noted that there were three days when the refrigerator and freezing temperatures had not been recorded and on several occasions, food temperatures had not been recorded. To ensure the health and safety of the residents it is required that these records are kept up-to-date. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18. James Hince Court as a simple, clear and accessible complaints procedure. The relatives spoken with during the inspection believe that any concerns/ complaints they may have would be thoroughly investigated and appropriate action taken. Appropriate procedures are in place to protect residents from abuse. EVIDENCE: A copy of the complaints procedure is displayed in each resident’s bedroom. The manager stated that the home had not received any formal complaints since last inspection. Some concerns had been raised by residents families. The records show that these issues were dealt with promptly and effectively. The resident spoken with during the inspection said that she is confident that the manager would always sort out any complaints/concerns she may have. On the first day of the inspection the manager could not locate the homes Whistle Blowing Procedure, however it had been found by the second day of the inspection. The home also has a copy of the local Protection of Vulnerable Adults Procedure. The staff spoken with during the inspection were able to demonstrate a clear understanding of their responsibility to report any issues of abuse. Both staff said that they would report any concerns to the manager, who would ensure that appropriate action was taken. The inspector was informed that there have been no allegations of abuse in the last year. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 15 James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,24,25,26. The premises are well decorated and maintained to a good standard. At the time of inspection the home was clean and there were no offensive odours. The radiators in the communal areas and the service users bedrooms are not guarded and could potentially be putting vulnerable residents at risk of burning themselves. EVIDENCE: The location and layout of the home is suitable for the current residents. The resident and the family members spoken with during the inspection said that they are very satisfied with the bedrooms provided. People said they had been encouraged to bring in small items including furniture, ornaments and pictures to help create individual personalised areas. The large gardens surrounding the home have been made secure and a large decking area has been provided. These areas are accessible to all residents. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 17 Each of the five units at James Hince Court has a lounge, dining room and small kitchen area where people could make themselves drinks or snacks if they were assessed as safe to do so. There is also a large communal lounge and a separate lounge that residents can use if they wish to smoke. The communal toilets and bathrooms have recently been refurbished. Window restrictors had been provided on all the windows checked during the inspection. The water temperature in resident’s bedrooms were checked at random and found to be satisfactory. Radiators in bedrooms and communal areas are not guarded and therefore pose a risk to service users, especially those with a history of falls. The inspector has been informed in writing that radiator covers have now been ordered for all the radiators and James Hince Court. The home has a well-equipped main laundry and three smaller laundries. On the first day of inspection the appropriate COSH Procedures and the homes Infection Control Policies were not displayed in the laundries. By the second day of inspection these procedures had been provided in each laundry area. On the day of inspection the home was appropriately clean and there were no offensive odours. The relative spoken with during the inspection confirmed that they are satisfied with the level of cleanliness maintained within the home. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30. There is not always sufficient staff to meet the assessed needs of the residents. The homes staff recruitment policies and practices are robust enough to ensure the safety of residents. EVIDENCE: The manager stated that Agency Staff are used to cover for staff sickness, if the home’s permanent or relief staff cannot cover the shifts. She stated that to provide an appropriate service to meet the assessed needs of the residents accommodated at the time of inspection, there must be at least six care staff on duty throughout the residents waking day. The rota provided for the week of the inspection showed that there have been occasions when only five members of care staff were on duty in the afternoon. The manager stated that this is because the Agency has been unable to supply all the additional staff required to cover the shifts. The inspector stated that there must always be sufficient staff to meet the assessed needs of the residents. Other agencies may need to be contacted to ensure that adequate staffing levels are maintained. The rota provided showed that adequate night, catering and domestic staff are being provided. The personal records of two members of staff were checked during the inspection. Each person had provided two written references prior to commencing employment. Criminal Records Bureau checks had been James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 19 completed. The staff spoken with during the inspection confirmed that they did not commence employment until satisfactory references had been obtained by the home. Recently recruited members of staff had all completed appropriate induction training. The inspector was informed that all staff receives more than three days paid training each year. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,38. The home is well managed and is run in the best interests of the residents. Resident’s financial interests are safeguarded. EVIDENCE: The manager has been employed in a managerial capacity within Social services since 1996, she was appointed as the Registered Manager of another Social Services home for older people in 2001. She is currently completing the NVQ level 4 in Care Management. The manager was able to demonstrate that she has undertaken periodic training to update her knowledge and skills whilst managing the home. The manager is not currently registered, as the manager at James Hince Court with the Commission for Social Care Inspection, although she says she has submitted an application for registration. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 21 The residents, relatives and staff spoken with during the inspection said that the manager is a very approachable and seeks to involve them in making decisions about the way in which the home operates. There are regular residents and staff meetings. Relatives are invited to the residents meetings to represent the residents who are unable to express their wishes. (This is good practice). The minutes of these meetings were viewed during the inspection. The home participates in the Nottinghamshire County Council Quality Assurance System. Performance and development plans are produced from the information collated as part of the quality assurance system. The records of residents finances were checked at random, one residents financial records had been wrongly calculated however the financial trail was correct. The records and receipts of possessions handed over for safekeeping were also checked and were well maintained. On the first day of this inspection it was noted that residents confidential records were left in unlocked filing cabinets, in the office, when there were no staff in situ. This meant that any visitor to the home could have gained access to resident’s confidential information. The manager stated, on the second day of inspection, that she had taken steps to ensure that resident’s records are stored securely. The records were checked periodically on the second end inspection and were always stored appropriately when there is no staff in the office. This will need to be monitored on a regular basis. The home has an appropriate Access to Records Policy. The homes Fire Records had been well maintained, the manager was reminded that fire drills must be completed at least twice a year and that all staff must attend at least one fire drill each year. Environmental and Safe Working Practice Risk Assessments had been appropriately completed and were reviewed in July 2004. There is a comprehensive procedure to reduce the risk of legionella within the home. Accident records were checked at random and had been well maintained. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 2 x 3 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 4 13 4 14 x 15 2 COMPLAINTS AND PROTECTION 3 3 3 x x 3 2 3 STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 x x 3 James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 2 Regulation 5 Requirement It is required that the written information provided to prospective residents includes the following information. 1. The qualifications of the homes manager and staff. 2. The residents views of the home. 3. A copy of the most recent inspection report. It is required that the needs of all residents have been assessed by suitably qualified for suitably trained person before they are admitted to the home. It is required that the records of food, refrigerator and freezer temperatures are updated each day. It is required that the temperature surface of exposed radiators must be of a temperature that does not pose a risk to the safety and welfare service users. Timescale of 30/04/05 not met. It is required that the home always has sufficient staff on duty, to meet the assessed needs of the residents. Timescale for action 1st August 2005 2. 3 14 Immediate 3. 15 16(2) Immediate 4. 25 23 (2) 1st August 2005 5. 27 18 Immediate James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 24 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 2 Good Practice Recommendations It is recommended that the residents, or if appropriate their representatives, sign to confirm that they agree with the information contained in the Conditions of Residence document supplied each resident. James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 James Hince Court C53 C03 S35527 James Hince V231987 220605 Stage 4.doc Version 1.30 Page 26 - 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. 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