CARE HOMES FOR OLDER PEOPLE
Jasmin Court Nursing Home 40 Roe Lane Pitsmoor Sheffield S3 9AG Lead Inspector
Sue Dunn Key Unannounced Inspection 25th June 2007 11:45 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 DS0000047893.V332743.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. DS0000047893.V332743.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Jasmin Court Nursing Home Address 40 Roe Lane Pitsmoor Sheffield S3 9AG 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) 0114 278 1595 0114 278 7257 jasmincourt@fsmail.net Not available Sage Care Homes (Management) Ltd Mrs Philippa Jayne Williamson Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places DS0000047893.V332743.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 3 of the 50 beds are registered for old age (OP) OR physical disability (PD) for people aged 50 years or over. Date of last inspection Brief Description of the Service: Jasmin Court is a purpose built nursing home situated within the community of Pitsmoor, Sheffield. It offers such amenities as local shops, public houses, schools and a church. The people from Pitsmoor have easy access to the city centre by public transport and car. The staff at the home together with the Sheffield teaching hospital physiotherapy and occupational therapy provide rehabilitation - step down service - to service users who are transferred from hospital prior to being discharged into the community. The staff philosophy is to enable the service users to realise their own aims and help them achieve goals in all aspects of daily living. The current scale of charges is £423 to £428 per week. Additional charges are made for hairdressing, chiropody, dry cleaning, toiletries and newspaper. The manager produces and makes available to service users and others an up to date statement of purpose setting out the aims and objectives of the home. DS0000047893.V332743.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcomes for service users. The inspection report is divided into separate sections with judgements made for each outcome group. The judgements reflect how well the service delivers outcomes to the people using the service. The categories are “excellent”, “good”, “adequate” and “poor”. More detailed information about these changes is available on our website – www.csci.org.uk. The manager completed a pre-inspection questionnaire and this with information supplied since the last inspection was used as part of the inspection process. Questionnaire leaflets were sent to the home requesting people who live in the home and their relatives to comment on the service. Three were returned by people living in the home, one by a staff member and four from health professionals who also appeared to be nurses working in the home One inspector carried out the unannounced inspection visit arriving at 11:45 am and leaving at 7:45 pm. The length of the visit was due to the adverse weather conditions. During the visit, the inspector spoke with some people who lived in the home, staff, visitors, the manager and deputy manager. The care records of three people were examined carefully, staff records and other documentation was examined, there was a tour of the building, and some observation of care practices. The manager and staff were to be congratulated on the way they responded to the difficulties caused by adverse weather conditions. This was done with humour and good will to ensure the needs of the people in the home continued to be met. The health and safety of colleagues was also taken into account. What the service does well:
A copy of the contract of occupancy for all permanent people showed the home would support people to follow their cultural traditions. DS0000047893.V332743.R01.S.doc Version 5.2 Page 6 The home has a relaxed and friendly atmosphere. A person who returned a survey form said, “I was given a tour of three different nursing homes and as soon as I was taken to Jasmine Court I knew this was the one for me”. A visitor said the home had been chosen on the recommendation of two people who had used the service. Communication between health professionals is good which means the health and personal care needs of people living in the home are met and dignity and privacy is respected. An occupational therapy and physiotherapy team, employed by the local Health Trust, is based in the home to do rehabilitation work with people who are in short stay beds to assist them to return to the community. The home has an enthusiastic activities coordinator who keeps a record of the activities people join in with. It was evident that people were given choices about their lifestyle and that was respected. Personal care was of a good standard, with attention paid to hair and nail care. The home had an open attitude to complaints, which had been few. A detailed log is kept of all complaints and their outcome. Two of the returned surveys said the home was always fresh and clean. This was confirmed during the visit. Cleaning staff were working efficiently and including the cleaning of pictures and mirrors in their cleaning schedule. All doors were fitted with hold open devices linked to the fire alarm system so that people in their rooms could keep their doors open safely. There were no hazards noted during this visit. A well- equipped rehabilitation room was used for those people who were in the home for short-term rehabilitation with the aim of returning to the community. The laundry, though small was clean and tidy. Clothing and bedding looked well cared for. The well- balanced and experienced management team was reflected in the attitude of staff. The manager inspired confidence that she would respond to ideas and suggestions for improvements, but will require the support of the provider for areas beyond her control if the home is to develop. Staff were observed to work together with cooperation and a willingness to ensure that the needs of people living in the home were met. They were friendly and good- humoured. DS0000047893.V332743.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
Residents and their relatives received information about the home to help them decide if their needs could be met. This could be improved by producing it in a layout and print more easy for older people to read. When next renewed it is suggested that an explanation of the role and experience of the adaptation nurses be included as there has been some misunderstanding about their level of expertise. Items such as personal toiletries, newspapers and personal clothing not covered by the fees could also be included so that people are left in no doubt about what they are expected to provide themselves. The home must have written evidence that they carried out an assessment which gave assurances to people before admission that their needs could be met. The daily records, which are only completed by nursing staff, were task based and did not give a full picture of the attention to details by care and other staff which contributed to the quality of care and lifestyle of people living in the home. Care staff should be given the opportunity to record their input. There were said to be occasions when the food could be warmer as it had to be transported upstairs. The metal food covers were old and dented, let down the appearance of the food presentation and possibly contributed to the temperature of the food.
DS0000047893.V332743.R01.S.doc Version 5.2 Page 8 The home’s adult protection policy and procedure document could be improved by including more detail about the path to follow in the event of an allegation being made to ensure staff and the people living in the home are protected. The interview notes could more detailed to show the criteria used for selection as evidence that all candidates received equality of opportunity. The home only reaches the ratio of care staff with NVQ as some have an overseas nursing qualification. It is recommended that the proprietor look at incentives to encourage more staff to achieve the NVQ award. The home does not have a training budget therefore it has to take advantage of any free courses, which limits the scope for staff development. It is recommended that a budget for training be built into the business plan to give the manager more autonomy in meeting staff training needs Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000047893.V332743.R01.S.doc Version 5.2 Page 9 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 DS0000047893.V332743.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their relatives received information about the home to help them decide if their needs could be met. EVIDENCE: The home has an inclusive Statement of Purpose and Service User Guide, which is given to all prospective occupants. A copy of the document is also in every bedroom. Information can be found easily from the list of contents but could be improved by adapting the layout and print size to one more easy for older people to read. DS0000047893.V332743.R01.S.doc Version 5.2 Page 11 The nurses were able to describe the pre admission assessments and said they were clear about the criteria for admission. However, there was nothing recorded to summarise the outcome of such assessments which could give assurances to prospective residents that their overall care needs could be met by the home. A copy of the contract of occupancy for all permanent people showed the home would support people to follow their cultural traditions. A person who competed a survey form confirmed they had received a contract of occupancy. Another said, “I was given a tour of three different nursing homes and as soon as I was taken to Jasmine Court I knew this was the one for me”. A visitor said the home had been chosen on the recommendation of two people who had used the service. The home has a dedicated area for rehabilitation with physiotherapy and occupational therapy staff on site to support those people who are in intermediate care beds to return to their homes. DS0000047893.V332743.R01.S.doc Version 5.2 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. Communication between health professionals is good which means the health and personal care needs of people living in the home are met and dignity and privacy is respected. EVIDENCE: There was a good communication observed between the staff employed by the home and those providing rehabilitation services, which led to consistency and continuity of care for people living in the home and ensured they were kept informed about their care. DS0000047893.V332743.R01.S.doc Version 5.2 Page 13 Three care files were examined. The care plans were based on the Roger Tierney Logan list of care needs. The care plans gave guidance to staff on how to support people with each of their care needs such as assisting people to choose the food they liked in order to improve their dietary intake. Care plans were reviewed three monthly from daily notes and nursing observations or as needs changed. Care plans were then amended to reflect the new levels of care. Risk assessments were undertaken and recorded. Staff seek advice from the tissue viability nurse for people who have difficult to treat pressure ulcers. Daily notes, which are currently completed by nursing staff, could include more detailed recording of the quality of care input by all staff. This was observed but was rather taken for granted. In consequence the daily records did not give a full picture of the attention to details which contributed to the quality of care and lifestyle of people living in the home. The GP continues to hold a twice weekly ‘surgery’ in the home. An occupational therapy and physiotherapy team, employed by the local Health Trust, is based in the home to do rehabilitation work with people who are in short stay beds to assist them to return to the community. The deputy manager explained the procedures for the receipt, recording, storage, administration and disposal of medicines for the people on permanent and intermediate care. The medication recording sheets included a photograph of each person and were up to date. People are given a choice to manage their own medication but none were doing so. Previous inspections of the home have judged that people receive appropriate attention and comfort at the end of their lives. DS0000047893.V332743.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported to make choices about day-today matters. Menus met the cultural and nutritional needs of the people in the home. EVIDENCE: The home has an activities coordinator who was on leave on the day of the inspection visit. He keeps a record of the activities people have participated in. People spoke of his enthusiastic approach. People in the main lounges were watching TV and care staff spent time with a small group in the conservatory doing jigsaws and board games. The home has its own mini bus and outings are arranged locally and further afield for those well enough to travel. DS0000047893.V332743.R01.S.doc Version 5.2 Page 15 A number of people were spoken with in their bedrooms. One person said she was free to choose to remain in her room or go to the main lounges and staff respected her choice. She had chosen to stay in her room and watch TV on that particular day. A person who returned a survey said ‘I have quite a lot of hobbies so spend most of my time in my room. I’m allowed to go out locally but have an escort to go into town etc’. Other people who were in their rooms had newspapers and magazines, personal possessions, jugs of juice and the nurse call system within easy reach. Relatives felt welcomed when they visited the home. Meals were served in the main dining room or in bedrooms according to choice. The menu options were explained within a short time of the meals being served so that people remembered what they had chosen. One person said the lunch had been tasty and ‘a nice change’. One person said there were occasions when the food could be warmer as it had to be transported upstairs but felt the staff ‘do their best’. The metal food covers were old and dented and let down the appearance of the food presentation. DS0000047893.V332743.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their relatives have their views listened to, taken seriously and acted upon. Staff receive training to protect people who live in the home from abuse. EVIDENCE: Relatives who were spoken with felt confident that if they raised any concerns they would be listened to. A copy of the complaints procedure is provided with the information people receive when they enter the home. A copy is available in every room. The homes complaints log gives a good picture of how complaints have been dealt with. The home receives few complaints but the manager was investigating a complaint received by the CSCI. She was able to discuss the aspects of the complaint, which she judged to be unfounded, and was in the process of writing to the complainants with her findings. Staff receive adult protection training as part of their induction and this is updated annually. The training takes the form of a video, which illustrates all aspects of abuse. DS0000047893.V332743.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24 and 26 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a clean, homely environment, which encourages independence for the people who live there. EVIDENCE: Some of the work required to meet standards had been completed since the last inspection. Two of the returned surveys said the home was always fresh and clean. This was confirmed during the visit. Cleaning staff were working efficiently and including the cleaning of pictures and mirrors in their cleaning schedule. DS0000047893.V332743.R01.S.doc Version 5.2 Page 18 All areas of the home were warm and well lit and free from any unpleasant smells. Systems were in place for the routine cleaning of mattresses as bedding was changed. The design of the home is such that there is no natural ventilation or light into the corridors, making these areas rather stuffy. The staff are to be congratulated for their work in preventing a build up of unpleasant odours in these areas All the bedroom doors had been fitted with locks, though nobody in the home had chosen to hold their key. As people are admitted to the home they should be made aware of the security issues of group living and encouraged to use their bedroom door key wherever possible. All doors were fitted with hold open devices linked to the fire alarm system so that people in their rooms could keep their doors open safely. The dining chairs had been replaced with a style which made it easier for staff and older people to adjust their position when seated at the table. Some redecoration had taken place and all the areas seen were of a satisfactory standard. Some further decorating is planned and new carpets were on order. A shower room is planned and the garden is to be done to improve the outdoor area. Bedrooms contained personal possessions and were bright and comfortable. The home was well equipped with aids and adaptations and pressure relieving equipment. A rehabilitation room is well equipped for the use of those people who are in the home for short-term rehabilitation with the aim of returning to the community. A dedicated member of staff is responsible for the laundry. There was equipment in the laundry for the control of infection. This area, though small was clean and tidy. Clothing and bedding looked well cared for. DS0000047893.V332743.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. Service users are protected by the home’s recruitment procedures and staff receive training to meet the needs of residents. EVIDENCE: Staff work 12 hour shifts from 8am to 8pm with at least two trained nurses on the day shift in addition to the manager, supported by care staff, some of whom were overseas trained nurses. The rota showed that staff were allocated to each floor. Occupational therapy and physiotherapy staff, catering and domestic staff were in addition to this. Staff showed a willingness to make adjustments to cover the night shift for staff who were unable to reach the home because of the weather, to ensure people in the home continued to be cared for. DS0000047893.V332743.R01.S.doc Version 5.2 Page 20 The home has a total of 21 care staff. 3 have a National Vocational Qualification (NVQ) and 3 are working towards it. The home meets the 50 ratio of staff trained to NVQ or equivalent because 10 care workers are overseas staff with a nursing qualification in their own country who have to meet a satisfactory level of ‘cultural competence’ to work in the home. Two care staff on the adaptation course said they had received support in understanding the cultural needs of people in the home. It was said that some care staff are reluctant to do NVQs. All staff receive 6 hours theoretical induction training with videos and discussion before starting to work alongside an experienced member of staff for practical training. A list of headings of the topics covered is then signed as evidence they have understood the information. The statutory training, which is repeated annually, includes moving and handling, health and safety, food hygiene, fire safety and abuse awareness. The home does not have a training budget therefore has to take advantage of any free courses, which limits the scope for staff development. Palliative care and dental treatment are two of the free courses, which staff have done in addition to their statutory training. Five staff within the home completed the surveys for health professionals and made comments as follows: “High standard of individual care”, “respect and dignity given to staff, relatives and service users”, “Friendly environment. Staff and client relationships really good”. “It is lovely friendly atmosphere”. “Care is really good, always room for improvement but difficult to find ways of improving care as it is really good anyway”. The manager accommodates the cultural needs of staff working in the home as long as this does not affect the care of the people living in the home. A staff file was examined. The file contained a completed application form, notes from the interview (which had been undertaken by two people), two written references, a signed health declaration form and evidence of a Criminal Record Bureau check. The interview notes however did not give an indication of the criteria used for selection. DS0000047893.V332743.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 37 and 38 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and has a competent management team. This means that the interests of the residents are seen as important to the manager and staff and are safeguarded at all times. EVIDENCE: The manager and deputy manager of the home were well qualified and experienced. The manager was spending part of her working week as an operational manager for other homes in the group leaving the management of Jasmine Court to the deputy. This ensures consistency of management and leadership within the home.
DS0000047893.V332743.R01.S.doc Version 5.2 Page 22 The staff were observed to work together with cooperation and a willingness to ensure that the needs of people living in the home were met. A professional quality audit system has been purchased and developed for the home and other homes in the group. The manager planned to complete an audit of Patient Care within the next 6 weeks. It was agreed that a copy of the report and action plan would be sent to the CSCI. The deputy manager has set up a two monthly staff supervision system. Some of this task had been delegated to the senior night sister, cook and senior domestic worker who supervise staff within their area of responsibility. The system was in its early stages with brief notes kept of each person’s supervision. The development and training of staff is somewhat limited by the lack of an allocated budget for training. The proprietor should consider building this into the annual business plan to allow the managers of the home more autonomy in meeting staff training needs. The records of money held on behalf of people living in the home were up to date and easy to follow. The spending and balance of everyone’s personal allowance could be seen on the computer. The money of people in the home for intermediate care was held in separate wallets. The pre inspection questionnaire completed by the manager gave dates when policies and procedures had been updated and health and safety checks carried out. DS0000047893.V332743.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 2 3 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x 4 3 3 x 4 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 4 4 3 3 3 3 3 3 DS0000047893.V332743.R01.S.doc Version 5.2 Page 24 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 OP4 Regulation 14 Requirement There must be a written record of the homes pre admission assessment. Timescale for action 31/08/07 DS0000047893.V332743.R01.S.doc Version 5.2 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 Refer to Standard OP1 Good Practice Recommendations The information for prospective users of the service should be in a layout and print easier for older people to read. It should include more information about items not covered by the fees. The daily records should include more detail to illustrate the care given and their background history. Metal food covers should be replaced and action should be taken to make sure food is always hot when it reaches the person who is to eat it. The adult protection procedures should be more detailed to make sure appropriate action is taken to protect staff and people living in the home in the event of an allegation. It is recommended that interview notes relate to an employee specification for each person interviewed. The proprietor should look at incentives to encourage more staff to achieve NVQs. It is recommended that a budget for training be built into the business plan to give the manager more autonomy in meeting staff training needs. 2 3 4 5 6 7 OP7 OP15 OP18 OP37 OP29 OP28 OP28 OP34 DS0000047893.V332743.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000047893.V332743.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
