Inspection on 17/07/06 for Kidsley Grange

This inspection was carried out on 17th July 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kidsley Grange 18/07/07

Kidsley Grange 30/01/06

Kidsley Grange 28/09/05

Kidsley Grange 12/11/04

Kidsley Grange 20/05/04

Similar services:

Carlton Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Kidsley Grange 160 Heanor Road Ilkeston Derby DE7 6DY Lead Inspector Bridgette Hill Key Unannounced Inspection 17th July 2006 09:05 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 Kidsley Grange DS0000002107.V301816.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. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kidsley Grange Address 160 Heanor Road Ilkeston Derby DE7 6DY 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) 01773 769807 Ashmere Care Group Mr Gerald Poxton, Mrs Sandra R Poxton, Mrs Ann Theresa Poxton, Dr Michael G Poxton, Mr David A Poxton Post Vacant Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 day care places Date of last inspection 30th January 2006 Brief Description of the Service: This Care home is situated in the village of Smalley. The home is a converted building on two floors. There are two lounges one incorporating a conservatory and an open plan dining room. There is provision for nursing care to a maximum of 33 service users. The home is located on an acute bend on the A608 road. The access to the car park and the main entrance is via a right turn off Adale road. The fees charged at the home range from £319.70 to £960.00. These fees included a top up fee for which physiotherapy, toiletries, hairdressing and chiropody were included. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced one which took place over seven and a half hours. The focus of this inspection was to assess all key standards. A range of records were examined at this visit including a sample of service users care plans. Two service users and two staff members were spoken to. The person in charge during this visit was the Acting Manager Emma Wright What the service does well: 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. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 6 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 Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Service users needs are assessed routinely prior to admission however accurate information regarding the home is not readily available. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: The Acting Manager said that the Statement of purpose had not been updated to reflect the changes in management at the home as was listed as a previous requirement. The file of a recently admitted service user was examined. This confirmed that staff from the home had assessed the service user prior to admission being agreed. Terms and conditions of residency contract were available and completed examples seen where services to be provided were detailed, notice periods and the room number to be occupied was included. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 8 Kidsley Grange DS0000002107.V301816.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): 7,8,9,10,11 It was not possible to identify service users assessed needs as care plans lacked personalisation, detail and accuracy in some aspects potentially adversely affecting the care delivery for service users. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: A sample of three service users care files were examined to assess how standards were being met. Some were assessed in part to explore different aspects. There had not been a review of the care planning system and the format continued to be lengthy and with form headings not being reflective of service users assessed needs. There was much duplication in the detail requested and they were found to be poorly completed as regards personalisation of content. Examples of deficits found were: Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 10 • • • • • • • • ‘Toileting regime to be followed’ but with no detail of what this regime was for the service user. Care plans for personal care not detailing which side was affected when service users had impaired ability following a stroke. A care plan to address weight loss not including weight monitoring or the food supplements that were being given. There was inconsistent recording of the type of dressing being used for one service user. One significant weight loss over a one month period recorded on the monthly review as a weight gain. Inconsistent scoring of a tissue viability tool when there had not been any changes. Care plans were being amended to reflect changes but the plan of care was not appropriately updated and inappropriate care was being advocated. Records of food intake were vague not detailing quantities. Records of fluid intake were not totalled or seemingly being assessed on a daily basis as was indicated by the form. Some forms were not signed to validate and record who had completed them. Occasional well written detailed care plans were found so there was some inconsistency. Service users at the home used two GP practices; visits from GP’s were documented. There was also evidence in care files of access to speech and language therapists, referrals to dieticians, and in house physiotherapy that was included in the top up fee as was chiropody. One service user was observed to have ill-fitting teeth, which appeared to affect their speech, and who said it affected their ability to eat. This was discussed and it was stated that the dentist had been requested to visit. Two service users were observed with food stained clothing and dirty mouths after the lunchtime meal. One service user said that staff attended quickly when they needed help and had a routine to help them at night. The storage and administration of medicines was examined at this visit. Some medication administration records were typed and some handwritten. Not all handwritten entries contained verification that they had been checked and signed by two staff. One medication administration record, which had been doubly signed, had the drug name spelt incorrectly. Where variable dosages were prescribed the actual dosage given was recorded. The drug storage was again found to be excessively hot at 34ºc, certainly above the recommended 25ºc storage limit advocated on most medications. A solution is being considered but has not yet been addressed. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 11 A drug reference book was available dated March 2005. The tablet cutter was found to be dirty with the residue of medications on it. Some gaps were evident on medication administration records for regularly prescribed medications with no reason known for the non-administration. There was conflicting administration policies available and the disposal of drugs policy required updating to reflect new procedures in place. Care files examined sometimes did contain service users post death wishes or records to indicate this was not appropriate or that service users had not informed staff of their wishes. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14,15 Whilst some activities do occur these appear to be poorly structured, irregular and not offered in response to assessed needs. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: All staff had some responsibility for organisation of activities but one staff member was identified as having a special interest in this. There was not a structure to the activities that occurred. Bingo, card games, memory cards, skittles these were some of the examples recorded and quoted by service users. Records of activities offered suggest an infrequency to them being offered. One service user spoken said few activities occurred. Feedback given in service users questionnaires generally confirmed that service users felt there could be some improvement as the ‘sometimes’ column was often ticked when service users were asked to assess the quality of the service. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 13 Whilst one page of the care planning document considered social activities these were found to be poorly completed. One example recorded that the service user should be encouraged to participate in all activities. This was not considering the needs, abilities or individual preferences of the service user. The intention was also not realistic due to the dependency of the service user. Individual records of activities participated in were kept with a space for comments. Frequently for some service users bed rest was recorded on the activities records. As identified previously there was no evidence that social activities meet the individual needs of the service users. Some activities were organised through external sources such as entertainers, music to movement. On the day of the inspection a boat trip was organised but cancelled due to excessively hot weather. A church service or communion is held on a fortnightly basis in the home. A choice of meal was routinely offered and staff were observed to ask service users what they would like for tea. Service users were positive about the food served. The cook spoken to appeared to have a good knowledge of the service users likes and preferences. Plate guards and special drinking cups were observed in use. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 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 the following standard(s): There is the potential for any allegations of abuse to be mishandled due to the lack of appropriate procedures being available to staff. Systems for handling complaints appropriately were in place and being used. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: A complaints procedure was in place and on display in the home. The complaints records were examined. Records were kept of the outcomes. Some complaints were found to be upheld and the actions that had been taken to address these were documented for example an air conditioning was obtained for the conservatory following complaints of it being too hot. Whilst all responses were recorded not all complaints had been signed and dated on resolution. It is recommended that the al parts of the form are fully completed. Since the last inspection there has been one referral through Derbyshire County Council Protection of vulnerable adults procedures. This was instigated following a letter to Commission for Social Care Inspection stating that an allegation of abuse had been internally investigated. This was confirmed to have happened. The internal investigation had found that whilst it is likely that an incident had occurred it was not possible to establish how or who was Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 15 responsible. During the investigation general bad practice at the home was identified and this is reportedly being addressed. The Protection of vulnerable adults procedure advocated internal investigation of allegations. There was no reference made to locally agreed statutory procedures as must be accepted by the Provider when accepting service users funded by Local Authorities. It is also a statutory right of service users living within Derbyshire to have access to Social Services Protection of vulnerable adults procedures as implemented in response the Department of Health ‘No Secrets’ document. Statutory agencies such as the Police were also not being considered when allegations of abuse were being made. This gives rise to the possibility of criminal acts to be unreported and not investigated. Discussions with the Area Manager confirmed that the policy was under review. Staff spoken to said they would feel able to pass on any concerns they had to the management of the home. Staff had not yet received training in the Protection of vulnerable adults. The Acting Manager said they had completed the Protection of vulnerable adults trainers course and was due to begin training all staff in the next few months. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19.21,24,26, There has been progress made on upgrading the environment to ensure it provides a comfortable environment for service users more work is required to ensure all rooms meet standards. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: The communal areas of the home appeared to be well maintained. The conservatory was excessively hot on the day of the visit despite an air conditioning unit being used. Some new chairs, footstools and coffee tables had been purchased. The fire exit route near bedrooms on the ground floor was lockable by key with the key being situated very high up. The Acting Manager requested a visit from the Fire Officer to discuss this urgently. Confirmation was sought after the inspection that the Fire Officer visited on the 18th July 2006. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 17 A work place fire risk assessment could also not be located. Not all radiators were found to be covered by robust covers at this visit. Some were covered by quilt type fabric. A review of the risk assessments and any identified actions must be taken to ensure risks of burns are minimised. A sample of bedrooms were viewed. Odours were evident in two bedrooms viewed. There had been significant changes to the environment as 5 double bedrooms had been fitted with en suite facilities with the Acting Manager stating that these would be used as singles now due to decreased space. In these bedrooms there was new carpet they had been redecorated and new furniture was in place. It is of concern that that there has poor communication with the Commission for Social Care Inspection regarding the changes. It is a requirement that significant changes are reported to Commission for Social Care Inspection under regulation 39 and the Provider has not ensured this has been done. Since the last inspection 5 new beds had been purchased. The corridors had been decorated on both floors and the carpet was due for replacement. This is highlighted from previous visits and is worn with loose threads in place which may place service users at risk of tripping. Some carpet replacement of bedrooms had been completed but more was required as some were showing signs of wear and staining this included bedrooms and the small lounge/dining area. The sluice downstairs required new flooring as this was also peeling at the edges and stained. The flooring in bathrooms had been replaced. The flooring in one shower room was peeling at the edges as it was in some toilets. Two new baths have been installed to replace old ones. The kitchen had an infestation of flies on the day of the visit. The Environmental Health Officer had been consulted to try to address this. A new washing machine had been purchased since the last visit. This had a sluicing cycle on it. One dryer was awaiting repair but this was not affecting care at present as washing was dried outside. Some toilets had removable frames around them but did not have toilet seats on them to allow service users to use them without the frames. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The home have a staff compliment who are appropriately recruited and receive training in order that they have the skills to meet service users needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: The occupancy of the home on the day of the visit was 19 service users. 17 service users required nursing care, 2 service users required personal care only. The typical staffing levels at the home were 1 nurse on duty for all shifts with 3 care staff for morning shifts, 2 care staff in the afternoons with an additional carer working a 6.00pm – 9.00pm shift. Staff spoken to during the visit appeared to have a good knowledge of the service users and some jovial banter was heard. There was 14 care staff employed at the home of which 4 held NVQ (National Vocational Qualification) level 2 in care qualifications. Discussions with the Acting Manager confirmed that 5 staff had begun NVQ (National Vocational Qualification) courses. A sample of staff personnel files were examined which confirmed that all pre recruitment documentation and checks had been completed. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 19 Training records confirmed that there was a rolling programme of training taking place topics covered included moving and handling, health and safety, fire safety, first aid, Basic Food Hygiene, control of substances hazardous to health and infection control. The cook was also in the process of completing an NVQ (National Vocational Qualification). One recently recruited staff member had yet to begin the skills based induction package, this is designed to be completed with in the first six weeks of employment this timescale was not being achieved. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 There are systems in place to assess quality of the service on a regular basis. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: An application has been made to the Commission for Social Care Inspection for the Acting Manager to be formally registered as Manager of the home. This is being processed and a date for interview has been set. The Acting Manager and Deputy Manager had begun a NVQ (National Vocational Qualification) in management. Questionnaires that had been received back from staff, service users and relatives described the Acting Manager as approachable and this was confirmed in discussions with staff. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 21 A quality assurance audit was completed on a monthly basis by one of the providers Area managers. These considered a wide range of aspects and included discussions with service users. Staff, service users and relatives had completed some questionnaires. Some of these had been given out on a monthly basis. Some comments from these were being summarised to be included in the Service User Guide. Both the monthly monitoring form and the service users comments highlighted the provision of activities as an area for improvement. No feedback had been sought from visiting professionals. This is recommended. Staff and service users meetings were being held and minuted. A falls analysis was completed by the Acting Manager on a monthly basis. Some small amounts of money were held safely on service users behalf in the home. The records of these were robustly kept with double signatures and all balances checked correlated. Receipts for purchases were retained. Audits to check the balances were periodically undertaken. Staff supervision records were examined. Whilst all staff had received at least one supervision there did not appear to be a plan in place to ensure a consistent and ongoing approach to ensure this was completed regularly. The service records for equipment and utilities were examined and found to be all satisfactorily checked. Accidents were recorded. It was evident from records that there had been 3 needle stick injuries to staff. Discussions with the Acting Manager revealed that this had been considered and different procedures for disposal put in place. Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 2 x 2 x x 2 x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 3 x 3 Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Care plans must be in a format which clearly records all assessed needs and the care delivery instructions as to how these are to be met Previous timescale not met 30/11/05 & 30/04/06 2 3 OP7 OP9 15 13,17 Schedule 3 13,17 Schedule 3 Service users personal hygiene needs must be met at all times 28/08/06 Timescale for action 30/08/06 The provider must ensure that 30/08/06 all medications must be stored at or below 25ºc Previous timescale 31/03/06 Where medications are prescribed on a regular basis these must be administered or a record maintained of the reason for omissions All staff must receive training on the multi agency protection of vulnerable adults procedures form Derbyshire County Council Previous timescale not 26/02/05 28/08/06 4 OP9 5 OP18 13(6)18 30/09/06 Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 24 & 31/03/06 6 OP18 13(6) The home must have a 31/08/06 procedure for the handling of allegations of abuse. This should refer to the Derbyshire Protection of Vulnerable Adults procedures which are there to protect the service users residing in Derbyshire Previous timescale not met 31/12/03 & 31/03/06 The home must plan to ensure at 30/09/06 least 50 of care staff achieves at least NVQ level in care by 2005. Previous timescale not met 31/12/05 A workplace fire risk assessment must be completed The corridors on both floors of the home must be re carpeted Previous timescale 30/06/06 10 OP24 23 Bedroom carpets must be replaced where they are stained, worn or damaged Timescale not yet reached, some completed 11 *RQN 39 The Commission for Social Care Inspection must be notified promptly of all changes as covered by Regulation 39 30/08/06 30/07/06 30/09/06 30/09/06 7 OP28 18 8 9 OP19 OP19 23 23 Kidsley Grange DS0000002107.V301816.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 Statement of purpose must be updated to reflect the change in Manager at the home The drug disposal policy should be updated to reflect actual practice in the home Service users individual interests/assessed social needs must be recorded with a plan of care on how these are to be met All parts of the complaints should be completed and signed All toilets must be fitted with toilet seats Measures should be reviewed on how odours are controlled within the home The skills based induction package should be completed within 6 weeks of appointment to post Staff supervision should be completed at least six times annually for all staff Feedback should be formally sought on the home from visiting professionals 2 3 4 5 6 7 8 9 OP9 OP12 OP16 OP21 OP26 OP30 OP36 OP33 Kidsley Grange DS0000002107.V301816.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Kidsley Grange DS0000002107.V301816.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!