Inspection on 06/05/08 for Manor Gate

This inspection was carried out on 6th May 2008.

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

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

Other inspections for this house

Manor Gate 03/11/08

Manor Gate 23/05/07

Manor Gate 30/05/06

Manor Gate 14/12/05

Manor Gate 17/08/05

Manor Gate 10/11/04

Manor Gate 15/06/04

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Manor Gate 190 Causeway Wyberton Lincs PE21 7AR Lead Inspector Elisabeth Pinder Unannounced Inspection 6th May 2008 09:00 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 Manor Gate DS0000002380.V363638.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. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Gate Address 190 Causeway Wyberton Lincs PE21 7AR 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) 01205 366260 lawrence@manorgate.co.uk Mrs Mary T Rodrigues Mr Herman V Rodrigues Mr Herman V Rodrigues Care Home 15 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (14), of places Physical disability (1) Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One PD place for age 59 . Date of last inspection 23rd May 2007 Brief Description of the Service: Manor Gate Care Home is a converted Victorian farmhouse with a purpose-built annexe, situated in the village of Wyberton, close to local shops and approximately one and a half miles from the market town of Boston. It is registered to provide care and accommodation for up to fifteen residents over the age of 65 years, some within the category of dementia and one under 65 years, in two shared and eleven single rooms. The home also has three daycare places, however, current legislation does not regulate these. There is a garden to the side of the property and car parking space for four cars; further parking is outside the frontage of the home. The current fees for the home range from £351 to £435 with additional charges made for hairdressing, chiropody, personal toiletries, transport and newspapers. Information about these costs, as well as the day-to-day operation of the home, including a copy of the last inspection report, is available from the main office of the home. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means that people who use this service experience poor quality outcomes. This was an unannounced visit and it formed part of a key inspection, focussing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms ‘we’ and ‘us’ refer to The Commission for Social Care Inspection (CSCI). The visit lasted approximately six hours and also included obtaining some additional information on the theme of safeguarding, through asking some set questions to the manager, staff and people who currently live in the home. We also looked at whether this service has good procedures and training to ensure people are well protected. We call this safeguarding systems. The Annual Quality Assurance Assessment (AQAA) was due to be returned to us by 03/04/08 and to date we have not received this. This was discussed with the provider who told us that it was being completed by his son, however, this person no longer works for the business. We sent surveys to the home asking people for their views on the service provided, however, we were informed that these had not been given to residents as the provider felt they were unable to complete them. Two had been given to staff and three to relatives. To date these have not been returned to us. The visit included following the care of four people with a range of needs through checking records that are held about them, talking with them and with two staff members on duty. Other residents were spoken with in general conversation. No visitors were in the home during the visit. A period of observation was spent whilst residents were having their lunch to observe staff carrying out their duties. What the service does well: This home generally provides clean and comfortable accommodation for people living here. Comments were positive about the care and services provided and staff members were observed carrying out their duties with kindness. Many of the staff had worked at the home for several years, providing continuity of care and appeared to have a good rapport with people. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The Statement of Purpose and Service User Guide must be up to date and tell people how they can access our reports and everyone must be made aware of the complaints procedure and our correct contact details. A full assessment of need must be carried out before people are admitted into the home and written confirmation must be sent to them assuring them that their needs will be met. Care plans must be in sufficient detail to ensure needs are met and reviews must include any changes required and show residents and/or representative involvement to ensure people are able to express their views. Staff must follow correct procedures to ensure medication is given safely. Staff must also ensure peoples’ dignity is upheld at all times. There should be more opportunity for people to engage in activities within the home to meet individual needs. Information or training should be made available to the cook to ensure suitable food is provided for people with severe dementia. All staff should have training relevant to the specific needs of people living at the home, this should include; induction, dementia training, medication training, equality and diversity and mental capacity. Staff must also be adequately supervised. Robust recruitment and safeguarding procedures must be in place to protect people living in this home. Attention must be given to the environment of the home, this must include the laundry room, carpets that are heavily stained and general paintwork which is chipped and damaged. A system must be in place for evaluating the quality of the services provided and quality monitoring should include obtaining the views of all stakeholders involved with the service. Records must be available of service tests for equipment used and of peoples belongings and valuables. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 7 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. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 Standard 6 is not applicable. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Information given to people is not all up to date, therefore, people coming into this service may not have enough information to help them make a decision about moving into the home. Peoples’ needs are not being assessed adequately prior to their admission to make sure they will be met. EVIDENCE: The Statement of Purpose and Service User Guide did not contain up to date information about the fees and additional costs for this service. It did not have up to date information relating to the complaints procedure or how people can access our reports. The records of two people admitted since the previous inspection were examined and these did not show that a full needs assessment had been carried out prior to admission, although one file did contain an ‘easy care’ plan from Social Services. There was no evidence on these files that letters had Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 10 been sent confirming needs could be met and only one had a contract, which was from Lincolnshire County Council. During the previous inspection it had been recommended that all residents sign a contract with the home, however, this has not been done. Most people living in the home were not able to tell us what information they had been given about the home but one person told us that although he had not received any written information, he was told all about the service and was very satisfied with the care provided. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care plans are not in sufficient detail to ensure that peoples’ needs and how they are to be met are fully identified, although their health is well monitored. Peoples’ privacy is respected but their dignity is not always upheld. Medication policies and procedures are not always being followed therefore putting people at risk. EVIDENCE: The care plans of four people whose care was being followed were examined and these lacked sufficient detail to ensure staff have clear guidance on how to meet their needs. No risk assessments had been written and care plans only gave very basic details about physical health care needs and did not include religious wishes, social stimulation, mental health needs or end of life wishes. The home is registered for dementia and the majority of people living here have Alzheimer’s disease, however, care plans do not make reference to the Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 12 Mental Capacity Act and staff spoken to had never heard of this. The provider said he has received information about the Act but has not had time to read it yet. Currently there are no male carers and therefore people are unable to choose who provides their personal care. Records examined did not contain life histories and only one contained a record of weight. There was no evidence that care plans had been written involving residents and/or their representatives or that care plans are regularly reviewed. However, one person told us he had read his care plan and agreed with the contents. Many of the daily records read ‘fine, no problems’ and ‘slept well’ and did not show a person centred approach. However, records did show that peoples’ health is well monitored recording visits by doctors, nurses and opticians. Medication records examined had been signed well in advance of medicines being administered and the person giving medication now works as the cook. When questioned about this she told us that she used to work as a senior carer and due to staff sickness she was ‘helping out today’. She told us she had completed medication training, however, this was ‘years ago’. During a period of observation staff were seen to respect the privacy of residents, however, their dignity was not always maintained, for example; two people were left to eat their meals with very little assistance which resulted in their meals being spilt on their clothing. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. This service meets the expectations and wishes of some people, but does not fully take into account and provide social stimulation for people with dementia. The meals provided are varied and nutritious but do not cater for individual needs. EVIDENCE: People spoken with made varied comments about whether they were satisfied with the social and recreational activities provided, some people were quite satisfied but others said ‘there is nothing to do but sit and watch television’ and ‘all we do is eat, watch TV and sleep’. Throughout the day no activities were observed and there were no records of activities recently undertaken. Three people said they would like to go for a walk now the weather has improved but as yet they had not been given the opportunity. We were informed that the member of staff who has been working as activity coordinator has left and this matter was discussed with the provider who agreed to address the issue. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 14 Although no visitors were seen during the inspection, daily records indicated that people had received visitors and staff said they are always made to feel welcome and are able to visit at any time. Menus examined showed that a nutritious diet is offered and individual records are kept of the meals people have. The main meal of the day was meat pie, potatoes, vegetables and gravy and looked appetising, however, some people were observed to be having difficulty using their cutlery and as previously highlighted their dignity was not always maintained. A discussion was held with the cook about providing food which promotes independence but is more manageable for people with dementia. Many people living in this home were unable to tell us what they thought of the meals, however, comments from two people were ‘that was lovely’ and ‘I always enjoy the meals’. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Procedures are not detailed enough to ensure that people are fully protected from any potential risks of harm. EVIDENCE: The home has a complaints procedure, which tells people how to make a complaint and how it will be handled. However, this does not include the correct contact details for us. Two complaints have been received within the last twelve months and both have been referred to Safeguarding Adults for investigation under their procedures. The home has a copy of the revised edition of the Lincolnshire County Council Safeguarding Adults procedure but their own procedure does not make reference to this or give correct details for reporting any allegations. The home’s procedure does not reference the Whistle Blowing procedure, however, staff spoken with had a good knowledge of the complaints and safeguarding adults procedures and their responsibilities for reporting any allegations to the provider. They confirmed they had completed specific safeguarding training. People spoken with said they had no concerns or complaints at the moment and said they felt safe living in the home. Manor Gate DS0000002380.V363638.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a generally safe and comfortable environment that is suitable for their needs; the undecorated and untidy state of the laundry room does not give people a pleasant view from the patio and side entrance. EVIDENCE: Areas of the home viewed showed signs of general wear and tear, for example, chipped and damaged paintwork in corridors and heavily stained carpets. The laundry area was still undecorated and untidy, however, the provider told us that plans are now ready to be submitted to the local council for re-siting of the laundry which will rectify this problem. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 17 One bedroom was viewed and this was personalised and individually decorated, the person who was in this room said that he liked being there, he said ‘it’s very comfortable and I have everything I need’. Staff were observed to wear protective gloves and aprons when needed throughout the visit. The gardens and grounds were well tended and offered an area with seats for residents to sit outside. Manor Gate DS0000002380.V363638.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for people currently living in this home. However, there are shortfalls in the training programme and recruitment that may put people at risk. EVIDENCE: Staffing rotas examined showed that there are usually two care staff on duty through the day and night. The provider said that his wife is coming back to work in the home and will make a third carer during the day Mondays-Fridays. People spoken with said they felt there was enough staff on duty and felt their current needs were being met. Staff also felt levels were adequate to meet peoples’ needs, although acknowledged that the cook has been helping out due to staff sickness. The records of two new members of staff employed since the previous inspection were examined and these showed shortfalls in the recruitment process; one person had commenced work before references had been obtained. Neither had commenced induction, although one record stated that induction had begun in January, however, there were no records to support this. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 19 Staff spoken with have completed statutory training but require further training in dementia care, equality and diversity and mental capacity. Neither had been given copies of The General Social Care Council Codes of Practice, which would enable them to understand their responsibilities as care workers looking after vulnerable adults. Manor Gate DS0000002380.V363638.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This service is not being managed satisfactorily, there is a lack of up to date records and systems are not in place to ensure peoples views about the service are sought in order to review and develop it further. Health and safety practices are not always followed putting people at risk of injury. EVIDENCE: During the last inspection we were informed that the manager’s son had completed the National Vocational Qualification [NVQ] at Level 4 in Care and in Management and was awaiting the results; he would then apply to become the registered manager as he was mainly responsible for the day-to-day running Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 21 of the home. When we arrived at the home for this key inspection we were informed that this person no longer works in the home and the provider had returned to the home the previous day in his capacity as full time registered manager. He acknowledged that there were numerous issues outstanding and was requested to put an action plan together and forward this to us as soon as possible. During the visit we saw a member of staff moving a person to another area of the home in a wheelchair that did not have foot rests fitted. The potential risk to the resident was discussed and staff immediately found some in a cupboard and attached them to the wheelchair. This was brought to the attention of the provider who said he would talk to staff about this matter. A number of records required by law to be kept about the operation of the service were not available or up-to-date; for example, the AQAA, the Statement of Purpose and Service User Guide, records of belongings for people living in the home and service records for the stair lift. No quality audits have been completed and quality assurance questionnaires have not been given to people using the service since 2004. However, minutes were available of regular meetings with residents and staff. Records of monies held on behalf of people whose care was being tracked were examined and these were accurate and up to date. Staff said they felt supported by the provider, however, only one had had supervision. Manor Gate DS0000002380.V363638.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 2 2 1 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 2 3 Manor Gate DS0000002380.V363638.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 OP1 Regulation 4, 5 & 6 Requirement The statement of purpose and service user guide must be kept up to date to ensure people coming into the home have access to sufficient information to help them make a choice. A full needs assessment must be carried out prior to admission to ensure peoples’ needs will be met. Timescale for action 30/06/08 2. OP3 14[1] a 30/06/08 3. OP4 14[1] d 4. OP7 15 [1] 13[4] b,c Written confirmation of the 30/06/08 outcome as to whether the service is suitable to meet their needs or not must be sent to people before they move into the home to assure them their needs will be met. Care plans must be in more 30/06/08 detail to ensure that residents’ needs are met. Risk assessments in particular must be more detailed. This requirement had a timescale of 20/07/07which has not been met. However, due to changes in the management arrangements DS0000002380.V363638.R01.S.doc Version 5.2 Page 24 Manor Gate of the home a further timescale is set. 5. OP7 15[2] b & c Mental capacity Act 2007 Reviews of care plans must be carried out and include details of any changes required to the current care given and these must show that residents and/or their representatives have the opportunity to be involved. Care plans must take into consideration the Mental Capacity Act 2007. Staff must adhere to policies and procedures when giving out medicines to ensure that safe procedures are followed. The dignity of residents must be respected at all times. Appropriate activities and leisure opportunities for residents to participate in must be provided to meet individual needs. Suitable food must be provided for people with dementia, this should be nutritious and manageable promoting their independence. The complaints procedure must be up to date to ensure people know how to contact the Commission. Robust safeguarding adult procedures must be available and be up to date to ensure people living in this home are protected from abuse. These should also clearly state the reporting process. Records must demonstrate a satisfactory recruitment procedure, which has included obtaining two satisfactory written references for each employee and to demonstrate that CRB and PoVA checks have been obtained for each person who works in the home. This DS0000002380.V363638.R01.S.doc 30/06/08 6. OP9 13[2] 09/06/08 7. 8. OP10 OP12 12[4] a 16[2] n 09/06/08 30/06/08 9. OP15 16[2] i 30/06/08 10. OP16 22[6][a] 30/06/08 11. OP18 13[6] 09/06/08 12. OP29 19[1]b 09/06/08 Manor Gate Version 5.2 Page 25 13. OP30 18[1][c] [i] 14. OP33 24 will help to ensure that residents are well protected. All staff must be adequately trained to carry out their roles. Training should include induction training, dementia training, medication training, equality and diversity and mental capacity. A system must be in place for evaluating the quality of the services provided at the care home. The registered person shall supply to us a report, based upon the system referred to above. 31/07/08 31/07/08 15. OP36 18[2][a] 16. OP37 17 (2) Quality monitoring should include obtaining the views of all stakeholders involved with the service. All staff must be appropriately 30/06/08 supervised to ensure they have the necessary skills to care for residents. There must be a system in place 30/06/08 to ensure that the following records are up to date and contain accurate and sufficient detail in relation to the following: • • Service tests for the stair lift. Records of peoples’ belongings and valuables. This will ensure people are well protected. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP1 OP2 OP7 OP19 OP30 Good Practice Recommendations The statement of purpose and service user guide should detail how people can access copies of our reports All residents should have a contract with the home to ensure that they know what to expect from the home. It is recommended that care plans contain a life history of people and this information is taken into consideration to ensure appropriate care is provided. All parts of the home should be clean and reasonably decorated to provide people with clean, well maintained and comfortable surroundings. It is recommended that all staff are given copies of the General Social Care Council Codes of Practice. Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Manor Gate DS0000002380.V363638.R01.S.doc Version 5.2 Page 28 - 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!