Inspection on 02/04/08 for Mayfair Care Home

This inspection was carried out on 2nd April 2008.

CSCI found this care home to be providing an Adequate service.

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

Mayfair Care Home 23/03/09

Mayfair Care Home 24/05/07

Mayfair Care Home 29/11/05

Mayfair Care Home 21/06/05

Mayfair Care Home 28/10/04

Mayfair Care Home 27/04/04

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

CARE HOMES FOR OLDER PEOPLE Mayfair Care Home 25 The Avenue Minehead Somerset TA24 5AY Lead Inspector Jane Poole Unannounced Inspection 2nd April 2008 10:15 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 Mayfair Care Home DS0000046793.V361537.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. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mayfair Care Home Address 25 The Avenue Minehead Somerset TA24 5AY 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) 01643 706816 01643 708855 Ms Diane Langdon Post Vacant Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (15) Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No persons under the age of 55 to be accommodated at the home. The shared room only to accommodate two people who have made a positive choice to share. 24th May 2007 Date of last inspection Brief Description of the Service: The Mayfair is registered to provide care for up to 15 people over the age of 55 who require care because of mental health difficulties. The home is located in the centre of Minehead, giving service users easy access to shopping and other facilities. The building is a former hotel, which has been converted by the current owner to provide 15 bedrooms for single occupancy. Accommodation is arranged over three floors with a passenger lift between. All communal areas are located on the ground floor. The registered manager/provider is Diane Langdon. Fees at the home range from £350 - £400. Mayfair Care Home DS0000046793.V361537.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 1 star. This means the people who use this service experience adequate quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out over 1 day. During this time the inspector was able to meet with the home manager, staff and people living at the home. Was able to tour the premises, view records and observe care practices. What the service does well: There is a very relaxed atmosphere in the home with people continuing to follow their own lifestyle choices. Anyone wishing to move to the home is able to visit and spend time to decide if it is the right place for them. The home encourages people to make choices and decisions about their dayto-day lives and respects decisions made by individuals. Privacy is respected and people are able to spend time in company or in their personal rooms. People living at the home are able to choose how they spend their time and are free to get up and go to bed at whatever time they wish. Risk assessments are in place to minimise risks to people but the individual is fully involved in deciding when they want to take risks. The home is ideally located to enable people to access all local facilities. The home encourages and supports people to keep in touch with friends and family. Staff have received training in the safe administration of medication and records in the home give evidence of good practice. The staff recruitment procedures are robust and minimise the risks of abuse to people living at the home Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There are signs of refurbishment in the communal areas but at the time of this inspection no room had been completed to a satisfactory standard. The décor and furnishings in many areas of the home is poor and work needs to be completed to ensure that there is a pleasant environment for the people who live at the home. A requirement has been made at this inspection for the home to produce a refurbishment plan with timescales to ensure that works started are completed within a reasonable timescale. Staff training records are currently only kept in individual files and it is therefore not easy to recognise which staff have completed which courses and who is due to undertake up-dates in training. It is recommended that the home review their training recording procedures to ensure that the homes management has an overview and is able to arrange training at appropriate times. Although no-one living at the home fully self-medicates many people take responsibility for prescribed creams and lotions. It is recommended that the home keeps records of when prescribed creams and lotions are given to people to self-administer. Mayfair Care Home DS0000046793.V361537.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. Mayfair Care Home DS0000046793.V361537.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 Mayfair Care Home DS0000046793.V361537.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): 3, 4 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anyone wishing to move into the home has their needs fully assessed to ensure that the Mayfair is able to meet their needs and expectations. Intermediate care is not provided. EVIDENCE: No new people have moved to the home since the last key inspection in May 2007. People spoken to during this inspection stated that they had been able to visit the home before deciding to move in. Care plans seen contained assessments completed by professionals outside the home before the person moved in. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 10 There is currently one vacancy at the home and the manager was able to give evidence that they consider the needs and lifestyles of people already living at the home as well as any prospective resident before offering a place to a new person. Mayfair Care Home DS0000046793.V361537.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 good. This judgement has been made using available evidence including a visit to this service. People living at the home have access to a range of health care professionals in line with their individual needs. People are encouraged and supported to take control of their day-to-day lives and healthcare. EVIDENCE: Since the last inspection the home has worked hard to improve the quality of the care plans. It was very apparent that care plans are now being drawn up in consultation with people living at the home and their wishes are recorded. There is now a summary of the persons’ needs, abilities and lifestyle choices at the front of the care plan, which gives an overview to staff about the person. These summaries are as simple or as comprehensive as the person wishes Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 12 them to be, some people choose to share their whole life story whilst others prefer to keep things private. In addition to the summaries there are full assessments of need and risk, which now give clear guidelines to staff. These give details about physical health and mental health needs. It was apparent that some guidance had been drawn up in consultation with relevant health care professionals. Some people living at the home are aging and their physical needs are changing. Staff spoken to were aware of this and the home has arranged some relevant training sessions such as diabetes and continence. Risk assessments were clear and the inspector saw examples of when people living at the home had decided to over ride the outcome of these assessments and signed to say that they understood the risk and were prepared to take personal responsibility. There was evidence that these decisions had been fully discussed with care managers and other relevant professionals. All assessments seen were up to date and gave evidence of regular review. Staff write daily records about each person to ensure their care is recorded and any difficulties are monitored. In a few cases the language used was not appropriate and was staff interpretation rather than fact. It was noted that this issue was discussed at the last staff meeting and guidance was given about appropriate language when writing about people living at the home. People spoken to stated that staff assist them to make and attend appointments with healthcare professionals. Records are maintained of all appointments and there is evidence that people have access to GPs, community nurses, chiropodists, occupational therapists and other professionals in line with their specific needs. All bedrooms are now for single occupancy and all have en suite facilities where personal care can be carried out in private. The inspector noted that privacy was respected and people were able to choose to spend time in communal areas or in their personal rooms. The home uses a monitored dosage system for medication. The inspector viewed the Medication Administration Records (MARS) and found them to be correctly signed when tablets were administered or refused. No one living at the home takes full responsibility for administering their own medication but many people keep and apply prescribed creams. The home need to ensure that it is clearly recorded when creams or lotions are given to the person to administer. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 13 The inspector noted that the protocol for some medication prescribed on a PRN (as required) basis was simply ‘when requested by the individual’. This gives people greater control and responsibility. Mayfair Care Home DS0000046793.V361537.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 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the Mayfair are able to make choices about their day-to-day lives and continue their chosen lifestyles. Visitors are welcome at anytime and the home assist people to keep in touch with friends and family. EVIDENCE: Everyone living at the Mayfair has a long-term mental health difficulty therefore activities are arranged on an individual basis depending on the health of the person at the time. People are encouraged to participate in the day-today running of the home. People have access to facilities to make hot and cold drinks and snacks throughout the day and everyone makes their own breakfast, meaning that they are able to get up at whatever time they choose. On the day of the inspection it was noted that people came to breakfast all through the morning and were able to get washed and dressed at a time of their choosing. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 15 The home is ideally located to enable people to access facilities in the town. One person regularly goes out to a church group and coffee mornings held in the town and other people go out for shopping and coffee with and without staff assistance. On the day of the inspection two people went out with volunteers from MIND and another person went to a local shop. The home encourages people living at the home to keep in touch with friends and family and visitors are always made welcome. On the day of the inspection one person was getting ready to go out to a birthday party. One care plan seen showed that the staff now assist a person who has mobility difficulties to continue to go to their local pub on a regular basis to keep in touch with long standing friends. Since the last inspection the home has changed their menu planning process. The cook now meets with everyone once a week to ask what meals people would like for the following week. The weekly menu is then compiled using everyone’s choices. Each day there is a choice of two meals but people living at the home stated that they can ask for something different if they do not wish to have either of the menu choices. It is hoped that this process will now be expanded and once the weekly menu has been decided then people living at the home will be able to go shopping at the local supermarket for the weeks’ food. Everyone asked stated that the quality of food was good and portions were ample. There is a fridge in the dining room were snacks and drinks are stored. The inspector noted that people were able to help themselves to fresh fruit whenever they wished. Mayfair Care Home DS0000046793.V361537.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 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an open atmosphere in the home with everyone asked stating that they would be happy to raise any concerns or worries. Appropriate measures are in place to minimise the risk of abuse to people living at the home. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. Everyone receives information about the importance of reporting abuse when they begin work in the home. Many staff have also completed training in the protection of vulnerable adults. There is an up to date copy of the Somerset ‘Safeguarding Vulnerable Adults’ policy in the home and the manager is planning to bring this to staff attention at a forthcoming staff meeting. All staff asked stated that they would be comfortable to raise any concerns with the homes manager and all were aware of the ability to take serious concerns outside the home. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 17 People living at the home said that they could always talk to a member of staff or the manager if they were worried about any aspect of their care. People living at the home have unrestricted access to all communal areas and their personal rooms. There is a keypad on the front door for security reasons and the inspector saw that people living at the home were aware of the code and were able to come and go freely. 4 staff recruitment files were viewed and it was noted that everyone underwent the appropriate checks before they began work to minimise the risk of abuse to people living at the home. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 18 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, 21, 24 & 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Work has begun on redecorating communal areas but no work has been completed leaving everywhere in a poor state of décor. Some bedrooms are in need of redecoration and some furniture would benefit from replacement. EVIDENCE: The home is located in a central position in Minehead, which enables service users to easily access shops, the sea front and other local amenities. Accommodation is arranged over three floors with a passenger lift giving access to all floors. The home is fitted with a fire detection and call bell system. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 19 On the ground floor there is a large lounge and dining room. There is a toilet located close to the communal areas. Aids and adaptations have been fitted in the home to assist people to maintain their independence. Since the last inspection the home has employed a maintenance person for one day each week. The home has begun to refurbish many areas but at the time of this inspection no room had been fully completed leaving all areas with a poor standard of décor. The inspector looked at a sample of bedrooms, all had been personalised to reflect the tastes and needs of the individual. Some bedrooms would benefit from redecoration and some furniture and furnishings require replacement. There is one assisted bath and a level access shower on the second floor, which can be used by anyone living at the home. On the ground floor there is a communal toilet located close to the lounge area. The wall in the toilet has suffered from damp and requires attention to make it into a presentable room. This was discussed with the manager at the time of the inspection. At the last inspection a requirement was made to make walls and flooring in the laundry impermeable to ensure that they could be easily cleaned to reduce the risk of infection. New flooring and walls have been put in place but work has not been fully completed. Hand washing and drying facilities are not in place. There is a cupboard where cleaning materials are kept which has not had a lock fitted posing a possible risk to people living at the home who have unrestricted access to the laundry area. The domestic in the home takes an obvious pride in their work and ensures all areas are kept clean and fresh. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. The home is adequately staffed to meet the needs of the people who live there. There is a robust recruitment procedure, which minimises the risks of abuse to people who live at the home. EVIDENCE: The home employs 12 members of care staff, a cook and a cleaner/laundry person. Currently only 3 members of the care staff team have a National Vocational Qualification (NVQ) in care at level 2 or above but a further 5 people are working towards the award. In addition to care staff there is a home manager who works full time. Staff felt that there was adequate numbers of staff on duty at all times. People living at the home also thought that the home had enough staff. Duty rotas seen by the inspector showed that there are always a minimum of two staff on duty between the hours of 8am and 8pm. The registered manager and care managers’ hours are in addition to this. Overnight there is one waking member Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 21 of staff and one person who sleeps in to offer support in an emergency. The Rota clearly states who is on call for the home. In addition to NVQ training the home uses the ‘Red Crier’ training system, which is distance learning marked and certificated by an outside organisation. All staff training is recorded for each member of staff but currently there are no records that give an overview of staff training completed. Staff spoken to felt that training was good and that it was appropriate to the needs of the people living at the home. Everyone said that training in health and safety was up to date. One person who had recently begun work at the home stated that they had received a good induction from staff in their first weeks and were currently working through a more comprehensive induction programme. There is always a senior member of staff on duty who co-ordinates the shift and offers support and guidance to less experienced staff. Staff spoken to and observed during the day appeared to be well motivated and enthusiastic about their roles. The inspector viewed the recruitment records of the four most recently employed members of staff. References and appropriate checks were in place giving evidence of a robust recruitment procedure. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 22 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, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes management team gives clear leadership and direction to the home. Views of the people who live and work at the Mayfair influence its day-to-day running. EVIDENCE: The registered manager/provider is Diane Langdon who is a qualified psychiatric nurse and holds a National Vocational Qualification in management at level 4. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 23 In addition to the registered manager there is a home manager who is in charge of the day-to-day running of the home. Since the last inspection a parttime deputy manager has been appointed. There is also a senior carer on duty at all times giving clear lines of responsibility in the home. Staff and people living at the home stated that the management team were extremely approachable and listen to any suggestions made about the running of the home. There are regular meetings for people living and working at the home. Minutes of these meetings showed a wide variety of topics were discussed and information is appropriately shared. Minutes demonstrated that people living at the home are able to influence the day-to-day running and are involved in decision-making. The home also sends out six monthly questionnaires to all interested parties to further gauge the views on standards within the home. The home holds small amounts of money for service users. Records seen correlated with monies held. Measures are in place to maintain health and safety in the home. A Fire risk assessment is in place and a fire detection system is fitted which is tested regularly by staff and serviced by outside contractors. Records seen were up to date. All accidents are recorded. The lift is regularly serviced by outside contractors. Portable electrical appliances were tested in October 2007. A landlords gas Safety certificate was issued in December 2007. Up to date certificates of insurance and registration are displayed in the home. Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 1 1 1 x x 2 x 2 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 3 3 x 3 x x 3 Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 25 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 OP19 Regulation 23 (2) bd Requirement Timescale for action 15/08/08 2 OP19 23 (2) The registered manager must ensure that all areas of the home are kept in a good state of repair and reasonably decorated. (Previous date of 04/10/07 not met.) The registered manager must 31/05/08 complete a refurbishment plan, with timescales, for the home. A copy of this plan must be forwarded to The CSCI. To minimise the spread of 31/05/08 infection the registered manager must ensure that hand washing and drying facilities in the laundry are easily accessible. The registered manager must 30/04/08 ensure that all cleaning materials are not available to people living at the home without staff assistance. 3 OP26 13 (3) 4 OP38 13 (4) Mayfair Care Home DS0000046793.V361537.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. Refer to Standard OP28 OP15 Good Practice Recommendations 50 of care staff should have a National Vocational Qualification in care at level 2 or above. (Recommendation carried over from previous inspection) Service users should be involved in household shopping to enable them to make choices about the food coming into the home. (Recommendation carried over from previous inspection) The registered manager should ensure that all language used in care plans is respectful of the people living at the home. Staff should record when prescribed creams and lotions are given to people at the home for self-administration. The registered manager should ensure that staff training records are clear and state when up dates are due. 3 4 5 OP7 OP10 OP9 OP30 Mayfair Care Home DS0000046793.V361537.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Mayfair Care Home DS0000046793.V361537.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. 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