Inspection on 20/02/08 for Merseyview Residential Care Home

This inspection was carried out on 20th February 2008.

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

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

Other inspections for this house

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Merseyview Residential Care Home 12 Penkett Road Wallasey Wirral CH45 7QN Lead Inspector Helen Carton Key Unannounced Inspection 10:30 20 & 27th February th 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 Merseyview Residential Care Home DS0000070449.V353776.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. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merseyview Residential Care Home Address 12 Penkett Road Wallasey Wirral CH45 7QN 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) 0151 630 6277 Julie O’Rourke Julie O’Rourke Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC, to people of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of people who can be accommodated is 12. Date of last inspection This is the first key inspection Brief Description of the Service: Merseyview is a large semi detached Victorian property in Wallasey close to New Brighton promenade and local transport links to Liscard, Birkenhead and Liverpool. The owner/manager is registered to offer support to 12 older people, both men and women. There are twelve single bedrooms five of which have toilet en-suite facilities. There is a large lounge and separate dining room that looks out over an extensive well maintained garden. There is off road car parking facilities at the front of the building. Merseyview Residential Care Home DS0000070449.V353776.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. As part of the inspection process the Commission sent the service an Annual Quality Assurance Assessment (AQAA) document, which was to be completed prior to the site visit. This document was to provide information about the service at Merseyview and to tell us where they felt they had made improvements to the way they support residents and the staff team. The manager completed and returned the document before the site visit took place. Two site visits were made to enable us to examine documentation and to discuss how the service supports residents’ in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with residents’ to find out their views on living at Merseyview. We spent approximately six and a half hours at Merseyview. What the service does well: Merseyview was registered with us in August 2007 the registered owner who is also the manager closed her existing care home and bought a larger one. All the residents who lived in her original care home moved to Merseyview to live with the people who were already living there. Residents spoke positively about the manager and the care team the following comments were made during our site visit to Merseyview: Things have changed since Julia and the girls have come things are more relaxed”. “Any changes are hard but at my age they are harder but it’s nice to have the old staff looking after me while I get to know all the new staff and residents”. “The new people who live here now are very nice and we are getting along fine”. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 6 “The girls sit and have a chat with me in the afternoons which I really like sometimes they do my nails”. “The hairdresser comes every week l like my hair to look nice and it’s nice to have a chat with A”. “I enjoy visits from my family Julia and the girls make them very welcome”. The manager/owner is making improvements to the building and facilities, which will provide a more homely, safe and pleasant place for residents to live in. What has improved since the last inspection? What they could do better: The manager needs to look at the written information they held on residents’ such as care plans, risk assessments and information about residents past life experiences. This is to make sure that all the staff supporting residents have the same information and can care for and offer the right kind of emotional support to them. The manager needs to look at how she uses the staff team to support residents throughout the day to reduce the number of times only one member of staff is available to residents. As this reduces the amount of control residents have about how they spend their day and when they would like support to have a bath or go to bed. The manager should continue to seek out training to enable the staff team to understand the conditions and illness that can affect people, as they get older. This will help the staff team to provide residents with the best type of support. Merseyview Residential Care Home DS0000070449.V353776.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. Merseyview Residential Care Home DS0000070449.V353776.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 Merseyview Residential Care Home DS0000070449.V353776.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): 1,3&5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Greater information in the statement of purpose and service users guide would support prospective residents to make an informed decision as to whether Merseyview can meet their assessed needs and expectations. EVIDENCE: The statement of purpose and service user guide provides basic information about the facilities and services being provided at Merseyview. The manager told us she intended to review these documents to reflect the changes being made to the facilities and the staff training being undertaken. There have been no new admissions to Merseyview since it was registered with us in August 07. However the existing residents groups have needed support to adjust to each other’s needs wishes. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 10 Prior to being invited to live at Merseyview the manager would carryout an assessment of a prospective residents needs and expectations to make sure the facilities and the staff teams knowledge and skills could meet them. Merseyview Residential Care Home DS0000070449.V353776.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 adequate. This judgement has been made using available evidence including a visit to this service. Care and risk management strategies currently do not reflect the care and support being provided by the staff team. EVIDENCE: At the time of the site visit the manager was using two different types of care and risk management plans. Examination of a selection of these documents indicated the level of detailed information held varied with information recorded in some risk assessments contradicting that in care plans. The manager intends to take the best parts from both documents and produce more structured and detailed care plans. We discussed with the manager the need to ensure detailed records are kept regarding residents emotional, social, psychological and medical needs. Detailed records will enable the staff team to offer appropriate and safe support to residents in a person centred way. Daily records provide basic information about how residents spend their days however there is little structure to them. Resulting in these records being of Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 12 limited use in formal reviews of individual’s care and emotional needs the manager agreed she would review how information is recorded in the daily records. We looked at a sample of residents prescribed medication that is administered by the manager and members of the staff team and the accompanying medication administration records. Residents’ health and safety is safeguarded by a robust medication procedure including accurate record keeping. We discussed with the manager the need to formalise the reviews taking place with residents who remain in control of their own medication. There is documentary evidence that health care professionals advice and input is sought and where necessary acted upon. During discussions with residents the following comments were made: “I don’t like hospitals and since Julia (manager) has been here I have been ill twice and the doctor wanted me to go into hospital I said I didn’t want to go. She worked with the doctor so I could stay at home and I got better much quicker”. “If I feel I need to see the doctor Julia or any of the girls will ring and ask him to visit.” “All the girls ask how I feel every day it make me feel they care about me”. Members of the staff team we spoke to demonstrated a good understanding of residents’ needs and preferred lifestyles they acknowledged the difficulties of bringing to resident and staff groups together in one home. We observed members of the staff team supporting residents in a respectful and friendly manner. During discussions with residents the following comments were made: “We’re starting to get to know each other better now everybody is getting on well”. “Having our old staff as well as the new girls has helped us settle in”. “Since Julia has been here it is much more relaxed not as many rules”. “It’s much more relaxed and informal I’m still getting used to it but I like it”. Merseyview Residential Care Home DS0000070449.V353776.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Overall residents’ views and wishes are sought and acted upon. However a more structured approach to social activities would promote residents’ independence and emotional wellbeing. EVIDENCE: Since the last site visit this care home has a new owner/manager and has a new name. Six residents have moved in from the new owners previous care home. This has been a significant period of change for both the residents and the staff team at Merseyview. All parties have had to take time to get to know each other and be mindful of each other’s anxieties regarding these changes. We discussed these issues with the manager who told us she made the decision to minimise change in residents’ daily lives and to offer support to the residents who moved into the home from her previous care home. As part of the strategy to minimise the impact of the change the two staff teams were mixed to ensure on each shift both sets of residents had a familiar member of staff to offer them support. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 14 Residents spoken with provided the following comments: “Things have changed since Julia and the girls have come things are more relaxed”. “Any changes are hard but at my age they are harder but it’s nice to have the old staff looking after me while I get to know all the new staff and residents”. “The new people who live here now are very nice and we are getting along fine”. “The girls sit and have a chat with me in the afternoons which I really like sometimes they do my nails”. “The hairdresser comes every week l like my hair to look nice and it’s nice to have a chat with A”. “I enjoy visits from my family Julia and the girls make them very welcome”. The manager told us she now feels it is an appropriate time to discuss with residents social activities and outings they would like to take part in. Currently residents enjoy pampering sessions, bingo evenings DVD nights, and outings to local shops, cafes and restaurants. We discussed with the manager the need to offer varied activities including ones to be offered in the home particularly for those residents who have difficulty accessing community based activities at regular intervals. In the near future the manager intends to look at the possibility of employing an activities co-ordinator for approximately 12 hours per week. We discussed the need to look at how staffing hours are allocated in the evening period, as currently there is only one member of staff on duty from 6pm with the manager on call in the upstairs flat. This situation restricts the ability of residents’ to take part in social activities. The manager acknowledged this and agreed to review the staffing levels. At the time of the site visit the manager/owner was having the kitchen refurbished and decorated. Residents enjoy the main meal of the day at lunchtime. There is room in the dining room for all resident to eat their meals if they choose this room is pleasantly decorated and furnished. At the time of the site visit the care staff and the manager were preparing all the meals this arrangement takes time away from care staff supporting and engaging with residents. The manager told us she intends to employ a cook for approximately 16 hours per week to prepare all main meals. Residents spoken with made the following comments: Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 15 “The other night while work was being done on the kitchen Julia and S got chips for our supper they left them in the paper and put them on the table it was lovely took me back to my younger days”. “I help clear the tables it keeps me busy”. “The food is good and we now have a choice if I don’t like the dinner I can have something else”. Merseyview Residential Care Home DS0000070449.V353776.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are proactively managed with the manager seeking to resolve these issues in a professional and sensitive manner. Arrangements for protecting residents’ from possible abuse continue to improve. EVIDENCE: The manager and the majority of the staff team have undertaken protection of vulnerable adults training. We looked at the protection of vulnerable adults policy and procedure and noted a copy of Wirral social services revised No Secrets procedure guide was also available for staff to refer to. Discussion with members of the staff team indicates they have a clear understanding regarding the different forms of abuse such as neglect, physical and financial. They were clear whom they would contact within the home for advice and the external agencies they could share concerns with. The home has a detailed complaints procedure with an easy read format for residents. A number of minor concerns have been raised with the manager, which have been resolved to the complainants’ satisfaction. Residents’ spoken with told us they would go and speak to the manager if they were unhappy or worried about anything. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 17 Merseyview Residential Care Home DS0000070449.V353776.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): 19,20,23 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Continued investment in Merseyview will significantly improve its facilities and appearance creating a pleasant, comfortable and safe environment for residents’ live in. EVIDENCE: Since purchasing the care home the manager/owner has begun a programme of refurbishment which so far has included the purchase of bedroom furniture, bedding, curtains, towels, carpets, lounge chairs, television, crockery, tumble dryer, beds and a fridge freezer. At the time of the site visit the kitchen was being refurbished and decorated. In the coming six months the windows to the front of the building are to be replaced followed by the remaining windows over the next 18 months. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 19 We were invited to look in a selection of bedrooms that were clean and tidy and had been personalised by residents and their families. All areas of the building visited were warm, clean, tidy providing a comfortable place for residents to live. Merseyview Residential Care Home DS0000070449.V353776.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Current staffing levels do not provide a flexible approach to residents needs and limits their ability make informed choices about when to undertake leisure or personal care activities. Staff morale is high resulting in an enthusiastic workforce that works positively with residents’ to improve the quality of their daily lives. EVIDENCE: Following the purchase of Merseyview the manager/owner has merged the existing staff team with the staff group who transferred with her from her previous care home. We looked at a sample of staff files they included some training records, references and criminal record bureau (CRB) checks. Work needs to be carried out to ensure there is consistency in the information held this is to ensure there is a clear audit trail of the recruitment and selections procedures. As robust record keeping forms part of a proactive approach to safeguarding vulnerable people. Training records show the majority of the staff team have gained National Vocational Qualifications (NVQ) level 2 in care with a further two having gained level 3. Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 21 The manager is currently through supervision reviewing and identifying any training needs. The following training is to be provided over the next twelve months: manual handling, first aid, NVQ dementia awareness and basic food hygiene. We looked at the staffing rota for the week of the site visit, which showed that from 8am until 6pm two members of staff are in duty to support the 12 residents many of which are independently mobile. However from 6pm there is only one care assistant on duty with the manager being on call in the flat at the top of the building. We discussed this with the manager and have asked that she review this situation to ensure residents health and safety and their ability to access activities in the early evenings is not limited. The manager acknowledged this issue and will look at the hours with the intention of allocating further care hours in the evenings. During the night there is one wakeful night care assistant and the manager or senior care on call in the building. The manager/owners family are very involved in the running of the business with her husband being employed for 20 hours per week as the handyman. Other members of the family are volunteers spending time chatting with residents and carrying out specific tasks such as shopping for the manager. Checks such as CRB checks had been carried out and are appropriately stored. Members of the staff team spoke positively about the support offered by the manager and said they enjoyed working at Merseyview and supporting residents in their daily lives. Merseyview Residential Care Home DS0000070449.V353776.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): 31,33,35, 37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The style of management provides residents’ with an atmosphere that enables them to share their views and actively take part in the day-to-day running of the home. EVIDENCE: The manager has over 20 years experience in the care field and has been a manager/owner for approximately five years. She intends to commence the NVQ level 4 managers award this year. Residents spoke highly of the manager and staff team and felt they were approachable and respected their views and opinions. Residents made the following comments: Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 23 “There aren’t any rules everyone gets on well” “Things are different now some people might not like how relaxed it is but I do”. I’ve found the changes hard but not in a bad way just that things are a bit different now”. “I like what Julia and S are doing to the house especially the kitchen”. “I like being allowed in the kitchen to make a drink or get something to eat”. The manager supports and encourages residents and their relatives to manage their financial matters. However support is offered to some residents detailed records are kept. As detailed earlier in the report issues regarding some record keeping are raised as are the deployment of staff at certain times of the day. Health and safety records including the fire logbook, accident book, equipment and utilities maintenance records indicate the manager is proactive in safeguarding residents and the staff team from harm and injury. We observed residents’ and members of the staff team enjoying each other’s company with staff supporting them in a respectful and sensitive manner. Residents’ appeared confident in their dealings with the manager and members of the staff team. Merseyview Residential Care Home DS0000070449.V353776.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 2 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X 2 X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Care plans must provide members of the staff team with detailed information. Regarding residents’ care needs including emotional, social and past life experiences. This is to ensure residents receive appropriate support and care. Information held in risk assessments must correspond with information held in care plan. With particular regard to mental health issues such as a cognitive impairment. This is to ensure residents receive appropriate care, support and when necessary supervision. Residents must be provided with the opportunity to engage in social activities at regular intervals at times convenient to their needs and preferences. Allocated catering hours must be provided to ensure care hours are being used to provide direct support to residents when DS0000070449.V353776.R01.S.doc Timescale for action 30/05/08 2. OP8 12 30/05/08 3. OP12 16 30/05/08 4. OP15 18 30/05/08 Merseyview Residential Care Home Version 5.2 Page 26 needed and wanted. 5. OP27 18 Staffing levels must reflect the needs and lifestyle choices of residents. This is to ensure restrictive staffing levels do have a negative impact on residents’ abilities to make informed decisions about their daily routines. 30/05/08 6. OP29 19 All staff records must provides 30/05/08 full and detailed information about each member of staff including a completed application form references and an enhanced CRB check. This is to ensure there is a clear audit trail, which forms part of the safeguarding vulnerable adults protocols. 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 Work should be carried out on the statement of purpose to provide greater information about the facilities and services being provided at Merseyview. The manager should continue to seek out appropriate training for the staff team, which will enable them to offer appropriate and safe support to residents. 2. OP30 Merseyview Residential Care Home DS0000070449.V353776.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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 Merseyview Residential Care Home DS0000070449.V353776.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. 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