Inspection on 15/09/05 for Mill Green

This inspection was carried out on 15th September 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mill Green 09/03/07

Mill Green 06/09/06

Mill Green 04/05/05

Mill Green 21/07/04

Mill Green 13/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Mill Green Mill Green Mill Lane Felbridge East Grinstead West Sussex RH19 2PF Lead Inspector Christine Bowman Unannounced Inspection 15th September 2005 10:00 Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 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 Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 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 Adults 18-65. 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. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mill Green Address 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) Mill Green Mill Lane Felbridge East Grinstead West Sussex RH19 2PF 01342 326105 Ashcroft Care Services Ltd Ms Sarah Elizabeth Pocock Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons for whom residential accommodation with both board and personal care is provided at any one time shall not exceed Six (6). The age/age range of the persons to be accommodated will be: 19 60 Years 4th May 2005 Date of last inspection Brief Description of the Service: Mill Green is a large detached house located in a quiet residential area of the village of Felbridge. The home is registered to provide personal care for six young adults with learning disabilities and is owned by Ashcroft Care Services, who own a number of care homes in the South East. The Accommodation comprises of six single bedrooms, two sitting rooms, a kitchen/dining room, a utility room, toilets, a shower and two bathrooms. The home has a large enclosed garden. There is a lake nearby and East Grinstead town centre, which provides a good range of shopping and leisure facilities. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the second for the year commencing in April 2005 and ending in March 2006. The report should be read in conjunction with the previous report to gain a more complete description of the service. The previous report refers to the service users as residents, but the deputy manager stated that the term ‘client’ is preferred. The service users will therefore be referred to as clients throughout the report. The inspection was conducted with the assistance of the deputy manager over four hours. This was the final day of the annual house holiday and the deputy manager and another member of staff had returned with a client who was due to attend college that day. The maintenance team were in the process of completing the redecoration of the hall, staircase and landing and the result was cheerful, light and welcoming. The remainder of the group of clients and the staff, who had accompanied them, were due to return in the afternoon. A partial tour of the premises and the inspection of medical and financial procedures in respect of the clients were conducted. The staff personnel files and other records were also viewed. The staff team were busy settling the clients on their return. A change of routine, going on holiday to a strange place and returning to a newly painted house and a stranger in their kitchen was a lot of change for the clients to deal with and therefore minimal conversations were held with the staff. Communication difficulties prevented the client’s views from being sought directly. The staff team were responsive to the client’s facial expressions, expressive sounds and actions. What the service does well: The reviewed Statement of Purpose and The Service User Guide are well presented and informative. The Service User Guide is in a format, which includes symbols making it an accessible document for clients. Organising a holiday for the clients was a huge organisational task and it is commendable that this undertaking was carried out so successful. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? A structure has been erected to house the clinical waste bin, which had been the subject of a complaint and was not a pleasant view for the clients as they left and returned to the home. The refurbishment of the downstairs toilet and shower room is now complete and provides a domestic and convenient facility for those clients whose bedrooms are on the ground floor. The redecoration of the entrance hall, staircase and landing is almost complete, with carpets yet to be laid. This area is lighter and more cheerful for the clients. Improvements have been made to the kitchen in that cupboard facings have been replaced and a hand basin has been installed. The appearance of the units is more pleasing for the clients and the addition of a hand basin exclusively for hand washing makes the kitchen a more hygienic place. The coded exit system had been removed from the front door, which is a fire exit, and been replaced by a yale lock and bolt. The Fire Officer has approved this as being safer for the clients because it would have been very expensive to ensure the device was automatically disabled when the alarm bell sounded, and the fire officer was concerned that in an emergency the numbers to operate it could be forgotten. It is important to have a lock on this door to ensure clients do not run out into the road. The door, which had been wedged open during the previous inspection, had been fitted with a magnetic device to protect the clients in the event of fire. Records containing personal data are now stored securely, ensuring they are accessible only to permitted personnel thereby protecting the confidentiality of the clients. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Sufficient information is available to enable prospective clients to decide if they would like to live at this home. Continuous assessment of the client’s needs informs those caring for them. EVIDENCE: The reviewed Statement of Purpose and The Service User Guide provided wellpresented and user-friendly information regarding the service, which was sufficient to enable a prospective client to make a decision about the suitability of the home and its ability to meet their needs. Continuous assessment and the updating of the Service User Plan keep the client’s needs under constant review. At the recent review of a current client a recommendation was made that he should move nearer to his parent’s home and that his room would remain available for three months before another client would be sought. This will be the first vacancy since the home was opened seven years ago. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 A comprehensive policy to inform the staff about confidentiality issues and a secure storage facility safeguard the client’s personal data. EVIDENCE: The confidentiality policy was clear and informative, and the staff had signed that they had read it. A filing cabinet for the safe storage of the client’s confidential information had been obtained since the last inspection. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 16 An annual holiday including appropriate leisure activities had been arranged for the clients. Clients are encouraged and enabled to be as involved in the running of the home according to their wishes. EVIDENCE: The day of the inspection was also the last day of the annual holiday. Two staff had returned early because a client wanted to attend college. The holiday accommodation in Battle was in chalets, the deputy manager stated, and the clients visited Eastbourne and Hastings, enjoyed shopping trips, outings to pubs and restaurants and swimming. All the clients have goal plans, which promote their strengths, encourage their interests, and empower them, the deputy manager stated. An example taken from a client’s file showed how the client’s interest in cooking promoted his independence in small steps by encouraging him to wash his hands first and then to prepare the utensils. If in six months this is achieved successfully another step will be added, the deputy manager stated, if the goal is achieved more quickly it is reviewed earlier. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 12 The clients are encouraged to be involved in everyday activities such as shopping, tea-making, laundry and other domestic tasks, the deputy manager stated. Some clients like to bring their laundry down and put it into the washing machine and some like to put the washing powder in and press the start button. These tasks were recorded on the client’s care plans. All the clients had been risk assessed and did not hold keys to their bedrooms but they were able to lock their bedroom doors from the inside and their privacy is respected. In an emergency the staff are able to unlock the door from the outside, the deputy manager stated. The clients choose to be alone or in company and one client, who likes to spend time alone in his room but is prone to epileptic seizures, has a listening monitor so the staff are aware if they are needed. A communication book is held and recordings are kept of telephone calls and mail received by the clients. Telephone messages taken for clients are signed by the staff and dated and mail is opened by the clients, who request the staff to read the messages to them, the deputy manager stated. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 and 21 The medication in this home is managed in a satisfactory way and promotes good health. The home’s policies with respect to illness and death show clear procedures but the client’s care plans do not contain a record of their wishes. EVIDENCE: Risk assessments show that no client is safe to be responsible for their own medication. The home employs the services of a High Street pharmacy to fill blister packs for the clients. The administration of medication training is also supplied from this source, the deputy manager stated, and only the staff who have been trained administer the medication. Training logs showed that sufficient staff had been trained to ensure that there was always a member of staff on duty who was qualified to carry out this task. The recording of medication was on a MAR sheet and was completed appropriately (a completed sheet was viewed because the current one had not been returned from the holiday with the clients). Photographs are attached to the sheets and on the wall beside the medical cabinet there was another photograph of each client incorporated into a picture and a description of how they like to take their medication. The client’s drugs are subject to regular reviews, the deputy manager stated, and the psychiatrist attends when the drugs are used for clients with behavioural problems. When clients use aromatherapy it is entered on their Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 14 individual care plan. The home had safe procedures in place for ‘Taking medication out into the community’, for dealing with homely remedies and there was a returns book for medication appropriately signed by the pharmacist. The home has a clear, well-written policy on ‘Death and Dying’, which includes clear procedures to be followed. Clients and their families should be consulted about their wishes in the event of the death of a client and these should be recorded on the care plan. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 There is a clear procedure for dealing with complaints and a pictorial version is available to the clients, who have many opportunities to communicate their feelings. Policies and procedures are in place to instruct the staff in protecting the best interests of the clients. EVIDENCE: The reviewed complaints procedure in the Service User Guide uses the correct name for the Commission for Social Care Inspection, includes the address and telephone number and makes the complainant aware of their right to contact the CSCI local office at any time throughout the complaints process. It stresses in bold print that the Partners must be contacted immediately if the complaint relates to possible abuse. If the complaint relates to possible abuse, the staff should be instigating the Vulnerable Adults Procedures and have access to a local contact number in order to carry out this task. The complaints policy in the file needs to be reviewed to contain the same information as the client’s copy. The home had a copy of The Surrey Multi-Agency Vulnerable Adults Procedures and there was evidence on the staff personnel files that a course in ‘Abuse’ had been undertaken, there was no evidence in the staff files inspected that those staff had undertaken The Surrey Multi-Agency Vulnerable Adults Procedures training. The clinical manager and other senior staff operate a twenty-four hour on-call system, the deputy manager stated, and any allegations of abuse would be forwarded to the social care team by them. Clients who may be aggressive have guidelines in their individual care plans to instruct the staff on the most effective approach. Calming techniques are used, the deputy manager stated, physical intervention is only used as a last Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 16 resort and training is available in, ‘Physical Intervention and Breakaway Techniques’. The client’s financial procedures were inspected. There were individual accounts for the clients and the manager or the deputy manager were authorised to withdraw up to £50 at any one time on behalf of the clients, the deputy manager stated. All the clients contribute to a mobility fund for the running costs of the home’s mini-bus. This was shown on the clients’ accounts. Balances were correct, storage was safe and procedures were in place to safeguard the best interests of the clients. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 Improvements have been made to bathroom and toilet facilities and some shared spaces have benefited from redecoration, new floor covering and the upgrading of facilities. The quality of client’s lives has been improved by these changes. Improvements are now required in the space allocated to the staff for carrying out their administrative tasks. EVIDENCE: The downstairs shower room/toilet was out of use when the last inspection took place. This facility had been upgraded to a good standard and was domestic and user-friendly. There had been improvements in the kitchen area. The storage cupboards had been fitted with replacement doors and a basin specifically for hand washing had been installed. The entrance hall was much lighter and brighter in the newly painted paler colours. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 18 The facilities for the staff were less favourable. The small staff bedroom was also the office and housed a bed, a large desk, filing cabinets for safe storage and some shelves containing heavy files located over the bed. This room contained a variety of electrical equipment and a socket with a number of connections posed a trip hazard on the floor. The room was also in need of redecoration. There was a large, well-kept garden to the rear of the house and an attractive terraced area suitable for taking meals outside on fine summer days. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35 and 36 The lack of evidence to confirm that recruitment practices had been followed leaves clients potentially at risk. The training available to the staff was sufficient to provide for the special needs of the clients. The staff were supported and regularly supervised by senior staff. EVIDENCE: The staff files were accessible on this occasion, but those inspected were incomplete. There was no reference on file to a Criminal Record Bureau number or a Protection of Vulnerable Adults check, although the deputy manager stated that this is an essential part of the recruitment procedure. There were no photographs in the files inspected, some files did not include references and an application form was missing. There was no evidence of the General Social Care Council codes of conduct and practise being available to the staff. There was an induction checklist for the most recently recruited member of staff, some of which had been signed off by the manager and the member of staff. There was no record of any mandatory training or certificates in this file. Other personnel files inspected contained certificates for mandatory training including, ‘Health and Safety’, ‘Food Hygiene’, ‘Manual Handling’, ‘The Administration of Medication’, ‘First Aid’ and ‘Abuse’ (The name of this course Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 20 could be misinterpreted. To clarify the purpose of this training it is a suggestion that it could be changed to ‘The Prevention of Abuse’.) There was evidence that Ashcroft Care Services Ltd offer other specialist training including, ‘Epilepsy’, ‘Autism’, ‘Challenging Behaviour’, ‘Makaton’ and ‘The Administration of Rectal Diazepam’. There was no evidence of equal opportunities training. A request was made that a copy of the staff training logs be sent to the local CSCI office with a list of current staff and the dates they started working at Mill Green. The manager conducts supervision meetings with the staff and the deputy manager supervises the staff on key-worker issues. Dates for these meetings were viewed. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 43 A new acting manager, who has made application to the CSCI local office to be registered as manager, will benefit the clients by providing stability and leadership to the staff team. A quality assurance system carried out by Ashcroft Services on behalf of all the homes annually, seeks the views of clients and significant others and provides feedback to the services. Omissions in the keeping of records are not in the best interests of the clients. Regular unannounced inspections by external managers provide feedback to the service and promote continuous improvement. EVIDENCE: Ashcroft Care Services have allocated an acting manager to Mill Green and an application has been received by the commission for social care inspections for the acting manager to be considered for registration as manager. It is some time since Mill Green had a registered manager and for a few months there was movement within the staff team to and from the other Ashcroft Homes. The clients benefit from stability and being cared for by familiar staff, who are Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 22 able to interpret their needs. Some client’s care plans state they can only leave the home accompanied by two staff who know them well. The quality assurance system was explained by the deputy manager but was not available to be viewed. No record was taken of the visit to the home on the day of the inspection. To protect the clients a record must be taken of all visitors to the home. Ashcroft Care Services Ltd arrange for all their homes to be inspected monthly usually by one of the partners. Copies of these reports have also been sent to the CSCI local office on a regular basis. These documents are detailed and an excellent tool for self-assessment by the company. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 3 1 x X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 1 2 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mill Green Score X X 3 2 Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 2 X 3 DS0000013721.V249105.R01.S.doc Version 5.0 Page 24 No Are there any outstanding requirements from the last inspection? 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 YA23 Regulation 18 (1) (c) (i) Timescale for action The Registered Person must 15/09/05 ensure that the staff team have access to The Surrey MultiAgency Vulnerable Adult Protection Procedures training. The Registered Person must 15/10/05 ensure that suitable storage facilities are provided for the heavy files currently stored on shelves above the staff bed. The Registered Person must 15/12/05 ensure that the acting manager and the staff have a suitable space in which to carry out their professional duties and administrative tasks. The Registered Person must 15/10/05 ensure that personnel files include all the information listed in Schedule 2 of The Care Homes Regulations 2001 The Registered Person must 15/09/05 ensure there is recorded evidence of formal induction training for new staff. The Registered Person must 15/09/05 ensure that a record is kept of all visitors to the home. Requirement 2 YA28 23 3 YA28 23 4 YA34 7, 9, 19 5 YA35 17 6 YA41 17 Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA21 YA28 YA34 YA35 Good Practice Recommendations The client’s wishes with regard to illness and death should be recorded on the care plan. A risk assessment should be carried out on the staff sleeping-in room/office. The General Social Care Council codes of conduct and guidelines should be made available to the staff. Equal opportunities training should be made available to the staff team. Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mill Green DS0000013721.V249105.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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