CARE HOME ADULTS 18-65
Newhaven Care 20 Penkett Road Wallasey Wirral CH45 7QN Lead Inspector
Inger Moynihan Unannounced 1 August 2005 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 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 Stationary 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. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Newhaven Care Address 20 Penkett Road Wallasey Wirral CH45 7QN 0151 630 5584 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Danny So Mrs Lynda So Care House 14 Category(ies) of LD Learning disability 14 registration, with number of places Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th February 2005 Brief Description of the Service: 17 Penkett Road is a care home registered with the Commission for Social Care Inspection to provide accommodation for 16 service users who have a learning disability. The home is situated in a residential area of Wallasey, Wirral. The home is close to local amenities and the sea front is a short drive away. The home is a large detached property that has been adapted over the years to meet the needs of service users. There are parking facilities to the front of the house and a garden to the rear that is accessible to service users. Accommodation is mainly provided in double rooms. There is a large conservatory/dining area that is also used for other activities. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over 4.5 hours and was the statutory unannounced inspection for 2005/2006. A tour of the premises took place and care records were inspected. Three staff were spoken to during inspection and observations were made on the service user group. What the service does well: What has improved since the last inspection?
Organised activities are now provided which creates a more stimulating and interesting environment for the service users to live. The menus have been developed and a more varied and balanced diet is provided. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 6 What they could do better:
Information available to assist service users make a decision about whether to live at Newhaven Care was not available. A comprehensive assessment of service users care needs had not always been completed, therefore staff were not provided with the information they need to satisfactorily meets service users needs. There is no consistent care planning system in place to adequately provide staff at the information they need to meet service users needs. Although a ceramic dinner service was available to use, plastic bowls and plates were also routinely used even though it was identified they were only required for two service users. Action must be taken to ensure service users are provided with appropriate crockery and plastic dishes are only used for those who require such items. Service users health care needs are met through consultation with health care professionals however discrepancies in the assessment and care planning process did not make it possible to establish whether the service users care needs were being fully met. Improvements need to be made to the medication guidelines as information was not always in place in relation to when medication should be given on the basis of as and when required. For service users safety, the systems in place to secure the medication cabinet must be improved as at the time of the inspection the keys to the medication cabinet were left on a hook close to the medication cabinet which was not locked. The service users comfort and safety some improvements need to be made to the decor of the building. Staff need to undertake training in relation to the learning disabilities the service users experience to ensure they are suitably qualified and competent to care for the service users who sometimes experience quite complex needs. Steps have been taken to promote the service users health and safety within the home although daily checks had not been made on one set of bed rails which staff could not put into place on the date the inspection. For service users safety improvements need to be made to the systems. Registered manager has been off sick for some time and intends to step down from her position in the near future. A senior member of staff has been acting in this position for the interim. The registered person is required to apply to the CSCI to propose another person to this post. It was not possible to inspect service users financial situation as this information was not available. The registered person is therefore required to
Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 7 improve the systems currently in place for the management of this aspect of the service provision. This issue will be addressed with the registered provider following the inspection. 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. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 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 standard(s) 1, 2 and 3 Information to assist service users make a decision about whether to live at Newhaven Care was not available. A comprehensive assessment of service users care needs had not always been completed, therefore staff were not provided with the information they need to satisfactorily meets service users needs. EVIDENCE: A statement of purpose and service user guide was not available for inspection and therefore service users did not have the required information upon which to base their decision as to whether or not they should move into the Newhaven Care. The registered person is required to address this issue. A pre-admission assessment had not been drawn up for the service user most recently admitted into the home. Therefore it would not be possible for the staff to know exactly how to provide an appropriate package of care. The member of staff conducting the inspection stated that an assessment of the service user s care needs had in fact been carried out by the registered manager, but there was no supporting documentation available to demonstrate this. It is vitally important that a detailed assessment of any service users care needs is carried out prior to their moving into the home, as it is only by doing this can the staff be sure they can provide an appropriate package of care. Without this information, important aspects of the service users care needs may be missed and both staff and service users may be left vulnerable to the risk of harm. In light of this the registered person is required to ensure
Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 10 a full and detailed assessment of the service user s care needs is made available for the staff team. Service users have access to their GP, chiropodist and district nurse to ensure their physical and mental well being. A record of this information is kept to help staff monitor service users’ general welfare. This is further supported by a system whereby staff spend time each day discussing any issues or concerns that have arisen over the past 24 hours. Special equipment has been provided to support service users with their specific care requirements. Consultation with relevant healthcare professionals has been made to ensure their safety at these times. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 11 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 standard(s) 6 There is no consistent care planning system in place to adequately provide staff at the information they need to satisfactorily meets service users needs. EVIDENCE: A selection of service user case files were examined. While more detailed information had been completed in relation to service users care needs by way of person centred information, a documented plan of care had not been drawn up so it was not entirely possible to establish the accuracy of the information in place. It was identified in one service users care plan that this person presented the challenging behaviour by way of physical aggression towards staff. The member of staff conducting the inspection explained how she managed this behaviour, however, no record of how such behaviour should be managed by the staff team to demonstrate consistency of care had been drawn up. In addition to this not all staff had completed training around the management of challenging behaviour and the policies and procedures file held information on the use of physical restraint. A discussion took place around these issues and it was explained that a detailed plan for the management of any challenging behaviour must be drawn up in association with relevant health care
Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 12 professionals. Staff must be provided the training on the management of challenging behaviour if the service user is to be supported successfully, the use of physical restraint must not be allowed within the home. To provide staff with guidance on the use of physical restraint is inappropriate and potentially dangerous and such information must not be made available to staff. This information was removed at the time of the inspection. The inspector noticed there was a lot of information available on the management of challenging behaviour; it was agreed all of this information needed to be streamlined and checked for its current appropriate use. The service user safety and welfare the registered person is required to address this matter. It is of concern to note that this information was in place despite it being identified at another home owned by Mr and Mrs So as being inappropriate and it being removed. To ensure that service users receive the care they need, it is vitally important that a documented plan of care is in place which gives staff guidance and information on how to look after the service users who often have complex needs. Without this information specific aspects of the service users care needs may be missed which may result in them being at risk of harm. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 13 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 standard(s) 14 and 17 Organised activities are now provided which creates a more stimulating and interesting environment for the service users to live. The meals in the home offer good choice and variety and cater for special dietary needs. EVIDENCE: The home has recently purchased a minibus this which allow service users to get out of the home more often and a range of board games and activities have now been purchased for the home. The staff spoken to confirmed this aspect of service provision is much improved and service users are involved in swimming, a social club and other activities outside the home. A new menu has been introduced into the home since the last inspection which provides service users with a more varied, balanced and interesting diet. To ensure service users good health, staff monitor service users dietary intake and contact is made with a dietician for guidance and advice when required. The inspector was informed that for the most part fresh vegetables are not provided and only frozen vegetables are used. While it is acknowledged that frozen food provides adequate vitamin requirements, the registered person
Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 14 must look to incorporating fresh vegetables into the menu in order for a more varied diet to be provided. Although a ceramic dinner service was available to use, plastic bowls and plates were also routinely used even though it was identified they were only required for two service users. For service users dignity and respect, the registered person is required to ensure a ceramic dinner service is used unless it has been identified this may pose a risk to specific service users. It is only at this time should plastic crockery be used. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 15 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 standard(s) 19 and 20 Service users health care needs are met through consultation with health care professionals, however discrepancies in the assessment in care planning process did not make it possible to establish whether the service users care needs were being fully met. EVIDENCE: Service users healthcare needs were met through the support of the care staff at the home and regular contact with a variety of healthcare professionals. However it was not entirely possible to establish whether the information documented accurately reflected service users healthcare needs as some of the assessments and care plans were not up to date. The systems in place for the administration of medication were good with all the required documentation being in place. Staff who administer medication have been prided with appropriate training. Guidelines were not always in place with regard to medication being given on the basis of as and when required and the keys to the medication cabinet were left on a hook close to the medication cabinet which was not locked. For service users safety and Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 16 welfare the registered person is required to ensure appropriate guidance is always available to staff reference and that a system is in place to ensure the keys to the medication cabinet are kept securely and that the cavernous is always kept locked. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 17 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 standard(s) 22 and 23 The home has a comprehensive complaints procedure to ensure service users carers and stakeholders views are listened to and acted upon. Systems are in place to ensure service users are safeguarded from abuse and harm although additional training does need to be provided to ensure staff are up to date with current good practice. It was not possible to inspect service users financial situation as this information was not available. EVIDENCE: No complaints have been received at the home or by CSCI since the last inspection. A complaints policy and procedure was in place which included contact details for the CSCI. The acting manager had access to an independent advocacy service who could act on behalf of any service user who wishes to make complaints. Staff spoken to were aware of the action they should take in the event of them receiving a complaint. Most but not all staff had been provided with training on the protection of vulnerable adults from abuse so ensuring service users safety and welfare. The policy on this issue has now been changed to reflect the current staffing structure of the home. Staff demonstrated they were aware of the action they should take in the event of them suspecting or knowing an incident of abuse had taken place. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 18 It was not possible to inspect the arrangements in place for service users finances as the information was not available because the member of staff holding the key to the store cupboard was not on duty. To ensure service users finances are being kept in accordance with good practice, the registered person is required to ensure all information relating to this issue is available for inspection at all times. This issue will be addressed with the registered provider following the inspection. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 19 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 standard(s) 24 and 30 The standard of the environment within the home is good providing service users with an attractive and homely place to live. The standard of hygiene is good which ensures a comfortable and safe environment. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 20 EVIDENCE: The premises are comfortably furnished. The light levels throughout the home are good and the home is pleasantly decorated. A new kitchen has now been fitted. The premises are in keeping with the local community. The home has a planned maintenance and renewal programme for the fabric and redecoration of the premises. Most of the bedrooms in the home are double occupancy, some having en-suite facilities. Service users have personalise their rooms with their own belongings which reflects their personal interests and hobbies. At the back of the home is a small patio area and large garden. This area was not particularly attractive and the paving is uneven and could present as a tripping hazard. There was no lid on the bid which could also present as a hazard. The registered person is required to address these issues to ensure service users safety and welfare. The inspector was informed that plans are being made for work to be completed in the garden to enhance this whole area. The following issues were also noted as requiring attention: • • • • • • No light shade fitted in the bathroom on the mezzanine floor and the en suite in room 2 no light bulb fitted on the top landing floor no curtains fitted in the top floor bathroom towels badly frayed a lock had not been fitted to the electrical cupboard window restrictors had not been fitted in room 3 and 4 For service users comfort and safety the registered person is required to address these issues. Systems are in place to prevent the spread of infection and staff working in the kitchen do not carry out care duties throughout the day. A system is also in place to ensure all equipment being used in the home is in good working order. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 21 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Although staff have undertaken a range of appropriate training, improvements do need to be made in this area of care as all staff have not undertaken training in relation to the different learning disabilities the service users experience. Staff are evenly deployed throughout the week and in numbers sufficient to meet the service users needs. EVIDENCE: Staff have undertaken a range of training appropriate to the care of the service users and the management of the home. This enables the staff to look after the service users in accordance with their required needs and in line with good practice. Some staff are trained to NVQ level two. The member of staff conducting inspection had not undertaken any training in relation to learning disabilities and was unsure of the training completed by other staff in this area. In light of the complex needs some service users living at the home experience in relation to their learning disability, the registered person is required to ensure all staff undertake training in this area to ensure the care provided accurately reflects the service users care needs. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 42 The registered manager has been absent from the home for some time and a senior member of staff is acting as manager. Steps have been taken to promote the service users health and safety within the home however improvements do need to be made in this area. EVIDENCE: The registered manager has been absent from the home now for some time. Although she does involve herself in the management of the home in a parttime capacity, she is not based at the home. At present a senior member of staff is acting as manager and intends to make an application to the CSCI to become registered as manager. Steps have been taken to promote the service users health and safety within the home. Staff have completed training in food hygiene and personal safety which is appropriate for the care of the service users and the management of the home. Fire safety checks have been carried out on the equipment around the building and all staff had been provided with fire safety training.
Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 23 A bed rail fitted to one of the beds was tested for its safe use. Two members of staff could not put the bed rail in place and it was agreed it was broken. This bed rail was only fitted three days prior to the inspection and there was no documentation in place to demonstrate any checks had been made in this time. Given the dangers that bed rails can present, the registered person is required to ensure these bed rails are repaired immediately and that they are suitable for the bed they are fitted to. Advice must be sought from the relevant healthcare professional before bed rails are put in place and this must be supported by documented plan of care. Any checks on such equipment must be carried out. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 24 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 2 2 2 x x Standard No 22 23
ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 2 x x x x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x 3 x x 2 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Newhaven Care Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 1 x F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 25 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 4 Regulation 4 Requirement The registered person is required to ensure the statement of purpose and the service user guide is available for inspection at all times. The registered person is required to ensure that a record is kept of the pre-admission assessment carried out prior to any service user moving into the home. The registered person is required to ensure that a detailed care plan is in place for each of the service users. All of this information must be signed and dated. The registered person is required to ensure service users dignity is respected. In this instance that plastic crockery is not used unless it has been identified through a risk assessment that this is appropriate. The registered person is required to ensure the keys to the medication cabinet are stored safely. The registered person is required to ensure clear directions are given to staff on when medication is to be given on the
F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Timescale for action 1/11/05 2. 2 14 1/11/05 3. 6 15 1/11/05 4. 17 12 1/11/05 5. 20 12 1/11/05 6. 20 12 1/11/05 Newhaven Care Version 1.40 Page 26 basis of as and when required. 7. 23 18 The registered person is required to ensure all staff receive training on the protection of vulnerable adults from abuse. The registered person is required to ensure the patio area is maintained in a good state of repair. The registered person is required to ensure light shades are fitted in all bathrooms and en suites. The registered person is required to fit curtains in the top floor bathroom The registered person is required to dispose of the towels that are badly frayed. The registered person is required to ensure service users safety by fitting a lock to the electrical wiring cupboard. The registered person is required to carry out a risk assessment to identify the level of risk in relation to the fact that no window restrictors are fitted in bedrooms 3 and 4. Appropriate action must then be undertaken. The registered person is required to ensure that suitably qualified and competent staff are employed in home. In this instance that staff are provided the training on the different learning disabilities the service users experience. The registered person is required to ensure an application is made to the CSCI to register a manager for the home. The registered person is required to ensure daily checks are made of any bed rails used in the home and that they are suitable for the bed they are fitted to. The registered person is required
F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc 1/11/05 8. 24 23 1/1/06 9. 10. 11. 12. 24 24 24 24 23 23 23 13 1/11/05 .1/11/05 1/11/05 1/11/05 13. 24 13 1/8/05 14. 35 18 1/12/05 15. 37 18 1/11/05 16. 42 13 1/8/05 17. 6 18 1/12/05
Page 27 Newhaven Care Version 1.40 18. 23 13 to ensure all staff are provided with training around the management of challenging behaviour. the registered person is required to ensure all information relating to service users finances is available for inspection at all times. 1/8/05 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 17 Good Practice Recommendations It is recommended the registered person provides a more varied menu, in this respect that fresh vegetables are used in addition to frozen. Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 28 Commission for Social Care Inspection 3rd Floor Campbell Square, Duke St Liverpool L1 5AS 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 Newhaven Care F52 F02 S18916 Newhaven Care V242200 010805 Stage 04.doc Version 1.40 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
