Inspection on 22/08/07 for Parkside

This inspection was carried out on 22nd August 2007.

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

The inspector 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

Parkside 03/08/06

Parkside 17/11/05

Parkside 06/07/05

Parkside 24/08/04

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 Parkside Parkside 6/8 Edward Street Oldham OL9 7QW Lead Inspector Sandra Buckley Unannounced Inspection 22nd August 2007 09:30 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 Parkside DS0000060150.V346396.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. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Address Parkside 6/8 Edward Street Oldham OL9 7QW 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) 0161 624 6113 F/P 0161 624 6113 Pridellcare Ltd Ms Joan Aspin Care Home 24 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (6), Old age, not falling within any other of places category (24), Physical disability over 65 years of age (5) Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 24 OP, up to 1 DE, up to 6 DE (E), and up to 5 PD (E). The service must at all times employ a suitably qualified and experienced manager who is registered or has an application for registration pending with the Commission for Social Care Inspection. One named service user may be admitted into the home aged between 57 years and 65 years of age in the category DE. 3rd August 2006 Date of last inspection Brief Description of the Service: Parkside residential home provides 24-hour personal care and accommodation to 24 service users. The front of the home has small landscaped gardens and some seating for the use of service users. A small car park is available to the rear of home. There is another pleasant garden with a lawn and flowerbed areas at the back of the home. Bedroom accommodation is available on both the ground and first floors. There are 13 single rooms, seven with en-suite or shared en-suite toilet. There are also five shared rooms, two of which have access to en-suite toilets. In addition, all bedrooms contain a washbasin. A passenger lift is available for the use of service users and accessible toilets are available for service users who do not require the support of a hoist. Bathing facilities include one assisted bath on the ground floor, one shower and one unassisted bathroom. On the ground floor, there is a choice of two lounges, a small conservatory used as the smoking area, and a large dining room. The home charges £333 to £343 each week. The previous Commission for Social Care Inspection (CSCI) inspection report was readily available at the entrance of the home. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included a site visit to the home took place unannounced. This means the manager did not know we were coming to inspect. This inspection looked at all the key standards and included a review of all available information received by the Commission for Social Care (CSCI) about the service provided at the home since the last inspection. During the site visit information was taken from various sources, which including observing care practices and talking to people in the home. The manager, relatives and some members of the staff team were also interviewed. A tour of the home was undertaken and a sample of care, employment and health and safety records were seen. Comments from questionnaires returned from residents and their relatives are also included in this report. The CSCI requires the home to complete an annual quality assurance assessment (AQAA) in order to demonstrate the level of care provided. Comparisons are made with this document at the time of inspection. In this instance, it was found that outcomes for people in the home did not always reflect that indicated by the manager, especially in relation to assessments and care planning. What the service does well: People in the home felt staff listened to them and acted upon their wishes. One person said, ‘I did not like my room at first, so they offered me another when one became vacant and I really like this one.’ People’s preferences, likes and dislikes were recorded at the time of their admission. Comments from people and from questionnaires received included, ‘I am very happy with the care I receive here’, and ‘I have been doing arts and crafts which I really enjoy’. Comments from relatives included, ‘Since dad has had a stroke staff have been fantastic and encouraged him to walk without a frame.’ One professional commented, ‘I am very happy with the care provided, I have seen big improvements with the people I have placed here.’ Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 6 Staff said they felt supported by the management team and received regular supervision. What has improved since the last inspection? What they could do better: Assessments obtained prior to people coming into the home were not always completed in line with the need for residential care. This means the manager may not have the most up to date information about the needs of people coming into the home. Although outcomes remained positive, the lack of completed care plans on admission may pose a risk to people in the home as the staff may not fully understand what the needs of people are and how these are to be met. Concerns were raised with the owner/manager on the unsafe practices in the storage, administration and recording of medication. They were advised to seek professional help from the supplying chemist to ensure people in the home received medication on time and as prescribed. A number of people in the home were of a younger age group. Comments made included, ‘I am very bored there is nothing to do’ and ‘I would like to look after myself.’ Individual needs must be looked at more in-depth to ensure various interests of all the people living at the home are met. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 7 People commented that the food was good however; menus were on a twoweekly rota, which may become repetitive. This practice should be kept under review, with consultation taking place with people in the home. Although the owner/manager consults with people on an informal basis, the introduction of a formal system of quality monitoring would promote inclusion and people’s views and demonstrate that they do listen to people and act upon what is said to them. 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. Parkside DS0000060150.V346396.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 Parkside DS0000060150.V346396.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): Standard 3 Quality in this outcome area is adequate. The arrangements in place for receiving accurate information on assessed needs are not wholly sufficient for the manager to be confident that they can meet the needs of people entering the home. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three care files were examined in depth. Assessments were in place on all the files, but one assessment related specifically to domiciliary care and was not relevant to the provision of residential care. An assessment for residential care should be in place relevant to the service in order for the manager to be sure they could meet the needs of people admitted. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 10 The home had just completed a revised statement of purpose and service user guide. The manager/owner said this was being made available to all people in the home. Parkside does not provide intermediate care. Parkside DS0000060150.V346396.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): Standards 7, 8, 9 & 10 Quality in this outcome area is adequate. The lack of care planning in line with assessed needs and unsafe medication practices may pose a risk to people in the home. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Of the three files examined in depth, two were without a care plan. The manager/owner said this was because the people concerned had been admitted on a short-stay basis. It was usual practice to complete a care plan over a three-month period as part of people’s assessment process. In these instances, an initial care plan must be in place, which is built on and reviewed at regular periods. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 12 Several other files were examined and were found to have completed care plans, with daily notes being recorded to a good standard. Nutritional screening took place and dietary preferences were recorded. People were weighed on a regular basis, with any weight loss being investigated. Professional visits were also recorded. Reviews had taken place; however, in some instances, care planning had not been updated to reflect the changes. Accidents in the home were recorded and detailed any action taken. Some people were observed to have very swollen legs and feet, which should be brought to the attention of professionals. The manager said most of the time people were reluctant to keep their legs raised as advised. Risk assessments should be completed after consultation with family or professionals, this is especially important for those people with diabetes who may be at risk of skin breakages. Specialist equipment is available to meet people’s needs, i.e., hoist, bath chair. All staff had received training in falls prevention. Medication errors were noted. At times, medication was left unattended and was administered from the kitchen. Staff were not signing for medication on administration and medication had been signed for but not given. Labels were stuck onto medication recording sheets. In one instance, medication had not been given for a week. The manager/owner said the pharmacist had not sent the medication. Medication sheets and dosages were not clear and, at times, were recorded twice. Medication was not always given as prescribed, with staff giving it when required. In these instances, a medication review must take place in consultation with a person’s GP. Creams supplied were not recorded on medication sheets. The manager/ owner was advised to contact the pharmacist immediately in order to discuss the situation and take measures to ensure safe storage, ordering, administration and recording of medication. The home’s annual quality assurance assessment stated that five staff had been trained in the administration of medication. A refresher course would provide staff with up to date information on safe handling of medication. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 13 People who live in the home were complimentary about the care they receive, saying, ‘I am very happy about the care I receive here’. Relatives said, ‘Mum is always nice and clean, staff are really good to her, I come five times a week at various times and never observe anything untoward,’ also ‘My dad is well treated in the home. Since his stroke the carers have been fantastic, they have encouraged dad to walk without his frame’ and ‘Staff are really good at identifying individual needs’. One health professional said, ‘I am happy with the care they provide here, I have seen big improvements with the people who have been placed here.’ One person living the home said, ‘I have a regular bath and staff are very nice and treat me well. Staff were observed to be using safe working practices. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15 Quality in this outcome area is adequate. People at Parkside experience a satisfactory standard of living and are happy with the food. Activities provided on an individual level would meet the aspirations of all the people in the home. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home had employed an activities co-ordinator to provide arts and crafts twice a week. One person said, ‘I have been doing arts and crafts which I enjoy.’ Craftwork was on display in the home. Another person said, ‘I have a game of cards with staff sometimes.’ A number of staff had undertaken Age Concern’s activity programme training. There was evidence that one person attended a local church. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 15 A visiting relative said, ‘We are encouraged to come and go when we want to.’ Another said, ‘Staff are always good to dad and he is always dressed in his best clothes when I take him out.’ People talked about a forthcoming trip to Blackpool. Other comments made about the lifestyle in the home included, ‘When you get up in the morning they give you a cup of tea till breakfast’, ‘You can have a cup of tea whenever you want’ and ‘Clothes always come back from the laundry clean and cared for.’ Two people interviewed said they managed their own finances. Parkside also provides care for people under 60 years of age; their views of daily life were different, their comments included, ‘I am very bored here and there is nothing to do’, ‘This is not the place for me’ and ‘I would like to look after myself more and have more independence.’ Also, ‘I do get out on occasion but would like a mobile phone so I could speak to people in private.’ These comments were discussed with the owner/manager who said facilities for people under 60 years of age were being reviewed and discussions with professionals were taking place. The inspector dined with people who said food is always good and choices are available to them. One person said ‘I went out early in the day so they saved my dinner for me.’ Examinations of menu planning showed a two-weekly menu which would benefit from expansion to provide a more varied diet and choices for people in the home. Parkside DS0000060150.V346396.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): Standards 16 and 18 Quality in this outcome area is good. People felt able to raise their concerns and that they would be listened to. Policies and procedures ensured that people are safeguarded from abuse and harm. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home’s complaints procedure is situated in the entrance hallway. People said they would feel comfortable in raising any concerns. One person said, ‘The owner is a good fellow and I would talk to him.’ A relative said, ‘I would contact the owner or manager if I had any concerns.’ Neither the CSCI nor the manager had received any complaints since the last inspection. Policies and procedures included equality and diversity, which staff must read and sign. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 17 Several staff were trained in the protection of vulnerable adults, which is ongoing. There was evidence that issues relating to protection are discussed at staff meetings. The owner/manager said protection of vulnerable adults training was included in NVQ training or could be achieved by accessing Oldham Social Services training department. Parkside DS0000060150.V346396.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): Standards 19 and 26 Quality in this outcome area is good. People are provided with a clean, safe and comfortable place to live in. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: All communal areas and a selection of bedrooms were inspected. These were clean, tidy and free from odours. Bedrooms included personal items brought in by people on their admission. In two instances, people had brought in their own beds. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 19 There are a number of shared rooms, which are provided with privacy screens. On occasions, a shared room had single occupancy with the assurances being given to people that this would apply for as long as they wished single occupancy. One of the younger people in the home had brought a small fridge in which to keep personal items of food and drink, etc. New sanitary ware had been provided in rooms without en-suite. These were modern and blended into the room as furniture, providing a more pleasant environment for people to live in. Four fire doors had been replaced, with new seals fitted on others. Some refurbishment had taken place with the owner/manager saying this was an ongoing practice. Areas were identified that required additional refurbishment, i.e., bathrooms. A planned programme of refurbishment with timescales would ensure specific areas are targeted. Aspects of the environment and provisions for people in the home under 60 years of age need additional thought on how to maintain a lifestyle that they may wish to pursue or continue with, i.e., computers and private telephones. One person said, ‘I did not like my room at first so they offered me another when one became vacant, I really like this one.’ Another said, ‘I have a big bedroom, I was told to bring in my own things, so I brought in two easy chairs.’ Parkside DS0000060150.V346396.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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. Procedures for the recruitment of staff were robust and offered protection to people in the home. Training and numbers of staff ensured the needs of people were met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The files of two care staff employed since the last inspection were examined. These were found to contain Criminal Record Bureau checks and references. An initial staff induction is undertaken which then moves on to a more in-depth skills for care induction for staff to complete as part of their working practices. Forty-five percent of staff are trained to NVQ level 2, with some moving onto level 3. Other staff were either partway through their NVQ level 2 or had enrolled. One senior staff member had also enrolled on NVQ level 4. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 21 The owner/manager works in partnership with Oldham Social Services department to access appropriate training courses. There was evidence that an application had been submitted for training in moving and handling, dementia care, first aid and the protection of vulnerable adults. Falls prevention and the administration of medication training had taken place. During interviews with staff, they said that there was effective communication within the team that kept them up to date with people’s needs. The inspector asked specific questions regarding people’s care and individual needs. Staff were aware of what was required of them and any specific treatments needed. People in the home were aware of the staffing structure, one person said, ‘There is a change of staff in the afternoon.’ Another said, ‘I am very happy with the way I am treated here.’ One relative said, ‘The carers are very good encouraging dad to maintain his personal hygiene.’ One person interviewed like to spend time in their room and said, ‘Staff pop in to see me regularly.’ The duty rota was examined and found to reflect sufficient staff to meet the needs of people in the home. Parkside DS0000060150.V346396.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): Standards 31, 33, 35 & 38 Quality in this outcome area is good. The improvement in staff and management training has had a positive impact on outcomes for people in the home. The introduction of a formal quality assurance system would ensure that people’s views of practices in the home are recorded and promote their involvement. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The registered manager has 23 years’ experience and is supported in the role by the owner of the home. Both are on target to complete NVQ level 4 in management before the end of the year. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 23 A formal quality assurance system needs to be developed to ensure the views of people are recorded in conjunction with service users’ meetings. The manager/owner said a suggestion box is available for people to make comments. Staff said they felt supported by the management team, receive regular supervision and attended staff meetings. Agendas for staff meetings included improving the level of personal care and for staff to be more vigilant. Meetings with people in the home took place; in one instance, it was recorded that people had suggested a change to the menu, which the manager had implemented. Improvements had been made in the way people’s finances were managed. Personal allowances now go straight into their personal account. Records were kept of incomings and outgoings, with the receipts being retained for proof of purchase. The manager/owner had taken positive action to address requirements and recommendations made on the previous inspection by additional training for staff in falls prevention. Other courses applied for were health and safety, and moving and handling. There was evidence that health and safety checks had been carried out on electrical and gas equipment. A fire officer had inspected the home shortly before the CSCI inspection and their report was satisfactory. The fire alarm tests were undertaken and staff had received training on fire safety and prevention. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Parkside DS0000060150.V346396.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 OP3 Regulation 4 Requirement An assessment of people’s needs must be obtained which relates specifically to residential care, in order to ensure people’s needs can be met. Care plans must be completed on admission, regardless of how long the person is staying at the home. Care plans must be changed to reflect any issues identified from the review process, ensuring the needs of people are consistently met. Medication must be held securely, administered as directed and signed for at the point of administration. Labels must not be applied over recording sheets and the dosage to be administered must be clearly documented to enable staff to administer drugs safely. Any creams applied must be recorded on administration sheets to ensure that staff apply the creams, as necessary, in a safe manner. Timescale for action 30/09/07 2 OP7 13b 30/09/07 3 OP9 13 30/09/07 Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP12 OP15 OP26 OP33 Good Practice Recommendations A good range of home and local based activities for service users should be provided, taking into consideration their age and capabilities. Keep under review the practice of two-weekly menu planning. Gain the views of people in the home regarding additional weeks’ planning. Prepare a planned programme of refurbishment with timescales. Quality monitoring systems need to be developed to increase inclusion and the views of people in the home, together with relatives and professionals. Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Parkside DS0000060150.V346396.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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