Inspection on 16/05/06 for Peaklands

This inspection was carried out on 16th May 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peaklands 30/08/07

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Hillview Farm

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Dalewood Respite Care

Orchard,The

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

CARE HOME ADULTS 18-65 Peaklands 73 The Avenue Fareham Hampshire PO14 1PE Lead Inspector Beverley Rand Unannounced Inspection 16th May 2006 10:00 Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 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 Peaklands DS0000067427.V299852.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 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. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peaklands Address 73 The Avenue Fareham Hampshire PO14 1PE 01329 238 946 01329 238 946 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) Hampshire Partnership NHS Trust To be confirmed Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2006 Brief Description of the Service: Peaklands is a large detached property set in its own grounds approximately two miles from Fareham and five miles from Portsmouth city centre. Local shops and other amenities are nearby, and residents have ready access to public transport. Single accommodation is arranged over two floors and offers a very comfortable and homely environment for up to five persons with a learning disability. Three spacious bedrooms are on the first floor and accessible via a central staircase. One of these rooms benefits from an en-suite facility. The provision of an assisted bathroom is available to other residents nearby. Access to a second floor storage facility is also on this floor, but is not suitable for service users. Two further bedrooms and an assisted bathroom are on the ground floor. Communal space includes a very comfortable, homely lounge, kitchen/diner and additional seating area just off the central hallway. The external grounds are well maintained, and provide a good level of screening, providing privacy for the garden area. The service is managed by the Hampshire Partnership Trust and the house is owned by Downlands, a housing association. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The fieldwork for this report was done over the 16th and 17th May. The visit on the first day was unannounced. During the inspection the inspector spoke with three residents, four staff, the acting manager and the team manager. The inspector also looked around the home and looked at records such as care plans and policies. The home does not have a registered manager in post, and the home has been overseen by a team manager, on a part time basis. An acting manager has been appointed and had been at the home for only four days. What the service does well: What has improved since the last inspection? The home has written some risk assessments, for example, about smoking. All the dangerous cleaning fluids are now kept safely. Staff have had extra training in subjects such as fire safety and moving and handling. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 6 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. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 7 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 Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 8 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are able to visit the home prior to making a choice, and are aware their assessed needs will be met with appropriate support. EVIDENCE: There have not been any new residents since the standard regarding assessment was last assessed. Prospective residents are visited where they are living, and this is followed by short visits, staying for a meal, overnight or a weekend. The home has two sets of admission criteria: those set by the Hampshire Partnership Trust and Downlands, which is the housing association and prospective residents must meet each set. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 9 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): 6, 7, & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of a suitable care planning and risk assessment system means that the care provided is potentially inconsistent and restrictive. EVIDENCE: The inspector looked at three care plans which varied in their content. One care plan had been in place at the resident’s previous accommodation, and although it had been reviewed, there were parts which were not relevant. A second file did not have a complete personal profile, which identifies individual preferences regarding the support they need. The third file had a more detailed care plan. All files contained a lot of information but much of it was out of date. Conversations with staff showed that not all staff read or use the care plans and staff had differing ideas about the care to be provided regarding some individuals. Residents were involved in their reviews, and this was demonstrated by a written/pictorial format. Personal files are kept in the residents’ rooms, and the service user guide and all general correspondence Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 10 from the home includes photographs of the staff involved, e.g. letters show the photograph of the person who has written it. This is seen as good practice. Residents can make decisions on a daily basis, such as what to wear, when to get up, when to make a drink or snack, but some restrictions are placed on them, such as going out alone and handling their own money. Staff told the inspector that when a resident had wanted to go out alone, a colleague had said this was not possible. The care plans do not identify the issue of going out alone and there is not a multi-disciplinary risk assessment to inform decision making by staff. This means that different staff may make different decisions, and may be restricting the liberty of residents un-necessarily. The home does not act as appointee for any of the residents, so that residents manage their own bank accounts, paying their bills directly. Residents keep a small amount of money in the home, but although this is kept in their rooms, (other than one, whose money was kept in the office because their drawer was broken), residents could not access it without asking staff to unlock the drawer. Staff and management were not aware as to the reasons for this, and there was no indication or risk assessments on file. This means that residents are not fully managing their own finances. Residents are supported to take risks as part of an independent lifestyle, such as making snacks, going out and smoking. However, as detailed above, risk assessments were not in place regarding going out alone or accessing their money, which meant that residents may not be living as independently as they could be. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 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): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a flexible lifestyle within the home where choice, personal development and the dietary needs are well promoted. EVIDENCE: Two residents attend day services during the week and the inspector spoke to another resident who said they did not wish to go to day services. Staff are liaising with a local college to see if there are any courses which may be of interest to the residents. Two residents have recently joined a Friday club, and one is hoping to join a national organisation, which staff are supporting. The inspector saw residents going out with staff to local places. One staff member is employed for a set number of hours per resident, per week, and told the inspector that she did not rush back, when residents were really enjoying themselves. Staff said residents enjoyed bowling and the theatre but some residents show little interest in activities. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 12 The inspector heard conversations between staff and residents around reminding them to make a phone call, or that a friend was coming and they were going out to lunch at the weekend. Staff were seen to ask residents if the inspector could look at their bedrooms, and were respectful in their interactions with residents. Staff told the inspector that they knocked on bedroom doors, and kept the residents aware of what they were there for, for example, to give medication. One staff member said that it was, ‘their home, we are invited into their home to help them, they have choices’. Residents can choose where to spend time in the house, and who they spend it with. One resident who was asked said the staff were, ‘good’ and agreed that they were nice and polite. Another resident confirmed that he could make drinks when he liked and could get up and go to bed when he liked. The home has made recent changes to the way food is provided. The changes mean that residents choose and compile a menu which suits them, and photographs are used to ensure residents make informed choices. Staff are also now supporting residents to go shopping with them. The inspector saw some residents going out to lunch, and another choosing what he wanted from the available food. Residents can choose where they eat and this was evidenced by tables in different rooms being set for the evening meal. Residents can make drinks and snacks when they like. One resident said they had put themselves on a diet, and that staff had supported this. They also said they liked a lot of salad, which they got. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 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): 18, 19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some residents do not receive personal support in a consistent way and the medication administration and storage procedures put residents at potential risk. EVIDENCE: Staff were aware of residents’ preferences with regard to which staff they liked to provide personal care. A cross-gender policy is in place, and the rota shows that shifts include a mix of male and female staff, or solely female staff. One staff member explained how personal care was, ‘totally the resident’s choice’ and how staff made sure a resident was not rushed and was supported to be as independent as possible. However, one care plan and risk assessment clearly identified that two staff should be on duty when the resident had a bath, but staff were not aware of this, and said they would bath the resident even if they were on their own. Additionally, staff told the inspector that when the resident has a fall, they do not use the hoist, but lift the resident manually. There is a working hoist at the home, and the resident has purchased a specialist piece of equipment, specifically for their own use. Staff said they have not been trained to use this piece of equipment, and were not able to Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 14 give a valid reason for not using the hoist. Manual lifting puts both the resident and staff at risk of injury. A record is kept of when residents visit the doctor, dentist and other healthcare professionals. Regular appointments are monitored through the review system, and appointments are written in the diary. A chiropodist visits the home. Residents’ medication is kept in locked drawers in their bedrooms but is administered by staff. Staff told the inspector they signed medication records after they saw residents take the medication. However, the inspector watched a staff member who appeared to be signing the records before taking the medication to the resident. This was not discussed with the staff member but the team manager said she would discuss this when the person was next on duty. There were unexplained gaps in the records where signatures should have been, which means that it is not possible to know whether the resident had their medication or not. Records also showed handwritten additions, and one prescribed liquid was mis-spelt. A bottle of medication prescribed for a resident who has moved was still in the medication cupboard. Prescribed creams were kept in the fridge: two in a tub and one in the door with fruit juice cartons. Refrigerated medications should be kept in a locked container. One staff member said one of the residents needed to have medication a half hour before they got up, but did not know where this was recorded. Another staff member was not aware of this. A medication care plan was found which stated medication to be given half an hour before, but there was no reason for this other than the practice being historical. Staff have received training from a pharmacist regarding medication, and the team manager undertakes an annual medication assessment of the staff which looks at the individual medication of the residents. This assessment can be done more frequently if necessary, and new staff will have three different assessments. The team manager has updated her own training. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 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 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although a complaints procedure is in place, residents have not always used it, and a lack of staff awareness regarding safeguarding adults procedures may put residents at risk. EVIDENCE: Residents have a copy of the complaints procedure which is in a pictorial and word format. A log book is kept for complaints which shows the timescales within which the complaint was investigated. One resident said if they wanted to make a complaint they would, ‘ask someone’. However, another resident made a complaint to the inspector and said that they did not know who to talk to about it. The team manager agreed to look into the complaint the next day. Staff were clear as to how they would respond if a resident complained to them. The home has procedures in place to safeguard adults. The inspector spoke with four staff about the procedures to follow in the event of an allegation or suspicion of abuse. Although they all said they would report to the manager, they could not outline the procedures which would be implemented after this. They did not mention the local authority adult services and thought that any investigation would take place in house, with a variety of reasons and people who might be involved. Consequently, they were unaware of their ability to go directly to Social Services, although one had heard of the Whistleblowing policy, but was not able to outline the procedure. Some staff have had training in safeguarding adults but this was in 2004. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 16 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): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find the environment clean and comfortable. EVIDENCE: The home is decorated to a good standard and the bedrooms are a good size. Three residents were happy with their bedrooms and had chosen the colours. The other two male residents’ bedrooms had not been re-decorated since they had been used for the previous female residents. One resident was asked about the colour and he did not like it. This was further evidenced by the minutes of a residents’ meeting in March, where the resident had requested a certain colour. The team manager told the inspector that although there was a rolling programme of re-decoration implemented by the housing association, rooms could be decorated before they were due to be, but that there were specific reasons as to why the rooms colour schemes had not yet been changed. All the bedrooms were individual, with evidence of residents collecting certain items, ornaments, etc. The home is unique in its design, and is light and airy. The upstairs bathroom has been decorated since the last inspection and the downstairs bathroom has a specialist bath in place together Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 17 with a ceiling hoist. The home was clean and staff were clear about the procedures to follow to reduce the risk of cross-infection. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 18 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): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment procedures and training programmes ensure residents are protected, but this is compromised by the staff shortage. EVIDENCE: All staff felt the staffing levels were too low and gave examples as to how this had affected residents going out. The rota showed between one and three staff members on duty, and staff undertake all household tasks as well as personal support. There is one staff member on duty after 8pm, and this person sleeps in. Three staff were concerned about the risks of lone working, due to the medical needs of the residents. The team manager explained that the staffing levels had been reviewed but that they corresponded with the number of hours which had been assessed as being necessary when different residents lived there. Additionally, the night staffing levels corresponded with assessments by local authority adult services. Staff told the inspector they would sometimes work until 9pm, if there was an organised outing, and the team manager said the rota was soon to change to ensure that staff were rostered on until 9pm. The home has been reliant on agency workers to cover the rota, although they try to employ the same staff. Two staff had been recruited since the last inspection, both of whom Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 19 were already known to the home. The recruitment records were not available but the team manager outlined the recruitment procedure and assured the inspector that the relevant checks are in place prior to staff starting work. Checks are completed by the personnel department, an email is sent to the team manager, who then needs to complete a form, before the person can start work. A lead recruitment officer is designated who oversees the process. New staff undergo a four week induction package, which conforms to the Skills for Care standards, and is relevant to working with people with learning disabilities. Recent training has included moving and handling; basic life support; medication assessment; food hygiene and a three day course about challenging behaviour. A course is booked regarding epilepsy. During conversation with one staff member, it was identified that there had not been any training regarding ageing, and one of the residents is over 65, and a further one is in their early sixties. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 20 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 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider is working towards recruiting a manager and the home is currently being managed by acting manager. Quality assurance systems are in place but could benefit from being extended. The home environment is safe for residents. EVIDENCE: The home does not currently have a registered manager, and the team manager has been overseeing the home as part of her part time role overseeing four homes. An acting manager was appointed recently and had been working at the home for four days on the day of the inspection. The team manager explained that they were hoping to recruit a permanent manager next month. The home has a system in place for quality audits which occur every three months. These audits, along with the regulation 26 visits, identify issues Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 21 including staffing levels, budgets, training and supervision. Residents are given a survey about the home each, which is in a suitable format. However, relatives or friends are not given the opportunity to give their views in this way. The results of the survey are displayed on the notice board. Certificates regarding the maintenance of equipment such as hoists were seen by the inspector, and systems are in place to ensure tests are carried out within the timescale. All staff have the appropriate fire safety training and fire equipment is regularly checked. On the first day of the inspection, the accident book could not be found which means any accidents which might have occurred could not have been recorded appropriately. A record is not kept regarding what food is eaten by residents, which means diet cannot be monitored. Fridge temperatures were recorded. Risk assessments had been completed regarding window restrictors on upper windows, and locks on ground floor window. This has not yet been actioned, but the team manager was told on the day of the inspection that new windows have been agreed, although a date is not known. A risk assessment has been done regarding hot water pipes and uncovered radiators, and new or low surface radiators have been agreed. All the hazardous substances are securely stored. Keys to various areas of the house which give access to items which need to be locked away, are easily accessible as the unlocked and open key boxes are kept in an unlocked room. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X 2 X 2 X X 2 X Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 23 YES 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 YA6 Regulation 15 (1) Requirement Care plans must be up to date and relevant, and reflect individual wishes and preferences. Any restrictions placed on liberty must be agreed within a multidisciplinary context, and must be clearly evidenced in risk assessments and care plans Moving and handling of residents must be carried out as per the homes policy and the resident’s care plan and risk assessment. Staff must be aware of risk assessments and care plans, and work with residents accordingly and consistently. Medication records must be accurate. All medication must be securely stored: this includes creams kept in the fridge. All staff must be aware of the procedures for safeguarding vulnerable adults: in particular, to be aware of the role of Social Services. The registered person must ensure there are sufficient staff on duty to meet the needs of the DS0000067427.V299852.R01.S.doc Timescale for action 16/07/06 2 YA6 15 (1) 16/07/06 3 YA18 13 (5) 30/06/06 4 YA18 12 (1)(a) 30/06/06 5 6 7 YA20 YA20 YA23 13 (2) 13 (2) 13 (6) 30/06/06 30/06/06 16/07/06 8 YA32 18 (1)(a) 16/07/06 Peaklands Version 5.2 Page 24 residents, and as reflected in the Statement of Purpose. The previous timescale of 20/01/06 was not met. 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 YA7 YA35 YA39 YA42 Good Practice Recommendations The need for residents to ask staff for their money should be individually reviewed, and any decisions made with the residents should be clearly documented. The registered person should consider the need for training with regard to ageing. The home should seek the views of relatives and other stakeholders regarding the level of service provided. A record of food provided should be kept. Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Peaklands DS0000067427.V299852.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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