Inspection on 30/08/07 for Peaklands

This inspection was carried out on 30th August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peaklands 16/05/06

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REACH Upton Court Road

Fairways

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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 Tracey Horne Unannounced Inspection 30th August 2007 09:00 Peaklands DS0000067427.V342780.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.V342780.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.V342780.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 F/P 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 Tracey Ann Kelly Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). 2 The maximum number of service users to be accommodated is 5. Date of last inspection 16th May 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 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. 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. There are no fees for places in the home because the service is provided under a block contract with Hampshire County Council. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These included: an unannounced visit to the home, which was carried out on the 30th August 2007 between 09.00 and 14.30 by an inspector (Mrs Tracey Horne). We had the opportunity to speak to service users and staff, look at records and observe interaction between people living and working at the home The people using the service prefer to be referred to as service users therefore the rest of this report will reflect this. The inspector received an Annual Quality Assurance Assessment (AQAA) from the registered manager Mrs Kelly prior to this inspection. The AQAA provided further evidence of how the home is meeting the Key National Minimum Standards. The Commission for Social Care Inspection (CSCI) sent feedback forms to service user, relatives, staff, care managers and healthcare professionals prior to this site visit. Five service users returned their surveys to the CSCI prior to this site visit, comments from these forms are reflected in this report. All regulatory activity since the last inspection was reviewed and taken into account. What the service does well: What has improved since the last inspection? All eight requirements made at the last inspection have been met. Care plans are up to date and relevant, and reflect individual wishes and preferences. Any restrictions placed on liberty have been agreed within a multi-disciplinary context, and are be clearly evidenced in risk assessments and care plans. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 6 Moving and handling of residents is being carried out as per the homes policy, the resident’s care plan and risk assessment. Staff are aware of risk assessments and care plans, and work with residents accordingly and consistently. Medication records are accurate. All medication is securely stored, creams kept in the fridge are stored in a lockable tin. Staff are aware of Social Service’s role in relation to the procedures for safeguarding vulnerable adults. The home are undergoing a recruitment campaigned to ensure there are sufficient staff on duty to meet the needs of the residents. The heating system has been updated, all windows have been replaced and carpets have been replaced. 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. The summary of this inspection report can be made available in other formats on request. Peaklands DS0000067427.V342780.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.V342780.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. 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. A procedure for assessing the needs and aspirations of potential new service users is in place to ensure the home can meet the service users needs prior to admission. EVIDENCE: Mrs Kelly completed the AQAA prior to this visit, which states that prospective service users are assessed and have the opportunity to visit the home prior to making a decision. Mrs Kelly confirmed have been no new admissions since the last inspection as all service users living at the home have done so for two years or more. Four service users stated that they received enough information about the home to aid decision-making. Service user files seen showed that each service user had an assessment of need prior to moving into the home. The assessments had been completed with input from service users, where possible, and input from families. Assessments were written clearly and covered the range of different need areas. Peaklands DS0000067427.V342780.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ individual plans reflect their assessed and changing needs and personal goals. Practices within the home demonstrate that service users are encouraged to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection, which states that all service users have bi-monthly reviews. Records showed that service users are involved in the reviewing of care plans, one service user has recorded what they wish to discuss at their review meeting. Care plans have been developed according to assessments with service user and family involvement, to create individual and supportive care plans for each aspect of a service users life. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 10 Records showed progress made towards achieving goals and aspirations, two service users are being supported to access taxis to enable them to travel independently. We observed service users being supported to make informed decisions in there lives, from attending daily/social activities to planning menus and going to the cashpoint for money. Three service users stated they always make decisions about what they do each day, one said usually and one said sometimes. Two service users attend an advocacy group, which is run by the provider, Hampshire Partnership NHS Trust that enables the opportunity for service users to discuss anything that they want. The meetings are minuted for other service users and staff to read. Risk assessments are developed in a positive way to enable service users to carry out activities of their choice. Any restrictions to activities are agreed with service users and their families/representative. Peaklands DS0000067427.V342780.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. 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. Service users feel able to make choices about their life style, and are supported to develop their life skills. Social, cultural and recreational activities meet individual’s expectations. Service users enjoy their meals and receive a well balanced and varied diet. EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection, which states that service users express their choices and have designated support hours to complete activities of their choice. One service user has obtained paid employment. The home is undergoing a recruitment drive, two staff have been recruited recently which has improved the amount of support available for service users to access the activities of their choice. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 12 Service users have structured activities as per their care plans, goals and aspirations. During the inspection service users were participating in household chores, walking to the shops for personal items, one service user was supported to go for a pic nic lunch and preparing and clearing up lunch. Other structured activities include attanding a social club on Friday evenings, day services, church, advocacy groups, going to the bank, shops and completing household chores. Four service users stated they can do what they want during the day, evening and at weekends. Service users are encouraged to maintain relationships that are important to them, Mrs Kelly said relatives are invited to attend review meeting and are welcome to visit. Records seen confirmed this. Healthy meals are provided and service users said they enjoyed helping with the planning of menus, buying food, cooking and they liked the food and meal times are flexible to fit around their activities. The menu for the day was displayed in the dining room and records are kept of foods eaten. Peaklands DS0000067427.V342780.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive health & personal care on an individual basis. The home practices the principles of respect, dignity and privacy. EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection, which states that service users healthcare needs are identified and all service users access healthcare professionals as required. Staff spoken with were clear about each person’s individual preferences, as they had worked with the service users for some time, know them well and said service users are able to communicate their wishes with them. Mrs Kelly said that the home does not operate a keyworker system to ensure all staff are aware of and are involved, as the service user wishes, in providing care and support. Care plans seen and observations of interaction between service users and staff confirmed this. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 14 One service user stated ‘Staff knock my door and ask when I would like personal care.’ Care plans were clear and included details of individual’s visits to healthcare professionals, such as the doctor, optician and dentist. Service users have a health action plan which details support needed. Weekly activity plans included one-to-one time. Records showed that time is spent talking about whatever the service user wishes to, from activities they like/don’t like doing to how they are feeling. The home has an arrangement with the local pharmacist for medication to be supplied in a monitored dosage system. Individual’s medication, together with any creams and lotions are stored securely. One resident said they prefer staff to administer their medication, care plans included clear guidelines for staff to support and encourage independence regarding medication whilst ensuring identified risks are minimised. The medication administration record (MAR) had been completed for the morning medication. One member of staff said that they had received training in the safe administration of medication, training certificates confirmed this. One newly appointed member of staff confirmed she received training and support prior to administering medication. Peaklands DS0000067427.V342780.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users feel able to air their views and make complaints. The policies and procedures used in the home, and the training staff have received protect service users from the risk of abuse EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection, which states that the complaints procedure is available in accessible format for service users. Records are kept of complaints received and action taken. Four service users stated they know who to speak to if unhappy and know how to make a complaint. The complaints log includes details of all complaints received, how the complaint was invstigated and by whome, action taken and any outcome. Regular service user meetings are held to gain the views from people living in the service. All service users are offered daily 1.1 time with different staff whom they choose and are made aware they can raise any concerns. Staff confirmed they were aware of the home’s complaints procedure. During the visit service users spoke openly with staff about any questions or concerns they had, staff were quick to respond, and explained most of the time service users need reassure about what is happening during the day. Staff acting promptly and consistently elevated any anxieties. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 16 Records showed that Protection Of Vulnerable Adult (POVA) check and enhanced Criminal Records Bureau (CRB) disclosure had been completed prior to commencing post, and the home update CRB’s every two years. Each service user has a risk assessment for handling their finances. Staff support service users to control their finances in accordance to policy and procedure. Mrs Kelly regularly carries out an audit of resident’s financial affairs. Records showed that the home have acted appropriately regarding safeguarding adults procedures. Records seen confirmed that staff have recently attended safeguarding adults training. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a comfortable environment, which encourages independence. Service users would benefit from some areas of the home being refurbished EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection, which states that the upstairs bathroom needs to be refurbished to increase service users independence and further interior decorating would improve the enviroment. The heating system has been updated, rewiring, replacement windows, recarpeting has improved over the last 12 months. Service users have personalised their bedrooms with pictures, posters and entertainment systems, two bedrooms have been redecorated, and one service user confirmed they chose the colour scheme. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 18 A requirement was made for the upstairs bathroom to be refurbished as only one service user can acess it, and uses the bath as a shower. Service users have stated they would prefer a walk in shower to increase their independence, this has been agreed by an ocupational therapist. Mrs Kelly said that the home is regularly maintained by Downlands housing association who own the home. Recently the home has been re-wired and all windows have been replaced, as a resuly the walls and windowsills are in need of redecoration. Mrs Kelly said that this will be dealt with by the housing association. Carpets have been replaced in the hallway and stairs. The garden is enclosed and has a ‘smoking room’ for people to use. Mrs Kelly has requested a ramp be built to provide accessability to the garden from the house for people who use a wheelchair. All service users stated that the home is usually clean and fresh, as mentioned earlier in this report, staff carry out the cleaning and cooking with service users help. No separate ancillary staff are employed at the home. Certificates confirmed that staff have received training in the prevention of infection & management of Infection Control and were aware of the home’s policies and procedures of hygiene issues. Staff were wearing protective clothing when cleaning. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. 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. Improvements are being made to ensure service users are supported by staff that are skilled and in sufficient numbers. Further improvement is needed to ensure staff are trained to meet individual’s specific needs. Service users are protected by the home’s recruitment practices EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection, which states that recruitment process, staff induction, supervisions and ongoing training are in place. We found that during the inspection staff were confident and competent, were clear about their roles and responsibilities and are confident Mrs Kelly will provide clear leadership. The recent changes to staffing levels have improved how the staff team work together, something they felt has been lacking due to staff shortages and high use of agency staff. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 20 Staff said that generally there are enough staff on duty, something that is improving as more staff are recruited. One member of staff provides sleep in cover each night. Staff said they enjoyed their work and spoke about service users in a sensitive and positive manner and were seen interacting in this way. All five service user’s stated the staff usually treat them well and act on what they say. The main recruitment process is carried out through the human resources department. The manager interviews the potential staff. Two refernces and an enhanced disclosure and POVA check is obtained prior to commencing post. New staff are subject to a three month Probation period. As mentioned earlier in this report, the home have recently recruited two new staff and are hoping to recruiting to cover the remaining nineteen hour vacancy. Two files of recently employed staff were seen and showed that all relevant pre employment checks had been carried out. Staff training incorporates Common Induction Standards, in line with national guidelines for good practice that include elements relating to values, individuality and learning disability. After the core training staff are given indivudaual training and development plans within supervisions and appraisals. Mrs Kelly is developing a training matrix to make tracking staff training and development easier. Staff spoke enthusiastically about the training they receive and felt it enables them to do their job. Training records seen showed that staff were up to date with training in Health and safety, moving and handling, first aid, food hygiene, fire training and infection control. At the last inspection it was recommended that staff receive training in mental health, dementia and care of older people. No evidence was available to show this training had taken place, Mrs Kelly said that she is looking into this, but a requirement was made to ensure staff receive this training to enable them to meet the changing needs of service users. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from improvements that have been made to the staffing structure, but Mrs Kelly has limited allocated management time to ensure service users are living in a well run home. Service users views are fully considered within the home’s quality assurance processes and are protected by the home’s Health and Safety policies and practices. EVIDENCE: Mrs Kelly completed the AQAA prior to this inspection she has completed a National Vocational Qualification (NVQ) 4 and started the Registered Managers Award (RMA) but has limited amount of dedicated management time as she is expected to provide hands on care for 18.5 hours per week. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 22 Policies and procedures accessible to staff and are reviewed regularly. Mrs Kelly was registered by the CSCI as manager in June 2007 and is continuing to make improvements, as stated in this report. However as mentioned in the AQAA and following discussion with Mrs Kelly during this inspection, it is recommended that Mrs Kelly spends more of her contracted hours dedicated to maintaining her management responsibilities of the home to ensure service users benefit from living in a well run home. Staff said they feel supported by Mrs Kelly. Service users said their views and opinions are sought and taken into consideration by staff working at the home, either formally in meetings or informally by discussion with staff. The home receive monthly Regulation 26 visits by a responsible individual, questionnaires are given to service users, families and other professionals to obtain their views of the home. Records seen showed that all equipment is regularly serviced. All staff has received health and safety training and workplace risk assessments were in place and are regularly reviewed. Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 23 3 ENVIRONMENT Standard No Score 24 2 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 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 3 3 3 X 3 X 3 X X 3 X Peaklands DS0000067427.V342780.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA24 YA24 Regulation 23.2 (d) 23.2 (c, j, n) Requirement Timescale for action 30/10/07 3 YA35 18.1(ci) The provider must ensure all parts of the home are reasonably decorated. The provider must ensure that 30/10/07 suitable adaptations are made to the first floor bathroom to meet service users individual and joint needs. The provider must ensure all 30/10/07 staff receive specialist training in care of older people, mental health and dementia care to meet individual service users needs. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Peaklands DS0000067427.V342780.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: 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 Peaklands DS0000067427.V342780.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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