Inspection on 24/09/07 for Peel Moat

This inspection was carried out on 24th September 2007.

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

The inspector 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

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 Peel Moat 2 Peel Moat Road Heaton Moor Stockport Cheshire SK4 1PL Lead Inspector Michelle Haller Key Inspection 24th September 2007 09:00 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 Peel Moat DS0000069124.V344009.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. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peel Moat Address 2 Peel Moat Road Heaton Moor Stockport Cheshire SK4 1PL 0161 442 2597 0161 975 5126 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) Grosvenor Care (Cheshire) Ltd Mrs Bridget Patricia Ward Care Home 31 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (31) Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: The home is detached and stands in its own grounds. There are ample car parking facilities to the rear of the home and a ramped front access enables all service users and visitors to enter the home without restriction. Accommodation comprises of three communal lounges and a dining room. There are 22 single and four double bedrooms. The home is equipped with aids and adaptations to support those with mobility difficulties. A passenger lift enables people to reach all parts of the home. The home is close to the main shopping area of Heaton Moor, which includes cafés, restaurants, public houses, banks, post office and a cinema. There are churches of most denominations, a library and a selection of health centres, surgeries, dentists and opticians. Stockport town centre, motorway network and public transport are easily accessible. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a site visit to the home. The manager was not informed beforehand that we were coming to inspect. This is called an unannounced inspection. The inspection process involved interviews with three people individually and one small group discussion with four people, and two relatives individually. Two members of staff were also interviewed and in depth discussions with the manager and registered provider took place. Three care files and other records and reports pertaining to these people were inspected. Other documents concerning the running of the home were also examined. The Commission for Social Care Inspection (CSCI) ‘Annual Quality Assurance Assessment’ which was completed by the manager also provided information that influenced the outcome of the inspection. The registered provider had also completed Regulation 26 reports and this was also taken into consideration. Five service users and two relative CSCI surveys were returned and these were used as part of the evidence when completing the inspection. A tour of the communal areas of the home was also undertaken and during the course of the inspection the interactions between people in the home was observed. Depending on type of placement, assessed needs and whether occupancy is in a single or twin room, the home charges £315 to £479 each week. What the service does well: People involved with Peel Moat feel that the home has a warm, friendly welcoming atmosphere. People living at the home told us that staff were kind, and they felt cared for. Access to health care is provided in a timely manner and staff follow the instructions given by health professional, accurate records of the actions they have taken is maintained, and they provide a good standard of personal care. People are supported in keeping their individuality and opportunity to make choices about the their daily life. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 6 The systems in place ensure that staff are able to promote and maintain the safety of people in the home. The environment of Peel Moat enables people to remain independent and provides spacious communal and private living space. Staff are well trained and appear dedicated and hard working. The manager fosters good relationships with people, their relatives and professionals dealing with the home by listening to them and having honest dialogue. She understands the importance of continual training and appears open to suggestions and eager to continually improve the service provided. What has improved since the last inspection? 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. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 7 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 Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 8 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): 3 (standard 6 is not applicable) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager makes sure that peoples health and emotional needs are assessed prior to admission to the home. EVIDENCE: Each file examined contained a detailed assessment of needs, these were dated prior to the date of admission in to the home. The assessment were based on the activities of daily living which identified strengths and needs related to, for instance, communication, moving and handling, continence, diet, general health, psychological state and social preferences. The outcome in the area could be improved if attention were also paid to assessing peoples previous and current interests. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 9 People who returned CSCI surveys did not identify any problems concerned with the information gathered or assessments completed when first moving into the home. The majority of the people said they received sufficient information before moving into the home to help them make a decision. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 10 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): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that appropriate health and personal care is provided and a feeling of positive wellbeing is promoted through people being treated with dignity and respect. EVIDENCE: Each file examined contained care-plans that provided clear information about the general and specialist health needs of people and how staff must meet these needs. The care plans included how to meet physical health needs and psychological needs. Specialist risk assessments such as moving and handling risk assessments, dietary needs and skin integrity, and behaviour assessment. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 11 These assessments provided written instructions about the actions to be taken that would reduce any risk and monitor people’s progress. Risk assessments were detailed and identified the potential risk and the actions staff were expected to take and in the main needs identified in during the assessment had been included in the written care plans. Signatures and amendments demonstrated that care-plans were reviewed on a monthly basis. Although people had signed their contract of residency they were not always given the opportunity to sign or indicate that they had been involved in the development of their care plans. Records, reports and other correspondence confirmed that people received input from health care professionals and were supported in attending outpatient appointments, general practitioner consultations, and routine and specialist examinations including eye-tests, dental checks and podiatry. The link district nurse was interviewed and she felt that at the time of the inspection staff in the home were working as a team, provided effective monitoring, sought professional health advice promptly, were cooperative and followed instructions diligently. Evidence confirmed that pressure area care provided in the home, was a safeguard against the development of pressure sores. Records such as, turning charts, body maps and weight charts, confirmed that monitoring was in place, certificates and statements from staff confirmed that they had received specialist training and the supervision and guidance provided, in this area, by the district nurse team, further ensured that all intervention including equipment was used to promote good health. The language used by staff when writing daily records and diary entries demonstrated that they related to people in a respectful manner, tried to meet their needs and respect their choices. It was noted that daily records related directly to the care plans and provided a detailed indication of how people living at Peel Moat were progressing. The outcomes for people in this area could be improved if care plans also identified people’s current interests and preferences in relation to recreation and activities. All who returned CSCI service user surveys assessed that they always received the medical support they needed. No unsafe practices concerning medication were noted on the day of this inspection and certificates confirmed that those responsible for administering medication had received training. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 12 In the main staff were observed supporting people with sensitivity. And all treatment or personal care was carried out with discretion and in privacy. It was observed that staff interaction with people was generally relaxed, warm and respectful. People were clean and tidy and appeared comfortable. Comments from people concerning health and personal care included ‘I get very good attention.’ And ‘everything regarding (physical) care is good.’ Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 13 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): 12,13,14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements in place for the provision of social activities are not sufficiently meeting or satisfying the needs or meet the expectations of people living in the home. EVIDENCE: The majority of people interviewed and who returned CSCI surveys identified that activities and opportunities for recreation needed to be increased. Comments included, ‘There are no activities.’; ‘Staff when they have time try to fit some (activities) in, but this is not very often;’ ; ‘It’s boring- if you sleep all day you can’t sleep at night.’; ‘I would like a little more things to do.’ And ‘it’s pretty terrible- it’s ok then sometimes it’s not, the staff are alright but it can be very boring.’ Records available about people did not include much information about their past lives or current interest, yet they were vocal and interested in providing Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 14 this information. Furthermore, despite their ability to self-advocate, residents meetings have not been established. The manager needs to demonstrate that people can influence the deployment of staff, the role of the key worker or other aspects of running the home that has some bearing on activities and recreation. This will help to establish a feeling of contentment, prevent boredom and promote a positive feeling of wellbeing and also demonstrate that the opinions and wishes of people are valued, and seen as relevant and important. People said that they were supported in religious observance and this helped to alleviate the boredom. People stated, and night-care assessments confirmed, that bedtimes were completely flexible and people were able to get up when they liked. Observation and discussions confirmed that the routines in the home were flexible and people received guests throughout the day. The lunchtime meal on the day of inspection was a choice of, cheese and onion pie, cauliflower, green beans and mashed potatoes, or egg salad and jacket potatoes. Dessert was a choice of semolina and jam or ice cream. Lunchtime was a pleasant occasion, there was plenty of food and people were offered extra. The meal was not sampled but it looked and smelled very appetising. People were observed enjoying the meal and commented to each other how good it was. Discussion with people and information provided in the returned CSCI surveys suggested that though well prepared, meals were repetitive and therefore boring. The menu and dietary records were examined and cross-referenced. There was a detailed record of the food consumed and it clear that the four weekly menus was not reflected in the record of food actually consumed. If the menu was actually followed people would have been offered a relatively varied diet however the modifications meant that people were given the same or similar meals every week and, on occasion, two or three times each week. For example chicken casserole is served at least once a week, and in one week people were offered cottage pie, then mince and mashed potatoes and following that shepherds pie- all these meals are based on minced meat with mashed potatoes. The homes is waiting for the delivery of a sit and weigh scale and so the weight of people who need assistance to stand may not be accurate. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 15 Comments about the food included: ‘ It’s alright, I like my food.’; ‘Meals are repetitive and can be boring- well cooked- but it’s always the same meals.’ And ‘There should be more of a choice.’ The majority of people who returned CSCI surveys also identified that they would like a more varied diet. This concern was discussed with the manager. Peel Moat DS0000069124.V344009.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that complaints are treated seriously and the home’s adult protection guidelines help to promote the safety of people. EVIDENCE: A copy of the complaints procedure was present in each persons file, these require updating, however they continue to provide sufficient information about the steps to take concerning complaints and a description of how complaints will be dealt with and the right to take a complaint further if dissatisfied with the outcome. Everyone who returned CSCI surveys knew how to complain and the majority felt that these would be dealt with fairly. Comments made by people and their relatives illustrated that they were clear about the actions they should take to make a complaint. They were also confident that any issues would be resolved. Comments included: I’ve no grumbles if I had a complaint I would tell everyone!’’ and ‘I ‘have no complaint I get very good attention – nothing is refused but if I had a complaint I would talk to the matron.’ And ‘I made a complaint quite a while ago and it was all sorted out.’ Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 17 The home’s adult protection policy and guidelines are in keeping with the POVA policy introduced by Stockport Social Services. The manager stated that no POVA investigations have taken place. Protection of Vulnerable adult training is included in the induction training and staff have access to a rolling programme of training provided by the Stockport Training partnership. Staff who were interviewed were keen to confirm that the manager discussed POVA issues with them during induction and meetings. The were also clear on the actions they would take to safeguard people in relation to different scenario’s discussed. People felt safe and stated that staff were gentle and patient in their actions. Peel Moat DS0000069124.V344009.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): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Peel Moat provides a satisfactory environment for residents to feel comfortable and safe. EVIDENCE: During this inspection all the communal areas and a number of bedrooms were entered. Some of the communal areas have been freshly decorated. Steps had been taken to assist people with staff recognition as pictures of them were on display. Bedrooms were, in the main, clean and pleasant. The majority had been personalised with favourite items such as pictures, photograph and furniture. A number of shared rooms did not contain privacy curtains or screens. This matter was discussed with the manager. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 19 People were observed making use of the different lounge and sitting areas throughout the home. And people were observed sitting and observing what was happening. The furniture in some parts of the home required cleaning or replacing, the manager stated that a refurbishment plan was being followed. People were observed mobilising around the home independently using hand rails, walking frames or walking sticks and other aids and adaptations that had been provided. The laundry in the home is clean and well organised and the equipment, fixtures and fittings meets the required hygiene standards in that, all the surfaces were washable and there is a washing machine with a sluice and disinfection-washing programme. Peel Moat DS0000069124.V344009.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): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are provided in sufficient number and with appropriate skills to meet the health needs of people living in the home. EVIDENCE: On the day of inspection there were 31 people living at Peel Moat. The staffing compliment consisted the manager, and three carers comprising of one senior, and two carers. A domestic, laundry worker and cook were also working. This manager stated that the service was in the process of evaluating how staff were deployed and included how to improve activities. Examination of the duty roster identified that when numbers fell below a certain level, agency staff were brought in and regular staff asked to change shifts to ensure that a senior member of staff was always on duty. People living at Peel Moat observed that; ‘the staff are very busy and hard working.’ And, Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 21 ‘We are short of staff, they are on the go all the time.’ In addition the majority of people who returned CSCI surveys felt that the home was understaffed and that this had an impact on the support received in the home, Staff at Peel Moat have received ample opportunities for training since the change in ownership. Courses since April 2007 has included Medication administration and management; Infection control; Care planning, Appointed First Aider; Fire safety; Moving and handling; Dementia care; National Vocational Qualification (NVQ) level 2 and 3 in care; and protection of vulnerable adults. The induction training is in keeping with Skills for Care Common induction protocol and includes topics such as, the principles of care, safety, communication, abuse and neglect, care in practice and selfdevelopment. Staff who were interviewed appeared knowledgeable about the work they did and how to apply new learning they had received. They enjoyed working in the home and felt that people benefited from staff able to work as a team. Although none identified that there were insufficient carers, staff did feel that more activities and outings would be beneficial to people living at Peel Moat. The staff files for the most recent recruits were examined, up-to date Criminal Record checks and POVA firsts had been completed; the files also contained the original application forms, proof of identity, two references and photographs. As previously identified people liked the care staff in the home. Peel Moat DS0000069124.V344009.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): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A manager who has the skills, training and experience to provide leadership manages the home. EVIDENCE: The manager has attended course to keep herself updated with current trends and guidance concerning the support of older people in residential care. These have included Dementia care course and POVA for managers. Magazines, leaflets and other publications confirmed that she provided staff with current information and chances to increase their knowledge both formally and informally. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 23 People were very complimentary about the management style and approach. Staff felt confident that they could discuss ideas and concerns and people said that she did listen- comments included: ‘Very nice matron’; and ‘We are able to have our say.’ Information provided by the manager in the CSCI annual assessment (AQAA) indicated that the quality assurance system that gives relatives and other the opportunity to comment and make suggestions about improvements and how the home is run. In light of the information received from people about the menu and activities that outcome of this was discussed. It was found that as yet the questions returned had not been analysed. The need to complete the quality assurance process to include analysis, action and feedback to the participants was discussed. The provider has completed regular Regulation 26 assessments and forwarded these to the CSCI. The information demonstrated that time was spent speaking the staff and people living in the home. The information also demonstrated that issues related to health and safety were dealt with quickly and professionally. The accounts of seven people were examined. The amount detailed in the accounts book tallied with the amount held on their behalf by the home. A receipt book is used to record all expenditures and funds passed over to relatives are signed for. Information provided in the AQAA indicated that the fire safety equipment in the home had been checked in May 2007 and hoists were serviced in July 2007. Staff have received training in health and safety and moving and handling practices in the home appear safe. Risk assessments are completed and is was observed that staff comply with moving and handling instructions that are detailed in individual care-plans. Staff have received infection control training and although procedure and guidelines do not relate specifically to Peel Moat, staff were observed working in a manner that safeguarded against cross infection. Staff were also aware that the most important action in respect of infection control was effective hand washing. Peel Moat DS0000069124.V344009.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 Peel Moat DS0000069124.V344009.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 OP12 Regulation 16(n) Requirement The registered person must consult with people about a programme of activities and provide facilities for recreation, fitness and training to prevent boredom and promote a sense of positive well-being. Timescale for action 01/12/07 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 Refer to Standard OP15 OP10 OP33 Good Practice Recommendations The registered person must ensure that varied meals are provided so that people feel nutritionally satisfied. Privacy screens should be supplied in double bedrooms if shared. The manager needs to show people that if they complete a questionnaire on the running of the home she does action it. Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 26 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 Peel Moat DS0000069124.V344009.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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