Inspection on 09/08/05 for Pendle View

This inspection was carried out on 9th August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Pendle View 03/06/08

Pendle View 31/05/06

Pendle View 03/01/06

Pendle View 19/01/05

Pendle View 19/07/04

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

CARE HOME ADULTS 18-65 Pendle View 15/17 Chatham Street Nelson Lancs BB9 7UQ Lead Inspector Keren Nicholls Unannounced 9 August 2005 11.00am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Pendle View Address 15/17 Chatham Street Nelson Lancs BB9 7UQ 01282 690703 01282 690703 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Pendle Residential Care Limited Ann Suleman Care Home 6 Mental Disorder 6 Category(ies) of MD registration, with number of places Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection. 2. A maximum number of 6 service users are accommodated in the category mental disorder, excluding learning disability or dementia. Date of last inspection 19th January 2005 Brief Description of the Service: Pendle View provides 24-hour residential accommodation and staff support for 6 younger adults who have mental health problems. The home is part of a residential dispersed homes scheme in Nelson (which includes 3 small terraced houses). Pendle View is a mid-terrace house located on the outskirts of Nelson, near to local shops. Town centre services are a short distance away. There is offstreet parking at the front. The house has a small front garden and a private paved garden in the back yard. There are good local transport links nearby. Transport is also provided for service users in staff cars. There is one double bedroom and four single bedrooms (one being on the ground floor), two ground floor lounges and a dining area. Upstairs is a house bathroom and separate shower and there is a ground floor WC. Residents have access to the kitchen and laundry room. The home currently has a pet cat. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place over one day. A total of 5.55 hours were spent on the premises. During this time the inspector spoke with the six people who live at the home and examined written information, including records. The inspector talked to the manager of the home and the staff on duty and looked at communal rooms. Additionally, 4 comments cards were received from residents. What the service does well: What has improved since the last inspection? The premises had been improved and residents had chosen colour schemes for redecoration and carpets. New laundry equipment had been provided to improve facilities for residents. An assessment of need for one person had resulted in adaptations for mobility and independence. Residents described how their range of social activities had widened and several people were trying out new activities and holidays. A new manager had been registered and was completing a review of policies and procedures and records. The improvement in record keeping and amendments to policies and procedures helped to safeguard residents. The manager had implemented all the requirements from the last inspection. These included ensuring that new staff were properly vetted and satisfactory to work with service users at Pendleview, and that medication practices ensured safety for residents. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 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. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4 and 5 Residents had been consulted about needs and wishes prior to admission. They had visited and been given written information about the home, which had enabled them to make an informed decision about whether Pendleview was the right place for them to live. Trained people had helped to assess needs, to ensure that they could be met by the home. The manager should ensure that a contract is agreed with every resident. EVIDENCE: Residents had been given a copy of the ‘service user’s guide’, which explained the aims and objectives of the home and relevant information about complaints, the premises and staff team. This and the home’s ‘Statement of Purpose’ were available in the hallway for everyone to read. These were very detailed and the manager is reviewing the content to make sure they are easy to read and understand. Contracts / terms and conditions of residence (to ensure that both parties’ rights and responsibilities are protected) were under review. The manager should ensure that everyone has such a contract. One resident described the admission procedure, which was designed to ensure that prospective residents needs and wishes could be met by the home. This included visits to meet other residents and look at the house, an overnight stay and a trial period. Residents said they were involved in their assessments through the mental health Care Programme Approach (CPA) arrangements. Needs had been properly and fully assessed by trained persons under CPA and copies of these assessments were kept in personal files. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 9 and 10 There were good arrangements to regularly review care plans with residents, as part of the Care Programme Approach. Residents were properly consulted about and participated in all aspects of life at the home and were enabled to take responsible risks. Staff supported residents to be independent. Confidentiality was understood within a risk assessment framework and was respected by staff. EVIDENCE: Aims for care were explicit in care plans, as were any limitations, risk assessment and the reasoning behind this. Residents knew about the care planning process and were involved in care plan discussions and the regular care plan reviews with mental health professionals. Staff commented that the manager had recently rearranged residents’ care plans, and these were much easier for them to follow and understand how to support residents. The way of life at Pendleview promoted participation in decision-making and supported independence. Residents said they made their own decisions about how they occupied their time and about the support they needed from staff. Support was given within a risk-assessed framework, in order for people to be safe and feel confident. Several residents described how risk was managed responsibly, especially when going out or away on holiday. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 10 Residents were knowledgeable about the running of the home. Everyone spoken with said that they were happy with the home and the way in which it was run. Their views had been taken into account with regard to changes (such as decoration and new equipment) and personally through individual meetings about their care needs. Residents had recently been consulted about whether to have keyworkers in the home. Staff respected confidentiality within the boundaries of the home’s policy. Residents’ files and other confidential information was kept locked away safely and securely, but residents knew they could look at their files if they wanted. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16 and 17 The home had created a supportive environment for residents to lead fulfilling lives, and participate in appropriate leisure and social activities of each person’s choosing. Staff respected everyone’s rights and helped residents with personal development, community and family links and social inclusion. The home promoted healthy eating and supported service users with cooking skills. EVIDENCE: Residents and staff worked together to improve practical skills such as cooking, shopping and household chores. Residents explained that they all shared some responsibility for household tasks, such as keeping their own rooms clean and tidy, washing and ironing, vacuuming and cleaning. The baking skills of residents were held in high esteem, with everyone looking forward to their cakes, Yorkshire puddings and other meals. Residents said that they helped to plan the menus each week, which ensured that they all had meals of their choosing and cultural significance and took into account the need for a healthy diet. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 12 Everyone said that family and friends were made welcome. Staff encouraged and enabled service users to keep in touch with family and friends at home and abroad by telephone and visiting. Staff respected service user choices of personal relationships. Residents enjoyed a variety of individual hobbies and interests. These included a regular craft class at the home, going shopping, ten-pin bowling and to the cinema, day trips and holidays. One resident was intending to go to college, one person had a voluntary job and was involved with a local church and another said he very much enjoyed attending a gardening project every weekday. The manager explained that she was trying to broaden the range of activity options. Within the house, residents had privacy in their own bedrooms and everyone had a key to their door. The general house rules were explained in the service user guide (i.e. in respect of general behaviour towards the property and others, smoking, drugs, alcohol etc.) and where appropriate were agreed as part of a care plan. Restrictions on lifestyle choices were noted as part of each person’s CPA and whilst not always welcomed by the residents spoken to, were understood as being in their best interests. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 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 standard(s) 18, 19 and 20 Personal and healthcare support was provided in a flexible and individual manner, which respected residents’ dignity and independence. There were good systems for safe administration and resident’s self-administration of medicines. EVIDENCE: Residents explained that they made their own choices about personal routines, such as getting up/going to bed times, bathing, clothes choice, going out etc. Personal care needs were recorded in care plans and staff help was given as and when needed by the individual. Healthcare needs were monitored by staff observation and residents’ own assessments of need. GP, outpatient and other medical check visits were recorded in residents’ care plans. Residents explained that appropriate professionals oversaw mental healthcare needs and said that staff accompanied them to hospital and other appointments (such as routine checks by dentist, optician, chiropodist etc.) or they go alone if they prefer. Residents’ consent to medication was recorded as part of their CPA and in each person’s care plan. Self-administration was risk-assessed and agreed with the individual. There were safe medication storage, recording and administration policies and procedures, which were followed by staff who had accredited training. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The adult protection procedures did not detail an appropriate response to suspicion or evidence of abuse and should be amended. Staff had a good understanding of how to protect residents, but insufficient training in how to respond to an allegation of abuse. EVIDENCE: The new manager had started to review and amend the policies on protection of vulnerable adults, based on the ‘No Secrets in Lancashire’ guidance, but the procedure did not adequately protect the residents. The amendments required were discussed in some detail with the manager. Residents commented that they felt safe and knew who to talk to if they had a problem. Care plans identified how difficult situations when residents may be particularly vulnerable, could be managed. Staff had a good understanding of how to protect residents from harm and the policies in respect of protection from financial misconduct were followed. The manager had revised the policy regarding referring unsuitable staff for consideration of inclusion on the Protection of Vulnerable Adults (POVA) register and brought this to the attention of staff and residents. However, not every member of staff had received training, especially in responding appropriately to allegations, suspicion or evidence of abuse and in order to properly ensure the safety of residents, the manager should ensure that this is rectified. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27, 28, 29 and 30 The house was non-institutional and suitable for its stated purpose of supporting younger adults who have a mental health problem. The house was comfortable and had a good standard of décor, maintenance and cleanliness. In order to ensure that the home is safe, the proximity of the gas hobs to the units in the kitchen needs alteration. EVIDENCE: The house is near to local transport, shops and other amenities and is in keeping with other houses in the locality. The communal rooms are spacious, with good quality domestic style furniture, fittings and decoration, chosen by the residents. Resident’s personal belongings and pictures gave the house a ‘homely’ feel and the home had a ‘no smoking’ area. There was a planned, written maintenance and renewal record with up to date maintenance checks. The registered provider visited once a month in accordance with the requirements of legislation and ensured that the premises were satisfactory. Maintenance, renewal and refurbishment requirements were generally carried out in a timely fashion. Residents reported that since the last inspection they had a new washer and Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 16 drier, the laundry, ground floor toilet and living rooms had been decorated and new carpets had been fitted throughout the ground floor. Residents had also benefited from two new televisions. Grab rails had been fitted to the top of the stairs and the bathroom, to meet the assessed needs of one person and Residents said that they liked their home and appreciated being consulted about changes. Several people said their bedrooms, which they had personalised with their choice of colour scheme and own belongings, were satisfactory. Bedrooms had door locks and residents said they could be private and undisturbed. They were not en-suite, but each had a washbasin and residents had a choice of shared bath or separate shower and toilets on the first and ground floor. The residents said that they shared with staff in keeping their home clean and they were responsible for tidying and cleaning their bedrooms. Communal rooms were bright, comfortable and had a very good standard of cleanliness. Outside, the gardens were tidy, although staff commented that the new recycling bins took up a lot of room in the back yard. The wall units had been identified as being too close to the gas hobs. In order to ensure the safety of residents, the registered persons need to alter this layout in the kitchen. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36 Robust recruitment policies and procedures were followed when appointing staff. This resulted in a workforce that had been properly vetted and care workers who were suitable to work with vulnerable adults. Staff had undertaken in-service and NVQ level 2 training in order to meet the individual needs of residents. Residents’ personal development was promoted and protected by a good programme of staff supervision and appraisal. Staff morale was high and staff were motivated and enthusiastic, resulting in a team committed to improving residents’ quality of life. EVIDENCE: ‘Case tracking’ of staff files, records and other documents and discussion with staff showed that full and satisfactory information was obtained prior to staff appointment (such as identity checks, references and Criminal Records Bureau checks). Staff files were well kept with interview notes, records of training and qualification, supervision and appraisal. Several new staff had been appointed, who had been given appropriate induction and foundation training by the manager. Some staff had previous social care work experience. Staff members had a pleasant manner and good understanding of residents needs, with consequent positive relationships. Residents said they liked the staff and remarks from comments cards noted that residents felt well cared for and thought their privacy was respected. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 18 The registered provider and manager stressed the importance of training, in order for staff to properly understand and meet residents’ needs. As such, a training budget was set aside and staff were encouraged to attend training days and NVQ courses. Staff said that there had been recent certificated training in medicines awareness and administration and health and safety. First aid training was planned for the week of the inspection. Over half the staff team (55 ) had completed NVQ level 2 training and others had enrolled on a course. The manager explained that in-house training in mental health was planned. There were sufficient numbers of staff on duty to meet the needs of residents and relaxed and friendly relationships between residents and staff. Staff said that they enjoyed their work and were keen to learn. The manager was confident that the staff team understood the fluctuating needs of residents and gave appropriate support. Residents had no concerns about the support they received from staff and thought that the manager and all the staff were “alright”. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40, 41, 42 and 43 A qualified and experienced registered manager, who ensured that the home was run in the best interests of the residents and who provided appropriate leadership for the staff team, was in charge of Pendleview. Generally sound and comprehensive policies and procedures underpinned care and health and safety practices, ensuring that risks to service users were minimised. The manager was updating policies and procedures and record keeping, to ensure these properly supported residents’ care. Systems that encouraged and enabled residents to express their views and opinions were in place. EVIDENCE: The manager had recently been registered with the Commission for Social Care Inspection. She had implemented a formal staff supervision and appraisal system and had started to review the policies and procedures, to ensure that they provided effective protection for and promoted the rights and independence of service users. With the exception of the protection procedures, the review was complete. Staff said that they had read the procedures and knew how to put these into practice on a day-to-day basis. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 20 Residents confirmed that the home was meeting its aims for respecting their rights, privacy, independence and choice and thought that their care and support was “fine”. Resident’s personal records, staff records and those relating to health and safety secure and well kept. Residents and staff had been consulted about policies, record keeping and care planning. Further consultation about the home was through residents and staff meetings (minutes were kept) and informal discussion. Good relationships were enjoyed between everyone at the home. Residents demonstrated that the registered provider and manager were approachable. Staff worked with residents to ensure that there were safe working practices in the home. Staff had received training in health and safety matters, and one resident had gained a food hygiene certificate. Residents were knowledgeable about safe operation of equipment in the home and about fire procedures. Records showed that annual and regular maintenance checks (e.g. electrical wiring and appliances, gas, fire drills and equipment etc.) were up to date. Some further checks need to be carried out (e.g. freezer temperature) and action to ensure that risks to residents of scald of hot water are minimised should be taken. There were clear lines of accountability between the registered persons and other management staff in the company. The registered provider was responsible for maintenance and the financial aspects of the business and the manager for care and budget control within the home. Insurances were up to date and the registered provider made frequent announced and unannounced visits to the home. Residents and staff thought the provider was interested in them and in providing a good service. A business and financial plan for 2005 that reflected the needs and wishes of the residents, had been submitted to the Commission for Social Care Inspection. To continue to improve management planning and encourage innovation, it was recommended that the management team of the company (registered manager, deputy, registered provider and registered manager of related homes) meet regularly to discuss progress and forward planning. It may be helpful to consider technologies such as e-mail, to improve communication and keep up to date with care practices. Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pendle View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 3 2 3 F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement There were no requirements from this inspection Timescale for action 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. Refer to Standard 5 23 Good Practice Recommendations The manager should agree a contract (terms and conditions of residence) with every service user (5.1) The manager should ensure that staff have appropriate training in protecting service users from harm (23.1) and The manager should ensure that robust policies and procedures detail the response to suspicion or evidence of abuse or neglect (23.2) To ensure safety in the home, the kitchen layout should be changed to remove the risk from the gas hobs being too near to the wall cupboards (24. 6) In order to promote forward planning and innovation, the management team should meet regularly (38.5) The manager should ensure that the review of policies and procedures is completed and that amended copies are given to staff and where relevant, residents (40.1, 40.3) The manager should ensure that food hygiene practices include monitoring of freezer temperatures (42.2iv) and design solutions to control risk of scald from hot water are implemented (42.3 iv) F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 23 3. 4. 5. 6. 24 38 40 42 Pendle View Pendle View F57 F07 S9589 Pendle Vw V228413 5.8.05 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB 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. 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