Inspection on 25/05/06 for Penkett Lodge

This inspection was carried out on 25th May 2006.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Penkett Lodge 18/05/08

Penkett Lodge 04/05/07

Penkett Lodge 30/11/05

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cherryhaven Care Home 39 Penkett Road Wallasey Wirral CH45 7QF Lead Inspector Mrs Julie Garrity Unannounced Inspection 25th May 2006 10:20 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 Cherryhaven Care Home DS0000064844.V295250.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. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherryhaven Care Home Address 39 Penkett Road Wallasey Wirral CH45 7QF 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) 0151 691 2073 Mr Russell Stanley Oakden Mrs Susan Ward Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: No Conditions listed Date of last inspection 30/11/05 Brief Description of the Service: Cherry Haven is registered to provide care for 27 older persons, who do not need nursing care. The Home is a converted detached, three storey Victorian building close to other similar properties in a quiet suburban area of Wallasey. There are 15 single bedrooms and 6 shared bedrooms. A variety of communal space is provided this is three lounges and a dinning room. One of the lounges is allocated for smoking and this is the only place that residents are supported to smoke. The building has a basement, which has one of the double bedrooms, the laundry and a self contained flat, which was formerly used by a member of staff. There is a passenger lift that accesses all the floors of the building and handrails throughout. There is no other moving and handling arrangements such as a portable hoist. External space includes a garden that residents can sit in, there is car parking facilities at the front The home is within a mile of a town centre, local shops, a post office and other community facilities such as the riverfront are only a short walk away. Bus routes run nearby. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 10:20 and left at 16:10. The inspector spoke with 12 residents, 2 relatives, 6 staff and the homeowners. The manager unfortunately was not available and it is likely she will be able to provide full management cover for some considerable time. The inspector completed the inspection by a site visit to Cherryhaven, a review of records available in Cherryhaven and CSCI offices, discussions with residents, relatives, visitors, staff and management. Copies of records were submitted to CSCI for review in this inspection. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas identified in need of review where covered. All of the Key standards were covered in this inspection, these are detailed in the report. Feedback was given to the homeowner during and at the end of the inspection. What the service does well: What has improved since the last inspection? The homeowners have owned the home for less than a year but have addressed many of the maintenance issues identified on the report. They have also addressed arrangements for a staff member who sleeps in the home overnight as back up for staff who are awake. Arrangements now do not use resident’s facilities. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 6 Activities in the home have been put into place in a structured manner that supports some of the resident’s choices. Activities are now available six days a week. Residents were positive about this and said that it was an improvement, several said that they “enjoy” the activities and that the co-ordinator was “very good”. Staffing records have also improved and better records are now available that assist the manager in identifying staff recruitment, training and supervision. 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. Cherryhaven Care Home DS0000064844.V295250.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 Cherryhaven Care Home DS0000064844.V295250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, (standard 6 not applicable) Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to Cherryhaven. Information for residents has improved. However the lack of clearly recorded and monitored assessments does not allow the staff to be fully aware of the residents needs. EVIDENCE: The homeowner has updated the information available in the home. As yet this is not available in different format such as large print, tape cassette etc. The owner intends to develop this further to include different formats. Staff report that a copy is available in the office. Residents and staff spoken with were unsure that this was readily available or given to the residents and their families. There were no copies available of any assessments for residents either from social services or from the home. The owner said that the manager did undertake assessments prior to admission. One resident recalled seeing the manager before they were admitted to the home. Staff were aware that the manager did do assessments but had not seen any specific assessment relating to this. Many of the residents needs have changed since admission, however Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 9 without an assessment to update it is difficult to consistently identify residents needs and plan for this. A lack of a fully recorded assessment has resulted in an individual resident who has diabetes, living in the home for 12 months and the majority of staff being unaware that the individual had this specific medical need. Cherryhaven Care Home DS0000064844.V295250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to Cherryhaven. A reliance on verbal communication has lead to vital information regarding a resident’s needs and medical conditions being missed. Poorly detailed care plans and unclear medication records further complicate this situation, resulting in staff not always delivering care that is appropriate to the residents. EVIDENCE: All of the residents are registered with local doctors of their choice. District nurses are contacted as appropriate for nursing intervention. The lack of information available in the home regarding the medical condition of one resident means that the home did not access medical interventions as necessary. Records regarding external professionals are not clear and not always detailing what the professional was contacted for and what the outcome was. All residents have care plans in place and the daily reports are kept with the main file so that staff completing the reports have easy access to the care plan. The manager reviews care plans each month, consulting with other staff, relatives and the resident as appropriate. Where they are able to do so the Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 11 residents sign the review. However, care plans have not been updated to reflect changes required by the reviews. Additionally vital information is not available in all the care plans, such as medical conditions, risks of falls, behavioural support. There is a reliance on verbal communication and this can and has missed identify for all staff the needs of the residents. Medication administration is not always dealt with appropriately. Instructions on medication records to guide staff are not always clear. An audit of items not in the monitored dosage system showed that anti-biotics as an example where inaccurately recorded. The medication policy is available but brief and staff have not read this for some time. Audits on medications are not done and the competency of staff to give medications is not explored. Medications were not secured, cupboards were open and not under lock and key. This is unsafe as the room has a window and without appropriate security measures could be accessed. Observations of the staff during the day detailed that the treated residence with dignity at all times. Staff demonstrated a genuinely kind and caring attitude towards the care that they provided. A resident said, “staff are lovely, couldn’t ask for more kindness”. There is lots of informal banter. A mealtime was observed and during this time staff were light, cheery and dealt with the clients with respect. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to Cherryhaven. There has been a significant improvement in the activities provided in the home. This has impacted positively on the residents. Residents personal preferences and choices have not been fully explored staff are making choices for the residents based on what they think they know about them, this is sometimes inaccurate. EVIDENCE: The service users guide states that visitors are welcome at all times. However the home does try to discourage visitors at busy times within the home. Such as mealtimes. Relatives tend to visit in the evening. Residents spoken with said, “my family can visit when they want” An activities co-ordinator has been recruited. She attends the home 6 afternoons a week and delivers a variety of activities, such a bingo and quizzes, and these are recorded. Some residents are happy to join in group activities. One resident said “I like the bingo and the quizzes” anther saying, “I don’t want to get involved in all the fuss”. Many of the residents have confusion and there are no specialised activities for their needs. Activities suitable to a variety of needs have as yet not been developed. The opportunity by the staff to explore resident’s personal preferences and choices fully has as Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 13 yet not been formalised and used to influence the activities available. There is no activities programme that the residents can see and be reminded. All of the residents spoken to said that they enjoyed the food at Cherry Haven. The main meal is usually served at lunchtime but the teatime meal usually has the option of a cooked snack as well as sandwiches. The meal on the day of the inspection was well prepared and tasty. No choices are listed but the staff who cooked the meals said that if a resident wanted something else then it would be provided. The cook had not been informed of a residents need for a special diabetic diet and this had not been provided for 12 months. Food was served ready plated, several residents left one or more items on their plate, as they did not want them. One resident did not want their meal and was offered a cup-a-soup as alternative. Discussions with staff detailed that they thought they “know what the residents like and don’t like”. But this was not supported simply by the fact the residents choose not to eat some of the foods supplied. There is a menu board in the dining room but it is very small writing and not suitable for people with visual impartment. The opportunity to determine exactly what resident’s preferences are has not been taken, there are no written records to enable staff to determine choices, and verbal communication is not providing the information needed. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to Cherryhaven. Policies and procedures are available in the home, however Staff need to be fully aware of how these policies work. Residents and staff are aware of how to raise any concerns. EVIDENCE: Policies and procedures are available in the home that includes complaints and whistleblowing. Residents spoken with said, “if I have an issue I just say its sorted” and “it’s nice here, staff are lovely I’ve no complaints at all”. A copy of the procedure from Social services is available. There was no record of complaints received since the last inspection. All staff receive an induction that covers Protection of Vulnerable Adults although records relating to this are not particularly clear. Staff spoken with confirmed that they were aware of the policy in the home and of how to raise their concerns. Discussions with the senior care staff detailed that they were not aware of the responsibility of Social Services and their approach to allegations would have prejudiced any potential investigation. A copy of Social Services policy is available on the home. The owner detailed that she would make sure that all staff were familiar with this. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to Cherryhaven. The home is maintained to a reasonable standard and plans for the future will improve the appearance and comfort of the home. EVIDENCE: The home is clean and all areas of maintenance from the last report have been addressed. The garden area has been improved and this enables residents to sit outside on nice days. A lift is available that stops at all the floors. The home has a variety of communal space available for the residents. This is three lounges, one exclusively for the usage of residents who wish to smoke. There is also a dinning room available for resident’s usage. Cherryhaven has six double bedrooms, there is no clear agreements that the residents who share these rooms agree to do so. Of the six bedrooms viewed only one had a portable screen available. Staff state that there are others and that they move them around the home has needed. There are fifteen single bedrooms. The majority of the bedrooms are personalised by the residents and Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 16 contain items that they consider of value. Residents spoken with thought that Cherryhaven was “homely”, “a little gloomy”, “nice” and pleasant. The home is well maintained with all areas clean and tidy. There was no offensive smells and the cleaning team spends considerable time in maintaining it to a good standard. The homeowners have plans to refurbish and redecorate the room they intend to remove the small office that reduces the size of one of the lounges and increase the number of bedrooms at a later date. This would be of benefit as the home appears dated, cramped and dark in some areas. In the interim there are minor decoration areas that needed to be attended to such as painting the radiator guards in place. There is one double room on the basement, the path to the room had items that presented a trip hazard to the two residents. Lighting in this area was not poor. Both the residents are independent and frequently walk down the corridor, the light does not turn on at the lift and they must cross a dark space to turn the light, which places them both at risk. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to Cherryhaven. Recruitment and staffing levels meets the needs of the residents. Training and recruitment records although are better. EVIDENCE: On the day the site visit to the manager had unfortunately recently been taken ill. As such she was not available to attend the inspection. The homeowner attended and detailed the support that she would be giving in the absence of the manager. The home has four care staff in the morning and afternoon, two waking staff over night a member of staff who supports who supports the waking staff is available. The spare bedroom is used by the staff member. Staff spoken with were sure that there was sufficient staff available at all times. Staff said this quite a few of us, we cover for each other if somebody is off sick. Residents spoken with were happy with the staffing levels. One resident said it is always enough staff, the lovely girls who were well-organised another resident said theyre very helpful, if all this got time for you, nice staff. The staffing files have been updated and now contain information that is relevant to the recruitment of staff. Although not clearly documented all staff had a protection of vulnerable adults check, the criminal records bureau check, two references and induction records. A variety of different inductions have Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 18 been used over the years, the home now has an induction that covers the needs of the residents as well as the health and safety aspects. A training matrix has been formed that details the training that staff have received. However there are a number of training needs not identified that have either been undertaken or training needs that staff require that have not been done. Staff need up dated training in moving and handling and diabetes. Some staff have received training in dementia but this is not detailed and not all staff have had this training. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 , 35, 36, 38 Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to Cherryhaven. Health and Safety arrangements are not sufficient to safeguard the residents. Management interventions are not sufficient to make sure that good communication is always available to provide appropriate care. EVIDENCE: The registered manager will unfortunately be unable to fully complete her role for some time. In the interim the homeowner intends to provide additional support in order to maintain and increase the quality of the service provided. There are occasionally staff meetings and residents meetings however minutes are not widely distributed. Communication systems in the home are not sufficient to make sure that all staff are maintained in training and kept up to date with the care needs of the residents. This reflects both in the records of residents care which are inaccurate and not reflective of the care that residents receive and in verbal communication where staff’s approach is inconsistent and Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 20 had resulted in not all staff being aware of a medical condition of a resident that impacted on their daily life. Residents spoken with said the manager was “nice”. “kind” and helpful”. Staff said that the manager was “supportive”, “had an open door policy” and “wanted the best care for all”. The Registered Manager has given questionnaires to residents and relatives but these have not been reviewed and used to improve quality a negative comment made by resident had not been explored. No other quality assurance mechanisms are in place such as auditing of medications, care plan, environment all of which would improve quality and make sure that staff’s competency was reviewed. Staff are supervised using a formal staff appraisal system and copies are kept on the individual’s file. However this is not undertaken 6 times a year for care staff and does not identify staff training needs. The Registered Manager only deals with personal finances of three residents. These residents sign when they receive their personal allowances and these limited financial records are properly kept. Records of residents funds were unclear, although the homeowner says receipts are retained these were not available on the day of the site visit. The homeowner was unsure whose funds they were responsible for and needs to be aware of this to make sure that they are managed appropriately. Residents are unable to access their funds in the absence of the manager but are aware of this. Staff make arrangements to make sure that funds are available if needed. Fridge and freezer temperatures in the kitchen had been checked but the freezers were to low and had not been adjusted. Fire safety records were up to date and the home has up to date gas and electrical safety certificates. However the risk assessment for the home were 4 years old and had not been updated, this includes fire risk assessments, it was noted that a fire exit was blocked by a wheelchair, staff did remove it, but confirmed that it was generally stored across the fire exit. Wheelchairs that where used on occasions did not have footrests available, this presents a risk to residents when using wheelchairs. Staff detailed that one resident is now not able to mobilise appropriately and staff are on occasions had to physically lift him to transfer him from one place to another. The owner detailed that an assessment for this had been done, but a copy of this could not be located to guide staff. Bedrails had been fitted to one bed but no risk assessment had been completed. It is important that if bedrails are to be fitted that the advice of the GP or District Nurse is obtained and a proper risk assessment is completed. The Accident Book contained details of a number of incidents. These incidents must be reported to the Commission for Social Care Inspection under Regulation 37 and appropriate written guidance was posted to the manager after the last inspection. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 21 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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X 2 X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X 2 2 X 1 Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation Requirement Timescale for action 25/06/06 2. OP7 14 (1) (a) A copy of all assessments for (b) (c) (d) residents must be available kept (2) (a) (b) up to date and used to form a suitable care plan. 15(1) The Registered Person must 25/07/06 prepare a service user plan (care plan) setting out how each resident’s needs are to be met. (Originally required 01/02/06 outstanding from 1 report) 12 (1) (a) (b) The registered person must make sure that relevant medical information regarding residents is made available to all staff who require this in order for them to carry out their job role effectively. The Registered Person must make sure that the medications policy is updated to cover all areas of the management of medications that staff are familiarised with the policy and regular audits are undertaken to make sure that medications are managed appropriately. 01/06/06 3. OP8 4. OP9 13(2) 25/07/06 Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 23 5. OP38 13 (4) (a) (b) (c) 6. OP38 37 (1) (a) (b) (c) (d) (e) (f) (g) Risk assessments for both the home and individual residents must be readily available and up to date in particular fire safety, access to the ground floor bedroom and moving and handling. The Registered Person must notify the Commission for Social Care Inspection of any accidents or events,which adversely affect the well being of a resident. 25/07/06 25/06/06 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 OP7 OP14 Good Practice Recommendations All care staff should be involved in care plans for the residents. These should be accessible by the staff as needed and staff supported to access them regularly. Staff should not rely on verbal information and records regarding residents personal choices should be explored, recorded and detailed to relevant staff members such as activities co-ordinator and kitchen staff. A menu and activities programme should be made available to residents in suitable format, such as large writing. The menu should detail alternative meals and special diets to assist the residents in making choices. Residents should only be asked to share a room if they have made a positive choice to do and this is recorded on the care plan. Records in the home should be updated including staffing files and training records. The Registered Person should introduce quality assurance and quality monitoring systems into the care home. The management of residents personal allowances should be reviewed, records in this area should also include relevant receipts and which residents the home holds DS0000064844.V295250.R01.S.doc Version 5.2 Page 24 3. OP15 4 OP23 5. 6. 7. OP29 OP33 OP38 Cherryhaven Care Home 8. OP36 responsibility for personal allowances identified. Care staff should receive formal supervision at least six times a year. Cherryhaven Care Home DS0000064844.V295250.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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