Inspection on 04/05/07 for Penkett Lodge

This inspection was carried out on 4th May 2007.

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

Penkett Lodge 18/05/08

Penkett Lodge 25/05/06

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 Key Unannounced Inspection 4th May 2007 10:45 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.V332430.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.V332430.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 F/P 0151 691 2073 poakden@fsmail.net Mr Russell Stanley Oakden Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 place for a named female resident within the DE category One resident respite care for two weeks. Underage and with DE needs. 25th May 2006 Date of last inspection Brief Description of the Service: Cherry Haven is registered to provide care for 27 older persons, who need personal care only. 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. However there are plan to change this to few double rooms and more single rooms. The home has recently decided to become a no smoking building. A variety of communal space is provided there are two lounges and a dinning room. The building has a basement, this has one of the double bedrooms and the laundry There are plans to develop this space to make new bedrooms. 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 and 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.V332430.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 10:45 and left at 18:10. The inspector spoke with 6 residents, 1 relative, 1 visitor, 6 staff and the manager. During the day 50 minutes were spent observing the interactions of staff and residents over the lunchtime period. Individual residents care was looked at from admittance and during their stay in the home. The inspector completed the inspection by a site visit to Cherryhaven and a look at the building including the alterations recently completed. Written records in the home were looked at and these included, care plans, assessments, staff files, staff training, duty rotas, cleaning records, GP visit records, information to residents and daily record. Information supplied to the home such as a completed questionnaire, reporting of incidents and correspondence was also reviewed as part of 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, additionally other standards where identified that where also reviewed at the inspection, these are detailed in the report. Feedback was given to the manager during and at the end of the inspection. The arrangements for equality and diversity were reviewed during the visit and are detailed throughout this report. Particular emphasis was placed on the methods that the home used to determine individual needs, promote independence and support residents to make informed decisions in line with their individual choices. What the service does well: What has improved since the last inspection? Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 6 The management of medications is much improved with the manager and deputy manager monitoring the performance of the staff and taking action when issues have been identified. The recruitment of a permanent manager and the promotion of a senior carer to deputy who take a good approach to this has significantly reduced the risk to residents in this area. The environment continues to improve and the residents and their visitors appreciate the newly decorated and refurbished lounge. It also helps to provide group activities for the residents. 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. Cherryhaven Care Home DS0000064844.V332430.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.V332430.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): Standards reviewed in this area are 1, 2, 3, 4, and 5. Standard 6 is not applicable Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. All the residents now have an assessment in place, however these do not support the staff to be fully aware of the residents needs before they are admitted. A lack of good information to prospective residents as not assisted them in deciding if the home can meet their needs. This has resulted in residents whose needs the staff do not have the training to support being admitted into the home. EVIDENCE: The home has developed its own assessments and put these into place in order that they can identify the needs of residents before they are admitted. However there are several residents with psychological needs who have been admitted that the staff have not received training in. The assessments available do not look at this at all and no social services assessments could be Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 9 viewed that included this information. Good assessments need to be in place so that staff can find out and meet the needs of residents. The information in the home has not been updated to include the changes in the manager. Other areas are inaccurate and do not reflect the service provided. People who wish to move into the home will not be able to make a proper choice without having the correct information. Cherryhaven Care Home DS0000064844.V332430.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): Standards reviewed in this area are 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Medications have significantly improved and the acting manager is taking action when issues are identified in order to maintain the safety of the residents. Staff do not have the information that they need to make sure they understand how to meet the residents needs including privacy and dignity. Without the correct training and information staff will not be able to support the residents in a manner that suits their individual needs. EVIDENCE: All of the residents are registered with local doctors of their choice. District nurses are contacted as appropriate for nursing care. Records regarding external professionals are much clearer, they say who attended the resident, why and what changes in their care is in place. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 11 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 residents sign the review. However, care plans have are not very detailed with brief outlines only of the care needs of the residents. Some residents with behavioural needs do not have a plan that details how staff are to support the residents. As staff have not had training in this area and there are a number of residents with these needs it becomes even more essential that staff have clear instructions as to how to care for residents with more complex needs. Staff spoken with rarely read the care plans saying “we get told everything that has happened when we start our shift” and “we don’t always have time to read the care plans”. An observation over the lunchtime of the staff’s interactions with the residents showed that some staff where very supportive and could recognise and deal with resident’s emotional and psychological needs. Other staff missed the opportunity to meet residents needs even when the resident told them they had a problem and failed to meet the concerns that the resident was expressing”. Without the staff having clear instructions they are likely to deliver inappropriate care to residents. Medication administration is very much improved. Good systems have been put into place to manage medications including auditing the medications. However four medications reviewed not been given correctly. The manager has identified staff that need extra support in giving out medications and is addressing this appropriately. The medication policy has been reviewed and staff have all received a copy of this and training in medications. Observations of the staff during the day detailed that they did not always treat residents with dignity. One resident was spoken to only once during the lunchtime, whilst other residents who where more able to chat freely were spoken to often. The residents where receiving foot care in a residents bedroom. One resident was being treated whilst two others sat in the same room on the bed waiting their turn. The resident whose room it was had not been asked if their room could be used in this manner. The majority of staff demonstrated a genuinely kind and caring attitude towards the residents. Cherryhaven Care Home DS0000064844.V332430.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards reviewed in this area are 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 service provided to the residents meets the needs for those residents more able to verbally state an opinion. Those residents less able to say what they would wish are not supported as well as they could be. EVIDENCE: An activities co-ordinator works in the home 6 afternoons a week and delivers a variety of activities. There are no specialised activities to meet the more complex needs of residents who are not able to join the general activities. Residents less able to express an opinion or be involved in general activities do not have a programme that is designed to meet their needs. Although the coordinator does undertaken activities with individual residents this is not always possible. The main meal is served at lunchtime and the teatime meal has the option of a cooked snack as well as sandwiches and provides different choices for residents. One resident refused the main meal and was brought sandwiches. They were not asked what they would prefer. The resident also refused the Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 13 sandwiches. No member of staff asked the resident what they would prefer Food was served ready plated, several residents left one or more item on their plate, as they did not want them. 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. 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. Over the lunchtime staff where observed to varied in their ability to communicate with residents. Those that where able to hold a conversation where spoken to frequently. One resident sat through lunch with no member of staff addressing a comment to them other than when their meal was put in front of them. They where not asked what they wanted or advised of what was provided. Cherryhaven Care Home DS0000064844.V332430.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards reviewed in this area where 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is not sufficient understanding from the staff to make sure that concerns and complaints will be address properly. This will mean that minor complaints may re-occur and serious concerns will not be dealt with properly. EVIDENCE: Information on how to make a complaint in the home is not always clear. Not all the residents or their representatives have received a copy of this. Although residents do say they can “just tell a member of staff” if they have a problem. The general opinion of staff in the home is its not a complaint unless its in writing so they are missing opportunities for residents concerns no matter how small to be looked at and fixed. No complaints have been made to the home or to the commission since the last inspection. Although discussions with staff do detail that concerns such as “missing laundry” have been raised but no formal approach was taken. Additionally concerns were raised in questionnaires to residents that had not been addressed. All staff receive an induction that covers serious concerns (Protection of Vulnerable Adults) although it is impossible to determine what was taught and if staff understood as there are no records relating to the training. Additional this training is not updated at regular intervals. Staff spoken with confirmed that they were aware of the policy in the home and of how to raise their Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 15 concerns. Discussions with the senior care staff detailed that they were not aware how serious complaints would be dealt with. Their lack of understanding would result in serious concerns not being investigated properly and potentially preventing a proper investigation. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 16 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): Standards 19, 20 and 26 were reviewed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained to a reasonable standard and plans for the future will improve the appearance and comfort of the home for the residents. Changes in the environment are not always discussed with the residents to keep them up to date and support them to have a say in how redecorations and refurbishments will occur. EVIDENCE: A lot of refurbishment has been done in the home with a larger lounge being created, redecorated and new furniture is in place. Residents spoken with like this new room and activities such as are a little easier in this room. The home is also no longer admits residents who smoke but has not included this in the information for prospective residents. Two of the bedrooms have now been developed to include en-suite bathrooms for those residents that are more Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 17 independent and benefit from this facility. Further plans include the creation of two new bedrooms and a hairdressing room. The home does not intend to increase the number of residents that it cares for. A lift is available that stops at all the floors. However this is to be replaced and the home will not have a lift for several weeks. Chair lifts where in place to help residents get to their bedrooms. Clear arrangements including staff training in the usage of the stair lift had not been undertaken. Two staff where observed to start the chair lift without using the safety straps, placing the resident at risk of injury. There are fifteen single bedrooms six double rooms, although only four of these are being used as shared rooms. Of those double rooms viewed none had the facility to screen one bed from another. No portable screen was located in the home and residents in the double rooms do not have their privacy and dignity needs met. The majority of the bedrooms are personalised by the residents and contain items that they consider of value. Residents spoken with thought that Cherryhaven was “homely”, “nice”, “very clean” and “pleasant”. The opportunity to make the bedroom their own is an aid to residents feeling settled and happy in the home. The homeowners have further plans to refurbish and redecorate, however no plan is in place that would inform the residents of when these changes are to occur or to determine their input into the decoration. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 18 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): Standards reviewed in this area were 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All staff are checked before they start working in the home in order to make sure that they are suitable to support the residents living there. Training has been increased and consideration has been made to training staff in meeting the needs of the residents. However there is still a need to increase training as not all staff have the skills or experience in meeting some of the complex needs of the residents living in the home. EVIDENCE: Staff spoken with were sure that there was sufficient staff available at all times. Staff said there is quite a few of us, we cover for each other if somebody is off sick. Residents spoken with were happy with the staffing levels. Observations over the lunchtime showed that staff were able to take their time in attending to residents and did not rush residents. The manager does not monitor staffing levels in order to make sure that as residents needs change staffing levels can be altered to meet their needs. The staffing files have been updated and now contain information that is relevant to the recruitment of staff. Although not clearly documented all staff have had the correct checks done to determine that they are suitable to work in the home. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 19 A training plan has been formed that details the training that staff have received. However there are a number of training needs not identified that staff need. Staff need up dated training in moving and handling and diabetes. Some staff have received training in dementia and mental health but this is not detailed and many staff have not had this training. The home has several residents who have needs within these areas and staff need the correct skills to support them properly. Observations during the day showed that not all staff had sufficient skills to be able to support residents with needs in an appropriate manner. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 20 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): Standards reviewed in this area were 31, 33, 35, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and Safety arrangements have improved however this needs to be developed in order to safe guard residents safety at all times. The manager is auditing areas of the home in order to make sure that poor practice can be identified and addressed. However Communication systems in the home are not sufficient to make sure that all staff are maintaining their training and kept up to date with the care needs of the residents taking into account the expressed points of view of the residents and their families. EVIDENCE: Cherryhaven has recruited a new manager and promoted a senior carer to deputy. Both are keen to raise quality in the home. The manager has recently Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 21 started in her post and as yet has not submitted an application to CSCI to be the registered manager. The 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. There are some auditing systems in place such as auditing of medications, care plan, accident records environment all of which will help improve quality and make sure that staff’s competency is 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. Regular supervision needs to be done in order that gaps in staff training and competency can be identified and addressed. The Manager only deals with personal finances of three residents. These residents sign when they receive their personal allowances. Records of residents funds were unclear, although the manager says receipts are retained however these were not available on the day of the site visit. Residents are unable to access their funds in the absence of the manager. Staff try to make arrangements to make sure that funds are available if needed, but this needs to be done in advance of the managers absence. 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. The main lift is due to be replaced and stair lifts have been put into place, however there are no records that have determined the risk of the absence of a lift and the usage of the stair lift. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 2 2 2 2 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 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 2 17 x 18 2 3 3 X X 3 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 2 X 2 X 2 2 X 2 Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 (1) (2) (a) (b) (c) (d) Requirement Timescale for action 04/08/07 2. OP9 13(2) 3. OP27 18 (1) (a) (c) (i) Care plans do not contain enough detail for staff to understand the needs of residents and how to meet them. Additionally care staff rarely read the plans. Care plans need to be developed so that the actions described provide staff with the information they need to properly care for residents. Staff are not following the 25/06/07 policies and procedures in the home and as such the residents do not always receive the medications they need. Staff must be aware of how to give out medications properly and be competent in doing so in order to safeguard the residents. 04/08/07 Staff training is not sufficient to meet the needs of the residents, this includes training specific to the needs of the residents and good practice training such as the protection of vulnerable adults. All staff need training, competency and sufficient skills that meets the needs of the residents. DS0000064844.V332430.R01.S.doc Version 5.2 Cherryhaven Care Home Page 24 4. OP31 9 (1) (2) (c) (3) 13 (4) (a) (b) (c) 5. OP38 The home does not have a registered manager and the manager will need to submit an application for this. There is no risk assessment in place for the refurbishment of the lift, which will not be operational for some time. Staff need to know how to maintain residents safety using different equipment, attending residents in their own rooms and the general disturbance that this will create during this time. A risk assessment needs to be developed and a copy made available to all parties including the Commission. 04/08/07 25/06/07 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. Refer to Standard OP1 Good Practice Recommendations The service users guide and statement of purpose, need to be updated to supply sufficient information to prospective and current residents and follow schedule 1 of the Care Homes regulations 2001 The assessments of residents before they are admitted need to make sure that all residents’ needs are identified. This will make sure that only residents who staff have the skills to care for and who the home says they can meet the needs of in their statement of purpose are admitted. 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. Opportunities to find out, record, monitor and act on residents personal choices, such as activities, meals, personal allowances, refurbishment of the building need to be in place. This will help develop the services provided to be lead by the people who live in the home. Staffing levels in the home should be kept under review in DS0000064844.V332430.R01.S.doc Version 5.2 Page 25 2. OP3 3. 4. OP7 OP12 5. OP27 Cherryhaven Care Home order to make sure that changes in residents needs can be rapidly responded to. Cherryhaven Care Home DS0000064844.V332430.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Cherryhaven Care Home DS0000064844.V332430.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!