Inspection on 16/10/07 for Pensby Hall Residential Home

This inspection was carried out on 16th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Pensby Hall Residential Home 16/04/07

Pensby Hall Residential Home 05/06/06

Pensby Hall Residential Home 27/02/06

Pensby Hall Residential Home 15/01/06

Pensby Hall Residential Home 03/02/05

Pensby Hall Residential Home 04/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Pensby Hall Residential Home 347 Pensby Road Pensby Wirral Merseyside CH61 9NE Lead Inspector Helen Carton Key Unannounced Inspection 09:45 16th October 2007 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 Pensby Hall Residential Home DS0000059534.V344969.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. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pensby Hall Residential Home Address 347 Pensby Road Pensby Wirral Merseyside CH61 9NE 0151 648 9730 0151 648 6520 vicoakden@aol.com 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) Snow Peak Ltd T/A Pensby Hall Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th April 2007 Brief Description of the Service: Pensby Hall is a large three-storey building, situated on a main road in Pensby, Wirral. The home is in a residential area, close to shops and other community facilities, including a library. Residents bedrooms are situated on all three floors, all rooms are single occupancy with five having en-suite facilities the first and second floor are serviced by a passenger lift. The two lounges and separate dining room are situated on the ground floor. The home has sufficient bathing including specialist equipment and toilet facilities for residents living at the home. Pensby Hall has a pleasant patio and garden area at the rear of the home and a small patio to one side. Car parking is available at the side of the building and on the main road at the front of the home. The weekly accommodation fee for the home is £365.73 per week. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process the Commission sent the service an Annual Quality Assurance Assessment (AQAA) document, which was to be completed prior to the site visit. This document was to provide information about the service at Pensby Hall and to tell the Commission where they felt they had made improvements to the way they support residents and the staff team. The manager completed and returned the document before the site visit took place. A site visit was made to enable the inspector to examine documentation and to discuss how the service supports residents’ in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time talking with residents’ to find out their views on living at Pensby Hall. The inspector spent approximately seven hours at Pensby Hall. What the service does well: Residents’ spoke highly of the staff team and wished they could spend more time with them. Residents spoken with say that they are well cared for at the home. When asked about the care they receive from staff, residents said “the care is very good” and “we are well cared for.” Two relatives spoken with said that a good standard of care is given at the home and that they are happy with the service provided. The staff team are keen to attend training courses, which will help them to offer the best type of care and support to residents’. They showed a good understanding of how to safeguard residents from abuse and neglectful care. There have been few changes in the care staff team since the last site visit this allows residents’ to get to know the people who will support them with their personal care well. The home encourages residents’ to bring their belongings to the home to make their bedrooms personal to them. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home keeps daily records about residents these records should provide enough information to allow the manager to be confident that the care being provided is meeting the needs and expectations of residents. However at the time of the site visit these records were not providing this type of information, which could result in residents not receiving the care and support they need or want. Some of the assessment processes used followed specific medical models, which the manager of the service has not been trained to use. This information had been included at the request of an outside agency. Assessment tools used by the home must reflect their skills and ability to act on the information gained to maintain residents safety and support them to live their chosen Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 7 lifestyles. The manager acknowledged this issue and felt it would be appropriate to transfer useful information into the care plans and remove the remainder. 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. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 8 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 Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 9 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): 1,2,3 & 4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most of the pre admission assessments provide good information about the holistic needs of prospective residents’ that enables the staff team to provide safe care and support. And provides them with the type and level of services detailed in the statement of purpose and service user guide. EVIDENCE: A statement of purpose and a service user guide on view in the reception area of the home and cover all the required information. Two relatives spoken with during the site visit felt they had been given enough information to be able to support their relatives to decide if the home was right for them. The manager reported that all residents have a copy of the service user guide. A sample of residents files were examined all had a contract of terms and conditions of residency, which had been signed by all parties. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 10 A member of the management team visits all prospective residents to carry out an assessment before they are offered a place at the home. Three new residents had moved to the home since the last site visit. The assessment documents examined had been completed either with a tick box or a brief comment. They identified the main areas of need for each of the residents provided the basic information from which a care plan could be developed. The initial assessments cover the religious, cultural and linguistic needs of residents and information about family and significant life events. Some of the assessment processes used followed specific medical models, which the manager of the service has not been trained to use. This information had been included at the request of an outside agency. Assessment tools used by the home must reflect their skills and ability to act on the information gained from the assessments to maintain residents safety and support them to live their chosen lifestyles. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 &10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the care planning systems are improving and provide good information to enable the staff team to support residents safely and appropriately. Resulting in a service that is starting to provide a more person centred care service. EVIDENCE: Nine care plans were examined. Since the last site visit the care plans have been revised and there has been a significant improvement to the care planning and risk assessment information that is recorded for residents. The care plans identify the current needs of the residents and overall provide sufficient information for staff to enable them to provide safe and appropriate care and support. However in some instances where specialised care needs have been identified more detailed information needs to be included in the care plan and risk assessment. As detailed earlier in the report some information gained through the assessments process and continued into the care planning process are medical Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 12 models of care. Such as Water low charts and pressure area assessments. These assessments require specialist knowledge and expertise to ensure information gained from them is used effectively and in the best interest of residents. The manager acknowledged this issue and felt it would be appropriate to transfer useful information into the care plans and remove the remainder. Examination of the daily records indicates further work is needed to ensure information recorded reflects the physical care, emotional and mental wellbeing needs of residents. As these records are an important part in making sure the care and support being provided is meeting residents changing needs and expectations. All files examined had a missing persons form with a photo of each residents person and basic information about their physical appearance. Personal profiles have been produced which provide information about residents’ life experiences and significant events in their lives. This information helps the staff team to build equal and positive relationships with residents’ and to support them with their physical and emotional wellbeing. Members of the staff team spoken to demonstrated a good understanding of residents needs and felt positive about the changes made to the way information is recorded in care plans. The residents spoken to say that they are well cared for at the home. When asked about the care they receive from staff, residents said “the care is very good” and “we are well cared for.” Two relatives spoken with said that a good standard of care is given at the home and that they are happy with the service provided. Staff members were observed to treat residents with respect. Staff where observed to speak to residents in a respectful manner and were sensitive when responding to the residents needs. A specialist pharmacy site visit is to take place to examine the medication procedures operated by the home. A separate report will be produced following this visit. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the emotional and social wellbeing of residents is being partially met further work is needed to build in individual support to daily routines. To ensure residents receive individualised support within a communal environment. EVIDENCE: At the time of the site visit a person had recently been appointed to the vacant position of activities co-ordinator for 20 hours per week. Residents care files have information about significant events in their lives, life experiences, work and family history and likes and dislikes. This information should enable the activities co-ordinator and the staff team to provide tailored activities to residents to support them to maintain hobbies and interests. Activity needs assessments on a number of residents files indicate they would benefit from more structured one to one interaction and support. Since the last site visit the manager and the staff team have spent time with residents to produce a daily routines prompter for the staff team, which are viewed as part of the care plan. Gaining this type of information enables the Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 14 staff team to support residents as individuals and to move away from offering a generic form of care. A key worker system is used in the home with care staff having limited responsibility for individual residents. The manager intends to expand this role to enable staff members to spend one to one time with residents and to develop closer relationships with them. Observations and a discussion with residents indicated that the routines of daily living are flexible. Residents said that the home encourages them to make decisions about their day-to-day lives at the home, such as when they will get up and go to bed and what they will do each day. The resident’s bedrooms that were seen had been personalised with items brought in from their own homes. Information about advocacy services is available. The religious needs of residents are met. Some residents attend local churches and lay visitors from other religions visit the home. A weekly activities programme is displayed in the entrance hall of the home giving residents the opportunity to decide whether they want to be involved in group activities. Visitors are welcome at the home at reasonable times. Residents can see visitors in private in their bedrooms. There are also two lounges and a separate dining room available. The residents who were spoken with said they felt their visitors are made to feel welcome. Visitors were observed visiting the home and those spoken to confirm they are made to feel welcome and were kept well informed about the well being of their relatives. A full time cook is employed Monday to Friday with a weekend cook recently employed. The dining room is a comfortable and an attractive area for residents to enjoy their meals. Residents spoken to said they enjoyed the meals provided and were comfortable asking for an alternative if it was something they did not like. The daily routines and information held in residents personal profiles assist the staff team to ensure meal times are a positive experience for residents. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the manager deals with complaints and concerns in a proactive manner. Arrangements for protecting residents from abuse and neglect are in place. More detailed information in daily records would support the manager to asses the care and support being provided meets residents’ needs and expectations. EVIDENCE: There is a detailed complaints procedure, which provides information of the processes of making a complaint, and the timescales the manager or owners will respond in. The home has a copy of Wirral social services revised ‘No Secrets’ document. This details the local procedures regarding the raising of concerns including to who and where the responsibilities regarding the investigation of allegations of abuse or poor practice lie. The inspector spoke to two members of the staff team and discussed adult protection issues with them. They demonstrated a good understanding of their roles and responsibilities. All members of the staff team are currently undertaking safeguarding adults training provided by an external training agency. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 16 Examination of residents’ files indicates issues of concerns raised by residents to the manager are dealt with sensitively and proactively. However examination of the daily records indicates further work is needed to ensure information recorded reflects the physical care, emotional and mental wellbeing needs of residents. As these records are an important part in making sure the care and support being provided is meeting residents changing needs and expectations. Residents and relatives spoken with during the site visit felt confident that the manager would deal with any concerns they had. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the home provides a clean, homely and maintained environment for residents to live in. Residents’ are supported and encouraged to view Pensby Hall as their home. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 18 EVIDENCE: The premises are in keeping with the local community. The home is close to local amenities local transport and relevant support services. A tour of the home was undertaken and a sample of bedrooms seen. The tour of the building indicated the bathroom areas require attention to ensure they provide a comfortable safe and homely environment for residents while being supported with their personal care. The home was clean and overall was satisfactorily maintained. The AQAA document completed by the home indicates a number of bedrooms have been refurbished and decorated since the last site visit. The issue of residents not having an unobstructed view of the television was again raised with the manager. The manager has spoken with the residents who do not want the television moved as it would mean they would not be able to remain sitting with some of their friends. There was not an opportunity to talk to residents about this issue during the site visit. The manager will discuss it again more formally during a residents meeting and document their choice as to the positioning of the television. It is the intention of the owners to replace all windows starting with the most damaged in the coming months. There is evidence that that remedial repairs are carried out and information recorded, the home shares a maintenance man with another home owned by the owners. Residents and relatives spoken to during the site visit indicated they were happy with the home environment and the facilities provided. Steps have been taken to ensure that a safe environment is provided. Water is regulated throughout the home to ensure that the temperature does not exceed 43 degrees centigrade. Radiators have radiator covers in accordance with a risk assessment. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment and training processes promote residents’ safety and the development of a more person centred approach to their holistic needs. EVIDENCE: At the time of the site visit the home had recently appointed four care staff an activities co-ordinator and a part time cook. The manager was awaiting the return of Criminal Records Bureau (CRB) disclosure checks before they started working in the home. Records indicate the home operates a robust recruitment and selection procedure, which offers residents protection from being supported by people not suited to working with vulnerable people. A rota that provided details of the number of staff working and the shift patterns worked for the week of the site visit indicated enough staff were available to support staff with their care needs. As detailed earlier in the report the manager is reviewing the way in which the key worker system operates within the home to build in one to one time with residents. The newly appointed staff will support this change and allow for a less task-orientated approach to the care and support offered to residents. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 20 Members of the staff team spoken to felt there are sufficient staff available to meet the needs of residents. Residents interviewed said that there are always staff available to assist them but felt they were very busy. The AQQA document indicates 50 of the care staff team have gained National Vocational Qualification (NVQ) level 2 in care with a further 40 of the remaining staff working towards the same qualification. Since the last site visit the staff team have been offered a variety of training opportunities such as dementia awareness, medication, health and safety including infection control, moving and handling and safeguarding adults training. This level of training indicates the manager and owners are committed to providing the staff team with the skills and knowledge they need to support residents safely and in the best possible way. However it is recommended further training be offered regarding diseases and conditions associated with old age. An external training provider carries out the induction programme undertaken by newly appointed staff members. This training meets all of the targets recommended by Skills for Care. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The effectiveness of the management of the service is improving resulting in positive outcomes for residents. EVIDENCE: The manager was appointed in January 07 she has approximately 15 years experience in the care sector with eight of them in management positions. She has successfully completed the registered managers award and has been registered with the Commission as a manager supporting adults with a learning disability. At the time of the site visit an application to register the manager with CSCI had not been received. Records indicate the service carries out regular safety and maintenance checks on the facilities and equipment used by residents such as the electrical wiring Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 22 system the lift, gas appliances, specialist bathing facilities and fire safety equipment. Examination of the fire logbook indicates checks on emergency lighting and fire fighting equipment are taking place within the required timescales. Portable appliance testing took place in March 07. The home has good clear information regarding the control of substances hazardous to health including information about chemicals used in cleaning materials used in the home. The accident book is well maintained. Issues regarding the lack of detailed information held in residents’ daily records and the impact this has on the service’s ability to ensure the care and support provided meets their needs and expectations are raised earlier in the report. Risk assessments must provide detailed information on the actions and levels of support the staff team are to provide to enable residents to remain as independent as possible. Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 2 3 2 X X 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 X X X 3 3 Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 24 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 OP4 Regulation 14 Requirement Staff designated to undertake assessments of need must have the necessary skills and expertise to carryout them out and to interpret the information and put necessary plans in place to safely and appropriately support residents The tiles on the floor of the ground floor bathroom must be appropriately sealed to reduce the risk of infection and to maintain a pleasant area for residents to use. Daily records must reflect the assessed care needs of residents and provide a concise narrative of their daily lives. This is to ensure accurate information is available for the purpose of reviewing care needs and that residents expectations regarding their chosen lifestyles are being met. Timescale for action 30/11/07 2. OP21 23 30/12/07 3. OP7 15 30/11/07 Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 25 4. OP7 13 Where risks have been identified 30/01/08 support plans must provide detailed information about the support and supervision to be offered. This is to ensure residents who are experiencing difficulties are supported appropriately and receive interventions from other professionals in a timely manner. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Merseyside Area Office Burlington House Crosby Road North, Waterloo 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 Pensby Hall Residential Home DS0000059534.V344969.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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