Inspection on 31/10/06 for Petersham Centre Care Home

This inspection was carried out on 31st October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Petersham Centre Care Home 16/09/08

Petersham Centre Care Home 02/05/06

Petersham Centre Care Home 11/10/05

Petersham Centre Care Home 19/05/05

Petersham Centre Care Home 08/12/04

Petersham Centre Care Home 20/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Petersham Centre Care Home Petersham Road Long Eaton Nottingham NG10 4DD Lead Inspector Claire Williams Key Unannounced Inspection 31st October 2006 11:00 Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 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 Petersham Centre Care Home DS0000035770.V317843.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 Adults 18-65. 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. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Petersham Centre Care Home Address Petersham Road Long Eaton Nottingham NG10 4DD 0115 909 8735 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) www.derbyshire.gov.uk Derbyshire County Council Vacant Care Home 16 Category(ies) of Learning disability (16), Physical disability (3) registration, with number of places Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 3 beds registered in the category Learning Disability and Physical Disability for Younger Adults aged 18 - 65 are located on the short stay unit. 2nd May 2006 Date of last inspection Brief Description of the Service: Petersham Care centre is a purpose built single storey building located in a residential area. It is run by Derbyshire County Council and provides services for individuals with learning disabilities. The home is separated into 3 units; some individuals reside in the home on a long-term basis whilst other individuals access the home for short-term respite care. Information about the service is provided in the Statement of Purpose and Service User Guide; both of these documents are made available to individuals and their families/representatives. The fees for the centre are variable and dependent upon an assessment of need. The current charges range from £62.35 to £94.45 a week. Items not covered in the fees include toiletries, transport and holidays. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced key inspection that took place over an eight hour period. The inspection involved assessing key areas as identified by the CSCI. The inspector spoke with 5 individuals that were in the centre, and examined four files using the Case tracking methodology. A tour of the building was undertaken and time was spent observing staff interaction with the people living at the home. The inspector spoke with 5 staff members and examined three files. The Registered Manager and deputy were on duty and assisted with the inspection. A number of records were examined, including risk assessments and care plans, and health and safety documentation. An assessment was also made of the progress by the registered persons to address the requirements made at previous inspection. What the service does well: What has improved since the last inspection? What they could do better: The staff need to improve their practices in relation to administering individuals medication as staff had not countersigned handwritten instructions and the Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 6 medication had not been signed in during this visit. This could potential put both the individuals who use the service and the staff at risk. 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. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support and care needs of individuals are comprehensively assessed to ensure that their aspirations are planned for and that this service is right for them. EVIDENCE: The inspector examined the Statement of purpose, which was located in the reception area. This document contained all of the required information but requires some amendments to the information on the registered numbers, and the training achieved by the registered provider. People who access the centre receive copies of the Statement of purpose and an accessible guide to the centre, this document was not examined on this occasion but the previous inspection identified that it did contain all of the required information to enable people to have an insight into what services are available. The care files of 4 of individuals was examined in detail and all contained comprehensive Community Care Assessments, prepared by Local Authority professionals, as well as wide-ranging assessments from a number of professionals from local learning disability teams, hospital or other residential placements. All of this written material allowed for the care and support being given to the people who use the centre to be based on up to date information, and for the right decisions to be made in their lives. Prospective individuals have the opportunity to visit and stay overnight, to give them a realistic idea of what they could expect if they chose to use this centre. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals needs have been assessed, risk factors identified and care planned in ways that reflect their individual preferences and abilities. EVIDENCE: All of the files examined contained a personal service plan that had been developed from the pre-admission information and included all the key aspects of personal and healthcare support specific to those individuals. The plans included information about individual’s needs and aspirations and some information on individual routines. The designated key worker is responsible for completing this plan and ensuring that the information within the files is up to date. There was limited evidence to support that individuals or their families or representatives had been involved in the development of these plans, as they had not been signed. All of the files also contained a lot of old information and would benefit from being organised and information archived if not current to make the accessing of information easier. The manager informed the inspector that she had recently attended an ‘essential life planning’ facilitators course and that she would be delivering this course to the staff team. The aim then will be to implement person centred plans, which are completed from the individuals’ perspectives. This would Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 10 benefit the people who use this centre as not all of the files contained detailed information around individuals preferred routines, likes and dislikes in respect of food and activities. The files contained a variety of assessments of how the hazards of daily living affected individuals (risk assessments); these indicated key areas of concern and ways in which staff could minimise or eliminate any problems arising from these risks. Some individuals had behaviour management strategies in their files, but some of these were dated 1999 and 2003 therefore it was difficult for the inspector to ascertain if they were still relevant. From discussions and observations made by the inspector it was evident that individuals are actively encouraged to be self-managing and independent in their lives and observations confirmed that individuals are consulted on a daily basis concerning aspects of their routines. Communication skills are important in this area and staff have developed ways of understanding individual expressions of choice over time, a particularly difficult area of work where verbal skills are absent. They use observations, made over time, of individuals’ body language, gestures, sounds and other patterns, which help them to understand likes and dislikes. Observations confirmed that positive working relationships between the staff and the people using the centre have been established and friendly banter was observed throughout the inspection. People who the use the centre have access to information concerning Advocacy services. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals living in the home have varied daily routines that give them opportunities and experiences that promote independent living skills and wider social contacts. Contact with family and friends is promoted and supported. EVIDENCE: The staff team strive to enable individuals to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and are supported to work towards them. The centre is currently supporting five individuals who are living there for an interim period whilst assessments are undertaken and discussions held concerning their future goals and aspirations, which may include moving to supported living. Individuals are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; those that are able to are fully involved in the planning of their lifestyle and quality of life. The centre offers many activities on a daily basis, which can include in-house activities or accessing the community. Staff also utilise the recreational facility that is located across from the centre, which has sensory equipment and Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 12 activity rooms. The staff also facilitate a day service on Saturdays from this location, which can be accessed by those residing at the centre or individuals from the community. At the time of the inspection the centre held a Halloween party and all of the staff and individuals dressed up in costumes. Observations confirmed that all had a good time. Discussions and observation confirmed that the daily routines of the centre are flexible and promote individual’s independence, choice, and freedom of movement, in accordance with their support needs. Contact with family and friends is maintained and encouraged by the staff team, and care records confirmed this. Individuals have the opportunity to develop and maintain important personal and family relationships, and are supported to access information and specialist guidance about issues such as intimate relationships if required. The staff team work towards promoting individual rights and choice, but are also mindful of protecting individuals if in vulnerable situations, and supporting people to make informed choices. The inspector undertook a brief tour of the kitchen and examination of kitchen records, confirmed that individuals are given a healthy, cosmopolitan diet. This is aimed to meet individual choices and requirements, and also includes special diets such as diabetics, fully thickened drinks and weight management. Individuals are supported to choose their meal on a daily basis and also have the option of takeaway meals. The inspector was invited to stay for the buffet tea and party. Individuals were supported appropriately and advice and support was given to those individuals with special diets. The catering staff receive information about individual’s preferences, and food stocks were satisfactory. Fridge and freezer temps were completed on a daily basis apart from when the catering staff are holiday and there was gaps in the records. An Environmental Health Officer visit was undertaken in June and requirements were made. The inspector was informed that majority of these had been addressed. One of the recommendations made was to ensure that the kitchen staff receive refresher training in food hygiene, and the manager stated that she has requested this, but a date has not yet been set. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are supported in accordance with their needs and preferences in all aspects of their health and personal care needs. Medication practices do not always safeguard individuals from potential risks. EVIDENCE: The support plans in place are individual to each person and indicate how each person is to be helped with their personal care needs and assistance with mobility. Individual cultural requirements are also recorded and implemented as part of their support plan, although there are currently no individuals at the home who are from a minority ethnic background. The health needs of individuals residing at the centre are monitored and appropriate action and intervention taken as required and the records examined confirmed this. However Tissue viability forms were in use and in some individual’s files they were not being completed in accordance with the stated guidance. No explanation was recorded to suggest reasons why this was the case. The centre is able to provide the aids and equipment recommended, to support individuals with their personal care tasks. Staff were observed encouraging individuals to be independent where possible and responsible for their own personal hygiene. Staff are aware of the need to treat individuals with respect and to consider dignity when delivering personal care. People who use the Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 14 service are happy with the way that the staff team deliver their care and respect their dignity. There are no individuals administering their medication themselves and the team leader on the shift takes responsibility for this activity. The inspector was informed that staff have received some training in this area, but the provision of formal training was being looked into. Medication was stored appropriately but there was several medication omissions which included: several handwritten medication instructions that had not been countersigned by two people, and no evidence on the Medication Administration records (Mar chart) to support that the medication had been checked in. A staff member informed the inspector of an error that had been made whereby medication had been administered from the wrong day of the blister pack, but strategies were being put in place to rectify this. The manager did state that she has undertaken an assessment of staff members competence before they are able to administer the medication. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory complaints and adult protection procedures are in place in order to safeguard individuals. EVIDENCE: Petersham has an accessible complaints procedure in place and individuals who use the centre felt confident about raising any issues with the manager. The complaints records were examined and the centre have received 4 complaints since the previous inspection. All of these had been responded to satisfactorily and within the required 28-day timescale. The staff team receive training in safeguarding Adults and managing challenging behaviour. The manager stated that there has been one Safeguarding Adults investigation, which has now been completed and strategies implemented. The procedures were initiated promptly and the appropriate services had been consulted and involved. The correct procedures had been put in to place to ensure individual’s safety was maintained. The inspector examined the records and the money held in safe keeping for three individuals. The money was held separately and the balances crossreferenced to the transaction sheets for all individuals. The records contained two signatures for each transaction, which is good practice. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 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. Petesham provides a comfortable and homely environment for residents. EVIDENCE: Petersham was maintained, decorated and furnished to a satisfactory standard at the time of the visit. The carpet that was identified as a potential triphazard has now been replaced. All areas of the centre were decorated to reflect a homely environment. The bedrooms that were used by individuals that were residing for a longer period of time were personalised and reflected their individual characters. The bedrooms used by people who visit for a period of respite were satisfactory and contained the required furniture. The centre has an improvement plan in place and work will commence within the next 6 months to refurbish the centre and provide larger rooms and ensuite facilities. This will benefit the individuals who use the service especially individuals with mobility disabilities as the new rooms will accommodate all of the required aids and adaptations and their wheelchairs. It will also improve Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 17 the environment as some areas are out dated and clinical like the bathroom and toilet facilities. In response to the previous inspection the manager has requested the assistance of an Occupational Therapist to assess the suitability of the furniture and seating for individuals with mobility disabilities. Other aids and adaptations to assist with individual mobility are also provided including specialist baths, and mobile hoists. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An experienced, trained, competent and stable staff team supports the people who use the centre. The recruitment procedures ensure the staff team are vetted appropriately. EVIDENCE: The staffing levels provided at the home were satisfactory and five staff members were on duty at the time of the visit; this enables some one-to-one supervision, as well as group support both inside and outside the home. Additional staff members can be on duty to provide support for any planned activities or when the needs of the individuals require additional support. The staff spoken to showed a good awareness of the support needs of the people living at the home, and was observed having warm, friendly yet professional interactions with individuals. The recruitment of the staff team is organised through the providers personnel department, however the management team are involved with the selection and recruitment process. Copies of the recruitment information are routinely sent to the centre for the staff files. On examination of three staff files majority of the recruitment information was present, but the inspector did note some gaps in the employment history for one staff member. The manager stated that this additional information would be held at the personnel department. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 19 The staff members spoken with confirmed access and attendance of all of the mandatory training courses, and felt that they had positive training opportunities at the centre. The individuals who use this centre benefit from receiving support from a committed and enthusiastic staff team who enjoy their roles. All staff spoken with felt well supported and stated that there was “good team work”. The manager informed the inspector that there was 31 staff members who worked at the centre and of these 22 had achieved a National Vocational Qualification in care at level 2 or above; an additional 6 staff members were currently undertaking this qualification. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Petersham is managed in the best interests of the individuals who use this centre. The systems for individual consultation are good with a variety of evidence that indicates that their views are both sought and acted upon. EVIDENCE: The Manager is currently undertaking an NVQ level 4 in management and is in the process of applying for registration with the CSCI. Positive comments were received about the management team by the staff members who stated, “the management team is very good”. The manager was described as approachable and supportive to all staff members, and she has had a positive impact on the staff morale, which was reported as being “good”. The manager was reported as creating an open and inclusive atmosphere for all. The ethos of the centre is to enable and involve the people to be independent and to support individuals from a person centred perspective. The observations made at the time of the inspection confirmed that staff practices are in Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 21 accordance with these aims. The manager who works various shift patterns had a good knowledge of the individuals who use the centre and about the support required in order to prepare some of the individuals for their future transitions into alternative accommodation. The manager is supported by the designated service manager who visited for the routine monthly visit in accordance with the requirements of regulation 26. The records confirmed that these visits are undertaken every month. The people who use the service have access to regular discussions about the service and the provider undertakes an annual survey of all the stakeholders’ views and a report was present in the centre of the views received and the action taken. Some of the documentation regarding the safe working practices of the home was examined and all were found to be satisfactory. The manager has also completed a health and safety audit of the service to ensure all aspects of the service was safe and fit for its purpose. Petersham Centre Care Home DS0000035770.V317843.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 x 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 2 x 3 3 3 X X 3 X Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 (2) Requirement Two people must countersign all handwritten medication instructions in order to validate them. All medication must be checked and signed in and records completed to confirm this Timescale for action 31/01/07 2. YA20 31 (2) 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA1 YA6 Good Practice Recommendations The Statement of purpose should be updated to include reference to the current registered numbers, and the registered providers training information. Files should be organised so that the information is the most current and is easily accessible. Individuals or their families/representatives should be involved in the development of their plan and sign them. 3. YA9 Staff should implement person centred plans. All behaviour strategies or management programmes DS0000035770.V317843.R01.S.doc Version 5.2 Page 24 Petersham Centre Care Home 4. 5. YA17 YA17 6 YA19 7 8 YA20 YA34 should be reviewed and updated so that it is clear if they are still current and can be implemented and followed. A system should be implemented to ensure that the fridge and freezer temperatures are recorded when the catering staff are on annual leave All staff that are responsible for the preparation of food should have updated training in food hygiene. Staff should attend this training before their previous qualification expires. The staff should ensure that the tissue viability assessments are completed in accordance with the guidance or have an explanation recorded to state why this is not necessary. All staff should receive formal and certified training in medication practices. There should be evidence in all staff files to confirm that robust recruitment procedures have been followed and to confirm that all of the required information has been obtained as required by the regulations. Petersham Centre Care Home DS0000035770.V317843.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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