Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 20/02/07 for Plymbridge House

Also see our care home review for Plymbridge House for more information

This inspection was carried out on 20th February 2007.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents benefit from staff that are competent and well trained to deliver a high standard of personal care, committed to resident well being and well supported and supervised by the registered manager. Comments received included: "I can say that I and my family have been happy with the love and care given at Plymbridge House by the managers and staff to my mother. I have to date had no concerns at all the standards at the home. My mother is also very happy at Plymbridge." A district nurse said: "The care is really, really good. I don`t have any worries at all". Meals are very much enjoyed and staff are careful to ensure the diet is nutritious and adequate.

What has improved since the last inspection?

Residents are now much better protected. The whistle blowing policy (which informs staff what to do if they have a concern) is now readily accessible. Recruitment practice is now more robust. Some service users, and family, were previously uncomfortable about voicing complaints about the home to the manager, feeling they weren`t listened to and unsure of a positive response. This inspection no such concerns have been expressed. Steps have been taken by the manager to ensure residents can feel confident in expressing their opinion or lodging a complaint. The home environment is now safer from environmental hazards and the risk of cross infection. Staff now treat residents with more respect, as adults and equals, using terms and language, which is more appropriate.

What the care home could do better:

Residents say they are bored; some want to go shopping. Some with physical disability are disadvantaged by the arrangements for taking residents on outings, which is mostly through staff goodwill. There needs to be more consultation and robust arrangements in place to meet this unmet need. The only outside/garden space currently available at the home is an unsafe patio area. Whilst, it is currently winter, this situation must be rectified at the earliest opportunity. Care is not routinely planned and delivered with the resident, or when necessary, their representative, at the heart of decisions made. There must be an ongoing commitment toward autonomy and choice. They must be consulted. Whilst staff do manage to meet the day-to-day needs of residents with dementia, their level of knowledge does not equip them to assess why certain behaviours exist or offer the best dementia care available. Staff should also receive training in the how the Mental Capacity Act 2005, which comes into force April 1st, will affect the service they deliver. Residents must have the option to lock their bedroom door should they wish, with any risk associated with this action managed. The home must demonstrate that this right to privacy is offered; that a genuine choice is available. There should be a full employment history taken when recruiting new staff. That currently collected gives limited information. This would further ensure that recruitment is safe.

CARE HOMES FOR OLDER PEOPLE Plymbridge House Plymbridge Road Plympton Plymouth Devon PL7 4LD Lead Inspector Anita Sutcliffe Key Unannounced Inspection 20th February 2007 10:00 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 Plymbridge House DS0000041564.V327439.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. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Plymbridge House Address Plymbridge Road Plympton Plymouth Devon PL7 4LD 01752 345720 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) plymbridge@peninsulacarehomes.co.uk www.peninsularcarehomes.co.uk Peninsula Care Homes Ltd Kathleen Shopland Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (32), of places Physical disability over 65 years of age (32) Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users from the age of 60 may be admitted to the home. Date of last inspection 13th September 2006 Brief Description of the Service: Plymbridge House is a detached property situated in the residential area of Plympton. The Home is registered to provide residential accommodation and personal care, for a maximum of 32 persons over the age of 65 for reasons of old age who may also have dementia or physical disability. The home has 32 single bedrooms, 16 of which have en-suite facilities: 7 of these have en suite baths. There are 3 bathrooms, all fitted with bath hoists and one with a shower cubicle. On the ground floor there are 3 lounge rooms and a dining room. A stair lift provides access from the ground floor to both 1st and 2nd floor levels. There is a call bell system throughout the home. Residents are enabled to access any health or social care services they require and various social activities are arranged by the home. The garden is attractive, spacious and accessible to the Residents. Current fees: As per Local authority funding or £300 - £375 Additional charges: chiropody, hairdressing, papers and magazines, toiletries and non-prescribed continence products. The report from the last CSCI inspection is found in the entrance hall of the home. Potential residents are shown this and also directed to the reports on the CSCI web site. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this key inspection was to assess the home’s compliance with Key National Minimum Standards. The inspector also reviewed progress on previously set requirements and recommendations communicated following the homes last inspection in September 2006, when it was also required to produce an improvement plan. Information about the home was gathered since September. The inspection itself included two unannounced visits to the home, one early evening, one starting mid-day. Prior to those visits the organisation provided up to date information about the service at Plymbridge House. Comment cards were made available for the use of family and visitors. A district nurse gave her opinion. During the visits to the home the premises was toured and service users (residents) and their family spoken with. The care of three residents was examined in detail. Staff were observed in the course of their daily duties. Two newly employed care staff were interviewed. Care and management records were examined. The registered manager was available for both visits. What the service does well: What has improved since the last inspection? Residents are now much better protected. The whistle blowing policy (which informs staff what to do if they have a concern) is now readily accessible. Recruitment practice is now more robust. Some service users, and family, were previously uncomfortable about voicing complaints about the home to the manager, feeling they weren’t listened to and unsure of a positive response. This inspection no such concerns have Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 6 been expressed. Steps have been taken by the manager to ensure residents can feel confident in expressing their opinion or lodging a complaint. The home environment is now safer from environmental hazards and the risk of cross infection. Staff now treat residents with more respect, as adults and equals, using terms and language, which is more appropriate. 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. Plymbridge House DS0000041564.V327439.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 Plymbridge House DS0000041564.V327439.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): 1, 3 & 4 (Standard 6 does not apply to Plymbridge House) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents are able to make a well-informed choice about whether the home is suitable for them. General care needs are well met following thorough assessment and planning, but specialist needs are not fully met. EVIDENCE: Information about the home is clearly displayed in the entrance hall. A newly admitted resident could not recall her admission, but family survey comments included: “I received a leaflet and made two visits and received a good response to my questions” and “They were very helpful at providing a range of information about Plymbridge House”. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 9 The records of a newly admitted resident were examined. They were not signed or dated, nor was there any indication as to who had been involved in the assessment. (See also Standard 7 & 14). However, the assessment was broad and provided adequate detail from which care needs could be planned. Some detail was very good. The home is working towards improving the internal environment for service users with dementia. This has taken the form of pictorial signage, which should help confused residents find their way around the home. The inspector was informed that all décor changes would now take this researched based, good practice into account. Staff have had no recent training in dementia care. Their recent management of behaviour, which might challenge other people, has been satisfactory. However, they are unable to show a planned approached to managing emotional/mental health problems. (See also Standards 7 & 30). The internal premises of the home are well suited to meeting the needs of residents with physical disability. However, some are disadvantaged in that the they are unable to spend time away from the building, when other residents are able to go. (See also Standard 12). Plymbridge House DS0000041564.V327439.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): 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs are very well met by competent and committed staff. Care is adequately planned but residents must be more involved. Medicines are handled safely. Residents are treated with respect and dignity but the right to privacy is not fully available. End of life care is delivered to a high standard and with full regard for the rights and dignity of the person. EVIDENCE: All responses from residents and family say medical support and care provided is good. A visiting district nurse said: “The care is really, really good. I don’t Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 11 have any worries at all”, adding that the she is always kept well informed and is contacted by the home appropriately. A visiting family member called the care “top notch”. All residents looked well cared for. Staff deliver terminal care to a high standard and with sensitivity and respect. The planning of care is satisfactory. Once again it is not always clear who has been involved in the planning. (See also Standard 3 and 14). Where needs are physical the planning is good. Where needs are emotional, or involve mental health, the planning is weak. A recently admitted resident has great need of emotional support. Whilst she appears settled, and said she likes the home, staff have no structure from which to manage any difficulties she has; nobody is recording events of importance. Staff record of daily events makes no mention of when, how or why she is ‘unsettled’, although they are aware this happens. Residents say they are treated with respect. Staff were observed knocking before entering rooms and reminded to do so by a sign on each door. It has been a previous recommendation that each newly admitted service user should be offered the option of a door lock, safe because accessible to staff in emergencies. The manager says this option has not been provided and there was no record of the choice being offered to a new resident. (See also Standard 14). This has now been made a requirement. Medication is stored securely. Records are clear. Currently there are no residents looking after their own tablets. Those who might be able do not wish to. This option must always be available, provided any risk is considered and well managed. Plymbridge House DS0000041564.V327439.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): 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. Activities need to match the preferences of residents. Residents need to be at the centre of planning their own lives. Residents enjoy a nutritious varied diet, which meets individual choice and health care requirements. EVIDENCE: Negative comments about activities were received from residents and their families. The term ‘bored’ was heard more than once. There are some regular, organised activities (music and movement, musical entertainment) plus occasional bingo and skittles. The option to go out is very limited. Staff have managed to take some residents on outings, using their own time and cars. Residents with more pronounced physical disability suffer discrimination because they cannot be included. A resident said: “I’d love to go out. I never can and I want to go shopping”. The son of a resident said: “Dad used to Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 13 spend all his time walking and there are places he’s like to go back to. Things jog his memory”. Staff spoke of events planned then cancelling them through apparent lack of interest. This unmet need of residents needs to be explored and managed. Residents are supported to follow their faith. There are visits from local churches. Residents added that a regular service would be nice. The ethos of the home is very much to protect and keep safe. This caring approach of manager and staff is commendable. However, every opportunity should be provided for residents to direct their own lives. If they are unable, their chosen advocate may need to act on their behalf. There was insufficient resident involvement in assessment prior to admission and then care planning. The option of a lockable room and lockable storage space was not available. The registered manager was informed about the Mental Capacity Act 2005, due to be implemented April 2007, which reforms and updates the current law where decisions need to be made on behalf of others who lack the mental capacity to make those decisions themselves. Residents’ family and friends said they always felt welcome at the home, adding that staff are “always helpful and friendly and responsive to any matters raised or enquiries made”. Meals at the home received the most positive comments, indeed great praise. Comments included: “I feel the food is always good (hotel quality)” and “Meals are very good, freshly cooked and using plenty of fresh vegetables”. Specialist diets are well catered for and diet is closely monitored to ensure it is adequate for meet health care needs. Plymbridge House DS0000041564.V327439.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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the way complaints to the home are managed and they are protected from abuse. EVIDENCE: Previous misunderstandings about how complaints should be handled have now been resolved. Since the September inspection residents and family have had the opportunity to make their feelings known via anonymous surveys. The manager also revised the approach to the handling of complaints. The Commission have received no complaints about the home. All service user (resident) surveys indicate that staff always listen and act on what is said, they know who to speak with if not happy, and all but one said they know how to complain. All staff receive training in how to protect residents from abuse. Two newly employed care staff were able to talk about the types of abuse and how they would respond if they had concerns. The home’s whistle blowing policy is now readily accessible by staff, when previously they had to ‘find’ it in the office. It still lacks contact details for the Local Authority Adult Protection team and the Commission. When asked whether the home is safe, the response from a son visiting his father was: “Most definitely”. The manager handled a recent adult protection concern correctly. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, pleasant, well maintained and liked by residents. Safe garden space is currently non-existent. EVIDENCE: The home environment continues to be improved. All windows have now been renewed and new equipment is ordered for the laundry. Carpet throughout the ground floor is soon to be replaced. Any maintenance concerns are dealt with promptly. This ensures a pleasant, safe environment for residents who all said they liked the building. The communal accommodation at Plymbridge House is spacious and furnished and decorated in a comfortable, domestic style. Individual bedrooms are very personalised with some excellent attention to detail. Signs around the home Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 16 help residents find their way about, and the manager says all changes will take into account the specialist needs of people with dementia and physical disability. There is currently building works started in the garden. Residents only have access to a paved courtyard at the rear of the building. This has had some clearance of overgrown plants, and there are plans to make it safe and pleasant ‘in the very near future’. Currently it is now unsafe there being uneven paving slabs, steps, different levels and slopes. There is the potential for a serious accident and to date the risk has not been assessed. Discussion was held about when it would be safe enough for residents to use, this already being February. Residents must have access to safe, pleasant garden space and ‘fresh air’. This is of particular concern as some residents have difficulty leaving the home for outings. (See Standard 12) The home was clean and fresh throughout. Staff are now able to wash and dry their hands after providing personal care; this will reduce the likelihood of cross infection. The laundry is satisfactory to meet the needs of current residents. The home was visited early evening, during the dark, to determine if there was sufficient lighting, as it appeared inadequate at the previous visit. Opinion was also sought from a visitor about the level of light in the stairwell. No problems were identified on this occasion. However, the manager does have concerns about the level of emergency lighting, which she is dealing with. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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 numbers, competence and skill mix of staff are appropriate to meet the needs of current residents. Residents are better protected by the improved standard of recruitment. EVIDENCE: All but one survey indicates that there are sufficient staff employed at the home, and residents said that, for the most part, staff respond to their needs promptly. The manager is generous with her time, ensuring staff are supported/helped when there is need. Residents and their family like the staff very much. They say they know what they’re doing and they have complete confidence in them. Two newly recruited staff said their induction training, and the support received, was very good. They described their recruitment. Their recruitment records were examined. The home is now collecting the information, necessary to ensure new staff are safe to work with vulnerable adults, prior to starting employment. However, there is still the need to collect a full employment history to ensure recruitment is fully robust. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 18 Staff receive statutory training, including first aid, moving and handling and fire safety. However, the home is registered to provide care for people with dementia. Some staff have received no training and some only introductory training in how to deliver this specialist care. Neither is the home aligned to any organisation working for the welfare of people with dementia, such the Alzheimer Society or Dementia Care. Staff should receive ongoing training and information so that they are able to understand and meet the complex needs of these residents at all times. Currently 75 of staff have achieved National Vocational Qualification (NVQ) qualifications in care, which is an indicator of their competence. This is commendable. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with the residents’ best interests as priority. EVIDENCE: Comments about the home’s management included: “Kathie treats us all as family. If we’re not happy something would be done about it” and “I’m very happy with the support and communication provided by the manager and staff”. Staff feel well supported by the manager, who is qualified and experienced in her work. They are well supervised in their work, benefiting from regular meetings, training and support. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 20 Few residents are able to manage their own financial affairs, but the home will keep money kept safely on behalf of residents. There should be lockable storage space available should residents wish to keep anything of value themselves. Much effort has been taken to ensure a quality service at the home. All residents and family have recently had their opinion surveyed. Twenty-eight responses are currently been collated. There are unannounced visits by a representative of the organisation and residents have meetings, chaired by a family member, so as to be independent from the staff team. No concerns relating to health and safety were found during this inspection other than that of the garden, which because of the time of year, residents do not currently use. Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 2 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 22 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 OP4 Regulation 12(1)(a) Requirement The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users. Timescale for action 31/05/07 2 OP10 12(4)(a) [This refers to meeting the specialist needs of service users with dementia (through staff training) and physical disability (regarding their difficulty in spending time away from the home).] The registered person shall make 28/02/07 suitable arrangements to ensure the care home is conducted in a manner which respects the privacy and dignity of service users. [Each service user must have the right to be able to lock their bedroom door should they wish to do so, within a strategy of risk management to ensure safety.] Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 23 3 OP12 16(2)(m) 4 OP19 23(2)(o) The registered person shall 31/05/07 having regard to the size of the home and numbers and needs of service users consult service users about their social interests, and make arrangements to enable them to engage in local, social and community activities. The registered person shall 31/05/07 having regard to the size of the home and numbers and needs of service users ensure that external grounds which are suitable for, and safe for use by, service users are provided and appropriately maintained at the earliest opportunity. [This refers to the complete lack of safe outdoor space for service users’ use]. 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 OP4 OP7 Good Practice Recommendations The home should demonstrate a commitment to delivering the specialist care needed by service users with dementia through training and adaptation to the environment. Assessment and care records should clearly demonstrate who has been involved in providing information and how decisions were made. Records should also be signed and dated. The home should employ a personal approach to assessment, planning and care delivery so that the service users choice is at the heart of all decision making. The whistle blowing policy should contain the contact details for the Local Authority Adult Protection team and the Commission. 3 4 OP14 OP18 Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Plymbridge House DS0000041564.V327439.R01.S.doc Version 5.2 Page 25 - 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!