Inspection on 16/05/06 for Shalom

This inspection was carried out on 16th May 2006.

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

Shalom 29/05/07

Shalom 03/10/06

Shalom 07/12/05

Shalom 25/07/05

Shalom 31/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Shalom 8 Carew Road Eastbourne East Sussex BN21 2BE Lead Inspector Kevin Whatley Unannounced Inspection 16th May 2006 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 Shalom DS0000021210.V290537.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. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shalom Address 8 Carew Road Eastbourne East Sussex BN21 2BE 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) 01323 410926 01323 504324 Mr David McMeekin Mrs Sandra McMeekin Mr David McMeekin Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is eighteen (18) Service users must be older people aged sixty-five (65) years or over on admission, not falling within any other category. 7th December 2005 Date of last inspection Brief Description of the Service: Shalom is a three storey detached property in a quiet residential area of Eastbourne. It is situated close to the town centre and is within walking distance of the shops, train station and local bus routes. There is a garden surrounding the home. The home is registered to provide care and accommodation to eighteen older people and is an established family run business. There are eighteen single bedrooms, all with en-suite facilities. There is a communal lounge and dining area on the ground and first floors, in addition to communal bath and toilet facilities. As the home is on three floors and there is no lift in the building, service users on the upper floors need to be able to use the stairs. As of 16th May 2006 fees at the home ranged from £312 to £422 per week with additional costs for hairdressing, chiropody, personal toiletries and newspapers and magazines. The home do not currently have a website and information regarding the service is accessed via direct telephone contact with the home, whilst enquirers to the service can view the last inspection report which is available at the home. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Shalom will be referred to as ‘residents’. The unannounced inspection visit took place on a weekday in May and lasted for approximately five hours. At the time of the inspection visit the home was accommodating 14 residents. The Inspection visit included a tour of the premises, both inside and out, and its facilities including viewing all bedrooms. The Inspector spoke with the proprietor/manager and two members of care staff. Twelve residents were spoken with during the inspection, whilst care staff were observed carrying out their duties. Documents seen included 3 residents care plans, the accident book, fire safety log and medicine administration records. In preparing this report it was also necessary to assess and consider additional information concerning Shalom. Such information was gathered from a number of sources including service history information held at the Commission for Social Care Inspection (CSCI) offices, 1 survey returned by a resident, telephone conversations with a number of relatives/next of kin and telephone conversations with other care professionals who visit or who have contact with residents living at the home, such as Social Workers and the Community Psychiatric Nurse service. This report should be read in conjunction with the previous inspection report dated 7th December 2005. What the service does well: What has improved since the last inspection? Since the last inspection several requirements have been addressed. The home has now produced a suitable statement of purpose that provides prospective residents and others reasonable information regarding the home and the services it offers. The homes premises has had improvements made in regard health and safety with fire doors now being fitted with alarm activated Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 6 electronic door stops and guards being fitted to radiators thus ensuring that residents live in a safer environment. Care staff have started to work through a health and safety course book that will enable them to consider the safety of residents and others who live and work at Shalom. 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. Shalom DS0000021210.V290537.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 Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The level of information available to prospective residents and their relatives/carers has improved and now enables them to make a more informed decision regarding possible admission to the home. Admission and assessment procedures remain poor and residents care needs are not clearly known when they move into the home. EVIDENCE: Since the last inspection the home have developed a Statement of Purpose that now includes basic information regarding the services it offers including the layout of the building, the homes admission criteria, the philosophy of care and details of it’s complaints procedure, though the contact details of the Commission for Social Care Inspection (CSCI) is incorrect. Three care plans were viewed, notably the care plans relating to the two residents who have been admitted since the last inspection. Both of these care Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 9 plans contained basic pre-admission information from the referring agencies, in this instance a National Health Service assessment and transfer notes and a care assessment and care plan completed by a previous care home. Neither of these care plans contained evidence of the home undertaking or recording their own care needs assessment or risk assessment of each resident. The proprietor/manager stated that he had visited both residents prior to admission and had carried out a care needs assessment and had made a ‘judgement’ that the home would be able to meet their needs. The home does not offer intermediate care. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home’s system of care planning remains poor and little evidence could be found of the manner that care staff should meet residents care needs. The home operates a suitable medicine storage and administration process to ensure that residents have their medication needs met. EVIDENCE: Previous inspection reports dating back to August 2004 have made requirements that the homes care planning procedures must be improved to provide a suitably robust system of care planning and review that identifies each residents assessed care needs and incorporates them into plans of care that clearly outlines how such needs are to be met by care staff. In February this year the proprietor/manager was invited to attend a meeting at the Commission for Social Care Inspection to answer a number of concerns regarding care practices at the home including care planning and review. The proprietor/manager subsequently provided an action plan stating that a suitable system would be identified and implemented. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 11 It is therefore of concern that no changes have yet been made to introduce such a system. The three care plans seen confirmed that basic information is available regarding the resident with no clear care plan describing how their individual needs will be met, no comprehensive risk assessments and little evidence of care plans being reviewed or up dated. The proprietor/manager noted that a suitable system is still being sought. Residents are registered with local GP’s and records confirmed that health appointments such as dentist, opticians and chiropodists are arranged when necessary. On the day of the inspection the proprietor/manager was accompanying a resident to a hospital appointment. However as previously noted the recording of the care needs of residents remains poor and this included a lack of clear evidence of assessed health care needs and just how such needs will be met. All Medicine Administration Records (MAR) sheets for all residents were viewed and were found to be up to date and accurate. A member of care staff was observed administering medication and this was seen to be carried out appropriate and safely. The medicine storage cupboard was viewed and was seen to be generally well maintained, however a packet of paracetamol was found without any label and was not listed on a stock list. Interactions between staff and residents was seen to be respectful, patient and caring. Without exception all residents spoken to commented positively on care staff noting that ‘staff are lovely and caring’ and ‘do what ever they can to help me’. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities are made available and offer residents opportunities to engage in their chosen interests. Meals provide daily variation, choice and interest for people living in the home. EVIDENCE: The daily routines at the home appear to be reasonable and relaxed and residents can chose to have their meals in their rooms or in one of two dinning room/lounges. Residents stated that ‘there is no rush in getting up or going to bed’ and care staff allow ‘you as much time as you need’, another resident noted that ‘your bed is always made nicely’ and ‘my laundry is always done and put away’. There was evidence of activities taking place with forthcoming events such as a visiting singing group scheduled for June. Several residents stated that they have the opportunity to venture out from the home on a regular basis when a family member of the proprietor/manager takes them out in her car to either visit local beauty spots and ‘have ice creams or afternoon teas’ or to the local pub. One resident stated that he takes a daily walk into the town and care staff were seen to encourage this part of his daily routine. No daily activity Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 13 programme is displayed in the home, though care staff said they play card games and quizzes with residents. A number of residents noted that they take ‘holy communion’ in their own rooms with a visiting priest, whilst services are held at the home for all who wish to attend them on a 6 weekly basis. The cook noted that the proprietor/manager ensures that fresh meat and vegetables are bought regularly in relation to the planned menu. The menu was seen and indicated that residents have a balanced, nutritious and varied diet, whilst two residents have special dietary needs and subsequently have their diets altered to meet their needs. One resident also has dietary requirements in relation to their religious preference and this was seen to be suitably managed with appropriate alternative meals being provided when necessary. Residents generally commented positively on the meals they receive stating that ‘the food is excellent’. The daily menu was not displayed in the home. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home enables residents and others the opportunity to make complaints should they wish. The continued lack of adult protection training for care staff places residents at risk of harm, neglect or abuse. EVIDENCE: The home has a suitable complaints policy though the details of the regulatory body needs to be changed from the National Care Standards Commission to the Commission for Social Care Inspection (CSCI) with contact details added. No formal complaints had been received by the home and the CSCI has not received any complaints since the last inspection. Residents noted that they were aware of the procedure in the event of wishing to make a complaint, as did relatives. The complaints policy could not be found displayed in the home. Whilst the home has an adult protection policy, the previous two inspections have made requirements that the home must provide care staff with up to date adult protection training. It is of concern to note that such training has not been given and no evidence was provided to confirm when this training will be provided. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a home that is generally well maintained, however their ability to access all areas of the building is compromised by the home not having level access. EVIDENCE: A tour of the premises both inside and out confirmed that in general the home is structurally well maintained and decorated with residents bedroom being individualised with personal effects such as pictures, ornaments and photographs. All bedrooms have a television, en-suite toilet facilities and the option of having a private telephone installed. Bedrooms are situated on the ground, first and second floors of the building, however no lift or stair-lift is available. Since February 2005 inspections have noted the fact that this situation may compromise residents ability to access all areas of the home, including going outdoors. Two residents whose rooms are Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 16 situated on the first floor of the home clearly had mobility difficulties and although they stated that they ‘did not need to come downstairs very often’ were disadvantaged from having the opportunity to do so. The proprietor/manager stated that quotes had been taken regarding installing a stair-lift, but that no decision had been made as to whether to except any of the quotes or install such a provision and therefore no timescales for action was given. Since the last inspection the home have amended their Statement of Purpose to include details of this situation. The communal areas of the home consist of a lounge/dining room downstairs and a lounge/dining room on the first floor. The front of the home offers residents the opportunity to enjoy a pleasantly arranged garden and porch area, though the rear of the building is overgrown and untidy with fence panels missing and items scattered around. All indoor areas of the home were found to be clean and hygienic. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from having their care needs met by suitably deployed numbers of care staff during the day, however the lack of ‘waking’ night-time cover does not ensure they have access to support as and when they may require it. Some improvements have been made to staff training and this is enabling staff to be more aware of health and safety within the home, however crucial areas of care staff training need to be improved to ensure residents receive care from suitably trained staff. EVIDENCE: At the time of the unannounced inspection, there were two care staff on duty, along with the proprietor/manager and the cook. There are staff available on call during the night who live in a flat at the top of the home. No waking night staff are currently employed. The proprietor/manager stated that a requirement made at the last inspection to review this situation took place and he noted that the current arrangements are satisfactory to meet the night-time needs of residents; no records of this review were evident. Residents stated that they knew how to call staff during the night via the ‘call-bell’ system and one resident confirmed they had been assisted back into bed from the on-call staff after she called for ‘help’ and another resident subsequently alerted staff. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 18 Staff were seen to be confident and caring in the manner that they carried out their tasks and clearly knew the individual needs of the residents. Since the last inspection care staff have started to work through a health and safety course book that covers such areas as handling and lifting, fire safety, basic first aid and hazards and risks in the workplace. However as previously mentioned they have not been provided with recent adult protection training and no records of staff training needs or planning were available. The preinspection questionnaire completed by the proprietor/manager stated that 5 care staff have relevant National Vocational Qualifications (NVQ) in care at Level 2 or above and therefore the home meets the required 50 of care staff having such qualifications. The proprietor/manager stated that no new staff have been employed since the last inspection, he noted that a requirement from the last inspection for the most recently appointed member of staff to have a Criminal Records Bureau (CRB) check had been completed. A copy of this was subsequently sent in to the offices of the CSCI. Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The proprietor/manager appears to place the needs of residents first, however a lack of management structure and delegation coupled with the continued non-compliance with key care standards and requirements is contradictory to meeting such needs. EVIDENCE: The proprietor/manager stated that the needs of residents are of paramount importance and it was clear that he engages well with all residents, being part of the care team on a daily basis and displaying an approach toward residents and staff that is informal and open. Many residents spoke positively about the proprietor/manager with one resident stating that they ‘wouldn’t want to live anywhere else’. However it is of concern that a number of key standards and Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 20 requirements remain unmet, some dating back as far as August 2004 most notably care assessment and care planning and review. As previously mentioned the proprietor/manager attended a meeting at the Commission for Social Care Inspection offices in February of this year and he subsequently provided an action plan that stated that improvements would be made. As noted in this report some outstanding requirements have now been addressed, however crucial elements of care management responsibility continue to be neglected. The proprietor/manager noted that a quality assurance questionnaire is available for residents to complete. Little evidence of the home introducing their own monitoring systems to assess the standards of care provision could be found. The home does not handle any of the resident’s personal finances, with a majority of residents having their financial affairs directed by their designated ‘power of attorney’. Care staff noted that they feel ‘supported’ by the proprietor/manager and confirmed they receive ‘informal supervision’ regularly, however there still remains no formally introduced system of supervision. A proposed format for recording formal supervision was subsequently sent to the CSCI. The home keeps a fire log and this was seen to have dates of regular fire safety checks such as fire alarm testing taking place. There is a fire safety certificate displayed in the home confirming that the home was assessed within the past 12 months, however the proprietor/manager stated that ‘he and his friend’ carry out fire extinguisher checks. The home’s accident book was viewed and was seen to be suitably recorded and kept up to date. Shalom DS0000021210.V290537.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 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 2 3 3 2 3 X 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 2 2 X 3 2 X 3 Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 22 YES 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 OP3 Regulation 14(1)(a) (b) 14 (2) Requirement The home must ensure that no resident is admitted without having their care needs fully assessed and recorded. Care plans should be reviewed to provide more detail and clear support guidelines (outstanding from 31/08/04). Review and update risk assessments (outstanding from 21/02/05). All staff receive update adult protection training (outstanding from 25/07/05). That service users who are old, infirm or disabled have freedom and access to all areas of the home. That a stair lift or passenger lift is considered or other appropriate action taken (outstanding from 21/02/05). Review the provision of night time staffing (outstanding from 07/12/05). The proprietor/manager must implement a staff training and development programme that DS0000021210.V290537.R01.S.doc Timescale for action 17/07/06 1. OP7 17/07/06 2. 3. OP7 OP18 15 18 (1) (a) (c) 23 (2) (0) (n) 17/07/06 17/09/06 4. OP19 17/09/06 5. 7. OP27 OP30 18 (1) (a) 18(1)(c) 17/09/06 17/07/06 Shalom Version 5.2 Page 23 8. OP31 OP32 10(1) 9. OP33 24(a)&(b) 10. OP36 18(2) clearly details the training needs of care staff and the manner that such training will be provided. The proprietor/manager must 17/09/06 ensure that all requirements made as a result of inspections carried out by the Commission for Social Care Inspection are complied with. The proprietor/manager must 17/09/06 ensure that suitable quality assurance and monitoring systems are developed and implemented. The proprietor/manager must 17/07/06 ensure that a suitable system for the formal supervision of care staff is introduced. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The homes Statement of Purpose needs to be amended to remove the name of the regulatory body from the National Care Standards Commission to the Commission for Social Care Inspection (CSCI) and should contain the contact details for the CSCI. All medicines being stored must either have a prescription note attached to them or must be recorded on a written stock check. The weekly menu should be displayed in a communal area of the home. The homes complaints procedure should be displayed in a communal area. 2 3 4 OP9 OP15 OP16 Shalom DS0000021210.V290537.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shalom DS0000021210.V290537.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. 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