Inspection on 07/08/08 for Shirebrook Priory

This inspection was carried out on 7th August 2008.

CSCI found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 21 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shirebrook Priory 20/11/09

Shirebrook Priory 02/07/09

Shirebrook Priory 26/01/09

Shirebrook Priory 06/05/08

Shirebrook Priory 03/12/07

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 13/03/2009.

CARE HOME ADULTS 18-65 Shirebrook Priory Retford Road South Leverton Nr Retford Nottinghamshire DN22 0BY Lead Inspector Stephen Benson Unannounced Inspection 7th August 2008 09:00 Shirebrook Priory DS0000070803.V370075.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 Shirebrook Priory DS0000070803.V370075.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. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shirebrook Priory Address Retford Road South Leverton Nr Retford Nottinghamshire DN22 0BY 01427 884482 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) shirebrookpriory@shirebrookcaregroup.co.uk Mrs Sharon Radford Vacant Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The provider may provide the following category of service only: Care Home - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning Disabilities - Code LD The maximum number of service users who can be accommodated are: 16. 6th May 2008 Date of last inspection Brief Description of the Service: The Priory is a care home providing personal care and accommodation for 16 younger adults who have a learning disability. The home provides short and long term care and will provide a respite service and accept emergency admissions. Shirebrook Care Group own a number of care homes in Nottingham and Derbyshire owns the home. The home is located in the village of South Leverton, which has a shop, post office and pubs. There is public transport to the nearby town of Retford and the home has a vehicle to assist with transport. All of the home’s bedrooms are single, and 6 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors. There is not a passenger or stair lift. The home has large gardens, including a pond and vegetable garden that are well maintained and easily accessible. There is car parking available for about 10 cars. The operations manager said on 03/12/07 that the fees for the service range from £585.08 - £1524.30 per week depending on dependency needs. Further information about the home is available from the acting manager and will be available from the providers website shortly when the home has been added at www.shirebrookcaregroup.co.uk . A copy of the latest inspection report is available in the office. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. This was the second visit to the home since 1st April 2008 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. The site visit was undertaken by two inspectors and lasted for 12 hours. It was intended to look at the key National Minimum Standards for younger adults, however on arrival there was some building work being carried out and there were concerns whether it was suitable for people to be living in the home whilst this was done due to the risks this posed to their health and safety. As a result the visit centred on establishing whether it was suitable for people to carry on living in the home and when it was established it was not, making the placing authorities aware of the situation who made best interest decisions to find alternative placements for people who were living at the home. The Responsible Individual, Sharon Radford, gave a verbal assurance on 13/08/2008 that no new or existing service users will be admitted into the home until this has been agreed with us. The Responsible Individual said she would confirm this in writing. Requirements set in the previous inspection reported are repeated and will be checked at the next inspection. There was not a current registration certificate displayed in the home. What the service does well: What has improved since the last inspection? What they could do better: Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 6 There must be opportunities for all people living at the home to take part in appropriate activities. Mealtimes must be organised so people have the opportunity to enjoy their meals in a pleasant environment and with appropriate crockery and cutlery. People should be provided with the personal support they require in a dignified and respectful manner. Arrangements must be made so that people receive the healthcare they require. Medication procedures must be reviewed so that people’s medication is stored and administered correctly and safely. The safeguarding procedures must be followed in the event of all allegations of abuse and staff must be aware of their responsibilities to alert abuse in accordance with these procedures. The building must be made suitable for people to live in, including décor, furnishings and fittings. They home must be kept to an acceptable standard of cleanliness and sufficient hand washing facilities provided. All worn and/or dirty carpets must be cleaned and or replaced. The laundry must operate so that people’s clothes are properly cleaned and cared for. Staff must be aware of their role and responsibility in supporting people. There must be suitable management arrangements to ensure the home is properly run in people’s best interests whist a new manager is recruited, Advice must be sought from the Infection Control Nurse about cleaning regimes and practices throughout the home. The fire evacuation procedures must be followed in the event of the fire alarm sounding. 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 Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 8 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 Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 9 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): Standard 2 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information can now be made available to those using or have interests in the service about the services provided. EVIDENCE: These standards were not inspected this visit, however at the visit to the home on 06/05/08 these were assessed as adequate. At the visit on 06/05/08 it was stated there would not be any admissions to the home until the refurbishments have been carried out. The work on developing the home’s admission procedure had therefore been put on hold to allow for other priorities to be addressed. With this in mind a requirement was not set for standard 2 although the standard was not met. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 10 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): Standards 6,7 and 9. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to make decisions about their lives and to take appropriate risks. EVIDENCE: These standards were not inspected this visit, however at the visit to the home on 06/05/08 these were assessed as adequate. Shirebrook Priory DS0000070803.V370075.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): Standards 12 and 17 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s routines have been disrupted by the building work in the home. EVIDENCE: Due to the building works the dining room was not in use. Temporary arrangements had been made to use a smaller room. This required breakfast to be served in two sittings, as the room was not big enough for everyone to eat together. Some of the crockery in use was dirty and chipped. A member of staff was asked if he would drink out of a mug to be used for a drink replied no and threw the mug away. Tables were not being cleaned after use and there was evidence of food on the floor. At the end of the first sitting one person was laid across the doorway preventing the second sitting from coming into the room. This led to those Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 12 people waiting to come into breakfast getting agitated and trying to push their way past, and one person was seen stepping over the person on the floor. One person asked for a drink of coffee and was told that it had run out and would have to have tea instead. The person became upset and bean to shout. A member of staff then asked for another pot of coffee to be made. One person was seen sat drinking when another person lunged towards him grabbing his drink. A member of staff said that the current conditions had made it difficult to provide breakfast. After breakfast some people congregated in one of the lounges. There was not a television or any music in the room and no form of activity organised. During a period of fifteen minutes there was a lot of noise and staff were stood watching. One person was seen grabbing the food trolley being returned to the kitchen, another getting agitated when another person kept walking towards him. A member of staff said that the other person wanted that seat but did not make any further intervention. At 10.15 am five people were taken out in a mini bus with three staff. All staff were sat in the front seats with people from the home sat in the back. The responsible individual said that staff should be sat in the back of the bus with people from the home. There was not any activity arranged for the people left in the home. Shirebrook Priory DS0000070803.V370075.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): Standards 18, 19 and 20 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are not receiving the personal and healthcare support they require. EVIDENCE: One person was seen sitting down to breakfast with dirty hands. Staff said they have difficulty in keeping him clean as he regularly picks up things in the garden. People were seen during the morning not properly dressed. One female was wearing trousers that were too big and kept falling down and which staff kept adjusting, others were seen walking without socks or shoes on. One person was seen wandering around for long periods without any interaction from staff. A member of staff was seen giving out morning medication. This was given to the person concerned and then signed for on the Medicine Administration Record. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 14 When packing up people’s medication for them to take to their new placements there were a number of errors identified with these. One person was seen to have a large lump on his elbow, but there was no record of medical treatment being sought for this. Another person had a doctors appointment for 10.00 am that morning, but was still seen in the home at 10.15 am. Shirebrook Priory DS0000070803.V370075.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): Standard 23 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are not being protected from abuse. EVIDENCE: There is currently one safeguarding investigation-taking place concerning alleged financial abuse. The file of incident reports was looked at and there were nine incidents of physical abuse recorded since June 2008. These had not been reported to us and there was no record to show that they had been reported to the Local Authority under safeguarding adult’s procedures. A Code B Notice (Police and Criminal Evidence Act) was issued and the incident reports were seized and photocopied and returned to the Responsible Individual the following day (08/08/08) The Managing Director, Shaun Sunderland, confirmed he had been made aware of one incident which involved a female having clumps of hair pulled out of her head when out in a mini bus. The Managing Director stated he had told the acting manager to make sure this was reported. However this matter was not reported through the safeguarding procedures nor were we informed about it. Shirebrook Priory DS0000070803.V370075.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): Standards 24 and 30 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is not suitable to accommodate people whist building work is being carried out. EVIDENCE: We did a full tour accompanied by the responsible individual for Shirebrook Care Group Ltd Sharon Radford. All communal areas where people have access were viewed. There were workmen carrying out building work at the home. This included plastering some walls and removing some carpets leaving concrete floors exposed. Some of the people who live in the home will sit and lie on the floor and were seen doing so on the concrete. There was a workman plastering walls with people walking past. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 17 We asked if there had been a risk assessment carried out for the work to be carried out and the relief manager showed a risk assessment. This was an identical copy of a previous one dated 27/03/08 and did not address the risks faced by people due to the current work being undertaken. The risk assessment was not dated. There was a three-piece suite seen in one lounge that was badly torn with the stuffing coming out and one of the chairs had dried faeces on it. This was removed after the third time of asking. The 2nd lounge area was a contacting thoroughfare from one part of the home to another. There were a leather settee, which leaned to one side, and two chairs. The carpet smelt of urine, was dirty and large gaps could be seen between the walls and the edge of the carpet. There were no curtains to the windows and the walls were bare. There was no activity taking place in this area. The laundry was not well organised and the door was left unlocked with cleaning materials in there. There were a large amount of clothes hung in the laundry. We found wet clothes left in the washing machine. No other washing was taking place. Information obtained at the time of the site visit indicated that the home did not currently have a cleaner. A cleaner had been brought in from another home within the group to clean on the Tuesday 5th August 2008. The laundry was general untidy, and dirty with fabric conditioner dripping out of a washing machine. People’s clothes were generally in a poor condition and needed ironing. Areas of the home were dirty and there was a lack of soap and towels in the upstairs bathrooms/ toilets. Peoples’ bedrooms were in a reasonable condition and were furnished to their personal choice and were being personalised. However several of the bedrooms had rising damp, and carpets were in a poor condition. In one of the en-suite bedrooms the carpet was stained and wet following a leak from the toilet. This had yet to be addressed. Carpets in all several areas required cleaning, with some being filthy and unhygienic in their appearance. Shirebrook Priory DS0000070803.V370075.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): Standards 32 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home were not receiving the support they needed. EVIDENCE: There were seven staff on duty during the morning but when asked staff were unclear who was in charge of the shift. Both senior staff on duty said the other senior was in charge of the shift. The Responsible Individual said it was the team leader who should have known she as in charge. Staff were asked what was planned for today and replied they were not sure yet. Staff said that the shift had been chaotic and there was nothing organised. Staff said this was not helped by only having one driver on. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 19 There did not appear to be any measures in place to lessen the disruption caused by the building work for people who stayed at home. Shirebrook Priory DS0000070803.V370075.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): Standards 37 and 42 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are not safeguarded and temporary management arrangements are not providing the stability people require. EVIDENCE: The previous acting manager has left the home and another temporary manager is in post, however she is currently on holiday and due to leave the company in two weeks time. A manager from another home owned by the provider was covering for that week. There were examples seen where people were effected through the lack of management, including not following safeguarding procedures and not having a risk assessment carried out prior to the building work commencing. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 21 Staff did not know what the future management arrangements are for the home. We contacted the Environmental Health Department and one of their officers visited the home Officers visited the home in the afternoon. They said that the kitchen was acceptable but there were some minor structural repairs needed. The Environment al Health officer was concerned at the dry goods store and said she would return to carry out a full health and safety inspection and recommended that advice is sought from the Infection Control Nurse with regards to cleaning regimes and good practice throughout the home, in particular in relation to the communal bathrooms and WC facilities. During the site visit the fire alarm went off twice and on both occasions fire evacuation procedures were not fully adhered to. Shirebrook Priory DS0000070803.V370075.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 1 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 1 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 1 13 X 14 X 15 X 16 X 17 1 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 1 1 1 X 1 X X X X 1 X Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15(1) Requirement Each resident must have an up to date care plan that clearly describes how his or her assessed needs are to be met and should be drawn up with the involvement of the resident and kept under regular review. Details of residents’ ethnic origin and information about any significant relationships must be included in the care plan. There must be a system in place to monitor any particular health condition and information must be available about how staff must respond. The reasons for any change in medication given must be recorded on the Medicine Administration Record. The physical standard of the home must be improved so that residents live in a homely, comfortable and safe environment. Appropriate responses must be made to maintenance issues that present a health and safety risk. DS0000070803.V370075.R01.S.doc Timescale for action 07/08/08 2 YA6 15(1) 07/08/08 3. YA19 12 (1)(a) 07/08/08 4 YA20 13(2) 07/08/08 5. YA24 23(2)(b) 07/08/08 6 YA24 23(2)(b) 07/08/08 Shirebrook Priory Version 5.2 Page 24 7 YA39 24 (1)(a) 8 YA12 16(2)(n) 9 YA17 16 (2)(i) 10 YA18 12(4)(a) 11 12 YA19 YA20 13(1)(b) 13(2) 13 YA23 12 (1)(a) 14 YA24 23(2)(d) 15 YA30 13(3) 16 17 YA24 YA30 23(2)(d) 13(3) Residents must have opportunities to express their views on how the home is run. This will ensure that residents can have a say in the running of the home. There must be opportunities for all people living at the home to take part in appropriate activities. Mealtimes must be organised so people have the opportunity to enjoy their meals in a pleasant environment and with appropriate crockery and cutlery. People should be provided with the personal support they require in a dignified and respectful manner. Arrangements must be made so that people receive the healthcare they require. Medication procedures must be reviewed so that people’s medication is stored and administered correctly and safely. The safeguarding procedures must be followed in the event of all allegations of abuse and staff must be aware of their responsibilities to alert abuse in accordance with these procedures The building must be made suitable for people to live in, including décor, furnishings and fittings They home must be kept to an acceptable standard of cleanliness and sufficient hand washing facilities provided All worn and/or dirty carpets must be cleaned and or replaced The laundry must operate so that people’s clothes are properly cleaned and cared for DS0000070803.V370075.R01.S.doc 07/08/08 01/09/08 01/09/08 01/09/08 01/09/08 01/09/08 01/09/08 01/11/08 01/09/08 01/11/08 01/09/08 Shirebrook Priory Version 5.2 Page 25 18 19 YA32 YA37 18 (1)(a) 18(1)(a) 20 YA42 13(3) 21 YA42 13(4)(c) Staff must be aware of their role and responsibility in supporting people There must be suitable management arrangements to ensure the home is properly run in people’s best interests whilst a new manager is recruited Advice must be sought from the Infection Control Nurse about cleaning regimes and practices throughout the home The fire evacuation procedures must be followed in the event of the fire alarm sounding 01/09/08 01/09/08 01/09/08 01/09/08 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 YA17 Good Practice Recommendations Ensure that residents have opportunities to choose their meals and that dishes include the trimmings described on the menu. Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Shirebrook Priory DS0000070803.V370075.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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