Inspection on 07/07/05 for Somerset Abbeyfield Extra Care Home

This inspection was carried out on 7th July 2005.

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.

Other inspections for this house

Somerset Abbeyfield Extra Care... 17/03/09

Somerset Abbeyfield Extra Care... 18/04/07

Somerset Abbeyfield Extra Care... 09/02/06

Somerset Abbeyfield Extra Care... 10/11/04

Somerset Abbeyfield Extra Care... 23/06/04

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Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Somerset Abbeyfield Extra Care Home Heron Drive Bishops Hull Taunton Somerset, TA1 5HA Lead Inspector Jane Poole Announced 7 July, 2005 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 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. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Somerset Abbeyfield Extra Care Home Address Heron Drive, Bishops Hull, Taunton, Somerset, TA1 5HA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01823 334238 01823 334238 Abbeyfield (Somerset) Society Limited Ms Jill Byford Personal Care Home 32 Category(ies) of Old age (10) registration, with number Dementia - over 65 (22) of places Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 10 persons in category OPand 22 persons in category DE(E). Date of last inspection 10 November, 2004 Brief Description of the Service: Abbeyfield is an independant home within the national Abbeyfield Society, which is a registered charity. The registered manager is Jill Byford. The home is registered with the Commission for Social Care Inspection to provide care to up to 32 people over the age of 65. The home specialises in the care of older people who have a dementia and provides up to 22 beds for this service user group. The property is purpose built and provides ground floor accommodation for all but three of the service users. The home is divided into three parts, a 14 bedded unit for people with advanced dementia, an 8 bedded unit for people with dementia and 10 beds for older people. All areas of the home are well maintained and pleasantly furnished. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a six and a half hour period. The inspector was able to speak with staff and service users, spend time in the home observing care practices, tour the building and view records. The manager was available throughout the day and the inspector was given unrestricted access to all areas of the home and all records requested were made available. What the service does well: Abbeyfield provides information to prospective service users and enables people to visit the home before making any decision about moving in. All service users have a care plan, which is drawn from a very detailed assessment. The inspector was impressed by the amount of personal information in each assessment seen. This enables care staff to assist people in a very person centred way. Particular attention is paid to the appearance of service users living on the special care unit. Staff assist people to maintain their dignity by ensuring that people receive personal support to choose their clothing and are helped with hairdressing and make up. The staff should be commended for this attention to detail. There is a great emphasis placed on social stimulation. There is a full time activity worker employed and care staff are encouraged to assist service users with activities. Service users spoken to were extremely complimentary about the activities in the home. There are fortnightly trips out, weekly entertainment, a monthly religious service, weekly shopping trips, quizzes, exercise classes and arts and crafts sessions. Many of the service users stated that they were able to determine how there care was delivered and the amount of assistance given. People living at the home felt that they continued to retain control over their day to day lives and were able to make choices about the way in which they lived. The special care unit is home to 14 people with advanced dementia. It was apparent from observing care practices that staff made great efforts to ensure that service users in this part of the home were able to continue to have Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 6 choices and were assisted to participate in social activities. There is a very relaxed atmosphere in the home and service users appeared extremely comfortable in their surroundings. What has improved since the last inspection? What they could do better: The main meal of the day is at mid-day. At the current time there is no alternative to the main course offered. Although it is acknowledged that service users are able to request an alternative, there should be at least two choices to enable everyone to express their desired option without making a special request. There are two bathrooms in the special care unit. One has a large Parker bath and staff stated that many of the service users did not like using this bath resulting in almost all service users sharing one bathroom. It is recommended that the home consider replacing this bath for one in a more domestic style. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 7 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. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 & 5. Service users are able to spend time in the home before making a decision to move in on a permanent basis. All service users have a written contract which clearly states what is included in the fee. EVIDENCE: The current weekly fee level is between £370.00 and £425.00 per week. Each person has a copy of their terms and conditions of stay that clearly sets out what is included in the basic fee. The terms and conditions state that the first month of any stay is a trial period for the home and the service user. The inspector was able to view the personal files for two new service users. There was evidence that a pre admission assessment had been carried out. All prospective service users, or their representatives, also complete an application form giving details about themselves and their needs. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 10 Service users spoken to stated that they had been able to visit the home prior to making a decision to move in on a permanent basis. At the time of the inspection two prospective service users were staying in the special care unit on a short-term basis with a view to moving in. Another service user stated that they had been able to stay for a week before making a decision about making it their home. The home also provides day care for a small number of people which is an opportunity for prospective service users to spend time in the home getting to know staff and service users. A copy of the revised statement of purpose was forwarded to the Commission for Social Care Inspection after the last inspection, this clearly sets out the service provided. All service users are given information about the home when they first apply to Abbeyfield and a service user guide when they move into the home. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10. The inspector was impressed by the level of personal detail contained in individual assessments. The policies and procedures in place in respect of medication ensure the safety of service users. EVIDENCE: The inspector viewed the personal files of 4 service users, 3 from the main parts of the home and 1 from the special care unit. An initial care plan is completed when the person first moves to the home using details given by the service user and the pre admission assessment. When the person has been at the home a month a more detailed assessment is completed and from this a more detailed care plan. The inspector was impressed by the amount of personal detail on the full assessment. In addition to physical and mental health needs, likes and preferences are recorded. These included times people like to get up, the types of make up and moisturiser they use, the time of day that they like to have a bath and the types of entertainment that they enjoy. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 12 All care plans are up dated where there is a change in a persons needs and all are reviewed on a monthly basis. Particular attention is paid to the appearance of service users living on the special care unit. Staff assist people to maintain their dignity by ensuring that people receive personal support to choose their clothing and are helped with hairdressing and make up. All service users spoken top stated that their privacy is respected and this was echoed in service user comment cards received prior to the inspection. One GP completed a comment card and answered YES to the question “Are you able to see your patients in private ?” The inspector observed that all staff interacted with service users in a respectful and friendly manner. All service users are registered with local GPs and other relevant healthcare professionals. All appointments are recorded and show that people are accessing chiropodists, dentists, community nurses and other services appropriate to their individual needs. A community Psychiatric Nurse visits the home on a regular basis to offer advice and support with behavioural and mental health issues. Medication is stored and administered separately in the special care unit and the main part of the home. The home uses the Boots Monitored Dosage System for all medication and staff have received training from Boots in respect of this. Some service users in the main part of the home self administer medication and appropriate documentation is in place. The Inspector viewed the Medication Administration Records on both units and found them to be correctly signed when administered or refused. Staff stated that medication is regularly reviewed by GPs and there was evidence of this. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15. The opportunities for social stimulation are excellent. There are regular trips out and in house activities and entertainment. Service users spoken to felt that they were able to make choices and retain control over their day to day lives. EVIDENCE: The routines in the home are flexible in line with service users needs and wishes. The inspector spent some time chatting to a group of service users who were fully able to express their opinions. They unanimously stated that they retain control and choice over their day to lives. There are no set times to get up or go to bed and they are free to choose how they spend their days. It was stated that there are fortnightly trips out and weekly shopping trips. High importance is placed on social stimulation for all service users. A full time activity worker is employed in the home who offers a wide range of activities and trips out. There is a weekly entertainment session which all service users are able to attend, a monthly holy communion service, exercise classes, arts and crafts, quizzes and aromatherapy. Some activities are on a one to one basis and others are for larger groups. People stated that they are free to decide whether or not to join in. In addition to the activities organised by the Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 14 specific worker the inspector noted that care staff are also encouraged to provide social stimulation. On the day of the inspection the inspector observed that there was a high level of interaction between care staff in the special care unit and service users. Some service users were assisting to get things ready for a barbeque at the weekend, some people were watching TV, some were listening to music, some people were having their hair done and others were enjoying chatting amongst themselves. Since the last inspection the activity worker in the home has begun to complete activity profiles for each service user. This gives details of the personal abilities, their former interests and hobbies and communication skills. For people who are unable to express their wishes records are made of activities that have been undertaken and enjoyed. Service users stated that visitors were always made welcome in the home. Over 80 of service users who completed comment cards answered YES to the question “Do you like the food?” the remaining people answered SOMETIMES. One person wrote a comment about the excellent quality of the food. Service users spoken to during the inspection were extremely complimentary about the food. The days menu is displayed each day outside the 3 dining rooms. There is a choice at tea-time but not at lunch time. Many service users stated that they are always able to ask for an alternative if the main meal is not to their liking. It is recommended that the lunch menu contains two options in order to give everyone a choice without having to make a specific request. The dining areas are well furnished and comfortable, tables are attractively decorated in line with service users wishes. Lunch was eaten in an extremely relaxed and unhurried manner and appeared to be enjoyed by everyone. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18. There are appropriate systems in place to minimise the risk of abuse to service users. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. Some areas of the home are locked by electronic keypad and all people living in these units have been assessed as requiring this level of security. Service users all have unrestricted access to outside space and people living in the special needs units are able to use other areas of the home to take part in activities. 16 service users completed comment cards prior to the inspection, 14 people answered YES to the question “Do you feel safe here?” (The remaining two people did not answer this question.) All staff are checked against the Protection Of Vulnerable Adults register and undergo an enhanced Criminal Records Bureau check. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 16 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26. The home provides comfortable, safe accommodation for service users. All areas are decorated and furnished to a high standard. Service users are able to bring personal possessions with them to the home, which gives bedrooms an individual homely feel. EVIDENCE: The home is divided into three parts giving three distinct units. Each unit has a lounge dining room, which is comfortably furnished and decorated. With the exception of three bedrooms all personal accommodation and communal areas are located on the ground floor and are accessible to people with all levels of mobility. At the entrance of the home there is a pleasant bar area with café type tables and chairs. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 17 Since the last inspection the communal areas in the special care unit have been reconfigured and decorated. There are now distinct areas for dining, watching TV and listening to music. Outside there are attractive gardens and those attached to the units for people with a dementia are safe and secure. People are able to access the garden areas at all times and seating is provided. Aids and adaptations have been fitted throughout the home to ensure that people are able to move around independently. These include grab rails, raised toilets and assisted bathing facilities. Clear signage is available throughout the home to assist people to orientate themselves and again promote independence. A call bell system is fitted throughout the home. The inspector viewed a sample of personal rooms and found them to be of an adequate size and comfortably furnished. Service users are able to bring personal possessions, including small items of furniture, with them when they move to the home. This gives rooms a very homely and individual feel. 31 of the 32 personal rooms have en suite facilities consisting of a toilet and wash hand basin. In addition to this there are communal bathrooms and toilets appropriate to the needs of the service users. On the special care unit there are two bathrooms. One has a large Parker bath and staff stated that many of the service users do not like using the Parker bath and therefore the majority of service users use one bathroom. All areas of the home are centrally heated, thermostatic valves have been fitted to communal baths to prevent the risk of scalding. Upstairs windows have been risk assessed and restricted where appropriate. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 29. Staff receive the training that they require to carry out their roles. Staff are well motivated and interact well with all service users. EVIDENCE: The home employs 29 care staff and 14 ancillary staff. (Figures taken from pre inspection questionnaire.) Rotas seen by the inspector show that there are between 5 and 6 care staff on duty each morning and 4 staff on each afternoon. An additional member of staff is on duty between 5pm and 9pm. Overnight there are two members of staff on duty. The manager’s hours and all ancillary staff hours are in addition to this. There are two unit managers and 50 of their hours are supernumerary to care staff hours. At the time of the inspection all areas of the home appeared to be adequately staffed to meet the needs of the service users. Staff appeared to be well motivated and confident in their roles. Service users spoken to who were able to express an opinion were extremely complimentary about the staff. People stated that “nothing is ever too much trouble” and “when you ring the bell they always appear very quickly and always have a big smile.” Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 19 The inspector spent some time observing care practices in the special care unit. Staff spent time chatting with service users and dealing with issues in a sensitive manner. All service users appeared very relaxed and comfortable. Staff spoken to were very complimentary about the training opportunities in the home. Over 50 of staff have an NVQ in care at level 2 or above. The inspector viewed the staff training records and noted that staff have received statutory training and training specific to their roles such as; introduction to dementia, dealing with challenging behaviour, administering medications and reminiscence. Three recruitment files of newly appointed staff were viewed, all contained evidence of a thorough recruitment process. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36, 37 & 38. The home is effectively managed taking into account the views of staff and service users. Appropriate systems are in place to ensure the health, safety and welfare of service users. EVIDENCE: The registered manager of the home is Jill Byford. She is a qualified psychiatric nurse who keeps up to date by liaising with other professionals and attending regular training courses. Jill has managed the home for over twenty years and has an excellent knowledge of the staff and service users. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 21 In addition to the registered manager there are two unit managers who offer day to day support and supervision to care staff. All staff spoken to were very complimentary about the management of the home. People stated that they would be happy to approach the manager with any worries, concerns or suggestions and felt that they would always be listened to. There are regular staff meetings in the home, which is an opportunity to share ideas and make suggestions about the running of the home. All staff receive formal recorded supervision. This supervision is task focussed and is one way that the home monitors the quality of care being delivered to service users and ensures that staff are confident in their roles. Since the last inspection regular service user meetings have been set up as another way of monitoring the quality of care and enabling service users to air their views. The manager does not act as a financial appointee or power of attorney for any service user. Small amounts of personal allowance are kept for some service users. The inspector saw written records in respect of these monies and noted that all transactions were clearly documented and signed by two people. Reasonable steps have been taken to ensure the health, safety and welfare of service users. All records seen were well maintained and up to date. Fire detection equipment is regularly tested in house and serviced by outside contractors. All equipment in the home is regularly serviced and a maintenance person is employed to ensure that all areas are well maintained. Hot water outlets are fitted with thermostatic controls to prevent the risk of scolding. Water temperatures tested by the inspector were within health and safety guidelines. There are up to date certificates displayed in respect of insurance and registration. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 3 3 Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 23 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 Regulation Requirement Timescale for action 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 15 21 Good Practice Recommendations The lunch time menu should offer a choice of meals to all service users. The manager should consider replacing the Parker bath in the special care unit with one that is more domestic in style. Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Somerset Abbeyfield Extra Care Home d53 D02 S16046 Abbeyfield Extra Care V228190 070705 Stage 4.doc Version 1.30 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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