Inspection on 08/05/07 for Springkell House

This inspection was carried out on 8th May 2007.

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

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

Other inspections for this house

Springkell House 21/07/05

Springkell House 06/09/04

Springkell House 28/06/04

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

CARE HOMES FOR OLDER PEOPLE Springkell House Springkell House Wood Road Hindhead Surrey GU26 6BT Lead Inspector Pauline Long Unannounced Inspection 8th May 2007 09:30 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 Springkell House DS0000013792.V335331.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. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springkell House Address Springkell House Wood Road Hindhead Surrey GU26 6BT 01428 605509 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) Madeprice Limited Karen Goddard Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (31), of places Physical disability over 65 years of age (2) Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: Springkell House is a large Victorian detached property set in its own grounds in a residential part of Hindhead. The service provides twenty-four hour care for up to 31 older people, some of who suffer from dementia. All bedrooms are used for single accommodation and several benefit from en-suite facilities. The service provides a range of activities and events for service users to attend, both in-house and within the local community. The employer offers staff accommodation in the grounds. There is ample parking in the grounds. The fees at the home range from £400 .00 per week to £525.00 per week. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 09.30 and was in the service for 5 hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. Communication with some of the residents was limited due to their communication difficulties. However their apperance and body language evidenced a sence of wellbeing. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The CSCI would like to thank the residents, the home manager, staff and visitors for their hospitality, assistance and co-operation during the site visit. What the service does well: The home manager and staff demonstrated an open and inclusive approach to the residents care. The home benefits from a long-standing staff team, who have worked in the home for some years, and this was reflected in the level of knowledge and understanding of the needs and preferences of the residents. The home promotes and encourages contact with family/friends and the local community. Residents spoken with were complimentary about the care and services provided by the home. The commented that, they always get the care and help they need, “that the care they received was good” and “that the staff very caring. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Springkell House DS0000013792.V335331.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 Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents are only admitted to the home following an assessment of their needs. The home does not provide an intermediate care service. EVIDENCE: The home provides a care service for privately funded and local authority services users. Assessments of local authority clients are only carried out following receipt of a care managers community care needs assessments. The manager commented that, she would visit a prospective resident at their home or hospital to carry out the initial care needs assessment. Prospective residents and their families are invited to the home, where they would be encouraged to spend time prior to making a decision as to whether the home could meet their needs. One relative commented that the manager had visited their home in order to carry out an assessment of her relatives needs. She commented that this was a great help to her. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 9 Three of the residents care needs assessments were sampled and were found to provide a good overview of the residents care needs, for example all daily living activities and their preferences in respect of how they liked to be known, health and social care needs, spiritual/faith needs and their likes and dislikes around activities and foods. The home does not provide an intermediate care service. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s health and social care needs are well met. They are treated with respect and their privacy and dignity is promoted. Improvements are required in respect of one care plan. EVIDENCE: Four of the residents care plans were sampled. Three of the care plans had addressed the particular care needs of the residents. One had not addressed the resident’s needs around mealtime activities. On the whole the plans provided the reader with a holistic overview of a residents needs, however the daily records were somewhat task focused and did not give the reader a good insight to a residents wellbeing on a given day. All of the care plans had been regularly reviewed. Residents and a visitor to the home commented, that, the care they received at the home was good”. A health care professional commented that, the home appears very well run. The needs of the residents are well met and that communication between the surgery and the home was excellent. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 11 Discussions were had with the manager in respect of developing the daily records further in order to provide a more holistic view of a resident’s 24 hour day. Medication practices and procedures in respect of administration, recordkeeping, storage and training were sampled. Medication administration was observed and was found to be carried out in a sensitive and safe manner. The storage of medication was also found to be safe. Some of the residents in the home required controlled medication, the storage and records in this respect were good. General medication record sheets were sampled, and were found to be well documented, with no gaps in signatures noted. The manager commented that daily checks are carried on the medication record sheets and any issues noted would be addressed with the member of staff at the time. Discussions were had with the care staff about the homes medication policies and procedures. It was evident through these discussions, that the staff had a good understanding of these policies and procedures. The staff commented, that only the senior staff who had undertaken formal training and who were competent were permitted to administer medications. The manager and staff commented they receive regular training and updates in the safe handling of medications. This was evidenced in the homes training records. Through out the inspection process, staff were observed carrying out various aspects of personal care for the residents, this support was offered in a respectful and quiet manner. Staff were observed knocking on doors and waiting to be invited in, before entering rooms. Bathroom doors were kept closed whilst staff were attending to residents personal care needs. Residents commented that, “all of the staff were kind and treated them with respect”. A requirement and a recommendation has been made in respect of these standards. Please refer to page 23 of this report. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience good quality outcomes in this area. The residents are encouraged and enabled to maintain fulfilling lifestyles in the home and promotes contact with family, friends and the local community. Residents are encouraged and enabled to makes choices in their lives and meal times are a positive and pleasant experience for them . EVIDENCE: The home is committed to ensuring that the residents maintain their relationships with their family and friends. Residents commented that they received visits from their families and friends. Some relatives and visitors were observed visiting the home during the site visit. They commented that the all the staff at the home were very welcoming. There was evidence of various flyers on notice boards relating to activities and trips, for example residents are encouraged to take part in gentle exercise classes, art and craft sessions in the home. Visits to various lunch clubs, local shops and gardens are organised. A PAT Dog visits the home on a regular basis. One resident commented that she liked looking after her pet bird. Some care plans sampled related to residents likes and dislikes around activities. Newspapers are provided in audiotape, and in large print for those Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 13 residents with sensory impairment. On the day some residents were enjoying a musical bingo game. The home encourages the residents to practice their faith and has arranged for weekly visits from one of the local churches in order to provide some of the residents with communion, this was observed during the site visit. On the whole residents were observed moving freely around the home, making choices as to how they would spend their day, for example, where they would spend their time and what they would like to eat and drink. However it was noted that restrictions were in place for one resident in respect of mealtimes. This was discussed at the time with the manager. The homes kitchen is undergoing major refurbishment and as a result this there was some disruption and limited cooking facilities available. The manager and chef were working hard to ensure that the residents would not notice the disruption. Residents commented that whilst they knew works were being carried out there was very little noise or dust to be seen. The meals are freshly cooked in the home and the home has developed a six-week menu, which looked varied and appetizing. It was noted on the day that no vegetables had been provided for the main meal. This was discussed with the manager, who stated that it was purely an oversight. Whilst the menu board related to only one main course, the residents commented that if they did not like what was on offer then the Chef would cook something else. Residents and visitors commented that the food at the home was good. One resident commented that breakfast was served in their rooms and other meals served in the dining room, but they could have all their meals in their rooms of they so wished. It was noted that some residents preferred to eat in their bedrooms. Some residents required support with their meals, this support was observed and evidenced sensitive staff, ensuring residents were supported in a dignified way. It was difficult to assess the cleanliness of the kitchen due to the building work, however one area of concern was identified in respect of a deep fat fryer. The chef addressed this area of concern, immediately. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents are protected by the homes policies, procedures and practices around concerns, complaints and protection. EVIDENCE: No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The homes complaints records were not sampled but the manager stated that no complaints had been received at the home since the last inspection. The manager also commented that the residents and their families could speak directly to her if there were any concerns. Residents spoken with, commented, that if they any reason to complain, they would speak with the manager. No referrals have been made under the local authority multi agency Safeguarding Adults procedures. Discussions were had with the staff on duty and scenarios put to them in respect of the home’s safeguarding adults procedures. Staff interviewed, demonstrated a good understanding of the policies and procedures, and stated that abuse was covered in the homes induction programme. . Two out of the three staff stated that they had undertaken training in this respect. One recent member of staff has not undertaken this training as yet but is due to in the next couple of weeks. This was evidenced in the homes training plan. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The environment is able to meet the changing needs of the resident’s, it is homely, clean safe and comfortable. EVIDENCE: The home is a Victorian property and presents the providers with challenges in respect of the constant need for updating and refurbishment. Considerable work has been undertaken in this respect since the last inspection. Improvements have made in the bathroom facilities, three baths have been removed and replaced with walk in showers, which makes things easier for those frailer residents. Fifteen bedrooms have been fitted with en-suite facilities, residents commented that this was a major improvement. The 2nd floor has been redeveloped to provide 3 extra bedrooms. The floorboards in one of these rooms were uneven and had the potential to cause a trip hazard or harm to a resident or a member of staff. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 16 The main sitting room and dining room have been refurbished and redecorated. All of the carpets in the halls stairs and landings have been replaced. It was noted however that one area of the carpet had frayed. The manager stated that it would be replaced. A new laundry room and equipment have been provided, it was noted that a bottle of liquid detergent was not stored appropriately in accordance with COSHH guidelines. This was brought to the manager’s attention and the container was removed immediately. A second shaft lift has been installed providing lift access to the 2nd floor. The garden has been redesigned providing better access for all of the residents. As mentioned earlier in this report the kitchen is in the process of major refurbishment. The home is clean and hygienic with no malodours noted. A requirement has been made in respect of these standards. Please refer to page 23 of this report… Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: Staff files sampled evidenced that the home employs a diverse staff group. One relative commented that at times communication with some of the staff could be difficult due to English not being their first language. Discussions were had with the manager in this respect, she stated that some of the staff were undertaking English classes twice a week. This was evidenced in the staffing rotas and the staff confirmed this. On the day the staffing levels were adequate for the dependency levels of the residents. There were 3 care staff 1 senior carer and the manager on duty. Staff commented that the home was never short staffed and that there was no agency usage. The home is being extended further to provide more bedrooms, the manager stated that the staffing levels will be increased to reflect the increase in residents. Resident’s and relatives commented that all of the staff were kind and helpful good at their jobs. The homes recruitment practices were sampled, and were found to be good. Three staff files were sampled and all had the required documentation in place, with evidence of CRB (Criminal records) or POVA (Protection of Vulnerable Adults) checks. Discussions were had with the manager in respect of the Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 18 retention of CRB disclosures and the need to refer to the guidelines as to disposal of these documents. There was no evidence on file of the staff interview process. Discussions were had with the manager about the need for the recruitment procedures and practices to be based on equal opportunities. Discussions were had with staff, who, talked about their job roles and responsibilities. Work based observations evidenced competent staff carrying out their various tasks. Staff training is given a high priority in the home and staff discussed some of the training they had undertaken. Training records demonstrated that statutory and various current good practice training had been undertaken since the last inspection for example: prevention of falls, management of incontinence, dementia care, Parkinson’s disease and managing challenging behaviours. The home is proactive in promoting NVQ (National Vocation Qualifications), and is working towards the National Minimum Standard recommendation of having at least 50 of care staff with NVQ2 or above. Whilst there are no training courses related directly to Equality and diversity, the manager stated that equality and diversity issues are issues are discussed during the staff induction training and in the NVQ modules. Care staff discussed various diversity issues in respect of their roles, for example residents rising and going to bed when they please, resident’s faith needs being addressed, residents dietary needs in respect of their faith being considered. The manager commented that training courses were arranged to ensure that all staff have an opportunity to attend, for example; training courses timed in the evenings to enable the night staff and staff with child carer responsibilities to attend. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35, 37,38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The resident’s benefit from an open and inclusive management approach to the running of the home and their views are listened to. Improvements must be made in respect of some areas of health and safety. EVIDENCE: The registered manager has worked at the home for some years. She has achieved the Registered Managers award and an NVQ 4. All of the residents and staff spoken with commented that the manager has a hands on approach, this was evidenced on the day as the manager was helping out with carer responsibilities. A visitors to the home commented that the manager was very helpful and was always available if someone wished to speak to her. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 20 The home actively seeks the views of the residents and other stakeholders. They have employed a third party in order to achieve this. The most recent survey was carried out in February 2007. A total of 27 replies were received from service users and included, replies from, residents, relatives and health care professionals. There were some areas identified in the questionnaires which required feedback from the home. This feedback was given in the subsequent residents/relatives meeting as evidenced in the minutes. The home also produces a News Letter for the Residents/Relatives, and the last one was distributed in late 2006. Discussions were had with the manager around resident’s personal monies. She stated that resident’s families/representatives had overall responsibility for resident’s monies. However small amounts of monies are kept in the home for hairdressing, chiropody etc. The procedures in place for the safekeeping and recording of these transactions were sampled and were found to be good. Discussions with the manager and care staff indicated that one to one staff supervision meetings were held. However the manager commented that it was a challenge to achieve the required number per year. She stated that some of the senior care staff had undertaken a training course in respect of staff supervision in order to ensure the required number of meetings are undertaken. The staff commented that they regularly work together with the manager and other senior staff and have regular discussions around residents needs. Records in respect of the formal one to one meetings were sampled and some gaps were noted. The staff commented that, they are also expected to attend regular team meetings. Minutes of team meetings were not sampled. Health and safety checks are routinely carried out at the home. On the day of the site visit the fire alarms went off. All staff responded in a timely fashion according to the homes procedures. Records evidenced that water temperatures, fire drills and fire bells had been regularly checked. All equipment in the home had been properly maintained and serviced. As mentioned earlier in this report attention must be paid to the uneven floorboards in one of the second floor bedrooms and the storage of hazardous substances. Requirements have been made in respect of these standards. Please refer to page 23 of this report. Springkell House DS0000013792.V335331.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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 12(1)(a) 13(7) 15 Requirement Timescale for action 08/06/07 2 OP38 13(4)(a(c 23(2)(b) 3. OP38 12(1)(a) 13 (4)(a(b(c Where restrictions are imposed in respect of an individual. The service must ensure that: (a) The reasons for these restrictions are clearly documented in the individuals care plan. (b) That risk assessments are carried out and documented in respect of these restrictions. (c) That care plans and risk assessments are kept under review. (d) Care plans must be signed by a representative from the home. All parts of the home to which 08/06/07 service users have access to must be free from hazards to their safety. Attention must be paid to the uneven floorboards in the 2nd floor bedroom which was identified at the site visit. Any unnecessary risks to the 08/06/07 health and safety of services users must be identified and so far as possible eliminated. Hazardous substances must be stored appropriately at all times. DS0000013792.V335331.R01.S.doc Version 5.2 Springkell House Page 23 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 OP37 OP29 Good Practice Recommendations The manager could consider making the residents daily records less task focused and provide a more holistic view of the residents twenty-four hour day. The manager could consider developing a list of questions and expected responses to be used at interview to demonstrate equal opportunities and to protect the people who use the service. Springkell House DS0000013792.V335331.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Springkell House DS0000013792.V335331.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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