Inspection on 06/01/06 for St Peter`s Residence

This inspection was carried out on 6th January 2006.

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

St Peter`s Residence 07/12/06

St Peter`s Residence 12/07/05

St Peter`s Residence 31/01/05

St Peter`s Residence 16/08/04

St Peter`s Residence 11/03/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE St Peter`s Residence 2a Meadow Road Stockwell London SW8 1QH Lead Inspector Mary Magee Unannounced Inspection 10:00 6th January 06 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 St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Peter`s Residence Address 2a Meadow Road Stockwell London SW8 1QH 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) 0207-735-0788 lsplond@aol.com Little Sisters of the poor Sister Josephine Storey Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (0) of places St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: St. Peter’s Residence is a purpose-built residential care home for elderly people. It is located in it’s own grounds in South West London. The home is surrounded by pleasant well-maintained gardens. It is situated in a quiet residential area and within reasonable walking distance of local shops, bus routes, a tube station and a famous cricket ground. The ground floor of the home has a reception area, payphone, letter box, Chapel, parlour/guest rooms, arts & crafts room, shop, staff facilities, offices, main kitchen, main dining room, hairdressers, library, several lounges, tea/coffee bar, residents’ laundrette, linen stores and several toilets as well as a large entertainment hall. Living accomodation is located on the first and second floors. Each floor has two units of 15 and 13 residents respectively. Each unit has its own manager, staff group, lounges, dining room, kitchen, bathrooms and toilets. All resident bedrooms are for single use and have ensuite facilities. There is a shaft lift for all floors. A sheltered housing unit for older people is located adjacent to the home. Residents from the unit are welcomed at the home for meals and to join in activities.The home is one of a number of homes owned and managed by the Little Sisters of the Poor, which is a religious order dedicated to the care of the elderly. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited the home in early January to complete this unannounced inspection. It lasted one day. The manager and five members of staff spoke to the inspector. Comments were also received from two groups of service users as well as from eight service users individually. A selection of records were viewed, these included service user files and records relating to accidents and incidents. A visit was made to the home some months earlier to examine all staff personnel files. The findings from these examinations are included in the report. A tour was conducted of the premises, this included all the communal areas and four bedrooms. What the service does well: What has improved since the last inspection? St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 6 The home continues to provide a high quality of care. The premises are beautifully maintained, any areas requiring attention or repair are attended to promptly. New pictures have been purchased for the corridors on the first and second floors. All of the home was tastefully decorated and very festive for Christmas. Great attention continues to be paid to detail throughout the home. 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. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 346 Service users have a thorough needs assessment completed first before they are admitted. Additional facilities including physiotherapy are available for service users to enable them rehabilitate successfully. EVIDENCE: No service user moves into the home without first having their needs assessed and being assured that their needs will be met when they move there. Care management assessments for service users were present on the care files viewed. Care plans in place were based on care management assessment as well as on the home’s own needs assessment. Staff individually and collectively have the skills and experience and deliver an exceptional high standard of care to service users at the home. Care plan and support needs are tailored according to individual needs. For service users requiring less support they are enabled and encouraged to retain and develop independence. Small kitchens are located in each unit so that service users may prepare light snacks and refreshments. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 9 Support needs are met in a manner that is sensitive and dignified and takes into account individuals their feelings and aspirations. All eight service users spoke to the inspector of the high quality of the service provided. They said that service users are supported to remain as independent for as long as possible. They found that staff know the appropriate way to respond to service users losing the capacity to remain independent and do this in a discreet manner that is sensitive to individuals feelings. The home provides a physiotherapy room with a range of equipment. A physiotherapist visits the home two days per week offering therapeutic advice and exercise as well as assessing and supplying suitable equipment. Examples were seen of service users that have been successfully rehabilitated in the comfort of their own home and avoid having to attend hospitals for appointments. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 10 11 The arrangements for delivering care are good with all the staff team aware of individual care needs. Written records maintained of the care arrangements are kept updated of any changes that are required. Service users are assured at the time of their death that they are treated with sensitivity and respect. EVIDENCE: Care plans for five service users were viewed. These were selected from all four units. The care plans detailed the actions that staff needed to take to meet all areas of need in relation to service users’ health personal and social care. These were drawn up in response to holistic assessments completed at the home and from the information received on care management assessments. Care plans demonstrated that service users or their representatives were consulted on developing appropriate plans. Risk assessments were included and detailed all the necessary action required by staff to minimise risks in particular relating to moving and handling. From observations made of care plans it was indicated that care plans and risk assessments had been regularly reviewed, care plans were reviewed and updated on a monthly basis and reflected changes in conditions and objectives. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 11 Risk assessments also indicated those at risk of falls and the action to be taken by staff in preventing those at risk. The registered person should ensure that risk assessments are constantly reviewed and that written risk assessments are updated and have as much detailed information recorded as possible in order to guide staff. Daily progress notes are maintained for each service user. These give a good picture of the progress and of each individual’s welfare. Handovers take place at the change of each shift; all staff are asked to be present for this. All the details of the handovers are recorded in the handover book. Service users receive the opportunity to exercise and for service users that experience falls these people have been referred to the falls clinic. Discussions with groups of service users as well as with individuals indicated that the lifestyle offered at the home was what people liked and that service users did not participate in activities if they did not wish to do so. A number of service users have developed some mild dementia. Consideration should be given to developing an appropriate service for those experiencing dementia. There were records of appointments with hospital consultants, opticians and dentists. A number of service users attend chiropody clinics outside which frees up the time of domiciliary chiropodists to treat service users that are more frail and require home appointments. Service users are registered with a GP practice. Weekly surgeries are held at the home. None of the service users have pressure sores. Pressure relieving equipment is provided to service users identified at risk of developing pressure sores. Following professional advice aids and adaptations are supplied to service users that assist and promote continence. Service users found that staff are discreet with how they support them with personal care. Following meals and at regular intervals during the day and nighttimes staff support service users with personal support and in particular in regards to using toilet facilities. The home has a dedicated room that is used for GP consultations with a direct link to the GP surgery via the computer. This makes the renewal of medical prescriptions more accessible. Service users are treated with respect at all times and have their right to privacy and dignity upheld. “The ethos of caring for people in a tender loving manner is promoted throughout the home” were the comments received from a number of service users. All eight-service users spoken to found that the home more than lived up to their expectations. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 12 A number of care plans had instructions on service users’ wishes on their rights to be observed at the time of death. Members of staff spoke of how people are looked after in their final days. When possible, service users are able to spend their final days in their own rooms within familiar surroundings. One of the unit sisters spoke of the arrangements and of the night support given, she said “ sisters from the convent sit with service users at night when there are no relatives available and when they are in their final days”. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 the following standard(s): 12 13 14 15 The home provides for a lifestyles for service users that matches their expectations and preferences and meets their social cultural and recreational interests. Mealtimes are pleasurable with an abundance of good wholesome appealing food served. Suitable numbers of trained staff are available to support discreetly service users that require assistance. EVIDENCE: Service users find that their experience of living at the home matches their expectations and preferences. The routines of daily living and activities available are flexible and varied to suit individual user’s expectations, preferences and capacities. The interests of service users are recorded at time of admission and appropriate recreational activities are devised that suit preferences and capacities. Service users are encouraged and supported to receive visitors and to maintain social contacts as they wished. Visitors are welcomed and can be provided with beverages within the service user’s room or in any of the lounges on each unit or in the tea/coffee bar on the ground floor. At the home there is a choice of several lounges that can be used by visitors. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 14 There is a chapel. Daily mass is celebrated here that service users participate in if they wish. The day of inspection was the feast day of the Epiphany and of importance religious significance in the Roman Catholic calendar. The inspector joined service users at Mass on the special day. Afterwards morning coffee and biscuits were served. Service users told the inspector that they are offered the opportunity to exercise their choice in relation to religious worship and that there is no obligation on service users to participate in the religious practices observed if they choose otherwise. A number of bedrooms contained items of personal possessions that service users choose to take with them to the home. One of the many areas where the home excels is the quality and style of presentation of food along with the discreet assistance given to service users at mealtimes. Service users receive a wholesome appealing nutritious diet that is suited to individual needs and preferences. Mealtimes are an important part of the social life at the home. The environment in which they are served is pleasant and relaxed making them very pleasurable. The inspector following an invitation shared lunch with service users in the main dining room. A Christmas lunch was served on the day to celebrate the special feast day. The main dining room on the ground floor was beautifully decorated with coordinating tablecloths and curtains. Dining rooms have a homely feel and accommodate no more than four people. There is also a large dining room on the ground floor to which service users may attend. Residents of the nearby sheltered housing unit are welcome to lunch at the home. Dining rooms are carefully prepared in advance for meals, drinks and condiments are placed in the centre of the tables, all service users are issued with napkins. At mealtimes, dishes of fresh vegetables are placed on each table so that service users may help themselves. A number of attentive staff are available that assist and provide table service. In the smaller dining rooms on the units additional members of staff are available and support discreetly service users that need assistance at mealtimes. Three courses are served for lunch every; table service is prompt and attentive with service users offered additional helpings/portions. All service users spoken to were complimentary and found that meals served were excellent. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 the following standard(s): 16 18 Service users are looked after in an environment by staff that safeguards them from abuse or neglect. Service user views are encouraged to give their views and have them listened to carefully and considered. EVIDENCE: Service users feel that their views are listened to and taken on board. Records retained of issues raised showed that all issues of concern or dissatisfaction raised were addressed satisfactorily. Service users have the opportunity to make suggestions and affect the way the service is delivered. It is a user focused service where service users views matter. Staff are knowledgeable on protecting service users from neglect or abuse. Training received by staff has been put into practice with fully aware of the practical applications of the Adult protection Policy and what to do in the event of abuse being suspected. From discussions with the new manager it was evident that any issues regarding staff unsuitability to work at the home would involve consultation with employment advisors. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 the following standard(s): 19 20 23 24 26 Service users live in a home that is safe, clean and well maintained. The individual and collective needs of users are met in a comfortable and homely manner. Specialist equipment is provided to maximise service users’ independence. A number of additional facilities are available that benefit service users and contribute to the overall ambience of the environment, these include tea bars, entertainments hall physiotherapy room and hobbies/sewing room. EVIDENCE: All the communal areas as well as three bedrooms were viewed. The layout as well as the facilities furniture & fittings are all of very high standard and very well maintained. There are ample grounds for people to exercise outdoors which are private and include a landscaped garden with seating and a gazebo. There is parking space for visitors within the grounds. All communal areas in the home are bright, attractive and homely. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 17 The organisation makes a significant investment in order to retain it to such a high standard. The reception area of the home is attractive, inviting and peaceful, with side rooms that are used for meetings/interviews/visits. There is also has a Royal Mail post box for service users’ convenience. The layout of the premises is good. Service user accommodation is arranged over four units located on the first and second floors. Each of the four units has a separate lounge and dining room. All the home is attractively decorated and contains good quality furnishings and fittings. Bedrooms are personalised and maintained to exceptionally high standards. All bedrooms are en-suite, there are also separate toilets available on each unit and on the ground floor. Each unit contains two bathrooms (with Malibu baths) and a wheelchair accessible shower. Corridors and communal areas displayed a range of pictures and ornaments including a water feature. Redecoration takes place routinely that ensures that presentation is retained to a high standard. All the communal areas were tastefully decorated throughout for the Christmas period. This work has been the result of the continuing hard work of volunteers that attend the home. Communal areas of the home are fully accessible to service users and visitors, via wide corridors, lifts and ramps. The chapel is designed with a balcony leading off the first floor to make it accessible to those service users of very limited mobility. The home is well designed with each bedroom benefiting from a good supply of natural light. Temperatures were comfortable throughout the building. All areas of the home seen were clean hygienic and fresh smelling. The home employs a number of housekeeping staff that have responsibility for maintaining the high standard of hygiene, these include two laundry assistants, a seamstress and a full time gardener. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 29 The home ensures the health and safety of service users and that their needs are met by the provision of suitable numbers of suitably skilled staff. New members of staff are not appointed until appropriate documentation is available first. EVIDENCE: Rotas viewed and discussions with service users provided evidence that appropriate numbers of suitably trained staff are on duty at all times. On each unit, three members of staff are on duty during the day. These numbers include the unit sister and two care workers. A number of the unit sisters are qualified nurses. At night, there are two waking night staff that cover both floors. One of the unit sisters said that the night time staffing arrangements were kept constantly under review, also that should there be additional needs identified appropriate numbers of staff from the convent would then be available and assist. The manager also spoke of the home’s response to meeting additional needs of service users and of the many occasions when service users required more support. Two members of staff spoken to reported on the affect of staff absences on bank holidays. Although sufficient numbers had been rostered to work their absence affected staffing levels and it was not possible to employ replacement staff at short notice. It is recommended that additional numbers of bank staff are recruited and available for peak periods during the holiday season. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 19 Additional housekeeping staff are employed to prepare and serve food and to maintain the cleanliness and hygiene of the home. An incident occurred at the home some months earlier. As a result of a decision taken regarding recruitment an inspection was undertaken of all staff personnel files. Enhanced Criminal record Bureau disclosures and references were available for all staff. Records seen demonstrated that this information was sought and available for any new member of staff before they commenced work. The manager displayed competence in management and spoke of the importance of not employing members of staff should unsatisfactory information come to light regarding a staff member. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 37 38 The manager is experienced and promotes an open and positive environment. Service users benefit from living in an environment where the caring ethos is promoted and practiced throughout. The home is run in the best interest of service users. EVIDENCE: A new manager has been appointed. She was the registered manager at another home run by The Little Sisters of the Poor in Cheshire for a number of years. CSCI has processed the application. The certificate had not been issued at the time of inspection. The manager is a qualified nurse and has many years experience of working with people in the older age group and managing successfully a care home. The home is run in the best interest of service users. The service is totally user focused with an emphasis on striving to enhance the lives of older people. Two service users spoken to said, “the quality of life they experienced was way beyond their expectations” “ I enjoy living in an St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 21 environment where people really do care for others” was the comment received from a lady that has lived at the home for many years. There are a number of systems in place used to evaluate and monitor the service and reflect on the outcomes. Regular service user meetings are held with management to get user views, annual questionnaire/evaluation forms are completed. The organisation demonstrates a commitment to lifelong learning and development for staff. The home maintains the premises to a high standard that demonstrates the ongoing investment by the organisation in the renewal of furniture and fabric of the premises. A current insurance policy was on display in the reception area of the home. An administrator is employed to manage and record financial transactions for the home. The majority of service users manage their own personal allowance. This money they receive weekly, signatures of service users acknowledge receipt of money. For a small number of service users that lack the capacity to manage their money appropriate arrangements are in place to manage this effectively. The unit sister takes responsibility for the safekeeping of these funds on the unit, records are well maintained and two people sign for all transactions relating to these. In this way, service users have access to their funds as they require so that they can buy personal items such as toiletries or clothing. For two service users the organisation is the corporate appointee. Three members of staff spoken to found that they were supervised and supported in their role. St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 x x x 4 3 4 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 3 3 St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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. 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 OP2 OP8 Good Practice Recommendations The registered person should consider including a fee to cover the physiotherapy services offered at the home so that this can be developed further. The registered person should ensure that risk assessments are constantly reviewed and kept updated with as much emphasis on promoting physical activity as possible. Information on how to manage the risks should be clearly recorded and communicated to staff. The registered person should ensure that appropriate numbers of bank staff are recruited to be available to cover bank holiday periods. The registered person should consider developing further facilities for people experiencing dementia. 3 4 OP27 OP8 St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 St Peter`s Residence DS0000022757.V268865.R01.S.doc Version 5.0 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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