CARE HOMES FOR OLDER PEOPLE
Stirlings Garston Lane Wantage Oxfordshire OX12 7AX Lead Inspector
Jane Handscombe Unannounced 11 May 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. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Stirlings Address Garston Lane, Wantage, Oxfordshire, OX12 7AX 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) 01235 762444 01235 763995 manager.stirlings@osjctoxon.co.uk The Orders of St John Care Trust Ms Maggie Knowles Care Home 40 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (3), Past or present drug of places dependence over 65 years of age (15), Learning disability over 65 years of age (3), Old age, not falling within any other category (18), Physical disability over 65 years of age (20). Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20 January 2005 Brief Description of the Service: Stirlings is a care home providing personal care and accommodation for 40 older people, 5 of whom need help with rehabilitation (intermediate care). The care home is provided by The Orders of St John Care Trust, who are responsible for many care homes in Oxfordshire that were formerly provided by the County Council. Stirlings is located near to the centre of Wantage, close to local amenities. The property is a two storey building with a lift fitted and divided internally into 5 areas. All bedrooms are single and there are no ensuite facilities. The home has well maintained grounds that are easily accessible Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, lasting 7.5 hours, which took place on the 11th May. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents in order to ascertain their views on the care and the services they receive at the home, the staff members and the manager, viewing care plans and assessments, whilst observing the general day to day operation of the home. At the time of inspection the service users were busy going about their daily activities and there was a calm relaxed atmosphere. The inspector was warmly welcomed, by both the staff and service users, on arrival. Much of the inspection focused upon life from the service user’s point of view. Overall, the general picture of the home gained by the inspector was of being a well run, organised and caring home with a dedicated team of staff who offer a client focused approach to the care provided whilst respecting the residents’ privacy and dignity at all times. Comments received from service users during the inspection included: ‘They’re good to you in here’ ‘I like being here’ ‘Everyone is so good and kind’ The inspector would like to thank the residents and staff at the home for their time and co-operation during this inspection. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection?
Since the last inspection, the home is in the process of replacing the windows, which had begun rotting and is installing double glazed windows to the front of the building, which will allow the home to be free of draughts. The windows to the rear of the building have been allowed for in this year’s budget and work will follow once the quote has been received. Further maintenance has been carried out in bedrooms in Lambourne, which includes coving and the replacement of curtains. A new care plan format has been implemented which, if used properly, should make it easier for staff to ascertain the residents’ needs and the care needed to fulfil those needs. Care plan training has been delivered to the care manager and care leaders who are cascading this down to other members of staff. A training matrix is in the process of being put together which, it is hoped, will remove the large amount of paperwork and result in a more accessible form of recording which will show clearly the training that has been undertaken by each member of staff and due dates for refresher training. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 7 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. Stirlings H57-H08 S28949 Stirlings V224723 110505 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 Stirlings H57-H08 S28949 Stirlings V224723 110505 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, 3, and 6 The home gives very good, clear written information about the home and the services it offers to prospective residents and their families, allowing them to make an informed choice. No resident is admitted to the home before they have undergone an assessment of their needs to ensure both parties are assured these can be met. Residents do not always sign in acknowledgement of taking part in the assessment process. Residents who have been assessed and referred solely for intermediate care are helped to maximise their independence thereby enabling the service user to return home. EVIDENCE: Information contained in the Service User Guide and the home’s Statement of Purpose is very comprehensive allowing prospective residents and their families to get a ‘feel’ of the home. Information within these include detailed information on the aims, objectives of the home, the ethos of care, details about the qualifications and experience of the manager and staff and the facilities and services that are provided at Stirlings.
Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 10 Samples of residents’ assessment records were viewed and were found to be incomplete. Two of the four files viewed failed to contain evidence that the residents had taken part in the process or had it explained to them. The registered manager must ensure to seek the signature of a service user/representative wherever possible, to indicate their involvement in the process. Stirlings H57-H08 S28949 Stirlings V224723 110505 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 and 10 An individual plan of care is drawn up from the assessment of the resident’s needs and is reviewed regularly to ensure that these and any ensuing needs are met. The overall approach of the home is one in which the service users experience a sense of privacy and dignity at all times. EVIDENCE: Each resident has an individualised plan of care derived from an assessment of needs, setting out their personal and social needs, which is reviewed on a monthly basis. As stated earlier in this report, signatures should be sought from the resident wherever possible, or their advocate if the need arises, to evidence that the reviewing of their needs has involved them in the process. Of the four files chosen randomly, two omitted to note the date that the residents were admitted to the home. The inspector noted the files omitted to contain the residents’ weights, however after discussion with the manager it was ascertained that monthly checks were undertaken and recorded in the weekly bath book. The manager explained that a new system of care planning has been developed and staff are undergoing training on the new format. The inspector viewed one resident’s file, whose details had been transferred over to the new
Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 12 format and found it to be complete and of fuller detail. The new care plan format should prove more user friendly and allow for a fully comprehensive assessment, regular reviews and a detailed plan of care with all records in the one file. A recommendation has been made within this report to ensure that all existing residents’ information be transferred to the new format within a given timescale. Evidence of notes found within residents’ care plans, such as GP and district nurse visits, and from talking to residents themselves highlights that the home provides either directly, or through access to other health care services, a full range of appropriate services to meet the residents’ needs. There are clear sets of procedures for the receipt, safe handling, recording, storage and disposal of medication within the home and residents are able to take responsibility for their own medication, if they so desire, within a risk management framework. The inspector viewed evidence within care plans to show that staff monitor the condition of residents on medication, and where there is concern about any change in condition that may be a result of medication, they contact the GP and prompt a medication review. Residents who spoke with the inspector felt that they experience a sense of privacy and dignity at all times and are very happy with the care they receive. Staff were observed to knock on bedroom and bathroom doors at all times before entering and to offer assistance sensitively and in an unhurried manner. Stirlings H57-H08 S28949 Stirlings V224723 110505 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 and 14 The home is committed to maximising the residents’ capacity to exercise personal autonomy and choice in much of their lives although, at present, does not include choice and variety in their daily activities. Daily activities are very limited and provided by care staff in a spontaneous manner, offering very little stimulation and as such very little choice in following their recreational needs and interests. EVIDENCE: Residents spoken to were complimentary regarding the food and welcomed the choices available. The cook showed the inspector menus for the coming weeks and those observed were found to be well balanced, wholesome and offered choice. It was also noted that fresh fruit was available in fruit bowls in the home for residents to enjoy at their leisure. Menus were not on display in the home for residents’ use on the day of inspection. However the manager explained that they were in the process of laminating the menus and staff had informed residents verbally of the choices available to them. The manager assured the inspector that menus would be displayed once they had been laminated. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 14 Residents informed the inspector that they are able to receive visitors and friends at any reasonable time, and are able to entertain them in the communal lounges or their own bedrooms. There is a visiting hairdresser who visits the home every Thursday and a local chaplain who holds a service every Sunday, offering communion to those who wish. The notice boards in the home contained details of forthcoming excursions available to the residents which included a trip to the Isle of Wight, a trip to Windsor Castle, a river boat trip and a visit by a fashion company enabling residents to buy from a range of ladies/gents wear if required. There did appear to be a lack of daily activities on the day of inspection and the residents themselves voiced this, on numerous occasions. Upon speaking with the manager, it appears that staff members offer daily activities spontaneously, but the manager informed the inspector that she will be seeking an activities co-ordinator as this has been allowed for in this year’s budget. It is recommended that recruitment for an activities co-ordinator should be of high priority in order to allow the residents some choice in following their recreational interest and needs and to provide stimulation as opposed to the monotony as was voiced during the inspection. Stirlings H57-H08 S28949 Stirlings V224723 110505 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 and 17 The complaints procedure is routinely given to residents upon admission to the home in order that they are aware of how to voice concerns about any aspect of the care they receive; this however requires improvement in the wording to ensure that residents are enabled to express concerns to the regulatory body. Residents and their relatives are confident that any concerns they have will be listened to, acted upon appropriately and taken seriously. EVIDENCE: Speaking with residents on the day, it was apparent that they were aware of the complaints procedure and were confident that any concerns they may have would be acted upon appropriately. All residents spoken to were aware of who to take any concerns to if the need should arise. The home has a complaints procedure, which is on view in the home and may also be found in the residents’ handbook. Errors were noted in a resident’s handbook, which the inspector viewed. The error was in regard to registering a complaint to the Commission, in that residents can register a complaint with the commission at any stage and not as implied – if the home have not responded adequately. A recommendation has been made within this report to address this and update the information for both prospective and existing residents. An independent advocacy service is available for residents to access if the need arises. The service is provided by Age Concern Oxfordshire, at no cost to the resident, details of which were observed to be on display on notice boards within the home and found in the service user’s handbook. Residents can
Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 16 approach any member of staff who will assist them to access the service, or if preferred they can self refer. All residents are registered on the electoral role and can partake in the electoral process either by postal vote or can be assisted in visiting the local polling station. There are regular residents meetings held in the home to which all residents are invited. These meetings are an open discussion in which residents can voice any concerns and make any suggestions and the management can address their issues and discuss points of interest relating to the home. The meetings are minuted and displayed within the home to keep all residents informed. The inspector noted that minutes on display were dated September 2004 and January 2005. This was brought to the attention of the manager who informed the inspector of a recent meeting held 26th April 2005 and produced minutes of the meeting. The manager assured the inspector that the outdated minutes would be replaced. It is good practice to keep residents and visitors to the home updated with up to date information as has been recommended within this report. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 17 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, 23, 24, 25 and 26 Generally the home meets the residents’ needs in a comfortable, safe, well maintained environment, although wheelchairs and cleaning utensils stored in bathrooms compromises the residents’ safety and restricts access to these communal facilities. EVIDENCE: The addition of new curtains and coving to bedrooms in one part of the home and the installation of double glazed windows have added to the comfort offered to the residents in the home. The grounds of the home were seen to be safe, tidy and accessible to the residents with seating placed within the grounds for those who choose to enjoy spending time in the gardens. Maintenance works were observed to be taking place during the inspection; windows to the front of the building were being replaced with double glazed windows. The replacement resulted due to the windows letting in draughts and the sashes and plinths beginning to rot.
Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 18 Those residents whose windows had been replaced stated that the disruptions were very minimal and that they liked the new windows that had been installed. The manager reported that once the front windows had been replaced, it was anticipated that replacement of the windows to the rear of the building would commence as this has been allowed for within the budget. The home provides accommodation for each resident, which is furnished and equipped to ensure them the right to comfort and privacy. The home encourages residents to personalise their own bedrooms and bring small items of furniture and memorabilia upon admission to the home if they so choose. All rooms viewed by the inspector were seen to be clean, comfortable and safe, many of which had been personalised with memorabilia and personal effects. The home has sufficient toilet, washing and bathing facilities, most of which were accessible and clearly marked. However the inspector noted wheelchairs being stored in one bathroom along with a mop and bucket making this bathroom inaccessible to residents. A requirement has been made within this report to ensure cleaning utensils and wheelchairs are stored appropriately and to allow residents easy access to all parts of the home without obstruction, thereby ensuring their health, safety and welfare. A further bathroom was found to contain soap bars and the manager was reminded that she should make suitable arrangements to provide liquid soap in all communal bathing and washing facilities so as to avoid cross infection, a recommendation has been made to address this within this report. Throughout the inspection, the home presented as clean, pleasant and hygienic with no offensive odours. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 19 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 and 30 The home has stringent policies and procedures in recruiting staff to ensure the health and safety of its residents, although some omissions were found in relation to staff photographs being held on personnel files. All staff within the home are appropriately trained and supervised in order to provide quality care and undertake their roles competently. EVIDENCE: The staffing levels on the day of inspection were sufficient to meet the needs of the residents. The recruitment systems in place are of a good quality; 4 staff files were sampled for inspection all of which contained the relevant pre employment checks, references and their relevant qualifications. One recently employed member of staff is still awaiting a Criminal Records Bureau check and the manager is following good practice, in that this member of staff is being supervised until the check has been thoroughly processed, in order to protect the residents and the member of staff’s best interests. However there were omissions; of the 4 staff files viewed, 3 failed to contain a photograph as is required, therefore a requirement has been made to ensure that all staff files contain a recent photograph and thus reflects the score of 2 for Standard 29 within this report. The manager informed the inspector that 5 members of staff are undertaking their NVQ level 2 in care with 3 further carers scheduled to begin and a further 2 carers are currently undertaking their NVQ level 3. Recent training for staff
Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 20 has covered Safe handling of medication, fire training, abuse training, infection control, and the local District Nurse has given training to staff on catheter care and another nurse, from the hospital, delivered training on stoma care. Staff spoken to during the inspection informed the inspector that they undergo an appraisal once a year and regular supervision takes place both formally and informally. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 21 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, 37 and 38 Stirlings is a well managed home, run in the best interests of the residents, using the service. Safeguards are in place to protect their health, safety and welfare, although the storage of wheelchairs and cleaning materials found during the inspection could compromise this. Information displayed in the home relating to residents meetings was out of date. EVIDENCE: The Registered Manager has undergone registration with the CSCI, deeming her a fit person to manage the home. She has many years of experience of working with older people and has more than two years management experience. There are clear lines of accountability within the home and within The Orders of St John Care Trust.
Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 22 Residents and members of staff reported that the manager runs the home in an open, positive and inclusive way and they would have no worries approaching her if they had any concerns and were confident that they would be listened to and dealt with appropriately. As one member of staff stated we are ‘all able to voice our opinions’. Regular staff meetings are held in the home, which are minuted and placed upon the staff notice board in order that staff can access these. Likewise, regular residents meetings take place, in which open discussions and suggestions take place around issues regarding the home, the care provided, meal provision, entertainment etc. and any points that the residents would like placed on the agenda. Similarly these meetings are minuted and easily accessed via the notice boards within the home. However, the inspector noted that minutes on display were dated September 2004 and January 2005. This was brought to the attention of the manager who informed the inspector of a recent meeting held 26th April 2005 and produced minutes of the meeting. The manager assured the inspector that the outdated minutes would be replaced. It is good practice to keep residents and visitors informed with up to date information as has been recommended within this report. Whilst there are policies and procedures in place to promote and protect the health, safety and welfare of the residents, a requirement has been made within this report to address the unsuitable storage of wheelchairs and cleaning utensils to allow residents safe access to all communal areas within the home. (see section headed Environment) Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 23 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 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x
COMPLAINTS AND PROTECTION 3 2 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 3 x x x 3 2 Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 24 NO 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 21 and 38 Regulation Requirement Timescale for action Immediate and ongoing 2. 29 3. 7 4. 5. 13(4)c The registered manager must and 23(2)l ensure cleaning utensils and wheelchairs are stored appropriately to allow residents easy access to all parts of the home without obstruction, thereby ensuring their health, safety and welfare. 19(b) The registered manager must Schedule ensure that a photograph of 2 each member of staff is kept on file. 17(1)a The registered manager must schedule maintain a record of the date on 3 which a resident entered the home. None. None. By July 31st 2005 By July 31st 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 16 Good Practice Recommendations It is a good practice recommendation to give residents information that is up to date and reflects their right to make a complaint at any time with CSCI and not as is
H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 25 Stirlings 2. 21 and 38 3. 4. 5. 12 32 3 and 7 printed in the residents handbook, which implies the resident only has the right to register a complaint if they feel the home has not adequately responded to their concern. Furthermore, the procedure within the handbook should give the correct name of the reguatory body (CSCI) and not that of the previous body (NCSC). The registered manager should make suitable arrangements to provide liquid soap in all communal bathing and washing facilities so as to avoid cross infection and the compromising of service users health and safety. It is strongly recommended that every effort should be sought to provide daily activities to provide stimulation and meet the residents recreational interests and needs. It is good practice to remove out of date information and display the most recent minutes of residents meetings, to keep residents and their families appropriately informed. It is recommended that the registered manager transfers all exisiting residents care plans over to the newly implemented format to ensure they are comprehensive and allow for consistency. It is good practice to evidence that residents have taken part in the assessment and care planning process by way of signing the documents where possible. Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Burgner House, 4630 Kingsgate, Cascade Way, Oxford Business Park South, Cowley, Oxford OX4 2SU 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 Stirlings H57-H08 S28949 Stirlings V224723 110505 Stage 4.doc Version 1.30 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
