Inspection on 02/09/08 for Sydenham House

This inspection was carried out on 2nd September 2008.

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

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

Sydenham House 12/09/06

Sydenham House 17/03/06

Sydenham House 10/11/05

Sydenham House 15/02/05

Sydenham House 29/06/04

Sydenham House 09/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Sydenham House Frederick Road Bridgwater Somerset TA6 4NG Lead Inspector Jane Poole Announced Inspection 2nd September 2008 9:30 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 Sydenham House DS0000015992.V368342.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. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sydenham House Address Frederick Road Bridgwater Somerset TA6 4NG 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) 01278 422763 01278 433201 sydenhamhouse@somersetcare.co.uk Somerset Care Limited Jeanette Martin Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51) of places Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category- Code OP The maximum number of service users who can be accommodated is 51. 12th September 2006 Date of last inspection Brief Description of the Service: Sydenham House is a purpose built residential care home for older people. Situated on the outskirts of Bridgwater, the home is within a residential housing development close to shops, a family centre and public house. The home is owned by Somerset Care Limited and is registered to accommodate up to 51 persons aged over 65 years for personal care. The home also provides an intermediate care facility for up to six persons within the overall capacity of 51 persons. This unit is called The Willows. The home is well adapted for the current client group and has level access both inside and around the outside of the home. There are shaft lifts between floors. The registered providers are Somerset Care Ltd and the registered manager is Jeanette Martin. Fees at the home range from £390.00 to £530.00 per week. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience Good quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out over a one-day period. During this time the inspector was able to speak with people living and working at the home, observe care practices, tour the building and view records. Before the inspection the home was asked to complete an Annual Quality Assurance Assessment (AQAA) This was completed in a timely fashion and gave evidence of a commitment to seeking peoples views and ongoing improvement. 9 people living at the home, 9 members of staff and 5 health and social care professionals completed questionnaires prior to the inspection. Some of their comments have been incorporated into this report. The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report What the service does well: The home has a warm and welcoming atmosphere. All areas are pleasantly furnished and homely in style. There is a clear management structure and staff receive training appropriate to their roles. Staff are well motivated and enthusiastic about their jobs. People living at the home were very complimentary about the staff and stated that they were all kind, caring and patient. Everyone felt that they were treated with respect at that any concerns raised would be listened to. People living at the home stated that there were no strict routines and they were able to choose what they did and how they spent their time. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 6 There is a small unit, which is used for intermediate care. People staying here are encouraged to be independent and gain confidence before they return home. Health and social care professionals stated that the home was “prompt in seeking advice and diligent in following it.” Appropriate procedures are in place, and followed, to ensure the health and safety of people living and working at the home. What has improved since the last inspection? What they could do better: The home has moved to a new corporate menu, which has been designed to ensure that people receive a varied and balanced diet. This has not been popular with everyone living at the home. Some meals have names that people living at the home are not familiar with and descriptions written on the board are poor. There needs to be pictures on the menu board to enable people to make a more informed choice about their food. On the day of the inspection food was not well presented or hot. There are some organised activities in the home but these mainly take place in the lounge and are attended by the same small group of people. The activities programme needs to take account of everyone’s interests and abilities to ensure that all receive adequate opportunities for social stimulation Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anyone wishing to move to the home has their needs assessed to ensure that it is able to meet their needs and expectations. People staying for intermediate care are encouraged to be independent to enable them to return home. EVIDENCE: The home has an up to date Statement of Purpose and Service user guide which gives comprehensive information about the home and the facilities offered. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 10 Anyone wishing to move into Sydenham House has their needs assessed before being offered a place at the home. Copies of pre admission assessments were seen in personal files. People spoken with during the inspection said that they had met with the manager before moving into the home and they received adequate information. Within the home is a small, 6 bedded unit called The Willows, which offers intermediate care. One person currently staying in this unit was spoken with. They stated that during their time at The Willows they had been well supported and encouraged and motivated to become more independent with their care. They said that they now had the confidence to return home. Under the section ‘What do you feel the home does well?’ one health and social care professional wrote on their questionnaire “Very good at motivating people to ensure that potential is met.” In addition to full time care the home offers day and respite care. This is an opportunity for people to spend time in the home. One person spoken to stated that they had come to the home for day care before deciding to move in. Another person said that they had not visited Sydenham House before moving in but that a family member had viewed the home and that they had been given a brochure about the place when the manager carried out an assessment of their needs. The service user guide contains a summary of the terms and conditions of residency. This states that the first 12 weeks of a persons stay is an assessment period to help people decide whether or not to stay on a long term basis. During this assessment period only one weeks notice is required if the person wishes to leave. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans give clear guidelines for staff to follow to ensure that people living at the home receive appropriate care and support. Medication policies and procedures promote safe practice and enable people to self-medicate if appropriate. EVIDENCE: Since the last inspection the home has moved to a computerised care plan system, although hard copies are retained for people who wish to view their care plan in a more traditional format. A sample of care plans was viewed and these gave clear personal information about the individual and their abilities and wishes. There was evidence that the plans of care are reviewed on a regular basis and people living at the home are involved in these reviews. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 12 Everyone asked stated that they received appropriate medical support. One person said that the staff were always willing to arrange for a doctor to visit if they were unwell and that transport could be arranged to attend appointments outside the home. Records of all appointments with healthcare professionals are maintained. 5 health and social care professionals completed questionnaires prior to this inspection. Feedback from these professionals was extremely positive. All 5 answered YES to the question ‘ Does the care service seek advice and act upon it to improve individuals health care needs?’ One person wrote “Prompt in seeking advice and diligent in following it.” Another said “Staff are aware of individuals healthcare needs.” Everyone asked stated that they were able to spend time in communal areas or in their personal rooms if they did not wish to mix. People living at the home said that staff knocked on doors and waited to be invited in before entering. This practice was observed during the day. It was also noted that staff interacted with people living at the home in a friendly and polite manner. One person praised the sensitivity of the staff whilst assisting with personal care. One health and social care professional wrote “staff are approachable and respectful.” The home uses a Monitored Dosage System (MDS) for medication. There are appropriate storage facilities, including storage for medicines that require refrigeration and for controlled drugs. Only senior staff who have received appropriate training administer medication. Medication Administration Records (MARs) were viewed. These were well maintained and correctly signed when administered or refused. Currently 8 people at the home self-administer medication and appropriate documentation is maintained. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are some organised activities but these do not appeal to everyone living at the home. The main meal of the day needs to be improved to ensure that everyone receives hot and well-presented food. EVIDENCE: People living at the home said that they were able to choose what time they got up, when they went to bed and how they spent their day. There are some organised activities and a weekly mini-bus trip. The majority of organised activities take place in the main lounge and include, card games, skittles and bingo. Records seen demonstrated that it is usually the same small group of people who take part in these activities meaning that many people receive limited social stimulation as they are not interested in the activities on offer. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 14 Social histories have been completed as part of the care planning process and these now need to be used to ensure that there are appropriate activities and occupation available to all. In addition to daily activities there are some organised social events and at the time of this inspection the home was preparing for their summer fete. The local church holds holy-communion at the home on a monthly basis. A hairdresser visits the home on a twice weekly basis and carries out extra visits if there are special occasions that people wish to prepare for. People said that they are able to have visitors at anytime and that any visitors were always made welcome. The home has a variety of communal lounges meaning that people who do not wish to see visitors in their bedrooms can spend time with them in one of the small lounges. The home has recently changed their menus to the company’s corporate menu, which has been created to ensure that people receive a variety of nutritionally balanced meals. People spoken with had a mixed response to the meals now on offer. Some people said that they enjoyed the food whilst others were disappointed with the meals. In response to the question “Do you like the meals in the home?” 2 people answered ALWAYS, 5 said USUALLY and 2 said SOMETIMES. One person wrote “Meals can be cold even if it’s meant to be hot.” On the day of the inspection the menu board showed the main meal as fish fingers and chips or ‘hubble bubble’ which was described as mince. The inspector was invited to have lunch with people living at the home. The dining room is a large pleasant area that has recently been refurbished. Tables were nicely laid and condiments were available. The main meal was served plated and dishes of vegetables were put on each table for people to help themselves to. The meal when served was barely luke-warm and vegetables were not hot. The alternative meal of ‘hubble bubble’ was sausage based and appeared very unappetising. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are comfortable to share any worries or concerns with staff. Appropriate systems are in place to minimise the risks of abuse to the people living at the home. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. Staff spoken with were aware of the ability to take serious concerns outside the home and many said that they were due to receive training in the protection of vulnerable adults before the end of the month. All staff who completed questionnaires answered YES to the question “Do you know what to do if a service user or advocate raises concerns about the home?” People spoken with all said that if they had any worries or concerns they would be comfortable to speak with the manager or a member of staff. There is a Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 16 very open atmosphere and it was observed throughout the day that people living at the home popped into the managers’ office to talk with her. In the last 12 months two complaints have been received by the home. One has been resolved to the satisfaction of all parties and the other, which was about the food in the home, is being monitored to see where improvements can be made. One health and social care professional who completed a questionnaire said when they had raised a concern it had been dealt with “appropriately and sensitively.” People have unrestricted access to their personal rooms and to all communal areas. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sydenham House provides a comfortable clean environment for the people living there. A programme of up-grading and maintenance ensures that the home provides a good standard of accommodation. EVIDENCE: The home was purpose built as a care home in the 1970s and accommodation is provided over two floors with passenger lifts to enable people to access all areas. All areas are fitted with call bells and a fire detection system. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 18 Since the last key inspection the home has increased the number of people it can accommodate by building an extension of 8 en-suite bedrooms and assisted bathing facilities. A new small lounge has been created and other communal areas have been up graded. People spoken with were happy with their bedrooms and all those seen had been personalised to reflect the needs and tastes of the individual. Some rooms have en-suite facilities and others have wash hand basins. Since the last inspection large outdated vanity units have been replaced with smaller sink units, which are more in keeping with the size of the rooms. There is a laundry, which is sufficiently equipped to meet the needs of the home. In line with good infection control practice hand washing facilities are available throughout the home. Toilets and bathrooms have been up graded to provide bright and fresh facilities for everyone. All areas seen were clean and no unpleasant odours were present. All 8 people living at the home who completed questionnaires answered ALWAYS to the question “Is the home clean and fresh?” Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-trained and well-motivated staff team supports people living at the home. Recruitment procedures are robust and minimise the risks of abuse to people living at the home. EVIDENCE: The home employs 41 care staff, 31 (76 ) have a National Vocational Qualification (NVQ) in care at level 2 or above. (Figures taken from Annual Quality Assurance Assessment.) A further 5 people are currently working towards this qualification. There is always a senior member of staff on duty who co-ordinates the shift and offers guidance and support to less experienced staff. Staff and people living at the home felt that there was usually enough staff on duty. Duty rotas show that staffing levels vary according to the time of day and the needs of the home. The home has a calm and relaxed atmosphere and no one spoken with felt that staff rushed them. People asked said that staff responded to call bells in a reasonable time. During the day it was noted that call bells were Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 20 answered quickly meaning that people were not waiting for extended periods of time before they received assistance. All staff who completed questionnaires were happy with the induction that they had received when they began work and with the ongoing training opportunities. One person wrote, “Training courses have broadened my knowledge and skills.” Staff spoken with during the inspection felt that the quality of training was a good and relevant to their jobs. The recruitment files of the 3 most recently appointed members of staff were viewed. These gave evidence of a robust recruitment procedure that included undertaking appropriate checks and obtaining written references before a person began work. People living at the home were very complimentary about the staff and praised their kindness and patience. One person said “Staff are marvellous, they will do anything for you.” Another said “we are lucky to have such kind and nice staff.” Two people made particular comments about the staff who worked in the home during the night saying “Staff at night are very nice and will bring you anything.” Staff said that there was good communication between staff and that everyone worked as a team. People said that it was a happy place to work. One member of staff wrote on their questionnaire “I am proud to work at Sydenham House.” Minutes of staff meetings showed that a wide variety of issues are discussed and that they are also used as a training tool. Throughout the day staff appeared well motivated, friendly and cheerful. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 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 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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and there is a commitment to ongoing improvement. Appropriate procedures are in place and followed to ensure the health and safety of persons at the home. EVIDENCE: The registered manager of the home is Jeanette Martin who took over the management role almost 6 months ago. She has many years experience of working with older people in a variety of settings and holds the Registered Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 22 Managers Award (NVQ level 4) Somerset Care Ltd have very effective management systems in place to support the home and registered manager. Prior to the inspection the manager was asked to complete an Annual Quality Assurance Assessment. This was completed in a timely manner and gave comprehensive information about the service and demonstrated a commitment to ongoing improvement. In addition to the manager there is a deputy manager. People described the management as open and approachable. Throughout the day the manager was visible in the home and people appeared relaxed and comfortable in her presence. Comments on returned staff questionnaires included “The management is very supportive and always listens to ideas” and “manager is always available and approachable.” There are various systems in place to monitor the quality of care and ensure that peoples’ views influence the running of the home. Surveys are sent out to people living at the home and their representatives. Completed surveys were seen and these demonstrated a high level of satisfaction with the service. Results of surveys are analysed and any issues raised are addressed as part of the homes ongoing improvement. The home also carries out various quality audits and the responsible individual carries out and reports on monthly visits to the home. No one working at the home acts as a financial appointee or power of attorney for any person who lives there. The home has the ability to hold small amounts of money for safe keeping. This enables people to have easy access to their money for purchasing items and paying for services such as hairdressing and chiropody. There are suitable storage facilities and records are maintained. Records seen correlated with monies held. The home has policies and procedures in place to ensure the health and safety of persons at the home. Staff have received training in health and safety issues such as fire safety, moving and handling and food hygiene. The fire detection system is regularly tested in house and serviced annually by outside contractors. There are contracts in place to ensure that equipment is well maintained and regularly serviced. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 23 All accidents in the home are recorded and records are analysed to observe for patterns and as part of monitoring individual healthcare needs. Records show a low incidence of falls and accidents in the home. The management keeps the Commission for Social Care Inspection informed of all significant events in the home. Certificates of insurance and registration are displayed. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 24 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 3 x 3 x 3 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 25 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 OP15 Regulation 16 (2) [I] Requirement The manager must review the preparing and serving of meals to ensure that food is well presented and hot. Timescale for action 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP12 OP15 Good Practice Recommendations 1 2 The activities programme needs to take account of everyone’s interests and abilities to ensure that all receive adequate opportunities for social stimulation The home should incorporate pictures into the menu board to enable people to make choices about their meals. Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Sydenham House DS0000015992.V368342.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!