Inspection on 04/03/09 for The Bush

This inspection was carried out on 4th March 2009.

CSCI found this care home to be providing an Adequate 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

The Bush 22/01/08

The Bush 24/07/07

The Bush 19/01/07

The Bush 14/03/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE The Bush 37 Bush Street Darlaston West Midlands WS10 8LE Lead Inspector Joy Hoelzel Key Unannounced Inspection 4th March 2009 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000064824.V374336.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. DS0000064824.V374336.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bush Address 37 Bush Street Darlaston West Midlands WS10 8LE 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) 0121 526 5914 0121 526 5914 Rajan Odedra Usha Odedra Vacant Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places DS0000064824.V374336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may provide four places in the category of DE(E) for the existing four residents named in the application dated 12 July 2006 for the period of their residence in the home. Once the placement has ended the numbers revert to the original registration category of OP. 22nd January 2008 Date of last inspection Brief Description of the Service: The Bush is registered to provide personal care for 44 people over the age of 65 years and is jointly owned by Mr Rajan Odedra and Mrs Usha Odedra, trading as ‘Bush Residential’. Currently the home does not have a registered manager in post. The property is a large, extended, detached building, once used as a Public House, from which the Home takes its name. Situated within walking distance of Darlaston Town Centre it is within easy reach of public transport and local amenities. The accommodation comprises of 30 single and 7 double occupancy bedrooms over two storeys, with a shaft lift to facilitate access between floors. There are no en-suite facilities. Communal facilities include a large lounge, a large dining area, a small lounge, a small dining room and a conservatory. A garden area at the rear of the property is accessible to people using the service. A car parking area is available at the front of the building. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents can be obtained from the home. The service user guide does not include information on the current level of fees for the service. The reader may wish to obtain more up to date information from the care service. Commission for Social Care Inspection reports for this service are available from the provider or can be obtained from www.csci.org.uk DS0000064824.V374336.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 1 star. This means the people who use this service experience adequate quality outcomes. The home did not know that we would be visiting on this occasion to conduct a full inspection of the service. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of a number of people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and staffing records. Discussions were held with people living, visiting and working at the home. Some people were unable to fully comment about their experience of life at the home. Observations were made of how they spent the day and of the interactions offered by staff in an attempt to obtain an overview of how they may be feeling. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with the CSCI areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The manager completed this document and returned it us. Comments from the AQAA are included within this inspection report. What the service does well: What has improved since the last inspection? DS0000064824.V374336.R01.S.doc Version 5.2 Page 6 The home has benefited from considerable redecoration and refurbishment, and there are plans for further improving the standard of the environment. People told us that they were satisfied with their accommodation. The care plans have all been reviewed and revised with the person in receipt of the care. A person centred, individual approach is now used to ensure the care provided actually reflects the care needs of the individual. People told us that they are satisfied with the activities arranged and that there is always something to do. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000064824.V374336.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000064824.V374336.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit and see what the home has to offer. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information on the service and what it offers is available in a statement of purpose and service users guide. Both documents are informative and contain details of the aims and objectives of the service. To comply with the regulations and to give people full information and details of the service, the service user guide should include the levels of weekly fees payable. The correct contact details of the commission should be included in the documents to ensure that people have the information should they wish to get in touch with us. DS0000064824.V374336.R01.S.doc Version 5.2 Page 9 The case file of the person who recently moved into the home was looked at to see if information had been sought regarding this persons needs prior to moving in. Information had been gathered from the previous health care setting and a pre admission assessment was completed by the service. This person visited the home with their family prior to deciding to move in. They told us they are finding the accommodation and the service satisfactory. Other case files looked at included a pre admission assessment by the home in addition to social worker reviews, assessments from Primary Care Trusts and community care services. This gathering of information ensures that the service can be confident of meeting a persons care needs. The home does not provide an intermediate care service. DS0000064824.V374336.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People’s health and personal care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has a written plan of their care that is based on the assessments of their care needs. Three plans were selected to be looked at in depth with other plans looked at briefly to follow up any observations made during the day. The plans were very well organised, clear, informative and person centred and individual in their approach. There was evidence in the plan that the person and/or their representative had been involved with developing the plan of care. People should also be given the opportunity to discuss and agree any changes to the care plan and be fully involved in the monthly reviews. Each plan contained assessments for maintaining a persons safety and when a risk is identified it is linked with a corresponding plan of care. For example one DS0000064824.V374336.R01.S.doc Version 5.2 Page 11 person experiences episodes of anxiety and distress due to a specific condition. A care plan has been developed with details for staff of what the possible triggers are to these periods and the action needed to reduce the distress. Staff discussed the care needs and described the way they helped this person each day. Another person occasionally experiences mobility problems and finds it difficult to move independently. The care plan includes details of the help required during these difficult periods and the equipment sometimes needed. Staff were observed to be encouraging and supporting this person with their mobility during the day. One person requires the assistance from the community nurses each day, the interventions being recorded in the care plan. The care staff discussed the way they work with the nurses to ensure this persons health care needs are met effectively. Medication is administered to people by the senior care staff following the safe handling of medications training. A monitored dose system with additional boxes and bottles of medicines is used. A senior care staff explained the procedures for recording the safe receipt and disposal of medications. Information is being recorded on the medication administration record (MAR) and signed by two people. On observation of the storage of the medication there are a few areas that require attention to reduce the risk of errors. 1. External and internal preparations are being stored together in the medicine trolleys 2. Eye drops and other medicines (creams/ointments) that had short shelf lives upon opening were not being dated. 3. During the tour of the premises some external preparations were in use but had not been prescribed for the person in whose room they were seen. The findings were discussed with the deputy manager and the senior care staff at the time of the inspection, they offered an assurance that a review of practice and procedure would be undertaken. During the time of the inspection staff were observed to be very patient, understanding and caring, assisting people with care needs in a discreet and respectful way. One member of staff handled a particular incident extremely well, showing the utmost respect and consideration for this person. Most people looked very well groomed and dressed however there were a few people who looked a little unkempt. Staff explained the care offered and provided and the actions preferred by some people in regard to their personal care needs. DS0000064824.V374336.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People are involved in daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. Care staff are sensitive to the needs of those residents who find it difficult to eat and give assistance with feeding. They are aware of the importance of feeding at the pace of the resident, making them feel comfortable and unhurried. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care staff arrange and facilitate social, leisure and recreational activities in addition to their allocated care duties. An entertainer visits the home each month and provides some form of entertainment for the residents. Each week a movement to music session is held, people stated that they looked forward to this. Throughout this inspection the home was lively and busy with people engaging in a variety of activity. A member of the care staff was arranging and encouraging people with a game of skittles. The hairdresser was in, with many people taking advantage of this service. Some people were watching the DS0000064824.V374336.R01.S.doc Version 5.2 Page 13 television or listening to music. Others were enjoying the time spent with their visitors whilst another person was preparing to go out shopping. Visitors to the home expressed a general satisfaction with the service and the visiting arrangements, I am able to visit every week, and feel comfortable with visiting, the staff are very good . The service user guide includes details of maintaining contact with family and friends and states visitors are welcomed at all times. The main front door is kept locked for security reasons, staff answer the door and allow entry. Staff are available when exiting the building, a keypad device has recently been fitted for the additional security of the people and premises. The rear garden is currently restricted to people as a conservatory is being built. No other doors inside the building were locked with the exception of some storerooms and some bedrooms, people can have free access to areas if they so wish. Most people were observed to be in the ground floor communal rooms during the day. New dining furniture and table linen have been purchased since the last inspection, this area is now much improved in appearance. The dining area is prepared in advance of meals with people being encouraged to sit at the table, but people are able to have their meals in their preferred place. People spoken with stated that they enjoyed the meals provided, had plenty to eat and there was a good variety. One visitor had been invited to have lunch at the home and stated that they appreciated the additional time they were able to spend with their relative. Staff were observed to be sitting with people who required help to eat and drink and were very patient, discreet and encouraging. People were being offered hot and cold drinks throughout the inspection, the provision of refreshments not restricted to certain times. Staff commented that people could have food and drinks whenever they require or request them. DS0000064824.V374336.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. The service has a complaints procedure that is included in the information documents and is displayed around the home. Some people say they know how to make a complaint but others do not. There are policies and procedures for safeguarding people who use the service, some staff are not familiar with the guidance or able to access them easily. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service user guide both offers details of how to raise a concern or complaint about the service. Our contact details in the service user guide are incorrect and will need to be amended so that a person can contact us if they so wish. People told us that they would either speak with a member of staff or their family if they had any worries or concerns about the home. Two people were unsure of the action they would take or speak with. One referral was been made to the Safeguarding adults multi agency team in November 2008 following some concerns raised about the service. The investigation has reached a satisfactory conclusion. The recommendations made at the end of the investigation have been implemented, to ensure the risk of this happening again is reduced. Some staff spoken with are aware of the action they should take if they become concerned regarding the welfare of people at the home. Other staff DS0000064824.V374336.R01.S.doc Version 5.2 Page 15 were not sure of how or to whom they would let somebody know of their concerns. One staff member confirmed that they had received training in this area. Staff were unable to locate the policies and procedures upon request but offered an assurance that they would be found and available for staff reference. For the continuing safety and well being of people at the home it is recommended that all staff should have training in the protection of vulnerable adults and abuse awareness. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this were seen. All transactions are recorded on individual balance sheets with invoices and receipts kept. Regular audits are carried out to ensure accuracy of the accounts. DS0000064824.V374336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. The home provides a physical environment that meets the specific needs of the people who live there. The home is comfortable and has a programme to improve the decoration, fixtures and fittings. Occasionally there is slippage of timescales with completing the work of the improvements. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Bush is situated in a residential area of Darlaston within walking distance to the town centre. It is two-storey building that has been extended over the years and now provides accommodation for up to 44 people. People we spoke with told us that they are generally satisfied with the accommodation provided. They said that their bedrooms are warm and comfortable and that they can personalise their own rooms with family DS0000064824.V374336.R01.S.doc Version 5.2 Page 17 photographs, pictures, ornaments and electrical items such as televisions and music centres, as seen during the tour of the home. Since the last inspection the home has benefited from many improvements to the environment. The bedrooms have been redecorated, the furniture (beds, wardrobes and bedside cabinets) has been replaced and soft furnishings (pillows, duvets, bedlinen and towels) have been purchased. The corridor carpets have been replaced with plans for the remaining areas to receive similar attention in the near future. The building work to the laundry has been completed; a new washing machine and tumble dryer are being purchased shortly. The dining tables and chairs have been replaced and table linen has been purchased. Currently work is ongoing to provide additional communal space with the installation of an orangery/conservatory. The provider and deputy manager spoke of the improvements and the plans for further improving the accommodation thus demonstrating the providers commitment to improve the home in the best interests of people using the service. The deputy manager escorted us on the tour of the premises, some areas of the home were clean and hygienic but there were certain areas where a thorough clean is required. The deputy manager confirmed that there are plans for a full environmental audit to be completed within the near future to ensure that all areas are at the required standard environmentally and hygienically. Suitable hand wash facilities have not been provided in all communal areas or where personal care is provided to ensure that effective infection control is achieved. DS0000064824.V374336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. People are generally satisfied that the care they receive to meet their needs, and there appears to be sufficient carers to meet the health and welfare of people using the service. The service recognises the importance of training, and tries to delivers a programme that meets the statutory requirements. The provider is aware that there are some gaps in the training programme and plans to deal with this. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A duty rota is maintained on a weekly basis to identify the members of staff in the home at any one time. During the morning of the inspection the deputy manager was on the premises supported by one senior carer and three care staff. The deputy manager stated that these are the usual staffing levels for the day with a reduction during the afternoons and evenings to one senior and two care staff and overnight of two care staff. During the tour of the premises, as reported earlier, some areas of the home were not very clean and are in need of attention. The catering staff told us that they are short of kitchen assistants and help at busy times. The acting manager and provider are aware of these issues and told us of the plans to ensure that catering and domestic staff are in sufficient numbers so that the required standards relating to nutrition and hygiene are met. DS0000064824.V374336.R01.S.doc Version 5.2 Page 19 The AQAA informs us that of the sixteen permanent care staff, thirteen have a National Vocational Qualification in care at either level 2 or 3. Care staff told us that they have either recently completed training at this level or are planning to begin. This level of training provides a qualified workforce to care for the people living at the home. Three staff files were selected for inspection, of various positions and length of time at the service. All files were well presented and contained the information required to safeguard the residents living at The Bush. A training schedule has been developed and indicates the training that staff have received and the training that is outstanding. Training certificates were in the staff files sampled and leaflets advertising future courses, dates and nominees were displayed in the office. The acting manager discussed the training needs of staff and spoke of the plans to ensure that courses and updates are available in the mandatory and specialist topic areas. Including the protection of vulnerable adults, dementia care awareness, safe handling of medication, and fire safety awareness. New staff have an induction programme that meets the required specifications, one member of staff confirmed that they are currently working through the package. DS0000064824.V374336.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The deputy manager has good people skills, understands the importance of person centred care and providing effective outcomes for people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection in January 2008, a person was recruited for the position of registered manager of the service. This person has recently resigned from the position and is no longer working at the home. The deputy manager Donna Cook has agreed to work in the capacity of the acting manager until a replacement can be found. Throughout this inspection Ms Cook offered her fullest cooperation with the inspection and demonstrated a DS0000064824.V374336.R01.S.doc Version 5.2 Page 21 good knowledge of the day-to-day management of a social care home. Ms Cook spoke of the improvements made and the plans for further improvements to ensure that people living at the home are in receipt of a good service. People spoken with stated that the deputy was helpful and approachable. The AQAA, completed by the previous registered manager, contains clear, relevant information that is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. A comprehensive quality assurance and monitoring system for the service had been developed by the previous manager with a copy of the quality audit attached with the completed AQAA. The audits cover various topic areas including the meals and the environment, the results of the satisfaction surveys are considered and any suggestions for improvements actioned. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. Records, documents and certificates are available for inspection to ensure that the weekly, monthly and annual health and safety checks are being carried out and people are protected by the safe systems in place. DS0000064824.V374336.R01.S.doc Version 5.2 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 2 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 DS0000064824.V374336.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement Medication procedures and practices must be reviewed. To ensure that people receive their medication safely and correctly. To ensure the safety and protection of people living at the home all staff must receive training and regular updates in the protection of vulnerable adults and abuse awareness. All staff must receive training and regular updates in mandatory areas (moving and handling, fire safety etc) and specialist topics (protection of vulnerable adults, dementia care, etc). To ensure that people are cared for by staff are well trained and competent staff. Timescale for action 31/03/09 2 OP18 13(6) 31/08/09 3 OP30 18(1) 31/08/09 DS0000064824.V374336.R01.S.doc Version 5.2 Page 24 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 OP1 Good Practice Recommendations The statement of purpose and service user guide should include the commissions correct contact details and the levels of weekly fees for the service. This will ensure that people have correct and relevant information regarding the service. The complaint procedure should be amended to include the current contact details of the commission. This will ensure that people have the details should they wish to contact us. The home should continue with the plans for further improving the environment to ensure that people live in comfortable and well-maintained surroundings. Suitable hand wash facilities should be available in all communal areas and at the point of the delivery of care for general hygiene and for the effective control of infections. Domestic and catering staff should be in sufficient numbers to ensure the standards of nutrition are maintained and all areas of the home are clean and hygienic. A suitably qualified and competent person should be recruited for the registered managers position, to ensure the home is led and managed effectively. 2. OP16 3 4 OP19 OP26 5 OP27 6 OP31 DS0000064824.V374336.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 DS0000064824.V374336.R01.S.doc Version 5.2 Page 26 - 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!