Inspection on 10/09/08 for The Chanters Care Home

This inspection was carried out on 10th September 2008.

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

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

Other inspections for this house

The Chanters Care Home 22/08/07

The Chanters Care Home 20/06/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

Extracts from inspection reports are licensed from CQC, this page was updated on 27/11/2008.

CARE HOMES FOR OLDER PEOPLE The Chanters Care Home Tyldesley Old Road Atherton Manchester M46 9AF Lead Inspector Judith Stanley Unannounced Inspection 10th September 2008 09:00 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 The Chanters Care Home DS0000065685.V371462.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. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chanters Care Home Address Tyldesley Old Road Atherton Manchester M46 9AF 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) 01942 884500 01942 896599 thechanters@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Manager post vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (40) The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: OP DE(E) LD(E) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: OP Older People DE(E) Dementia - over 65 years of age LD(E) Learning Disability - over 65 years of age The maximum number of service users who can be accommodated is: 40 22nd August 2007 2. Date of last inspection Brief Description of the Service: The Chanters Care Home is owned by Southern Cross Health Care and offers care for 40 male and female residents. It is situated in Atherton off the main road close to the town centre, with access to shops and other local amenities, including public transport. The Chanters offers accommodation to people who require assistance with personal care and support, for one resident with a learning disability and for people with a dementia related illness. The Chanters is a purpose-built two-storey property that offers all single rooms with en suite facilities. Bathrooms, toilets, communal lounges and dining rooms are available on both floors. The home has safe, enclosed gardens to the rear with suitable seating and car parking is available at the front of the home. The current scale of fees at The Chanters ranges from £330:72 to £469:92 per week. Additional charges are made for hairdressing, holidays, toiletries, daily papers and magazines and some trips out. The Chanters Care Home DS0000065685.V371462.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 that people who use this service experience adequate quality outcomes. This inspection was unannounced and included a site visit and was carried out over a period of 7½ hours on one day. We (The Commission) looked at some records the home holds on residents (care plans) and other records the home needs to keep to ensure the home is being properly run. We looked around the home and spoke with residents, staff and visitors. Prior to the inspection the home was sent an Annual Quality Assurance Assessment (AQAA). This is a self-monitoring form and tells us what the home does well at and in what areas they need to improve and develop. To find out more about the home we sent comment cards to residents and staff and gave out relative comments cards on the day of the visit. Five residents, nine staff and four relatives have returned the comment cards. Comments made by residents on these included the following: * “Very happy with the care I get, all the staff are nice and friendly”. * “The staff are very good”. * “ The home is always kept to a good standard”. What the service does well: From speaking to residents and visitors and information provided in returned comments cards, it was clear that they were satisfied with the care provided and like the staff. Visitors are free to visit at any time and made welcome by the staff. Several of the staff had worked at the home for a number of years, this provided consistent and reliable care for people they know and can trust. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Chanters Care Home DS0000065685.V371462.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 The Chanters Care Home DS0000065685.V371462.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): 1,2,3 and 4 were assessed. Standard 6 does not apply, as The Chanters does not provide an intermediate care service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are properly assessed prior to admission so ensuring the home is able to meet any identified needs. EVIDENCE: The home statement of purpose and service users guide is available in the foyer for anyone to read. The information provides prospective residents and their relatives with details about the manager of the home and the staffing structure, about the admission procedure, personal property, additional services, meals and mealtimes, personal preferences, visiting the home and details of payment etc. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 9 We selected four resident’s files to work with, this is known as case tracking. We would focus on these residents throughout the inspection, however other residents would be spoken with and some of their information checked as needed. We asked to see the contracts/statement of terms and conditions for the four case tracked residents. All four had a contract in place regardless of how their care was purchased. Prior to admission a pre assessment is carried out by the manager to ensure that the home can meet the needs of the prospective client. The assessment is completed at the most convenient place for the resident either at home or at the hospital. The assessment covers all areas of care including, personal care, physical well-being, mental state, mobility, nutrition, sight, oral health and foot care, continence, sleep pattern, social interests, risk of falls, medication, etc. The home is providing care for some residents with a dementia related illness, 45 of staff have completed NVQ level 2 in dementia care with another eight members of staff ready to undertake this specialised area of training. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and care needs were in the main met, however some areas of medication were not accurate, which could result in some individuals needs not being met. Residents were treated with dignity and respect and their rights to privacy upheld. EVIDENCE: We continued to work with the same four care plans. The care plans are drawn up from the initial assessment and were split in to twelve areas of care, these include; maintaining a safe environment, communication and hearing, breathing, eating and drinking, elimination, personal care, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and end of life wishes. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 11 Supplementary information was also seen in care plans and included risk assessments, such as risk of falls and use of bed wedges and pressure wound care. There was evidence that showed that residents had access to outside agencies including doctors, district nurses, speech and language team, chiropodist and optician. It was discussed with the acting manager that a food and fluid chart had not been completed for one resident where there was concern over nutritional intake, for example the amount of food eaten was not clear, it should indicate how much was eaten not what was put on the plate. The same must apply to the fluid intake, how many milligrams or fluid ounces has been drunk. If the chart is discontinued this should be made clear. As for one resident on a fluid chart, it just stopped in May 2008 and it appeared that the resident was not getting any fluids. The turning chart for one resident had not been completed on 09/09/08 nor was there anything documented for the 10/09/08. This resident has a pressure care assessment and it is imperative that turning chart checks are monitored. There were some gaps noted in some weight charts, however staff confirmed that residents had been weighed. The care plans had been reviewed monthly and these oversights should have been picked up on. We checked the medication with the assistance of the acting manager; the senior who had given out the medication and the homes operations manager joined us. We checked the four residents we were case tracking. For one resident we found a box of Co-Codamol with a label dated 08/10/04 and a Sabutamol inhaler from 18/06/07. For another resident 2 Omeprazole tablets had been signed for but had not been given. We requested that a full medication audit be carried out and old stocks returned to the pharmacy. Those residents who were able to comment and feedback in returned resident comment cards, indicated staff respected their privacy and dignity. During the inspection staff were observed to treat residents with respect and consideration. It was noted that for one resident who does not like to be hoisted but has to be for safety reasons, that staff waited until the inspector and a number of other people left the lounge area before they hoisted the resident. In the main residents were observed to be clean and nicely dressed in wellmaintained clothing. The acting manager said they did have a problem with one resident with regard to personal care and with buying new clothes. This The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 12 was the resident’s choice, however staff continues to assist and prompt this resident as much as possible. The Chanters Care Home DS0000065685.V371462.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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s interests and links with visitors are encouraged, but the provision of social activities and integration into community life needs to be improved to fully satisfy each resident’s social and recreational interests. EVIDENCE: The home is currently without an activities coordinator. Comments made on returned comment cards included the following: * “We haven’t had any activities recently”. * “ I wished something was organized, but it seems no one is Interested, there is a lounge provided for watching TV”. * “ We need group activities on a more regular basis, I enjoy the singers when they come to the home”. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 14 * “ The home could take us out on day trips, or little shopping outings or could sit and chat with us sometimes”. This was discussed with the acting manager who agreed there had not been any planned activities for a while. This must be addressed and a full plan of indoor and trips and outings planned. Residents with religious beliefs are encouraged and enabled to main community links. Care plans contain details of resident’s preferred religion. The home welcomes local clergy in to the home. The home has an open visiting policy. There are no restrictions on the time people can visit. One relative visits most days and helps feed her relative lunch, this is her choice. The only time any restrictions would be imposed is when requested by residents. Visitors spoken with indicted they were always made welcome by the staff. We received four relative’s comments cards and some of their comments included the following: * “ The staff always keep me informed of what’s going on”. * “ The staff are patient and kind”. * “ A new cook has joined the staff team, what a difference he has made to the quality of the food”. * “ More attention is needed to improve the cleanliness in rooms at times. Surfaces for example windowsills, bedside cabinets need dusting and wiping down, but I can see the level of care given outweighs this”. From conversation with residents and observation of care practice this indicated residents could make some choices for example with regard to meals and where they spent their day, some residents prefer to stay in their own room, as is their choice. One resident has a mobility scooter and likes to go out on his own shopping. Comments on the returned comment cards were not complementary about the menus and the quality and taste of the food, meals were described as ‘bland’, ‘unappetising’ and ‘some things that should have sugar have none in’. Between the comment cards being sent out and the day of the inspection the home has employed a new cook and things have improved. One relative said, “At least now you can now recognise what people are eating”, (this was referring to pureed food). The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 15 The cook offers a range of hot and cold dishes for breakfast, choices included: fruit juice, porridge, different cereals, toast and preserves, baked beans or scrambled egg on toast and a choice of tea or coffee. Lunch is the main meal of the day and we observed the lunchtime meal. Residents were offered a choice of stewed steak or poached fish, creamed potatoes and broccoli, followed by jelly and ice cream or yoghurts. Some residents require a pureed diet; the food was individually blended and served in separate portions to allow residents to see the different colours of food and experience different textures. Residents spoken with were optimistic about the improvements made to the standard of the food. A lighter afternoon tea is served; choices of hot and cold dishes are available, including the main option, soup, sandwiches, salads and jacket potatoes, followed by dessert. There is a dining room on each floor; these were seen to be comfortable and appropriate seating was available. The tables were nicely set with suitable crockery and cutlery and condiments. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 16 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 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Effective staff training ensures that residents are protected from abuse in any of its forms. EVIDENCE: A complaints system is in place and the complaints procedure is on display in the foyer. The complaints file was examined and three complaints had been recorded since the last inspection and the outcomes logged. No complaints have been made to the CSCI. There has been no adult safeguarding referrals made within the last year at least. Most staff have undertaken training in the protection of vulnerable adults, out of forty-two staff there are eight staff still awaiting training. The Chanters Care Home DS0000065685.V371462.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, 24 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained to a good standard making it a comfortable, clean and pleasant home for people to live in. EVIDENCE: The home is a two-storey building with bedrooms, bathrooms and toilet facilities, dining rooms and communal lounges on both floors. On the 1st floor the home has a designated smoking room for residents. The lounges were comfortable and well equipped. The home employs the services of a handyman who maintains the building to a high standard. Several of the bedrooms were looked at, these were found to be clean and tidy. It was apparent that most residents had brought with them some of their The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 18 own possessions and mementoes with them from home; one lady had brought her budgerigar with her. One resident spoken with said, “I am quite happy here, I have no concerns and the staff are lovely”. The outside of the home and grounds were seen to be well maintained. On the day of the inspection the home was clean and odour control was good. Policies and procedures were in place with regard to infection control. Staff were seen wearing different protective clothing for different tasks. Liquid soap and paper towels were provided in communal bathrooms and toilets. The Chanters Care Home DS0000065685.V371462.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 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory ensuring consistency of care for people living in the home. The residents were cared for by staff that was safety recruited, suitably experienced and trained to meet the residents care needs. EVIDENCE: On the day of the inspection staffing levels were sufficient to meet the needs of the residents. A written rota is maintained and showed which staff were on duty and when. On returned comment cards from residents they described staff as ‘very good’, ‘kind’, ‘helpful’ and ‘friendly’. Out of the nine staff comment cards retuned four people have indicated that there is usually enough staff on duty and two have indicated that sickness can be a problem. There must be enough staff on duty to cover every shift, this is an area the acting manager needs to explore as the needs of residents change. Domestic and catering staff support care staff. In the main staff spoken with like working at the home, one member of staff said that under the new manager the home has a happier atmosphere. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 20 We noticed that interactions between staff and residents were frequent, warm and natural. Staff responded to requests for assistance as quickly as possible. Three staff files employment files were looked at and showed that full recruitment checks had been undertaken. All contained: written application forms, 2 written references, Criminal Records Bureau check (CRB) and verification of identification. A record of staff training was available, and staff had completed mandatory training as required. The acting manager must ensure that 50 of staff is qualified to NVQ level 2 in care. Information provided on the AQAA indicates that the home has not reached the required standard. It was discussed that some training had been arranged and some staff chose not to attend. If the acting manager deems that this area of development should be addressed to ensure the welfare and needs of the residents are being met, staff must attend otherwise they could be seen as not competent in carrying out there role. This is an area that possibly could be addressed in staff supervisions. All new staff completes a full induction programme on commencement of work. The Chanters Care Home DS0000065685.V371462.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): 31,33,35 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure their best interests will be the central focus, with a positive and inclusive approach to making the service better. Regular maintenance and fire safety checks were carried out promoting the health and safety of both residents and staff. EVIDENCE: The acting manager has been in post for a relatively short time, however she has worked at the home for a number of years. The acting manager has been invited to attend an interview with CSCI to become the registered manager. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 22 Ms Hargreaves has fourteen years experience in working with the elderly and has achieved the Registered Managers Award (RMA). She has continued her professional development and undertaken a range of courses. There are clear lines of accountability within the home which residents and staff are aware of. During the inspection, it was observed that residents, staff and relatives had no hesitation in approaching the manager. One member of staff made comment that; “ The manager often does shifts on the floor to keep up to date with residents needs and attends handover meetings in the morning”. The office was well organised and the acting manager is well supported by an experienced administrator. Staff had access to all the paperwork and information they need during a shift. There is a system of continuous self-monitoring in the home, which includes satisfaction questionnaires, staff meetings, (although the last one was not well attended), and relatives and residents meetings. Regular audits are sent to head office these include: accidents, falls, medication, monies and health and safety etc. The homes operations manager visits the home on a regular basis and once a month completes a written report of her findings. The home has a satisfactory accounting system in place. Staff could determine exactly how much money the home was holding for each resident. Detailed records and receipts of financial transactions are kept. Health and safety policies and procedures were in place. Any accidents, injuries and incidents that occur are suitably recorded and the CSCI are informed as necessary. Information on the returned AQAA provided us with a list of maintenance and associated records. A number were checked on site, including the gas, electrics, lift, portable appliances certificates were available and were valid. Dates of fire drills were recorded with the last one being 07/09/08. The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 (2)(b) Requirement Timescale for action 24/10/08 2 OP9 12 (2) 3 OP12 16 (2) (n) You must ensure that information and charts in the care plans are completed as required with specific regard to food and fluid intake and turning charts. You must ensure that all 11/09/08 medication is given as prescribed and correctly recorded and that there is safe disposal of unused medication. You must ensure that residents 24/10/08 are consulted about a programme of activities and provide facilities for recreation, to ensure the expectations and capacities of the residents are met. A copy of the plan to be forwarded to the CSCI. 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 Good Practice Recommendations DS0000065685.V371462.R01.S.doc Version 5.2 Page 25 The Chanters Care Home Standard The Chanters Care Home DS0000065685.V371462.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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. 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