Inspection on 19/06/07 for The Grove

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Grove 21/05/09

The Grove 28/05/08

The Grove 17/10/06

The Grove 14/02/06

The Grove 19/07/05

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Grove 181 Charlestown Road St. Austell Cornwall PL25 3NP Lead Inspector Elaine Bruce Unannounced Inspection 19th June 2007 08:15 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 Grove DS0000063217.V339916.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 Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Grove Address 181 Charlestown Road St. Austell Cornwall PL25 3NP 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) 01726 76481 01726 67457 Venetian Healthcare Limited Vacant Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 31 adults of old age (OP) Total number of service users not to exceed a maximum of 31 Date of last inspection 17th October 2006 Brief Description of the Service: The Grove is registered for thirty one service users within the category of old age. A permanent respite bed is available at the home and day care is provided on a daily basis. The home stands within beautiful substantial grounds on the approach road to Charlestown harbour. Seating areas are provided in the grounds. There are sea views available from some of the bedrooms in the home. Parking is available in the grounds of the home. The communal accommodation consists of three spacious and comfortable lounges (one smoking lounge) and a very pleasant dining room with flowers on the tables and freshly laundered table linen. Bedrooms are available on the ground and first floor. Bedrooms to the first floor are served by the use of a shaft lift. Nineteen of the single bedrooms have en suite accommodation and all double bedrooms have an en suite facility. There are additional toilets and bathrooms to suit the care needs of the service users. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection at The Grove took place on the 19th June 2007 over seven and a half hours. Service users and staff were spoken to during the course of the inspection. Case tracking took place with five service users. The majority of the service users indicated that they were very satisfied with the standard of care delivery at the home. The registered manager has recently left the home and a new acting manager has been recruited, who is experienced in running care homes. An application is anticipated to register this person with the CSCI. The owners of the home (the directors of the Company) were present during the course of the inspection. As well as long term care a permanent respite bed is available in the home allowing service users an opportunity to stay at the home on a short term basis. A number of clients also attend the home for a day care service. Building work is presently taking place at the home. A large extension that will ultimately increase the registration by seven more bedrooms is taking place. The Company are processing an application with the CSCI to have these rooms registered when they are completed. The range of fees at the home are from £381.60 (for a respite room) up to a maximum of £818 (for a double room). What the service does well: The home employs a full time activities co-ordinator. A new full time staff member has recently been employed into this post. She presented as very enthusiastic and full of good ideas to ensure that the social care needs of the service users are met. A meeting had taken place with the service users and activities co-ordinator this week to establish what their interests are and what The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 6 they would like to do. Consequently, the programme of social activities that has been drawn up is with the full involvement of the service users. The environment at the home is very well maintained. Communal areas are spacious and very clean. The gardens are very attractive and well tended. On the day of the inspection a service user required emergency treatment ultimately involving an ambulance. It was noted that the acting manager handled the emergency in a very calm professional, knowledgeable manner. What has improved since the last inspection? What they could do better: Care planning documentation is not satisfactory and must be improved as a priority. Documentation is very brief (daily records and care plans) and in some cases out of date on monthly reviews. This was discussed with the acting manager who is fully aware that improvements to care planning documentation are essential. This is included in this inspection report as a statutory requirement. The inspection report of the 17th October 2006 identified that some of the staff have not received adult protection training. This is essential to ensure that the staff have the knowledge and understanding of adult protection issues to protect service users from abuse. This is included in this inspection report as a statutory requirement. The directors of the Company are aiming to present The Grove to existing and potential service users as a home with very high standards. For this aim to be met improvements are necessary to paper work generally and some routines at the home. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 7 The inspection report of the 17th October 2006 stated that “the service users at The Grove have high expectations of their care delivery and the home should review some of it’s procedures and practices to ensure that standards generally are not deteriorating”. This statement is still appropriate to the home at this time. 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 Grove DS0000063217.V339916.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 The Grove DS0000063217.V339916.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 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s statement of purpose and service user guide documentation as well as a brochure provide prospective service users with details of what the home provides helping an informed decision about admission to the home. The acting manager assesses all service users prior to admission to the home to ensure that the home will be able to meet their care needs. EVIDENCE: The Grove has developed a statement of purpose which sets out the aims and objectives of the home, and includes a service user guide which provides information about the service. In addition a brochure is provided with photographs of the home and the grounds. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 10 As discussed at the time of the inspection it is recommended that the service user guide /statement of purpose document is reviewed and updated generally. This includes the philosophy of care at the home and information on the criteria for moving out of the home if this becomes necessary. The Grove consults the assessment information to see if they can meet the prospective service user needs before they make the decision to accept the application for admission and offer a placement. The acting manager will be assessing each potential service user before they are admitted to the home. In the absence of the manager the deputy manager will undertake the pre admission assessment. A permanent respite bed is available in the home allowing the service users an opportunity to stay at the home on a short term basis. Clients also attend the home for day care. All admissions to the home are on a trial basis for the first month of the placement. The Grove DS0000063217.V339916.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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning documentation is basic and therefore difficult to establish if care needs are being fully met at all times. Medication is being administered correctly to the service users but one good practice recommendation is made as a result of this inspection. Service users spoken to during the course of the inspection indicated that they are very happy with the way that the staff deliver their care and respect their dignity. EVIDENCE: Each service user has a very basic care plan in place. Information is included in the care plan to include a risk assessment, personal profile, and medication assessment. A good history of each service user has been developed. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 12 Evidence of monthly reviews is in place for some care plans but not for others. Daily day and night records support the care plans but these records in some cases give very little information for example a common entry is “no problems”. This does not give any information on how the service user has spent their day or what their care needs have been and how they are met. The acting manager is fully aware of the importance of ensuring that care plans with good information are in place. This is included in this inspection report as a statutory requirement. The service users have access to health care services that meet their assessed needs both within the home and the local community. Records evidence when a general practitioner has visited for example. The service users are able to chose their own general practitioner and all have access to dentists, opticians and other community services. It was noted during case tracking that a number of weight records were out of date. This is concerning when one of the service users was identified in care planning as being underweight and therefore at risk. It is also appropriate for a recognised nutritional screening tool to be introduced into care planning to identify those service users at risk. The home has a medication policy and procedure in place which is accessible to staff in their duty room. Medication records are up to date for each service user and a record is in place when medication is received into the home. The home is using the Boots monitored dosage system. Boots attend the home to provide training to staff and all staff who administer medication have received training. Records and storage for the administration of controlled drugs was found to be satisfactory. Service users are encouraged (where able and appropriate) to take responsibility for their own medication administration. It is recommended that the list for staff signatures and initials is brought up to date. During the course of the inspection service users indicated that they felt their care was delivered with kindness and consideration. One service user stated that “the staff cannot do enough for you, they are so kind”. The Grove DS0000063217.V339916.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 good. This judgement has been made using available evidence including a visit to this service. The home employs a full time activities co-ordinator to meet the social, religious and recreational needs and interests of the service users. The meals in the home are good with a very good range of choice offered. EVIDENCE: Good staff resources are provided to allow time for service users’ activities and stimulation. The home operates a key worker system, which enables closer service user and staff relationships where likes, dislikes and needs are shared. An activities co-ordinator is employed by the home on a full time basis. The current activities co-ordinator is new into the job and presented very well at the inspection. She has spent time with the service users finding out what they would like to do and set up a programme of activities chosen by the The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 14 service users. This information has been included in an excellent newsletter that has been distributed to each service user. A number and variety of activities take place in the home to include special days, evenings and events. More trips out from the home are to be taking place in July. (as requested by the service users). The home has it’s own transport. On the morning of the inspection the hairdresser was at the home and Holy Communion was to take place. On the afternoon of the inspection bingo took place and a number of service users enjoyed the afternoon watching the horse racing on television at Ascot. Observation of the routine for the service users’ appointments for hairdressing should be reviewed. One service user was waiting in her wheel chair for thirty minutes before her appointment. She had had her personal care delivered early for this appointment which then ran very late. This should be reviewed to ensure that the routines of the home are run in the best interests of the service users and not the staff. All the activities and events in the home are displayed for the week on a notice board for everyone to see. The activities co-ordinator keeps records of all the social activities that take place, who joined in and what they thought about it. The home has a good system for displaying information and bringing attention to community events and activities. A shop trolley is to be set up by the activities co-ordinator. The home has financial resources for activities/events held in a residents fund. Fund raising takes place by the service users who also have a committee to organise this. There are plans for a large fund raising event to take place in September. It is recommended that more records are kept on this fund to ensure a clear audit trail of accounts at all times. Family and friends were observed visiting the home during the course of the day. The design of the home provides seating within the communal areas of the home where the service users can entertain their visitors, in addition to the privacy of their own room. Daily records evidence when visitors have come to the home and all visitors to the home are encouraged to sign in the “visitors book” in the entrance of the home. The service users are encouraged to take responsibility for their own financial affairs and to use their money as they wish. Staff will support those service users who need help in financial matters. Food and meal times are treated as an occasion and something to be looked forward to. An experienced (head) cook is responsible for providing quality nutritional meals that meet the cultural and dietary needs of the service users. The meals at the home are rotated over a four week period. The service users are able to express their choices for all meals provided at the home on a menu The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 15 choice form displayed on their meal table. A choice is made 24 hours in advance. The menus on the table (on the day of the inspection) included a choice for roast beef with individual choices for mashed or roast potatoes and vegetables. The alternative to this was chicken or fish. This was to be followed by rice pudding, ice cream or fresh fruit or yoghurt. The choices for tea included fish cakes or ham salad or sandwiches. Then for dessert the choice included cheese and biscuits, cakes, chocolate mousse or fresh fruit or yoghurt. All the service users spoken to during the course of the inspection expressed very positive comments on the standard of the meals at the home. A satisfactory inspection of the kitchen was carried out by the District Council Environmental Health Officer on the 18th January 2006. The cook is qualified with an intermediate food hygiene certificate The Grove DS0000063217.V339916.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure provided to the service users and their representatives in the service user guide. The inspection report of the 17th October 2006 identified that staff require more training to ensure that they have the knowledge and understanding of adult protection issues to protect service users from abuse. This is included in this report as a statutory requirement. EVIDENCE: The Grove has a complaints procedure that meets the National Minimum Standards and Care Homes Regulations. The complaints procedure is available in the home and all the service users have been provided with this information in the service user guide. A comments book is available to the service users’ in the dining room should they wish to make any comments negative or positive about the home. The home is keeping records of any complaints received as required by legislation. The inspector has recently received some telephone calls to express “concerns” from relatives about particular situations. One of these situations was The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 17 discussed at the time of the inspection (with permission from the relative). The conclusion of the conversation was that more information must be included in care planning to ensure that care needs can be evidenced as being met at all times. The policies and procedures regarding the protection of the service users require updating. This was identified in the inspection report of the 17th October 2006 and is still to be done. In addition the report recommended that more staff training on adult protection takes place. This is included in this inspection report as a statutory requirement. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Grove is a well maintained, very pleasant, safe and comfortable environment for the service users and the staff. EVIDENCE: The Grove is situated in a residential area within easy car access to the centre of St Austell. The home is well maintained externally and internally with a maintenance person and gardener employed. The grounds are particularly pleasant and have recently been improved with the addition of a rose garden. The grounds are available to the service users and are provided with a hand rail for easy access if required. Car parking is available in the grounds of the home. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 19 Communal areas are very spacious and include a quiet lounge, larger lounge and dining room off. A smoking lounge is also available at the home. Bedrooms are available on the ground and first floor of the home. A shaft lift is available to the first floor of the home if required. The home was found to be very clean on the day of the inspection with staff employed specifically for these duties and laundry duties. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory to meet the care needs of the service users. Attention should be given to improving recruitment procedures and practice to ensure the safety and well being of the service users at all times. Training is ongoing but some areas of training require more attention. EVIDENCE: An inspection of the staffing rota and a discussion with management established that staffing levels have recently been reviewed. The levels of staffing provided in the home at this time are satisfactory to meet the care needs of the service users. On the day of the inspection four care staff were on the floor in addition to the deputy and acting manager. All the staff employed at the home are included in the staffing rota which rotates over a four week period. Team leaders are employed on all shifts and senior care staff are also employed. The different levels of staff wear different coloured uniforms and care should be taken to not misrepresent any staff as nurses when they are not. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 21 The home operates a key worker system with staff having specific responsibilities for service users. Two waking night staff members are employed by the home. Staff information re recruitment could be improved to ensure the protection of the service users at all times. Criminal records bureau checks should be in place before employing staff and two written references should also be in place. The Grove recognises the importance of training, and delivers where possible a programme that meets any statutory requirements. There are still some areas which need attention. This includes adult protection training and induction training. Fire drill training is up to date. New staff require moving and handling training. Over 50 of the staff have obtained an NVQ 2 and or an NVQ 3 in care. During the course of the day the service users spoke very positively about the kindness of the staff at the home. The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 22 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Grove is aiming to deliver a very good standard of care to it’s service users. Statutory requirements included in this report and good practice recommendations must be addressed if that aim is to be met. EVIDENCE: The registered manager has recently left the home and a new acting manager has been employed. Although only in his first week of employment he presented well during the course of the inspection and presented as very skilled and calm when dealing with an emergency at the home during the The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 23 morning of the inspection. It is also noted that he has met formally with senior staff and the minutes of the meeting are available to all the staff. The acting manager is supported in his duties by a recently promoted deputy manager and an administrator. Both directors from the Company that own the home were present during the course of the inspection. They have recently become much more involved in the running of the home. They are fulfilling their responsibilities under legislation by providing the Commission for Social Care Inspection with a report of visits to the home as required by legislation. It is anticipated that the directors of the Company will undertake and fulfil the responsibilities of Standard 33 in relation to quality assurance and monitoring of their home. The service users have the opportunity to manage their own money if they wish, and facilities are provided to keep it safe. Where the home manages money on service users behalf a system is in place to record transactions and accounts for spending. An audit of these records shows that they are up to date and correct. The administrator has health and safety responsibilities for the home. Policies and procedures are in place. Attention must be given to the requirements of Cornwall County Council fire department re risk assessments. The Grove DS0000063217.V339916.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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 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 3 17 x 18 1 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x x 2 The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 25 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(1) Timescale for action Unless it is impracticable to carry 31/08/07 out such consultation, the registered person shall, after consultation with the service user, or a representative of his, prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met. The registered person shall make 31/08/07 arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. Requirement 2. OP18 13(6) 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 To update the service users guide/statement of purpose document to include the philosophy of care at the home for example. DS0000063217.V339916.R01.S.doc Version 5.2 Page 26 The Grove 2. OP8 To introduce a nutritional screening tool for all the service users which will then identify those at risk. To ensure that the service users are weighed regularly. To update the staff signatures and initials for all staff who have medication administration responsibilities. To keep good records for the resident fund and ensure that an audit trail can be carried out at all times. To ensure that criminal records bureau checks are in place prior to the employment of new staff and ensure two written references are taken up. 3. 4. 5. 6. OP8 OP9 OP12 OP29 The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Office Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 The Grove DS0000063217.V339916.R01.S.doc Version 5.2 Page 28 - 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. 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