Inspection on 02/11/06 for The Hamlet

This inspection was carried out on 2nd November 2006.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Hamlet 21/01/09

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Hamlet The Links Resource Centre 21 Cromwell Road Eccles Manchester M30 0QT Lead Inspector Joe Kenny Unannounced Inspection 2 November 2006 11:00 The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 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 Hamlet DS0000066572.V310817.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 Adults 18-65. 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 Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hamlet Address The Links Resource Centre 21 Cromwell Road Eccles Manchester M30 0QT 0161 707 8856 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) Abbotsound Limited Care Home 9 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of nine adults who require personal care only either by reason of learning disability or by reason of physical disability, can be accommodated. Date of last inspection Brief Description of the Service: The Hamlet is a registered care home that provides care to 9 people with a learning and/or physical disability. The Hamlet offers accommodation in single rooms. It is located in a building which also provides; day services to people with a learning disability and of physical disability, some supported living tenancies and a separate registered care home for three people with a leaning disability. People living in The Hamlet can access the day service. The Hamlet is situated close to the centre of Eccles, local bus routes and public amenities. The centre offers day services and a number of other resources to the service users at the home. The provision is owned by Abbotsound Ltd. The fees for the home are £94.59 to £226.15 per night. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 26th October 2006 with a follow up visit on the 2 November 2006. During the course of the inspection, residents were met and informal discussions held in relation to their experience of living at the home. The home continues to offer long term and respite care. As part of the inspection a survey document was given to the manager to distribute to residents using the service. At the time of writing the report, six survey forms had been returned to the commission and outcomes from the survey are referred to in this report. A selection of care plans, medication records, staff records, and maintenance records were examined and a tour of the building was undertaken. In the period since the last inspection the registered manager had left and the deputy manager of the home had been put forward to manage the service. What the service does well: The home continues to provide evidence that daily routines and staffing arrangements are arranged in the best interest of the residents. Staff were taking residents out to community facilities on a regular basis. Each resident has a key worker who supports them to identify and access community activities. The care plans examined were well maintained, with clear daily records, signed and dated by staff contributing to them. . Regular unannounced Regulation 26 visits to the home continue to be carried out and copies of the outcomes of the visits are forwarded to the Commissions areas office. The home continues to manage its own catering budget and residents are involved in menu planning and weekly food shopping. Recruitment and selection procedures are thorough The manager keeps a record of training programmes available to staff. Staff had access to training provided by Salford Local Authority, including POVA training. The Hamlet DS0000066572.V310817.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 Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures used by the home ensure that residents’ needs are identified and assessed before they move into the home. EVIDENCE: At the time of the inspection there were six long-term residents and one resident on respite living in the home. The home continues to provide enquirers with informative literature about the services offered at the home. The brochure and Statement of Purpose dated 2005/06 needs to be updated to inform people about the appointment of the current manager. The manager of the home retains responsibility for assessment and placement arrangements for all new referrals for long term or short term care. The manager had recently been on a home visit, with a Social Worker, to carry out an assessment of a potential new resident. There are opportunities to invite people referred tot the home for meals and overnight stays, if required. Information is made available to residents and their families and there is a standard Service User Guide. Discussions were held with the manager in The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 9 relation to setting up individualised guides for each resident and in a format which meets their individual needs. The manager stated she was reviewing the assessment documents used when persons are referred to the home to ensure identified risks are incorporated into the pre admission/assessment information. One person had been referred to the Hamlet following a pr admission assessment of needs, however the home had not been informed of significant information about the individual by the placing social worker. A discussion was held with the manager about the need for a question to be asked about whether al relevant information had been disclosed to the home to enable the manager to assess whether the home could meet the potential residents’ needs. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to take part in decision making processes and are supported to be as independent as possible. EVIDENCE: A selection of files were examined on the inspection. The care plans contained detailed Community Care Assessments; personal care plans, health care records, (e.g. menstrual cycle; weight; medication) and daily update records. Overall resident files were well maintained with a clear daily record of support offered by staff. The records examined were signed and dated with detailed overviews for each individual resident. Each resident has a named key worker who is responsible for identifying and supporting them to engage in a range of activities. There was evidence of residents using community facilities on a regular basis. There was evidence that the home assessed the care needs, choices and preferences of each resident and ensures these were met. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 11 In a discussion, it was recommended that the recording of residents’ choices and their responses to taking part in preferred activities are fully recorded to evidence the home is responding to assessed needs and reviewing how resident have felt about using leisure facilities. The responses by residents using the comment cards were positive and confirmed that their choices were respected by staff, they could choose how to spend their day. One resident commented that the home was the “sort of place I have always wanted”. It was also clear from residents/relative feed back that the comment cards did not meet the communication abilities and skills of some residents, in terms of the language used. The comment cards were also not user friendly for those residents who required another to interpret the questions being asked. This is an issue currently being looked at by the Commission. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to access a range of community-based facilities and have unrestricted access to facilities within the home. EVIDENCE: Residents continue to have unrestricted access to communal areas and to their own rooms. Staff were observed to support residents positively in the home and residents were seen to go out and return from trips in the local community with the support of staff. Discussions with residents confirmed they had access to a range of activities and there was evidence of personal preferences in their bedrooms. Residents have key workers who help them to decide on what activities they would like to do and then support them to access them. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 13 Since the last inspection work had been undertaken to upgrade the kitchen area. The new kitchen provides modern facilities to prepare meals, which staff prepare with residents being able to assist if they wish. The kitchen is a considerable distance from the dining area. The home is required to assess the need for an appropriate system for transferring meals from the kitchen to the dining area to ensure food stays at a safe temperature and risks involved in transferring are minimised Residents are involved in deciding the weekly menu and doing the shopping for food. Shopping is usually carried out on a Monday. The manager stated that a budget of £180 is available on a weekly basis. Extra money is available when there are residents in the home for respite. Residents can choose something different to the menu of the day. Staff seemed to have a good knowledge of the likes and dislikes of different residents. Staff were also aware of dietary needs of individuals and gave examples of residents requiring low fat options. One resident requires support with peg feeding. All staff had received training in relation to supporting the resident. Discussions with residents confirmed their involvement in menu setting and shopping, and that they had access to the kitchen if they wanted to prepare snacks. There was an effective monitoring system in place to check fridge/freezer temperatures. Residents are supported to maintain contact with relatives and friends. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care needs are met by staff working in the home. EVIDENCE: The care plans examined contained details of the residents health action plan, although these are currently under review. There was evidence of reviews being consistently carried out since early 2006 however some files did not record the date the initial plan was set up. The records of one resident identified a strategy in relation to management of behaviour which might be challenging. This was developed in 2001 with no evidence of a review since that date. The manager is advised to monitor and review all plans to ensure they reviewed and up to date. It was encouraging to note that one of the residents was planning a move to a more independent setting in the future and this would address an identified objective for the individual resident. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 15 Medication procedures ensure all medicines are held securely and are administered only by designated staff. The home has an appropriate and effective medication policy and procedure. The medication administration records had a copy of the named drug dosage and administration procedure and a record of any allergy alerts. One medication was prescribed ‘as and when required’ and could be administered up to four times per day. The medication records indicated that this was administered in the morning and evening only. The home needs to develop guidelines on the administration of ‘as and when required’ medication to ensure it is given when needed. Staff demonstrated they were familiar with medication procedures and all medications were correct and stored appropriately on the date of the inspection. The home keeps a record of medication received and returned to the pharmacist for disposal. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to protect residents from abuse and staff are trained in adult protection procedures. EVIDENCE: The home has an established complaints procedure. Residents’ responses through the survey used on inspection indicated they were aware of who to contact it they had a concern or complaint stating they would speak to staff or the manager The information from the home indicated two complaints had been dealt with through the homes internal complaints procedure. No complaints had been received by the Commission in the same period. The home uses Salford Local Authority Protection of Vulnerable Adults procedures and guidelines. In addition staff have attended abuse awareness training provided by Salford social service. Discussions with individual staff confirmed that awareness and understanding of protection issues and local policies and procedures. As part of the inspection the management arrangement for residents’ finances such as personal allowances were examined. The financial records were in order when inspected and the manager confirmed that she carries out regular audits of each resident’s account. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for residents, however the domestic arrangements require reviewing to maintain a homely feeling. EVIDENCE: On touring the building it was evident the home now has an annual maintenance programme, which to date has focused on decorating the bedrooms and communal areas. One bedroom was being prepared for redecoration the day following this inspection. The manager indicated the plan would include the decoration of one bedroom on a monthly basis until all had been decorated. There is a need to extend the maintenance programme to the exterior of the home. The access route to the Hamlet appears tired and fails to give the home its identifiable entrance route. There is no gate to the property, the ramp requires assessing with a view to replacing with rails, windows will require The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 18 replacement in the near future, and the part concrete/tarmac surface required levelling. There was some evidence of developing garden beds and the manager stated that residents had been involved in planting the beds. There were some plant containers but these were empty and stacked in a corner. Structural maintenance needs to be included in the home’s maintenance programme. It was evident in individual bedrooms that residents had opportunities for personal choice in decoration and choosing furnishings. Two residents had recently purchased flat screen TVs. and had DVD / Video / Music centres. All electrical appliances were checked. Staff were observed to be respectful and knocked on bedrooms doors to seek permission to go in. The washing machine and drier had been relocated from the kitchen to a cupboard off one of the corridors and there are problems with ventilation, which the home is trying to rectify. A number of ceiling tiles on corridors, in bedrooms and in toilet/bathing facilities required replacement. This is required to ensure effective containment in the event of a fire as all ceilings in bedrooms and corridors have been lowered. The exit/fire door leading to the gable end of the building required attention. It operated effectively as an exit route but may present as a security risk as it appeared to be openable if levered from the outside. The home appeared clean and free from any malodours. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate staffing arrangements are in place, which ensure residents are supported by appropriately trained staff. EVIDENCE: The manager confirmed that there is a designated staff team for The Hamlet. The information available on the date on the inspection indicated that the arrangements for staff cover were appropriate to meeting residents’ needs. Information was provided by the manager to confirm that staff have regular supervision and staff meetings. In addition to this the manager keeps a record of training programmes undertaken by staff and training planned for the future. Training included access to abuse awareness and Challenging Behaviour training scheduled for 3rd November 2006 developed and provided by Salford Local Authority. Training records confirmed training attended. Staff attending abuse awareness received a certificate confirming their attendance; the certificates seen on inspection were not dated. The manager is advised to take this forward with the training officer who delivered the course. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 20 The home’s recruitment and selection procedures ensure appropriately experienced staff are in place to support the needs of individual residents. Staff records provided clear documented evidence of appropriate recruitment and selection processes. Staff supervision forms are being reviewed to look at topics covered under standardised and relevant headings. The manager carries out supervision on a 6 to 8 weekly basis. The manager takes responsibility for all aspects of management and administration of the service including management responsibility for Bath House, a further residential service within the Links resource unit. The manager is advised to induct, train and supervise senior staff to support her role through delegation of responsibilities for specified areas of management and administration, such as supervision of care staff, medication procedures. Discussions were held with the manager on this topic during inspection. The manager has completed NVQ level 4 and has applied to do the registered managers award. The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by effective procedures for the management and administration of the home. EVIDENCE: The management and administration procedures relating to medication, finances, recruitment, supervision and training demonstrated the home was being run in the best interest of residents. There is an annual maintenance programme in place to ensure the home offers a safe and well maintained environment for residents living there. The home had an established programme of self-monitoring through residents and staff meetings, supervision and monthly visits on the conduct of the home (Regulation 26 visits). The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 22 In order to support the work under taken, the home needs to develop quality audit recording systems to evidence consultations with residents about how they perceive the service they receive. There was no evidence of user surveys although residents told inspectors they liked the home and there was evidence of good communication between staff and residents. The manager indicated that a review of policies and procedures was being undertaken and that she would be supported by the Operations manager in this process. The manager stated all staff are informed of new policies and procedures through staff meetings and supervision. The home keeps appropriate records, which safeguard the rights and best interests of residents. Staff receive regular fire training and the company maintenance team carry out checks on fire alarms and fire doors. The weekly and monthly tests are carried out at the required intervals for the Links Resource Unit. The manager is advised to retain on The Hamlet records of weekly and monthly tests and checks specific to the home as a registered independent unit. The Hamlet DS0000066572.V310817.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 Adults 18-65 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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA17 Regulation 12 Requirement The arrangements for transferring meals to the dining must be reviewed to ensure meals remained at the required temperature in a safe and secure method. The home needs to develop guidelines on the administration of ‘as and when required’ medication to ensure it is given when needed. The home must replace a number of ceiling tiles on corridors, in bedrooms and in toilet/bathing facilities, to ensure effective containment in the event of a fire. The exit/fire door leading to the gable end of the building required attention to ensure security and evacuation procedures are effective. Timescale for action 29/12/06 2 YA20 13 29/12/06 3 YA24 23 29/12/06 4 YA24 23 29/12/06 The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 25 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 2 3 Refer to Standard YA1 YA3 YA6 Good Practice Recommendations The Statement of Purpose needs to be updated to inform the reader about the appointment of the current manager. All pre admission information should be checked out prior to the placement to enable the manager to confirm whether the home could meet the resident’s needs. The manager is advised to ensure effective lines of communication and recording procedures are maintained in relation to the individual residents needs and preferences for in house and social leisure. The manager is advised to monitor and review all plans to ensure they reviewed and up to date. The manager is advised to retain evidence that staff have been given the opportunity to read local authority guidelines. The manager is advised to induct, train and supervise senior staff to support her role through delegation of responsibilities for specified areas of management and administration, such as supervision of care staff, medication procedures. In order to support the work under taken, the home needs to develop quality audit recording systems to evidence consultations with residents about how they perceive the service they receive. The manager is advised to retain on The Hamlet records of weekly and monthly tests and checks specific to the home as a registered independent unit. 4 5 6 YA18 YA23 YA31 7 YA37 8 YA31 The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Hamlet DS0000066572.V310817.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!