Inspection on 28/02/07 for The Maltings Care Home

This inspection was carried out on 28th February 2007.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Maltings Care Home 09/01/08

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE The Maltings Care Home 103 Norwich Road Fakenham Norfolk NR21 8HH Lead Inspector Ruth Hannent Unannounced Inspection 28th February 2007 09:45 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 Maltings Care Home DS0000068299.V332260.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 Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Maltings Care Home Address 103 Norwich Road Fakenham Norfolk NR21 8HH 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) 01328 856362 01328 863407 the.maltings@fshc.co.uk Four Seasons Homes (No 4) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mr Robert Leslie Deller Hammond Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Room 21 to be occupied by people who are independently mobile throughout the length of their stay in the home. Feb 2006 Date of last inspection Brief Description of the Service: The Maltings is a residential purpose built home close to the centre of Fakenham. It is situated over two floors with bedroom and living accommodation on both floors accessed by a shaft lift. The bedrooms have ensuite facilities. The Home is set back from the road with car parking facilities at the front. There is a small garden area at the back for residents to sit in and a new decking area at the front accessed via the lounge. Fees from £368 to £446.50 per week. The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been completed following a site visit to this home which was carried out alongside the Manager and was over a period of five hours. To gather evidence required, prior to the visit, information was gathered from relatives, residents and health professionals on comment cards sent out previously. The Manager was also asked to complete a pre inspection questionnaire that was returned to the Commission and also used to complete this report. Throughout the site visit residents were spoken to, a meal taken with residents, records were looked at and staff were spoken to. The Home has improved slowly and although some areas still need improving the majority of the service is continuing to develop and is led by a proactive Manager. What the service does well: What has improved since the last inspection? The Home now has designated staffing hours for resident’s activities with, already lots of ideas and various interesting things taking place. Some areas have been re-carpeted. The staff, residents and relatives have raised money and a new decking outside the front has offered the chance for residents to sit safely and watch the activities at the front of the property. Some rooms now have special beds to assist with the care residents need if now cared for in bed. The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 6 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 Maltings Care Home DS0000068299.V332260.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 Maltings Care Home DS0000068299.V332260.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential residents are assessed fully and are assured their needs will be met if they choose to live at this Home. EVIDENCE: The Manager has a Four Seasons assessment form in each residents care plan folder that is taken on the initial visit to discuss the Maltings with a potential resident. The Form is completed by the Manager and with the limited details from other professionals a judgement is made to ensure the service offered can meet the needs of the individual person. The Home also has a brochure, terms and conditions and a statement of purpose available that is offered to the interested people. (Noted were copies of two signed contracts) On talking to residents, although they cannot remember the paperwork they do remember visiting and being shown the Home. Throughout the day residents The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 9 were observed and spoken to. The needs appear to be met by the service and on talking to the Manager the only people who have had to go elsewhere have been people who have been in the Home for a while and have progressed to needing nursing care that is beyond the support that can be offered by the Home and Community Nursing. The Maltings Care Home DS0000068299.V332260.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents do have a care plan but the format to date is not ideal and not used fully as a working document but the care outcomes are good. Residents do have their health care needs met. The Home does have a comprehensive medication procedure and resident’s are protected by this but some tightening of the auditing needs to take place. Resident’s are treated with respect, dignity and privacy. EVIDENCE: The comment cards received from both families and the health professionals state the Home has improved in the care provided over the last two years. The care plans are in place but are still in the old, difficult to find details type The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 11 format. Four Seasons do have a new format that is yet to be introduced properly at The Maltings. The residents do receive a review and this was noted on the three care plans seen but general care plan details were all pushed into one plastic wallet and not really useful. The daily records were in place and a good communication book gave a clear picture of the day to day care of each resident but care plans as they are at present are not a useful tool to staff. Each resident also has risk assessments that are reviewed by a Senior staff member but this form is also part of the paperwork inside the plastic wallet and is not a live document used by the day to day care staff. (Requirement). Although the documentation is not good the residents appear well cared for and comments from residents spoken to all say the care is very good. (even when a little short staffed at times). The health care professionals who are involved with the Home (3 comment cards received) wrote how much the Home has improved. The local GP now has a linked practise nurse who works alongside the staff and is a regular visitor to the Home, conducting mini surgery’s to assist the GP. The Home and the nurse monitor pressure relief, there are now special beds in some rooms and one lady seen who is receiving end of life care had the right equipment, a turning chart and fluid chart within the room. A couple of comments received via the comment cards did state the communication between some of the care staff was not always good and the need to give clear details about the residents when a GP or Nurse is required was not always as good as it could be. (Recommendation). The medication was observed briefly with good practise observed throughout the administration process. Polite quiet encouragement was noted and each resident’s charts were recorded correctly with all medication observed as taken. (One comment card had been received that said medication is left in the room and not always observed as taken). This was discussed with the Manager who thinks this may have happened in the past but will remind staff again of the procedure required. (Recommendation). On observing the medication room it was noted that a number of eye drops were not dated on opening and that some residents had two containers of the same drops. (Requirement x 2). The Manager has introduced a more thorough monthly checking system which is evident in the medication store room. The controlled drugs were checked, counted and recorded correctly. The fridge temperatures were also recorded daily and all records appeared suitable. The management also ensure monthly audit checks are carried out and errors are sorted immediately. A concerned shared by the Manager is the problem that is still occurring of times when medication is not supplied quickly enough from the chemist and odd occasions means the medication is not in the Home to administer. This must be rectified and no resident should be without medication. (Requirement). All the comment cards received praised the way the staff care for the residents. ‘Caring’ ‘understanding’ ‘courteous’ ‘respectful’ are some of the The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 12 comments written on the 28 comment cards received. Throughout the day staff were noted to knock before entering a residents room and conversations overheard were appropriate. The Maltings Care Home DS0000068299.V332260.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 residents have a varied and satisfactory lifestyle to meet all interests. Resident’s do have contact with anyone they wish and at anytime of day. Resident’s do exercise choice and control. The meals are enjoyed, have choice and are well balanced. EVIDENCE: The Home now has a designated staff member for 15 hours per week solely fro activities. The home has many photographs of special events and activities. A trip was planned on the day of the inspection and throughout the home is stimulation for those who wish. Some play dominoes, bingo was happening in the afternoon, film sessions occur regularly and quiz nights are a fund raiser The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 14 with many teams involved. One resident was very pleased to talk about the different ‘going’s on’ that take place regularly. Throughout the day it was noted how relaxed and contented residents were when spoken to and although the call bell system is loud and ran regularly the residents appeared to accept this and one lady was really grateful it was there for when she required help and that it did not disturb her when in her bedroom. Visitors come and go when they wish. One comment from a relative stated it is like ‘home from home’ and ‘I can stay as long as I like’. On the day of the inspection it was noted in the visitors signing in book that seventeen people had arrived within the 5 hours of the inspection. Residents are encouraged to bring some possessions with them when moving into the Maltings and all rooms appeared personalised. A meal was taken with the residents at lunchtime with a total of fourteen residents. A lively conversation took place with nothing but praise for the food. On the day the choice was liver casserole or roast chicken with trifle or ice cream to follow. Although the choice is made the day before many of the residents could not remember what the choice was or what they themselves had chosen. The food was placed in front of the person and although looked and tasted fine there was no choice of how much should be on the plate. To offer choice further the menu could be on the table and vegetables and gravy could be served by the residents themselves or with the assistance of staff (Recommendation). The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager at this Home takes all complaints seriously and acts quickly and competently. Resident’s are protected from abuse but training and updating staff needs to be increased to ensure knowledge is current. EVIDENCE: On the pre inspection questionnaire a total of 8 complaints had been received at the Home. Each concern/complaint is treated with importance. The Manager showed the recording system used and the improvement/resolution to each one. A very thorough procedure does occur and one relative commented on the quick action taken by the Manager. The Home has complaints procedure posters around the Home, which was also a comment in one relatives reply. The Home has a whistle blowing policy and staff are aware of what to do when they suspect any potential abuse. Two staff members were spoken to and although some training on the subject is still outstanding staff do talk about abuse within the team and those spoken to would not hesitate to talk to the Manager or a Senior Manager within Four Seasons. The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s do live in a safe and well-maintained environment. The Home is clean, pleasant and hygienic. EVIDENCE: The Home is fresh and decorated well. The areas are light and bright. The lounge downstairs has been divided up to allow different types of activity to take place. The Home has also raised funds to add a small decking area accessed through the lounge. The carpet has been replaced and the library room also has a new carpet. The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 17 The Home has larger communal areas downstairs so tries to encourage residents down. The dining room upstairs is suitable but needs some refurbishment. Outside the small areas of garden available are neat and tidy and seating is available for residents to sit if they so wish. The new decking area is to have new items of garden furniture as the weather improves. The Home has all records in place that comply with the fire department and the Environmental Health report has had recommendations carried out. The heating and lighting is suitable with water temperatures controlled by a thermostat and was hand checked for the correct temperature in two bathrooms during this site visit. The staff, also have a chart in the bathroom to record the temperature at each bath and all records were seen as suitable. The Home has a large laundry on the first floor where suitable machines are in place to ensure sluice temperature washing can be carried out. The washing powder that is used was leaking onto the floor in front of one machine and could be seen as a risk and as no one had attempted to clear it up. It gave the appearance of having been there for quite a while and could be seen as a potential hazard. (Recommendation). The floor is of suitable washable covering and the spillage could easily be cleared away. The Home was very clean and tidy and there was no unpleasant odours detected. The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Resident’s needs are not always met in a timely way to ensure care is offered when required. The staff training and knowledge could be better to ensure residents are in safe hands at all times. The resident’s are protected by the correct staff recruitment procedures. Staff do receive training but it is not always up to date. EVIDENCE: The Home has some residents with complex needs that require a number of staff to ensure the correct and timely care is offered. Although the relatives and residents comments reflected on a caring, good staff team they also mention in a number of these comments of the need for more staff and the demand on the staff being great. (It was evident how busy the staff were by the constant ringing of the call bell system which often reverted to the emergency ring after so long as staff could not answer the call in a timely way). It was also noted that the care staff team numbers do not alter yet the The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 19 numbers of actual staff in the building reduces greatly at the weekend when the Manager, Administrator, Maintenance Officer and Activities staff member are not on duty and yet who contribute greatly to the day to day care within the Home. This puts much more pressure on the Senior who has many more visitors at the weekend to answer questions and family phone calls to take. Although the rota’s appear suitable through the week it is recommended that the pressure on staff at the weekends is considered and rota’s adjusted accordingly to have at least one further staff member on at this time. (Requirement). The Manager has not been able to increase the number of staff NVQ qualified since the last inspection. The Home has identified a number of staff who are keen to gain this qualification but to date the Four Seasons have not found the resource to allow these people to take this qualification although the names of the staff members have been identified for some time. (The Manager has lost some staff members who wished to qualify). The recruitment process is done well with all relevant paperwork in place within the staff files to ensure resident’s are cared for by appropriate staff. Four files were seen in total with staff who have been in the Home for a long time not having forms of ID but any new staff have all the completed paperwork, two references, CRB clearance, application with medical form along with the Four Seasons induction handbook. (Two looked at were completed and signed by the staff member). Some training of staff has taken place with the Manager using some of the training material supplied but he has not been able to ensure all staff are trained and competent in all required areas. (Certificates seen) The need for staff to have first aid training throughout has been recognised for this Home but only one place is available to date. There has been no infection control training and some staff need update training such as The Protection of Vulnerable Adults. The fire training is up to date with the Maintenance Officer now trained and able to deliver this training. The Home needs to concentrate on getting staff fully trained, competent and working safely in all areas of their work. (Requirement). The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is a very suitable person of good character to be responsible for this Home. The Manager has developed a user friendly quality assessment system to ensure the Home is run with the best interests of the resident’s. Resident’s finances are safeguarded. Staff are supervised but recorded details are not in place. The systems used by the Home ensure the health, safety and welfare of residents are promoted and protected. The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 21 EVIDENCE: The comment cards received from the relatives talk highly of the Manager. One stated that ‘the manager should receive special praise for his work, his efforts go way beyond his normal duties’. Another says ‘This Home ha s a good Manager’. Another comment from a GP states ‘the standard of care has risen significantly’. On the wall in the office is the recently completed NVQ Management award that was achieved in the last year. The Manager has also been completing his own quality monitoring system with feedback to all residents and families by newsletter. Items identified have shown an improvement in the Home and each month a small area of the service is discussed in meetings with residents to look at ways to better the service further. (The most recent newsletter asked what residents thought about the way the staff carried out the tasks and the professionalism they received). The residents small amount of spending money was inspected thoroughly at the last inspection with all records complete and although not seen fully on this occasion the receipt books of all transactions were seen and all held two signatures for all transactions. The manager has not carried out supervision in a formal setting and no records are in place but all staff have access to the manager at any time (clarified by a staff member) and who will act on any issues that are brought to his attention. (Requirement x 2). The Home has good records of health and safety checks carried out by the Maintenance Officer. All records were seen for fire safety, emergency lighting, water temperatures, legionella testing and servicing of equipment records. The fire extinguishers were serviced in Dec 2006. (Date noted on appliances). Regulation 37 forms are sent in when applicable. The Manager has called the Inspector over any health and safety concerns in the past. The recent problem with the lift failure and the need to install a stair lift had been notified and the Inspector was kept up to date with the progress of the repair. The Home is secure with all visitors greeted by a staff member with a key pad code used at the front door. Dates are on record of all the portable electrical equipment that has been checked and this was available for inspection. As mentioned in the staffing section, statutory training should be in place to ensure staff are fully aware of the health and safety in their working day and that this training should be in place to protect and promote the welfare of all staff and residents. No concerns of poor practise has been sent to the The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 22 Commission and there is evidence that verbally health and safety issues are discussed by staff meeting minutes and on talking to the staff. The Maltings Care Home DS0000068299.V332260.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 x x 3 x x x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 2 x 3 The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13.2 Requirement It is a requirement that all medication be dated on opening and discarded as stated on instructions. Requirement x 2 It is a requirement that a system is in place to ensure that at no time a resident goes without their medication. It is a requirement that enough staff are on duty AT ALL TIMES to ensure residents have a timely and consistent service for their health and welfare.. It is required that staff have the opportunity to update or have training that will ensure they are carrying out their roles competently and safely. It is required that all staff employed in the Home are appropriately supervised. Requirement x 2 Timescale for action 01/03/07 2 OP9 13.2 01/05/07 3 OP27 18.1(a) 01/05/07 4 OP30 18.1(a) 01/05/07 5 OP36 18.2 01/05/07 The Maltings Care Home DS0000068299.V332260.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 4 Refer to Standard OP7 OP8 OP9 OP15 OP26 Good Practice Recommendations It is recommended that communication on care needs is clear to ALL care staff to be able to liaise with other professionals when required. It is recommended that all staff are aware of observing the ingestion of medication and not to leave any medication with a resident. It is recommended that a copy of what residents have ordered for their meals is placed in the dining room to act as a reminder for those who forget. It is recommended that all spillages are cleared up immediately. (Laundry spillage had the appearance of being on the floor for some time). The Maltings Care Home DS0000068299.V332260.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Maltings Care Home DS0000068299.V332260.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. 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