Inspection on 30/04/07 for The Old Rectory

This inspection was carried out on 30th April 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 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 Old Rectory 28/10/05

The Old Rectory 24/05/05

The Old Rectory 15/12/04

The Old Rectory 28/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE The Old Rectory The Old Rectory (Ewhurst) Co Ltd The Old Rectory,The Street Ewhurst Cranleigh Surrey GU6 7PX Lead Inspector Pauline Long Unannounced Inspection 30th April 2007 12:20 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 Old Rectory DS0000017630.V333213.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 Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address The Old Rectory (Ewhurst) Co Ltd The Old Rectory,The Street Ewhurst Cranleigh Surrey GU6 7PX 01483 267195 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) The Old Rectory (Ewhurst) Co Limited Mr Patrick Stuart Geoghegan Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (35), Physical disability of places over 65 years of age (35) The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age range may be: 18 to 64 years in the category PD (physical disability) and over 65 years in the category OP. Provision of outpatient treatment, hydrotherapy and physiotherapy in a dedicated unit from the age of 5 years upwards. 28th October 2005 Date of last inspection Brief Description of the Service: The Old Rectory is a large detached property that has been converted and extended into a comfortable, well equipped care home. The home is set within its own large well maintained gardens and is situated close to the village of Ewhurst within walking distance of local shops and amenities. The home provides accommodation and nursing care for up to 33 older people who may also have a physical disability. The home also has a hydrotherapy pool and fully equipped physiotherapy centre and provides a varied programme of therapeutic care and treatment for service users living in the home and to outpatients. Bedrooms are arranged over two floors, accessible by passenger lift or staircase. Most rooms are single, with a few double rooms, and all have ensuite facilities. Communal facilities in the home consist of a large, comfortably furnished lounge leading on to a sunny garden room, a large dining room, an activities area and a further, recently added lounge. The fees at the home range from £700.00 per week to £1300.00per week The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 09.10 and was in the service for 5 hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The CSCI would like to thank the residents, the acting home manager, staff and visitors for their hospitality, assistance and co-operation during the site visit. What the service does well: The home manager and staff demonstrated an open and inclusive approach to the residents care. The home benefits from a long standing staff team, who have worked in the home for several years, and this was reflected in the level of knowledge and understanding of the needs and preferences of the residents. The home promotes and encourages contact with family/friends and the local community. Residents spoken with were complimentary about the care and services provided by the home. The commented that, they always get the care and help they need, “that the care they received was good” and “that the staff are exceptional”. The standard of environment is very good, providing the residents with a very pleasant place to live. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The registered provider must notify the Commission in writing about the current management arrangements at the home. Care plans and daily records could be further developed to provide a holistic view of a resident’s day. Recruitment and selection practices must improve in respect of the checks carried out prior to a member of staff starting work. The interview process should be reviewed and consideration given to developing a list of questions to be asked and the expected responses. The service must review the homes quality assurance policy in order to ensure that there are processes in place to actively seek the views of people who use the service. Improvements must be made in respect of the staff supervisions. All staff must have the required six formal one to one supervision meetings with a manager. Clear and accurate records of these meetings must be kept. Requirements and recommendations have been made in respect of these standards. Please refer to pages 26 and 27 and of this report. Please contact the provider for advice of actions taken in response to this The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 7 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 Old Rectory DS0000017630.V333213.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 Old Rectory DS0000017630.V333213.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): 3,6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents are only admitted to the home following an assessment of their needs. Service users who are referred for intermediate care are helped to maximise their independence. EVIDENCE: Referrals to the home, come from privately funded clients. The matron commented that prospective residents are invited to the home, where their initial care needs assessments would be carried out. The prospective resident and/or a representative would then be encouraged to spend time at the home prior to making a decision as to whether the home could meet their needs. One resident commented that he had visited the home on a few occasions prior to being admitted. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 10 Three of the residents care needs assessments were sampled and were found to provide a good overview of the residents care needs, for example all daily living activities and their preferences in respect of their names, health and social care needs, spiritual needs and their likes and dislikes around activities. The home provides an intermediate care service. One of the rooms in the home is used exclusively as intermediate care room another is used 80 of the time for intermediate care. The home provides specialist staff such as physiotherapists to assist residents to gain their independence and be discharged back to their own homes. The home has its own hydro-therapy pool. Two residents were observed using this facility on the day of the site visit. The Old Rectory DS0000017630.V333213.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): 7,8,9,10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s health and social care needs are well met. They are treated with respect and their privacy and dignity is promoted. EVIDENCE: Three of the residents care plans were sampled. The care plans were based on a Nursing Model and although all care needs were addressed the care plan did not reflect a holistic overview of a residents other needs as provided in the care needs assessments. All of the care plans had been had been reviewed. A resident a visitor to the home commented, that, “the care they received at the home was good”. Discussions were had with the acting manager and matron in respect of developing the care plans further in order to provide a more holistic person centred approach to the residents care. On the day of the visit, medication administration was not observed. However medication practices in respect of storage, recordkeeping and training was The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 12 sampled. The storage of medication was also found to be safe. Some of the residents in the home the home required controlled medication and these records were also checked and were found to be well kept. General medication record sheets were sampled, and were found to be well documented, with no gaps in signatures noted. The matron commented that daily checks are carried on the medication record sheets and any issues noted would be addressed with the member of staff at the time. One resident self medicates and has been provided with lockable facilities in their bedrooms order to ensure safety. Discussions were had with the care staff about the homes medication policies and procedures. It was evident through discussions, that the staff had a good understanding of these policies and procedures. The staff commented, that only the qualified nurses are permitted to administer medications. The nursing staff commented they receive regular updates in the safe handling of medications, which is provided by the training manager. Through out the inspection process, staff were observed carrying out various aspects of personal care for the residents, this support was offered in a respectful and quiet manner. Staff were observed knocking on doors and waiting to be invited in, before entering rooms. Bathroom doors were kept closed whilst staff were attending to residents personal care needs. Residents commented that, “all of the staff were kind and treated them with respect”. A recommendation has been made in respect of these standards. Please refer to pages 25 and 26 of this report. The Old Rectory DS0000017630.V333213.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): 12,13,14,15 People who use the service experience excellent quality outcomes in this area. The residents are encouraged and enabled to maintain fulfilling lifestyles in the home and promotes contact with family, friends and the local community. Residents are encouraged and enabled to makes choices in their lives and meal times at the home are a positive and pleasant experience for the residents. EVIDENCE: The home is committed to ensuring that the residents maintain their relationships with their family and friends. Residents commented that they received regular visits from their families and friends. Some relatives were observed visiting the home during the site visit. They commented that the all the staff at the home were very welcoming. One relative commented “ this is the best home I have ever been to and I would not mind living here myself”. The inspector sampled the activities schedule for May. It was noted that there was a different activity scheduled for every day of the month, foe example: a drive in a country park, mobility exercises, a visit from the “Pat Dog” and visits to church. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 14 Care needs assessments and care plans related to residents likes and dislikes around activities. Newspapers are provided in large print for those residents with sight impairment. On the day some residents had gone out for a drive in the countryside. Other residents were resting in the conservatory or watching the television in their bedrooms. One resident commented that the conservatory was a lovely place to sit and look at the garden and its lovely views. The home encourages the residents to practice their faith and has arranged for weekly visits to the local church. Throughout the visit, residents were observed moving freely around the home, making choices as to how they would spend their day, for example, where they would spend their time and what they would like to eat and drink. The meals are freshly cooked in the home and it was positive to note, the choice of food on offer was good. Whilst the menu board related to only one main course, the residents commented that if they did not like what was on offer then the Chef would cook something else. The dessert menu consisted of 10 different desserts. Discussions were had with the Chef in respect of resident’s likes and dislikes. He demonstrated a good understanding of each resident’s likes and dislikes, and specialist diets for example diabetic, vegetarian and soft diets. Residents and visitors commented that the food at the home was excellent. One resident commented that breakfast was served in their rooms and other meals served in the dining room, but they could have all their meals in their rooms of they so wished. It was noted that some residents preferred to eat in their bedrooms. The chef commented that up to 80 relatives had, had a meal at the home during April. This was evidenced in the daily dairy. The Old Rectory DS0000017630.V333213.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, 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents are protected by the homes policies, procedures and practices around concerns, complaints and protection. EVIDENCE: No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The homes complaints records evidenced that no complaints had been received at the home since the last inspection. The acting manager commented that the residents and their families would speak directly to the manager if there were any concerns. Residents spoken with commented, that if they any reason to complain, they would speak with the manager. No referrals have been made under the local authority multi agency Safeguarding Adults procedures. Discussions were had with all of the staff on duty and scenarios put to them in respect of the home’s safeguarding adults procedures. Staff interviewed demonstrated a good understanding of the policies and procedures. The staff stated that they had all undertaken training in this respect. One recent member of staff has not undertaken this training as yet but id due to in the next couple of weeks. She stated that abuse was covered in the homes induction programme and that she has had discussions with senior members of staff. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 16 The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 26 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The environment is able to meet the changing needs of the resident’s, it is homely, clean safe and comfortable. EVIDENCE: The home provides a high standard of accommodation for the residents. The environment is appropriate for the particular lifestyle and needs of the residents. The home is clean, safe, comfortable and well maintained. All of the bedrooms have en-suite facilities and residents may lock their doors if they wish as evidenced in one of the care plans. Residents commented that they would lock their doors if they wished, but did not feel the need to. There are a selection of communal areas both inside and outside the home, enabling residents to sit quietly or join in with others as they wish. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 18 The home benefits from a hydrotherapy pool, which residents are encouraged to use as appropriate to their needs. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Improvements are required in the recruitment practices to ensure that staff do not start to work prior to all of the required checks being completed satisfactorily. EVIDENCE: Staff files sampled evidenced that the home employs a diverse staff group. The staffing levels were adequate for the dependency level of the residents. Staffing rotas and staff deployment evidenced that the home is proactive in respect of high staffing numbers, with ten members of care staff to include 2 registered nurses. Staff commented that the home was never short staffed and that there was no agency usage. Many of the staff at the home have been there for several years. One resident commented that she had lived at the home for several years and that she found all of the staff to be lovely and good at their jobs. The homes recruitment practices were sampled, and on the whole were found to be satisfactory. Three staff files were sampled. Two had the required documentation in place. One staff file did not have any evidence in respect of CRB ( Criminal records) or POVA (Protection of Vulnerable Adults) checks. This The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 20 was brought to the acting managers attention and the issue was dealt with immediately. There was no evidence on file of the staff interview process. Discussions were had with the acting manager about the need for the recruitment procedures and practices to be based on equal opportunities. It would be good practice to have a record of the questions asked and the responses received. Discussions were had with staff, who, talked about their job roles and responsibilities. Work based observations evidenced, quiet and competent staff carrying out their various tasks. Staff discussed the training opportunities in the home. Training records demonstrated that statutory and various current good practice training had been undertaken since the last inspection for example: food hygiene, POVA, vena-puncture and wound care. The home benefits from an in-house training manager. The home is proactive in promoting NVQ (National Vocation Qualifications), and to date has exceeded the National Minimum Standard recommendation of having at least 50 of care staff with NVQ2 or above. Approximately 75 -80 of the staff have achieved or are undertaking an NVQ qualification. Equality and diversity issues are discussed during the staff induction training and in the NVQ modules. Care staff discussed various diversity issues in respect of their roles, for example rising and going to bed when they please, resident’s faith needs being addressed, residents dietary needs in respect of their faith being considered. The acting manager commented that training courses were arranged to ensure that all staff have an opportunity to attend, for example; training courses timed in the evenings to enable the night staff and staff with carer responsibilities needs to attend. A requirement was made in respect of these standards. Please refer to pages 25 and 26 of this report. The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35, 37,38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The resident’s benefit from an open and inclusive management approach to the running of the home and their views are listened to. Improvements are required in respect of the notifications to the Commission, the quality assurance process and formal staff supervision. EVIDENCE: The registered manager for the home has stepped down since the last inspection. However the CSCI have not been notified of this change in the management arrangements. The acting manager is from one of the companies other homes, has yet to submit an application for registration. He has been The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 22 acting manager for 1 year. The acting manager is responsible for the business and administration side of the home and a matron is employed to be responsible for all care issues at the home. Both the acting manager and matron have an open door policy and make themselves available to speak with service users or members of staff as and when needed. Visitors to the home commented that the acting manager and matron were always around if they wished to speak with them. It was unclear as to what arrangements were in place for seeking the residents or other stakeholder views. The acting manager stated that no service users questionnaires had been sent out since the last inspection. The home does not hold residents meetings. The acting manager commented that this was an area he would progress. He also stated that the majority of the residents and their families would have no hesitation in telling the home if there were concerns around the quality of service provided. It was evident from observations that the acting manager had a positive relationship with all of the residents and visitors he spoke with. Residents commented that if they were unhappy with the quality of service they would let the manager know. Discussions were had with the manager around the need for actively seeking and recording service users views. Discussions were had with the acting manager around resident’s personal monies. He stated that resident’s families/representatives had overall responsibility for resident’s monies. The invoices from hairdressing, chiropody would be sent directly the relevant parties for payment. Discussions with the acting manager and care staff indicated that one to one staff supervision meetings were held. However the acting manager stated that he was aware these were not happening frequently enough, he commented an average of 3 per year. He discussed the possibility of training the senior staff in order to ensure the required number of meetings are undertaken. The staff commented that they regularly work together with the matron and other senior staff and have regular discussions around residents needs. Records in respect of the formal one to one meetings were not sampled. The staff commented that, they are also expected to attend regular team meetings. Requirements and a recommendation have been made in respect of these standards. Please refer to pages 25 and 26 of this report. The Old Rectory DS0000017630.V333213.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 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 2 3 3 The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31 Regulation 8(2)(a(b (c 12(1)(a) 19(1)(b) Schedule 2 24(2)(b) Requirement Timescale for action 30/05/07 2. OP29 3. OP33 4. OP36 18(1)(a) 2(a) The registered person(s) must notify the Commission in writing of the current management arrangements at the home. The registered person(s) must 30/05/07 ensure that staff do not start work or provide support to the residents until all of the required checks are completed. The registered person(s) must 30/06/07 review the homes quality assurance in order to ensure that there are processes in place to actively seek the views of people who use the service. The registered person(s) must 30/06/07 ensure that all staff have the required six formal one to one supervision meetings with a manager. Records of these meetings must be kept. The Old Rectory DS0000017630.V333213.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. Refer to Standard OP7 OP29 Good Practice Recommendations The manager could consider developing the residents care plans in order to provide a more holistic overview of their overall needs. The manager could consider developing a list of questions and expected responses to be used at interview to demonstrate equal opportunities and to protect the people who use the service. The manager could consider making the residents daily records less task focused and provide a more holistic view of the residents twenty four hour day. 3. OP37 The Old Rectory DS0000017630.V333213.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Old Rectory DS0000017630.V333213.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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