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Inspection on 05/06/06 for The Old Vicarage

Also see our care home review for The Old Vicarage for more information

This inspection was carried out on 5th June 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a friendly, relaxed atmosphere and the residents spoken to said that they liked living at the home, they were well cared for, staff treated them with respect and assisted them with all necessary tasks in a kind and considerate manner. Two residents said "you can do what you like here", three said, "staff look after us well" and they all said that the routine of the home could be flexible and that the home was always clean and tidy. Residents are well cared for and staff members said that they put the needs of residents first. This was demonstrated in the records held and the comments received from residents and staff. The staff members spoken to said that they liked working at the home and that they were encouraged to promote resident choice and independence.

What has improved since the last inspection?

Most of the requirements and recommendations from the last inspection have been complied with and residents and staff have benefited from improved records, consultation with residents, staff training and the environment.The home has been made more attractive and brighter for residents by the redecoration of the hallways and three bedrooms, the retiling of the bathroom, guarding of all radiators, the provision of new domestic equipment in the kitchen and the redesigning of the garden.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Warren Road Hopton On Sea Great Yarmouth Norfolk NR31 9BN Lead Inspector Linda Wells Unannounced Inspection 5th June 2006 09:30 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 Vicarage DS0000027487.V299228.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 Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Warren Road Hopton On Sea Great Yarmouth Norfolk NR31 9BN 01502 731786 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) Estateband Limited Mrs Jill Chaplin Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 20 older people of either sex may be accommodated Date of last inspection 18th October 2005 Brief Description of the Service: The Old Vicarage is a two storey detached Georgian house that provides residential care and accommodation for up to twenty older people. The home stands in its own grounds of approximately two acres, there is parking to the front of the home and the gardens are mainly lawn and are accessible by wheelchair. Service users at the home have the use of a passenger lift to the first floor and communal use of three lounges, a dining room, two bathrooms containing adapted bath, washbasin and toilet on each floor, two toilets on the ground floor and one toilet upstairs. There are nineteen single and one double bedroom which all contain a washbasin and the majority of the windows have been replaced with double glazed fitments. The home is situated in the village of Hopton-on-sea, between the coastal towns of Great Yarmouth and Lowestoft and is surrounded by caravans and sited in the centre of a holiday caravan village that is densely populated at certain times of the year. There are local amenities and the beach within walking distance of the home and a public transport service that provides a link to the main towns. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken on the 05TH June 2006 over six hours and was carried out as part of a joint routine inspection plan with a Pharmacy Inspector. The Pharmacy inspection report, that highlighted seven requirements and five recommendations, will be produced as a separate document and will be available with this report. Since the last inspection two concerns have been expressed by health and social care professionals around care practise and the relationships of staff members and the manager. A site visit took place at the home on the 23rd March 2006 and an Interim Action Plan of improvements was agreed. On the day of inspection sixteen residents were living at the home and residents were seen to be having a meal, sitting in the lounges or their bedroom listening to music, reading or watching television. The home has adopted a small, friendly dog, called “Percy” who has free access to the ground floor of the home and who is very popular with the residents and staff. The inspection took the form of a tour of the premises, individual discussion with four residents, two staff members, a senior staff member and the manager, group discussion with three residents, examination of care plans, records, certificates and compliance of requirements and recommendations from the last inspection and complaints investigation. What the service does well: What has improved since the last inspection? Most of the requirements and recommendations from the last inspection have been complied with and residents and staff have benefited from improved records, consultation with residents, staff training and the environment. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 6 The home has been made more attractive and brighter for residents by the redecoration of the hallways and three bedrooms, the retiling of the bathroom, guarding of all radiators, the provision of new domestic equipment in the kitchen and the redesigning of the garden. What they could do better: Residents said that they were happy living at the home, felt included and safe. However, although many of the requirements and recommendations from the last inspection have been complied with there is still more to do. The following nine requirements and two recommendations were made to further improve the experience of living and working at the home for residents and staff. • • • • • • • • New residents must have the weekly cost of living at the home recorded in their terms and conditions contract to ensure they are fully informed. Residents must be protected and the two carpet edges in the middle of the lounge must be securely joined to ensure the safety of everyone. The hall carpet must be replaced to make the home more attractive for residents. (On order, awaiting delivery) Repeated requirement. The remaining worn and tired looking bedroom carpets must be replaced to ensure all bedrooms look attractive and bright. Staff members must receive regular supervision at least six times a year to ensure the needs of residents are known, to discuss care practise and to review and plan their training needs. Staff members must all undertake moving and handling updated training to ensure they are fully trained to meet the needs of residents. The manager must complete NVQ4 Registered Manager training to ensure that she is fully equipped and trained to manage the care services provided and the home. The quality assurance system in place must be further developed to include the views and feedback from residents, relatives, visitors, staff members and other professionals and an action plan of improvements produced from the results. Resident meetings must be held to ensure residents are able to give feedback on the services provided and any plans that involve them. It is recommended that when monthly reviews are carried out that more detail be written about the resident and their views and feedback. It is recommended that the redecoration and refurbishment of the home, especially the bedrooms, be continued to make the home more attractive in all areas. • • • 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 Old Vicarage DS0000027487.V299228.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 Old Vicarage DS0000027487.V299228.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, (6 not applicable) The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The admission procedure and written information available has been rewritten and enables residents and staff to make a decision on whether the home will meet the needs of anyone wishing to live there. EVIDENCE: The homes Statement of Purpose and Service User Guide were seen and found to contain relevant information. The manager said that prior to admission as much information as possible was collected from a prospective resident, their family and other professionals. She said residents, their family or friends sometimes visited the home, that she often visited residents in their own home and that residents were admitted on a one-month trial basis. Residents had signed and been issued with a copy of the contract of the terms and conditions of living at the home however, a requirement was made that a record of the weekly fees charged be written in the signed contract to demonstrate that residents are fully informed and in agreement of the charges. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 9 Two residents who had lived at the home for two weeks said that they and their relatives had visited the home prior to admission, had been given enough information about the home to help them make a choice, that staff had made them feel welcome and had helped them to settle into the home. A relative of one of the newly admitted residents said that the manager had discussed with him and recorded the history, care needs and preferences of his relative, had received a full health and social care assessment on his relative from a Social Worker and had encouraged the resident and himself to visit the home before they made a decision. The manager said that the cost of living at the home is currently between £331 - £338 per week. The Old Vicarage DS0000027487.V299228.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, (9 see Pharmacy inspection report) 10, 11 The quality in this outcome area is poor. This judgement has been made using the available evidence and including a visit to this service. The health, social and personal care needs of residents were met, they were well cared for but they were not protected by the medication procedures carried out in the home. EVIDENCE: Residents said they were well looked after and four individual plans of care were examined and found to have improved and to contain relevant health, social and personal care information, care needs assessment, wishes and arrangements at death, weight records, daily records, night care records, fluid chart, dietary needs, risk assessments, choices, past history, a photograph, monthly reviews and visiting professionals. However, the monthly reviews with each resident recorded only “no change” and a recommendation was made that more detail about the resident and their views and feedback on the standard of care and service they had received be recorded to aid in the monitoring of the service provided. Medication policies and procedures were inspected by a Pharmacy inspector and resulted in poor practise being identified and seven requirements and three recommendations being made. See Pharmacy report attached. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality in this outcome area is good. This judgement has been made using the available evidence and including a visit to this service. There are social and creative activities that provide interest and variety to residents and the quality and quantity of meals has improved. EVIDENCE: Residents said that their family and friends were always made welcome at the home and that staff and their key worker assisted and encouraged them to make choices. They said that they enjoyed the activities provided daily in the home and gave examples of going out with a member of staff, a music afternoon and buffet and a quiz evening. Records were seen to demonstrate that activities were provided and staff said that they did have time to provide one to one activities such as nail care or a walk for residents. The main meal and menus were seen and were balanced and varied. The budget had been increased resulting in better quality and quantity of fresh and frozen foods. Records showed that residents were given a choice and an alternative offered. Residents spoken to said that the meals had improved over the last month and staff members said that they had completed food hygiene training and prepared the tea meal. A cook has been employed at the home and he said that he was in the process of completing a catering course at college and spoke to each resident daily to ensure their choice of menu or The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 12 specialist meal was catered for. The Environmental Health team has awarded the home three stars for food safety and a certificate was displayed in the hall. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The home has a procedure on the protection of vulnerable adults that protects residents, staff training has increased however, professional visitors, to the home have expressed their cause for concern. EVIDENCE: No complaints had been received by CSCI since the last inspection but CSCI has received two expressions of concern from a health and social care professional about care practice, the conduct of the manager and the family relationship between the manager and some staff members. A site visit was made to the home on the 23rd March 2006 and a discussion on the concerns, requirements, recommendations and service risk assessment of level of 1 was carried out with the manager and company secretary and the Inspector and Regulation Manager from CSCI. From this meeting and the agreements that were made with the manager and the company secretary on the improvements needed in care practise, record keeping and the management of the home, the intention of the home to improve and the consequences of non-compliance an interim action plan of improvements was produced. This inspection has seen some of the agreed improvements made but there is still more to do. The manager has made appropriate improvements and the home’s records demonstrated that a new complaints policy and procedure has been put in place and that any complaints made to the home are investigated and the The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 14 appropriate action taken. The residents spoken to all agreed that if they had reason to complain they would speak to staff or the manager and all felt confident that the problem would be resolved quickly and to the satisfaction of all involved. Residents are able to exercise their legal rights and are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home. Records showed that half of the staff had recently undertaken training in Adult Abuse and that the remaining half of the staff are booked to complete the training in August 2006. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 26, The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The standard of the environment within this home is mainly good but does not fully provide residents with an attractive and homely place to live. EVIDENCE: A tour of the building revealed that residents live in a home that is decorated and furnished to a reasonable standard. Residents said that they benefited from a home that was comfortable, clean and tidy and this was found in all areas during the tour of the building. The manager outlined her plans to replace the hall carpets and to gradually redecorate and refurbish all areas of the home and although improvements had been made to the home some of the bedrooms were in need of redecoration, the downstairs lounge carpet was not secure at the join in the middle of the room and the hall carpets and some bedroom carpets were in need of replacing. Three requirements were made of which two were repeated and a recommendation was made that the carpets in the hallways and the The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 16 bedrooms where they are worn and tired looking are replaced, the carpet in the lounge is made safe and a continued plan of maintenance and redecoration is carried out, especially in some bedrooms, to ensure that residents are fully protected and the home is attractive in all areas. Residents were seen to have personalised their bedrooms, specialist equipment was provided and each floor of the home had adequate bathrooms and toilets that were adapted to suit the needs of the residents. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The needs of residents are met, staff members are competent and the procedure for the recruitment and training of staff provides safeguards to offer protection for the people living in the home. EVIDENCE: Residents said that they were well cared for and the staff spoken to said that there are enough staff on duty and that the manager was in the process of recruiting additional staff for the morning. The two staff members spoken to said that staff morale had improved, they were supported by the senior care staff and the manager, handover and staff meetings and demonstrated that they were aware of their role and responsibilities. Records showed that residents were protected by the improved staff recruitment checks that had been carried out. CRB checks, references, personal details, a photograph and proof of identity, were seen and held in the file of each staff member. Records demonstrated that staff members had a mix of experience and skills and the manager said that four staff members had completed NVQ2 and one was doing NVQ2 and two were currently doing NVQ3 training. Improvements had been made in the basic training of staff and certificates showed that induction, foundation and some updated training programs were undertaken but not all staff had completed updated moving and handling training and a The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 18 requirement was made that all staff complete the updated training. Records also demonstrated that staff members had recently completed training in caring for those with Dementia and infection control to ensure the needs of residents are fully met. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38 The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The manager has made improvements and is supported by the senior staff in providing leadership, guidance and direction to staff to ensure that residents receive a good standard of care. EVIDENCE: The manager has over twenty years experience of working in the care setting and has been in post for two years. She had inherited poor systems and practise and has been working to make improvements to the standard of care provided, record keeping and the environment. Part of the concern expressed to CSCI by the health professional criticised her management conduct but since the interim action plan meeting she has made improvements to her management style that have benefited residents and staff and the smooth running of the home. A requirement was repeated that the manager complete The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 20 the NVQ4 Registered Managers award to ensure she has the necessary knowledge and is fully equipped to manage a residential care home. Residents and staff members said that improvements had taken place over the last two months, that the home was now run in a better way and that the manager was supportive, approachable and gave clear direction. Records demonstrated that the management, accounting and financial administration procedures carried out in the home offer safeguards and protect residents. A quality assurance system has been produced for residents and a requirement was repeated that it be expanded to include the views and opinions of residents, relatives, staff, visitors and health and social care professionals on the quality of care, service and facilities provided at the home and an action plan of improvements be produced from the results. Records demonstrated that resident meetings were not held and a requirement was made that they must be held to ensure residents are consulted and able to give feedback on the services provided and any plans that involve them. Policies and procedures have been produced and were seen on all aspects of the home and service provided. The records held were found to promote and protect the rights and best interests of each service user. An improved system of record keeping has been put in place and the handover and staff meeting minutes demonstrated that the morale of staff members had improved, that they worked as a team and were supported by the manager and senior care staff. Record showed that staff members had not received planned supervision and a requirement was made that staff members receive regular supervision at least six times a year to ensure that their knowledge of the needs of each resident, their work practice, commitment and training needs were identified, clarified and reviewed. The servicing and testing of all equipment had been carried out and relevant and timely certificates were held to ensure that the health and safety of residents is protected. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 3 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 3 18 3 2 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 3 3 2 3 3 The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 22 YES 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 OP2 Regulation 5.1.b Requirement The registered person must ensure that the cost of living at the home is recorded in the copy of the contract signed by each service user. The registered person must replace all carpets in the hallways. (Previous timescales of 31st August 2005 and 31/03/06 not met) The registered person must ensure that the bedroom carpets that are worn and tired looking are replaced. The registered person must ensure that the join in the middle of the lounge carpet is made safe for service users to walk on. The registered person must ensure that all staff members complete updated moving and handling training. The registered person must complete the NVQ4 Registered Manager training. (Previous DS0000027487.V299228.R01.S.doc Timescale for action 01/10/06 2. OP19 23.2 01/08/06 3. OP19 13.4.c 31/10/06 4. OP20 13.4 01/08/06 5. OP30 18.1 01/11/06 6. OP31 10.3 30/09/06 The Old Vicarage Version 5.2 Page 23 timescale of 31/03/06 not met) 7. OP33 24.1.a The registered person must ensure that the quality assurance system in place includes the opinions and views of visitors and healthcare professionals. (Previous timescales of 31st August 2005 and 31st December 2005 not met) The registered person must ensure that service users have the opportunity to attend resident meetings. The registered person must ensure that all staff members receive planned supervision at least six times a year. 01/12/06 8. OP33 24.3 31/08/06 9. OP36 18.2 30/09/06 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 OP19 Good Practice Recommendations It is recommended that when monthly reviews are carried out that more detail be written about the resident and their views and feedback on the service received. It is recommended that the redecoration and refurbishment of the home, especially the bedrooms, be continued to make the home more attractive in all areas. The Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Old Vicarage DS0000027487.V299228.R01.S.doc Version 5.2 Page 25 - 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!