Inspection on 08/03/06 for Thingwall Hall Nursing Home

This inspection was carried out on 8th March 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Thingwall Hall Nursing Home 15/06/06

Thingwall Hall Nursing Home 26/10/05

Thingwall Hall Nursing Home 15/11/04

Thingwall Hall Nursing Home 19/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Thingwall Hall Nursing Home Thingwall Hall Drive Broadgreen Liverpool Merseyside L14 7NZ Lead Inspector Miss Orla Murphy Unannounced Inspection 8th March 2006 11:00 Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 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 Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Thingwall Hall Nursing Home Address Thingwall Hall Drive Broadgreen Liverpool Merseyside L14 7NZ 0151 228 4439 0151 254 1951 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) Brothers of Charity Mr Steven Wright Care Home 40 Category(ies) of Learning disability (40) registration, with number of places Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to include up to 40 LD Maximum no registered 40, of which up to a maximum of 26 PC (Personal Care) and up to a maximum of 14 N (Nursing) Date of last inspection Brief Description of the Service: The service consists of 6 separate houses (Bungalows) in the grounds of Thingwall Hall. The main hall is now the administrative centre for the organisation. There are 4 houses that provide personal care only and 2, which provide personal care with nursing. The service is run by a voluntary organisation, The Brothers of Charity. The site is quite large, set in its own grounds & set back from a side & main road. The Bungalows are located throughout the grounds but accessible, being a short walk from each other. There is access to public transport and Liverpool is easily accessible. Parking is available in the main car park. There are shops/leisure facilities locally & a wider range a short bus ride from the area. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three Inspectors carried out this Inspection over one day. Lorraine Farrar visited Bungalows 1 & 2, Janet Marshall visited Bungalow 3 and Orla Murphy visited Bungalow 4 and looked at records relating to staffing. Bungalows 5 & 6 were not visited at this inspection. The Inspection was unannounced and neither Service Users nor staff knew the Inspectors were coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the second in the home’s required visits, which are 2 inspection visits per year. 8 Service Users and five staff were spoken to at the inspection. Four Service Users were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more Service Users to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records including, care plans, medical notes, complaints records, assessments, reviews, medication sheets, meeting minutes, menus, timetables, risk assessments and significant events were examined. What the service does well: The service has a good training programme in place which covers a variety of areas from health and safety issues to care related issues including report writing and attitudes and values. Staff are supported to attend training and to identify additional training, which will be of benefit to Service Users. There is a good recruitment policy in place which is followed by the service to make sure all checks and references are carried out, this helps to make sure new staff are suitable to work with vulnerable people. Areas of the home that have been redecorated look inviting and homely with Service users bedrooms decorated and furnished in accordance with their personal choices and needs. The organisation have a strong management team in place who displayed a good insight into the service provided and are motivated to continue to modernise and improve the service offered. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 6 Some staff spoken with had a good understanding of Service Users needs and choices and how to communicate effectively with them. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the last inspection and were not looked at during this visit. EVIDENCE: Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the last inspection and were not looked at during this visit. EVIDENCE: Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15 Service Users do get the opportunity to use the local community and these opportunities are being increased. However there is still a reliance on site based activities and the home needs to continue to improve in these areas of their service. Overall the home provides a good level of support to Service Users in maintaining relationships, however this is not always consistently recorded. EVIDENCE: Bungalows 1,2 & 4 have recently got their own 7-seat car and staff said that this is helping them to support people to get out and about more. Good practice was seen on one Bungalow where the staff have supported a Service User to feel confident going out with them in the car after many years of her not having the confidence to do so. Each Bungalow has two members of staff working and a part time activity coordinator, with staff on some Bungalows explaining that this means 2 Service Users can go out each day with the activity worker and that as others are out and about on site a member of staff can also support someone to get out. On the day of the inspection most of the people living in the Bungalows Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 12 were out, with one explaining she was going out for lunch. Recent activities included, shopping, eating out and day trips and Service Users and staff on one Bungalow were discussing booking a holiday. Records showed that some Service Users are not having their social needs met consistently. One plan stated that the person “wants to go out every day”. However since January 2006 there were at least two occasions when the Service User had not gone out for several days. It was recorded on 14/1/06 that the person had been trying to get out and become distressed “when not successful”. No support to go out was given until 17/1/06. Many of the every-day services people used are based within the grounds of the home; this includes GP, chiropodist, and hairdresser. Staff explained that Service Users can and sometimes do visit the GP at his community surgery and use community based clinics. They also explained that some Service Users prefer the convenience of receiving these services at home. This was discussed with staff who felt that several of the people living in the Bungalows would enjoy using local facilities more with 1-1 support and getting to know the community better. It is a requirement of this inspection that the home offer the choice of using these facilities to Service Users within the community as part of their care plan. In Bungalow 3 records showed that Service Users are not always supported to take part in activities that they actively prefer. Each Service User had a programme of activities, which has been developed around their assessed needs and choices. One Service Users care plan clearly stated that he enjoys a variety of activities including ten pin bowling, however his records did not show that he had been given the opportunity to take part in some of his preferred activities although he had been supported with a range of other activities, mostly on site. Service Users must be given the opportunity to take part activities of their choice, which are consistent with their assessed needs and choices, as recorded in their care plan. Details of friendships and relationships were recorded in care plans and generally there was evidence that the home supports Service Users to maintain these relationships. However records for one Service User who lives on Bungalow 3 showed that he has a friendship with someone who lives on site. His records did not contain any evidence that he was supported with this, although staff stated that regular contact is maintained. Details of the contact and the help that staff provide must be recorded in the Service Users records to show that he is appropriately supported to maintain contact with people of his choice. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 In relation to Bungalows 1 & 2, the home provides support to Service Users with their personal care in a way, which suits their needs and choices. In relation to Bungalows 3 & 4, personal support is not always provided in a sensitive way this compromises the respect, dignity and comfort of the Service Users. EVIDENCE: In Bungalows 1 & 2, Care plans were in place for all Service Users, which give clear guidelines about the support they need with their personal care and the choices they make about this. Staff spoken with all had an in-depth knowledge of how to support the person in the way they like and were able to explain this. One Service Users plan said that she liked to look smart and to wear perfume and it was evident that staff had provided support to her with this. It was also evident that Service Users expect this level of support and feel comfortable asking staff for support. One Service User was seen asking staff for help to get changed and received a quick, positive response. A member of staff explained that one Service User likes to lie in a morning and has a specific routine when he gets up, to accommodate this staff support him to arrange activities in an afternoon. This was also clearly recorded in the person care plan. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 14 In Bungalow 3 An Inspector had to intervene twice with a member of staff who was not respectful with a Service User regarding their personal care, appearance & dignity, this included using a rough paper towel to wash his face without informing him she was about to provided personal care. Staff must provide Service Users with personal care in a sensitive and flexible manner at all times to ensure their privacy dignity and respect. Two other staff was seen assisting another Service User with personal care in the privacy of his own room. Staff were seen knocking on doors before entering bedrooms. In Bungalow 4, language used in daily records regarding personal care was childish and, as such, disrespectful to the adult they were writing about. For example, the phrase “wet the bed” was used continually regarding one Service User. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has good polices and training in place for protecting Service Users. Some staff have a good understanding of they way Service Users behave and how to support them with this however this is not always recorded appropriately. The recording of complaints does not fully protect Service Users. EVIDENCE: Copies of the local authorities adult protection abuse policy are available on each Bungalow and all members of staff spoken with had had training in this area. Staff spoken with were able to give detailed information about how they support Service User’s to manage their behaviour, with one member of staff explaining that he had requested further training to help him understand this and the homes management were trying to find a suitable course. Since the previous inspection there has been some improvements in the way in which staff maintain and write records. However there are still some areas of concern around how some staff record the way people sometimes behave. Records included information such as “does not like to be confronted when anything goes wrong” “refused to go out” “steals food” and “unpleasant mood”. This demonstrates a lack of understanding about why people may become upset and the way in which this can be managed so that the situation does not become unpleasant for everyone. The home has provided training for staff in supporting people to manage their behaviour and also in record keeping. It is therefore a requirement of this report that the home’s management regularly read daily logs and plans and Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 16 provide 1-1 documented support to staff about how they record information and how this was handled. In relation to all Bungalows, a complaints procedure was available at the home, which clearly sets out the procedure that people need to follow when making a complaint and the stages and timescales for the process. A complaints book was viewed on Bungalow 3, there was no written guidance available with the book, which contained a statement made by a person who previously worked at the home. The statement was not dated or appropriately signed nor was there any evidence to show that the concern that was raised had been dealt with. An accurate record of complaints made, details of any investigation, action taken and outcome must be kept at the home to show that complaints are dealt with appropriately. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Areas of some of the Bungalows would benefit from redecoration, areas that have been redecorated are to a good standard. Overall the home was clean and hygienically maintained with some exceptions. EVIDENCE: Each Bungalow has its own laundry room with industrial size washing and drying machines. Polices and procedures are in place for the control of infection and there are supplies of disposable gloves, aprons and bags. All staff spoken with had had training in the control of infection. All Bungalows visited were very clean, although the floor covering in Bungalow 2’s laundry room was partly ripped and needs to be replaced. In relation to Bungalow 3, none of the Service Users smoke. There is a no smoking policy restricting staff and visitors from smoking inside the home. A cigarette stub was seen in the toilet used by staff. This is in breech of the homes no smoking policy. Due to the nature of their disability the Service Users who live in this Bungalow are extremely vulnerable and rely totally on the people who support them to show them respect and trust. The designated area for smoking is outside the back door of the building. A large amount of cigarette stubs were seen littered around the garden and Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 18 paving areas, which looked dirty and untidy. The area must be cleared up and an appropriate facility for the collection and disposal of cigarettes them must be provided. Service User’s bedrooms in all Bungalows were nicely decorated and personalised. The dining room in Bungalow 3, which has recently been redecorated, was clean and bright. The floor in this dining room is being replaced with laminate. The kitchen units and work surfaces here are now looking worn in appearance, consideration should be given to replacing them. Bathrooms in 3 showed some signs of wear and tear and looked quite clinical consideration should also be given to redecorating them and making them look more homely. There was a damp patch on the wall in the corridor, which must be repaired and redecorated. The hallway and lounge areas, which appear a little dull would benefit from refurbishment. All the above improvements would provide a brighter and more stimulating environment for the people who live there. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 Staff recruitment procedures protect Service Users. The home provides a good variety of training for staff to help them meet Service Users needs and choices but there are still staff who require more training and support in basic values, such as respect, dignity & privacy. EVIDENCE: Six staff files were chosen randomly and examined. These all held the required 2 satisfactory references, identification, photo id, application form, interview records, a criminal record bureau (CRB) check, Vulnerable Adults check, work history, training record, proof of qualifications, supervision and appraisal and disciplinary record. Evidence was on file of the services continued effort to talk to staff about valuing Service Users and treating them with respect. All files were well maintained and were satisfactory. Recruitment procedures & policy met the required standard, ensuring all checks are in place prior to commencing employment, and ultimately protecting Service Users from those who should not work with them. The home has a very good training programme in place for staff. One member of staff explained, “they are very good with training” and another that, “ they make sure that you are up to date”. The training provided covers a large range of subjects and includes helping staff to get a care qualification (NVQ), medication, health and safety, supporting people with epilepsy and adult Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 20 protection. Training records looked at showed that staff are kept up to date with basic training and supported to go on more specialised training courses. In Bungalow 3 & 4, the members of staff spoken with confirmed that they have undertaken mandatory and specialist training. Discussion with the staff showed that training is focused around the needs of the Service Users, safe working practices and the principles of care. However, it was evident that in some cases, in relation to recording & specific incidents, this training has not been effective for a small number of staff. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 Some areas of the service perform better than others and addressing the issues with some staff values and recording may help to improve the benefit Service Users have from the service. Health & Safety could not be fully evidenced due to a lack of records. EVIDENCE: Evidence found on the day of the inspection indicates the Management of the service is not as effective as it should be in some areas. Managers have made strong efforts in auditing the service, monitoring staff & records but there remains pockets of poor practice and disrespectful recording. A significant improvement has been noted in 2 Bungalows that have a high level of Managerial input and this may be a useful tool for development of all of the Bungalows. Managers have provided excellent training but evidently this has not worked for some staff. Staff files showed that poor practices are addressed with staff but this must be a cumulative process. If staff cannot adopt basic values of enabling care for Service Users then this must be addressed. Policies and procedures relating to maintaining a safe environment were viewed at the home. They were accessible to all staff. A member of staff Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 22 confirmed that he has familiarised himself with the documents and continues to do so periodically. The member of staff said that fire alarm tests are carried out weekly. This was not evidenced, as the fire logbook could not be located. Other health and safety records including Gas and Electricity certificates and the testing of appliances records could not be located in the home. All health and safety records required by regulation must be maintained and available at the home for inspection to show that the health, safety and welfare of the Service Users are promoted. Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 2 14 X 15 2 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 X X X 2 X X X X 2 X Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 24 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 YA6 Regulation 12 Requirement The values promoted in Service Users ELP’s must be evident in practise. This was a previous inspection requirement Staff must respect Service User’s confidentiality in records and in discussions. Timescale for action 01/04/06 2. YA10 12 21/03/06 3. YA24 23 This was a previous inspection requirement All Bungalows must be decorated 21/04/06 & fitted equally, to a homely and comfortable standard. This was a previous inspection requirement 4. YA39 26 An annual audit of the quality of the service, incorporating Service Users/carers views must be carried out & results published for Service Users & CSCI. This was a previous inspection requirement 21/04/06 Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 25 5. YA13 16 Service Users must be given the opportunity to take part activities of their choice, which are consistent with their assessed needs, which are recorded in their ELPs. Bungalow 3 - Details of the contact and the help that staff provide must be recorded in the Service Users daily log to show that he is appropriately supported to maintain contact with people of his choice. Bungalow 3 - Staff must provide Service Users with personal care in a sensitive and flexible manner at all times to ensure their privacy dignity and respect. An accurate record of complaints made, details of any investigation, action taken and outcome must be kept at the home to show that complaints are dealt with appropriately. Bungalow 3 - The area must be cleared up of cigarette butts and an appropriate facility for the collection and disposal of them must be provided. All health and safety records required by regulation must be maintained and available at the home for inspection The home must increase the opportunities for activities (as identified in ELP’s) and make available to Service Users to use every-day community facilities such as healthcare and hairdressers. 23/03/06 6. YA15 16 23/03/06 7. YA18 12 21/03/06 8. YA22 22 23/03/06 9. YA30 23 21/03/06 10. YA42 12 23/03/06 11 13 16 01/04/06 Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 26 12. 23 12 The homes management must arrange for regular written audits of Service Users records and offer support and guidance to individual staff on the management and recording of services users behaviour. The home must replace the floor covering in the laundry room in Bungalow 2. 21/03/06 13. 30 23 30/05/06 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 Refer to Standard YA24 Good Practice Recommendations The kitchen units and work surfaces in Bungalow 3 are now looking worn in appearance, consideration should be given to replacing them. Bathrooms in Bungalow 3 showed some signs of wear and tear and looked quite clinical consideration should also be given to redecorating them and making them look more homely. The hallway and lounge areas of Bungalow 3 that appear a little dull would benefit from refurbishment. 2 YA27 3 YA28 Thingwall Hall Nursing Home DS0000005473.V285836.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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