Inspection on 28/06/05 for Thornbury Care Centre

This inspection was carried out on 28th June 2005.

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.

Other inspections for this house

Thornbury Care Centre 28/05/09

Thornbury Care Centre 09/11/07

Thornbury Care Centre 26/02/07

Thornbury Care Centre 15/08/06

Thornbury Care Centre 30/11/05

Thornbury Care Centre 23/03/05

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Thornbury Care Centre 58 Thorndale Road Thorney Close Sunderland SR3 4JG Lead Inspector Nic Shaw Unannounced Tuesday 28 June 2005 at 10.00am 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 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. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Thornbury Care Centre Address 58 Thorndale Road Thorney Close Sunderland SR3 4JG 0191 5201881 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) European Care (England) Limited Mrs Lyn Mason (not yet registered). Care Home 44 Category(ies) of DE(E) Dementia over 65 (23) registration, with number OP Old AGe (21) of places PD(E) Physical Disability over 65 (8) SI(E) Sensory Impairment over 65 (6) MD(E) Mental Disorder over 65 (6) DE Dementia (4) PD Physical Disability (2) Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd March 2005 Brief Description of the Service: Thornbury Care Centre is a three story building situated in the centre of Thorney Close. The home is registered for up to 44 people, 23 of whom have a dementia type illness. Nursing care is not provided but District Nursing services are accessed as required. The home is built on a sloping sight with accommodation for residents over two floors with a service area on the lower ground floor. Accommodation consists of a lounge and dining room and bathrom on each floor. A passenger lift serves the first floor, which specifically provides accommodation for people with dementia care needs. All bedrooms are single occupancy and each benefits from en-suite shower and toilet facilities. The home has been specifically designed to provide accommodation for people who have a physical disability. There is a spacious garden to the rear of the home and a car parking facility is provided adjacent to the home. The home is situated close to local shops, pubs, places of worship and a community centre. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 8 hours in May 2005, involved two inspectors and was a scheduled unannounced inspection. The inspection process involved spending time talking to a number of the people who live in the home as well as the manager, staff, and visitors. A sample of records were examined including care plans, rotas, accident book and fire log book. A tour of the building took place which included all communal areas and a sample of residents’ bedrooms. The lunchtime meal was also sampled and observations were made of the support the staff offered to residents throughout this process. The judgements made are based on the evidence available on the day of the inspection. The manager stated the people who live in the home prefer to be referred to as residents and this will be reflected throughout the report. What the service does well: The daily routines of the home are flexible, which means that the residents can have meals when and where they want and can choose to spend time on their own or with other people. The atmosphere is warm, welcoming and friendly. Residents and relatives said that there is a “nice atmosphere”. Residents and visitors had many positive comments to make about the quality of the accommodation, including the spacious bedrooms, lots of pictures and its very nice, like a smart hotel. The organisation is making sure that the staff are provided with training in the needs of people with dementia. This means that the staff will have a better understanding of this illness and provide good support and care. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 6 There is always a choice of main meal offered and the food is of a good quality. Residents benefit from staff who are valued by the organisation and manager. What has improved since the last inspection? What they could do better: The manager needs to find out if any of the people accommodated on the ground floor have a dementia type illness. If there are then the manager needs to look at ways as to how this can best be managed in order to benefit all of the people living there. A number of the records need to be improved. This includes the care plans so that staff know what they should do to meet the residents needs. Currently there are no regular activities held in the home and residents spend their time sitting in their rooms, lounges or garden. An activities programme must be developed and offered to the residents. The layout of the bathrooms needs to be improved so that the staff can safely assist the residents when they are having a bath. Some of the staff need further training in NVQ and health and safety matters so that they can meet the residents care needs safely and effectively. In order to ensure the safety of the staff and the residents the manager must ensure that night staff are given a fire drill at least every three months and all staff a fire drill six monthly. The manager needs to make sure that a safe environment is provided for the residents; for example, fire doors must not be wedged open, and that staff treat the residents with respect at all times. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 7 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. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 4 Some of the residents who are accommodated on the ground floor need to be re-assessed so that they can be assured that their care needs are met effectively. EVIDENCE: Observations during the inspection indicated that there are a small number of residents who are accommodated on the ground floor who have developed a dementia type illness. Some of the residents spoken to also confirmed that they found it difficult spending time in communal areas and that there were not many people who they felt able to hold a conversation with. Residents spoken to also said that when they first chose to live in the home they were told that residential care only was provided on the ground floor, which they felt is now no longer the case. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 standard(s) 7,8&10 The health and personal care needs recorded in the care plans do not reflect the resident’s current level of need. This potentially means that the resident’s health and personal care needs may not being adequately met and therefore their welfare placed at risk. Residents right to privacy is respected, however, their right to be treated with respect was not fully promoted, which could compromise their general well being. EVIDENCE: The manager stated that care planning is a major shortfall. The sample of care plans examined lacked detail and did not reflect the level of care some of the residents currently need. There were no risk assessments or risk management strategies in place for those residents at risk of developing pressure sores, at risk of falling, and for whom a nutritional assessment identifies that this is an area of need. The first floor offers accommodation to people who have needs in relation to dementia. There was no information available in the care plan to inform staff of the intervention necessary of them to meet the special needs of these residents. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 11 Residents said that they had access to their GP, District Nurse and were always accompanied by staff to attend hospital appointments. Staff spoken to were knowledgeable of the residents individual needs and observations made on the day of the inspection confirmed that the staff addressed the residents daily care needs adequately. Observations confirmed that special equipment such as pressure relieving devices have been provided. Observations concluded that the resident’s right to privacy is respected. This includes the residents being able to spend time in the privacy of their bedrooms. Staff were also observed to carry out personal care tasks in the privacy of bedrooms and bathrooms. However, some staff practices observed did not promote the principle of respect and these were discussed in detail with the deputy manager and manager at the time of the inspection. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12&15 Residents are offered a varied menu with wholesome food, which promotes their health and well being. The residents are able to follow their daily lifestyles which satisfies their social and religious needs, however, there are limited opportunities for social activities and very little for the residents to do in the home. This restricts the resident’s ability to lead stimulating and fulfilling lifestyles. EVIDENCE: Residents spoken to said that they were able to visit the local hairdresser and observations confirmed that there is great freedom of movement around the home. Residents can choose to spend time in the privacy of their own rooms or to socialise in the lounges as they wish. In discussions residents confirmed that there are no set routines other than meal times and that they can spend their day within the home as they wish. The manager stated that she has arranged for a Priest to visit the home each week to provide some of the residents with Holy Communion. A Vicar from a local parish also visits the home weekly. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 13 However, residents and visitors stated that there are very few activities and no trips out at all. Residents said that they really want more activities especially exercises, art, quizzes and other things that will keep their minds and bodies active. Several people said that they were bored. During the day of this inspection some people spent time sitting out at the front of the home, whilst others wandered aimlessly around the building. There is no record of the few activities that have taken place and who participated. Visitors said that this is the best time of year for small trips out and did not know why the home did not hire a minibus. The manager confirmed that there is no activities programme at this time, and the post of activities Co-ordinator has been vacant for some considerable time. Staff did not know what access the home has to transport following the recent change of owner. Some residents said that they had enjoyed going across to a local community centre a couple of times to an over 55s club, but that they could not do this without staff support and this had not happened recently. Residents were very complimentary about the quality and quantity of the meals. Meals are served in both the dining rooms from hot lock trolleys to individual tastes and preferences. Milk jugs, sugar bowls and condiments were on the tables to encourage independence and residents helped themselves to these. The food that was sampled was of good quality, hot and tasty. There were lots of cold drinks around the home for residents and visitors on this very hot day. The dining rooms have small kitchenettes where residents and staff can get drinks and there are also water dispensers in the dining rooms. Residents said that the dining rooms are nice places to sit as they look out over the back garden. At lunchtime staff were sensitive when helping people who needed extra support to eat their meals. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 18 Policies and procedures are in place to protect residents from abuse and potential harm. EVIDENCE: Records examined and discussion with the manager confirmed that staff have received “basic abuse awareness” training. Sunderland’s Local Authority MAPPVA, (Multi-Agency Panel For the Protection of Vulnerable Adults), has also been discussed with the staff during staff meetings and information was on display on the office wall in relation to who the “Alerter”, “Responsible Individual” and “Lead Officer” are within the organisation. Documents examined confirmed that there are policies and procedures in place in relation to prevention of abuse. However, minor amendments need to be made to the policy as this does not clearly state that all suspected abuse must be reported to the Local Authority. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 standard(s) 19,21&26 The home is clean, warm and well maintained offering the residents a homely environment in which to live. However, the layout of the bathrooms does not promote the health and safety of the residents and staff. Some care practices may compromise the control of infection, which may be detrimental to the resident’s health. EVIDENCE: Thornbury Care Centre is a new purpose-built home and is decorated and furnished to a very good standard. All bedrooms have an en-suite shower and toilet, and this promotes individual privacy and dignity. Residents and visitors said that this was a very important feature of their accommodation. Communal areas are light, airy and comfortable and provide a choice of sitting areas for residents. There is a large, grassed garden to the rear for residents to use in better weather and there were chairs and tables here for residents and their visitors. On the day of this visit several residents had brought chairs Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 16 out to the front of the home where they could watch the comings and goings in the local community. Those areas of the home seen confirmed that the home is well maintained. There is a maintenance member of staff on site to attend to any minor repairs. The home provides two bathrooms, one on each floor, both with specialist lifting equipment. However, discussion with the manager and staff confirmed that the layout of the bathrooms means that there is not much room for staff or residents to use the chair hoist. Observations included that there were some premises and practice issues that present a possible risk of cross-infection and also do not support the dignity of the people who live here. These included continence care equipment lying in communal toilets and used bars of soap in communal bathrooms. There was a very unpleasant odour in two communal toilets due to the bins kept in here and clean towels are left stacked up on laundry trolleys in the main corridors of both floors rather than being stored in a linen cupboard. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29&30 The resident’s needs are met by a competent staff team who are generally sufficient in numbers. However, further NVQ training is needed. The staff recruitment procedures protect the residents. EVIDENCE: On duty at the time of the inspection were six staff, including the deputy manager. The manager was also on duty whose hours are supernumary to the rota. An examination of past rotas indicated that on one occasion only five staff had been on duty after seven pm. Seven of the twenty-eight care staff have achieved the NVQ level 2 qualification in care and four staff are currently completing this qualification. This falls short of the minimum standard of 50 . Discussion with the manager confirmed that the new owner’s have a training co-ordinator who is to arrange training for staff in “care practices and advanced care practices” and care planning. Discussion with the manager confirmed that some of the staff are currently completing in depth training in relation to the needs of people with dementia. The manager also confirmed that the domestic staff are completing an NVQ level 2 qualification in housekeeping. The staff file examined for the deputy manager, who has been recruited since the last inspection, confirmed that two appropriate references and an Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 18 enhanced Criminal Records Bureau check had been obtained by the organisation prior to providing him with written confirmation of employment. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,36&38 The resident’s health and safety is promoted by a well managed home. However, there are some areas of potential risk to resident’s safety, which need to be addressed. Staff are appropriately supervised which assists in promoting and safeguarding the best interests of the resident’s. EVIDENCE: The current manager has a number of years experience in management, however, has not as yet submitted her application to become the registered manager. This was discussed with her during the inspection where she agreed that this would be submitted without further delay. The manager is currently completing training in relation to the needs of people with dementia in order to up-date her knowledge and skills and is also an NVQ assessor. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 20 Records of the temperature of hot water to the bath on the first floor showed that it is around 38-39 degrees centigrade, which is too tepid for a comfortable bath. Staff spoken to confirmed that they have the opportunity to attend staff meetings and they have received formal appraisals and supervision sessions with their immediate supervisor. Staff commented positively on the management and organisation of the service, and staff of all roles said that they feel valued in their work at this home. Staff records concluded that some of the staff have not received up-to-date training in health and safety issues such as moving and handling and fire safety. The accident record examined concluded that systems are in place to monitor the occurrence of accidents. This includes the introduction of preventative measures should this be identified as a need. At the time of this visit there was an extremely loud rattling noise in the kitchen and said that this has been going on for some weeks, although it had been reported. The noise was uncomfortably loud for catering staff who had to work in these conditions for their entire shift. It was also extremely noisy in two bedrooms above the kitchen and would be very disturbing for those two residents when using their bedrooms through the day. During this visit there were two room doors propped open with furniture, one of which was the smokers lounge, which presents a fire risk to residents, staff and visitors. In-house fire instruction records showed that seventeen staff have had some training in fire safety within the home. However there was no record of inhouse instruction for all the other staff and no identification of three monthly instruction for night staff. Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 2 x x x x 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x x x x 3 x 2 Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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 4 Regulation 14(2) Requirement The manager must ensure that the number of people with dementia care needs is within the homes registered categories, and that the residents increase in dependenecy levels is kept under review. Residents care plans must be in suffiecient detail to guide staff of the action they should take to meet their health and welfare needs. The manager must ensure that the home is conducted in a manner which promotes the dignity of residents. Arrangements must be in place for the residents to engage in local, social, and community activities and the home must provide a proggramme of suitable and stimulating activities which meet the needs of the current residents. Staffing levels must be sufficient in number at all times to meet the needs of the residents living in the home. 50 of the care staff must have a care level 2 qualification. Timescale for action 31st July 2005. 2. 7 15. 30th November 2005. 28th June 2005. 30th June 2005. 3. 12 12(4)(a) 4. 12 16( c )m&n 5. 27 18(1)(a) 28 June 2005. 31st December Page 23 6. 28 18(1)(a) Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 2005. 7. 38 All staff must recieve fire instruction and drill at the required frequency.(Timescale not met 23rd March 2005). 23(2)(j) Bathwater temperatures must be maintained at 43 degrees centigrade. 14(4)&23( The cause of the very loud 2)( c ) rattling noise in the kitchen must be identified and resolved. 13(4)&23( Fire doors must not be propped 4)(a) open. 18( c )(i) All staff must recieve up to date training in moving and handling, fire safety, food hygiene and emergency first aid. 13(3)(a) Bars of soap and other toiletries must not be present in communal bathrooms to prevent the possible risk of crossinfection. 13(3)& 23(2) 16(2)(k) Suitable store facilities must be provided for the storage of clean towels. The unpleasant odour caused by the bins stored in toilets must be addressed. 23(4) 28th June 2005. 30th July 2005. 28th June 2005. 28th June 2005. 31st Devcember 2005. 30th august 2005. 8. 9. 10. 11. 38 38 38 38 12. 26 13. 14. 26 26 30th August 2005. 30th July 2005. 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 12 Good Practice Recommendations Until an Activity Co-ordinator is appointed the vacant 30 hours could be used to employ extra care staff. Care staff should then set aside some time each day specifically to provide activities for the people who live here. Consideration should be given to the layout of the bathrooms to ensure that staff can provide maximum support to the residents. B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 Page 24 2. 21 Thornbury Care Centre Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne & Wear NE34 9PT 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 Thornbury Care Centre B52-B02 S63778 Thornbury Care Centre V219776 280605 Stage 4.doc Version 1.30 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. 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