Inspection on 11/12/07 for The Manor House

This inspection was carried out on 11th December 2007.

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

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

Other inspections for this house

The Manor House 07/10/09

The Manor House 25/02/09

The Manor House 30/11/08

The Manor House 20/10/08

The Manor House 15/05/08

The Manor House 06/06/07

The Manor House 28/12/06

The Manor House 15/08/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Uphill Court 62 Uphill Road South Weston Super Mare North Somerset BS23 4TA Lead Inspector Juanita Glass Unannounced Inspection 11th and 28th December 2007 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 Uphill Court DS0000067101.V354848.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. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Uphill Court Address 62 Uphill Road South Weston Super Mare North Somerset BS23 4TA 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) 0208 5606691 01934 628386 uphillcourt@tiscali.co.uk Shreyas S.A.I.N. Ltd To be agreed Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Manager must be a RN on parts 1 or 12 of the NMC register. Staffing notice dated 26 May 1999 applies. May accommodate up to 25 persons aged 65 years and over. That the manager achieve the Registered Manager`s Award within one year of registration. 6th June 2007 Date of last inspection Brief Description of the Service: Uphill Court is a listed building that has been converted to a registered care home with nursing. It provides accommodation for up to 25 older people with nursing needs. Accommodation is provided over two floors with a passenger lift giving easy access to one of the upper floors. The other upper floor is accessed by a stair lift. There are nineteen single rooms, and three that may be shared. Seven of these have en-suite facilities and all have a call bell system. Communal space is provided in a lounge in the main building and conservatory /dining room attached to the lounge. This looks out onto an enclosed garden. Provision is made within the home for some activities and outings, which also enable close links with the local community to be maintained. All local facilities are within easy walking distance but some are closed in winter. Information about the home is available through a brochure that incorporates key information from the Statement of Purpose and Service User Guide. CSCI reports are displayed in the entrance to the home and available for all to read. The fess range from £601 - £701 per week with additional charges being made for hairdressing, chiropody, newspapers, escorts, toiletries and some transport. This information was provided in December 2007. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days in the presence of the new manager Ms Susan Marks. Two inspectors were present on the first day and one inspector returned on the second day. This resulted in 20 inspection hours in the home. We (The Commission) gathered evidence for this inspection by reviewing written surveys received from relatives of people living in the home. Five completed surveys were returned. We also carried out a review of documentation in the home these included peoples care plans, staff personnel files, and all documentation maintained for the day-to-day running of the home. We also carried out a tour of the premises and spoke to residents’, staff and visitors about their experiences in the home. What the service does well: What has improved since the last inspection? The new manager has been in post since 30th October 2007 and has made a vast improvement in the day-to-day running of the home. Ms Marks has reviewed the eleven requirements from the last inspection and has met all but one. Care plans reflect changing needs and the new manager has introduced a new care plan system that staff are gradually completing for all the people in the home. The manager has carried out an audit of practices around the receipt, storage and administration of medication and deals with any shortfalls by staff immediately. No errors were noted during the inspection. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 6 Activities are being developed that are appropriate to the needs and abilities of the people in the home. Menus have been reviewed and improvements made. Both people living in the home and relatives commented on the improvement they had seen in meals and the way in which they are served. Training has been arranged for all staff in Safeguarding Adults dates were booked and staff had put their names forward. On the day of the inspection the lounge was undergoing major refurbishment it was planned to be completed for Christmas. Outside areas were clear and tidy ensuring people could have safe access if they wished. Recruitment procedures are now robust and all relevant checks are carried out. All fire doors were listed for maintenance the day after the inspection this was checked on the second day. All doors checked closed appropriately. People living in the home and their relatives said that they had seen improvements in a very short time and looked forward to future developments. Staff spoken to also said there had been changes that they felt were for the better. The atmosphere in the home was cheerful and relaxed even though the refurbishment of the lounge had caused some upheaval. What they could do better: One requirements still to be met was made as a result of this inspection as a lot of changes were evidently planned. The manager must establish a regular routine of formal supervision for all staff. This was planned but had not commenced. Two recommendations are made to reflect best practice. The manager needs to complete the review of the statement of Purpose and forward to the CSCI. Staff need to include more detail in the daily records maintained for people living in the home. ‘Care as planned’ is not sufficient information. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5. 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Uphill Court understands the importance of having sufficient information for people when choosing a home. Admissions to the home are not made unless a thorough needs assessment is carried out, and people can visit the home before making the choice to stay. EVIDENCE: The new manager is currently reviewing the homes Statement of Purpose, as it failed to adequately reflect the care that can be provided at Uphill Court. A revised copy will be forwarded to The Commission on completion. Care plans contained very clear and concise pre admission assessments carried out before a person arrived at the home. These included all the person’s needs and formed the basis for their initial care plan. It was evident that in the absence of a manager the staff carrying out the assessments had not taken into consideration the expertise of qualified staff Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 10 and had admitted people with needs that staff did not have the knowledge to manage. This practice has stopped since the new manager took up post and all decisions whether to admit are now based on staff ability to meet the persons needs. Appropriate training has been put in place to ensure that staff skills are able to meet the needs of the people living in the home. People are offered the chance to visit the home prior to making their final decision; a relative or representative usually carries this out on their behalf. People spoken to during the inspection did not express an opinion about the admission process. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health needs are monitored and appropriate action and intervention taken. However decisions on how personal care is delivered is not consistently recorded. People living in the home are treated with respect and dignity. The home has a medication policy and staffs comply with the administration, safekeeping and disposal of all medication including controlled drugs. EVIDENCE: Individual records are maintained for people living in the home. They are person centred and include a life history. Four care plans were reviewed and they all reflected current needs of people in the home. However as identified at the last inspection staff still do not see the care plans as working documents. Care routines continue to be conveyed by word of mouth. Care plans also did not show evidence that the person had been involved in their completion. This was discussed with the manager who said that the whole care plan system is in the process of being revised. The manager intends to Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 12 review all care plans with the person or their relative and re write the needs that have been identified. These will be recorded in a book format and a care plan diary will be kept in each individual’s room for them to read as well. On the second day of the inspection a completed Care plan was available. This is commendable practice including people in their care and providing a working document that all staff can use. Progress in this area will be assessed at the next inspection. The care plans reviewed did show that all risk assessments had been carried out and were reviewed regularly, or when a persons needs changed. However the daily records did not contain sufficient information to show the needs identified in the care plans had been met. The statement ‘care as planned’ does not identify changes or specific actions for that day or shift. Records reviewed showed that people were enabled to access all health care services available. We saw records for dentist, optician, chiropodist, diabetes nurse advisor and palliative care support. People spoken to said that they received the care that they required. One person said the staff are always caring and respectful and help them be as independent as they can in their circumstances. Another person living in the home said ‘staff were always helpful and caring but some had difficulties understanding her requests due to language differences.’ Relative surveys and those spoken to said they were happy with the care provided and stated that improvements had been noticed. The new manager confirmed that she had read the previous report and was aware of the issues regarding medication that had been raised. She has started carrying out a regular audit of the receipt and administration of medication. This enables her to highlight issues that show poor practice with the qualified staff involved. An audit of medication in the home on the day of the inspection showed no errors, staff were observed to be administering medication in the appropriate manner. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has made it possible for people to enjoy a variety of activities but is not consistently supported by staff. The home tries to be flexible but some people are not always consulted on what they would prefer. There are no restrictions on visiting and meal times have become more flexible with a nutritious menu in place. EVIDENCE: The new manager stated that they were looking at improving the provision of activities in the home. All the people living there had enjoyed a firework party and more equipment had been purchased to enable them to take part in other activities. Such as musical instruments, a new piano, large playing cards and board games. It was difficult to assess the provision of activities on the day of the inspection as people were remaining in their rooms due to the refurbishment of the lounge. Comments from relatives indicated a need for more activities but they also felt that these would transpire as improvements were made. On the second day of the inspection it was evident that people had been assisted to go to town to do Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 14 some shopping and one person had enjoyed a trip to the local pub. One person spoken to said ‘I have had plenty to do and have enjoyed my stay. I’m hoping to come back next time.’ Visitors were seen to come and go throughout both days of the inspection. Comments such as, ‘always a warm welcome,’ ‘the girls are always very welcoming.’ Were made in both the surveys and by word of mouth The quality and presentation of meals has improved considerably. This has been commented on by relatives in their surveys and when spoken to during the inspection. People living in the home also said meals had improved. One person said ‘I never had a hot cup of tea until the new manager came.’ Another person said ‘the meals are still warm when I get them now.’ A relative also commented on the new manager encouraging people to sit at the table and make the mealtime a social time. They felt it had helped their relative recall social skills. Relatives and people living in the home also commented on the fruit bowl in the lounge saying it was a brilliant idea. The purchase of a hot trolley and revised ways of presenting meals has improved the quality of life for people in the home. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home now benefit from robust policies and procedures enabling them to raise concerns, and safeguarding them from abuse. Staff are aware of the importance of listening to and acting upon concerns raised. EVIDENCE: The home has a comprehensive complaints procedure and all residents receive a copy on admission. The people spoken to were not fully aware of the procedure for making a complaint, but felt they would be able to tell staff or the new manager they had a concern to raise. The home has had two complaints since the last inspection. They are clearly recorded with a copy of the last managers response. The last managers response to complaints did not support an open and inclusive attitude to peoples rights to voice their opinions. Relatives said they felt they could approach the new manager with any concern. People living in the home said they saw the manager every day she is in the home and felt they could raise concerns with her. The home has a robust policy for responding to allegations of abuse. A copy of the North Somerset No Secrets guide is made available in the office. Between the two days of the inspection the new manager dealt with an allegation against a member of staff appropriately and in line with both the homes policy Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 16 and North Somersets policy for safeguarding adults. All staff were aware off the policies in place but would prefer to place any allegation in the hands of the manager to deal with. Safeguarding Adults Training had been arranged for all staff for the first week in January 2008. One complaint is currently being investigated by CSCI. The manager has been open and has assisted the inspectors throughout. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from homely and comfortable surroundings. Outdoor areas are attractive and access is available to the paved areas. The home is well lit clean and tidy and smells fresh. Staffs demonstrate an awareness of the homes robust infection control policies. EVIDENCE: It was difficult to assess the premises on the first day of inspection due to major refurbishment being carried out in the lounge and entranceway. On the second day of the inspection work still needed completing but an improvement could already be seen. People living in the home commented on the improvements and were looking forward to the new carpets and furniture. People spoken to said they liked their rooms and could have their personal Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 18 items if they wished. Rooms were seen to be comfortable and personalised. Progress in refurbishment of the home will be assessed at the next inspection. The new manager has cleared all the rubbish from the rear of the property and access has improved for people living in home to use paved areas in the garden. However the manager said she was concentrating on internal refurbishments at the moment to improve the quality of life of people living in the home. During the first day of the inspection the environmental health officer also visited. They said they had noted a marked improvement in the kitchen and outside areas. The home was clean and free of offensive odours through out. Laundry facilities are well organised. All staff showed an awareness of infection control procedures. The new manager has changed the contract for disposal of clinical waste, more bins have been made available and waste is now stored appropriately. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from adequate numbers of staff to support their needs. They also benefit from a new training and induction programme that will identify specific areas for staff development. People living in the home are protected by robust recruitment procedures. EVIDENCE: Staffing rotas showed adequate numbers of staff are rostered on duty to meet the needs of people living in the home. The new manager confirmed that she was experiencing some difficulties with the skill mix of staff, as some of the qualified staff did not demonstrate a clear understanding of their role in caring for people in the home. This was evident in their lack of understanding regarding catheter care. (Section 1) The new manager has reorganised the staffing mix to ensure that people with the appropriate skills cover all shifts. She has also arranged training in leadership skills and areas identified as specific to the needs of people living in the home. The new manager has introduced an induction programme that meets the skills for care standards. Progress in this area will be assessed at the next inspection. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 20 Staff personnel files for the most recently employed members of staff contained all the relevant information. This evidenced that CRB’s, POVA first and two references were obtained before new staff commenced work. Due to the gap between the last manager leaving and the new manager starting staff have continued to fall behind with their training. The new manager has already booked training updates for mandatory training including fire, safeguarding adults and clinical training such as catheter care and the management of insulin control diabetes. Again this is an area of improvement that will be reassessed at the next inspection. Relatives said they had seen an immediate improvement but hoped the turnover of staff would now settle to provide continuity of care. People living in the home said there was plenty of staff on duty and they would respond rapidly to requests for help. Staff comments varied, some said the changes had really improved the way they were able to deliver care in the home. Whilst one member of staff said there had been too many changes to quickly. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home are supported by a competent and qualified manager who is aware of the need to encourage them to have a say in the running of their home. Staff are receiving supervision to ensure that the level of care consistently meets the needs of the people in the home. The manager is aware of the need to promote safety by developing a robust health and safety policy and procedure. EVIDENCE: The new manager is a qualified nurse with experience in the care of the elderly, palliative care and managing a Community Care Service. Comments received showed that the new manager is open and approachable. Of five Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 22 relative surveys, four say a definite improvement had been noted, whilst one says they can see the manager is committed to improving the home. People living in the home said, ‘she’s really nice’, ‘I feel I can talk to her.’ ‘She talks to us every day, a very nice person.’ The registered provider is not actively involved in the management of the home but has been supportive with the changes implemented over the last six weeks. A regular quality assurance process is carried out, however a recent one has not been done. The new manager talks to people living in the home and relatives visiting the home on a regular basis. People who have stayed in the home on respite are asked to complete a satisfaction survey and their views will be taken into account when developing further plans for improvement. It was noted at the last inspection that staff supervision was sporadic. Between the last manager leaving and the new manager taking up post, staff supervision has not been happening. The new manager has identified the need for regular formal supervision. She has carried out clinical supervision of qualified staff and worked alongside them to identify working practices, however this has not been recorded. The manager agreed that future supervision of all staff will be recorded in full. All the documentation for health and safety checks and service records were available for inspection and up to date. A review of the fire log showed that all the required checks were being carried out. Fire training for all staff had been booked for the beginning of January 2008. The new manager had identified areas of the home that needed immediate refurbishment to protect people living and working in the home such as fire doors and exterior doors. Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 X 3 Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP36 Regulation 18.2 Requirement The registered person must ensure that persons working in the home are appropriately supervised. Timescale for action 29/02/08 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 OP1 Good Practice Recommendations The Statement of Purpose needs to be revised to clearly reflect the current categories of resident catered for in the home Staff need to include more detail in the daily records maintained for people living in the home. ‘Care as planned’ is not sufficient information. 2. OP7 Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 25 Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Uphill Court DS0000067101.V354848.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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