Inspection on 02/07/08 for Warren Park

This inspection was carried out on 2nd July 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Warren Park 18/11/08

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Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Warren Park White Lane Chapeltown Sheffield South Yorkshire S35 2YH Lead Inspector Shirley Samuels Key Unannounced Inspection 07:45 2nd July 2008 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 Warren Park DS0000071240.V364381.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. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warren Park Address White Lane Chapeltown Sheffield South Yorkshire S35 2YH 0114 257 0595 0114 257 0284 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) Mimosa Healthcare Ltd Mrs Molly Smith Care Home 60 Category(ies) of Dementia (60), Mental disorder, excluding registration, with number learning disability or dementia (60), Old age, of places not falling within any other category (60) Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia - Code DE, Mental Disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 60 This is the 1st inspection 2. Date of last inspection Brief Description of the Service: Warren Park nursing home is a purpose built two-storey building overlooking fields, the motorway and a cricket pitch. The home caters for service users requiring general or DE/MD nursing care. The home is sited near a bus route and is close to Chapeltown, which has many amenities including shops, a supermarket and a railway station. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of monthly fees from 1st April 2008 were £465.00 - £498.00 per week. Additional charges included newspapers, hairdressing and private chiropody. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means people who use the service experience adequate quality outcomes. This was a key inspection carried out on this new service by Shirley Samuels and Sarah Powell on Wednesday 2 July 2008 from 7:45am –4:30pm In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. The inspector sought the views of five people using the service, four staff and the manager who assisted with the inspection. People who live in a care home and find it difficult to communicate with our inspectors will now get the chance thanks to a new observation technique. When visiting a home, inspectors will watch how people with dementia or a learning disability behave to find out what they think of the care they receive. The tool, called the Short Observation Framework for Inspections (SOFI), has been developed between us and the University of Bradford. This tool was used during this inspection. The inspector spent two hours in one of the lounges making observations of the care and interaction between staff and people using the service. This aids us in making a judgement about the standard of care and the outcomes for the people using the service. This visit was a key inspection and the inspector checked all the key standards. During this visit we looked at the environment, and made observations on the staff’s manner and attitude towards people. We checked samples of documents that related to peoples support, care and safety. These included three assessments and care plans, three medication records, and three staff recruitment files. We also received questionnaires from two relatives. The inspector looked at other information before visiting the home. This included the Annual quality assurance assessment (AQAA). This is a form completed by the owner and the manager of the service which tells us how Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 6 they think the service is doing, what has improved and what further action they plan to take to develop the service. The inspector would like to thank everyone for their cooperation and welcome. What the service does well: 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. 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. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3 and 6 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People’s needs are assessed before they move into the home. Intermediate care is not provided. There are some shortfalls in the information provided. EVIDENCE: The statement of purpose and the service user guide was not updated to reflect the statement of the new owners. People were provided with contracts. These however did not constantly contain details of the room and the fee that people were paying. This means that people did not have a contact that detailed in full the terms and conditions of their stay. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 9 People had their needs assessed before they moved into the home. Staff said the information was detailed and where there were gaps they were able to obtain further information without too much difficulty. The home also carried out assessments. This made sure that staff had the information they needed to make a judgement abut whether or not they could meet people’s needs. The home does not provide intermediate care. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Progress is being made with care plans. People s health care needs are met and they are in the main treated with dignity and respect. There are shortfalls in the medication procedures. EVIDENCE: There has been an introduction of a new care plan format. Staff are currently transferring information. We checked the files for three people using the service. Care plans were in place, which in the main detailed peoples needs health personal and social care needs. Care plans were not updated, for example changes in medication and behaviours. Peoples weight and nutritional assessments were in place however records of people’s actual ongoing weight were not consistently rerecorded in Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 11 each of the files. This means that peoples changing needs were not recorded and acted upon. There were gaps in the records of care given. This means there is no written evidence to establish if the person received the care they needed. Other record of care given did not link with the needs identified in the care plan and was sometimes illegible. People were offered the support they needed with personal hygiene and staff were observed encouraging people to help themselves as much as they could. Staff told us that other health professionals visited people if needed such as their General practitioner, speech therapist and tissue viability nurse. Records were kept of visits from health professionals and the outcomes. People using the service told us they saw the chiropodist optician and dentist when they needed to. There were records to support this. The home had a medication policy. Staff responsible for the administration of medication are trained and deemed competent. There are no people using the service who administer their own medication. We observed staff administering medication, this was done appropriately and people were supervised and records were signed once the medication was given. The drug trolley on the top floor (when not in use) was not always fastened to the wall and stored in a locked room. There were gaps on some of the Medication administration recordings (MAR). Written instruction and changes were not carried forward from one MAR sheet to the next. One liquid medication was being kept at a temperature higher than the recommendation on the bottle. There were examples of staff using the first letter of their name as a signature on the MAR sheet. This was confusing as some of the letters were the same as codes used to indicate why medication has not been given. The Commission for Social Care Inspection were alerted to concerns from a relative that a person using the service had run out of medication. This was confirmed by the home action had been taken to resolve the problem and make sure medication was ordered in a way that will make sure this does not happen again. The home does have a controlled drugs cupboard. Records of controlled drugs received administered and disposed of were not appropriately kept. This placed people at risk and exposed the procedure to abuse. We found a serious discrepancy, which we reported to the manager immediately. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 12 People told us that staff treated them respectfully. We observed the majority of staff interacting in a friendly and appropriate way. Some staff took the time to reassure people who were distressed and encourage others who were disorientated. This promoted people’s feeling of wellbeing. We observed that some staff did not take the opportunity to engage with people using the service when this seemed appropriate. For example when collecting the cups from the mid morning drink. Warren Park DS0000071240.V364381.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 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Activities are provided, contact with family and friends is encouraged People are supported to make choices. There are some shortfalls regarding meals and mealtimes. EVIDENCE: The home employs a full time activities coordinator. People told us they enjoy the activities provided and they can choose whether or not to take part. People told us there were times when they were bored and often spent time watching the television. Some people complained about the poor reception on the television, we confirmed this on the visit and by the staff. The staff told us that the activities coordinator sometimes takes people out shopping and others receive visitors and go out with family. We observed a number of people who were either distressed and disorientated and others who were withdrawn and quite. Activity, interaction and reassurance from staff was observed to have a positive affect. It is possible that additional hours for Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 14 activities and stimulation for people would offer more consistent opportunities and enhance the life of the people living at the home. Children’s television was on at the time of arrival. The same channel remained on during the visit, no one was ever asked if they was watching it or if they wanted another channel. People living in the home told us they were able to keep In contact with their relative’s and there were no restrictions on family and friends visiting. People were able to bring items of personal possessions into the home with them and were encouraged to individualise their bedroom. There are two small dining rooms on each floor. Many of the people using the service were in wheelchairs. The majority of these individuals stayed in the wheelchair at the dining table. We observed that the dining areas were not big enough to seat all the people comfortably therefore some people through choice others through necessity and cramp conditions had there meals on a table in the lounge area. The manager told us that there are plans to make some alterations, which would create extra space in the dining areas. This would ensure that people could be seated comfortable. We received mixed comments about the food some people told us they enjoyed the food others said it wasn’t very good. There were people on liquidized meals these were presented nicely. People who needed assistance with eating were offered this appropriately. People on the ground floor were offered drinks and biscuits mid morning. Breakfast on the top floor finished at 9.30 and no drink was offered until 11.50 a number of people were saying they were very thirsty and that the tea was very late. No water or juice was available during this time, the room was very hot and people were at risk of becoming dehydrated. One lady told us “we don’t get tea at lunch time only juice, the teas should have been at about 11am it was very late today”. The menus show an alternative at the main meal of the day. The alternatives were not substantial, for example jacket potatoes. The manager told us there is to be a review of the menu to make sure that substantial alternatives and choices are offered. A number of people we observed on the top floor had food debris around their mouths and dirty eyes that had not been washed. When people had finished breakfast no one had their face wiped or asked if they wanted it cleaning. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 15 A number of people we observed on the ground floor were offered to have their face and hands wiped following their meals. This was done discreetly sensitively and respectfully. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 16 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 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Complaints are taken seriously and there are procedures in place to protect people from abuse. EVIDENCE: The home has a complaints procedure. There is a file, which contained one complaint made. The record contained the details of the complaint the outcome and the action taken. There have been two adult safe guarding issues at the home. One regarding failure to protect people from injury. This was followed up though the Sheffield social services safeguarding adults procedures. The safeguarding team concluded that the home had failed to make appropriate arrangements to protect people and action was taken to reduce the risk of harm happening again. The older people’s monitoring team and the contracting department of the Sheffield social services have also completed unannounced monitoring visits. Staff at the home used the whistle blowing procedures to report concerns about emotional abuse of people using the service by another member of staff. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 17 The management team reported the allegations to the police, social services and to us. Investigations are ongoing and the member of staff remains suspended. The majority of staff have received training on safeguarding adults. They were able to tell us what they would do if they had concerns about practice. This will make sure people are protected from harm. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 18 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 and 26 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is reasonably maintained there are some shortfalls regarding decoration and maintaining an environment that is free from offensive odour. EVIDENCE: The home employs a person to carry out general maintenance. The owners have plans for some minor structural changes. This will provide more suitable dining space. The grounds of the home are reasonably maintained and there is access to garden areas for people using the service. The décor, floor coverings and furniture in some parts of the home, looked old and “tired” and in need of replacement. There was a strong offensive odour on the top floor of the home particularly noted in the lounge area. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 19 Staff told us that gloves and aprons are available. Cleaning materials are kept in sufficient supply. The majority of staff had not received training in infection control, but were able to tell us the steps they took on a daily basis to maintain hygiene standards. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Staff were competent to do their jobs, training was ongoing and people felt safe. There were some shortfalls in maintaining the staffing levels required to meet people’s needs. EVIDENCE: People using the service told us they felt cared for and that staff were skilled at what they did. There was a staff rota which detailed the number of staff needed to work on each shift this record include staff start and finish time. People using the service said that staff usually came quickly when they called for help but added that staff were always very busy and did not have much time to sit and talk to them. Staff told us there were many shifts where staff did not turn up for work. This resulted in staff working below the staffing level stated on the rota and had a negative impact on the standard of the care provided. The home has covered a lot of shifts and vacancies recently with agency staff. This means there is some lack of continuity for people. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 21 The manager confirmed that a number of staff have left recently. Recruitment is ongoing to cover vacancies and action is being taken to address reoccurring sick leave. In the AQAA we were told that 8 staff were trained to National Vocational Qualification (NVQ) level 2 in care and that another 8 are currently working toward this. This will make sure that care staff develop further the skills and knowledge about the job they do and how they can best support people using the service. There is a recruitment procedure in place. Staff recently employed at the home told us they did have a criminal records check, they had to provide references; they were interviewed and had to provide identification. We checked three staff files. The majority of evidence to show that appropriate checks had been carried out was in the file. Details of what identification had been seen and a recent photograph was not on each of the files. The manager told us that the home provided induction training for new staff. We spoke to new staff on the day of the visit, they told us they understood that induction training was being arranged but they had not as yet started on it. A training and development plan had been put in place and training providers were being sort to provide training to staff. Although not all staff had received essential training, Some staff told us that over the past 12 months they had received fire training, training on safeguarding adults, manual handling, health and safety, basic food hygiene and first aid. This made sure that staff were in the main trained and competent to do their job. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 22 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): 31,33,35 and 38 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is well managed, people are able to contribute to the way the home is run and people financial interest is safeguarded. There are some shortfalls in working practise regarding health and safety. EVIDENCE: The home has a new manager who started at the home one week before this inspection visit. The manager is experienced and has previously been registered with the Commission for social care inspection. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 23 There is evidence to show that people using the service and their relatives are asked to comment on the service. We saw questionnaires that had been returned to the home. The manager said this information would be gathered together into an appropriate format and publicised and displayed in the home. People told us they were happy with the arrangements for managing their money. Three people’s accounts were checked. The money tallied with the account sheets. Receipts were kept for expenditure along with relevant recording of income. On the top floor we observed the stand aid being used for one person who was unable to take their own weight this was unsafe and placed them at risk of harm. We looked at the moving and handling assessment the information was very limited and was not reviewed regularly. Underarm lifting was observed on a number of people. One person was pulled out of the chair by her arm, which was not an appropriate lift and put them at risk of falling. Some staff told us they had not received moving and handling training. Staff on the ground floor, were observed using hoist and standing aids appropriately. Staff explained to the person what they were going to do and reassured them throughout. This made people feel safe and less anxious. Staff were able to tell us what action they would take in the event of a fire. Fire fighting equipment had been serviced and records were kept of the fire system being checked on a weekly basis. The home did not have a fire risk assessment in place and some staff had not received fire instruction in the last six months. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 24 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 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 17 X 18 3 2 x x 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 3 x x x x x x 2 Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement To make sure that peoples needs are met. People must have a care plan that details their health, personal and social care needs. This care plan must be reviewed to reflect changes in need. So that the care provided to people using the service can be monitored. Records of care given must link with the needs identified in the care plan, be continuous and legible. So that people are protected from harm and the system is not vulnerable to abuse. There must be procedures in place for the recording, handling, safekeeping, safe administration and disposal of all medicines received in to the care home. So that people live in a safe and well-maintained environment. All parts of the home must be kept clean, reasonably decorated, furnished and free from offensive odour. To make sure that people’s needs are met. There must be DS0000071240.V364381.R01.S.doc Timescale for action 10/08/08 2 OP7 15 10/08/08 3 OP9 13 10/08/08 4 OP19 23 10/09/08 5 OP27 18 10/08/08 Warren Park Version 5.2 Page 26 6 OP38 18 7 OP38 17 sufficient staff on at all times and efforts must be made to ensure continuity of care. To ensure the health safety and welfare of people all staff must received essential mandatory training, which includes fire safety moving and handling and infection control. To make sure staff have the information to move people safely. Moving and handling assessments must be completed and kept up to date. 10/09/08 10/08/08 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 and the service user guide should be updated to reflect the change of owners. These should be in formats suitable for the needs of the people using the service. People should be provided with a contract .So that they or their representative understand the terms and conditions of their stay at the home. To maintain peoples dignity all staff should make sure that food debris is removed from peoples face and hands after meals. Action should be taken to improve the reception and the picture on the television. To enhance the daily living experience and stimulation for people living in the home. Consideration should be given to providing further activities. So that mealtimes can be a pleasing experience. Plans to extend the dining space should be pursued. The menus should be reviewed to make sure that people are offered a choice of the main meal of the day. Staff files should contain evidence of identification and a recent photograph. To make sure that al staff are trained and competent to do DS0000071240.V364381.R01.S.doc Version 5.2 Page 27 2 3 4 OP2 OP10 OP12 5 OP15 6 7 OP28 OP30 Warren Park their jobs. New staff should receive the induction training the manager told us was planned. Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Warren Park DS0000071240.V364381.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!