Inspection on 14/12/06 for Wayside Residential Care Home

This inspection was carried out on 14th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Wayside Residential Care Home 29/02/08

Wayside Residential Care Home 30/08/07

Wayside Residential Care Home 16/04/07

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 Wayside Residential Care Home 8 Whittucks Road Hanham South Glos BS15 3PD Lead Inspector Odette Coveney Key Unannounced Inspection 14th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wayside Residential Care Home DS0000066092.V315819.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. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wayside Residential Care Home Address 8 Whittucks Road Hanham South Glos BS15 3PD 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) 0117 967 3314 Mr Navindramuth Atma Seegum Mrs Simla Devi Seegum Mr Navindranuth Seegum Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Not applicable. Brief Description of the Service: Wayside, Residential Care Home is a detached house; it is well established in the area and has been a care home for many years. The home is registered to provide accommodation and personal care for 8 persons aged over 65 years in the OP category. The home also provides a service for those who have a dementia and those who have sensory and physical impairments associated with aging. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the visit was to establish if the home is meeting the National Minimum Standards and the requirements of the Care Standards Act 2000 and to review the quality of the care provision for the individual’s living in the home. This inspection employed key elements of the national inspection methodology with the objectives of focusing on outcomes for the individual’s. This is evidenced through evaluation of core standards and verification through a surveying and case tracking approach that included talking with and the observation of individuals who live at the home and the views of the manager on duty. An opportunity was taken to view the home and a number of the records relating to the management of the home and plans of care for all of the individuals were reviewed. Residents and staff were also spoken with. Ten comment cards were received prior to the inspection, nine of these were from relatives of those who live at the home, and the other was from a general practitioner who visits individuals at the home. Comments made reviewed during the inspection visit and comments, maintaining individuals confidentiality were shared with the registered provider and have been incorporated within this inspection report. What the service does well: The home has a clear, detailed statement of purpose and brochure in place; these documents provide sound information about the services and facilities that able to be provided at the home. The home has a structured admission process based on the homes ability to meet the assessed needs of individuals. The staff team at Wayside are caring and have developed good relationships with residents at the home; they have a sound understanding of the needs of residents. There is a low staff turnover and residents can therefore be confident that they will receive support from people they know. It was clearly evident that the manager and the staff team are committed to ensuring that all of the needs of individuals at the home are met, this is done through consultation and observation and previous knowledge and an understanding of individuals A robust complaint procedure is in place and all complaints are investigated properly and action taken where required. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 6 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. Wayside Residential Care Home DS0000066092.V315819.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 Wayside Residential Care Home DS0000066092.V315819.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, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective resident’s and those living at Wayside have clear information about the facilities and services which are provided at the home and can be assured that following clear admission processes their needs will be met. Clear contractual arrangements are in place, copies of these must be given to residents next of kin. EVIDENCE: The home has recently updated and revised both the statement of purpose and the brochure. The statement of purpose was detailed and fully outlined the rights of resident’s and the responsibilities of the management and staff employed at the home in order that the aims of the home are met. Information contained within the statement of purpose includes the structure of the management at the home and the staffing arrangements. There is also information about the admissions process and whom the home is able to care for. Information within this document outlines how each person’s needs, both Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 9 from a holistic and individual perspective will be met, recorded and reviewed and updated when needed. The inspector saw that clear terms and conditions for those living at the home are in place the information held within these includes the room to be occupied, overall care and services covered by the fee, fees payable and by whom, rights and obligations of the residents and the registered provider and terms and conditions of occupancy including notice periods. It is recommended that copies of the terms and conditions of the placement be forwarded to resident’s next of kin if it is them who are dealing with their financial affairs on their behalf. Information seen in care records such as pre-admission assessment, admissions questionnaire and the staff confirmed that new residents are only admitted to the home on the basis of a full assessment undertaken by people who are trained to do so. Those residents who have been referred through the care management process had in place a copy of the care manager’s assessment and care plan. For those who are privately funded they had in place a fully detailed care plan and an assessment of need, which further demonstrated that the home was able to meet their needs. The manager confirmed information seen within the homes admission process that individual’s are invited to look around the home prior to admission and are able to stay for a meal or for the day to meet other residents and staff in order to determine if the home is able to meet their needs. The inspector spoke to the most recently admitted resident to the home that said that they were happy at the home and that they had made friends. The manager confirmed that individual’s are admitted to the home for a months trial in order that a fuller picture of the services provided can be made and also in order for the home to undertake further assessment of need. The deputy manager said that there have been occasions where the trial period has been extended in order to ensure the placement is the appropriate one. Wayside Residential Care Home DS0000066092.V315819.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, 10, 11. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Medication practices at the home are dangerous and significant areas of improvement must be made in this area to protect residents. EVIDENCE: Care plans are in place for all resident’s who live at the home, with four resident records being reviewed at this inspection. Care plans are written in a person centred way with full information contained within the plan in order to guide and direct staff. The plan covers areas such as communication, mobility, personal care support, and significant relationships, social, emotional needs, health support and personal safety. Each person had recorded within care records their preferred daily routine; these covered each day of the week, mornings, afternoon and nighttimes. Care plans are reviewed and updated where required on a monthly basis. The manager and staff spoken with were able to give detailed information about the physical support, care, emotional and healthcare needs of those Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 11 living at the home. She was fully conversant with residents changing needs and areas of their life, which are important to them and how the home can ensure that these needs are met. Staff described how they monitored individual’s wellbeing and much was done via observations, as not all individuals, due to their dementia were always articulate their needs coherently and logically. This further evidenced that staff had a good awareness of the needs of those individuals with communication differences and short term memory difficulties. There was evidence of visits from the Doctor, optician, chiropodist and other health professionals on the care files reviewed. Residents spoken with said that they see the doctor when they request it and confirmed support received from other health professionals. Prior to the inspection a comment card was received from a general practitioner who visits service users at the home. Their feedback was that the home communicates and works in partnership with them, that they are able to see individuals in private, and that staff demonstrate a clear understanding of the needs of residents. There were a number of areas of concern identified in respect of medication administration, storage and accountability of medication held on behalf of residents at the home. It is required that controlled medication must be stored safely in accordance with The Royal Pharmaceutical Guidelines, it is also required that stock held medication must b e clearly accounted for and medication administration records must correspond with medication given to residents. It is further recommended that the home obtain information about the contra indications/side effects of medication. Furthermore in order to demonstrate that medication that is prescribed to be given ‘as and when required’ is given in the best interests of residents it is also recommended that the home develop clear strategies as to when this medication should be given. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can keep close contact with relatives,friends and the community. EVIDENCE: During the inspection staff were observed asking resident’s for their views and opinions and residents were encouraged to make choices on aspects that affect their life. Residents who were able told the inspector about their preferred routines at the home and said that they are able to choose when to get up and when to retire. Staff spoken with confirmed that routines of daily living and activities are made available are flexible in order to meet individual’s needs. Residents spoken with gave a number of examples of choices they make in their lives such as religious observance, relationships with others and food. The visitor’s book showed that there are regular visitors to the home and residents spoken with confirmed they are able to choose whom they see and do not see. Residents are able to have visitors at any reasonable time and individuals are able to receive visitors in private. Visitors spoken with said they are always made welcome by staff at the home that staff are polite and they are offered refreshments. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 13 Prior to the inspection nine comment cards were received from relatives of those who live at the home; both commented that they kept informed of important matters affecting their relative that as their relative is unable to make decisions that they are consulted about their care. Eight recorded that they were satisfied with the overall care provided. Staff organise a range of social activities and outings and these include a Christmas party and musicians to the home to entertain the residents. Trips to the community and to places of local interest. The kitchen was generally found to be clean and tidy, with the exception of an extractor fan, see environment standards. Residents were observed walking around the Home, and approaching staff. Residents looked reasonably relaxed and settled in their environment. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear guidelines, policies and procedures in place to ensure that individuals are protected from abuse EVIDENCE: The home has robust polices and procedures in place to ensure the protection of vulnerable adults. All residents were spoken with during this visit no complaints or concerns were raised. All spoken with said that they would speak with their family, the manager or a member of staff if they had any problems. The home maintains a record of issues and complaints raised. No complaints have been received by either the home or the Commission for Social Care Inspection. No areas of concern were recorded on care documentation Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to this service. Improvements are needed to demonstrate the registered providers commitment in maintaining a safe, clean and hygienic environment. EVIDENCE: Wayside is a small residential care home, set within the residential area of Hanham; the home is the home is in keeping with surrounding houses and close to local amenities and shops. A number of requirements and recommendation were made at this inspection in respect of the environment; this is to ensure that the home provides a wellmaintained, hygienic and safe environment for residents. The issues are as follows: The registered provider told the inspector that the hole in the lounge ceiling was due to water damage, that contractors had repaired areas of the roof and would be returning to complete the task. The registered provider is to forward Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 16 to the commission confirmation that the ceiling in this lounge area has been repaired. The home has sufficient toileting and bathing/showering areas for individuals use. These areas are close to people’s rooms. In the ground floor toilet area wall tiles were missing, when the inspector touched the areas loose tiles became dislodged, it is required that the tiles in this area are refitted. On the first floor there is a toilet and bathroom for residents use, it was noted that a mattress was being stored in the bathroom, this should be removed in order to make the area fully accessible to residents and also to remove it as a potential hazard. All residents bedrooms were viewed as part of this inspection; it was found that two rooms had a strong unpleasant odour, it is required that the source of odour in these areas be found and eliminated. One of the ceilings in one of bedrooms had been repaired and it is required that this area be repainted. The kitchen, although dated, was found to be clean and tidy, with the exception of the extractor fan, this was found to be dirty and it is required that this is cleaned. In one of the bedrooms on the first floor it was found that the paintwork on the walls was scratched and worn and it is required that this room is redecorated to provide a better environment fro the resident. The registered provider has been the proprietor of the home for six months and he spoke positively about his future ideas and plans for the refurbishment and redecoration of the home. It was recommended that the registered provider forward a copy of the schedule to the Commission. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from motivated, competent staff that are trained and recruited in line with the organisation’s policies and procedures. EVIDENCE: The manager was asked to explain the recruitment process for the home, the information given, in conjunction with documents seen in staff files confirmed that staff are employed following robust recruitment and selection. In place were references from the most recent employer, criminal records and protection of vulnerable adults check. The manager was able to demonstrate that he and the small staff team have developed good relationships with those who live at the home and have a sound understanding of their needs, wishes and aspirations. These are well recorded in individual’s records. There is a good team spirit at the home; this had contributed to continuity of care for the residents and less staff turnover. Residents enjoy a friendly, homely and inclusive environment and families and friends are welcome at any time. One staff spoken with states that “ Every one works together we make a good team’. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 18 Records seen, confirmation from staff evidenced that staff have received sufficient training that is appropriate to their role. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 37, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed ensuring that individual’s interests and rights are promoted and protected by a knowledgeable and experienced staff team. However improvement must be made to the homes fire risk assessment and photographs must be in place for all residents. EVIDENCE: The responsible individuals for Wayside are Mr. Navindranuth Atma Seegum and his wife Mrs. Seegum. Mr. Seegum has appropriate qualifications and experience and has undertaken training within this care field. Listed below are those most recently undertaken. Mr. Seegum has achieved the following professional qualifications and undertaken the following training: Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 20 18/04/97 Enrolled Nurse Qualification. 02/02/98 Clinical Supervision. 17/11/03 Basic First Aid. 19 &26/07/05 Medication Management. The responsible individuals are Mr and Mrs Seegum. Both have been employed in care homes for older people and care homes with nursing care provision and have provided leadership and supervision and training of staff teams. Mr Seegum has also been involved with the assessment of individuals, the monitoring and reviewing of care provision. Mr Seegum has worked in a duel registered home in a deputy manager’s role and also as a chief nurse in a care home for older people. Mrs Seegum’s previous experience includes many years experience working within a residential care environment for older people. Mrs Seegum is currently on maternity leave from the home. During the inspection Mr Seegum was able to demonstrate a clear understanding of his role and responsibilities and how this would influence the service they deliver. Mr Seegum was aware of relevant legislation and how this influences practice, policies and procedures within the organisation. Mr Seegum was able to demonstrate a good understanding of the principles of good practice and values ensuring that residents are treated as adult with rights and choices to be treated with respect and dignity. The home undertakes the appropriate fire safety checks on both a weekly and monthly basis and staff have received sufficient fire safety instruction. The The home have in place a fire risk assessment, this contained some information, however, the home are required to expand upon the risk assessment that is currently in place in order to show what the procedure is at night and to also record how individuals would be supported in line with their emotional and physical care needs. A number of records were examined during this inspection and these covered care documentation, staffing records and health and safety records. It was found that there were not photographs of all residents in place. It is required that there are photographs of all residents in place at the home in order to verify their identity. Mr Seegum had a good understanding of the care needs of the individuals. Positive relationships were observed between the manager, staff and the residents. Staff members spoken with said that Mr Seegum was open and approachable, that he listened to new ideas and suggestions. The home has clear written policies and procedures, which comply with current legislation; these are readily available for staff. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 21 Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 2 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 2 2 Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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. 2. 3. Standard OP26 OP19 OP19 Regulation 16(2) j 23 (2) b 25 (2) b Requirement That the source of odour in two residents rooms is found and eliminated. Bathroom tiles to be replaced. Confirmation to be forwarded to the Commission of the completion of the ceiling repair in the lounge area. Bedroom identified during the inspection to be redecorated. Bedroom ceiling identified during the inspection to be repainted. The fan in the kitchen to be cleaned. The home should expand upon the current. Fire risk assessment in place There must be photographs of all residents in place at the home. Controlled medication must be stored in accordance with the Royal Pharmaceutical guidelines. Medication administration records must correspond with medication given. Stock held medication must be clearly accounted for. Timescale for action 14/01/07 14/01/07 14/02/07 4. 5. 6. 7. 8. 9. 10. 11. OP24 OP24 OP25 OP38 OP37 OP9 OP9 OP9 23(2) b 23 (2) B 16 (2) j 23 (4) a 17 (1) a 13(2) 13(2) 13(2) 14/03/07 14/03/07 14/01/07 14/01/07 14/01/07 14/12/06 14/12/06 14/12/06 Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP2 OP21 OP19 OP9 OP9 Good Practice Recommendations That copies of the term and conditions of the placement are forwarded to next of kin if they are dealing with residents financial affairs. The mattress to be removed from the bathroom area. For the registered provider to forward to the commission a copy of the proposed future redecoration and refurbishments for the home. Clear strategies should be in place to ensure that medication prescribed to be given ‘as and when required’ is given in the best interests of the individual. Information to be obtained about the potential side effects of medication. Wayside Residential Care Home DS0000066092.V315819.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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. 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