Inspection on 02/06/08 for Wellburn House

This inspection was carried out on 2nd June 2008.

CSCI found this care home to be providing an Good service.

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

Wellburn House 08/02/10

Wellburn House 02/06/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Wellburn House Wellburn Road Fairfield Stockton-on-Tees TS19 7PP Lead Inspector Sam Doku Key Unannounced Inspection 2nd June 2008 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 Wellburn House DS0000071013.V365843.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. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellburn House Address Wellburn Road Fairfield Stockton-on-Tees TS19 7PP 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) 01642 647400 01642 647411 wellburn@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd Janice Mulloy Care Home 90 Category(ies) of Dementia (90), Old age, not falling within any registration, with number other category (90) of places Wellburn House DS0000071013.V365843.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 only - Code PC 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 - maximum number of places 90 2. Dementia - Code DE, maximum number of places 90 The maximum number of service users who can be accommodated is: 90 Date of last inspection Brief Description of the Service: Wellburn House is a modern, purpose built facility that is registered to provide personal care to ninety older people. The home does not provide intermediate care. The first floor of the home has accommodation for forty-five older people with dementia and the ground floor has accommodation for forty-five older people receiving general personal care. All bedrooms on the first floor of the home are single in nature. There are forty-three single bedrooms and one large bedroom that can be used as a shared bedroom on the ground floor of the home. Bedrooms have en-suites facilities with a toilet and washbasin. The home is divided into three units; each has a Unit Manager and a dedicated staff team. The Unit Managers are responsible to the Registered Manager. All rooms are comfortably furnished and residents may personalise their rooms. Bedrooms in the home environment meet space requirements of National Minimum Standards. There is an enclosed rear garden that has seating areas. The scale of charges is between £408 and £428 per week. Wellburn House DS0000071013.V365843.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 2 star. This means the people who use this service experience good quality outcomes. The inspection was unannounced and started on 2 June 2008 and completed on a second visit on the 3 June 2008. Before the visit the inspector looked at: Information we have received since the last key inspection visit on 9 July 2007; How the home dealt with any complaints & concerns since the last visit; • Any changes to how the home is run; • The provider’s view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQUAA); • The views of the residents who use the service and their relatives. During the visits the inspector: • talked to the residents, manager, and care staff; • looked at information about the residents and how well their needs are met; • looked at other records which must be kept; • checked that staff had the knowledge, skills & training to meet the needs of the residents; • looked around the building to make sure it was safe & secure; • checked what improvements had been made since the last visit; • the inspector told the provider what he found. All of these activities contributed to the inspection findings. What the service does well: The home has good systems in place for accounting for the residents’ monies. The Admin Manager and her team of administrators carry out regular auditing of the accounts and all purchases made on behalf of the residents are recorded and accounted for. The Environmental Health Officer’s inspection report of 23/11/07 rated the home very highly in all the areas that were looked. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 6 The residents and families made positive comments about the home and the care they receive. The comments include: “I am extremely happy here, I couldn’t have chosen a better home”. “ The food is really good. There is always plenty to eat” “The girls are really kind and caring”. “They are the best and respect my privacy and what I say to them”. “I am very pleased with the care I receive here. No problems at all”. “My mother is really happy here, and that is what matters”. “You are always made to feel welcome”. The company has good arrangements in place for making sure that all areas of the home are well maintained and all equipments are regularly serviced to promote a safe environment for the residents. The home has identified that the home gets very warm in the summer months. Consequently, the company has purchased a number of mobile air conditions/electric fans to address the problem and to make the environment more bearable for the residents and staff. What has improved since the last inspection? What they could do better: The font (writing) of the menus on display on the dining tables on the EMI unit is very small and should be made larger so people can read it easily. On the ground floor the residents said that they were not offered cup of tea when they got up, although the manager explained that this is not generally the case and that residents are offered cups of tea as they get up and do not wait till breakfast before getting their first cup of tea. There has been no training regarding the Mental Capacity Act. As the home is looking after people who have dementia, the provider must provide training to the staff to enable them to understand their duties when dealing with people who may not have capacity. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 7 The corridors in the home are long and all look the same and could make it difficult for people with poor memory or poor sight to find their way round easily. The home should look at ways of altering the environment, such as different coloured corridors to help the residents on the EMI unit to find their way round the home more easily. There is shortage of storage space in the home and as a result boxes of pads are visibly stored in residents rooms. This compromises their dignity and therefore the home must look at ways to address this. 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. Wellburn House DS0000071013.V365843.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 Wellburn House DS0000071013.V365843.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, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs assessments are carried out by the home and the social worker before admission is arranged, ensuring that the care needs are clearly identified and care plans put in place to meet the needs of the individual. Prospective residents and/or their relatives are provided with the good information about the home and the opportunity for them to assess the home for themselves, before making their decision about coming to live there. EVIDENCE: A full assessment of prospective residents is carried out by social workers and copies made available to the home as part of the admission process. The home also carries out their assessments of the individual in their own home, to make sure Wellburn House has the necessary skills and facilities to meet the Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 10 needs of the prospective resident. Residents’ files show evidence of assessments being carried before admissions were arranged. The residents and relatives commented positively on the admissions process. They said they found the assessment process and visits to the home before admission reassuring. The assessment visits gave the prospective resident and or their families the opportunity to ask questions about residential care in general and have explanations given to them during the visit to assess them for residential care. Relatives and residents confirmed that they had the opportunity to visit the home when they considered looking for a care home. One resident described the assurance she received by first coming to visit the home with her daughter and to meet with the staff and some of the residents. The manager and staff stated that it is the policy of the home to ask prospective residents and their relatives to visit the home and assess the place for themselves before making up their minds. There are situations where it is not possible for the residents to visit the home and see it for themselves before admission is arranged. In these cases families or advocates are encouraged to do so on their behalf. All residents are provided with copies of the service user guide. Residents confirmed this and copies were noted in the bedrooms that were visited. Wellburn House DS0000071013.V365843.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, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs of the residents are fully met. The home has good procedures in place for the safe administration of medicines. This promotes and health and welfare of the service users. The residents are treated with respect and dignity, thus enhancing their sense of wellbeing. EVIDENCE: All service users have care plans, which set out their health and personal care needs and action plan for meeting those needs. There are suitable arrangements in place for meeting the healthcare needs of the residents. Record of contacts with healthcare professionals, including GPs, psychiatrist, nurses, chiropody service, dentist, optician and other healthcare services are maintained. The care plans show that the healthcare needs of the Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 12 residents are fully met. The daily report records contain details of contact with medical practitioners and other professionals. There are suitable arrangements in place for the storage and administration of medicines in the home. The drugs administration system was examined and there were no discrepancies. Records relating to the administration of medicines have been properly maintained. Copies of prescriptions are kept in the home to ensure that medicines can easily be accounted for traced back to the chemist. Staff who are responsible to the administration of medicines have all received appropriate training. The safe administration of medicines in the home is further enhanced by the practice of red tabards being worn by the person carrying out drug administration procedures and asking people not to disturb him or her during this time. The residents confirmed the view that the staff treat them with respect and dignity. Staff were noted to treat service users with respect and dignity. Staff were observed to knock on residents door before making entry thus promoting their privacy and dignity. Assistance with personal and intimate care was provided in a discreet and dignified manner. Wellburn House DS0000071013.V365843.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports and encourages residents to maintain close relations with their friends and families. Furthermore, opportunities are provided for residents to exercise control and choice, which promote independence and self-determination. The residents are offered good variety of wholesome and nutritious meals in comfortable and pleasant surroundings, which promote their health and wellbeing. EVIDENCE: The home maintains good practices relating to daily life and social activities for the residents. The manager and the residents confirmed that social and recreational activities are organised and residents are encouraged to join in. Residents are free to join in social and recreational activities if they wish. Some of the activities provided include board games, bingo, exercises, sing-along and other forms of entertainment. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 14 The home has good links with the local community and some of the residents regularly visit the local over 60s club. Relatives and visitors are welcome at any reasonable time, throughout the day and evening. A number of the residents have regular visits from their relatives as the visitors’ sign-in book shows. Relatives stated that they can see their loved ones in the privacy of their own room or in the homes lounges or dining room if they wish. Mealtimes flexible and relaxed and residents are offered a choice of healthy and nutritious meals. The home has in place a 4 weekly menu, which is planned with residents. Meals are generally served in the dining room, which is nicely decorated and benefits from plenty of space to enable staff and residents to sit together and for the residents to enjoy their meals. If residents prefer not to eat in the dining room staff will support them to have their meals in their preferred area, including their rooms. The menus in the dining room of the dementia unit could be difficult for people with poor eyesight to read. The fonts (writing) were very small. The font size should be increased so that residents can easily read them. Wellburn House DS0000071013.V365843.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, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have information about how to make a complaint and are confident that any complaint will be acted upon by the management, thus promoting their right to complain about the service if they feel they need to. All Staff are aware of the Protection of Vulnerable Adults procedure, and suitable training has been provided. This protects the residents from abuse. However, there is no awareness amongst the staff team of their responsibilities regarding the Mental Capacity Act 2005. EVIDENCE: A summary of the complaints procedure is in the Service User Guide and copies are made available to all the residents. Relatives are also aware of the procedure. Residents who were spoken with stated that they would feel confident complaining if they are not happy. One relative commented on the speed with which staff address issues if he had any concerns regarding his mother’s care. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 16 The majority of the staff members have received training in “safeguarding adults from abuse”. The staff training plan shows that all staff will continue to receive updates on safeguarding training. In discussions with staff they demonstrated an understanding to the need to protect residents from all forms of abuse. The home’s procedure is in line with the North Tees Borough Council “Safeguarding Adults” procedures. There is a system for recording all complaints received. The record shows the nature of the complaint and how it was dealt. There is evidence that the home takes complaints seriously and summary of all complaints are in the complaints register. A recent safeguarding issue was competently handled by the home to a satisfactory conclusion. In discussion with the staff it was evident that they did not have knowledge of the Mental Capacity Act. There has been no training regarding the Mental Capacity Act2005. All staff have had enhanced CRB checks done on them. Suitable references have been obtained as part of the recruitment process. The record of residents’ personal allowances were examined. The home has good systems in place for managing the residents’ monies. Record of purchases made on behalf of residents are maintained and receipts provided where necessary. There is regular auditing of the balances to make sure that any discrepancies are detected in time and rectified. Wellburn House DS0000071013.V365843.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, 22, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers an accommodation and an environment that is safe, clean and well maintained. However, there need to be some ways of altering the environment to help people with dementia to find their ways around more easily. This would promote the general welfare, dignity and comfort of the service users. EVIDENCE: The home is clean and maintained to good standards. The home is free of odour. Bedrooms were clean and personalised to reflect individual preferences. All the communal areas are appropriately furnished. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 18 It was noticed that in a number of bedrooms, boxes of pads were visibly stored in residents’ bedrooms. This compromises the dignity of the residents concerned. The home is large and has long corridors, which can be confusing for someone who may have dementia or poor eyesight. The registered manager agreed that the company is looking to alter the environment in ways that would assist people to easily find their way round the home. This would take the form of “themed” or different coloured corridors to help people find their way more easily. There are good arrangements in place for regular maintenance work in the building. The maintenance book shows that the handyman has kept on top of any safety work that is needed to maintain a safe environment. These include fire safety checks and drills. The home has suitable infection control policies in place. Staff have had training in infection control and records show that the home has adhered to effective infection control procedures. The kitchen was noted to be clean and maintained to good standard. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen. Records relating to food temperatures and other food hygiene measures are maintained. The laundry was found to be well ordered, and appropriate COSSH notices are in place. The laundry machines are suitable for cleaning foul linen. The defects in the laundry flooring that were identified in the last inspection report have been remedied. Wellburn House DS0000071013.V365843.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): 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. The staffing numbers are satisfactory and promote the safety and welfare of the residents. Furthermore, the company adheres to good recruitment practices, which safeguards the welfare of the residents. EVIDENCE: The home employs sufficient number of staff to meet the needs of the residents. The residents commented that there are always sufficient staff on duty to meet their needs. Care staff also stated that they feel that there are sufficient staff on duty at all times. However, the manager indicated that there had been shortage of domestic staff on some occasions as a result of staff sickness and recruitment problems. The staff have had appropriate training to equip them for their roles. The manager confirmed that the training includes moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. This was confirmed in the staff training log that was available in the home. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 20 Dementia awareness training has been provided but the staff training log shows that not all staff have received this training. Also there was very little awareness amongst staff of the Mental Capacity Act. The provider must provide training in the Mental Capacity Act so that the staff can be aware of their responsibility regarding residents who may lack capacity. Examination of staff files show that the home has been following the company’s policy on recruitment. All the files contain completed job applications, copy of job description, appropriate references, evidence of CRB checks and record of training. Wellburn House DS0000071013.V365843.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, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a qualified and experienced person, and runs the home for the benefit of the residents. The home has procedures in place to provide supervision arrangements. This promotes the quality of the service that the residents receive. The safety and welfare of residents is protected fully by the regular servicing arrangements that are in place. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has a long experience of managing a residential care home. Staff commented positively on her ability as a manager and feel that she is approachable and supportive of them. However, some staff felt that because of the heavy administrative work that she does, she has little time to be “on the floor” so that the residents can get to know her better. This view was confirmed by two residents during conversations with them. There is a quality assurance system in place for seeking the views of the residents and visitors to the home. The manager described the procedure for ensuring that the service is under constant review taking into consideration the views from area manager, residents and relatives. Examination of the personal allowance records and receipts of transaction show that there is a good system in place and that the residents’ monies are safe and properly accounted for. There are suitable arrangements for staff to receive one-to-one supervision from the manager. Staff records show that the manager has provided individual supervision to staff on regular basis. Staff commented that they find the supervision sessions useful. The company’s Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is evidence that staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. Regular servicing of fire equipment, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of passenger lift, hoists, water treatment, electrical installation and gas servicing. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Wellburn House DS0000071013.V365843.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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 3 3 X X 2 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 24 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 OP17 OP30 Regulation 13(6) 18(C)(i) Timescale for action All staff must be given training in 01/02/09 the Mental Capacity Act 2005 to ensure that they have the knowledge and understanding of their responsibilities under this legislation. Requirement 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 OP14 Good Practice Recommendations The home should make arrangements for offering residents beverages when they first get out of bed in the morning. Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 25 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 Wellburn House DS0000071013.V365843.R01.S.doc Version 5.2 Page 26 - 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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