Inspection on 09/01/08 for West Point House

This inspection was carried out on 9th January 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

West Point House 22/05/06

West Point House 04/10/05

West Point House 04/05/05

West Point House 21/10/04

West Point House 19/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE West Point House Solway Drive Walney Island Barrow in Furness Cumbria LA14 3XN Lead Inspector Ray Mowat Unannounced Inspection 9th January 2008 09:00 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 West Point House DS0000035574.V352909.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. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Point House Address Solway Drive Walney Island Barrow in Furness Cumbria LA14 3XN 01229 472356 01229 475750 pearl.carter@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care 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) Mrs Pearl Carter Care Home 31 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (31) of places West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 31 service users to include: up to 31 service users in the category of OP (Old age, not falling within any other category) up to 10 service users in the category of DE (E) (Dementia over the age of 65 years of age) The staffing levels in the home must meet the Residential Forum Care Staffing Formula for Older Adults. When single rooms of less than 12 sq m usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sq m they must be given the opportunity to move to a larger room when one becomes available. Two service users may share a bedroom of at least 16 sq m usable floor space only if they have made a positive choice to do so. When one of the shared spaces becomes vacant the remaining service user has the opportunity to choose not to share, by moving to a different room if necessary. 22nd May 2006 3. 4. 5. Date of last inspection Brief Description of the Service: West Point House is a residential care home registered to provide personal care and accommodation for thirty-one older people. It is owned and run by Cumbria Care, which is a division of Cumbria Contract Services, a Cumbria County Council business unit. The registered manager of the home is Pearl Carter. West Point is in a residential area of Walney Island, it is near to a bus route to the town of Barrow-in-Furness and within walking distance of local amenities. The property is a two-storey building, with a passenger lift providing access to the first floor. The home has four distinct living units, each with their own lounge, dining area and kitchenette. One of the units is specifically for shortterm care residents and another for people with dementia. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 5 It provides 29 single rooms, three of which have en-suite facilities and one double room, which two people can choose to share. All the units have accessible toilet and bathing facilities available to them. The home is in its own grounds with enclosed private garden areas to the rear and ample car parking to the front of the building. The home provides a Statement of purpose and service user guide to prospective residents and the most recent inspection report is made available in the foyer of the home. At the time of this inspection the range of fees charged were from £373 to £434. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection visit took place over one day and included a visit by an, ‘expert by experience’, as well as the lead inspector. The expert is a layperson from a voluntary organisation who accompanies the inspector and talks to people living in the home about their experiences. Prior to the visit the manager completed an Annual Quality Assurance Assessment (AQAA) that provided us (The Commission for Social Care Inspection, CSCI) with information about the running of the home, staff and information about the people living there. During the inspection we met with many of the people living in the home, some visiting relatives, the care staff and supervisor on duty and the manager. We also spoke and got feedback from other health professionals who visit the home. Surveys were sent out prior to the visit to people living in the home, their relatives, health professionals, Social Workers and the care staff. This provides us with valuable information about people’s experiences of the service. Evidence gathered through these different activities is used to formulate the judgements contained in this report and the overall quality rating of the home. What the service does well: People are given good information before making a decision to move into the home and agree a clear contract about the rules for living there. All the care plans examined had been reviewed on a regular basis including a range of risk assessments ensuring people are safe at all times. Staff have developed good relationships with people and there is a mutual respect and understanding between them. There was evidence the management and care staff work well as a team, which was commented on by people living in the home and their relatives. People said staff are “kind and caring”, and one person described the care as “wonderful”. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 7 Over 50 of staff in the home have gained or are working towards NVQ level 2 or above, which is good staff development. Other core and specialist training is also provided with some staff having completed training in palliative care, which gives them the skills and knowledge to provide appropriate care and support. All medication was securely stored and sound systems were in place to ensure it is administered safely. A good choice of activities and social events based on people’s preferences are taking place that people are enjoying. The home is clean and well maintained and provides people with good private and communal space. There is a relaxed atmosphere in the home with staff and the people living there, enjoying good relationships. People feel “safe and well cared for”. The menus are varied and nutritious and special diets and requests catered for. The management team provide good supervision and support to staff and they are all committed to ensuring a consistent and reliable service is maintained. What has improved since the last inspection? All areas of the home were free from hazards with people living in a safe and comfortable environment. The decoration of parts of the home had been completed and further decoration is planned to maintain the fabric and decoration of the building to a good standard. Staff files and training records contained all relevant information in line with the National Minimum Standards (NMS). All people entering the home now have a nutritional assessment completed, which is monitored regularly to make sure their good health is maintained. The content of care plans is improving with some good examples of more person centred style plans being developed. An activity Co-ordinator has been identified who has improved the weekly activity programme based on feedback from satisfaction surveys and residents meetings. Vacant posts are being filled which will improve the consistency and ensure there is sufficient staff on duty. There are over 50 of staff now working towards or achieved their NVQ qualification. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 8 An Infection Control Link Worker has been identified who will take a lead role in ensuring good practice and procedures are observed at all times. 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. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 9 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 West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 10 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. Detailed assessments including specialist assessments are completed on admission to the home, which ensure people’s needs can be met within the resources of the home. Suitable information is provided to help people make an informed decision about moving in. EVIDENCE: Based on feedback from people living in the home and their relatives they are given a good range of information about the home to enable them to make an informed decision about moving in. The home has recently developed an informative brochure, including photographs, in addition to the service user guide and statement of purpose. People who are considering a move to the home and their families are encouraged to visit and have a look around to see if it is suitable for them. Previous inspection reports are also made available to people and are displayed in the home. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 11 All the people are referred to the home by a Social Worker who completes a detailed assessment of personal and healthcare needs prior to admission. This includes information gathered, where relevant, from the individuals family and from other Health Care Professionals who are involved in supporting the person. The home also complete their own admision assessment to ensure they have all the personal information they require. A good example of this was a recent emergency admission, which required the home to work closely with the Social Work team and Occupational Therapist to ensure the home was able to meet the person’s individual needs and suitable aids and adaptations were in place to maintain their independence. The home also complete a number of risk assessments to maintain people’s personal health and safety. All the personal files we examined contained signed contracts of terms and conditons, which are agreed on admission to the home and include all relevant information. In some cases these had been signed by a relative/next of kin where the person was not able to sign for themselves. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Care plans are improving and becoming more person centred, which is supporting and encouraging a more personalised service. Personal and healthcare needs are well documented with people feeling “well cared for”. EVIDENCE: Based on the detailed assessments completed on admission to the home, care plans are developed for each person, which are signed and agreed by them or their relative. The home is working towards making all care plans more person centred and there were some excellent examples of very informative plans being developed that included a “personal social history”. This was written in the first person and allowed people to tell their story. They included photographs and some very personal memories or statements about people’s lives and what was important to them. These were not only fascinating but gave you a real sense of “who the person is and what they have experienced”. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 13 This information is invaluable to the care staff and really promoted and encouraged a person centred approach to their work. Health care needs are well documented with a clear record maintained of people’s individual healthcare needs and contact with the relevant health professionals. The home works closely with the local community health teams and GP practices to ensure people have access to relevant services when the need arises. Nutritional screening has improved and people’s weight, food and fluid intake are closely monitored. Manual handling and pressure care needs are routinely monitored and documented in the care plan to make sure staff are aware of how to support individuals to maintain their health and well being. It is recommended that a specific management plan be developed, with input from other professionals, when a person is presenting challenging or aggressive behaviour toward staff and other people living in the home. This will ensure the safety and welfare of all parties. A functional assessment is used on a monthly basis to review people’s needs, however it is recommended a different system for review is used as they did not always correlate with the information recorded in the care plan. Good systems are in place for the management and administration of medication, which staff were observed closely adhering to, resulting in a low number of errors with administration. Feedback both from people living in the home and their relatives was very positive. People talked about staff being “kind and caring”, with one person describing the staff as providing “wonderful care”. Visiting relatives confirmed this and said that their relatives are “well cared for” and they “are always made welcome whatever the time of the day or night they visit”. People’s wishes upon illness or death are recorded in their care plan and are respected by staff. Some staff had recently completed some palliative care training that they had found “very informative and helpful”. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 14 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 range of activities provided to people has improved with a weekly programme of activities displayed in each unit. People are supported to pursue their interests and hobbies and their independence is promoted both in the home and in the local community. EVIDENCE: As a result of feedback from the last quality assurance consultation completed by the home, the provision of activities has improved. A two-week rolling programme of activities has been developed and is displayed in each unit. This provides a good range of activities on a daily basis. This is in addition to staff encouraging and supporting people individually to pursue their own interests and hobbies. Over the Christmas period local church choirs entertained the residents and they had a Christmas party with a visiting singer providing the entertainment, which people had obviously enjoyed. During the inspection the hairdresser was visiting the home, people were also involved in other activities. This West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 15 included a small group who were playing dominoes, other people were relaxing and watching television, reading and socialising. The staff maintained people’s dignity as they supported them with personal care tasks during the day, providing unobtrusive support and gentle prompts and therefore encouraging independence. The people we spoke to were all very happy, with one person saying the staff were all ‘very caring and kind.’ We also spoke to visiting relatives who all confirmed that their relatives were “very happy in the home”, which gave their family ‘peace of mind knowing they were safe and well looked after.’ We joined two different groups of people for lunch, which is served on the individual units. There is a four-week rolling menu in place, which was recently updated to reflect people’s preferences they had expressed through the annual consultation. The meal was freshly prepared and nutritious with suitable alternatives and special diets catered for. The tables were set with matching cloths and serviettes. The crockery and cutlery also matched, there were menus on the tables and flowers. This gave a very homely touch to the dining area, with the mealtime being a relaxed social occasion. West Point House DS0000035574.V352909.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, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People and their possessions are safeguarded at all times and they feel safe and secure in the home. EVIDENCE: People spoken with during this visit and who completed surveys sent out as part of this inspection, confirmed they knew how to complain and who to complain to. People have developed good relationships with the manager and staff and were comfortable about raising any issues or concerns and confident they would be dealt with immediately. Staff were attentive to people and responded positively to their requests. There were no complaints recorded since the last inspection visit. The complaints policy and procedure are displayed in the home and contained in the information made available to people moving into the home. Through the induction and NVQ training staff receive suitable training and guidance in relation to identifying and responding to abuse. One of the supervisory team is also facilitating training with regard to Adult protection policies and procedures. This ensures all staff are aware of their responsibilities in identifying and reporting incidents and therefore safeguards people living in the home. Based on our discussions with staff they had a good understanding of their role and responsibilities. The policies and procedures in place in the home also ensure any personal monies and valuables are managed safely, with clear records maintained. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. West Point provides a safe and comfortable living environment that is well maintained. EVIDENCE: All communal areas of the home and bedrooms that were inspected on this visit were clean and hygienic. There were no malodours and a suitable cleaning programme was in place with dedicated domestic staff maintaining this standard. The furnishings and decoration were overall in good order, with different areas of the home being recently decorated including, five bedrooms completed and another one planned after recent water damage from a leak on the roof. Three staircases and corridors had also been completed with plans for more bedrooms to be done this year. There were also plans in place to replace the curtains throughout the home. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 18 A secure garden area has been developed to provide a suitable sitting area for people living in the home and their families/friends to sit out and enjoy the garden. There are communal areas available throughout the Home (other than bedrooms) to receive visitors. There is a designated smoking room, which is ventilated to ensure that smoke does not pollute the rest of the home. The home is well maintained and has suitable aids and adaptations in place that promote people’s independence in the home environment. West Point House DS0000035574.V352909.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. Staff have suitable skills and knowledge to ensure people receive a reliable and effective service that responds to their changing needs. EVIDENCE: The staffing levels in the home have improved with three of five previously vacant posts recruited to and interviews taking place this month to fill the remaining vacancies. It was evident from the rotas that during the last three months there had been some staff shortages, due to the staff vacancies and some staff sickness. However the regular staff are very committed and work well as a team to cover absences, this has minimised the impact and disruption to the service. To prevent staff sickness compounding the difficulties with covering posts it is recommended temporary contracts are used to cover prolonged absences. We examined the personnel files for all new staff recruited since the last inspection. Sound recruitment procedures had been followed ensuring people were suitable for the role and all checks and references in place. A continuous professional development file is in place for all staff, which records all training and personal development activity. On the whole there is a good level of training activity taking place both in the home and on planned courses in specialist areas. We met individually with three care staff who all confirmed West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 20 they were “supported and encouraged to take part in training and personal development activities”. All three were receiving training in line with the current good practice guidelines. The staff consistently talked about “working closely as a team and helping each other out”. This was confirmed by our discussions with visiting relatives who said, “ staff have a good understanding and support us”, “they respect people and work well together to make things happen”. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from a supportive and knowledgeable management team who work closely with the care staff and other agencies to ensure the home is run in their best interests. EVIDENCE: The registered manager is currently not in the home full time as she is supporting another Cumbria Care home on a part time basis whose manager has left. She has managed this well with the supervisory team being supported to take on some management responsibilities as part of their personal development. There is a real ‘team ethos’ in the home with the manager, supervisors and care staff all pulling together to maintain a good quality service. West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 22 Feedback from people living in the home was consistently positive with people feeling “well cared for” and that the home is “safe and comfortable”. Feedback from families and other professionals confirmed this. An annual quality assurance questionnaire is used to consult with people living in the home and their relatives. The previous one had provided useful feedback for the manager, which she had acted upon, with improvements to the range of activities provided and the content of the menus. The questionnaire is due to be sent out again this month, the results of which will be forwarded to the Commission. The home only keeps small amounts of people’s personal finances when requested and has sound policies and procedures in place to safeguard this. Personal belongings are also recorded on their care plan when people enter the home, so that staff can help people to maintain their security. The three staff I met with said they “got good support and worked closely with supervisors and the manager”. They felt confident in raising any “issues or concerns, both work issues or personal”. I examined supervision records that confirmed regular sessions were taking place with good practice issues, personal development and training being a core element of them. There are sound policies and procedures in place that guide and support good practice in all aspects of Health and Safety. Appropriate risk assessments are developed when hazards are noted, which are kept under review. Routine checks and maintenance are completed in line with current good practice. Based on the records examined and information supplied in the AQAA, maintenance and servicing records were up to date. West Point House DS0000035574.V352909.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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 X 3 3 3 3 3 STAFFING Standard No Score 27 2 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 3 3 West Point House DS0000035574.V352909.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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations A different system for reviewing care plans should be used, as the functional assessments do not always correlate with the information recorded in the care plan. Specific management plans should be developed, with input from other professionals, when a person is presenting challenging or aggressive behaviour toward staff and other people living in the home. To prevent staff sickness compounding the difficulties with covering posts, it is recommended temporary contracts be used to cover prolonged staff absences. 2 OP8 3 OP27 West Point House DS0000035574.V352909.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 West Point House DS0000035574.V352909.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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