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Inspection on 16/10/07 for Whitemoss Resource Centre

Also see our care home review for Whitemoss Resource Centre for more information

This inspection was carried out on 16th October 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

They visit people who are considering using the service at home to carry out a full assessment once they have received the Care Managers assessment. They encourage people to visit the home and spend a day there to see if it is the right choice for them. Comments from people who use the service included "I like it here the staff are very kind", "they look after me well" and "it is very good". One resident told us "I have just been to the games they put on a lunch and we all get a medal and the Lord Mayor is there, they do lots of things here". People living at the home told us they enjoyed the food provided. Individuals spoken to reported that staff were friendly and polite.Staff records are well kept and include all the important checks to help protect people living at the home. A programme of training is made available to care staff.

What has improved since the last inspection?

A new care plan format is being introduced and water temperatures are being monitored on a weekly basis.

What the care home could do better:

Risk assessments must be produced where specialist equipment is needed, kept on individual care plans and regularly reviewed. Care plans should be developed to be more person centred and where challenging behaviours are recorded the appropriate ways to manage this should be recorded.

CARE HOMES FOR OLDER PEOPLE Whitemoss Resource Centre Benmore Road Blackley Manchester M9 6LD Lead Inspector Sue Jennings Unannounced Inspection 16th October 2007 10:00 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 Whitemoss Resource Centre DS0000032932.V351296.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. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitemoss Resource Centre Address Benmore Road Blackley Manchester M9 6LD 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) 0161 740 7704 0161 720 6733 Manchester Children, Families and Social Care Harold James Connor Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home provides accommodation for a maximum of 27 service users, 6 of whom are in receipt of long term care all of whom require care by reason of old age (OP). The Statement of Purpose must be maintained in line with the requirements of Schedule 1, of Regulation 4 (1) of the Care Homes Regulations. The Statement must be kept under review and updated. Any changes to the home’s purpose must be agreed with the National Care Standards Commission prior to implementation. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum, ` Care Staffing in Care Homes for Older People `. This must be reflected in the Statement of Purpose. The home must be managed at all times in accordance with the guidance and regulations issued in respect of older people’s homes by the Secretary of State for Health under Sections 22 and 23 (1) of the Care Standards Act 2000. The authority must at all employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. The matters detailed in the attached schedule of requirements must be completed within the stated timescales. 24th January 2007 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Whitemoss is a purpose built Local Authority provision located in the North of the City, which provides a range of services within the immediate area and from referrals City wide. The home provides accommodation and personal care for twenty residents within the category of old age (OP). Five of these places are long stay placements and the remaining twenty two are used for short term and respite care. The home is located within a residential area of Blackley and it is within easy reach of local shops, public transport and the local motorway network. Large gardens surround the property and there is car parking space for visitors. Accommodation is provided on two floors with access via a lift or stairway. All accommodation is offered in single rooms; none of the rooms offer en-suite facilities. There are a number of lounge areas, which offer larger group living arrangements or small quiet lounge areas. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 6 hours on Tuesday 16 October 2007. During the course of the site visit time was spent talking to the duty co-ordinator, the manager, 7 of the residents and 3 members of staff to find out their views of the home. They also gave us information in the Annual Quality Assurance Assessment (AQAA). This is a selfassessment that is filled in once a year by all providers. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. A number of the Commission for Social Care Inspection’s survey forms were given to residents, staff and relatives. Time was spent examining records, documents, the residents and staff files. A tour of the building was also conducted. They told us that accommodation fees range from £98:00 to £373.54 depending on a financial assessment. A charge is made for newspapers, toiletries and hairdressing services. What the service does well: They visit people who are considering using the service at home to carry out a full assessment once they have received the Care Managers assessment. They encourage people to visit the home and spend a day there to see if it is the right choice for them. Comments from people who use the service included “I like it here the staff are very kind”, “they look after me well” and “it is very good”. One resident told us “I have just been to the games they put on a lunch and we all get a medal and the Lord Mayor is there, they do lots of things here”. People living at the home told us they enjoyed the food provided. Individuals spoken to reported that staff were friendly and polite. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 6 Staff records are well kept and include all the important checks to help protect people living at the home. A programme of training is made available to care staff. 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. Whitemoss Resource Centre DS0000032932.V351296.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 Whitemoss Resource Centre DS0000032932.V351296.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): 2 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are assessed before admission and they provide enough written information to perspective residents. EVIDENCE: They told us that information from other professionals was used in the completion of the pre-admission assessment. This document is used to ensure they can offer the appropriate level of care. We saw copies of this document on residents’ files. They told us that a care worker visits all respite admissions in their own homes and a full assessment of need is completed. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 9 We saw the files of three long stay residents and saw that all files contained a Care Management Assessment, an assessment carried out by staff in the home and contract. We saw that there was enough information to develop the resident’s care plan. Information on trial visits was detailed in the Service User Guide. Whitemoss primarily provides respite accommodation for 22 residents and long stay accommodation for 5 residents; they also provide day care. Most of the residents receiving respite care are regular users of the service and therefore are familiar with the home and the service offered. The home did not provide intermediate care. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care plans were basic and did not reflect the care being provided to meet people’s needs. Medication and infection control practices were in place to reduce potential risks to residents. EVIDENCE: They told us that a new care planning system had been introduced. We saw a sample of care plans. These contained a pre-admission assessment completed before admission. They contained an identifying photograph of the resident but not all care plans had been signed or dated. We saw that care plans could be improved to include more information about social and emotional needs. In some cases, important information was missing, e.g. guidance for staff on responding to challenging behaviours and where specialist equipment was required no guidance was provided for staff on how to use it. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 11 For example a hydraulic bed had been provided for one resident but there was no instruction about what height the bed should be to enable staff to safely assist the resident. We saw in the daily record on one care plan that unexplained bruising had been identified and reported to the duty manager. There were no records describing the size or colouring of the bruising, so that comparisons could be made with regard to the healing process or to aid any Safeguarding investigations. In general the daily records were repetitive and did not fully reflect the care being provided to residents. Recording in the daily report sheets must clearly reflect the care that has been delivered over a 24-hour period. This would provide a comprehensive picture of the resident and enable staff to quickly identify changes in residents’ needs and request reviews from other professionals such as G P’s and Social Workers. We saw that personal information relating to residents care was being recorded in a co-ordinators communication book. However this information was not being transferred on to the resident’s daily records in the care plans. To make sure the appropriate care is delivered to residents, any information relating to their care should be recorded in their care plan. Medication was dispensed in a blister pack monitored dosage system. They were using a recording system where they were not signing in medication on the space provided on MARs but had a separate sheet which was hand written. Controlled medication was stored appropriately and only managers had access to this medication. Whitemoss Resource Centre DS0000032932.V351296.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a good range of activities. EVIDENCE: Most people spoken with said that they enjoyed the food offered with comments including “very good”, “good they will give you something different if you want”, “not bad at all there is s choice” and “the cook is very good”. Comments from residents in surveys included “a good range of activities” and “there are various activities we have been out to the games and I think there is another one this week” another said “singers come in and some of them are quite good”. One resident said “there’s enough going on” and another person said “I’m not really interested” but did confirm that they were still regularly asked to join in. Another staff member reported that staffing numbers were increased to accommodate residents going out. We saw the co-ordinator phoning staff to arrange for them to cover extra shifts. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 13 They told us that they take part in ‘The Lord Mayor’s Games’. They told us that this was a spin off from the Commonwealth games and takes place in the various resource centres. It was skittles on the day of the site visit and dominoes on Thursday. People get to meet the Lord Mayor and are awarded a medal for participating. As stated previously we saw that care plans could be improved to include more information about social and emotional needs. This could be used to tailor and further improve the activities on offer at the home. This is especially important for the residents who spend a lot of time in their bedrooms. Residents told us that their relatives were welcome by staff at the home. We saw that residents were able to choose how they wanted to spend their day. It was evident that routines were flexible to suit individual needs, and staff talked about residents choosing what time they wanted to go to bed, to their room, and when they preferred having a bath. Feedback from residents about staff included “always cheery” and “always very friendly and helpful”. The meal served on the day of the site visit was Shepherds pie with vegetables and potatoes or fish, vegetables and potatoes or a choice of a cheese/ham/tuna salad. Tea was observed this was a choice of assorted sandwiches, sausage rolls and chips or a mixed salad. The meal was well presented and residents spoken to said the food was “tasty and plentiful”. Meals were served in the kitchen and taken to the tables. The chef had carried out a survey regarding the quality of meals and the menu choices. The feedback was used to develop menus. Whitemoss Resource Centre DS0000032932.V351296.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 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were aware of how to make a complaint. Refresher training in relation to adult safeguarding procedures was needed to ensure that residents were not placed at risk of harm. EVIDENCE: They told us that all staff had received training relating to Safeguarding Vulnerable Adults. However, we were concerned to note that unexplained bruising on the arms of one resident had not been followed up using the local Adult Safeguarding procedures. The bruising had been identified by a carer, recorded in the resident’s daily record sheet and appropriately reported to the duty manager. There was an addition to a report in the manager’s communication book but no evidence that any further action had been taken. No body map had been completed identifying where the bruising was. This was not brought to the attention of the Safeguarding unit until it was recommended during the inspection. They indicated that they would start an investigation by questioning the member of staff who reported the injury. All unexplained injuries must be Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 15 reported using the local adult safeguarding procedures. This lack of knowledge has the potential to put residents at risk. A requirement is made that staff must receive training in Adult Safeguarding procedures. The home had a system in place to record complaints made to the home. All residents had been given information on how to make a complaint and respite residents were given the complaints procedure as part of the admission process. Since the last inspection there had been two complaints made to the Commission for Social Care Inspection. The provider was investigating these. Complaints were logged onto the computer system along with the letter of response. The initial letters of complaint were held on the individual’s file. There was a record of what action had been taken and they told us that a letter would be sent to the complainant. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home generally enjoy a satisfactory and clean living environment. EVIDENCE: The communal areas provide a comfortable and well-maintained living environment for residents. Long stay bedrooms were individualised to resident’s preferences and these residents were able to bring personal items, including furniture, with them on admission. The majority of residents accommodated at the home were on a short stay respite care basis. People told us that they were happy with the environment. Comments from individuals included “its good”, “my room is ok” and “fine”. The facilities were Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 17 dated, a number of areas were in need of re-decoration, and some carpets required deep cleaning or re-placement. We saw a sample of bedrooms and found that a number of lampshades were missing and in one bedroom the bulb was missing from a bedside wall light posing a potential risk to residents. The manager noted the rooms and told us the bulb would be replaced. In fact they told us that four of the bedrooms were currently locked and out of use due to badly stained and odorous carpets and poor standard of decoration. They told us that a list prioritising the work that needs to be carried out is being developed. The home was generally clean and hygienic at the time of this inspection. Residents spoken to told us the home is ‘usually’ when asked if the home is kept fresh and clean. We saw that there were satisfactory numbers of domestic staff to keep the home hygienic. The service should however look at replacing carpets if they cannot be kept clean and fresh. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were deployed in sufficient numbers to meet the needs of the residents and appropriate training is available to all staff. EVIDENCE: Feedback about the way the staff carried out their duties was very positive. Residents told us “they are nice kind people”, “the care is excellent”, “kind”, “very good” and “they do their best for everybody”. We saw that staff interacted well with residents and these relationships appear very positive. Staff are offered training in a number of topics such as manual handling, medication, fire safety, First Aid, and Protection of Vulnerable Adults. We looked at the recruitment records for four members of staff. The local authority runs the home and application forms were held centrally but were available for inspection on request. Staff files held in the home were well maintained and contained all the necessary checks including evidence of Criminal Records Bureau (CRB) checks. They used the good practice of highlighting when CRB checks were due for renewal. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 19 They told us that they have started to keep individual records of training and are updating these at each supervision session. There were six care staff, the manager and support manager, an administrator, two domestics, one chef and a kitchen assistant. They told us that additional staff were allocated to cover for trips out. We saw the co-ordinator arranging for additional cover for the next trip to the games later in the week. We also saw that staff covered extra shifts where necessary. They told us that 14 members of staff had achieved NVQ level II and that an additional member of staff was working towards the award. Another member of staff is registered to commence NVQ II in January 2008. Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some staff’s understanding of adult safeguarding procedures needed to be improved to ensure that residents were not placed at risk of harm. EVIDENCE: It was of concern that a safeguarding issue reported by a member of staff had not been appropriately addressed by the duty coordinator. It was of further concern that a previous incident where a member of staff had been ‘bitten’ had not been recorded in the accident report book. They told us that it was not recorded because the member of staff involved did not want it Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 21 recorded. It is the responsibility of the duty manager/coordinator to record any such incidents. This is so that an accurate record of incidents and or accidents relating to residents wellbeing is kept. The information in accident reports should be regularly audited by a manager/coordinator to ensure that where necessary appropriate referrals can be made to other professionals. All accidents that had been recorded in the accident book were filed within the residents’/staff individual files in accordance with data protection. Fixed Gas and Electrical appliences had been maintained at regular intervals. Fire drills are carried out as required and a record kept. The home’s certificate of registration and the certificate of public liability insurance were publicly displayed. All permanent residents have their own bank account. They helped residents with managing personal allowances and any transactions made on behalf of the residents were recorded and receipts kept on file. The administrator managed a small budget for day-to-day items. There was a formal supervision system in place and we saw that staff received on the job supervision and an annual appraisal. We saw a notice board with thank you letters and cards from relatives. However, there were no formal systems in place to gain the residents views on how the home could improve. They told us in the Annual Quality Assurance Assessment that consult with people who use the service to gain their views about improving the service. A Quality Assurance monitoring system was in place for residents to express their opinions with regard to the running of the home. We saw a completed survey relating to the menus. Whitemoss Resource Centre DS0000032932.V351296.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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 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 2 X 3 X 3 X X 2 Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 13. (4) (b) and (c)13. (4) (b) and (c) Requirement Risk assessments must be in place to assess all risks applicable to an individual resident to give clear guidance to staff. These must be subject to consistent review to take account of any changes and must include control measures to minimise risk. This includes specialist equipment and challenging behaviours. (Previous timescale of 28/02/07 not met and still applies). 2. OP18 13 (6) All staff must receive refresher training in relation to local safeguarding policies and procedures. All unexplained injuries to residents must be referred for investigation in accordance with local safeguarding policies and procedures. 16/12/07 Timescale for action 16/10/07 3. OP18 13 (6) 30/10/07 Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 24 4. OP38 17(2) Schedule (4)(12) All accidents reported to managers must be recorded. 30/10/07 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. Refer to Standard OP7 OP7 OP7 Good Practice Recommendations Recording in the daily report sheets should clearly reflect the care that has been delivered over a 24-hour period. Care plans should be detailed and clearly identify needs and the action required by staff to meet needs. All records relating to the care of individual residents should be transferred onto individual care plans once the shift handover is completed. Care plans should be improved to include more information about social and emotional needs. It was recommended that receipts from transactions made on behalf of residents be numbered for easy crossreference and to provide a clear audit trail. A programme of refurbishment and redecoration should be developed. 4. 5. OP7 OP35 6. OP38 Whitemoss Resource Centre DS0000032932.V351296.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Whitemoss Resource Centre DS0000032932.V351296.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!