Care Home: Abbeyfield Connors House

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What the care home does well Assessments are carried out before a person moves in so the manager can be sure the home can meet the person`s needs. The assessment forms the basis of the service user plan which people are involved in developing. Most plans are detailed and the review process is effective ensuring that changing needs are recognised quickly and supported. Support required at night is also assessed and recorded. Staff offer discreet and kind support. This was observed during lunchtime and medication administration. People have the opportunity to attend the on site day centre where a range of activities are offered. Relationships are supported and people can have their spouses join them for lunch. Complaints are taken seriously and action taken to address them. Records are detailed and feedback about the outcome is given to complainants. What has improved since the last inspection? Some redecorating has been done so most communal areas look attractive and enhance service users` lives. There is some new flooring and carpets and more is planned. The garden and sensory garden is finished and is accessible with seating, tables, greenhouse and pond. The gardens are safe, attractive and private. Information about the home has been updated as required at the last inspection. A second cook has been employed as well are more flexi staff. This means that care staff do not have to prepare tea and the use of agency staff has decreased. What the care home could do better: Staff must have regular supervision (a one to one meeting with a line manager). This is to ensure staff have the encouragement, support, monitoring and discussion time they need to help them continually improve. Staff meetings should be more frequent to give staff a forum to discuss issues and an opportunity to support each other. The manager should review current staffing levels based on the needs of current residents to ensure there are enough staff to meet people`s needs. The need for hoists should be reviewed to make sure there are enough to ensure people have the right support and are not kept waiting. Advice should be sought about the implications of the Mental Capacity Act 2005. Capacity to consent to care and treatment should be assessed, recorded and kept under review to ensure that people`s rights and preferences are respected. CARE HOMES FOR OLDER PEOPLE Abbeyfield Connors House Craddock Road Canterbury Kent CT1 1YP Lead Inspector Kim Rogers Unannounced Inspection 8th October 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 Abbeyfield Connors House DS0000023364.V372055.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. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeyfield Connors House Address Craddock Road Canterbury Kent CT1 1YP 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) 01227 769774 01227 784290 tina.galloway@abbeyfieldkent.org The Abbeyfield Kent Society Tina Galloway Care Home 40 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 40. Date of last inspection 24th October 2006 Brief Description of the Service: Connors House is registered to provide accommodation and personal care for 40 older people, some or all of whom may have dementia. The Registered Provider is Abbeyfields Medway Valley Society, which is a charitable organisation, and is responsible for overseeing the operation of the Home. This is a predominantly single storey building, which was purpose built by Kent County Council in the 1980s. It transferred to Abbeyfield Medway Valley Society in 2000. The residents accommodation is arranged in two wings, each comprising two units, on the ground floor - Holly and Evergreen, Ash and Cedar. The Holly and Evergreen units are used principally to accommodate service users with dementia / cognitive impairment; and the Ash and Cedar units are for physically frail elderly people. Each pair of units shares a lounge/dining room, which has its own kitchenette facility, toilets, bathrooms and a suite of bedrooms. There is also a communal conservatory area and courtyard garden facilities. There are in total 32 single occupancy bedrooms, and four bedrooms, which can be shared. All areas of the home are linked to a call bell system, which is designed to assist service users to summon help should it be needed. The current fees for the home are £447.50 and £497.50. For more information about the fees and services please contact the Provider. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out by one inspector over 7 hours. This inspection formed part of the key inspection of the service. We received 9 surveys from people who use the service, 8 surveys from staff and 2 from care managers. The surveys tell us what people think about the home. The manager completed the Annual Quality Assurance Assessment (AQAA) This tells us what they do well, what could be better, how they have improved and how they plan to improve. The inspector had a look around the home, spoke to the assistant manager, service users and staff and sampled records. The Registered manager was not at the home during this visit as she was attending training. The assistant manager assisted the process and spoke with knowledge and understanding of service users needs. Five requirements were made at the last key inspection. Most of these have been met. There is one requirement about staff supervision that is not met and we may take enforcement action to ensure this is addressed. A thematic inspection of the home was carried out on 21/09/07. This inspection focussed on dignity of service users. The report is not published but is available on request. No requirements were made following the inspection of 21/09/07. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. What the service does well: Assessments are carried out before a person moves in so the manager can be sure the home can meet the persons needs. The assessment forms the basis of the service user plan which people are involved in developing. Most plans are detailed and the review process is effective ensuring that changing needs are recognised quickly and supported. Support required at night is also assessed and recorded. Staff offer discreet and kind support. This was observed during lunchtime and medication administration. People have the opportunity to attend the on site day centre where a range of activities are offered. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 6 Relationships are supported and people can have their spouses join them for lunch. Complaints are taken seriously and action taken to address them. Records are detailed and feedback about the outcome is given to complainants. What has improved since the last inspection? What they could do better: Staff must have regular supervision (a one to one meeting with a line manager). This is to ensure staff have the encouragement, support, monitoring and discussion time they need to help them continually improve. Staff meetings should be more frequent to give staff a forum to discuss issues and an opportunity to support each other. The manager should review current staffing levels based on the needs of current residents to ensure there are enough staff to meet peoples needs. The need for hoists should be reviewed to make sure there are enough to ensure people have the right support and are not kept waiting. Advice should be sought about the implications of the Mental Capacity Act 2005. Capacity to consent to care and treatment should be assessed, recorded and kept under review to ensure that peoples rights and preferences are respected. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 7 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. Abbeyfield Connors House DS0000023364.V372055.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 Abbeyfield Connors House DS0000023364.V372055.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, standard 6 is not applicable. Assessments are carried out before a person moves in to ensure that the home can meet the persons needs. There is information about the home to help people make a decision about it. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is information about the home that is given to prospective and current service users. This enables people to know about the fees, services etc and to help them make a decision about moving in. The assistant manager said this has been reviewed and updated as required at the last inspection. The information is available in larger print if requested. The assistant manager spoke about the assessment process and we sampled service user plans (care plans) We found that assessments are carried out Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 10 before a person moves in to ensure that there are staff, equipment etc to meet the persons needs. The person and often their families are involved in this process so have a say about the support they need. We found that assessments are detailed so staff have the information they need. The assistant manager and the AQAA said they are planning to improve the assessment tool so there is more space to record information. Abbeyfield Connors House DS0000023364.V372055.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 and 10 Each person has a detailed care plan so staff know how people want to be supported. Medication practice is safe protecting service users. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We found that each person has an individual service user plan which is developed with the person. We sampled some plans in detail and found that peoples needs are recorded in good detail with instructions for staff about what they need to do to meet peoples needs. Plans showed regular effective review by senior staff. This means that any changing needs can be recognised at an early stage and supported. When spoken to staff were aware of the content of service user plans and spoke with knowledge and understanding of individual peoples needs. Some plans had more detail about a persons life history than others. The assistant manager said they are working to improve all plans to make them Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 12 more person centred. We found that the manager needs to seek advice about the implications of the Mental Capacity Act 2005. Capacity to consent to care and treatment should be assessed, recorded and kept under review to ensure that peoples rights and preferences are respected. Health needs are detailed with good monitoring systems in place to identify any changes. The home works closely with the district nursing team and other health professionals to make sure service users get the right support. We found that potential risks are assessed then plans put in place to reduce these risks. This means that service users are supported to remain as safe and well as possible. Senior staff administer medication and this was observed. People were given discreet support with their medication. We found that administration records showing records of receipt are in order and storage of medicines is safe and tidy. We found that staff have training in the safe administration of medicines. We found that staff respect peoples dignity. For example a staff member was observed assisting a person with their lunch. The staff member gave discreet support telling the person what was for lunch and giving gentle encouragement. Staff were seen knocking on peoples doors before entering and speaking to people respectfully. The AQAA says that they know care plans could be better and they plan to do this by training staff in person centred care and report writing and by auditing care plans regularly. Abbeyfield Connors House DS0000023364.V372055.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 There are opportunities for people to take part in a range of activities. People are supported to keep in contact with family and friends. People have support to make choices. Food is varied and wholesome. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a day centre attached to the home which people have the opportunity to access. Care staff offer activities if people choose not to go to the day centre. We found that other in house activities are organised including music sessions and light exercise sessions. The home has volunteers who facilitate activities. A visitor from the local church was at the home during the visit. Most of the service user surveys said there are enough activities on offer. We found that details of family and friends are recorded in individual plans as well as a record kept of contact with family and friends. Some people had visitors during the visit and two people had their spouse at the home to join Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 14 them for lunch. One person said they visit every day and are made to feel welcome. We found that people are offered a choice of meals. Choices are usually displayed so people know what is on offer however; the display board had been removed due to decorating. The assistant manager agreed to get the board put back up. People have control of how they spend their day. We found that people are given the opportunity of attending the day centre or relaxing in one of several areas around the home. Some people had newspapers or were looking at books. There is an onsite shop so people can buy essential items. All of the service users surveyed said the food is good, one relative said the food is varied. We observed food, prepared in a central kitchen being served by care staff. The food was hot and there was a choice of main meal and dessert. People are offered more if they want it and support is offered discreetly. The dining rooms are bright and spacious; tables are laid giving a relaxed and pleasant setting for people. Some people were joined for lunch by relatives and this was supported. The AQAA says they plan to encourage more participation in activities by offering more of a range of activities and one to one sessions. Abbeyfield Connors House DS0000023364.V372055.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 and 18 People know who to complain to and that complaints will be listened to and acted on. People who use the service are protected from harm and abuse. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure that is displayed in the home. Each person is given a copy of the complaints procedure. The home keeps a record of complaints and we found that complaints are taken seriously, recorded and action taken to address the issues raised. Feedback is given to any complainant. All 9 service user surveys received said that people know who to speak to if they are not happy about something. There is a policy and procedure for protecting vulnerable adults. We found that staff have training in recognising and responding to abuse. Staff said they attend regular refresher training also. When asked staff spoke with awareness of what they would do if they suspected someone was at risk. The AQAA says they listen to people and plan to provide training for relatives in safeguarding vulnerable adults. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 16 Abbeyfield Connors House DS0000023364.V372055.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 and 26 Parts of the home are well maintained and further improvements are planned. The home is generally clean. The provision of moving and handling equipment needs reviewing. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Accommodation is arranged in two separate units. Each unit has single and double bedrooms with wash hand basins. Each unit has separate spaces like lounges, dining area and conservatories and access to parts of the garden. The garden is welcoming and attractive. Access is safe with areas for seating, a pond, raised flower beds and sensory garden. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 18 Some redecoration of the home has been carried out since the last inspection. Other parts of the home would benefit from redecoration and the assistant manager said this is planned. We found that the home is generally clean. The suitability of some flooring needs review due to odour issues. The assistant manager said that some flooring has been replaced and there are plans to replace more flooring. Radiators have been covered and windows replaced since the last inspection. They employ morning domestic staff, laundry staff and have access to a maintenance team. The staff have use of two hoists, a standing hoist and Oxford hoist. Staff said the two units share the hoists and as a number of people need the support of a hoist this means that sometimes people have to wait. The assistant manager said she and the manager are aware of this and agreed to review the provision of moving and handling equipment to make sure there is enough. The AQAA says they plan to have two more sluice rooms, more new flooring and carpets and further redecoration. Abbeyfield Connors House DS0000023364.V372055.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 and 30 Staffing levels should be reviewed to ensure there enough staff to meet peoples needs. Recruitment checks are robust which protects service users. Staff are trained but without supervision may feel unsupported and stressed. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are two care staff on one unit and three care staff on the other unit from 7am till 9.30pm. Care staff are supported by a senior staff and 2 managers. There are three waking staff on duty at night. Staff said through surveys and to the inspector that they are rushed in the mornings so more staff are needed. Staff said they had no quality time with service users, especially in the mornings as two or three staff are supporting up to 20 service users. Some people need the support of 2 staff. The assistant manager said she is aware of this and has taken steps to address it. The assistant manager said an additional staff member now helps with breakfast and for some of the time an additional staff member helps by making beds. A second cook has been employed so care staff do not have to prepare tea and some new flexi staff have been employed. This means that the use of agency staff has decreased. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 20 There is a staffing tool that gives guidance on how many staff are needed depending on the needs of residents. This shows that the home may be understaffed. The assistant manager agreed to review current staffing levels against the needs of service users to ensure that there are enough staff to meet service users needs. Staff spoken to and surveyed said the training offered is good and relevant to their roles. We found that training and refresher courses are held regularly. We found that the homes induction is in line with the Minimum Standard. Over 50 of staff have a National Vocational Qualification. Staff records were sampled and staff spoken to, we found that recruitment checks are carried out before a person starts in post, which protects service users. We found that staff meetings are not held as regularly as they should be. Staff supervision is not happening, as it should be. This was a requirement of the last key inspection. This means that staff do not have the forums to discuss issues, training needs etc and get encouragement and support from a line manager. Staff said to the inspector and through surveys that they feel stressed unheard and unsupported. Staff cannot be mentored and coached and their practice assessed without the right supervision and support. The AQAA says they could be better at staff supervision. As the previous requirement is not met we may take enforcement action. The AQAA covering the staffing section told us very little about what could be better and how they have improved. They plan to improve by continuing to train staff. Abbeyfield Connors House DS0000023364.V372055.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 and 38 The home is managed in service users best interests. Systems are in place to protect service users finances and health and safety. People who use the service experience good outcomes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was not at the home during the visit so the assistant manager assisted the inspector. The assistant manager has worked at the home for several years and spoke with good knowledge and understanding of how the home runs and of service users needs. The manager has also worked at the home for some years. The management of the home has not changed since the last inspection. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 22 We found that there are good systems in place to protect service users money. Two staff carry out regular checks of balances. The administration staff use an invoicing system if they need to pay for things like hairdressing on behalf of service users. We found that there is a range of ways in which service users views are sought. Regular meetings are held and people are surveyed. A report is produced showing the results of the surveys with an action plan for any areas that need attention or improvement. Some changes to the menu have been made following views from service users. The company carry out audits and the manager carries out 3 monthly, 6 monthly and yearly audits and sends the results to head office. This means that practice and things like health and safety can be monitored. Senior staff walk around the home daily and report any environmental hazards or concerns to the manager and maintenance team. We found that staff are trained in health and safety and other related areas including first aid, infection control, safe moving and handling, fire safety and food safety. The home is safe and areas like the garden accessible. We found that regular checks are carried out of the fire equipment. Records showed that not all staff have taken part in a fire drill this year. The assistant manager agreed to make sure this happens. The AQAA says the manager plans to review care planning and assessment tools. Abbeyfield Connors House DS0000023364.V372055.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 X X 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 24 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 OP36 Regulation 18(2) Requirement The provider must ensure that all staff receive regular one-toone formal documented supervision in full compliance with National Minimum Standard 36, to ensure residents are in safe hands at all times. This requirement was not reviewed at the Thematic inspection of 21/09/07. Timescale for compliance 31/03/07 Timescale for action 08/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP27 Good Practice Recommendations To ensure that there is enough staff to meet service users needs it is recommended that current staffing levels be reviewed against current service users needs. To ensure that there is enough equipment to safely move DS0000023364.V372055.R01.S.doc Version 5.2 Page 25 2. OP22 Abbeyfield Connors House 3. OP7 people and not keep them waiting, the provision of hoists should be reviewed. To ensure that peoples wishes are respected the manager should seek advice about the implications of the Mental Capacity Act 2005 and take any necessary action to comply. Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Abbeyfield Connors House DS0000023364.V372055.R01.S.doc Version 5.2 Page 27 - 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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