Care Home: Blyth Country House Care Home

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What the care home does well The home provides a pleasant, homely and clean environment for people who live there. People living in the home and visitors spoken to all told us they were satisfied with the services and care provided, praising the staff for the way they delivered care. Visitors said that they are made very welcome when they visit. Comments included `the staff are lovely and there`s plenty of them about` and `very impressed with the abilities of staff`. A relative told us `there is always enough staff around, mum is well cared for, her needs are being met she has never looked back`. The activities organiser provides a varied programme of stimulation that people said they enjoyed. People told us `I couldn`t be happier, I love to join in all the activities, the activity lady is lovely, I`ve never been happier` and `I like to watch video`s and go out when the weather is good` and `I am quite happy doing my own thing, I like to watch television until the early hours and I don`t get up very early`. Leadership in the home is good and quality assurance systems are in place to ensure the home is run for the benefit of the people who live at the home. This includes a robust complaints procedure and quality assurance system. The training programme offers staff a variety of courses and most staff have completed an N.V.Q (National Vocational Qualification) in care. What has improved since the last inspection? A new care planning system is in place called the `Standex` system and care plans have been re-written to include more detailed information for staff to know how people want to be treated to ensure their needs will be met. Improvements to the environment have included; refurbishing the entrance hall and hallways, fitting new carpets to both lounges and redecorating bedrooms as they become vacant. What the care home could do better: Care planning should be more person centred so that they contain more information about how people want their care providing. This will help to make sure that staff have a clear picture of peoples` preferences and abilities, as well as their role in supporting each person as an individual. They should also record peoples preferences` relating to male and female carer and show that people have the opportunity to be involved in writing their plan of care and all subsequent reviews. Care plans should also include the action staff need to take to show that the mental capacity of people has been considered. The manager should be given time to complete her management responsibilities which include giving staff formal supervision at least six times per year where they have the opportunity to discuss any issues relating to their roles. CARE HOMES FOR OLDER PEOPLE Blyth Country House Care Home Spital Road Blyth Worksop Nottinghamshire S81 8DU Lead Inspector Elisabeth Pinder Unannounced Inspection 5th March 2009 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 Blyth Country House Care Home DS0000067367.V374401.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. Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blyth Country House Care Home Address Spital Road Blyth Worksop Nottinghamshire S81 8DU 01909 591219 01909 591880 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) Hanumaan Ltd Helen Joan Hopkinson Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2006 Brief Description of the Service: Blyth Country House is a care home registered for 30 older people providing nursing and personal care. The home was registered to Hanumaan Ltd on 29th June 2006. The home is a converted and detached property with bedrooms on the ground and first floor. There is a passenger lift to facilitate access. There are 22 bedrooms, 14 of which have en-suite facilities and 4 double bedrooms 1 of which have en-suite facilities. There are 3 communal lounges. The home is situated on the outskirts of the village of Blyth and is accessible for the village facilities such as shops and public houses. There is level access to the gardens. At the time of the inspection the manager confirmed that the weekly fees ranged from £355:00 to £451:00 depending on the person’s assessed needs. Additional charges are made for chiropody and hairdressing. Information about these costs, as well as the day-to-day operation of the home, including a copy of the last inspection report, is available in the reception area or from the office. Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and it formed part of a key inspection, focusing on key standards which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms we and us refer to The Commission for Social Care Inspection (CSCI). The visit lasted just over six hours and took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified of since our last visit. Before we made our visit the manager had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. Due to the short time given to plan this visit surveys to people living in the home were not sent out, however, during the visit we spoke to several people and their comments will be included in this report. The main method used to carry out the inspection is called case tracking, this includes following the care of a sample of people through their care records and assessing their care. What the service does well: What has improved since the last inspection? Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 6 A new care planning system is in place called the ‘Standex’ system and care plans have been re-written to include more detailed information for staff to know how people want to be treated to ensure their needs will be met. Improvements to the environment have included; refurbishing the entrance hall and hallways, fitting new carpets to both lounges and redecorating bedrooms as they become vacant. 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. Blyth Country House Care Home DS0000067367.V374401.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 Blyth Country House Care Home DS0000067367.V374401.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): 3 Standard 6 is not applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure includes an initial assessment, which helps to make sure that the home can meet the needs of people admitted. EVIDENCE: A review of all information available prior to the visit and the content of peoples’ care records, showed that the home does not admit people without an assessment of their needs being completed. One relative and two people living in the home told us that a needs assessment had taken place and one person said they had visited before moving in. A member of staff told us that assessments are carried out by the manager and information is always passed to them prior to the person’s admission. Information is available in an information pack given to people on their initial enquiry, the Statement of Purpose and Service User Guide. Both documents Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 9 were available in the entrance area of the home and include information about the current fee rates, how the differing needs of people will be met and tell people how they can access our reports. The Statement of Purpose was dated 30th November 2007 and the manager told us she is currently updating this document and plans to produce a new brochure shortly. Terms and conditions/contracts of residency are kept in the administrator’s office and a sample of these were looked at. During the visit people told us they were happy with the home and the services offered. A relative told us ‘the improvements since admission have been astounding’. The service does not cater for people with intermediate care needs. Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 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 being met by staff who understand their needs and deliver care in a respectful manner. However, some care plans do not contain sufficient information to make sure that individual needs and preferences are always fully met. There are satisfactory policies and procedures in place about the administration of medication and people’s privacy and dignity is respected. EVIDENCE: We continued to case track a further two people and looked at their care plans and risk assessments. We were told that a new care planning system has been introduced and the home now uses ‘Standex’ care records. These were clear and told staff what they should do to meet the needs of the person, however, they did not contain sufficient information to make sure that individual needs and preferences are always fully met. For example, they did not all include people’s wishes regarding death, or whether they had made a living will or record whether people wished to practise their religion. None of Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 11 the care records looked at stated peoples’ preferences with regards to male or female carer or show that the person, where able had been involved in writing their plan or care or was involved in subsequent reviews. This was discussed with the manager who said she would take action to address this. Records included medical histories, various assessments on subjects such as, manual handling, pressure risk and nutrition, detailed risk assessments and appointments with other healthcare professionals. Daily notes were written and showed that people were receiving the correct level of care and support. Some of the life histories completed were brief and the manager told us that she is in the process of gathering more information from families. The manager told us staff had received training regarding the Mental Capacity Act, and records for one person showed that he had been visited by an Independent Mental Capacity Advocate (IMCA). However, care plans did not record the action staff must take if the person does not have capacity to make decisions and the manager agreed to action this. People were happy with the level of support given and told us they felt their needs were being met and they were treated with respect. A relative told us that she felt her mum’s needs were being met and she was always informed of any changes, another relative said she visits everyday and she cannot believe the improvements in her relative’s health. Staff spoken to had a good knowledge of the needs of people they were caring for and were observed to respond to them in a respectful, kind way. Information taken from the AQAA told us that policies and procedures concerning the receipt, storage, administration and disposal of medications were available. We looked at medication records of the people whose care was being followed and observed medications being administered at lunchtime. These showed that the people were receiving their medications correctly, however, records should show how many tablets a person has where their prescription states one or two to be given. Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are able to take part in various recreational activities and maintain contact with family and friends as they wish. People receive a nutritious, varied diet, which meets their individual preferences and health requirements. EVIDENCE: People have access to a varied activities programme that is devised to meet individual needs. The files we looked at contained a social care plan and records of activities that people had taken part in are kept. From speaking to the activities co-ordinator it was evident that she knew about the people she supported and the types of things that they like to do. Records, photos and people’s comments demonstrated that activities provided included, games, baking, quizzes, walks around the gardens, manicures and hand massages, flower art, bingo and card making. People who could not take part in the organised programme had received one to one sessions. Posters and pictures on display showed that entertainers visit the home regularly Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 13 including singers and musicians and people told us they really enjoy these events. People told us, ‘I couldn’t be happier, I love to join in all the activities, the activity lady is lovely, I’ve never been happier’ and ‘I like to watch video’s and go out when the weather is good’ and ‘I am quite happy doing my own thing, I like to watch television until the early hours and I don’t get up very early’. Two visitors said that staff made them welcome at the home and that they could visit at any time. The dining area was calm and relaxed and people chattered casually as they ate. They said that the menus were varied and a choice was offered and most of the time they enjoyed the food, one person said ‘the food is lovely, if you don’t like it you only have to tell them and they’ll find something else’ another said ‘I love the chicken soup’, and another person told us ‘the food is average, I like fruit but I don’t get it a lot’ and ‘the food is a poor effort, not like I get at home’. These comments were discussed with the manager who showed us a recent ‘food acceptability’ questionnaire and the comments on this were positive. The meal on the day was roast pork, stuffing, carrots, cauliflower and potatoes or poached fish. This looked appetising and most people said they had enjoyed it, tables were nicely laid with tablecloths and condiments and staff were on hand to assist people should they need it. Alternatives and specialist diets, such as a diabetic diet were also available. Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are protected by the procedures in place for handling complaints and allegations of abuse. Staff have received training in these subjects to help them protect the people they support. EVIDENCE: Information taken from the AQAA told us that clear procedures are in place for dealing with complaints and safeguarding referrals. The complaints procedure is on display and included in the service user guide. Details contained in the AQAA and records held in the home showed that there had been one complaint within the last twelve months and this had been dealt with appropriately within the correct timescale. However, records did not tell us whether the complainant was satisfied with the outcome and the manager agreed to ensure records included this information. No referrals have been made to Nottinghamshire’s Safeguarding Adults team. People spoken to told us that they were aware of the procedure for raising concerns and would be comfortable highlighting any issues. One said ‘I don’t have any concerns but if I did I would speak to Helen’ (registered manager). Staff are currently completing an ‘introduction to safeguarding adults’ training course run by Nottinghamshire County Council and staff spoken to generally Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 15 had a good knowledge of what to do should they receive a complaint or an allegation of abuse be made, however, one person was unsure of the reporting process but knew where to find the information giving clear details. Blyth Country House Care Home DS0000067367.V374401.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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a well-maintained, clean, comfortable and homely environment, which offers a good standard of décor and furnishings. EVIDENCE: We took a partial tour of the home which included looking at the bedrooms of the people whose care was being followed and some communal areas. Bedrooms had been personalised with photographs, mementoes and small items of furniture. We were told that people are asked on admission if they would like a lock to be fitted to their bedroom door, however, there were no records to support this and the manager agreed to do this. There were no unpleasant odours in the home, communal areas were bright and nicely decorated. Specialist equipment is provided such as hoists, profiling beds and Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 17 pressure relieving equipment. The manager told us that any equipment needed is bought for people either before their admission or as their needs change. Information taken from the AQAA told us that a programme of routine maintenance continues. Since the last inspection improvements have included; refurbishing the entrance hall and hallways, fitting new carpets to both lounges and redecorating bedrooms as they become vacant. Independent fire and legionella risk assessments have been completed and staff spoken to said they felt they worked in a safe environment. The manager told us that their Environmental Health Officer visited on 3rd September 2008 and their report read ‘all areas satisfactory’. Blyth Country House Care Home DS0000067367.V374401.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers are sufficient to meet the needs of the people currently living at the home. Procedures for the recruitment of staff are robust and therefore offer protection for people living at the home and staff are given training and support to help them meet the needs of the people they care for. EVIDENCE: On the day of the visit 24 people were living at the home. Duty rotas for the for the last four weeks showed that staffing numbers were sufficient to meet the needs of people currently living at the home. A qualified nurse is on duty at all times, although this is sometimes an agency nurse. The registered manager works 2 twelve hour shifts each week, which has an impact on her management responsibilities. We were told by the manager that one agency is used and normally shifts are covered by three nurses from this agency, however, on the day of our visit an agency nurse was booked to work throughout the night who had not worked in the home before. The manager confirmed that she would be available should any issues arise and she is currently recruiting a part time qualified nurse to work 24 hours per week and a bank nurse. Staff said that staffing levels were currently good, they have enough time to complete tasks without rushing and have time to sit and talk to people. Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 19 Comments from people living at the home were; ‘the staff are lovely and there’s plenty of them about’ and ‘very impressed with the abilities of staff’. A relative told us ‘there is always enough staff around, mum is well cared for, her needs are being met she has never looked back’. Recruitment of new staff was being carried out correctly with essential checks such as written references and C.R.B. (Criminal Records Bureau) checks being undertaken. Records and staff comments confirmed that new staff receive a comprehensive induction to the home. Staff said that they felt well trained and supported. A training programme is in place and records showed that staff had received essential and specialist training to meet the needs of the people they support. Training recently undertaken included fire, health and safety, mental capacity and record keeping. During our visit manual handling training was taking place. Information received prior to the visit told us that over 50 of staff have achieved a nationally recognised vocational award in care. Blyth Country House Care Home DS0000067367.V374401.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, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well managed and run in the best interests of the people currently living at the home. There are systems in place to ensure that the health, safety and welfare needs of people are met. EVIDENCE: The registered manager is suitably qualified and experienced to run this home. She has been in post since December 2006 and was registered with us in July 2008 and is currently undertaking the Registered Managers Award. She is supported by a part time administrator, however, she said she feels she has insufficient time to complete some management responsibilities due to working Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 21 2 twelve hour shifts as the nurse in charge. For example, she told us staff supervision is not being carried out and she has not received supervision from the provider. She also feels staff meetings should be more often to enable staff to meet with each other and share views. Since our visit a telephone conversation has been held with the provider who told us he would re-assess the hours the manager works as the nurse in charge, he told us he regularly speaks with her and issues are discussed but he will formalise these discussions to form part of her supervision. Staff told us they feel the manager is pleasant, helpful, available and will listen and offer advice when needed. People living in the home spoke highly of her stating ‘Helen is very approachable’ and ‘we are always able to raise any issues with the manager, her door is always open’ Discussion and records showed that there are various systems in place to monitor the quality of the service being provided. This includes seeking the views of people through questionnaires and meetings. The last resident/relative survey was completed in September 2008 and comments included; ‘we only have to ask and we get what we want’ and ‘very satisfied, well cared for, very happy’. Questionnaires are not sent out to other people involved in the service for example, General Practitioners (GP’s), district nurses and care managers and the manager agreed to look into writing a questionnaire specific to these services. People living at the home are given a copy of the results of questionnaires, a copy is kept on file and the manager agreed to include a copy in the service user guide kept in the entrance area of the home. Records of visits made by the provider showed us that he visits the home at least once a month and completes a report on his findings to evaluate how the home is operating. Information provided in the AQAA told us that there are a range of policies and procedures in place and the majority of these had recently been reviewed and updated in February 2009. We were also told of equipment maintenance and service dates. Building risk assessments are in place and regular health and safety audits are completed. Some staff have completed a distance learning course on infection control and the manager told us that she has recently obtained a DVD from the health protection agency and plans to show this as part of staff’s induction training. The manager told us she has now received the Department of Health Essential steps and plans to use this to assess infection control. Personal finances for the people whose care was being followed were checked and records maintained were up to date and accurate. Blyth Country House Care Home DS0000067367.V374401.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 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 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 3 X 3 X 3 3 X 3 Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 It is recommended that care plans contain more information about peoples’ individual needs and preferences. Care plans should also show that, where able, people have been given the opportunity to be involved in writing their plan of care and any subsequent reviews. It is recommended that care plans include reference to the Mental Capacity Act, 2007 and the effects it has upon peoples’ lives. Medication records should show how many tablets a person has where their prescription states one or two to be given. All staff should receive formal supervision at least six times a year to ensure they have the opportunity to discuss any issues relating to their roles. 2. 3. 4. OP7 OP9 OP36 Blyth Country House Care Home DS0000067367.V374401.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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