Care Home: Foxby Court

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What the care home does well The home provides a pleasant, homely and clean environment for people who live there. Residents and visitors spoke highly about the care provided and praised staff for the way they delivered care. Visitors said that they are made very welcome when they visit. Their comments included, `they are so accommodating we can`t praise them enough`, `it`s very good nothing is too much trouble for them` and `they are respectful and polite and answer bells quickly`. The activities organiser provides a varied programme of stimulation that people said they enjoyed. They told us, `the activities lady works really hard to keep residents occupied` and `I like to do activities in the mornings and spend the afternoon in my room reading`. 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. The home has detailed policies and procedures to inform residents and instruct and guide staff. What has improved since the last inspection? The home has amended the terms and conditions of residency to include all the necessary information such as fee rates. Improvements have been made to the courtyard areas with new furniture and planting. The home has purchased a large flat screen television for one of the lounges. This has a loop system so that people with hearing difficulties can enjoy watching the programmes. CARE HOMES FOR OLDER PEOPLE Foxby Court Middlefield Lane Gainsborough Lincs DN21 1QR Lead Inspector Dawn Podmore Unannounced Inspection 25th June 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 Foxby Court DS0000002361.V367120.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. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Foxby Court Address Middlefield Lane Gainsborough Lincs DN21 1QR 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) 01427 613376 manager.foxby@osjctlincs.co.uk www.osjct.co.uk The Orders Of St John Care Trust Mrs Melanie Killelay Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary care needs fall within the following category:Old age, not falling within any other category (OP) - 46 The maximum number of service users to be accommodated is 46 2. Date of last inspection 10th May 2006 Brief Description of the Service: Foxby Court is one of a group of homes run by the Order of St John Trust (OSJT). It is purpose built with all accommodation and services being on the ground floor. There are five different lounges and a large dining room. The home is situated in the south east of Gainsborough, on the edge of a residential area in large well-maintained grounds and gardens. Car parking is to the front of the building and there is a bus stop close by which residents and relatives can use to go to town or visit this home. Transport and support is provided to those residents who require it by the Trust. The stated aim of Foxby Court is to provide residents with a secure, relaxed and homely environment in which their care, well-being and comfort are of prime importance. At the time of the inspection the manager confirmed that the weekly fees ranged from £351- £494 depending on the residents assessed needs. Additional charges are made for services such as 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. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key inspection was unannounced and took any previous information held by C.S.C.I. about the home into account. The acting manager Gill Clark was available to assist with the inspection process. The main method of inspection used was called case tracking. This involved selecting a proportion of residents and tracking the care they receive through the checking of records, discussions with them and the staff who care for them and observation of care practices. A partial tour of the home was also conducted which included looking at some bedrooms, communal areas, bathing and toilet facilities. Documentation was sampled and the care records of four residents were examined. We spoke with nine residents and five relatives, as well as four members of staff. They shared their views about how the home operated on a day-to-day basis and the care and facilities provided. Prior to the visit the providers had returned an Annual Quality Assurance Assessment (AQAA) and this document will be mentioned throughout this report. We sent out some ‘have your say’ surveys, five of which were returned in time for their views to be included in this report. On the day of the visit 40 residents were living at the home and two people were receiving day care. What the service does well: The home provides a pleasant, homely and clean environment for people who live there. Residents and visitors spoke highly about the care provided and praised staff for the way they delivered care. Visitors said that they are made very welcome when they visit. Their comments included, ‘they are so accommodating we can’t praise them enough’, ‘it’s very good nothing is too much trouble for them’ and ‘they are respectful and polite and answer bells quickly’. The activities organiser provides a varied programme of stimulation that people said they enjoyed. They told us, ‘the activities lady works really hard to keep residents occupied’ and ‘I like to do activities in the mornings and spend the afternoon in my room reading’. 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. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 6 The training programme offers staff a variety of courses and most staff have completed an N.V.Q (National Vocational Qualification) in care. The home has detailed policies and procedures to inform residents and instruct and guide 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. Foxby Court DS0000002361.V367120.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 Foxby Court DS0000002361.V367120.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): Standards 2, 3 & 6 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 this visit, and the content of people care records, showed that the home does not admit residents without an assessment of their needs being completed. Two relatives and a resident confirmed that needs assessments had taken place and that they had visited the home before they moved in. A member of staff told us that if it could be arranged people came to visit for the day before they decided if the home was suitable for them. Files kept in the administrator’s office contained signed contracts and terms and conditions of residency, which included the fee rates. She said that copies are given to people so that they have all the information they need about their stay at the home. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 9 The acting manager confirmed that the home does not currently cater for people with intermediate care needs. However two people do come to the home for day care Monday to Friday. Foxby Court DS0000002361.V367120.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): Standards 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. People are able to manage their medications themselves if they can, but if they need help staff are trained to support them with it in a safe way. EVIDENCE: The manager told us that the company had introduced new care planning records and that staff had been completing the new forms over the past few months. We looked at the care records for 4 people living at the home. The plans were written as if the resident had completed them themselves, were easy to follow and contained information about their individual needs. However although the assessment for a new resident said that they suffered from pain in their legs, the care plan did not provide staff with guidance about how they should monitor the pain. The contact notes of another person said that the district nurse had renewed a dressing, but this was not referred to in the care plan. Information contained Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 11 in the district nurses notes, which are kept in peoples rooms, should be included in the care plan so that it provides a comprehensive account of all the residents needs. A social history form told staff about resident’s likes and dislikes but the information provided in plans about people’s preferences could be improved. For example a plan for hygiene talked about hair care but did not tell staff about the arrangements for oral and nail care or what time of day she liked her bath. Various assessments had been completed on subjects such as, manual handling, pressure risk and nutrition. Risk assessments had been completed for any identified potential risks so that people were kept as safe as possible. Monthly care plan evaluations had taken place to evaluate how the planned care was working. Daily notes were detailed and showed that people were receiving the correct level of care and support. Records and peoples comments demonstrated that health needs were being met with appropriate recording of GP, district nurses, optician and chiropody visits. A visiting district nurse said that staff were cooperative and cheery. She told us, ‘if you ask them to do anything they do it, it’s one of the better home, they are particularly good with hoist and wheelchairs’. She did mention that like most homes fluid charts could sometimes be better maintained but said that she has no concerns about the home The A.Q.A.A. and the content of the last inspection report demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. We looked at medication records and observed medications being administered at lunchtime, these showed that the people were receiving their medications correctly. People were happy with the level of support given, as well as the way in which it was delivered. Their comments indicated that they received support at the right level and that it met their individual needs. A resident said ‘they are very good, I am happy here’ and a relative told us ‘as she can’t call for help they pop in all the time and give her extra special care’. Observations and staff comments demonstrated that staff had a good knowledge of the people they cared for. They were seen delivering care responsive to resident’s needs and preferences, as well as respecting their privacy and dignity. Foxby Court DS0000002361.V367120.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): Standards 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. The home enables residents to maintain and develop social interests and relationships of their choice. Residents 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 a record of activities that people had taken part in. From speaking to the activities coordinator it was evident that she knew about the people she supported and the types of things that they like to do. Records, photos and peoples comments demonstrated that activities provided included, games, baking, skittles, quizzes, walks around the gardens, manicures and hand massages, planting flowers and bingo. People who could not take part in the organised programme had received one to one sessions. There is also a well-stocked library that is changed regularly by the local library and a trolley shop goes round the home every Friday. People said that entertainers visited the home regularly including singers, musicians and music for health, which staff said was very popular. Recent Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 13 entertainment included a visit to another home for a picnic and to an ice cream parlour. Future plans included a strawberry tea in July and a tea dance in September People told us, ‘the activities lady works really hard to keep residents occupied’, ‘I go out a lot with my friends and relatives’, ‘I like to do activities in the mornings and spend the afternoon in my room reading’ and ‘I prefer not to do activities and go on trips, I am happy with myself’. Three visitors said that staff made them welcome at the home and that they could visit at any time. One said ‘they make us feel at home with a cup of tea etc’ and another said ‘it’s a partnership, they always involve us’. The dining area was calm and relaxed and people chattered casually as they ate. They said that the menus were varied and choice offered. Alternatives and specialist diets, such as a diabetic diet were also available. The meal on the day looked appetising and vegetables were placed on each table so that people could help themselves. If they could not manage unaided staff were on hand to assist them. We spoke to approximately 20 people in the dining room. They told us that they were happy with the food on the menu. One person said, ‘good choice and you can’t fault the puddings’ and another told us ‘the food is always good and there’s always a choice offered’. Foxby Court DS0000002361.V367120.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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Staff have received training in these subjects to help them protect the people they support. EVIDENCE: The home has a complaint procedure, which is displayed and included in the Service Users Guide. Details contained in the AQAA and records held at the home showed that they had received no complaints since the last inspection. Previous reports show that there is systems in place to appropriately record, investigate, and address any issues raised. Head office monitors all complaints and there is a system in place to reinvestigate any issues that are not conclusively resolved at home level. Residents and visitors confirmed that they were aware of the procedure for raising concerns and would be comfortable highlighting any issues. One said that they had not made any complaints but they had told the manager about minor things in the past and these had been addressed straight away. Another person said, ‘there is nothing that I would change, but you have to keep an eye on the laundry to make sure it all comes back’. A new resident told us that a carer had explained the procedure to them when they first came to live at the home. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 15 The home has procedures concerning the protection of vulnerable adults. Staff demonstrated a good knowledge of what to do if they suspected abuse could be occurring and had received training in this subject. Foxby Court DS0000002361.V367120.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): Standards 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 residents being case tracked and some communal areas. Bedrooms had been personalised by the residents or their families with photographs, mementoes and small items of furniture. There were no unpleasant odours detected in the home. One person who completed a survey told us that the home was always fresh and clean and that they had no complaints. People said that they were happy with their rooms and the communal facilities. However two residents spoken with said that they would prefer a proper ensuite facility rather than a curtained area, as this would offer better privacy. This was discussed with the acting manager who said that building a Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 17 permanent wall had been considered but was not practical as it took up too much space in the bedroom. Various equipment was in use during the visit including hoists, specialist mattresses, raised toilet seat and grab rails. The acting manager said that plans were underway to change the heating system. On the day of the visit there was no hot water as the engineers were cleaning the system before new boilers were purchased, but procedures had been put in place to make sure that people had access to water as needed. She also said that corridors were to be redecorated and new carpets laid shortly. The gardens and the car park were well maintained with facilities including new garden furniture in the courtyards. Foxby Court DS0000002361.V367120.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): Standards 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. There is enough staff on duty to meet the needs of the people living at the home. Procedures for the recruitment of staff are robust and therefore offer protection for people living at the home. Staff have access to comprehensive training and support to help them meet the needs of the people they care for. EVIDENCE: Staff rotas and peoples comments indicated that there was enough staff on duty to meet the needs of the people currently living at the home. Staff said that staffing levels were currently good. One person said, ‘it can be a bit rushed if needs are high, but levels are good at the moment’. Residents and relatives told us that staff were always available and that they were happy with how their care was delivered. Comments included, ‘they are so accommodating we can’t praise them enough’, it’s very good, nothing is too much trouble for them’, ‘all the staff have a laugh and a joke with you’ and ‘they are respectful and polite and answer bells quickly’. 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 demonstrated that new staff receive a comprehensive induction to the home. This includes becoming familiar with how the home operates and working with an experienced carer until assessed as competent to work alone. They also receive essential training including manual handling, first aid and fire safety. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 19 Staff said that they felt well trained and supported. The Company have a good training programme that covers a variety of topics. Training records and staff comments showed that they had received essential and specialist training to meet the needs of the people they support. Training undertaken included manual handling, the safe administration of medications, diabetes, safeguarding adults from abuse, fire awareness, dementia awareness and infection control. Awareness of the Mental Capacity Act training had been provided using a computer. Although staff spoken with had a basic knowledge of the Act they were unable to demonstrate a clear understanding of how this would affect how they supported people and completed care plans. It was recommended that further training be provided to make sure that the subject was fully understood. The company encourage staff to complete an N.V.Q. (National Vocational Qualification) in care. Records showed that out of 27 staff 25 have attained an N.V.Q. and 2 others are currently doing the award. Observation of care practices at the home demonstrated that staff were caring for people in an appropriate manner. They were visible in communal areas and responded well to peoples needs. Foxby Court DS0000002361.V367120.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): Standards 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good management, guidance and direction provided to staff to ensure that care is delivered in a consistent manner. The home is managed in the best interests of the residents. There are systems in place to ensure that the health, safety and welfare needs of residents are met. EVIDENCE: The registered manager is currently on leave, but an acting manager has been appointed on a temporary basis. Residents and relatives were happy with the management of the home. One person told us, ‘I am happy at Foxby Court’. A relative said ‘they get good care here’. Three other people praised the home and said that they were ‘highly delighted’ with the care provided. Staff told us ‘the manager is fair and approachable’ and ‘she is brilliant, very fair and gets on with things when she says she is going to do it’. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 21 The home has a quality assurance system so that they can gain the views of people who use the service and ensure that the systems in place are being followed. The acting manager said that this included six monthly quality assurance reports, surveys, meetings and care reviews to make sure that people were receiving the support and care they needed. Someone from the Company had visited the home at least once a month and completed a report on their findings as well as what people told them. This had enabled them to evaluate how the home was operating. The home has attained the ISO9000/2000, which is awarded by an independent company who audit the home’s systems against expected standards. There is a system in place for resident’s monies to be held in safe keeping by the home. Only one person being case tracked had money in safe keeping so the record of another person was checked at random. Transactions were recorded with receipts and one signature; the administrator said this had changed since the last inspection. It was suggested that two people should check and sign for all transactions so that the system was more robust. The home has a range of health and safety policies and procedures available to guide and instruct staff. There is a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA, demonstrated that regular checks on equipment such as hoists and fire equipment had taken place. The home has a designated health and safety officer and manual handling trainer. Risk assessments are in place and monthly health and safety audits are completed. The kitchen was awarded a 4 star rating by the Environmental Health Officer last September, the rating available being 5 star. Foxby Court DS0000002361.V367120.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 4 Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) Requirement All assessed needs collated as part of the assessment process, must be reflected in the care plan so that people can be appropriately supported, cared for and monitored. Timescale for action 04/08/08 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 OP7 Good Practice Recommendations It is strongly recommended that care plans contain more information about how people want their care providing, as well as their abilities. This will enable staff to provide the right level of care and support. Information contained in the district nurses notes about the support they provide to individual people should be included in the care plan so that it provides a comprehensive account of all the residents needs. It is recommended that care plans include reference to the Mental Capacity Act, 2007 and the effects it has upon the resident’s lives. DS0000002361.V367120.R01.S.doc Version 5.2 Page 24 2. OP7 3. OP7 Foxby Court 4. OP30 Staff should have a working knowledge of the Mental Capacity Act and how it influences how they support people. This will help to ensure that resident’s rights and choices are protected. Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Foxby Court DS0000002361.V367120.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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