Care Home: Half Acre House

What the care home does well Residents spoken to and records seen showed that the home provides a good standard of care for its residents. There comments about the care they receive were positive. They described staff as being caring and helpful. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are in place, which were up to date, regularly reviewed and provided the staff with the information they needed to give a good standard of care. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. The residents said that the staff were "kind" and "helpful". There is a stable staff team some who have worked at the home for a long period and provide continuity and security for residents. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. Equipment is safely maintained. Half Acre provides clean, comfortable and homely and friendly surroundings for the people living there. What has improved since the last inspection? Residents spoken to were aware of what to do if they wished to raise concerns and said they would approach the manager and staff. They all have copies of the complaints procedure and it is pinned to the homes notice board. The ground floor bathroom has been improved and made into an easily accessible shower, which residents are able to use. The nurse call system is now in full working order and accessible to residents. The kitchen area has been retiled and improved, and a new dishwasher provided. Staffing levels have been improved and there are sufficient staff available on rota to meet the needs of current residents. What the care home could do better: The home should provide a budget to support social, cultural and recreational activities to keep the residents interested and stimulated. The home must provide rotating menus which show a good varied balanced and nutritious diet. A record must be kept of food provided. Residents should see menus in advance and have the option of making choices about what food they want. The downstairs dining and lounge areas need to be increased to ensure residents have sufficient space. Recruitment procedure needs to be more robust and ensure that all staff working unsupervised with residents have a full CRB clearance. Training records need to be improved to ensure staff receive all necessary training CARE HOMES FOR OLDER PEOPLE Half Acre House Higher Ainsworth Road Radcliffe Manchester M26 4JH Lead Inspector Mr Patrick Rooney 26 th Unannounced Inspection February 2008 09:30 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 Half Acre House DS0000008404.V359822.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. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Half Acre House Address Higher Ainsworth Road Radcliffe Manchester M26 4JH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 725 9876 0161 724 8642 halfacre@highfield-care.com Southern Cross Care Homes Limited Miss Sarah Elizabeth Ashton Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 32 service users to include: up to 32 service users in the category of OP (Older People). The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 16th August 2006 Date of last inspection Brief Description of the Service: Half Acre is a care home providing personal care only and accommodation for up to 32 older people. The home is owned by Southern Cross Healthcare. Half Acre is located approximately 1 mile from the centre of Radcliffe and 3 miles from Bury. It is on a bus route and has a number of shops and a pub nearby. The premises are purpose built on three floors with a passenger lift. Accommodation is provided in single rooms with en-suite facilities, with three former double rooms available to share should service users require this. There is a large lounge/dining room on the ground floor and there are smaller lounges on the upper floors. There is a garden and patio area and car parking to two sides of the building. A Service User Guide that describes the home’s services is available in the home and the provider gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report is also displayed in the home. As of August 2006 the weekly charge for accommodation and services is between £355:11 and £486 with an additional charge being made for hairdressing and chiropody services. Half Acre House DS0000008404.V359822.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, which included a site visit that the home did not know was going to take place was started at 9:30am on the 26th February 2008. It took place over one day and it lasted for about seven hours. The time was split between talking to the senior staff as the manager was on leave, checking records, looking around the home, watching what was happening and talking to residents and other staff. Three residents case records were looked at and they were spoken to about their care. A completed Annual Quality Assurance Assessment completed by the manager was received. Questionnaires about the service were received from six residents. What the service does well: Residents spoken to and records seen showed that the home provides a good standard of care for its residents. There comments about the care they receive were positive. They described staff as being caring and helpful. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are in place, which were up to date, regularly reviewed and provided the staff with the information they needed to give a good standard of care. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. The residents said that the staff were “kind” and “helpful”. There is a stable staff team some who have worked at the home for a long period and provide continuity and security for residents. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. Equipment is safely maintained. Half Acre provides clean, comfortable and homely and friendly surroundings for the people living there. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 6 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. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 7 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. Half Acre House DS0000008404.V359822.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 Half Acre House DS0000008404.V359822.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): 3 Quality in this outcome area is good. Pre-admission visits, and the initial assessment process, enable potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of three residents were checked for the required pre-admission needs assessment information. They contained local Social Services needs assessments and also satisfactory and detailed in-house needs assessments. Half-Acre House always carries out an in house pre admission inspection in addition to the social services assessment to ensure that t he home is able to meet individual needs. These were seen in the resident’s files. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 10 Prospective residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. This visiting opportunity is described in the useful and informative Service User Guide (Residents Information Guide) and was also confirmed in discussion with residents’ and staff. Half Acre House DS0000008404.V359822.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 Quality in this outcome area is good. There is a system in place to record and monitor people’s health and personal care needs. This needs to be fully completed and regularly updated to ensure people’s needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the three case tracked residents were looked at. These contained care plans, which contained good detail though in some cases risk assessments had not been reviewed or updated. Some recorded dates were not clear, as the full date had not been entered properly. The system for care plans is well laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 12 The staff spoken to showed a good understanding of residents needs. Talking to residents, senior staff, care staff and from looking at records it was apparent that resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. Records also showed that the weight of the residents’ is also regularly checked. Files looked at contained a section to complete a personal profile; none of these had been completed fully. The medications are securely stored in a locked and tethered medication trolley. A locked room is also available that has a Controlled Drugs cupboard, another lockable medicine cupboard and a medicine ‘fridge. The residents’ medicines are provided in pre-filled blister packs with preprinted prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. No resident was dealing with their own medicines at the time of the inspection. Records and policies looked at emphasised the need for the residents privacy and dignity to be respected at all times, and the staff were observed treating residents with concern and respect. Residents spoken to said the staff are very good and that they are happy with the way they care for them, when providing personal care. Half Acre House DS0000008404.V359822.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 and 15 Quality in this outcome area is adequate. Funds need to be made available to give people the options to experience activities that match their expectations and preferences. Planning for the provision of meals needs to improve so as to provide people with a choice of nutritious food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents said that they have choice about their daily routines thus they are able to spend their time as they wish. They said that they are able to rise and retire when they wish; this was also confirmed in discussion with staff. The issue of residents being able to make choices is described in the home’s Statement of Purpose and also the Service User Guide. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 14 Staff assist residents with choices such as choosing clothing and enable them to make choices. The staff were seen to treat residents in a dignified, respectful and curteous manner and to deal with them in a friendly and caring way. An activities cordinator is employed by the home for 20 hours per week. No budget is provided for activities and the activities coordinator tries to raise money in order to provide activities. Standard 12 says that residents should have the opportunity to exercise choice in leisure, social and cultural activities. While some fund raising may be necessary a budget should be provided to enable this process. The activates coordinator was able to produce a programme of leisure activities available at the home, however these need to be increased to provide variety. More work needs to be carried out to ensure resident’s profiles are completed in order to ensure activities arranged match their differing interests and needs. Discussion with the staff showed that they do provide the residents with some recreational activities when and if they have the time to spare from their caring duties. From talking with residents and staff the inspector confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and they said that their visitors are offered refreshments. At the time of the inspection there were no menus available or records of food provided. In discussion with senior and kitchen staff the inspector found that no menus had been provided for some time. None of the residents spoken to were aware of what the meal for lunch was during the visit and there were very limited alternatives available. One of the residents said that they did not like the meals and mainly ate sandwiches. An environmental health report dated October 2007 commented on the lack of food records and said that this could have implications if there was a food poisoning outbreak as there was no audit trail available. The dining area is very compact and at times staff members have difficulty manoeuvring wheelchair users in and out of the places available. There are only 22 dining places downstairs for a potential 29 service users. When the home is fully occupied, this area is overcrowded and cannot accommodate all service users necessary furniture, equipment, visitors and activities taking place. Previously the company agreed that this was the case and the planning Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 15 department, in February 2004, passed the plans for a new conservatory to be built. At the time of this inspection this work is yet to be undertaken despite previous requirements made. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. A clear complaints procedure was in place that people were familiar with and any issues raised were dealt with appropriately. The homes policies and procedures ensure residents are protected from abuse, however all staff should receive training in this area This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a satisfactory complaints procedure that states how a complaint is to be made, who to and that an initial response will be provided within seven days with a final outcome forwarded within 28 days. The facility of making concerns known directly to the CSCI is also included in this paperwork. The complaints procedure the Service User Guide, a copy of which was available in the home’s entrance area as was a copy of the complaints procedure. Discussion with residents showed that they were aware of the home’s complaints process and some said that they would make any concerns known to the manager or staff. Records of complaints showed that they are recorded properly and Reponses made within the correct timescales as per the policy. No concerns or complaints have been made to the CSCI since the last inspection. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 17 It was clear in discussion with staff that they knew what steps to take should a resident make a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about any problems. There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bury inter-agency adult protection policy and procedure. Staff are provide with this policy in their staff handbook and staff those spoken to did understand what to do if they had any concerns about care in the home. Records showed that only three staff have received training in the Protection of Vulnerable Adults. All staff should be given training in this area. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 and 26 Quality in this outcome area is adequate. Half-Acre care home provides clean, safe, comfortable, homely and friendly surroundings for the people living there. Communal lounge and dining space on the ground floor is not adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Half Acre is well maintained both to the inside and to the outside. Redecoration and replacement of furniture and equipment etc is done on a continuous basis. Carpets were replaced in the corridors and to the ground floor lounge dining room prior to the last inspection. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 19 The three case tracked resident’s bedrooms and others were checked. All were found to be properly decorated, furnished and equipped and those residents spoken with were satisfied with the standard of the accommodation provided. The home has a properly equipped laundry and information regarding the control of infection is available. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. Staff are issued with aprons and gloves and are required to follow infection control procedures. Only one member of staff was showing on the training matrix as having attended an infection course. All staff should receive this training. A previous requirement was made at the time of the last key inspection that “the registered provider takes the necessary action to increase communal space to the ground floor including consideration to improve storage of equipment such as wheelchairs, hoists etc” This work has yet to be addressed and the home must provide CSCI with a plan with timescales indicating when the work will be completed The downstairs bathroom area has been improved and has now been converted in to an easily accessible shower. A sheet was available in the bathrooms to record bath temperatures, however this is not being completed. Certificates were seen, which showed that showers had been treated for prevention of legionella. There have been improvements to the kitchen area, areas have been retiled and a new dishwasher provided. The kitchen area was seen to be clean and well ordered. A tour of the home took place and all areas were clean and tidy throughout and were free from any offensive odours. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. Staff recruitment and training is satisfactory and people are cared for by staff they know and are familiar with. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas showed that as well as employing care staff, the home also employs domestic, catering and maintenance staff. Sufficient staff were showing on rotas to meet the needs of residents. The senior carers said that staff were very good at covering when staff were off sick and that they rarely needed to use agency staff. There is a stable staff group some of whom have worked at the home for a considerable time, which ensures that residents are cared for by people they know and are familiar with. Those residents spoken with also said that they were happy with the staff caring for them. One described the staff as “smashing”. Another said, “Staff are very nice and very helpful, I am very happy here”. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 21 The home presently accommodates 42 white British residents, 29 of these are female and 13 are male. The staff group is made up of 16 females and 3 males including one overseas worker. The makeup of this staff group does not appear to cause any difficulties. There is a good age and experience mix of staff. Of the 19 care staff employed at the home 9 have got a National Vocational Qualification in Care at either Level 2 or 3. A further 4 staff are also presently undertaking this training. These figures almost meet the requirement for the home to have at least 50 of the care staff with completed NVQ level 2 qualifications. The files of three recently employed staff were checked for safe and proper recruitment. These showed that two had received appropriate CRB clearances; one only had a Pova first. This member of staff was having unsupervised access to residents. Staff who have not received full CRB clearances must always work under supervision until the full clearance is received. Two of the staff files did not have a full employment history, with dates, on file. In one case a person who had worked for more than ten years in another care home did not provide this home as a reference. The staff-training matrix showed that there were some gaps in training in fire safety, health and safety, infection control and protection of vulnerable adults. Most staff have received training in food hygiene and moving and handling. All staff receive an induction and records were seen regarding this. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is good. The home is well managed by an experienced qualified manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home manager has been previously approved and registered with the CSCI and she has been running the home for approximately the last six years. The registered manager has successfully completed the Registered Managers Award The staff said that the manager runs the home in an open and inclusive way and that she is fair-minded, approachable and easy to get along with. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 23 There are quality assurance systems in place and resident/relative satisfaction surveys are carried out six monthly. Outcomes from these are sent to Southern Cross Care Homes head office and any necessary changes are made. The home is accredited with ISO 9001 and receives regular assessment for this.. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly recorded. The money is held in a “pooled” account with the total balance checked and recorded at weekly intervals. Secure storage is available for the safekeeping of money and of any valuable items. Looking at records and maintenance certificates showed that these were up to date. As indicated previously some areas of training need to be updated. Staff supervision records were looked at and showed staff receive regular supervision and appraisal. The home is safely maintained with fire precautions tests done regularly and the details of accidents are properly recorded. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 24 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 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 25 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 OP20 Regulation 23 Timescale for action You must ensure that the CSCI is 04/04/08 informed as to what action is to be taken to increase communal space to the ground floor. (Previous timescales of 30/04/06 and 18/09/06not met) You must ensure that there is a 04/04/08 menu available to residents and a record kept of food provided. You must ensure that the 04/04/08 residents are given and made aware of alternative food choices to the main course. (previous timescale 11/09/06 not met) Recruitment procedures must be 04/04/08 more robust and all staff working unsupervised in the home must have appropriate CRB clearances Evidence of action taken must be forwarded to CSCI Requirement 2. 3. OP15 OP15 16.1 16 4. OP29 19 Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP12 OP18 OP30 Good Practice Recommendations The home should be provided with a budget to ensure a good variety of activities is able to be provided. All staff should have updated training in the protection of vulnerable adults. The manager should ensure all staff have received mandatory training and records maintained of this. Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Half Acre House DS0000008404.V359822.R01.S.doc Version 5.2 Page 28 - 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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