Care Home: Hallamshire Residential Home

What the care home does well People who used the service and their relatives said that they were satisfied with the care and support that were provided. They stated that staff were `kind and caring`. There was a good staff team, which worked well together to ensure the wellbeing of people living at the home. Some people said that they found their key workers to be `very helpful`. Relatives commented that the manager and his staff communicated well with them, with regards to the welfare of their loved ones. What has improved since the last inspection? The statement of purpose and service user guide has been improved to reflect the changes of ownership and the new management arrangements. Visual signs and pictures have been placed on doors in order to show people where communal and hygiene facilities are located. The laundry has also been improved in line with infection control procedures. People who live at the home have been provided with opportunities to participate in varied social and recreational activities and these have helped with improving their quality of life. CARE HOMES FOR OLDER PEOPLE Hallamshire Residential Home 3 Broomhall Road Sheffield South Yorkshire S10 2DN Lead Inspector Ramchand Samachetty Key Unannounced Inspection 1st December 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 Hallamshire Residential Home DS0000002966.V373522.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. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hallamshire Residential Home Address 3 Broomhall Road Sheffield South Yorkshire S10 2DN 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) 0114 266 9669 0114 266 9669 none None Hallamshire Care Home Ltd Manager post vacant Care Home 32 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (8) of places Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd April 2008 Brief Description of the Service: The care home provides care and accommodation for up to 32 older people. Twenty-four places are for older people with dementia. Eight beds can be used for people of old age, not falling within any other category. The home is situated in the Broomhall area of Sheffield. It is close to local shops and it is accessible by public transport. It is surrounded by a mature garden, which can be enjoyed by the people living there. Accommodation is provided on three floors. There are three lounge areas and three dining areas. One dining area is separate while the other two are integrated into the lounge areas. A statement of purpose and service user guide is provided to people using the service. Copies were available at the home. The manager stated that the fee charged at the home ranged from £368.00 - £405.00 per week. There are additional charges for hairdressing, chiropody, toiletries, trips and outings. Further information can be obtained from the home manager. Hallamshire Residential Home DS0000002966.V373522.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 stars. This means that the people who use the service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This key unannounced inspection was carried out on 1 December 2008, starting at 09.30 and finished at 18.00 hours. The manager, Mr Scott Melville was present throughout the inspection. The service is registered to provide accommodation and personal care for up to 32 older people, 24 of whom may be people who have dementia. There were 30 people in residence at the time of this inspection. All the key national minimum standards foe ‘Care Homes for Older People’ were assessed. The inspection included a tour of the premises, examination of care documents and other records, including those pertaining to complaints, staff employment, staff duty rota, medicines management, maintenance of equipment and quality assurance methods. We looked at the information contained in the ‘Annual Quality Assurance Assessment’, which was submitted to us before this inspection. We also spoke to a few people who use the service, relatives and staff. Their views and comments have been included in this report. We would like to thank all the people living at the home, their relatives and staff who helped with this inspection. What the service does well: People who used the service and their relatives said that they were satisfied with the care and support that were provided. They stated that staff were ‘kind and caring’. There was a good staff team, which worked well together to ensure the wellbeing of people living at the home. Some people said that they found their key workers to be ‘very helpful’. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 6 Relatives commented that the manager and his staff communicated well with them, with regards to the welfare of their loved ones. What has improved since the last inspection? What they could do better: The care staffing level should be kept under review to make sure that sufficient care staff are deployed at all times to cater for the needs of people using the service. The service must improve its recruitment procedures by making sure that it seeks and obtains appropriate written references for new staff before they start working at the home. Although staff have been provided with various training opportunities, the registered person must prioritised training, which is required to ensure the protection of vulnerable people who use the service. We have also made a recommendation for the home’s adult safeguarding policy to be further improved. The record of care provided to people who use the service should be improved in line with their individual care plan. This should help to show that individual care plans are being appropriately implemented. There is a continuing need for the service to improve its use of quality monitoring methods in order to improve itself. Please contact the provider for advice of actions taken in response to this Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 7 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. Hallamshire Residential Home DS0000002966.V373522.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 Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. People using the service and their relatives were satisfied that they were given sufficient information to help them choose the home. Assessments of needs were usually carried out before people were admitted to the home. However, arrangements, to ensure that the relevant documentation was in place, were not robust enough and they led to a potential lack of timely information about individual care needs. EVIDENCE: The statement of purpose and service user guide had been reviewed. They included information about the new owners and the management arrangements in place. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 10 Relatives of two people admitted to the home since our last visit, told us that they were provided with sufficient formation to help them and their loved ones to choose the home. We checked the care files of three people who had been admitted in the last four weeks prior to this inspection. In two instances, there were no documents to show that full assessments had been carried out by the placing social workers. The manager explained that the social workers’ assessments were still awaited. Although they had limited information about the care needs of the two people concerned, the care staff had developed initial care plans based on their own assessments of needs. Staff commented that they would check with the people concerned and their relatives, what help they required in their daily activities and would make sure that all assistance was provided. Hallamshire Residential Home DS0000002966.V373522.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. People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. People who used the service and their relatives were satisfied with the care being provided. However, there were minor shortfalls in the way care provision to individuals was recorded. This could affect the overall quality of the care service. EVIDENCE: We spoke to a few people who lived at the home and to four relatives. They said that the care being provided was good and that staff were ‘kind and very caring’. They were satisfied that care was always provided in a private manner and this promoted peoples’ dignity. Personal care was provided away from communal areas and in people’s own bedrooms and bathrooms. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 12 During our visit, we noted that staff were friendly and courteous in their interactions with people in their care. We looked at the care that was planned and provided to three people who lived at the home. Each person had a care plan, which set out the care needs and what actions were required to meet them. They included the likes and dislikes of the individual concerned. Risk assessments were carried out and actions to address such risks were also laid out. Staff made daily records of the care they were providing. There was insufficient evidence that care staff referred to the care plans of people they were caring for, in a consistent manner. We noted that the care plans were kept separate from the daily records. In some instances, the daily records of care provided to individuals, were not related to their care plans. Such records continued to consist mostly of generalised comments and in some instances failed to reflect the continuity of care that took place. We noted that there was a key worker system in place. One care worker commented that, as a key worker, she ‘got to know her residents’, and this helped in meeting their personal and social care needs well. People who lived at the home and who were able to express an opinion, and a few relatives said that staff did their best to give as good a standard of care as they were able to. We checked the storage, handling and administration of medicines. The medicines receipt and administration records were appropriately maintained and were satisfactory. None of the people living at the home were able to selfmedicate. Staff, who administer, medicines had received appropriate training to do so. Hallamshire Residential Home DS0000002966.V373522.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. People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. People living at the home were able to benefit from some of the recreational and social activities that were offered to them. This helped in maintaining and improving their quality of life. EVIDENCE: During our visit, we observed people who lived at the home, spending time in the lounges, watching television and listening to music. A few people were engaged in making seasonal greeting cards, with assistance from staff. They said that they found this activity very enjoyable. One person said that he liked reading and doing crosswords and would ask staff for assistance if he needed it. Relatives told us that they felt routines at the home were flexible. Their loved ones could, for example, be assisted to get up and go to bed at times that suited them. They could also be helped to spend time in the way they wanted. Most people living at the home were not always able to make decisions about their daily activities and staff, in consultation with relatives, would assist them in making decisions as necessary. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 14 Staff explained that both indoor and outdoor activities were held at the home. Records of activities showed that group activities, like movement to music, aromatherapy sessions and indoor games were regularly organised. There had been a few outings to local areas of interest, including the botanical gardens, shops and restaurants. Staff had assisted a number of people to participate in such activities. We noted that staff were also providing time on a one to one basis, to people who were frailer and who did not always join group activities. Relatives confirmed that they were always welcomed at the home. They felt that staff, in particular, the key workers, communicated well with them about their loved ones. People who lived at the home and their relatives stated that the meals were always ‘good and nourishing’. People were offered adequate choices for breakfast, lunch and dinner each day. A few people told us that they had enjoyed a good cooked breakfast on the morning of our visit. The lunchtime meal, which was the main meal of the day, was observed. It consisted of beef lasagne with vegetables and cold meat salad, fruits and deserts. Fruit drinks and water were also served. Staff were observed assisting a few people to eat their meals. However, we also noted that staff were clearing food remnants from plates on to a trolley in the dining room, while people were still partaking their meals. In discussion, staff explained that some people were provided with food supplements that had been prescribed for them by their GPs. We noted that nutritional needs of some people had been assessed and the advice of a local dietician had been sought in order to improve the health and welfare of the people concerned. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. Procedures were in place, to enable staff to deal with concerns, complaints and any allegation of adult safeguarding. However, the adult safeguarding procedure lacked clarity and could lead to difficulty in its implementation. EVIDENCE: There was a complaints procedure in place and copies of it had been made available to people who use the service and their representatives. Relatives we spoke to, told us that they were aware of the procedure. They commented that they would make their concerns known to staff, who they were confident would address such matters appropriately. There had been no complaints since the last inspection. The manager confirmed that the adult safeguarding policy had been revised. However, we noted that the policy was designed especially for people with a learning disability and had originated from a different county. In discussion, senior care staff showed that they understood the local multi-agency Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 16 procedures in use to deal with adult safeguarding matters. Care staff had also been provided with training on the protection of vulnerable adults. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. People who lived at the home and their relatives were satisfied with the standard of accommodation and its facilities. However, a few repairs were needed to ensure the complete safety of people living at the home. EVIDENCE: We undertook a tour of the premises, in the company of the manager. The building comprised of three floors and there was a passenger lift to facilitate access to and from them. The main entrance at the front of the building was wheelchair accessible. The communal areas comprised of two lounges, a small ‘quiet’ lounge and two dining areas. Bathrooms and toilets were available on Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 18 each floor. The manager confirmed that the bath hoists had been serviced and were in working order. The kitchen and laundry facilities were located on the ground floor. The laundry equipment allowed for linen to be washed at the required temperature. The handling of soiled linen has been improved. These procedures have helped to reduce the risk of cross infection. There was a public telephone along the main corridor for use by people who lived at the home. The communal areas were well decorated and clean. The manager pointed out that signage in communal areas had been improved to better assist people find their way in the home. There was a panel of plastic glass, on a door, which was partially broken and had rather sharp edges. This was pointed out to the manager who confirmed that urgent action would be taken to remove and repair this sheet of plastic glass. We viewed a few bedrooms with the permission of people who occupied them. The rooms were clean, tidy and odour free. A few people had brought in some items of furniture and other memorabilia in order to personalise their bedrooms. People who lived at the home said that they were happy with their accommodation and found it to be ‘warm, pleasant and comfortable’. The surrounding grounds included some paved areas and a lawn. There were well maintained for the time of the year. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. There was a good and committed staff team in place. However, on occasions, there was an insufficient number of care staff on duty, to ensure that the needs of people living at the home were fully met. EVIDENCE: At the time of this inspection, there were 30 people in residence at the home. All of them had dementia. Besides the manager and the deputy manager, there were four care staff on duty in the morning and three during the afternoon. Three care staff were scheduled to work during the night. Other support staff included a domestic, a cook and a kitchen assistant. We checked the duty rota for the deployment of care staff over a week period. We noted that on several occasions, there had been only four care staff on duty between 07.30 and 18.00 hours and three from 18.00 to 20.30 hours and the same number on night. People who lived at home were accommodated on three floors and required staff assistance when they were in their rooms and communal areas. Care staff confirmed that they had to respond to calls for Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 20 assistance in different areas of the building. Where the handling of people or their behaviour management required two care staff, this could leave people on one floor without immediate staff supervision or assistance, particularly during the times of the day when there were only three members of staff on duty. A few people who could express their views and relatives told us that they felt there were insufficient care staff, at times, to provide the help they needed. Relatives said that their loved ones would sometimes, miss out on personal care and attention, when their key workers were not on duty, because they were told that there were no other staff to undertake these tasks. The manager stated that he was using the ‘Residential Forum’ guidance in calculating the care staffing level to be deployed at the home. We looked at the employment files of three care workers who had been recruited to work at the home. In one instance, written references were not sought and obtained from the person’s last employer. For two of the care workers concerned, checks against the ‘POVA’ (Protection of Vulnerable Adult) register had been carried out before the start of their employment. The appropriate disclosures were still awaited. In discussion, the manager stated that, since the last inspection, care staff had been offered training on a number of topics. These included courses on dementia, manual handling and moving, food hygiene, health and safety, first aid and adult protection. We noted that a few members of the care staff still required training on adult protection and the manager said that this training was being arranged. We spoke to a few care workers about the training that they had undertaken. They confirmed that they had received training on various topics. They commented that they had not yet received training on the ‘Mental Capacity Act’. The manager stated that 10 care workers had already achieved their ‘National Vocational Qualification- level 2 in care. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using available evidence, including a visit to the service. The home was appropriately managed and this helped to maintain and promote the overall welfare of the people who lived in it. EVIDENCE: The manager has submitted his application for registration by CSCI. He has obtained his ‘Registered Manager’s Award. Relatives told us that they found the manager to be ‘friendly and approachable’. They felt that the home was being well managed. Staff also supported this view. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 22 We noted that the registered provider was undertaking his monthly monitoring visits to the home and providing his written reports. These served as a tool to ensure the appropriate management of the home. We checked the use of other quality monitoring methods in use at the home. The manager explained that there was a weekly audit of medicines. Staff recorded the dates when these audits were carried out and outcomes in a broad manner. There were no records of action taken to rectify weak points that were found. We advised on the regular auditing of care plans in order to assist in their improvement. In discussion, the manager told us that he was preparing to send out the six monthly ‘satisfaction’ questionnaires to relatives of people who use the service. He commented that feedback from the questionnaires would be used in efforts to continually improve the standard of service. We looked at records of maintenance checks regarding equipment used at the home. These included the regular monitoring of water temperatures, fire safety equipment, bath hoists and the passenger lift. Appropriate health and safety measures were in place. These included risk assessments regarding the home environment and various work practices. However, issues around the loose flooring in one part of the corridors, had not been appropriately assessed and remedied. Staff stated that fire drills were regularly carried out and that the fire alarm was checked on a weekly basis. Arrangements were in place to support people who live at the home with the management of their personal monies. Financial transactions, which were undertaken on behalf of the people concerned, were appropriately recorded, witnessed and signed for and receipts were kept. The accounts of each person concerned, was regularly audited to ensure that they were correct and in balance. These procedures ensured that the financial interest of people concerned was safeguarded. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 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 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 18 Requirement Timescale for action 26/02/09 2. OP30 18 Two written references must be sought and obtained and one of them must be from the last employer. The registered person must 19/03/09 make sure that staff training on adult safeguarding and the Mental Capacity Act, is prioritised in order to protect vulnerable people who use the service. 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 OP3 Good Practice Recommendations Arrangements should be made to ensure that all assessment documentation regarding individuals, who are being admitted via placing social workers, is obtained before their admission. The record of care provided should be improved in order to reflect the actual and agreed individual plan of care for each person who uses the service. DS0000002966.V373522.R01.S.doc Version 5.2 Page 25 2. OP7 Hallamshire Residential Home 3. 4. 5. 6. 7. OP15 OP18 OP19 OP27 OP33 The clearing of food remnants should be carried out away from the dining areas, in order to promote the dignity of people while they partake their meals. The home’s adult safeguarding policy should be revised to make sure it refers to the service and to the appropriate client group who use it. The minor repairs to the door, as identified, should be carried out to avoid any possibility of it harming people. The care staffing level at the home should be kept under review in line with the needs of people using the service and the lay out of the building. A regular audit of care plans should be developed. Existing audits should be improved to ensure that they show action taken to address any weak points. Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hallamshire Residential Home DS0000002966.V373522.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!