Care Home: Heliosa Nursing Home

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What the care home does well There are effective procedures in place to find out what the people who live in the home think of it and the owners take action to improve standards in the home to make sure that it is run in the best interests of the residents. Staff who work at the home are highly regarded by people living in the home, friends, relatives and visiting health professionals. Comments such as "very happy with the care and medical support my Mum has received", "the carers are dedicated and tend to my needs with thoroughness and cheerfulness" and "they care" were typical. People have their needs fully assessed before they move into the home so that the care home staff are aware of their care needs. Staff members contact health professionals to make sure that people receive further advice and support when necessary. The standard of catering at Heliosa is good so that people are well nourished and enjoy a balanced diet. People said, "food is very good" and "generally the food is good, well cooked and presented." Complaints are investigated and appropriate actions taken to put any matters right so that people know their concerns are listened to. Heliosa is well maintained, inside and out, so that people live in pleasant, comfortable and homely surroundings.More than 50% of staff have achieved NVQ 2 in care so that they are skilled and competent to perform their role. Staff are encouraged to undertake any further necessary training so that they keep their skills and knowledge up to date. Thorough recruitment practices means that people in the home are protected from possible harm or poor practice. What has improved since the last inspection? There is more detailed information about the social and family histories of people so that the staff can provide individualised care based on personal preferences. A new medication room has been built so that there is more room for the safe preparation and storage of medication. New menus have been introduced so there is greater choice. The new menus also incorporate winter and summer changes, so that fresh seasonal produce, including vegetables and fruit, is used. The owners have bought a minibus so people who live in the home can go on regular trips out. One of the owners has joined the management team so there is more support for the care team. More robust audit systems have been developed to make sure that the home offers a good quality service. The number of staff with NVQ 2 in care has increased from 50% to 60% so that more staff are qualified to perform their role. What the care home could do better: Care plans should more accurately describe the care needs of people so that their care needs can be fully met. The social care needs of people in the home are only partially met so that some people may lack stimulation and become bored. The following comments were made, "the home could use an activity coordinator to keep clients stimulated" and "the carers are very willing and very good but they are so busy that they don`t have time to spare for interacting." All staff should undertake annual refresher training in adult protection so that they know what to do if they suspect someone is being abused. All staff should take part in regular fire drills so that they know what to do if a fire breaks out.The owners should advise the CSCI in writing when all matters raised by the fire officer have been addressed. CARE HOMES FOR OLDER PEOPLE Heliosa Nursing Home 54 Boundary Lane Congleton Cheshire CW12 3JA Lead Inspector June Shimmin Unannounced Inspection 9 January 2008 10:00 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 Heliosa Nursing Home DS0000018732.V351563.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. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heliosa Nursing Home Address 54 Boundary Lane Congleton Cheshire CW12 3JA 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) 01260 273 351 01260 297794 Takepart Limited Mrs Lyndis Swinden Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 42 service users to include: * Up to 42 service users in the category of OP (old age, not falling within any other category). 13 November 2006 Date of last inspection Brief Description of the Service: Heliosa can care for up to 42 older people who need nursing care. The home was originally three cottages built in the early 1800s and was converted for use as a nursing home in 1970. The home is detached and has a private garden. It is located in a quiet residential area of Congleton, about two miles from the town centre. The home is on two floors and there is a passenger lift and staircase to the first floor. There are a variety of aids and adaptations around the building to allow residents to move about more independently. The owners have recently extended the home to provide an additional 11 single bedrooms with en suite facilities. All of the bedrooms are single and thirty-one bedrooms have en suite facilities of toilet and wash hand basin. There is a dining room and three lounges. The current weekly fees range from £503.37 to £570. Further details regarding fees are available from the manager. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 9 January 2008. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were made available for families, staff and care professionals to find out their views. Other information received since the last key inspection was reviewed. During the visit various records and the premises were looked at. A number of people living in the home, several relatives, staff members and a visiting health care professional were spoken with; they gave their views about the home and the service provided. What the service does well: There are effective procedures in place to find out what the people who live in the home think of it and the owners take action to improve standards in the home to make sure that it is run in the best interests of the residents. Staff who work at the home are highly regarded by people living in the home, friends, relatives and visiting health professionals. Comments such as “very happy with the care and medical support my Mum has received”, “the carers are dedicated and tend to my needs with thoroughness and cheerfulness” and “they care” were typical. People have their needs fully assessed before they move into the home so that the care home staff are aware of their care needs. Staff members contact health professionals to make sure that people receive further advice and support when necessary. The standard of catering at Heliosa is good so that people are well nourished and enjoy a balanced diet. People said, “food is very good” and “generally the food is good, well cooked and presented.” Complaints are investigated and appropriate actions taken to put any matters right so that people know their concerns are listened to. Heliosa is well maintained, inside and out, so that people live in pleasant, comfortable and homely surroundings. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 6 More than 50 of staff have achieved NVQ 2 in care so that they are skilled and competent to perform their role. Staff are encouraged to undertake any further necessary training so that they keep their skills and knowledge up to date. Thorough recruitment practices means that people in the home are protected from possible harm or poor practice. What has improved since the last inspection? What they could do better: Care plans should more accurately describe the care needs of people so that their care needs can be fully met. The social care needs of people in the home are only partially met so that some people may lack stimulation and become bored. The following comments were made, “the home could use an activity coordinator to keep clients stimulated” and “the carers are very willing and very good but they are so busy that they don’t have time to spare for interacting.” All staff should undertake annual refresher training in adult protection so that they know what to do if they suspect someone is being abused. All staff should take part in regular fire drills so that they know what to do if a fire breaks out. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 7 The owners should advise the CSCI in writing when all matters raised by the fire officer have been addressed. 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. Heliosa Nursing Home DS0000018732.V351563.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 Heliosa Nursing Home DS0000018732.V351563.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. This judgement has been made using available evidence including a visit to this service. People who are thinking of moving in are given information about the home and have their needs assessed before moving in so they know their needs can be met there. EVIDENCE: The assessments of three people who have recently moved to the home were seen. The deputy manager who no longer works at the home carried out the assessments; on one occasion the care manager went with her. The content of the assessments was detailed and provided enough information so that a comprehensive care plan could be drawn up. The assessments included individual information such as the person’s religion and any specific risks to which the person might be susceptible. Although information about the person’s social and family history was not included on the form, staff at the home had gathered this important information from the Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 10 family when the person moved in. Families were also asked to provide further information if the people themselves were unable to do this so that staff at the home could provide care which focussed on the individual needs of the person. This detailed life and social history was then recorded on a computerised care plan. People thinking of moving into Heliosa are encouraged to visit the home first to have a look round and meet the staff and other people living there. One visitor told us, “when I walked through the door I liked the ambience, ….. there was no pressure and the manager explained about the rooms”. Another said, “I visited Heliosa twice before deciding it was the right care home for my Mum. Both times I spoke at length to a nurse and was given all the information I needed. I looked around the care home and spoke to clients and staff.” One relative told us, “I don’t recall receiving a ‘contract’ of terms and conditions when Mum entered the home. There was a lot of verbal “we do this, this happens weekly, monthly” but I am not certain what is actually part of the contract.” Heliosa Nursing Home DS0000018732.V351563.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. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of people are met and medication is well managed so that people know they will receive good care. EVIDENCE: A computer system is used at the home to record care plans, risk assessments and all other information about the progress and wellbeing of people living there. Staff receive reminders when care plans need updating and records cannot be altered once they are recorded on the computer. The home manager has ensured confidentiality by making sure that staff need a password to access care plans. Three care plans were looked at during the inspection visit. They included identified care needs and risk assessments. The care plans and risk assessments were written when the person first moved into Heliosa and they had been reviewed at least a monthly since then. Some care plans were better written than others. For instance, a risk assessment for nutrition for one Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 12 person was written as if the person was underweight whereas the problem was one of being overweight. Several care plans did not fully reflect changes that had occurred to the person’s care needs or when a problem no longer existed. The records showed that, where appropriate, a referral had been made to a health professional such as chiropodists, opticians and doctors. A visiting health professional told us, “staff are pleasant, cooperative and follow instructions.” The manager said that no one living at the home currently has a pressure sore. There was adequate provision of pressure relieving equipment. Since the last inspection the homeowners have provided a new room for the storage of medication so that there is now enough space to store and prepare medicines. The room is well equipped and hand-washing facilities are available in the former medication room. The home manager audits medication records regularly to make sure that staff are giving out medication safely. Medication records were checked and were of a satisfactory standard. Several people had been refusing a particular medication and the home manager said that she is trying to find an alternative form of this medicine that is more acceptable to people taking it. One person manages her own medicines. The home manager said that there is a risk assessment in place for this and that there are secure facilities in the person’s room to store the medication. People said that staff made sure that their privacy and dignity were respected. This was also confirmed in writing by a number of people who completed CSCI comment cards. One relative said, “they always knock on doors before entering.” Heliosa Nursing Home DS0000018732.V351563.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 good. This judgement has been made using available evidence including a visit to this service. The standard of catering is good and people have choice in their daily lives. However, the low level of individual activities means that people are at risk of boredom and lack of stimulation. EVIDENCE: There is no activities organiser for the home and care staff help with activities if they have time. During the inspection visit, a member of care staff was seen doing a quiz with several residents and the hairdresser came in the morning. Comments were made by people living in the home, relatives and staff about the lack of activities in the home. A person living in the home told us, “usually the radio or CD is put on and that’s the activity for the day. Sometimes a carer will play dominoes or Scrabble with me but this doesn’t happen often as they do not have the time.” A relative told us, “find time/resources to provide mental and physical stimulation, not just on the odd occasion but regularly.” A staff member wrote, “better entertainment for the residents, care staff don’t have time for this.” Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 14 Two care plans included a separate care plan for social needs but in both cases the actions were described in general terms rather than recording what the individual interests and hobbies of people were. This means that staff may not be aware of what those interests are and will not be able to provide person centred care. There was also very little recorded in the daily records about people’s social care needs so the staff could not assess whether these needs were being met. Visitors said that they were made to feel welcome when they came to the home. Several visitors told us that there is a fundraising committee, which includes relatives with the aim of raising funds for social events. One relative was pleased that her mother had been able to enjoy a trip to see the Congleton Christmas lights switched on. Heliosa also makes provision for the spiritual needs of people who wish to observe or take part in a service of their faith. There was virtually unanimous approval of the standard of catering. “The meals are very nice. My Mum has a small appetite, but I’m told eats well. Since living at Heliosa she looks much better and I think has put on a little weight.” The manager has recently introduced new winter menus over a four week period which are based on a book of nutritionally balanced menus. The main meal of the day is served at lunch and there are two sittings so that care staff have time to help all the people who need it. People are asked to complete their menu choices for the coming week with help from families wherever possible. Although the main cook finishes work after lunch two kitchen assistants are employed to prepare and clear away the late afternoon meal. Heliosa Nursing Home DS0000018732.V351563.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are well managed so that people know that action will be taken to address their concerns. A lack of training in adult protection means that some staff may be unaware of their responsibilities in protecting the people who live at the home. EVIDENCE: There is a complaints procedure for the home, which is displayed at the main entrance. We were told that a number of complaints had been received since the last inspection and that action had been taken to resolve these complaints. Feedback from people living in the home and relatives confirmed that they knew who to speak to about any concerns they had. The manager told us that there are policies and procedures for the home on the protection of vulnerable adults. Two nurses attended training about this before Christmas and three more senior staff will be attending training provided by the local Primary Care Trust. However, although the manager said that training on adult protection had been given to staff last summer there was no record of this either collectively or on individual training files. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owners ensure that Heliosa is well maintained so that people live in comfortable, pleasant and safe surroundings. EVIDENCE: Since the last inspection several improvements have been carried out at the home. These include a new medication room and the first floor bathroom in the older part of the building was being refurbished. The home was clean and tidy and there were no offensive odours noted. The manager takes steps to protect people from an outbreak of infection. One person living in the home said that during the last few months there was a smell of urine but none was noticed on the day of the inspection. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 17 The home has one dining room, three lounges and a small room next to a person’s room, overlooking a side courtyard. At the start of the inspection visit, the home was quiet and the television in the lounge next to the main entrance was not on so there were areas in the home where people could sit quietly. The hairdresser used this room later in the morning. One person told us, “I would like there to be a room other than my bedroom where there was no noise. The main sitting room generally has the radio on a local station with loud music and the sound of the TV from the other room is loud too. You can’t hear yourself think sometimes.” One of the owners said that people could use the small room overlooking the courtyard but this room is not as comfortable as the other lounges and there are fewer staff passing by so that people in the home do not like to use this room. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff at the home are well trained and there are thorough recruitment processes to vet staff before they start work so people living in the home are protected from possible poor practice. EVIDENCE: There is a low turnover of staff at Heliosa and the home very rarely uses agency staff. Although staffing levels in the home appear to be adequate, a number of staff feel that there are not enough of them. One relative felt that there should always be a staff member available in the office to observe residents and respond when a problem occurs. Several staff members commented that they felt that there were not enough staff on duty, particularly in the kitchen and for cleaning. Several staff also told us that they felt that staff morale in the home was low. On the other hand one carer said “I love the job” and that “management were approachable and supportive. “ Recruitment records for two new staff members were seen. These included all necessary information as well as security checks so that the manager was sure that the staff members were suitable to work with the people who live in the home. A new carer said that she had been given an introduction to various aspects of her role such as moving and handling and fire safety. She had been able to work alongside another colleague for the first week so that she was Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 19 then more confident in performing new tasks. The subject of further training had been discussed during appraisals so that she knew she would be given further support to carry out her job. Information provided by the manager before the inspection indicated that more than 50 of care staff had achieved NVQ 2 in care or above. Copies of certificates were seen on a number of training records. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Heliosa is a well managed home so that people know their needs will be met. EVIDENCE: Heliosa is a family owned and managed business. The registered manager, who is one of the owners, is a registered nurse with NVQ 5 in management. Since the last inspection the registered manager’s husband has become fully involved in the running of the home so that the home is now more effectively managed. The owners operate an open door policy so that staff are able to approach them with any problems. Heliosa has recently achieved the Investors in People award again, which shows that it has been recognised as an organisation that values people and is Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 21 a good employer. In addition, audits of many aspects of the home’s procedures have been carried out regularly to assess whether the home offers a good service. Where necessary, action is taken to put matters right. The manager said that questionnaires had been sent out to residents and relatives before Christmas and that a good response had been received. The manager intends to evaluate the findings of the survey and make any necessary changes to improve care. Fire records were looked at. The manager told us that all staff had received fire safety training in November 2007. Although regular fire drills are carried out at the home, it was difficult to see whether all staff had done drills in the last year as this was not recorded on the training chart. A fire officer had visited the home in November 2007 and made a number of requirements regarding fire safety, which the owners said they intend to put right. We were told that staff and managers do not handle money on behalf of people in the home and that this is the responsibility of families. Records of moving and handling training showed that several staff members have not done an annual refresher course, so that people may be at risk of unsafe practices. Information provided by the owners before the inspection indicated that all equipment and facilities at the home had been serviced in the last year so that people in the home know that the home is well maintained. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 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 4 X 3 X 3 X X 2 Heliosa Nursing Home DS0000018732.V351563.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP12 Good Practice Recommendations Care plans should accurately reflect the care needs of people so that clear instructions are provided about how care needs will be met. Consideration should be given to employing a person to organise and provide activities to make sure that all the people who live at the home can take part in activities they prefer regularly. Care plans should show how the individual social needs of residents are being met. All staff should undergo training in adult protection so that they know how to recognise abuse and what to do if they suspect someone has been abused. All staff should Take part in fire drills regularly so that they know what to do in the event of fire. CSCI should be informed in writing when all the matters raised by the fire safety officer have been dealt with. 3 4 5 6 OP12 OP18 OP38 OP38 Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 24 7 OP38 All staff should undergo an annual refresher course in moving and handling to make sure they do not use any techniques that might injure people who live in the home or themselves. Heliosa Nursing Home DS0000018732.V351563.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Heliosa Nursing Home DS0000018732.V351563.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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