Care Home: Lugano

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What the care home does well Staff listen to individuals and support them in a positive and caring manner. Residents look well cared for and staff interaction is good. The manager is very keen to ensure that the service at the home develops positively and that outcomes for residents are good. The staff team is stable and the level of experience with the resident group is good. The number of staff with a relevant qualification is increasing and staff training is good. What has improved since the last inspection? All requirements from the last report have been achieved. Care Plans and risk assessments for all residents have been reviewed. Quality assurance monitoring has been introduced. Staff recruitment has been improved upon. Staff training including manual handling and safeguarding is now complete and supervisions are now regular. Resident`s medication records all include photographs and nutrition is monitored. There is an on going maintenance schedule and a new activities programme that has been introduced. CARE HOMES FOR OLDER PEOPLE Lugano 3 Powell Road Buckhurst Hill Essex IG9 5RD Lead Inspector Sarah Hannington Unannounced Inspection 23rd June 2008 10:45 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 Lugano DS0000017873.V367060.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. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lugano Address 3 Powell Road Buckhurst Hill Essex IG9 5RD 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) 020 8505 2695 020 8506 0754 Mr David Pearce Mr M Brook Mr David Pearce Mr Michael John Brook Care Home 27 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (27) of places Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide accommodation and care to three service users with dementia (whose identity is known to the CSCI). 24th May 2007 Date of last inspection Brief Description of the Service: Lugano is a care home providing personal care for twenty-seven older people. It is situated in Buckhurst Hill, near to the station and local shops. The home is a three-storey Edwardian house with lovely views of the local countryside. The home has been extended with some of the original features maintained. There are three double and twenty-one single bedrooms. Four rooms have en suite facilities and two have direct access to a pleasant terrace area. The home is in good decorative order and well maintained. There is a large lounge and a separate dining area. A shaft lift provides access to all floors. Both the lounge and dining area open out onto a terrace and there is a large, well-kept garden to the rear of the property. There is room for some parking to the front of the home and street parking. Fees for the home are £540 to £620. Lugano DS0000017873.V367060.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. The site visit took five hours to complete and was carried out as part of the annual inspection programme for this home. This visit was conducted with assistance from the care manager. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. The site visit also focused on any requirements and recommendations from the last key inspection. The Commission for Social Care Inspection looked at all of the information that we have received, or asked for since the last key inspection. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA) form. This form is for the manager to look at and write down how well the service meets the needs of the people who live at Lugano care home. The manager has gained views from surveys being sent out to relatives and people who live in the home on how they think the service is run. What the service does well: Staff listen to individuals and support them in a positive and caring manner. Residents look well cared for and staff interaction is good. The manager is very keen to ensure that the service at the home develops positively and that outcomes for residents are good. The staff team is stable and the level of experience with the resident group is good. The number of staff with a relevant qualification is increasing and staff training is good. Lugano DS0000017873.V367060.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. 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. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A robust assessment process reassures prospective residents that their needs can be met before they move to the home. EVIDENCE: The Manager states on the AQAA that, ‘We have a comprehensive assessment procedure.’ Looking through the records of the individuals who have recently moved to the home, it clearly showed that all relevant information such as initial assessments from the referring social worker, essential information and the homes assessment is in place before any admission. Within the assessments, all areas of health care for individuals had been identified, such as weight monitoring, nutrition, personal care and medication. Care plans evidenced that pre-assessments, initial assessment and Com 5(information from the referring social worker), were reflective of each other. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 9 The service user guide is given to prospective residents during assessments. If offered a placement they will have a review after one month. This was all evidenced within the documentation looked through. The residents stated that, ‘they did get enough information before admission and either themselves or their families visited a number of times.’ One resident stated that, ‘this is my home now and I absolutely love it here.’ One relative stated that, ‘ we looked at many homes prior to Lugano, but nothing compared to this home.’ No intermediate care is given. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are successful in delivering appropriate care for all residents. EVIDENCE: The Manager states on the AQAA that, ‘We have a comprehensive care planning procedure which enables us to ascertain the needs of the service user and which we are then able to meet so far as it is possible for us to do so.’ Case tracking took place in respect of four residents. Personal care records were looked at as a part of this process to assess how involved and how well the services offered match the needs of the individual. Evidence from documentation showed that, good clear instructions were available for staff to follow when working with individuals and that daily log sheets are completed and showed good interaction between staff and resident. Records need to develop further so that they include residents views on how they like staff to work with them and show that staff are putting peoples preferences into practice. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 11 Overall, the outcomes for the residents are good, this is largely due to the staff team and manager providing consistency of care, having a stable staff team, having good communication and knowing each of the residents well. Many residents chatted with us about the wonderful care they received and observation showed that residents were consulted with on a regular basis. Whilst in the main lounge of the house, staff spoke with respect to people and asked if they wanted to do an activity, wanted to go outside and use the beautiful garden and if they were generally ok. Duties such as regular support through meals and toileting were done without fuss or being obvious and gave individuals dignity and respect whilst working in this way. The residents stated that, ‘they received the care and support that they needed, comments included, ‘The staff support us a lot’, ‘When something is not right I tell them and they correct it’, ‘the staff are all very kind and very good’, ‘I find staff very kind and very helpful’, ‘’everything runs smoothly’, ‘the staff attention you get is very good here’, ‘staff listen to us and are very helpful’. The residents stated that, ‘I always receive the medical attention that I need’, ‘the doctor is always called right away when I need some medical support’, ‘I always have access to anyone medical if I need it.’ The residents have plenty of access to health care professionals and on the site inspection we were able to talk to a professional who came in on a regular basis. They stated that, ‘ the care here is to a good standard and staff are excellent at following any instructions I have to give and people’s health care is maintained well.’ Looking through documentation the people who live at Lugano have a number of health issues that are all well catered for and outcomes of visits are recorded well. All residents have access to GP of their choice, dentists, chiropody, outpatients and other specific health support if needed. The Manager states on the AQAA that, ‘We hold regular care planning reviews. We ensure our service users are happy and settled and feel protected living in the home. We react quickly to changing needs and maintain good relationships with service users and their families and health professionals.’ Yearly reviews of all residents go ahead with their social workers. Risk assessments are to a good standard and reviewed regularly in all care plans. The risk assessments looked at, do lower the risk to an acceptable level, but also allow residents to take reasonable risks to support them in living a full and purposeful life. Infringements of rights documentation may need to be in place to evidence why it is necessary to restrict individual’s rights and evidence that this has been discussed with individuals or their representative. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 12 The relatives stated that, ‘The standards of care are so high at Lugano.’ ‘My relative always looks so neat, clean and well cared for.’ ‘We are always informed of any health care issues straight away. My relative has good access to medical care and treatment if needed.’ ‘My relative is treated with dignity, if they have an accident, they are changed straight away and always look good.’ Lugano DS0000017873.V367060.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. Opportunities for residents to participate in activities, which are suited to their needs and wishes, are available. EVIDENCE: The Manager states on the AQAA that, ‘Visiting relatives are always welcome and they are kept informed as to the welfare of the relative.’ All of the residents had someone who visited them from time to time and on the day of the site inspection a person’s oldest friend and neighbour was visiting them and told me that they did this regularly and were encouraged by the home to keep contact. The Manager states on the AQAA that, ‘We encourage service users to express themselves and make their choices and be as active as is possible.’ Observation within the home showed us that people were freely walking around chatting with each other and feeling comfortable within their surroundings. All of the people spoken with said they were really happy with Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 14 the staff and the home. Many stated that if they could not live in their own homes then they felt that this was the next best thing. Many residents had daily national papers and magazines available to keep up-to-date with current affairs. Other people had puzzles, crosswords and library books, which got changed regularly when the mobile library visited. Many people spoken with told me their faith was important to them and were supported in this area by ministers regularly coming into the home. There are planned activities through out the week. Additionally entertainers visit the home from time to time. Through out the home a collection of photographs adorned the walls that showed events, which had taken place, such as, birthdays and parties celebrated with families and friends being present as well. The residents stated that, ‘there are usually activities arranged that I can take part in’, ‘I would like to have more drives out, especially in summer’, ‘there is always an activity going on that I can join in’, ‘the lady who comes in and does exercises is very good’, ‘I enjoy when we have Karaoke’, ‘I like all the activities provided, I enjoy the lot!’ The relatives stated that, ‘Birthdays are celebrated for everyone.’ ‘The home is a welcoming friendly place where all the staff are pleased to see visitors. Visitors are always offered refreshments on arrival.’ ‘After two and a half years my relative could not be in a better environment.’ The Manager states on the AQAA that, ‘We provide a comfortable living environment for our service users and a high level of care and try as best we can to maintain their feeling of well being and satisfaction. We provide comprehensive care planning. Varied and nourishing menus with fresh food freshly cooked. Looking through documenation, nutrition and food planning had been taken into account when planning menus. There were plenty of provision of foods within the stock cupboard to ensure indivduals had access to food and drinks other than at meal times. Fresh foods are used and the quality of food provided is to a high standard using fish mongers, butchers and fruit and veg suppliers in the local area. All meals are home cooked and of a good quality. The residents stated that, ‘the meals at the home are very acceptable’, ‘I have put on weight since I come here, which is good’, ‘the chef is very good’, ‘I always like the meals here’, ‘I am very satisfied with the food’. Lugano DS0000017873.V367060.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. There are systems in place to ensure that peoples views are listened to, acted upon and support residents to be protected from abuse. EVIDENCE: The Manager states on the AQAA that, ‘‘We listen to our service users and their families. We deal with issues that may arise promptly. We provide a service to the satisfaction of our customer as evidenced by the letters and expression of thanks for the service we provide. A file is maintained to evidence this which is available for perusal by prospective residents.’ There have been no complaints made to the home or reported to the CSCI office since the last inspection. The manager has a good complaints procedure in place. All complaints are recorded, maintained and outcomes recorded. One resident stated that, ‘The manager always finds time to talk to me and I would feel confident that if I had a complaint it would be dealt with straight away and to my satisfaction’, another said ‘ there are a number of staff I can go to if I am unhappy about anything.’ The relatives stated that, ‘ we have never had a reason to complain.’ ‘ If I wanted to complain I know who to go to.’ Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 16 All staff have attended safe guarding (protection of vulnerable adults) training. Speaking with staff they a good awareness around these issues. Safe guarding training forms part of the induction process for all new staff. Lugano DS0000017873.V367060.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a clean safe environment. EVIDENCE: The Manager states on the AQAA that, ‘ ‘We have a rolling programme of improvement and refurbishment.’ ‘We maintain a beautiful garden for the enjoyment of the service users.’ A programme of maintenance is on going and on the day of inspection the front of the house was having a fresh coat of paint. One of the owners and registered managers was available throughout the site inspection and was seen to be carrying out a lot of the minor maintenance responsibilities. Later discussion with him showed us that the upkeep of the home is well managed and sensitively undertaken, consulting with the residents and informing them of what is on going and plans for the future. The home has a beautiful front Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 18 gravel drive and is decorated by flower, trees and shrubs. Outside to the back there is a large accessible patio area, which looks down onto a well laid and maintained lawn with a garden feature. Beyond this is another large area for residents use. Overall the amount of space inside and outside of the home is plentiful for the use of residents and their visitors. Inside Lugano gives people a home, it is not institutional looking but warm and has many period features still in place and is tastefully decorated. The home provides plenty of spaces for the residents and their visitors. People’s bedrooms are personalised and many of the residents told me they had bought in furniture and other things personal to them. Residents also told us that they had a choice of decoration and colours. Some people’s rooms have recently been decorated. The home is bright, fresh and has no odours. The home has plenty of flowers, pictures and has lots of information available to visitors and residents about the home. The standard of cleanliness in the home is to a high standard. In bathrooms and bedrooms, there are adaptations and equipment provided for the safety of the residents. All staff have had good training around manual handling and infection control. Just outside to the main house is a large laundry room and supplies plenty of facilities available to keep residents clothes clean and readily available. The residents stated that, ‘ the home is always spotless’, ‘I find it very clean’, ‘’everywhere is very tidy’, the house always looks beautiful’, ‘ I am very pleased with the facilities and standards kept.’ Relatives stated that, ‘The house is always immaculate.’ Lugano DS0000017873.V367060.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well supported by caring staff and are protected by staff recruitment, induction and training practices. EVIDENCE: The Manager states on the AQAA that, ‘We have a recruitment procedure to ensure compliance with regulations and carry out the necessary checks before employment. We engage staff on a probationary period to ensure their competence. We carry out all necessary checks before employment of staff. We communicate well. We undertake regular training for staff.’ Staff files were reviewed and recruitment records evidenced that application forms were completed, interviews were held, two references obtained, criminal records bureau checks undertaken and proof of ID and a photograph kept. Contracts of conditions of service and job descriptions were issued to new staff. Many of the staff spoken to had been at the home for a number of years and provided stability for the residents at Lugano. The newer staff spoken with came across as caring, knowledgeable and well supported. Training opportunities for all staff are good and include manual handling, health and safety, first aid, dementia awareness, fire awareness, safeguarding and Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 20 infection control. Staff spoken with reflected that courses undertaken had developed a better understanding of the residents that they worked with. With the present staff team in place the service meets the recommended levels of 50 of its staff team to be NVQ qualified. Relatives stated that, ‘The staff at Lugano are wonderful.’ ‘The care is excellent and staff are friendly.’ ‘It is outstanding care provided, caring, devoted to the residents and understands their needs.’ Speaking with staff about induction and looking through documentation the standard of induction is good and does reflect some of the ‘Skills for Care’ criteria for induction, however the manager needs to look into getting what is further needed to complete this process so that staff have a well rounded and balanced induction over the required number of expected weeks. The staff stated that, ‘we have a weeks induction.’ ‘The manager always supports us to ensure we have enough training.’ ‘Staff all get fair and equal treatment.’ ‘We have unity and good team work.’ ‘We have study days, meetings and training to fulfil our roles to the best of our ability.’ ‘We always have supports and are given information to improve our practice.’ Lugano DS0000017873.V367060.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, 35,36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The welfare of the residents is protected by a good management structure and ensures the health and safety of all residents. EVIDENCE: The care manager of Lugano has achieved NVQ4 qualification. Discussion with the care manager it is clear that she has high expectations of how the staff should support residents and what standard of care must be achieved. There is a dedication and a drive to improve the service is being put into practice. The manager makes a positive impact on how the team are delivering the quality of care by consulting and involving the residents to be part of the services future development. This is shown through observation on the site visit, Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 22 through surveys returned, documentation looked at and residents, staff and visitors spoken with on the site inspection. The Manager states on the AQAA that, ‘Management and staff have many years experience in the provision of care and the home is well run. The service users are happy in their environment and compliments are received. We believe this shows that we run the home well.’ Health and safety is maintained through good practice and all of the required certificates are in place. Additionally the staff have regular fire drill practice. Residents finances are looked after by their families or the power of attorney. Although there is an annual quality assurance package in place that includes views from all residents and relative, it does not include other persons that may come in contact with the home, such as GP’s, Social worker or district nurses. These results need to be made available to and include all interested parties and displayed within the home and a copy sent to us. These results could also prove useful to the manager when completing any AQAA that is sent. Lugano DS0000017873.V367060.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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Lugano DS0000017873.V367060.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 OP7 Regulation 15 (1)(2)(c ) Requirement To ensure that residents care plans evidence resident’s involvement and views have been sought and that a person centred approach is used. Timescale for action 26/12/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP30 OP33 Good Practice Recommendations Ensure that as well as the homes induction package that the staff induction systems follow the ‘Skills for Care sector’ criteria for the induction process. Quality-monitoring information of residents, relative and other professionals views need to be collated. The action plan with outcomes to be kept on the premises and made available for inspection and to all other interested parties. Lugano DS0000017873.V367060.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lugano DS0000017873.V367060.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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