Care Home: Mansfield Manor Care Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well Mansfield Manor is well situated, close to the town centre and therefore local activities, such as the Civic Centre and Tesco`s, are easily accessible. The building is well equipped, and in a good state of repair, with tasteful decoration, and plenty of room. There are good activities organised, and on the day of the inspection, people were seen taking part in art activities and quizzes, and all in a very positive mood. The home provides good information for people who live their, their relatives, and anyone who might want to come in the future, and this includes a newsletter produced by the staff. What has improved since the last inspection? The one statutory requirement made at the last key inspection, relating to recording of medication, has been met, as have the eight good practice recommendations that were made. The foyer and the main lounge have been redecorated, as have some bedrooms. Some furniture has been replaced. CARE HOMES FOR OLDER PEOPLE Mansfield Manor Care Home 30-32 Chesterfield Road South Mansfield Nottinghamshire NG19 7AD Lead Inspector Rob Cooper & Angela Starr Unannounced Inspection 7th August 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 Mansfield Manor Care Home DS0000062255.V369939.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. Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mansfield Manor Care Home Address 30-32 Chesterfield Road South Mansfield Nottinghamshire NG19 7AD 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) 01623 631163 01623 631163 info@mansfieldmanor.co.uk Sherwood Healthcare Limited Cheryl Brown Care Home 38 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (30) of places Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within categories OP (30) or DE (8) within a total registration of 38 beds. 11th January 2007 Date of last inspection Brief Description of the Service: Mansfield Manor is a purpose built care home close to Mansfield town centre. The entrance is accessible for wheelchairs. The home is registered for Nursing, and residential care. A service is also offered for older people with needs relating to Dementia. Accommodation is provided on three floors, accessible with a passenger lift, and all bedrooms have en-suite toilet and washbasin facilities. Two double rooms are provided for couples who choose to share, but all other rooms are single. There are spacious communal areas and seating areas are also provided outside in a very pleasant garden area. The manager provided the following information on 7th August 2008 regarding the range of fees charged; these are between £294 and £420 depending on the needs assessment of individuals, and the level of service they require. People pay extra for newspapers, hairdressing and chiropody. People who might want to live at Mansfield Manor can obtain information about the home direct from them, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection, which are on display in the foyer. In addition information about Mansfield Manor and the services it provides can be found at the following web site: www.mansfieldmanor.com, which is currently under construction. Mansfield Manor Care Home DS0000062255.V369939.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 the people who use this service experience good quality outcomes. This was an unannounced visit as part of the key inspection process – so that no one at Mansfield Manor knew that the inspection visit was going to take place. The visit took approximately six hours through the middle of the day, with two inspectors present. In preparing for this inspection, the information that the Commission holds about this care home was reviewed, this included looking at the last inspection report, the inspection record, considering any complaints or concerns that have been made about the service, and reviewing any notifications made relating to incidents that affect the well being of people living at Mansfield Manor. The methods used during this key inspection and visit were to visit Mansfield Manor, where a method called case tracking was used; this involved identifying four people who live at the care home and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was followed by a partial tour of Mansfield Manor, looking at the activities on offer, and talking to three residents three members of staff about the quality of the service, and their experiences of living and working at Mansfield Manor. We also sent out an Annual Quality Assurance Assessment (known as an AQAA), which allowed Mansfield Manor to carry out a self-assessment; and provide a range of information relating to their service. The AQAA was dated September 2007, and a new AQAA is due to be sent out shortly. Information provided by Mansfield Manor helped to form the judgements in this report. We also gave out a number of surveys during the inspection visit asking for views and information, to people who live at the home and also to staff. These helped with the judgements that we made. The registered manager Cheryl Brown provided much of the information during this key inspection visit. On the day of this inspection there were thirty-two people living at Mansfield Manor. Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 6 What the service does well: 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. Mansfield Manor Care Home DS0000062255.V369939.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 Mansfield Manor Care Home DS0000062255.V369939.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): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People, who currently live at this care home, and those who would want to, have access to detailed information about the services on offer. People have contracts or a service agreement and they receive an assessment, which allows the people to make an informed decision about whether the home can meet their needs. EVIDENCE: Both the statement of purpose and service user guide for Mansfield Manor were seen during the inspection visit. These documents contained useful information about the care home. The information available would allow people living at the care home, and those who might wish to in the future, to make an informed choice about living at Mansfield Manor. Discussions with three people who live at the care home showed that they had been given copies of the service user guide, and copies were seen in the people’s Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 9 bedrooms. The home’s newsletter also informs relatives that copies of the latest inspection report are available. As part of the case tracking process four people who live at the care home were identified, and their files were seen, each one contained an agreement from Social Services to fund their placement, and a copy of the terms and conditions of residence. The individual had in some cases signed the terms and conditions of residence. Each of the four files that were seen contained a formal assessment of need. The assessments had all been completed in-house, they were however rather brief, and in a number of examples there were gaps in the information provided, with sections left blank. In their AQAA Mansfield Manor said: ‘We have a comprehensive pre-admission assessment for residential, dementia and nursing clients prior to admission.’ Mansfield Manor does not offer intermediate care, and therefore this National Minimum Standard was not assessed. Mansfield Manor Care Home DS0000062255.V369939.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 10 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People have their personal care given in a professional and caring manner by the staff, which means that their personal and healthcare needs are being met. Some aspects of the medication procedures leave people potentially at risk. EVIDENCE: Each of the files that were seen contained a plan of care, which identified personal goals and identified people’s needs and how to meet them. Evidence was seen that care plans were being reviewed regularly, and there were daily entries by care staff, to record progress and any issues relating to individual’s care. All of the files that were seen contained health care plans. The plans included information relating to health care professionals such as visits to the doctor, or by the nurse, and any hospital visits. A company called Vision Call visit the care home on a regular basis to test people’s eyesight, and arrange for new spectacles if needed. Three people were asked about seeing the doctor, and Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 11 they all said that the staff would get them a doctor if they were unwell, and if they needed one. An inspection of the Mansfield Manor’s medication systems showed that generally medication is handled safely, although several creams were seen in bedrooms, and not locked away. Some of the people who live at the care home enter other people’s bedrooms, and therefore have access to the creams. Administration records were seen and found to be complete. No one living at Mansfield Manor currently self-medicates. The procedures that were seen showed a clear audit trail for medication, and indicated that people living at the care home were safe, apart from the storage of creams. Discussions with three people who live at the care home, and observation of the staff working with people generally showed that the staff treated them with respect and dignity. This included observing staff knocking on people’s doors before entering, and speaking in a respectful manner. In their AQAA Mansfield Manor said: ‘The staff have a good understanding of privacy and dignity and put this into practice by promoting it in their day to day care.’ Each person’s file that was seen had a very good form covering different aspects of the individual’s wishes at the end of their life. However a number of these forms were either blank or had only been partly completed, which meant that individual’s wishes, including family involvement had not been identified and recorded. Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to this service. People have a lifestyle that reflects their cultural, social and religious interests, and needs, which means that their social care needs are being met. EVIDENCE: Discussions with three people who live at the home identified that there were plenty of activities arranged, these ranged from activities in the home such as bingo and table topped activities (games and puzzles), outside entertainers, and trips out in taxis. There is an activity co-ordinator working at the home, and discussions with her identified that there was a mixture of group activities and individual one to one sessions. Among the entertainment brought in to the home have been: singers, and musicians, and people living at the home are encouraged to be involved in choosing the entertainment. The evidence showed an improvement since the last key inspection, with increased hours for the activity co-ordinator, and more activities for people living at the home, and more varied activities too, with efforts to get out and access the local community through trips out. Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 13 Unfortunately no relatives were spoken with during this inspection visit, however two residents said that their families came often and the staff always made them welcome, and that there were open visiting times, so that relatives could visit at any time (within reason). In their AQAA the care home said: ‘Service users are encouraged to maintain contact with family and their community.’ Unfortunately no relatives were spoken with during this inspection visit, however two residents said that their families came often and the staff always made them welcome, and that there were open visiting times, so that relatives could visit at any time (within reason). In their AQAA the care home said: ‘Service users are encouraged to maintain contact with family and their community.’ Staff were observed to see how well they interacted with the people who live at Mansfield Manor, and whether choices were being offered. This was seen to be a positive situation with choice offered particularly around drinks and activities. Staff demonstrated how choices were offered and recorded at meal times, and the activity co-ordinator talked about how activities were organised, and choice was offered, including taking feedback from people taking part in activities. Discussions with three people indicated that they thought they had control over a lot of things in their lives. On the day of this inspection visit there was a good choice of meal on offer. Information related to people’s likes and dislikes was also seen in the kitchen. The food was well presented, and the dining room was attractively laid out for people. All of the people spoken with said good things about the food with comments such as: “The food is very good, and there’s always a choice, sometimes I have a beer,” and “It’s very good actually.” Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People are safe, as a result of the policies, procedures and systems that are in place, and those people and their relatives are confident that their complaints will be taken seriously and dealt with. EVIDENCE: Mansfield Manor has received no complaints since the last key inspection in January 2007. The home’s complaints procedure is on display in the foyer, and also forms part of the service user guide. The Commission for Social Care inspection has received one anonymous complaint, which was passed on to Social Services, following a visit to the care home, and a surgery held by Social Services staff no further action resulted from this complaint, as it was found to be unsubstantiated. Discussions with three people who live at the home indicated that they knew who to complain to, and how to complain, although none of them had ever needed to. In their AQAA Mansfield Manor said: ‘Service users and their family know how to make a complaint and they are very confident that they will be listened to and appropriate action will be taken.’ A review of the staff training records in relation to safeguarding adults, and a review of the statistics showed that thirteen out of nineteen care staff had undertaken this training in the last twelve months, with further course booked in the near future. The training is aimed at raising staff awareness of abuse, Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 15 and issues around abuse and through raising those issues, offering people greater protection against abusive practice, while also making sure that the staff understand the correct policy and procedure to follow if abusive practice is found. Three members of staff were asked about safeguarding adults training and they said they were aware of the issues, and had undertaken this training. Mansfield Manor have not had made any safeguarding adults referrals since the last key inspection. Mansfield Manor Care Home DS0000062255.V369939.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 & 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 safe, clean, well maintained and comfortable home, with their personal possessions around them, which means that they are living in ‘homely’ surroundings that meet their needs. EVIDENCE: A partial tour of Mansfield Manor showed that it was comfortable and well maintained, with good quality fixtures and fittings. A new large screen television has been purchased for the lounge, and digital television is available in all bedrooms. Several bedrooms have been redecorated since the last key inspection, as have corridors and the front entrance foyer. Discussions with three people who live at the care home showed that they thought Mansfield Manor was comfortable and meets their needs. Several bedrooms were seen, and these were well personalised, and homely, all of the people who were Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 17 spoken with said they felt they had everything they needed, and that they thought their bedrooms were comfortable and the home was well equipped Domestic staff were seen cleaning in different parts of Mansfield Manor during this inspection visit, and discussions with staff showed that there were systems in place for cleaning, and that the home had a good supply of cleaning materials. The building was found to be clean, and smelt fresh. In relation to cleaning Mansfield Manor said in their AQAA: ‘We provide a clean and excellent maintained environment, very pleasing to the eye.’ Mansfield Manor Care Home DS0000062255.V369939.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 & 30 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. People living at the care home are potentially at risk due to failings in the recruitment procedures. Staff are competent and trained to do their jobs, which means that the people who live at the care home have staff who are able to meet their needs. EVIDENCE: The staffing rota for Mansfield Manor was reviewed and this showed that there was enough staff currently employed to meet people’s needs. Three people living at the care home were asked about staffing levels, and they said that they thought there were enough staff. The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A review of the staff training records showed that currently there are nineteen care staff at Mansfield Manor, of whom there are nine staff with NVQ level II, and three currently studying for their NVQ level III qualifications. In addition there are seven qualified nurses working at the care home. The files of four members of staff were seen, to check that they contained all of the information that would show that staff at Mansfield Manor had been recruited in a safe manner – namely that applicants had filled out an Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 19 application form, provided two written references and had had a Criminal Records Bureau check. The documentation showed that Mansfield Manor’s recruitment policy and procedure had not worked fully to protect the people living there, as one individual did not have two written references on their file. Three members of staff were asked about their recruitment and they all said they had gone through all of the pre-employment checks, and had not started working until those checks had been completed. The staff training records showed that Mansfield Manor does have a training plan for its staff. The training records showed that staff were receiving the training to help them to do their jobs. Discussions with three staff members provided evidence of the training courses staff had attended, including training in fire safety, dementia and health & safety etc. Mansfield Manor Care Home DS0000062255.V369939.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 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Mansfield Manor is a safe, well-managed care home with good systems for ensuring it’s quality in place, which means that people living at the home have their needs met. EVIDENCE: Cheryl Brown is the Registered Manager. She is suitably qualified and experienced and she has been judged by the Commission for Social Care Inspection to be a fit person to run a care home. Mansfield Manor’s quality assurance system relies on questionnaires being filled in by service users, relatives and visitors. Copies of these questionnaires were seen together with evaluation of the results. The care home does not Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 21 currently hold meetings for the people who live there, although the activity coordinator is hoping to start these again. Comments from a member of staff in a questionnaire included: “Residents could be encouraged to be more involved. A resident’s meeting would be interesting, to discuss what they think could be improved, and make them more involved in the running of the home.” Regulation 26 visits (these are monthly audits by a representative of the owners’ management team) are taking place, with copies of reports seen; these are part of the home’s quality assurance system. Mansfield Manor has a system for people’s small cash needs. This is operated on behalf of some of them by the staff (dependent on individual choice and their ability to manage the money, or relative’s involvement). Four people’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of the individual’s financial expenditure to be followed. Mansfield Manor has a formal staff supervision system in place, in which staff receive supervision, either with the manager or with one of the other senior members of staff. This is usually in a one to one meeting. Formal supervision offers staff support and guidance in carrying out their work, and is seen as an essential management tool in residential care. Three members of staff were asked about formal supervision, and they all said they felt well supported, and were receiving regular supervision sessions, however a review of the documentation showed that for some staff members, formal supervision was not being held regularly, and in some examples seen, the records indicated no supervision had taken place for nearly two years. Many different health & safety records were seen, including the fire safety records – weekly tests, emergency lighting tests and extinguisher maintenance records, and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date. Mansfield Manor Care Home DS0000062255.V369939.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 3 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Mansfield Manor Care Home DS0000062255.V369939.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation Requirement Timescale for action 31/10/08 Regulation Every member of staff must 19 have all of the items identified in Schedule 2 of the Care Standards Act (2000) and these must be available for inspection. This will include two written references. 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 Assessments carried out on people who are living at the care home should be fully completed prior to them moving in, so that care plans are based on comprehensive information, and are therefore designed to meet people’s needs. Creams used for applying to people’s skin should not be left in bedrooms, but should be kept locked up securely. Documentation relating to people’s wishes at the time of their death, including whether they wish to be buried or cremated should be completed, following consultation with those individuals and their relatives. DS0000062255.V369939.R01.S.doc Version 5.2 Page 24 2. 3. OP9 OP11 Mansfield Manor Care Home 4. 5. OP33 OP36 Regular meetings for people who live at Mansfield Manor should be held to allow those people to have a formal say in how the care home is run and organised. All members of staff should have a minimum of six formal supervision sessions a year, with a record kept of the content of the meeting and available for inspection. Mansfield Manor Care Home DS0000062255.V369939.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 Mansfield Manor Care Home DS0000062255.V369939.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. 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!