Care Home: The Gables Care Home

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What the care home does well People have assessments performed prior to moving into the home and said their healthcare needs are recorded and met. People said they are afforded appropriate levels of privacy and dignity, enjoy living at the home but expressed concerns in relation to the limited social activities provided. People said they enjoyed the meals at the home and could have snacks and drinks as they wish. People said they felt safe and well looked after and believed that the manager and staff employed at the home meets their needs. The safety and welfare of people who use the service is promoted through effective routine maintenance. What has improved since the last inspection? This is the first unannounced inspection since the home was registered with Suncare Homes Ltd. CARE HOMES FOR OLDER PEOPLE The Gables Care Home 169 Attenborough Lane Attenborough Nottinghamshire NG9 6AB Lead Inspector Steve Keeling Unannounced Inspection 12th August 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Gables Care Home DS0000071410.V370099.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. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Care Home Address 169 Attenborough Lane Attenborough Nottinghamshire NG9 6AB 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) 0115 9255674 0115 9259287 Suncare Homes Ltd Miss Sharon Heron Care Home 26 Category(ies) of Dementia (26), Old age, not falling within any registration, with number other category (26), Physical disability (2) of places The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home with nursing - Code N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Physical Disability - Code PD - maximum number of places: 2 The maximum number of service users who can be accommodated is 26 N/A 2. Date of last inspection Brief Description of the Service: The Gables Care Home is a converted property situated in a quiet residential area near to local amenities, and a short distance from a nature reserve. Accommodation is offered for up to 26 older persons, two of which may have physical disabilities, and two beds can be used to care for service users who’s life is knowingly time limited. All lounges and public areas are situated on the ground floor, with a large sitting room; conservatory which doubles as the main dining area, and one further small lounge that includes a small dining table. The majority of bedrooms are situated to the first floor of the home, which is accessible by a passenger lift. The range of fees currently charged are between £375-£525. People pay extra for newspapers, hairdressing and chiropody services. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views on the quality of service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting people who use the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The registered manager, two members of staff, visitors to the home and relatives of people whom use the service were spoken with as part of this inspection. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of people who use the service. A partial tour of the building was undertaken which included bedrooms, communal areas and the garden to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last inspection was considered in planning this visit, which included an Annual Quality Assurance Assessment (AQAA), provided by the registered manager and the single response to the ten “have your say” survey which was filled in by a relative on behalf of a person who uses the service. The quality rating for this service is 2 star this means the people who use this service experience Good quality outcomes. What the service does well: The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 6 People have assessments performed prior to moving into the home and said their healthcare needs are recorded and met. People said they are afforded appropriate levels of privacy and dignity, enjoy living at the home but expressed concerns in relation to the limited social activities provided. People said they enjoyed the meals at the home and could have snacks and drinks as they wish. People said they felt safe and well looked after and believed that the manager and staff employed at the home meets their needs. The safety and welfare of people who use the service is promoted through effective routine maintenance. 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. The Gables Care Home DS0000071410.V370099.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 The Gables Care Home DS0000071410.V370099.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): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have assessments performed prior to moving into the home, to make sure their needs can be met. Intermediate care services are not provided at the home. EVIDENCE: The pre inspection survey asked, “did you receive enough information about this home before you moved in, so you could decide if it was the right place for you?” the response received by the Commission stated, “yes”. The registered manager stated, and people confirmed that a service users guided is provided on admission to the home. The guide sets out the objectives and philosophy of the service, the qualifications and experience of staff, and information relating to how to make a complaint. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 9 We spoke to people who use the service and visitors to the home, they confirmed that they had received the guide and felt they had been given sufficient information about the home and the facilities available. People are only admitted to the home on the basis of a full needs assessment undertaken by people competent to do so. The assessment process provides the opportunity to identify people’s holistic needs and provides the opportunity to identify people’s needs in relation equality and diversity. The assessment process also uses information from advocates such as social service department when available. Intermediate care services are not provided at the Home The Gables Care Home DS0000071410.V370099.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. The healthcare needs of people who use the service are recorded and met. Medication is managed appropriately and people who use the service are afforded appropriate levels of privacy and dignity. EVIDENCE: The pre inspection survey asked, “Do you receive the care and support you need?” the response received by the commission stated, “usually”. We asked a person who uses the service if he felt his needs were being fully met, the response was “Yes always, they are very good here, I am very happy” We asked relatives of people who use the service about the quality of care provided; the responses included “The home and staff are very good. At the moment my wife’s needs are fully met, I am very satisfied” and “Yes we are very pleased, yes very much so”. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 11 Care plans are in place, which are pre prepared templates. The care plans are personalised with individual names and additional information if required. The care plans provide staff with sufficient information to promote people’s health and wellbeing but would benefit from being more person centred. In addition peoples consent to the content of their care plans is not currently sought. The care plans include risk assessments to ensure risks are identified and addressed. A person had been identified as “at risk” in relation to malnutrition. A referral had been made to the dietician but a care plan had not been formulated to address the concern. The manager addressed the shortfall immediately on the day of the inspection. The pre inspection survey asked, “Do you receive the medical support you need?” the response received by the Commission stated, “usually”. Records showed, and people who use the service confirmed that they have access to the District Nursing team, Chiropodists and their General Practitioner on request. Records also showed and people confirmed that they also attend opticians and the dentist as required. People who use the service were asked if they received their medication on time, responses included “ yes always” and “of course we do”. A medication round was observed; the medication was administered in a safe manner. The Medication Administration Records (MAR) were filled out correctly and demonstrated medication was administered appropriately. The temperature of the medication fridge was being monitored on a daily basis, records showed that the temperature was slightly outside the required 2-8 degrees centigrade on occasions. Medication is stored in a suitable trolley, which is secured to the wall when not in use in the clinic room. On the day of the inspection it was noted that the medication room door was not locked when not in use. A person who uses the service said, “I am very happy, I feel safe and well looked after” and confirmed that his respect and dignity is always promoted. A visitor to the home said “This home is very good, they go over and above what I would expect, an example being that when it was our wedding anniversary the staff arranged a surprise meal for use, it was excellent. I was also invited to the celebrations on Christmas day and New Years Eve, which I really enjoyed”. Visitors said that the staff are welcoming and respectful at all times, and said they had never witnessed anything that gives them cause for concern. Through observation of practice on the day it was evident that staff always The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 12 knocked before entering peoples bedrooms and promoted peoples privacy and dignity at all times. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Limited recreational activities are provided, opportunities are available for people who use the service to interact within the broader community. People who use the service benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. EVIDENCE: The pre inspection survey asked, “Are activities arranged by the that you can take part in?” the response received by the Commission stated, “yes”. People who use the service said that the social activities provided at the home, is limited to occasional sing songs, playing bingo and playing board games. A person said that guest entertainers attend that home on a monthly basis but at times it can be quiet boring living at the home. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 14 A member of staff, who is responsible for social activities, stated that it is very difficult to motivate some people at the home but she is exploring alternative entertainment options. The member of staff also stated that people who use the service could access the local community when their relatives take them out on day trips, but trips organised by the home have not been provided for a very long time. On the day of the visit (PM) people were enjoying a singsong with the care staff, the atmosphere was relaxed and people were interacting well with each other. Although people are encouraged to take part in activities people said that staff respect their choice if they do not wish to participate. A small well-maintained, secure garden area is available for use in the summer months. The garden area is accessible to people with impaired mobility and the area has a range of garden furniture. The manager stated that an open door policy is encouraged at the home and stated that family and friends can visit as they wish. Visitors to the home confirmed the open access and stated, “we are always made very welcome, tea and coffee is always provided”. The manager stated within the Annual Quality Assurance Assessment “Mealtimes are unhurried, assistance is given when required, and a choice of meals is provided from a varied menu”. The pre inspection survey asked, “Do you like the meals at the home?” the response received by the Commission stated, “usually”. People who use the service said that they were very happy with the meals at the home, stating “the meals are lovely, always very nice, always a choice provided, well presented and plenty”. A visitor to the home said, “the meals look excellent”. Written menus are on display in the dining room to assist people in selecting their meals. On the day of the visit people were provided with a choice of fish and fresh vegetable or omelette and salad followed a sweet of their choice. The meals were home made, well presented and looked very appetising. People also confirmed that they could have a drink whenever they wish. The Gables Care Home DS0000071410.V370099.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 and concerns are effectively managed and staff have received training in Safeguarding Adults. EVIDENCE: The pre inspection survey asked, “Do You know who to speak to if you are not happy?” the response received by the Commission stated, “yes”. A written complaints procedure is displayed in the home foyer. The procedure is also supplied on admission within the service users guide”. People who use the service said they felt safe in the home and felt confident that they could report any concerns to the manager or the senior members of staff. One person said “I like I here, I have nothing to moan about, I would let them know if I was not happy. I feel that any issues would be addressed”. We asked a visitor to the home if he was aware of the complaints procedure and was he aware of what to do if she was not happy with the service. The visitor said “ we feel that we could talk to the manager if I had any concerns, the staff are excellent, I have no problems approaching the manager The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 16 or staff, mum is happy at the home, and I am happy with the care she receives”. The Commission for Social Care Inspection has received one anonymous concern. We discussed the elements of the concern with staff at the home and the concern could not be substantiated. Although the manager was not investigating any complaints at the time of the visit, records showed that one complaint had been recorded since the home was registered with Suncare Home Ltd. The complaint was documented and included outcomes and actions following the complaint. The revised Nottinghamshire Safeguarding Adults policy is available at the home to provide staff with guidance should they suspect abuse was happening. Although a member of staff could not recall when she had last received training in the protection of vulnerable adults she had good understanding of her role and responsibilities if she suspected abuse was happening. The manager said that training in the protection of vulnerable adults is booked with an accredited trainer. The accredited trainer was contacted and confirmed the training has been booked for 23rd and 24th September 2008. The Gables Care Home DS0000071410.V370099.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 good. This judgement has been made using available evidence including a visit to this service. People benefit from a safe, well-maintained environment, which is comfortable, clean and safe. EVIDENCE: Information provided within the Annual Quality Assurance Assessment stated, “The home remains airy and easily accessible, we provide a comfortable environment”. The pre inspection survey asked, “is the home clean and fresh?” the response received by the Commission stated, “always”. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 18 We asked a person who uses the service if he was satisfied with the standard of cleanliness at the home, he said “Its smashing, lovely and clean all the time”. Visitors to the home also expressed satisfaction with the standard of cleanliness stating, “The home is always clean and fresh, I come almost every day and I have never had any concerns, it’s a lovely place” and “Always found the home to be clean and tidy, no complaints whatsoever”. We also performed a partial inspection of the premises, which included people’s bedrooms, communal areas and the kitchen facility. All areas were very well maintained, clean and fresh. People’s bedrooms were homely, safe and personalised with many personal possessions such as family pictures, small items of furniture, a television and radio. A sample check was made on water outlet temperatures, which were satisfactory. Restrictors were present on windows and radiator guards are in place to promote peoples safety. Antibacterial hand scrub is provided throughout the home, which is excellent practice. Staff confirmed that Protective aprons and gloves were available in the bathroom areas and staff said that they are used at all times to promote infection control. A small concrete ramp is in place to allow access from the conservatory to the garden area. The ramp has a small amount of moss on it which could be a slip hazard to people who use the service. The manager said that it is planned to have the ramp removed and upgraded in the near future but w2ould have the area “jet washed”. The Gables Care Home DS0000071410.V370099.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. The number of staff employed at the home meets people’s needs. A more robust system should be established to show the training opportunities provided to staff. Recruitment practices are effective in promoting safety. EVIDENCE: The pre inspection survey asked, “are staff available when you need them”, the response received by the Commission stated, “yes”. On the day of the visit 22 people were in residency at the home. To meet their needs one registered nurse was on duty, supported by four care staff, two kitchen assistants, and a cleaner. People who use the service said “ there are always plenty of staff available, I never have to wait, they are great”. A visitor to the home said, “staff are excellent, we have no problems approaching the manager or staff, mum is happy at the home, and we are happy with the care she receives ”. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 20 Records showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained. The manager also was in the process of putting individual identity photographs on the staff files. Records showed and staff confirmed that on commencing employment staff are enrolled on an induction programme, with an expectation that the induction process will be completed within three months. Staff said that they have received additional accredited training and some records were available to support this. The manager said that a system has not been established to demonstrate past and planned staff training provision; therefore it was not possible to fully establish the training opportunities afforded to all the staff. The manager stated that due to her current workload it has not been possible to formulate a training matrix but agreed that she would address the issue as a matter of priority. Information provided by the manager within the AQAA showed that the service has achieved the target of 51 of staff trained to or working towards a National Vocational Qualification (NVQ) level two and above to ensure a suitably qualified workforce is employed at the home. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by a person who is fit to be in charge. The safety and welfare of people who use the service is promoted. EVIDENCE: The registered manager is a Registered General Nurse and has attained a degree level Registered Managers Award (RMA) in January 2007. A member of staff said that she felt supported by the manager, she said, “ the manager is very supportive, if I have a problem I can talk to her in confidence, The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 22 she provides good guidance and direction for the staff”, and “I like it here, its a bit like a family, well all get on very well”. A visitor said “the manager and staff always have plenty of time for us, always have time to chat, we are fully informed of any developments, the manager is very good”. Information within the Annual Quality Assurance Assessment showed that the policies and procedures are updated appropriately. The manager said that satisfaction surveys are to be sent to people who use the service and their representatives, on a yearly basis, in October. The information gleaned from the questionnaires will be used to identify any areas where improvement can be made. Records showed that the registered provider undertakes the quality auditing processes as Regulation 26 visits had been performed on a monthly basis to monitor the standard of care provision at the home. The manager stated that secure facilities are available for people to store their spending money at the home. On the day of the inspection only one person was using the facility. Financial transactions for example hairdressing and chiropody services are recorded and receipts are obtained to ensure that people are protected from financial abuse. The manager stated that she finds if very difficult to fulfil her managerial commitments as she is expected to do two days of direct care for the people at the home. The manager stated that as a result of the limited time available to her staff meetings are not currently performed and an effective system is not in place to demonstrate staff training provision. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 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 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 The Gables Care Home DS0000071410.V370099.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 Requirement To promote the health and wellbeing of people who use the service, consent in relation to the content of care plans should be sought from people who use the service or their representatives whenever practically possible. To promote the health and wellbeing of people who use the service access to the garden area much be safe. Timescale for action 30/09/08 2 OP19 13 30/09/08 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 3 Refer to Standard OP7 OP12 OP30 Good Practice Recommendations Care plans could benefit from being more person centred. To promote the health and wellbeing of people who use the service the social activities should be reviewed to ensure that stimulating recreational activities are provided. The promote the health and wellbeing of people who use the service a system should be established to show the DS0000071410.V370099.R01.S.doc Version 5.2 Page 25 The Gables Care Home 4 OP31 past and future staff training provision To promote the health and wellbeing of people who use the service the manager should be provided with sufficient time to meet her managerial roles and responsibilities. The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 26 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 The Gables Care Home DS0000071410.V370099.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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