Care Home: The White House

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What the care home does well We found the atmosphere in the home to be relaxed, comfortable and informal and residents spoken to said they were very happy with the care and support they received. The home places great importance on making sure that people considering coming to live in the home are given good and suitable information about the home to help them make an informed choice about their care arrangements and about their rights. There are different ways in which information about the home is given to people making enquiries about the service on offer and these included large print and audio versions of the Service User Guide. In one questionnaire returned to us by a relative it stated, "I arrived unannounced on a Bank Holiday Monday to be greeted warmly by the staff. I was told about the home and the service it provides. On leaving I was presented with a wallet of written information about the home. This helped me to make an informed choice on choosing a care home for my mother".A member of the management team carries out weekly checks of the premises including things like checking stair carpets, window restrictors, walking aids and radiator guards and then records their findings and any action needed is then carried out. This is good practice as it helps to minimise potential risks to residents, staff and visitors to the home. There is evidence that the new owners and the management team have been looking at different ways to further improve the service offered by the home. It is also acknowledged that once the new owners knew an inspection visit was taking place they came to the home to be involved in the inspection process. What has improved since the last inspection? This was the first visit since the home was registered to the new owners, however, a number of bedrooms have been redecorated and repainted and had new floor coverings laid. The home has recently received the Investors In People Award after a full assessment of the service had been carried out. What the care home could do better: The way in which information is recorded on residents individual files could be further improved to make sure all information is followed up such as requesting a doctor`s visit and any outcome from that visit. Lack of such information being recorded could place resident`s health at risk of their needs not being fully met. Staff`s training files need to be kept up to date with all the training staff have participated in. CARE HOMES FOR OLDER PEOPLE The White House 84 Wythenshawe Road Northenden Manchester M23 0DF Lead Inspector John Oliver Unannounced Inspection 09:00 19 December 2007 th 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 White House DS0000069899.V351288.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 White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The White House Address 84 Wythenshawe Road Northenden Manchester M23 0DF 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) 0161 998 7632 0161 998 5368 Ixora Healthcare Ltd Mrs Christine Sykes Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people 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. The maximum number of people who can be accommodated is: 28 Date of last inspection First inspection Brief Description of the Service: The White House provides residential accommodation with personal care for up to twenty-eight (28) people within the category of old age (OP). The White House is a large detached property set in its own ground with parking space to the front of the home. A private patio area and garden is featured to the rear of the property and is enclosed at all sides offering a high degree of privacy. The home is situated in a residential area of Northenden, within easy reach of the motorway network, public transport and local shops. There are two spacious lounges, two dining rooms and sufficient bathroom and toilet facilities to meet the needs of residents in the home. Fees charged range from £358:09 for a shared room to £373.54 for a single room. Additional charges are made for items such as newspapers, magazines and hairdressing. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to the home prior to the site visit. This inspection visit was the first one under the new ownership of the home. This visit, which the home did not know was going to happen, took place over the course of 6 hours on Wednesday 19 December 2007. During the course of the site visit we spent time talking to residents, the managers, the owner and staff on duty to find out their views of the home. Before the site visit we sent the manager of the home an Annual Quality Assurance Assessment (AQAA) document for them to complete and return to us with information about the service they provide. This was returned to us before the visit took place and contained information that helped us to assess the service being offered by the home. Again, before the site visit we sent questionnaires to residents, relatives and staff for them to complete and return to us to tell us what they think about the service being provided. A number of these were returned before the visit took place and contained information that helped us to assess the service being offered by the home. We also spent time examining various files and written information and spent some time looking around the building. What the service does well: We found the atmosphere in the home to be relaxed, comfortable and informal and residents spoken to said they were very happy with the care and support they received. The home places great importance on making sure that people considering coming to live in the home are given good and suitable information about the home to help them make an informed choice about their care arrangements and about their rights. There are different ways in which information about the home is given to people making enquiries about the service on offer and these included large print and audio versions of the Service User Guide. In one questionnaire returned to us by a relative it stated, “I arrived unannounced on a Bank Holiday Monday to be greeted warmly by the staff. I was told about the home and the service it provides. On leaving I was presented with a wallet of written information about the home. This helped me to make an informed choice on choosing a care home for my mother”. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 6 A member of the management team carries out weekly checks of the premises including things like checking stair carpets, window restrictors, walking aids and radiator guards and then records their findings and any action needed is then carried out. This is good practice as it helps to minimise potential risks to residents, staff and visitors to the home. There is evidence that the new owners and the management team have been looking at different ways to further improve the service offered by the home. It is also acknowledged that once the new owners knew an inspection visit was taking place they came to the home to be involved in the inspection process. 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 White House DS0000069899.V351288.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 White House DS0000069899.V351288.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 excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with a lot of information regarding the service prior to admission and receive a full assessment of their needs. EVIDENCE: We saw that the home had a detailed and comprehensive service user guide and statement of purpose that had been updated and contains all the necessary and relevant information that would be required by any prospective resident. This information has also been placed in each bedroom and packs are also available in other formats such as large print and an audio version. Presentation packs of information are supplied to all people enquiring about the service and a lot of information about the home is also displayed on a notice board in the hallway. A number of survey questionnaires were returned to us by relatives and residents before our visit took place and comments included, “(Received) lots of information – very informative”, “Called unannounced – staff very helpful and informative”, “The profile of the home is The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 9 an accurate description of the service provided” and “On leaving I was presented with a wallet of written information about the home. This helped me to make an informed choice on choosing a care home…” The manager told us that each resident admitted to the home had a full multidisciplinary assessment on file and that the manager or a senior member of staff would also carry out a comprehensive assessment to ensure that the individual’s needs could be met. Both assessments were completed prior to arranging admission into the home. We looked at the files of two recently admitted residents and both contained all relevant pre-admission assessments and documentation. The manager also confirmed that the home did not provide an intermediate care service. The White House DS0000069899.V351288.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. Care plans were in place that detailed the needs of the individual resident and supporting policies and procedures were in place to ensure the safe handling and administration of medication in the home. EVIDENCE: We saw that people living in the home had an individual care plan on their file. These plans had been developed with the involvement of the resident and/or their relative/advocate whenever possible. Those plans examined during the course of our visit had been signed by relatives. The plans are detailed in a simple and easily understood format and reviews were clearly linked into the current care plan. A number of risk assessments were also examined and were found to contain clear details of the identified risk and had clear information in place about managing the risk. We looked at a number of files and saw that they contained information about visits from other healthcare professionals such as doctors and district nurses The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 11 and a separate record was kept of all these types of visits for ease of access to such information. One resident spoken to said, “I see my doctor whenever I need to – the staff send for them straight away”. In the survey questionnaires returned to us by relatives and residents the following comments were included, “The care provided is to an extremely high standard in all areas”, “Staff are always accessible, and make themselves available at all times to the client and their family”, and “A wonderful home that provides an excellent high standard of care and management, respects and provides dignity in the care delivery…” All staff have responsibility for recording information about residents on a dayto-day basis and these records were examined. We saw that in most instances, information was only recorded once a week unless there was an ongoing issue. However, we also saw that some information that was relevant to share about individual residents’ care needs had not been followed up by recording in writing to confirm whether the required actions had been taken. This involved requesting a doctor to visit the resident. Lack of regular recording about residents’ health needs could place them at risk of their needs not being fully met. A monitored dosage system is used for the administration of medication, and all staff responsible for administration of medication had received relevant training and, at the time of our visit, were undergoing further training at City College, Manchester. At the front of the Medication Administration Records (MAR) was the Policy and Procedure for dealing with medication and the procedure for the administration of medication to be given ‘as and when required’ (PRN). Those records we checked were found to be accurate and a spot check of medication to be given ‘as and when required’ was done and balances of medication were found to be correct. Where the resident was able to take homely remedies this had been authorised by the individual’s doctor who had signed the homely remedies ‘authorisation sheet’. Two residents were prescribed Controlled Drugs and these were found to be appropriately stored, recorded and balances of this medication was found to be correct. Observation of staff and residents showed that good relationships had been developed and residents appeared to be comfortable when staff were assisting them. We spoke to a number of residents who said, “Staff are lovely”, “Night staff check on me during the night”, “Staff are wonderful” and “Such a fantastic place”. The White House DS0000069899.V351288.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, were encouraged to maintain contact with the community and are provided with a wholesome and well balanced diet. EVIDENCE: Routines in the home appeared flexible and allowed people the freedom to choose what, if any, daily activities they participated in. An entertainment coordinator is employed five afternoons per week to specifically encourage participation in social activities in or out of the home. All available activities were advertised on the notice board in the hallway of the home. Before we carried out the visit to the home we received 13 survey questionnaires back from residents living in the home and comments in them about the activities included, “I find the activities very enjoyable”, “Everyone is included, with an activity”, “…enjoys the singer that visits” and “Perhaps more activities, such as painting and colouring could be introduced?” The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 13 Arrangements have been made for the local clergy to visit the home on a weekly and monthly basis and residents spoken to told us that their relatives and friends are always made to feel welcome when visiting the home. Menus are planned over a two-week cycle and residents we spoke to told us that choices are offered at every meal. The lunchtime meal was a relaxed and social occasion and staff were seen to discreetly assist those residents who needed help. Table settings were appropriate and residents were very complimentary about the meals served. One resident said, “We get plenty of choice – you can have what you want”. Comments in the returned survey questionnaires confirmed that the majority of residents ‘always’ liked the meal served and comments included, “Excellent choice of food”, “Meals are always to an excellent high standard, very well presented and nutritious” and “I enjoy all meals – easy to please”. The White House DS0000069899.V351288.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and training measures were in place for staff to support residents to raise any issues of concern and to protect residents from neglect and abuse. EVIDENCE: We saw that a comprehensive complaints procedure was available that included the name and address of the Commission for Social Care Inspection (CSCI). A copy of the complaints procedure was located on the main notice board informing residents and visitors to the home that the CSCI could be contacted at any stage in the complaints procedure. Comments received from residents and their relatives demonstrated that they felt confident in approaching the manager and staff with any issues of concern. Two complaints had been received by the home since the last inspection visit in June 2007, when the home was registered to the previous owners. We looked at the information contained within the complaints record and this confirmed these complaints had been satisfactorily dealt with and concluded. The home uses the Manchester Multi-agency Policy for the Protection of Vulnerable Adults, which includes the Department of Health guidance ‘No Secrets’. The manager told us that all staff had attended appropriate training in this and staff spoken with were very clear about the procedure that should be followed if an allegation of abuse was made. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment was clean, tidy and comfortable with systems and procedures in place to protect the safety of residents. EVIDENCE: The atmosphere of the home was warm and very welcoming and the home had been appropriately decorated ready to celebrate the holiday season. The manager told us that work would be starting after Christmas to re-furbish the bathrooms and toilet areas and corridors would be redecorated and have new floor coverings laid. We saw that the lounge areas were comfortably furnished, clean and tidy and were set out in such a way that residents could easily see staff and could also talk to each other. The carpet in the lounge is beginning to show signs of wear and tear and discussion with the manager confirmed that this carpet would be The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 16 replaced as soon as the work to the bathrooms, toilets and corridors had been completed. We saw that the carpet in the smaller lounge area had began to lift because of regular cleaning and, although this had been re-stretched since the last inspection visit, it was lifting again. The manager said that the decision has been made to replace this carpet at the same time as the other lounge carpet. This will minimise any risk to residents and staff from a potential tripping hazard. We looked at a number of bedrooms and most were decorated and furnished to a good standard and reflected the character of the resident whose room it was. A number of the rooms seen had also had new floor coverings laid. However, two rooms seen were in need of redecoration as the standard of decoration was looking poor and this was discussed with the manager who said she would carry out an audit of all bedrooms and would prioritise the two rooms identified to be redecorated as soon as possible. The laundry area is situated at the rear of the premises and was found to be appropriate to meet the needs of the number of residents living in the home. We saw that the home has a high standard of cleanliness throughout and no unpleasant odours were detected in the building. Residents and relatives told us in the questionnaires they returned to us that the home was “Very clean and well organised”, “Extremely clean, of all the times I have visited there has never been an odour and everything is extremely well presented”, and “I feel the home is a little ‘tired’ – the toilets need replacing and I feel that the bathrooms could do with an over-haul…” The grounds around the home are well maintained. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 17 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. Sufficient numbers of staff are employed in the home, with staff training and development helping to ensure staff are competent to carry out their jobs. A robust recruitment and selection process helps to protect residents from unsuitable people working in the home. EVIDENCE: Watching staff during this visit to the home and looking at the staffing rotas provided evidence that resident’s needs were being met by an appropriate number of staff. Residents and relatives told us “Staff are always accessible and make themselves available at all times…” “Very dedicated staff see to the needs of the residents” and “At all times the staff listen to any concerns and act accordingly, to a very high standard”. We saw that all staff have individual training files but these were difficult to assess, as they had not been brought up to date with all the training the staff had actually received and completed. However, the manager told us that she was in the process of reviewing these files and planning the training for the next twelve months as many of the staff needed refresher training in things such as moving and handling, basic food hygiene and first aid. Of the 16 care staff employed in the home, 13 have successfully completed National Vocational Qualification training at Level II. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 18 Policies and procedures are in place for the recruitment of staff and the file of the latest member of staff to be employed in the home since our last inspection visit and examined. All necessary documentation was in place and all pre-employment checks had been satisfactorily carried out before the individual started work. Such thorough pre-employment checks help to safeguard residents from unsuitable people being employed to work in the home. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living in the home benefit from having the support of a management team with skills to provide a good quality service and procedures in place to promote their interests and well being. EVIDENCE: The residents in the home benefit from a committed team of staff and from the low turnover of staff that helps to provide continuity in meeting care needs. The registered manager has recently retired from her post but has remained working in the home to support the management team whilst a new manager is recruited. It was also confirmed that the new owner of the home comes in every month and speaks with both residents and staff and does a full tour of the premises after which, a written report is completed. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 20 The manager told us that weekly health and safety checks are carried out of things like bath hoists, radiator covers, window restrictors and walking aids in order to minimise any risks to residents and identify any potential hazards as soon as possible. This is good practice. We saw that an annual quality audit of the service is carried out using questionnaires that are sent to residents and their families/representatives, and results from these questionnaires are used to develop an ‘action plan’ for the coming twelve months. It is the policy of the home to support and encourage residents to manage their own finances for as long as possible. Most residents had the support of their relatives to manage personal allowances and only small amounts of money were held by the manager for which written records of all transactions carried out are kept. Secure facilities are also provided for the safe keeping of money and valuables. We spoke to a number of staff during our visit and they told us that the new owners are “So approachable, you can talk to them about anything”, “It has been good that during the change of ownership the residents have not lost out on anything” and “They (the owners) ask staff for advice”. Staff also told us that they received regular one to one supervision and a twelve monthly appraisal. Information provided by the manager prior to the inspection visit taking place confirmed that all equipment used in the home was regularly maintained and serviced and records were kept. A random selection of these records were examined and were found to be in order. The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 21 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 4 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 X X X X X X 3 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 X 3 The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations It is strongly recommended that details of all action taken to meet an individual’s health care needs are appropriately recorded in order to minimise the risk of their needs not being fully met due to lack of written information. It is recommended that the carpet in the large and small lounges be replaced as part of the rolling programme of maintenance and refurbishment and in order to minimise any risk to residents, staff and visitors. It is recommended that an audit of all bedrooms be carried out and redecoration and repainting take place where needed. It is recommended that the training file for each member of the staff team be kept up to date with details of all training that has been completed. 2. OP19 3. OP30 The White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 White House DS0000069899.V351288.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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