Care Home: Wapley Court Care Home

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What the care home does well Residents` needs are being well met by the staff who work hard supporting and caring for them. One relative of a resident at the Home said, ` the staff treat everybody with respect and everybody is very caring `. One of the residents said, ` I`ve been very well looked after, If I say I`m not well they always take my word and see what they can do `, another resident said, ` I love it here its been the happiest time for me `. Residents` care plans have enough information in them to clearly show how needs are met. Residents are supported by staff who do a variety of care related training in matters to assist and support them in their work. Residents can enjoy a good standard and variety of food. There is a range of low key social and therapeutic activities put on for residents. What has improved since the last inspection? Residents` care plans are being regularly reviewed and updated to show how their needs are met. Residents` medication no longer required is being sent to the dispensing pharmacist. Cooked and uncooked meat is now being stored in the freezer in accordance with food safety guidelines. What the care home could do better: Ensure that all new residents are only admitted after an up to date, accurate assessment has been carried out. This is to demonstrate how residents` needs are to be met. This requirement relates to one very recently admitted resident having an assessment record that was not accurate, or up to date and failed to reflect the persons range of needs. Medication records need more information on them to explain why residents have not had medication administered. It would be safer for residents who ` self administer ` medicines if the date when they have been given their medicine to look after is recorded. This information is needed so that the quantities of medication stock can be easily kept monitored .It also demonstrates if medication has been given to residents or not, and the reasons why it may not have been. Make sure that a copy of the statement of purpose is easily available in the home for inspection and for residents and those who may wish to read it. CARE HOMES FOR OLDER PEOPLE Wapley Court Care Home Kelston Close Yate South Glos BS37 8SY Lead Inspector Melanie Edwards Unannounced Inspection 28th April 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 Wapley Court Care Home DS0000035256.V360015.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. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wapley Court Care Home Address Kelston Close Yate South Glos BS37 8SY 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) 01454 866840 01454 866841 sally.macauley@southglos.gov.uk South Gloucestershire Council Mrs Sally Diane Macauley Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate 32 service users aged 65 years and over requiring personal care only. 17th May 2006 Date of last inspection Brief Description of the Service: Wapley Court is a care home operated by South Gloucestershire Community Care Department. It is registered to provide personal care for up to thirty-two older persons who are aged sixty-five years and over. It is one of eight care homes belonging to the Council.The Home is of a two-storey design set in its own grounds. It is located in a modern residential area, close to shops, pubs and other amenities. The Home is also close to a main bus route, with services running into Bristol City Centre. The fee to stay at the Home is £511 a week. Wapley Court Care Home DS0000035256.V360015.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. We (the Commission) met seventeen of the thirty residents living at the Home. We spoke to two of the duty managers, and two care assistants and one of the cooks about roles, responsibilities, training needs, and how they assist residents. Staff were observed assisting residents with their needs. We saw the lunchtime meals being served. We looked at a selection of records relating to the running and management of the Home. These included three care plans, three assessment records, medication records, staff duty records, supervision records, accident records, fire records, and menu plans. We saw the majority of the environment and the only areas that were not checked were a small number of bedrooms. The Home was operating within the required conditions of registration set down by the Commission. The conditions of registration detail the type of care and the needs of residents, and the numbers of residents who may stay at the Home. What the service does well: Residents’ needs are being well met by the staff who work hard supporting and caring for them. One relative of a resident at the Home said, ` the staff treat everybody with respect and everybody is very caring ’. One of the residents said, ‘ I’ve been very well looked after, If I say I’m not well they always take my word and see what they can do ’, another resident said, ‘ I love it here its been the happiest time for me ’. Residents’ care plans have enough information in them to clearly show how needs are met. Residents are supported by staff who do a variety of care related training in matters to assist and support them in their work. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 6 Residents can enjoy a good standard and variety of food. There is a range of low key social and therapeutic activities put on for residents. 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. Wapley Court Care Home DS0000035256.V360015.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 Wapley Court Care Home DS0000035256.V360015.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): 1,3,6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with some of the information necessary to help them decide if the Home is suitable for them.However the statement of purpose is not easily available to residents . Residents are satisfied with how their needs are met .However new residents assessment information does not always demonstrate how needs are assessed. Residents are not provided with intermediate care at the Home. EVIDENCE: Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 9 We requested a copy of the service users guide and the statement of purpose. Each resident is given their own copy of the service users guide so they have helpful information about life in the Home. The guide includes information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain about the service. However the statement of purpose could not be located on the day of the inspection. This is a legal document that should be easily available for people to read about how the Home will meet peoples’ needs. It should also be available for inspection. Three residents assessment records were reviewed to find out how well residents’ needs are assessed. Two the assessment records were reasonably informative, and showed the residents physical, mental and social needs. The assessment records also linked clearly to each resident’s care plans, and showed a detailed assessment of the persons needs had been carried out and that plans of care had been devised from the initial assessment. However one very recently admitted resident’s assessment record was found to be not fully accurate. This is because it was not up to date and failed to reflect the person’s full range of needs. The assessments record made no direct mention at all of Wapley Court and how the Home would be meeting the persons needs. There were many comments of satisfaction expressed by residents and relatives about the care they receive and how they feel their needs are being met. Examples of comments made included, ‘ excellent service, I couldn’t better it, ’ ‘ it’s all right with me here, ’ and ‘ they provide good professional care ’. These comments were reflective of all the comments made, and demonstrate residents are satisfied with the service. There is no provision for residents to receive intermediate care at the Home. Wapley Court Care Home DS0000035256.V360015.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.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans show how needs are met. Residents are treated with respect and their privacy is upheld. Residents’ medication is handled and stored safely. However medicationrecording procedures are only partly safe. EVIDENCE: We had an in depth look at three care plans to find out how residents are supported by staff to meet their care needs. The care plans were reasonably informative and detailed how to meet the care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. Care plans had been reviewed and updated regularly. This demonstrates residents’ needs are being monitored and kept under review. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 11 The residents we met told us staff are, ‘ helpful, kind and caring ’ when they assist them with their needs. Comments made by residents included, ‘ the staff are all so caring, ’and ‘ my carer is very nice ’. We saw the staff assisting residents in a polite and friendly manner. Staff knocked on bedroom doors before entering bedrooms to help to protect residents’ privacy. There was written information in residents’ care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. We checked the practices and procedures for administration, storage and disposal of residents’ medication to find out if the Home has safe systems for handling medication. We looked at seventeen residents’ medication administration charts in detail. We saw a photograph of each resident kept with his or her administration chart for ease of identification purposes. However there was a lack of information recorded in a significant number of medication charts to explain why residents had not had medication administered. We saw administration charts for residents who were told ‘ self administer ’ their medicines. However the charts did not record the date when the resident have been given their medicine to look after. This information is needed so that the quantities of medication stock can be easily kept monitored. Medication stock was generally satisfactorily organised. There was a satisfactory system for ordering and receiving medication, and the records were up to date. Medication stock is stored in a cupboard in a movable metal drugs trolley, which is kept in a locked clinic room. Wapley Court Care Home DS0000035256.V360015.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): 12,13,15.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can take part in low-key social and therapeutic activities. Residents are supported to receive visits from family and friends. Residents are also provided with a well-cooked varied and nutritious diet. EVIDENCE: Residents take part in a range of low-key social activities, as well as regular trips out into the local community. There are regular outside entertainers who visit the Home, and several residents said that they were `good.’ We saw two residents go out for a walk to the local shops during the inspection. We were told by the residents that we met that they felt able to choose if they wished to, what time that they get up, and go to bed. This was also observed during the inspection, as we saw residents rising at differing times during the morning. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 13 We saw residents receiving visitors and we were told by residents the Home has a relaxed and flexible visiting policy. This should help to ensure residents keep in close contact with their families and friends. We saw the residents’ menu, and we found that meal choices were well balanced, and varied and special diets are also catered for. All of the residents that we met commented positively about the quality of meals provided. One resident said about the food, ‘ I’ve stayed in top hotels and the food here is better then some of them ’. To check the quality of food provided a portion of a lunchtime meal was sampled in the company of a group of residents. This consisted of sausages in gravy, creamed potatoes, cauliflower and green beans, there were two alternative meals for residents who did not want this including a freshly prepped salad. There was a strawberry flan, yoghurts or ice cream for desert. The meal was tasty and well cooked. We saw the staff help serve residents their meals in the dining room. The staff were assisting residents and talking with them in a friendly and courteous way. Wapley Court Care Home DS0000035256.V360015.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. Residents ’ views are listened to, and acted on. Residents are generally protected from the risk of abuse. EVIDENCE: Residents told us that they are given their own copy of the Homes complaints procedure. This means residents have the information they need to make a complaint. The complaints procedure includes the contact information for the Commission if a person wants to contact us directly. However the information is not up to date as it includes our old address. This makes it potentially harder for people to contact us if they need to. We were told by all of the residents that they see Mrs. Macauley and the other managers every day that they are on duty. Residents said they speak to them if they have any complaints. There is a policy about the protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse. There is also a copy of South Gloucestershire Councils ‘no secrets’ guidance document on the subject of abuse and the protection of vulnerable people. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 15 We looked in detail at three staff training records to check if the staff team have done recent training on the principle of the protection of vulnerable adults from abuse. The records we saw demonstrated that the staff have done recent training. Wapley Court Care Home DS0000035256.V360015.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): 19,20,22,23,25,26.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is safe and satisfactorily maintained. The environment is well appreciated by residents and is suitable for their needs. EVIDENCE: We have quoted parts of this section of the report from the last inspection report as it still applies: We observed residents looking very relaxed and comfortable in the environment .We saw residents sitting in all the different lounges, and spending time talking with each other .We met residents in their bedrooms who also looked relaxed and comfortable. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 17 Wapley Court is a purpose-built Home near to private houses and a short distance from the local town and near to bus stops. This helps ensure residents can be a part of the community. The Home is wheelchair accessible; and there is a lift to get to the first floor. The Home is two-storey building, and residents have access to all areas. There are a range of adaptations in place to assist residents and visitors with disabilities throughout the Home. The Home has a dining area and four separate lounges. One lounge leads onto a veranda with views over the garden. Residents were observed sitting in the lounges and dining room, looking relaxed and comfortable in their environment. The bedrooms are situated on the ground and first floor. All rooms are for single occupancy. Many residents told us how much they like their rooms .The rooms we saw looked homely and satisfactorily maintained. The Home is set in its own grounds. The gardens are satisfactorily maintained and there are patio seats where residents can sit. All bathrooms include specially adapted baths to assist residents who may have reduced mobility. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the Home. The Home looked clean and tidy in all areas that were viewed. Wapley Court Care Home DS0000035256.V360015.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 good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by a staff team who are competent and are suitably trained in the work they do. The recruitment practises and procedures could not be fully inspected on the day of the inspection. EVIDENCE: We looked at the duty record for the last week of April and the first week of May to see if residents are cared for by a sufficient number of staff. There will be a minimum of four care staff on duty for each shift as well as at least one manager working during the day. We also saw that there are extra staff available at busy periods. There are two care staff on duty at night, and an on call manager available if needed. Mrs Macauley works thirty hours a week. We did not check the number of catering, domestic and ancillary staff, however we saw these staff carrying out their duties during the inspection. We saw staff help, and talk to the residents in a courteous and very polite manner. Residents were positive about how the staff help them, one resident said,‘ the staff will do anything I want ’, another resident commented, ‘ they are all so kind ’. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 19 The managers and two care staff we met demonstrated that they had a good understanding of the needs of the residents in their care. The staff spoke with good insight into residents’ needs and what support individual residents require from them. We looked at a sample of the training records of the staff team to see if staff are up to date in knowledge of the needs of residents. There was good evidence that staff had attended training sessions, and updating over the last twelve months. There is a training programme for all staff that includes manditory training. The staff also do National Vocational Qualification(NVQ) in care award training courses.The numbers of staff who have finished NVQ training was not reviewed at the inspection. We were not able to fully check staff recruitment records to see if the Home carries out employment safety checks on staff before they start work. The majority of staff employment information is kept at South Gloucestershire Council head office. We did see one staff member’s confirmation that a Criminal Records Bureau check had been carried out on them. We carry out periodic checks on the staff requirement process at the head office to make sure that recruitment procedures are safe and protect residents. Wapley Court Care Home DS0000035256.V360015.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): 31,33,35,37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are living in a Home run by a person fit to be in charge, and who runs the Home in their best interests. A staff team who are appropriately supervised in their work support the residents. The health and safety of residents and staff is protected. EVIDENCE: Mrs Macauley has been the registered manager of the Home for many years. She has many years of experience caring for people with a range of needs, and in working as a manager. This helps to demonstrate she is fit and competent to Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 21 be the manager. Residents told us that Mrs Macauley is very ‘ efficient ’, and also that she will always sort out any problems that the may have. A number of residents said they see Mrs Macauley and the other managers regularly and they make time for them and will help them with their care needs if required to. There are also monthly visits (called Regulation 26 visits) to the Home done by a senior manager from the Council. During these visits residents are consulted about the care and service that they receive. There is a quality assurance system in place in the Home to check on the quality of the care and the service residents receive. This was not fully reviewed on this inspection. We were told that residents are encouraged to complete annual service questionnaires.The information is used to improve standards in the Home . The staff told us that they are well supported by senior staff, and have regular one to one supervision sessions. The supervision records that we looked at demonstrated staff are being well supervised and supported in their work. Residents’ records were generally satisfactorily maintained, up to date, legible and in order, (please see also comments about assessment records in the report). The records relating to the management of the Home were also satisfactorily maintained and in order. Individual records and the Home’s records are kept secure .We have referenced other records elsewhere in the report. The environment looked satisfactorily maintained throughout. The kitchen was clean and tidy and in good order. All kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. A health and safety manager from the Council does regular health and safety audits of the whole environment, to make sure it is safe. All staff do regular health and safety training in range of areas including food hygiene, fire safety, and infection control. This helps ensure staff have a good understanding of health and safety principals and practises. The fire logbook records confirmed fire alarm tests are being carried out. The checks of the fire alarms and fire equipment were up to date and showed this is being done regularly. We checked a selection of recent residents’ accident forms to find out what action is taken after residents have an accident. The accident records showed staff record in detail the nature of the occurrence, and all follow up action over a period of days after the event. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 22 Wapley Court Care Home DS0000035256.V360015.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 N/A 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP3 Regulation 14.1 Requirement There must be an up to date, accurate assessment carried out for all new residents admitted to the Home. Residents’ medication records must explain why residents have not had medication administered. A record must be kept of when residents have been given their own medication to selfadminister. Timescale for action 29/04/08 2 OP9 13 29/04/08 3 OP9 13 29/04/08 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. Refer to Standard OP1 Good Practice Recommendations A copy of the statement of purpose should be easily available in the Home. Wapley Court Care Home DS0000035256.V360015.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Wapley Court Care Home DS0000035256.V360015.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. 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