Care Home: Wrea Bank Residential Home

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What the care home does well What has improved since the last inspection? The manager has reviewed the care plan format used in the home. This new format is less clinical and is based more on person centred planning. All staff have received in-house training on how to complete the new care plan, which is good practice. New carpet and other furnishings have been replaced and updated around the home to help improve the comfort of the residents living in Wrea Bank. There is a significant improvement in the numbers of care staff working towards achieving a National Vocational Qualification at either level II or III. What the care home could do better: The home has had a new manager in post for over 12 months but the Commission for Social Care Inspection have still not received an application for this person to be registered with them. Failure to register an experienced and suitably qualified person as manager of the home could lead to further action being taken. CARE HOMES FOR OLDER PEOPLE Wrea Bank Residential Home 20 Edge Lane Chorlton Manchester M21 9JF Lead Inspector John Oliver Unannounced Inspection 9th April 2008 10:00a 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 Wrea Bank Residential Home DS0000064866.V361850.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. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wrea Bank Residential Home Address 20 Edge Lane Chorlton Manchester M21 9JF 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 861 8444 F/P 0161 861 8444 Ellis@wreabank.co.uk Lymburn Limited ****Post Vacant**** Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 18 older people (OP) may be accommodated. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum ` Care Staffing in Care Homes for Older People`. 12th April 2007 Date of last inspection Brief Description of the Service: Wrea Bank is a residential home providing accommodation and personal care only for up to 18 older people. Accommodation is provided in 12 single and 3 double bedrooms. Two of the single rooms have en-suite facilities. The home has two lounges, a dining room and a conservatory. Wrea Bank is located South of the city centre with access to public transport links into Manchester City Centre, Chorlton and Stretford shopping centres. The home is set in large well maintained gardens that are accessible to residents. A large car park is available to the front of the building. At the time of this visit to the service weekly fees ranged from £378:00 £450.00 per week. Additional charges are made for hairdressing, newspapers and some transport costs. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The 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 visit, which the home did not know was going to happen, took place over the course of six hours on Wednesday, 9th April 2008. During the course of the site visit we spent time talking to the residents, the manager and staff on duty to find out their view 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 before the visit took place and contained some 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 of 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: Wrea Bank provides a warm, friendly and welcoming atmosphere where the individuality of people living in the home is promoted. Staff are encouraged and enabled to spend time sitting and chatting with residents. Over the past twelve months the manager and staff team of the home have worked hard to further improve and develop the service and comments from people living in the home included: * * “Staff are very helpful and caring” “Could not wish for better care and attention” DS0000064866.V361850.R01.S.doc Version 5.2 Page 6 Wrea Bank Residential Home * * “The meals here are (now) excellent – couldn’t be better” “If I am at all worried about anything the staff are very good and listen”. Residents continue to participate in their own ‘committee’ and meet on a regular basis to discuss issues relating to various subjects with minutes being kept. This gives people the opportunity to express their own opinions in a suitable forum. Residents were very clear about who they would go to should they have a concern or a complaint. Activities continue to be well organised with the manager taking responsibility for ensuring regular activities take place. What has improved since the last inspection? What they could do better: The home has had a new manager in post for over 12 months but the Commission for Social Care Inspection have still not received an application for this person to be registered with them. Failure to register an experienced and suitably qualified person as manager of the home could lead to further action being taken. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 7 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. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 8 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 Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with a lot of information regarding the service prior to admission and receive a full assessment of their needs. EVIDENCE: The manager told us that he had recently updated both the service user guide and statement of purpose and we saw that copies of these documents had been made available in resident’s bedrooms. We looked at the files of three recently admitted residents and all contained relevant pre-admission assessment information including summaries of the Care Management Assessments. The manager told us that all prospective residents whether privately funded or via social services Care Management arrangements receive a full assessment of their needs. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 10 Wrea Bank does not offer Intermediate Care services. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 11 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 planning processes within the home included all aspects of health, personal and social care although information could be further expanded. The administration and handling of medication was managed appropriately. EVIDENCE: Each person living in the home has an individual care plan and since our last key inspection visit in April 2007 the format used has been reviewed and updated. The manager told us that the new care plan format is being used on a trial basis and that it was hoped that a more person centred plan would be developed from this. All care staff have received one day’s in-house training on how to use the new care plan format. We saw that the care plan covered all aspects of daily living but did not include emotional or spiritual needs. Lack Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 12 of such information could place the resident at risk of certain needs not being appropriately met or recognised. Details contained within care plans about how assistance was to be given to an individual resident varied in contents with some have clearer details than others. For example, one care plan relating to bathing stated ‘assistance of one carer’. Other care plans for the same person relating to mobility and decision making indicated that this resident would have difficulty in getting in and out of a bath and about saying what assistance they actually needed. The care plan for bathing therefore did not contain enough specific detail about how assistance should be given in order to meet the individual’s identified needs. This could place the resident at risk from inappropriate support being given. We saw that other healthcare professionals such as district nurses and general practitioners were involved in supporting residents with their health needs. A number of residents have an “Active Case Manager” (ACM) who operates via the individual’s General Practitioner. This role involves the ACM monitoring the health of that individual and reporting their findings back to the GP. The manager told us that this system has helped some residents maintain better health. Each resident now has an “Adult Person Held Community Record”. This record is completed by all visiting healthcare professionals and, for example, if a resident was admitted to hospital this record would go with them, would be completed whilst in hospital and then returned with them when they go home. In conversation with staff it was clear that they understood how to promote and maintain the privacy and dignity of each resident when carrying out personal tasks and our observation of staff carrying out their duties confirmed this. At the time of this visit the manager confirmed that no person had pressure sores. Those at risk did have pressure relieving equipment in place and records seen of visiting professionals demonstrated that matters of maintaining health were seen as important by the manager and staff of the home. Wrea Bank used a pre-dispensed monitored dosage system for administering medication. Medication was appropriately and securely stored and medication administration records presented as predominantly appropriately maintained and correct. Since our last key inspection visit to the home some improvements have taken place in the way in which medication is ordered and checked and the manager and senior staff now check all prescriptions before sending them to the pharmacy for dispensing. This helps to minimise the risk of errors occurring. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 13 We randomly selected to look at some medication to be administered ‘as and when’ required and found that the balances recorded were correct. At the time of our visit no resident was on Controlled Drugs but we did discuss the correct storage of this type of medication with the manager. One resident told us “I get my medication when I should – they never miss”. We received two survey questionnaires from residents living in the home and comments included “Staff very helpful and caring”, “Could not wish for better care and attention” and “Very helpful staff”. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 14 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. Residents were able to exercise choice and control over their day-to-day lives and activities were provided. EVIDENCE: The manager told us that he has taken on the responsibility for planning and coordinating activities to take place in and out of the home. Since the last key inspection visit the manager has reviewed the activities available and has held discussions with the residents to find out what they would like to do. Some of the newer activities that have taken place include a cheese and wine party, concerts with Oysters and Sushi , beer tasting and chocolate tasting sessions. A focal point in the hallway of the home is a large notice board displaying lots of information about available activities and information relating to different cultures, religions and beliefs and appropriate pictures and photographs were in place that supported this information. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 15 The manager told us that he allocates £50 per month from his budget to enable foods to be purchased and prepared for residents as part of social activities. This food is purchased from various culturally appropriate stores, for example, Afro-Caribbean, Chinese and Asian. An activity is then held where the food is sampled and residents can discuss their likes/dislikes. People living in the home have their own committee with a chairperson and secretary, which meets on a regular basis to discuss issues relating to various subjects with minutes being kept. We saw that visitors are actively encouraged to come to the home and are also invited to social events such as concerts and cheese and wine tasting afternoons. Examination of the visitor’s book also demonstrated that visitors came to the home on a regular basis. One resident told us “The staff are very good – we have various things to do during the day although not every wants to (or is able) to join in”. Residents spoken to told us that they were able to choose what they did during the day and were not rushed into getting up in the morning or in going to bed in the evening. On resident had a telephone and refrigerator in her room and another held a key to her door. Since the last key inspection in April 2007 a new cook has been employed to work in the home. The manager said the new cook is qualified and has developed a two weekly menu that allows a good range of choices to be offered. Residents told us “You usually have a main choice of two things – but if you don’t like either they will do you something else” and “The meals here are (now) excellent – couldn’t be better”. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 16 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: Wrea Bank has an appropriate complaints procedure and we saw that this was also included in the service user guide and each resident has a copy in their room. The manager told us that no complaints had been received by the home since our last key inspection visit in April 2007 and the complaints register was made available for us to look at. Those residents we spoke to told us, “I never have reason to complain but if I did I would speak with Daren (manager)” and “If I am at all worried about anything the staff are very good and listen”. One comment in a survey questionnaire returned to us by a resident stated, “Never had to make a complaint” and “Daren (manager) listens to any concerns but if he is not available any of the staff will listen”. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 17 The manager told us that all staff have achieved or are working towards achieving a National Vocational Qualification (NVQ) at level II or III and that part of this training includes the protection of vulnerable adults. Training in this subject was also being arranged with Manchester City Council training consortium at a local training centre. The manager and other staff spoken to were very clear about the procedure to follow in the event of an allegation of abuse being made and the manager confirmed that no safeguarding referrals had been made since our last key inspection visit in April 2007. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 18 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 in place to minimise any risk to residents living in the home. EVIDENCE: We looked around most parts of the home and found that the requirements made in the last inspection report regarding the environment had been satisfactorily completed. New carpet had been laid on all corridors throughout the home and many rooms such as bedrooms, lounges and dining room had been repainted and refurbished with new soft furnishings and pictures. The manager told us that one bathroom was due to be fully refurbished using money received from a grant and this would be taking place over the next few Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 19 weeks. This will further enhance the facilities that are available for residents to use. Residents spoken to were very happy with their surroundings and one resident asked that we looked at her bedroom. This room was very personalised and homely and reflected the character of the person whose room it is. The manager told us that he now had a programme of renewal and refurbishment in place and was intending to prioritise any work required. No unpleasant odours were detected during our tour of the premises. In the survey questionnaires returned to us before the inspection took place one resident told us “(The home is) very well kept and spotless at all times” Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 20 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. A competent, trained team of workers helps to ensure that the needs of residents are being appropriately met. EVIDENCE: The home’s rota provided evidence that sufficient staff were being deployed to meet the assessed needs of people living in the home. Residents spoken to during our visit told us “(staff) are very good and helpful” and “There is always enough staff around to help you when you need it”. Observation of staff during this visit demonstrated that enough staff seemed to be employed to meet the needs of the residents currently living in the home. Staff spoken to confirmed that they felt enough staff are on duty at any one time to meet people’s needs appropriately. Staff also said that the manager would help if necessary, especially when a member of staff rings in sick at short notice. Information obtained from the Annual Quality Assurance Assessment sent to us before the inspection took place showed that out of a team of 15 care staff, 6 had successfully completed a National Vocational Qualification (NVQ) level 2 or above which is less than 50 of trained staff required. A further 9 staff are Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 21 working towards an NVQ level 2 or 3. When these staff have completed the course the percentage of trained staff will rise to 100 . Training records for staff are now computerised and the manager told us that a record is kept on each staff’s individual file. It was confirmed by those staff spoken to that training had been undertaken and included moving and handling, person centred care, health and safety management, NVQ level 2, safeguarding adults and safe handling of medication. We were unable to examine the staff files on this occasion as the manager did not have the key to the filing cabinet available and we will look at these files at our next key inspection visit. We talked to one of the newer members of staff about their recruitment to the home and they told us that all necessary pre-employment checks and paperwork was carried out prior to them actually starting work in the home. This included the manager of the home obtaining two suitable written references and a Criminal Record Bureau (CRB) disclosure for the proposed new employee. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 22 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. Overall, management and administration arrangements were meeting the needs of the people using the service. EVIDENCE: The manager has been in post for over 12 months and a requirement to become registered with the Commission for Social Care Inspection was made in the key inspection report of April 2007. This requirement has still not been met and consequently has been reiterated in this report. Failure to apply for registration within the given timescale could result in further regulatory action being taken. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 23 Since our last key inspection visit the manager has successfully completed the Registered Managers Award and is now considering further training options to enhance his career opportunities. Staff spoken to during the visit told us they are happy with the management of the home and comments included “Daren is an excellent manager. When it comes to the job being done he does it – he is very fair – if there are things I am not happy about he is willing to discuss them with me”, “We have regular one-to-one supervision sessions and regular staff meetings and things are improving all the time – I have no concerns at all” and “Daren is a good manager, he is supportive – otherwise I would not work here”. “We get regular supervision and written notes are kept”. One resident told us, “The manager is exceptional”. In the two survey questionnaires returned to us before the inspection took place residents have told us “The humour of Darren transfers to the staff which make’s Wrea Bank a very pleasant experience” and “Could not wish for better care and attention”. There is no formal quality assurance system in place although the manager has developed a basic questionnaire to be given to residents and/or their relatives to complete. This questionnaire asks relevant questions about the service provided by the home and the manager said that he would use the feedback to further develop the services on offer. The manager told us that a resident’s committee meeting is held every two months with minutes being kept. The manager told us that he does not manage personal finances for any person living in the home. These are handled either by relatives or other advocates. If a person is admitted with cash or cash is brought in by relatives for items such as hairdressing it is recorded, signed for and receipts obtained. The owner visits the home on a weekly basis and speaks with the manager, staff and residents and tours the premises. Since the last key inspection visit the manager told us he has reviewed, and updated where necessary, all policies and procedures used in the home and these were seen to be accessible to staff. Staff spoken to also told us that they had access to policies and procedures. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 4 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 25 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 OP31 Regulation 8&9 Requirement An application must be made to the Commission for Social Care Inspection for a suitable person to become registered as the manager of Wrea Bank. Timescale for action 13/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP7 Good Practice Recommendations Consideration should be given to ensuring that emotional and spiritual needs are identified within the care plan format. Information in care plans should contain specific details as to how individual assistance is to be offered. Wrea Bank Residential Home DS0000064866.V361850.R01.S.doc Version 5.2 Page 26 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 Wrea Bank Residential Home DS0000064866.V361850.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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