Inspection on 29/09/05 for 101 Sutton Road

This inspection was carried out on 29th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

101 Sutton Road 02/04/07

101 Sutton Road 11/01/05

101 Sutton Road 10/08/04

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE 101 Sutton Road 101 Sutton Road Maidstone Kent ME15 9AD Lead Inspector Lynnette Gajjar Announced Inspection 29th September 2005 09:45 X10029.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 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 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 and Care Homes for Adults 18 – 65*. 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. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 101 Sutton Road Address 101 Sutton Road Maidstone Kent ME15 9AD 01622 671064 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) MCCH Society Limited Mrs Pauline Matthews Care Home 5 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (3) of places 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD (E) for three service users whose dates of birth are: 20/08/1935, 28/09/1935 and 31/12/1935 24th May 2005 Date of last inspection Brief Description of the Service: 101 Sutton Road is one of a number of registered care homes managed by MCCH Society Ltd in the south east of England. The home offers 24-hour care to 5 service users with a learning disabilities, who are aged 50 years and over, with a strong emphasis on older person care. The home offers accommodation on two floors with five single rooms. There is a small lounge/dining room and kitchen area, which is compact for five Service Users. The home has a large rear garden. The home has two call bells fitted and TV points in the bedrooms and lounge. The home is situated off a main road with local shops and amenities. It is within easy reach of Maidstone town centre with a bus service close by. The home has a small team of care staff, with a registered manager and senior support worker working together to cover a 24 hour roster. The home does not provide waking night cover but a sleep over staff member. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The visit lasted from 09:45am until 16:20pm. The home currently has five service users and has no vacancies. The visit was spent talking directly with service users privately and collectively; three care staff, newly appointed senior carer and the registered manager. Due to the nature of the service, it is difficult to reliably incorporate accurate reflections of the service in the report. Some judgements about quality of life and choices were taken from direct conversation with service users and observation followed by discussion with support staff and evidencing records held at the home. A tour of the premises was undertaken. Additional information was obtained through receipt of the manager’s preinspection questionnaire, self assessment record, a tour of the premises and conducting a case tracking exercise, by reading the care plans of the two service users. Comment card feedback was also received from service users, their relatives, care managers, GP and other professionals working with the home. What the service does well: 101 Sutton Road provides a welcoming and homely environment, is decorated and furnished to a good standard and is clean, bright and airy. Staff promote service users personal choices and rights thus enabling them to feel confident within their daily lifestyle. Being encouraged to take part in the local community, follow personal interests through a varied social and leisurely lifestyle. Service users through positive interaction with staff and managers feel genuinely liked and respected. Service users expressed how they felt safe and secure at the home. There are good relationships with other professionals and G.P to ensure up to date assessments, health care and equipment is assessed and made available to promote a safe and supportive lifestyle. The home benefits from a committed and competent care staff team, with a motivated and experienced manager. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 6 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. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Service users and their families are given all the information they need to make an informed choice about whether to live at 101 Sutton Road. EVIDENCE: The homes statement of purpose and service user guide gives clear information about the services provided. Due to recent changes some minor updating is required and in hand. Both documents are in both written word and object reference pictorial formats. The key working and person centre planning process continues to develop, to offer clear promotion and support in identifying personal aspirations and meeting individual care needs. The home has not had any new admissions over the past 12 months. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 9 Care plans contained a written tenancy agreement, which gives the persons’ security and rights of residency, detailing the tenants and landlord’s rights and responsibilities. The home does not provide intermediate care. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, Individual health, social care needs and personal choices are well supported through discussion, and informed decision-making. EVIDENCE: Two individual care plans were tracked. Staff maintain comprehensive care plans to ensure consistent, safe care and support is given. Those over 65 years are reviewed monthly with yearly reviews with Care Management from the local authority. The new risk assessment format is very clear, detailed and easy to follow, offering an excellent baseline for guidelines to promote individual independence through minimised risk. Records are stored securely. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 11 Service users were familiar with their care plans and enjoyed sitting with the inspector discussing their goals and achievements since the last inspection. The health and personal care needs of service users are well supported with regular contact with specialists and external professionals. Interaction between service users and staff is good showing genuine respect, friendship and appropriate familiarity with each other. Service users discuss daily as well as getting together formally through service user informal meetings, what they would like to do, daily routines and chores, activities and issues for the home. Service users are involved in making decisions and participate in all aspects of the home today, to the best of their abilities. Safe medication practice is in place with regular monitoring and auditing by the manager. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, Service users are given encouragement and support to make choices about aspects of their daily lives, including a range of local social and recreational interests. EVIDENCE: Continued support from staff enables individuals to access local amenities and surrounding area including shopping, walks, and trips out to lunch, garden centres, cinema, bowling, garden clubs, fitness groups and various activity centres. All service users were out for the morning. Due to their maturing age, current service users do not aspire to attend education or work environments but to concentrate their time in social, leisure and recreational 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 13 activities. All service users have had a holiday (going away separately). Three service users having or about to celebrate their 70th birthdays. Three service users sat sharing their personal experiences and photographs with some happy memories. Service user families are in regular contact, with an open door visiting policy. There is high regard from families towards the staff team and care provided. Residents are supported to visit or meet relatives outside the home. All feedback cards received from relative stated they were satisfied with the overall care given. “We would like to give our special thanks to (name of service user) key worker (name of staff) for her dedication over many years.” 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Systems are in place to enable those living and visiting the home to raise concerns or complaints with staff. Protection from abuse is promoted through staff training and understanding of actions they may need to take. EVIDENCE: Copies of the complaint procedure are available in the home in formats easily understood by those living there. Complaint records evidenced no formal complaints being received. Due to the nature of the service and those living here, using this system can be limiting. Service users were able to indicated through discussion, who they would talk to if they were unhappy about something. Service users can also rely on others such as relative/ advocates to identify concerns and raise them on their behalf. Staff spoken with continue to showed a good understanding of how to protect and prevent abuse, including reporting under the latest local procedures. There are no current adult protection alerts relating to this home. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,26 Service users live in a warm, nicely decorated, safe and clean home and garden, which will be enhanced further with the bathroom facilities being fully completed. The open plan communal space continues to affect the quality of life for the Service Users in that there is insufficient space to accommodate freedom of choice of activity on an individual basis. EVIDENCE: 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 16 The home is well presented and nicely decorated. There are good standard of hygiene and cleanliness. The bathroom has been refurbished with walk-in shower and new bath following full Occupational Therapist assessment and recommendations. The home is currently awaiting delivery of grab rails and bath hoist to complete the work. Service users are very pleased with the new bathroom. Ongoing issues remain regarding the kitchen surfaces and leaking sink. Evidence is in hand of the manager trying to address this with housing dept. A detailed home repair and maintenance programme is in place. Service users share the open plan kitchen/dining area and lounge. This is cramped for 5 service users and three staff. During this and previous visits, service users and staff continue to comment and express how restrictive this is and it’s not nice to have nowhere to go to get away from the hustle and bustle of daily routines, or have private conversation. Service users received visitors in communal areas or privacy of their rooms. Bedrooms are personalised to individual taste and personal choice. The service users have made good use of the garden during the summer months. The garden is well maintained, with grab railing along the steps to the patio. Freshly planted pots and hanging baskets continue to be well looked after by service users. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,29, 30 Service users benefit from the support of a confident and skilled staff team. Resulting in good morale and enthusiasm to improve the service users whole quality of life. EVIDENCE: The organisation continues to encourage and support care staff to completed their NVQ 2 and 3 in care, but new staff have to achieve full probation before being put foreword for this. The home currently has four staff holding NVQ 2 or 3 in Care. All staff has undertaken a thorough and comprehensive recruitment and induction programme including all core training. Detailed training matrix is in place. Staff feel supported by the manager and senior managers of the organisation. Care staff spoken with and directly observed evidenced clear and good understanding of different individual care needs. Service users reacted fondly towards individual staff and their help. Staff were seen to support individuals respectfully but also with respectful familiarity 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 18 resulting in some fun joking and banter from both parties. Staffing rosters have reflected changing care needs of individuals, flexi shifts. Internal changes have occurred with senior carers but those present were comfortable with the new arrangements. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 People living here have their personal preferences, support and care needs encouraged through the registered managers open leadership and the promotion of a safe home and working environment. EVIDENCE: 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 20 The registered manager has worked with this service user group for many years and is currently working through the Registered Managers Award NVQ 4. Service users and staff expressed a high regard for their management approach to the home. Service users felt the registered manager was approachable and staff said they felt well supported. Staff confirmed supervision was happening regularly. Due to internal arrangements the manager will be seconded to another home for six months. The senior staff will continue to have support from the manager through interim arrangements. Full-recorded supervision takes place at least 2 monthly including set action points and goals. New staff has additional 3 and six monthly appraisals as part of their probation period. Clear personal development and team goals have been set relating to health and safety and managing risks with service users. Monitoring health and safety in the home is to a very good standard, with weekly health and safety walking routes taking place, and equipment serviced as required to maintain a safe home and facilities. Risk assessments are completed for individuals, staff activities in the home and care duties. Full fire protocols and records are maintained satisfactorily. Full financial guidelines and protocols are in place. All service users bar one are their own appointees. A full internal audit has been undertaken by the organisation with recommendations made to improve current practice. Staff evidenced a clear understanding of accident/incident recording and reporting under regulation 37 to the Commission. Regulation 26 monitoring visits are taking place monthly by other managers within the organisation. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 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 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 2 20 2 21 3 22 X 23 X 24 3 25 X 26 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 37 X 38 3 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 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. 1 Standard OP20 Regulation Requirement Timescale for action 31/03/05 23(2)(a)(e)(f)(h)(i) The registered person shall having regard to the number and needs of the Service Users ensure that: The physical layout of the premises to be used as the care home meets the needs of the Service Users. Adequate communal accommodation is provided for Service Users. The size and layout of rooms occupied or used by Service Users are suitable for their needs. The communal space provided for Service Users is suitable for the provision of social, cultural, and religious activities appropriate to the circumstances of Service Users. Suitable facilities are provided for Service Users to meet visitors in communal accommodation, and in private accommodation, DS0000024081.V250614.R01.S.doc 101 Sutton Road Version 5.0 Page 23 which is separate from Service Users’ own private rooms. Staff were unaware of any action regarding this. The action plan submitted after the last inspection in January and April 2005 stated this was being explored through the coming budget year. The registered person 31/12/05 shall having regard to the size of the care home, the number and needs of service users provide adequate facilities for service users to prepare their own food and ensure that such facilities are safe for use by service users. In that work surfaces are replaced to ensure safe food handling and promote safe infection control management. And The sink replaced and unit below where this contniues to leak and cause damp damage and odours to the cupboard located directly below. 2 OP38OP20 OP26 16(2)(h) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000024081.V250614.R01.S.doc Version 5.0 Page 24 101 Sutton Road 1 2 Standard OP7 OP19 It is recommended that hand written changes to care plans are dated and signed to correlate with the review/ monitoring form. It is strongly recommended that consideration be given to replacing windows to offer better sound and draft proofing due to the close proximity to a main road and heavy road traffic noise and better warmth for this elderly service user group. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 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. 101 Sutton Road DS0000024081.V250614.R01.S.doc Version 5.0 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. 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