Inspection on 16/09/05 for 11 Clewlow Place

This inspection was carried out on 16th 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

11 Clewlow Place 21/03/07

11 Clewlow Place 08/12/05

11 Clewlow Place 14/12/04

11 Clewlow Place 19/04/04

11 Clewlow Place 04/02/04

11 Clewlow Place 08/09/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 11 Clewlow Place Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA Lead Inspector Peter Dawson Unannounced Inspection 16th September 2005 09:00 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 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 11 Clewlow Place DS0000008220.V250742.R02.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 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. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 11 Clewlow Place Address Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA 01782 593743 01782 593743 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) Graceland Care Ltd Mrs Christine Holdcroft Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disability/Physical Disability Date of last inspection 14 December 2004 Brief Description of the Service: Clewlow Place is a residential home situated near to Longton and is registered to provide a service for 7 adults with a learning disability, there is registration to commodate one person with a physical disability. The home is a detached modern building with lawns/patio areas to the side and rear. All bedrooms are for single occupancy. Two are located on the ground floor, one providing adapted accommodation with shower and bathroom for someone with a physical disability. There is a large lounge, separate dining area, kitchen laundry, toilets and office on the ground floor and 5 bedrooms and bathroom with shower cubicle on the first floor. A total of 5 bedrooms have en-suite facilities. All residents are currently aged 50 and one over 60 years. A range of external services are provided including day care and college attendance. The accent is upon accessing community facilities where possible. Health services are provided from the primary health care teams and specialist services from learning disability personnel where required. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first visit to the home by this inspector. At the time of this unannounced inspection 4 residents were on holiday in Ibiza with the Manager and Deputy Manager. The remaining 3 residents were in the home cared for by a member of staff throughout the 24 hour period. Some aspects of inspection were limited due to time (only one member of staff on duty) and also some confidential records were not available due to absence of the Manager. These matters did not present an overall problem for the inspection, in fact as only 3 residents were at home it was possible to spend a large proportion of time in discussions with the small group. All three residents were seen and there were discussions with them and the member of staff on duty. All provided helpful information during the inspection. Residents seemed relaxed and made very positive contributions to the inspection, giving spontaneous and open responses to matters raised. Residents stated they were happy at Clewlow Place and talked about internal and external activities, all attended day centres twice weekly, which has been a continuous feature in their lives, they talked about involvement at day centres and relationships/friendships they clearly enjoyed. The remaining 3 residents had chosen not to go on holiday abroad, although they had already had 2 separate holidays in the UK and spoke about special visits arranged to local venues for the week other residents were away. The home is quite spacious, furnishings and fittings domestic in style and the setting resembled a large family house people moving freely within the home and clearly used to receiving visitors. The age range of current residents is 54 – 63 years. One has specific needs relating to mobility which were seen to be admirably met with excellent facilities for personal care. Bedrooms were well personalised and quite adequately and appropriately decorated and furnished. Residents spoke with pleasure about their bedrooms and “ownership”. Communal areas of the home are comfortable and well decorated and furnished. The home obtained the Investors in People award in December 2004. Two requirements of the last report have not been addressed and are further requirements of this report. Action is also required in relation to staff training in first aid and moving and handling and the call system inoperative in a toilet area must be repaired and the system checked throughout the home. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 6 What the service does well: 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. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 to 5 There was evidence of required pre-admission procedures being followed, with assessments carried out and pre-admission visits arranged to allow an informed decision about admission. EVIDENCE: The statement of purpose was not inspected on this visit, the previous report stated that changes were needed. Discussions with staff and service users indicated that pre admission procedures in place were followed. There were Care Management Assessments and the homes own assessment in place prior to admission. A resident admitted some months ago confirmed he had made several visits to Clewlow Place prior to admission including overnight stays. There had been clear discussions about the placement before making a decision to admit. There was evidence that contracts were completed and signed by all parties prior to admission. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6–9 There was evidence from observations and discussions with residents and staff that individual needs and choices were known, acted upon and chosen lifestyles a basic principle of care. EVIDENCE: Care plans were not inspected in detail due to time limitations on this inspection. Documents seen and discussions with residents indicated that residents were involved in care planning and subsequent reviews. All plans are reviewed by staff on a monthly basis. Information is reported to be readily available to residents. A key worker system is in place to ensure consistency with care requirements. There are regular residents meetings and discussions with residents confirmed that they are able to play an active part in decision making in the daily running of the home. Meetings are minuted (not seen). Interactions between the 3 residents and member of staff on the day of inspection indicated an open and meaningful discussion about the home, daily 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 10 events and residents hopes and aspirations. The individual lifestyles of residents were clearly defined, understood and acted upon. Residents were openly discussing with staff the way they wished to spend the day and evening. Plans were being made for the weekend as several residents are away on holiday. Aspects of risk taking were discussed with residents and staff and there were examples of areas of risk discussed in relation to mobility and capacity. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 – 17 Discussions with residents and staff and from observations standards relating to Lifestyle were found to be met. EVIDENCE: Staff provide the necessary support and assistance to enable service users to maintain and develop social, communication and independent living skills. During the inspection chosen routines were clear – residents rising late, having breakfast with some assistance from staff, one resident having cigarette in garden area following breakfast and the group talking about their plans for the day. Residents moved freely around the home, accessing their bedrooms as they wished, some playing games, watching TV or discussing aspects of the home with the member of staff and the inspector. A range of activities are provided in the home, with individual programmes of external activity to promoted and extend practical, social and educational skills. A resident spoke with enthusiasm about a work project he had attended for 6 weeks, establishing a work routine and positive feeling about making a 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 12 contribution in the workplace. Similar placements are being sought for a further 2 residents. The home have their own mini-bus which will transport up to 11 people. This means that on occasions where all residents wish to be involved in external activities e.g. trips, holidays, all can be accommodated with staff in the minibus. There is no restriction upon cost or equality of usage. Some residents attend day centres 2-3 days per week, others attend college courses. Transport is vital and readily available for this purpose. One resident does not wish to attend day services outside the home and chooses to spend a considerable amount of time in her bedroom. Her wishes are respected and she is supported and monitored in her choices. All residents have 2-3 holidays per year. This year all have been to Skegness and the West Country. At the time of this inspection 4 residents were on holiday with staff in Ibiza, having expressed particular wish to holiday abroad, most for the first time. The remaining 3 residents had chosen not to go abroad and were choosing special excursions to local amenities, an evening visit the theatre planned the next day, chosen by residents. Family contacts are promoted, relatives/friends welcomed into the home and home visits arranged as regularly as possible. Discussions indicated that intimate relationships were supported and accommodated in the routines of the home and part of normalisation. The home provides a welcoming atmosphere in a domestic/family type environment. All bedrooms are for single use and have locking devices to doors which many residents use. Staff were keen to seek agreement from residents prior to viewing bedrooms, those wishing to accompanied the inspector. Residents have responsibility for keeping bedrooms clean and tidy as part of social skill development and individual skills, standards and choices accommodated in that framework. Residents reported that food provision was good. All residents had chosen and prepared their own breakfast with required assistance from staff. Cooked breakfasts are provided at weekends for those wishing to partake. Menus are developed weekly by them with individual choices on the day an option. The home aims to provide a healthy eating diet and this was evident from a weight reducing diet seen which was planned with the resident. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 - 20 Discussions, observations and documentation indicated that standard relating to Health and Personal care were met in the home. EVIDENCE: Care plans provide comprehensive detail relation to all aspects of care, including person, emotional, communication and social needs. Tow residents are independent for personal needs, others require varying elements of support. One resident requires moving and handling support her bedroom is equipped with essential aids and adaptations to meet her physical needs. She has her own en-suite facility which includes assisted bath and shower. Good access is provided with grab/toilet rails etc. providing the necessary high level of support to maximise independence. The member of staff on duty on the day of the inspection had clear knowledge and understanding of the varying needs of all residents. All residents have regular health checks and screening. One person is currently on a programme provided by Behavioural Services and daily monitoring of behaviour and mood changes are recorded with her participation. Two residents have mental health needs and both see Consultant Psychiatrists regularly. One has Chlorpromazine prescribed PRN, this is not given regularly 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 14 but a protocol for administration should be completed, signed by Consultant and available for all staff. Two residents have diabetes, medication provided with regular blood checks. One resident has epilepsy with small momentary-type seizures which are not nocturnal are recorded and monitored. Medication is supplied in Boots Chemists blister (MDS) packs. Records relating to storage, administration and disposal of medication were inspected. On the day of inspection due to the varied rising times and administration of medication (there were only 3 residents) medication which had been given was signed for at a later time. This should always be done at the point of administration. All staff administering medication have received accredited training. There was reported good support from the supplying Pharmacy. The last report recommended the home assess the future needs of the ageing resident group (54 – 63 years). It is difficult to be specific about future dependencies, but the home are aware of the potential increased needs in general terms. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Standards relating to concerns and complaints were found to be met. Aspects of standard relating to protection of residents (staff checks) were not possible on this inspection and will be checked on the next inspection. EVIDENCE: A copy of the complaints procedure was on display in the reception area of the home for residents and visitors. All residents are reported to have a copy of the procedure also. Details required to make complaints direct to the Commission at any time have been added to the procedure as required in the last report. The complaints procedure is satisfactory. No complaints are reported to have been received by the home since the last inspection and no complaints received by the Commission. The vulnerable adults procedures are available in the home for staff reference. At the last inspection a requirement for POVA and CRB checks for all new staff was made. It was not possible to inspect staff files on this inspection due to the Manager being away on holiday with residents and staff files being securely locked away. This will be further checked on the next inspection. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 - 30 The home provides a good standard environment which is generally well maintained. A bedroom door with split/hole must be repaired/replaced as previously required. Further radiators have been fitted with guards. Recarpeting is planned for lounge and stair/corridor areas. Standards of hygiene are good. EVIDENCE: The home is located near to Longton and easily accessible by public transport. It is close to local shops and amenities. This is the inspectors first visit to the home who was impressed with the size and layout of the home. It is a detached property in a mixed old/modern residential area. The facility is no identifiable as a home in the locality. Rooms are large with good sized windows and plenty of natural light. The lounge area comfortably accommodates all residents (plus visitors) in a spacious and attractive environment, it was recently redecorated. The separate dining room is of good size and doubles as activity room. The kitchen is quite spacious and well equipped. Furniture, fittings and equipment are of good standard and well maintained. The home replicates a domestic type family environment and is very pleasant. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 17 The garden area is relatively small but provides pleasant lawns and patio area directly accessible from French Windows off the lounge area. The garden is south facing and provides sun throughout the day, which the residents have been enjoying during the good summer months. A requirement to ensure all wardrobes are fixed to walls was reported by the person on duty, to have been carried out (not checked). A requirement of the last report to provide radiator covers has been actioned, several new ones provided and all appear now to have been fitted as required. A hole in a bedroom door identified in the last report and a requirement made has not been complied with. This is a further requirement of this report. The call system is available in all bedroom and communal areas. Testing of the system indicated the call system in a ground floor toilet was not operative. This must be repaired immediately. A bedroom identified in the last report has been redecorated. The stair carpet is worn and the member of staff on duty stated that estimates have been obtained to replace the landing/hall/stairs and lounge carpet. It is anticipated this will be done in the near future. All bedrooms were seen and impressed with their bright and pleasing status. All were well personalised reflecting the particular interests, personality and preferences of residents. Where required all had TV/CD/Music and one a Playstation facility. There was an abundance of photographs and collection items displayed as chosen by residents. A free-standing heater identified in a bedroom in the last report was not longer present. Alternative additional heating being considered for the winter months. Five bedrooms have en-suite facilities. On the ground floor one has a shower unit, the other an assisted bath. One bedroom on the first floor has a bath and separate shower cubicle. There is a separate bathroom with shower. There are additional toilet areas and facilities are adequate for the resident group. Residents assist with cleaning and domestic tasks as part of social skill development. They are involved in cleaning their bedrooms and some communal areas. The standards of cleanliness throughout the home were high and infection control measures were in place as needed. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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 –33 and 35 It was not possible to inspect standards 34 and 36 on this visit. Other standards relating to staffing appear to be met. The staffing level appears adequate to meet the needs of the current resident group. EVIDENCE: Only one member of staff was seen during this unannounced inspection as their were only 3 residents remaining in the home, four being on holiday abroad with staff. The staffing level is reported to remain as previously with 2 staff on duty during the daytime 8 – 8 pm and one person sleeping in and on call at night time 8 – 8 am. There are 6 permanent members of staff, all are trained to NVQ2 standard or above, and some are studying NVQ3. The home has 50 of trained NVQ staff as required by 2005. The home employs 2 bank staff to provide a flexible service to meet the needs of the group. At the time of this inspection 2 staff had escorted 4 residents on holiday abroad for one week and one member of staff was on duty at all times in the home with the 3 remaining residents. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 19 The member of staff on duty demonstrated a sound knowledge of the needs of the service user group and detailed knowledge of the individual needs of residents. She engaged with residents in a positive, relaxed and professional way. Residents responded well in discussions. Staff files were not available for inspection due to the absence of the Manager and will be inspected on the next visit. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 Standard 39 relating to Quality Assurance appeared to be met with questionnaires provided to residents and relatives. Four aspects of Safe Working Practices require action as detailed below. EVIDENCE: Due to time limitation and absence of the manager on this unannounced inspection and the fact that the home was not previously known to the inspector, it was possible to inspect only standards 39 and 42: A questionnaire which was given to all residents and also family members on an annual basis was seen. Feedback allowed review of quality of service provision and were acted upon by the home. Four aspects relating to Safe Working Practices required attention: 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 21 Updated training for all staff in moving and handling is now required. First aid training must be provided for all staff. Several certificates are out of date. It is understood that a date is planned for this training. Fire drills must be provided for all staff at least every 6 months. This was a requirement of the last report also. Fire records inspected indicated that regular checks of the alarm and emergency lighting system were carried out as required and that all firefighting equipment had been serviced in January 2005. COSHH storage was inspected an all items (including bleach) securely stored in locked cupboard in the laundry area. 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 11 Clewlow Place Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 2 x DS0000008220.V250742.R02.S.doc Version 5.0 Page 23 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 2 3 4 Standard 24 29 42 42 Regulation 23(2)(b) 23(2)( c ) 13(5) 13(4) Requirement Bedroom door identified with hole should be repaired or replaced. Call system in toilet area identified to be repaired/operable at all times Updated training required for all staff in moving & handling First aid training for all staff is required. Timescale for action 31/10/05 16/10/05 31/10/05 31/10/05 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 Standard Good Practice Recommendations 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 11 Clewlow Place DS0000008220.V250742.R02.S.doc Version 5.0 Page 25 - 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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