Inspection on 28/11/06 for 30 The Dock

This inspection was carried out on 28th November 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

30 The Dock 18/11/08

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Dock, 30 30 The Dock Catshill Bromsgrove Worcestershire B61 0NJ Lead Inspector Dianne Thompson Unannounced Inspection 28th November 2006 14:00 The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Dock, 30 DS0000066854.V321982.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 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. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Dock, 30 Address 30 The Dock Catshill Bromsgrove Worcestershire B61 0NJ 01527 875062 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) www.dimensions-uk.org Dimensions (UK) Ltd Julie Diane McGirr Care Home 4 Category(ies) of Learning disability (4), Sensory impairment (1) registration, with number of places The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21.2.2006 Brief Description of the Service: The Dock is a traditional detached house in a residential area of Bromsgrove, which provides a home for four people who have learning disabilities, one of whom is also visually impaired. There is easy access to public transport and the town centre. its own vehicle for service users use. The home has The home aims to provide a homely environment promoting independence and dignity. Service users receive care and support to live as ordinary a life as possible in the community. Service users are encouraged to participate in the running of the home and share in the general household activities within their capabilities. The registered manager is Julie McGirr. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The current fee for the service range from £62.35 per week. Charges which are additional to the fee include: • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced visit to The Dock. This was the home’s first inspection since Dimensions (UK) Ltd registered as the care provider. The main purpose of this inspection was to assess the service provided against key National Minimum Standards. Service user and staff records were examined, and a tour of the building was also carried out. Accumulated evidence from reports of monthly visits by the provider’s representative was used to inform this report. Time was spent with the registered manager and staff on duty. Three service users were at home at the time of the inspection visit and another service user was attending a local day centre. What the service does well: What has improved since the last inspection? The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 6 The Service User Guide is being changed to keep it up to date. Everyone will be able to have a copy. The registered manager has completed a fire safety training course. All staff receive fire safety training each year. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 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 The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed information is provided about the services offered at the home to help service users make an informed choice about whether they would like to live at The Dock and whether the home will meet their needs. EVIDENCE: The home’s statement of purpose has been amended to provide up to date information about the home to help prospective service users decide if they wish to live at The Dock. The service user guide is being updated and evidence was seen to demonstrate this. The registered manager said that copies of the revised Statement of Purpose and Service User Guide would be accessible to all, including visitors to the home. All service users receive copies of relevant information prior to moving into the home, which is offered in preferred formats such as symbols and pictures, audio and large print. There are no vacancies at the home, but an admissions policy and procedure is in place should a vacancy arise. The home’s assessment process is very detailed and the manager and service users care records demonstrate that the home receives full information about prospective service users, their The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 9 background, their needs, their likes and dislikes when they are referred for a placement. Information is gathered from a range of sources including other relevant professionals, visits to previous homes or schools, and discussions with family members. Introductory visits and stays are arranged at the home prior to admission. During the introduction to the home prospective service users are given a copy of the Statement of Purpose and Service User Guide. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans provide staff with relevant information about users assessed needs. They include risk assessments that show how risks are to be reduced and independence promoted. Service users are helped to make choices and decisions in their daily lives and routines. EVIDENCE: Service user care plans are detailed and informative. The plans show how goals are monitored, how they are arranged and how they can be achieved. Staff have information to make sure that all care is provided in a preferred and consistent way that encourages independence. A person centred care plan (PCP) approach is being developed and this format shows how service users will be appropriately involved in planning and reviewing their own care. They will be supported to express their wishes and goals. A Path map has been completed for the home and the service that is being provided. The Path map process has given staff knowledge and The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 11 experience to support service users in completing their PCP’s. Staff said they found this experience very beneficial. The training and completion of the home Path gave them an opportunity to explore, share ideas and take responsibility for specific areas of work. Individual paths for two service users have been started and they have included meeting with parents. Files for two service users were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in service user files to make sure all staff have the necessary information to provide quality care. Of the two files examined a photograph is included for one service user on the profile form, but not on the other file. The registered manager confirmed this would be rectified. Each service user is allocated a key worker to oversee their care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. Staff said they are fully aware of the plans and clearly use them to guide their practice. The home completes risk assessments to promote safety and independence for service users. A risk assessment has been completed for a service user at risk of choking. The registered manager was advised to provide guidelines for staff to follow in the event choking was to occur. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users receive help and encouragement to lead active and interesting lives and are supported to access facilities within the wider community. They are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of all service users. EVIDENCE: The home provides a range of activities for service users, both in-house and within the local community. All activities are organised to take into account the individual needs and preferences of all service users, making sure that everyone has the opportunity to take part. Activities are however, recorded in daily notes and do not provide a clear record of individuals’ lifestyles. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 13 External activities are being considered throughout PCP’s. The manager and staff said there would be a development in the opportunities available for all. Current external activities include shopping, attending day centres, Redditch College for activities such as cooking and keep fit to music, meals out, day trips, pantomime, pub, cinema, and craft centres. Activities within the home include gardening, cooking, makeup sessions, foot massage, disco, hydrotherapy, and art and craft course at the local Methodist church. Evidence was seen which demonstrates that regular contact with friends and family is supported. Staff said they also support service users to maintain regular telephone contact as well as supporting visits. The home provides well-balanced meals and special diets for individuals where required. Records of all food and drinks taken are transferred into individual care plans. All staff must make sure that recording information is maintained and that no gaps occur. Food offered is varied, healthy and appropriate to individual needs. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. These plans provide information to promote consistency of care and support for all service users in a way that takes into account their preferences. The home has a clear medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of service users and staff. EVIDENCE: Service users’ care records and plans provide detailed information about their physical and mental health and the support needed from staff to maintain their good hygiene and health. The care plans sampled contain information about service users preferred personal care routines. Staff said they are able to communicate with service users verbally and, in certain cases, with the additional use of gestures, sign language, and using objects of reference. The service users at home at the time of the visit were The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 15 unable to communicate, but they appeared to be comfortable and at home in their environment. Records of all physical checks are completed where service users have particular health related issues e.g. weight and fluid intake. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Service users and the home are well supported by medical services, which includes GP’s, epilepsy consultant, clinical psychologist, chiropody, community learning disability team, and the intensive support team. Arrangements are in place for preventative health services, e.g. dental checks and annual health screening. Staff on duty and the registered manager said that all personal care is given in private to promote dignity for all service users. The manager is very aware of the specialist services that could be needed to support service users and how to access them. Evidence was seen that demonstrates the diligence of the home in maintaining the health and welfare of all service users. This is particularly evident in two cases. Firstly, where manufacturers for one service user have withdrawn the supply of appropriate medication. The home has in consultation with GP, alternative manufacturers and hospitals, sought supplies, which have now been obtained. Alternative arrangements are being planned however, as the supplies are likely to be time limited. The action taken has been documented and will be incorporated into a management plan. Secondly, considerable support and persistence to obtain a diagnosis has resulted in medical assistance for one service user. The homes persistence has achieved a successful outcome for the service user. There is evidence which shows improving health and weight gain. These are examples of good practice and dedicated support for service users. The home has a medication policy and procedure in place. Medicines are suitably and safely stored and there is appropriate storage for controlled drugs, should they be required. Information is available to advise staff about prescribed medication together with any possible side effects. A medication information fact sheet is provided both in individual files and in the medication file for each service user and gives details of all current prescribed medication. The registered manager confirmed that the organisations policies and procedures would be followed should any medication error occur. Additionally these would be reported to CSCI. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are protected by easy to understand information about how to complain, with appropriate information for staff provided. Staff support service users to express their views and any concerns they may have. EVIDENCE: The home’s complaints procedure is available in widget signs and symbols to make it accessible for service users. The complaints log was examined and discussed with the registered manager. All concerns raised are regarded as complaints and the complaints procedure is followed accordingly. The manager stated that this makes sure that all issues are checked thoroughly and that appropriate action is taken if necessary. No complaints have been made to the CSCI since the previous inspection. The home has relevant policies for service users’ protection. Policies and procedures are available which advise and guide staff in protecting service users. Service users are now supported to retain their own finance in their rooms with a support plan available to advise staff. Staff were observed to engage with service users in a supportive and respectful way throughout the inspection visit. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Dock provides accommodation for service users that meets their needs and offers a safe, spacious and comfortable home. The home is kept clean which ensures that good hygiene and infection control is maintained for the benefit of service users. EVIDENCE: The inspection visit included a tour of the home. The Dock is in a residential area of Bromsgrove. The home has a lounge, dining room, four bedrooms (one of which is downstairs), one bathroom with shower upstairs, one bathroom with specialist bath and toilet downstairs, laundry, and fully fitted kitchen. Bedrooms are individually decorated and furnished. There is an enclosed rear garden and small front garden. There is a barbeque, swing, table and chairs for all to use in the rear garden. There is also a shed that houses the home’s freezer and vegetable fridge. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 18 The downstairs bathroom door has been replaced since the previous inspection and is much improved. It is disappointing however, that the walls and tiles have not been made good, to leave the bathroom looking unfinished and unsightly. The light switch needs to be repositioned, as this is now situated behind the door and can only be activated when in the bathroom with the door closed. The mirror also needs to be repositioned. The upstairs bathroom is in a similar condition, with walls which need to be made good and repainted. The home would benefit from the installation of a conservatory, particularly as the existing dining room is very small. There is not enough room for access for people who may need mobility aids to sit comfortably for meals. A conservatory would greatly improve communal space within the home. The premises are clean and tidy. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Communal bathrooms have paper towels and liquid soap available. All cleaning materials are stored in locked cupboards in the laundry room. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Suitable staffing levels are being maintained and staff receive relevant training to help them meet service users’ needs. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. The home’s recruitment policy and practices make sure that suitable staff are employed and that all necessary checks are made to ensure the safety of all service users. EVIDENCE: The registered manager said that staffing levels have changed since the last inspection. The home no longer has a deputy manager, and as there are no plans to recruit to this post they are looking to replace the hours with a support worker. The manager and staff say that service users would benefit from male staff support and therefore propose to recruit male staff. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 20 The manager said that the change over to Dimensions (the new provider) has been relatively smooth, and that the service users and staff team have coped with this very well. Staff said that the recent Path training day was effective as a team building exercise. The manager has reviewed staff training records at the home and planning for future training courses has started. Staff will complete the mandatory health & safety training such as fire safety, first aid, food hygiene, moving and handling and infection control. Other training courses include communication, safe handling of medicines, abuse, working with people we support and managing challenging behaviour. Specialist training such as autism and epilepsy is arranged as required. All newly employed staff will complete the Learning Disability Award Framework Induction (LDAF) Course. The home is working towards autism accreditation for the service with the National Autistic Society. This will take three years from the point of registration and will involve very specific work with staff and service users. The manager confirmed that all prospective staff complete an appropriate application form and that suitable references are obtained including one from their most recent employer. An enhanced CRB/POVA (police) check is undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed with an open and positive approach. Dimensions monitor the home in various ways to ensure that the service continues to develop as service users want and that the home remains a safe place to live and work in. EVIDENCE: The registered manager, Julie McGirr is a registered nurse (RMNH) and has managed the home for five years. Julie previously managed an NHS home for some ten years. She has almost completed her Registered Managers Award and is an NVQ assessor. Julie has undertaken a range of relevant training courses that includes Our Approach (including quality outcomes), Our Purpose (including listening and enabling), Equality and Diversity, and Fire Training for Managers course. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 22 Staff confirmed the manager is approachable and supportive. Staff said they are able to talk to the manager at any time. They also said the staff team works well together and are committed to meeting the needs of service users. In respect of management support from the provider, Dimensions has Training and Human Resource Officers who are available to advise and support the home. Service manager meetings are held monthly and the manager confirmed that she and the home are being supported. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. These visits include interviews with staff and service users and also include an audit of relevant aspects of the service, including records, environment, complaints received, finance and safety. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report will include service users, stakeholders and interested parties views on the service provision. Records show that monthly checks of the fire safety system & equipment, water temperature & storage, fridge, freezers and electrical appliances are completed. Staff are undertaking all mandatory health & safety training topics. Generic risk assessments are in place. Fire drills are being completed. The manager was advised that all persons present during fire drills should be recorded to ensure that everyone receives the required training. The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA17 Regulation 17 (3) (a) Requirement All staff must make sure recording is kept up to date. This refers to the gaps in the recording of food eaten. The premises of the care home should be kept in a good state of repair externally and internally. This refers to the repairs to both bathrooms that need to be finished. Timescale for action 31/12/06 2. YA27 23 (2) (b) 31/01/07 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. 3. YA29 Refer to Standard YA9 YA14 Good Practice Recommendations Guidelines should be available which tell staff what to do if someone was choking. Activities should be recorded in a way that shows what everyone’s lifestyle is like. The home should consider the installation of a conservatory to provide additional living space within the home. Names of all people taking part in fire drills should be recorded, to make sure everyone attends fire drills. 4. YA42 The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Dock, 30 DS0000066854.V321982.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!