Inspection on 06/07/05 for 8 Coriander Close

This inspection was carried out on 6th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

8 Coriander Close 24/09/09

8 Coriander Close 03/07/07

8 Coriander Close 12/07/06

8 Coriander Close 01/12/05

8 Coriander Close 03/02/05

8 Coriander Close 22/09/04

8 Coriander Close 14/01/04

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 Coriander Close, 8 Northfield Birmingham B45 0PD Lead Inspector Sarah Bennett Announced 6 July 2005 th 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 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 Stationary 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. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Coriander Close, 8 Address Northfield Birmingham B45 0PD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0121 453 7292 0121 423 7292 Trident Housing Association Vacant Care Home 5 Category(ies) of Care Home - Learning Disability/Physical registration, with number Disability (5) of places Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years. Date of last inspection 3rd February 2005 Brief Description of the Service: 8 Coriander Close is registered and offers long-term residential care to five people who have learning and physical disabilities. At the time of the inspection four people were living at the home. All of the current residents have complex health needs and all are wheelchair users. The home was purpose built in 1995 and is owned and managed by Trident Housing Association. The house is designed on two levels.There is a spacious open plan lounge and dining room and a sensory room. There are two well-equipped bathrooms with mechanical baths, shower trolleys and hoisting facilities to aid lifting. The kitchen is accessed from the lounge area. The first floor is accessed via a stairway. Located on this floor is the office. the laundry and staff facility including a bathroom and bedroom. This floor is not accessible to residents. Currently all communal areas are open plan and there are no private areas for residents to receive visitors apart from their own bedrooms. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over seven hours. A tour of the premises took place. Care, staff and health and safety records were looked at. Two residents records were sampled. Four residents were spoken to. A manager from another home managed by Trident visited the home for some of the inspection. Five of the staff on duty were spoken to. Comment cards sent out before the inspection were received from two relatives and six professionals involved with the residents. What the service does well: What has improved since the last inspection? Some care plans have been reviewed. These are detailed and contain much information for staff to be able to support individual residents. Risk assessments and moving and handling assessments have been reviewed. These are detailed and state how risks to resident’s safety are to be minimised. The amount of staff support in the evening has been reviewed so that more staff are available to support residents at mealtimes and for leisure activities. A lot of work has been done in the garden making it attractive for residents to look at and enjoy sitting in. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 6 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. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 5 Prospective residents do not have all the information they need to make an informed choice about where to live. Prospective residents are assessed to see whether the home can meet their individual aspirations and needs. Each resident has an individual contract that states the terms and conditions of their stay at the home. EVIDENCE: The statement of purpose of the home included all the required information. However, due to management and organisational changes it needs to be updated. The service users guide includes all the relevant and required information. It is not produced in a format that is accessible to the residents that live in the home. Staff stated that a prospective resident has visited the home. Staff have visited the resident at their current home to complete assessments. Residents records sampled included an individual contract that had been signed and dated. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 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 standard(s) 6, 9 Care plans are not available for all residents that state their assessed and changing needs and personal goals. Residents are supported to take risks within a risk assessment framework. EVIDENCE: Residents records sampled included detailed records of how staff are to support the individual with their daily routines. Staff said that since the last inspection two of the residents care plans have been reviewed and restructured and the other two are in the process of being done. Individual care plans state how staff are to support residents with their communication, personal care, self-help skills, medication, leisure and social activities, day opportunities, religious needs, emotional needs, relationships, eating and drinking, mobility, behaviour and health. Care plans that have been reviewed are detailed. The personal care part of the care plan detailed how staff are to support residents with all aspects of their personal care including hair, skin, ears, nails, make up, dress, bathing/shower and continence. Resident’s records sampled included detailed individual risk assessments for resident’s that had been regularly reviewed and updated as necessary. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 13, 14, 15, 17 Residents are part of the local community and engage in appropriate leisure activities. Residents have appropriate family relationships. Residents are offered a varied diet and recommendations from other professionals are followed so to ensure residents well being. EVIDENCE: All residents attend day centres during the week. Resident’s records stated and staff said that residents go out for walks, shopping, hairdressers, pubs, restaurants and theatres. Two of the residents were going out to a club in the evening near the city centre using wheelchair accessible taxis. Unfortunately, these taxis were unavailable. Staff found an alternative venue to go to with residents at a local pub that they could walk to so that residents would not be disappointed. Resident’s records indicated and staff said that relatives and friends of residents are encouraged to visit the home. Relatives said that they are always made to feel welcome when they visit. Records of food and drink sampled indicated that a variety of food and drink is offered to residents. Records indicated that culturally appropriate foods are Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 11 provided. Staff supported residents appropriately during the evening meal and followed recommendations from the speech and language therapist. Different meals were prepared for residents according to their individual tastes. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18, 19, 20 Residents receive personal support in the way they prefer and require. Residents physical and emotional health needs are met. Arrangements for the management of the medication are not sufficient to protect residents from harm. EVIDENCE: On arrival home from the day centres staff ensured that each resident had a drink. Where they were able to residents were encouraged to hold the cup to drink. Resident’s records sampled included detailed manual handling risk assessments that had recently been reviewed and updated where necessary. Hair and skin products appropriate to individual residents are used. Residents are weighed regularly and records of individuals weight are kept. Resident’s records indicated that pressure sore assessments are regularly reviewed. Appropriate action is taken to ensure that the risk of residents developing pressure sores is minimised. Pressure relieving mattresses are provided where appropriate. Other professionals stated that, “ all the residents are treated well and are well cared for.” Resident’s records included details of resident’s appointments with the dentist and optician. Resident’s records indicated that where appropriate health professionals are involved in residents care. These include the epilepsy nurse, psychiatrist, speech and language therapist and dietician. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 13 The speech and language therapist has written guidelines for staff to follow for individual residents eating and drinking. Staff followed these during the evening meal. The speech and language therapist and dietician work closely with the home in advising staff how to manage resident’s dysphagia. They also provide training for staff in administering food to residents through a PEG tube. The multi-disciplinary team decides when residents require a PEG tube and staff said that the resident’s best interests are always considered when making this decision. Staff said that they felt supported by the multi-disciplinary team in meeting the health needs of residents. Health Action Plans in line with ’Valuing People’ are not available for each resident. Staff said they are receiving epilepsy training from the epilepsy nurse in the week after this inspection. Where residents are prescribed rescue medication for epilepsy protocols are in place agreeing when the medication should be administered and these are signed and dated by all the professionals involved. Medication is stored in a locked cabinet in the office upstairs. This was full of medication and no space was available for any further medication that may be prescribed for residents. No separate storage is provided for Controlled Drugs (CD’s). Two staff check medication prior to administration. At the time the teatime medication was administered there were only two staff in the home. Residents were left alone downstairs whilst the medication was being prepared. Staff said this happens regularly. Given the complex health needs of the residents this poses a risk to their health and welfare. Providing medication cabinets in each resident’s bedroom would eliminate this risk. Some residents have dysphagia and this poses a risk when they take medication. Records sampled included advice and letter from a pharmacist as to how they should take their medication and minimise the risks of choking. Medication administration records sampled cross-referenced with the amount of medication in boxes and bottles indicating that medication had been given as prescribed. Protocols were in place for PRN (as required) medication stating when the medication should be given and these were signed by the GP. Copies of prescriptions are kept. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22, 23 Arrangements for complaints ensure that resident’s views are listened to and acted on. Staff have not received training to protect residents from abuse, neglect and self-harm. EVIDENCE: In each residents bedrooms there is a copy of the complaints procedure. The complaints procedure included all the required and relevant information. It included the CSCI details and the role of the CSCI in dealing with complaints. There have been no complaints made about the home. Relatives said that they are aware of the home’s complaints procedure. Two residents financial records were sampled. The amount on their financial record cross-referenced with the amount in each of their individual cash tins. Residents have their own bank accounts and statements of these are available. A vehicle is provided for residents use. Records indicated and staff said that residents contribute to the cost of the mileage that they use. There are no other costs incurred by residents for the vehicle. A copy of the Birmingham Multi-Agency Guidelines on the Protection of Vulnerable Adults was available in the home. None of the staff have recently received training in adult protection. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24, 26, 27, 28, 29, 30 Residents live in a clean, homely and comfortable environment that generally meets their needs. EVIDENCE: Resident’s bedrooms were well decorated and furnished according to individual tastes and contained many personal possessions. One resident’s bedroom carpet was soiled and one residents carpet was worn. These are in need of replacing. One resident’s en suite bathroom was being refurbished. Staff said that the resident is using the main bathroom during the refurbishment. The communal areas of the home are well decorated. There are pictures on the wall making the rooms look homely. Hoists, lifting equipment and adjustable beds are provided. To the rear of the home there is a well-maintained, attractive garden with grassed areas, shrubs, flowerbeds, hanging baskets and pots. The home was clean and free from offensive odours. Other professionals said, “The home is well decorated, comfortable and appropriate to the needs of the residents.” Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35, 36 The arrangements for staffing the home, their support and development was variable. EVIDENCE: Staff said that due to restructuring within the organisation they were unsure of the number of current staff vacancies. On the evening of this inspection an agency member of staff worked at the home. They have worked at the home through the agency for two months. Staff said that the amount of staff support in the evenings has been reviewed so there are more staff to support residents at mealtimes and for leisure activities. Staff said and rotas indicated that there are two staff on each early shift and three staff on each late shift. Staff take three of the residents to and from the day centre in the vehicle provided. At night there is one waking night staff and one member of staff sleeping in on the premises. Other professionals commented, “there are too many agency/part-time staff, which means a lack of consistency.” Three staff records were looked at. These included completed application forms, two written references, proof of identity and a photograph. Only one of the three records sampled included evidence that the person is physically and mentally fit to undertake the job they are employed to do. Criminal Records Bureau checks are undertaken for all staff. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 17 Staff records indicated that staff have received training in first aid, food hygiene and epilepsy. A training needs analysis completed for all staff indicated that some staff require updated training in pressure sore management, fire safety and first aid. All staff require training in adult protection. Staff said that only two staff received updated manual handling training in May 2005. All staff are undertaking the accredited ‘Safe Handling of Medicines’ distancelearning course. One of the three staff records sampled indicated that the member of staff had not received formal, recorded supervision since they started working at the home in May 2005. The other two staff records sampled indicated that one member of staff has received five formal supervision sessions in the last year and the other had received six. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42 The management arrangements are not adequate to ensure that residents benefit from a well run home. The arrangements for promoting and protecting the health, safety and welfare of residents are not adequate. EVIDENCE: The manager left the home in the week prior to this inspection. The Trident manager said that an advertisement has gone into the press to replace the manager. Relatives commented that the time taken previously (over 12 months) to recruit a new manager was too long and they hoped that this appointment would be made sooner. Fire records indicated that staff test the fire equipment regularly to make sure it is working and an engineer regularly services the equipment. A fire drill has not taken place since September 2004. The gas safety record indicated that the gas equipment had been tested in May 2005 and was in a satisfactory condition. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 19 All the hoists and lifting equipment were serviced in April 2005. Staff said that all resident’s wheelchairs are regularly serviced. Portable electrical appliances are tested yearly and the electrical wiring was tested less than five years ago as required. The accident book did not cross-reference with the accident forms. The Trident manager suggested that a running log of accidents be kept so it is easier to track what accidents have occurred and what action has been taken. A vehicle is provided for residents use. A valid MOT certificate was seen for the vehicle. The vehicle insurance certificate available in the home had expired in May 2005. A valid certificate of insurance was faxed to the CSCI after this inspection. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 20 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 2 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 2 3 3 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 2 2 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Coriander Close, 8 Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score 1 x x x x 2 x E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 21 Yes 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 1 Regulation 4 (1) (b, c) 5 (1) (2) 15 (1) (2) Requirement The statement of purpose must be updated with the management and organisational changes. The service users guide must be produced in an accessible format. All care plans must be restructured and reviewed. (Previous timescale of 30th April 2005 not met) Each resident must have a Health Action Plan in line with Valuing People. A medication cabinet must be available in each residents bedroom to store their individual medication. All staff must receive training in adult protection.(Previous timescale of 31st May 2005 not met). The carpets must be replaced in the identified residents bedrooms. The en suite bathroom requires refurbishment. (Previous timescale of 31st May 2005 not met). Timescale for action 30th September 2005 31st December 2005 31st August 2005 & ongoing 30th September 2005 & ongoing 30th September 2005 31st October 2005 & ongoing 31st October 2005 31st August 2005 2. 3. 1 6 4. 19 12 (1) (a) 5. 20, 42 13 (2), 13 (4) ( c) 13 (6) 6. 23, 35 7. 8. 26 27 16 (2) ( c), 23 (2) (b, d) 23 (2) (b, n) Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 22 9. 10. 33 34 18 (1) (a) 7,9, 19, Schedule 2 (6) 13(5), 18 (1) (a, c), Manual Handling Ops Regs 1992 18 (1) (a, c) 11. 35, 42 Vacant staff posts must be recruited to. (Previous timescale of 31st May 2005 not met). All staff recruitment records must include evidence that the person is physically and mentally fit for the purposes of the work they are to perform at the home. All staff must receive updated training in moving and handling. 31st August 2005 & ongoing 31st August 2005 & ongoing 30th September 2005 & ongoing by - 31st August 2005 & ongoing every 6 months a, c - 31st October 2005 & ongoing 31st August 2005 & ongoing 31st August 2005 On or before 8th July 2005 & ongoing as stated on the Immediate requiremen t sheet left at the inspection 12. 35 All staff must receive training in: a) Pressure sore management b) Fire safety c) First Aid 13. 36 14. 15. 37 42 All staff must receive at least six formal, recorded supervision sessions with their line manager at least six times a year. 8 (1) (a) A manager must be recruited to work at the home. 13 (4) (c), A fire drill must take place at 23 (4) (a, least every six months and a e) record of this must be kept. 18 (2) Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 23 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. Refer to Standard 23 28 42 Good Practice Recommendations Inventories of residents belongings should be updated regularly. A review of the communal space for residents and the lack of a private area for residents to meet relatives/friends other than in their bedrooms should continue. A log of accidents should be kept that cross-reference to residents records and the accident book. Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Birmingham and Solihull Local Office 1st Floor, Ladywood House 45/46 Stephenson Street Birmingham, B2 4UZ 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 Coriander Close, 8 E54_S16935_Coriander8_V228486_060705 Stage 4.doc Version 1.30 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. 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!