Inspection on 11/02/08 for Abberdale House

This inspection was carried out on 11th February 2008.

CSCI found this care home to be providing an Good service.

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

Abberdale House 22/10/08

Abberdale House 13/10/06

Abberdale House 30/11/05

Abberdale House 12/09/05

Abberdale House 10/06/04

Abberdale House 30/03/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Abberdale House 165-169 Hinckley Road Leicester LE3 0TF Lead Inspector Thea Richards Unannounced Inspection 11th February 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abberdale House Address 165-169 Hinckley Road Leicester LE3 0TF 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) 0116 2915660 F/P 0116 2915660 None Shankar Leicester Ltd Manager post vacant Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (24), Old age, not falling within any other category (24) Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2006 Brief Description of the Service: Abberdale House is a converted property in a residential area on the Hinckley Road, on the outskirts of Leicester city centre. It is easily accessible by car or public transport and there is limited parking available on the road outside. It is a care home providing personal care and accommodation for 24 older people with a physical frailty and/or mental health needs. The home is owned by the Registered Provider Mr Arun Sharmar and is one of three homes that he owns in the area. There are three lounges, one of which is used as an activities room, and a large pleasant dining room. The bedrooms are on the first and second floors, which can be accessed by the stairs or the passenger lift. There is a paved seating area with chairs and table where the residents may sit in the better weather. There is a well-used bird table and feeding area, that the residents enjoy watching. The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager’s office. The home can be contacted by telephone or fax. The current level of fees is within the Local Authority bands and is negotiated on an individual basis. There are extra charges for hairdressing, chiropody, newspapers and personal items. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 2 Star. This means that the people who use this service experience good quality outcomes. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social care Inspection), spent four hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 13th October 2006. The visit took place on the 11th February 2008 and lasted six hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to two of the residents. To achieve this, the residents were spoken with. We spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit we spoke with the registered provider, the acting manager, the staff, the residents and visitors to the home. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The results of the annual questionnaires could be included in the statement of Purpose so that prospective residents and their families can have an idea of how residents and their families feel about the home and the services that it offers. A complaints book should be put in place, where any complaints that are received and how they are dealt with can be recorded. This will make sure that any complaints received are followed up and resolved. Carpets that are old and stained could be replaced, which will further improve the environment for the residents. Chairs that are split should be replaced, to avoid possible damage to the residents skin and to improve the environment. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 7 Consideration should be given to providing the upstairs fire doors with magnetic closers to allow the residents to go through the doors safely and to avoid the practice of propping them open. Consideration should be given to improving the staff application forms to make sure that there is space for a full history of the previous employment. This will make sure that the manager can check any gaps in employment. Consideration should be given to provide training in the Mental Capacity Act to make sure that the staff are aware of the rights and needs of the residents. An application to the Commission for Social Care Inspection, should be made to register the manager as a ‘Fit person’ to manage the home. The frequency of staff supervision should be increased to the level required by the Care Standards Act. 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. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using the available evidence. Residents’ needs are assessed and agreed with by the resident or their families before moving into the home, which they are able to visit before their admission. EVIDENCE: The residents whose care plans were checked had all received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply, making sure that they can get the most suitable care. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 10 These can be made available in other formats such as large print to make sure that as many people as possible can understand them. Consideration should be given to including the results of the annual quality questionaire so that prospective residents can read the comments from the residents and their families. This will help them in making a decision about the home. Completed assessments were present in the files, identifying the residents’ care needs, before they were admitted to the home. Care plans showed that they contained the needs of the resident which had been identified in the original assessment. The staff spoken with said that they knew what the resident’s needs were before they were admitted to the home. All of the care plans seen had been agreed by the residents or their families. The residents and the family spoken with told us that they had a visit from a member of staff from the home before they were admitted. They confirmed that they were given the opportunity to visit the home before they came in. These practices make sure that the staff in the home have the the right information on the resident and that they can meet their needs. It also makes sure that the resident meets someone from the home who they can recognise, which makes the move into care easier to manage for them. The current registration certificate from the Commission for Social Care Inspection (CSCI) and up to date details of insurance cover are displayed in the entrance of the home. The reports from the CSCI are available in the manager’s office. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome group is good. This judgement is made using the available evidence including a visit to the service. The staff meet the care and medication needs of the residents as identified in the care plans with privacy, dignity and respect. EVIDENCE: The care plans for the ‘case tracked’ residents and were found to contain good individual evidence of care, which reflects the care being given to the residents. The care plans include a regular assessment of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. The residents and the family spoken with said that they were happy with the Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 12 medical care that was being given. The home has recently put a new system of care plans in place that has made the residents needs and the care to be given much clearer for the staff. This makes sure that the residents get the right care. There had been some concerns identified about the hoists and moving and handling practices through a complaint to the Commission for Social Care Inspection. During the visit the hoists were seen to be working and the staff were using them and handling the residents correctly and with dignity. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. Medication records for the case tracked residents were in order. In this home medicines are only administered by the manager or senior care staff who have had medicine training. Staff were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager completes monthly audits of the medication records to make sure that they are accurate. The above makes sure that the residents are protected with the correct medicine administration. The residents spoken with were happy that they got the right medicines at the right times. The controlled (dangerous) drugs records were checked and found to be correct. There is a policy and risk assessment in place for the residents who look after their own medicines. There are no residents taking their own medicines at this time. The staff were seen to be sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. When the staff were giving care and speaking with the residents they were seen to be doing so with dignity and respect. The residents spoken with were happy with the way staff treated them and said that they were very kind. A visitor spoken with on the day of the visit was very happy with the level of care being given. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome group is good. This judgement is made using available evidence including a visit to the service. Residents have their social, spiritual and nutritional needs met. EVIDENCE: There was evidence of activites being provided for the residents. There was suitable music playing during part of the visit and the television was on in the lounges. The residents and the visitor spoken with felt that there were enough appropriate activities provided. We saw the staff spending time talking with the residents and when involved in activity such as completing care plans they sat with the residents to do it. The home does not employ a dedicated activities organiser. There are enough staff on duty to make sure that activities always happened and they are supported by a volunteer who helps with activities. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 14 The residents are taken out, either individually or in small groups to local facilities such as the park, the local shops, café and church, which makes sure that they remain part of the local community. There is a choice of two main meals available every day and diabetic meals are provided. We spent time with the residents at lunchtime in the dining room and all of the residents said that they were enjoying their meal and that they could have a choice of meal. The dietary likes and dislikes are recorded in the careplans together with weight charts which makes sure that weight gain or loss can be checked. Visitors are made welcome in the home. This was confirmed by visitors spoken with who told us that they were made very welcome at any time. We saw the warm and friendly welcome given to visitors when coming into the home. The manager sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. These practices make sure that the residents maintain contact with the community and their families and that views for improvements can be considered. The local Roman Catholic church arranges visits for those residents of that faith. There are currently no residents in the home with different cultural or ethnicity needs. The hairdresser visits the home regularly, which the residents enjoy. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. This can be made available in a large print , which makes sure that as many people as possible can read it. There is currently no complaints book in the home. The acting manager told us that there had been no complaints since she had been in post. A book should be put in place to make sure that any complaints received are recorded and are investigated correctly with satisfactory outcomes for the person who has complained. The acting manager told us that she would put one in place immediately. The Commission for Social Care Inspection have recived two anonymous complaints from the same person since the last inspection on 13th October 2006. The home was asked to investigte the complaint and resolved it. This was comfirmed on our visit to the service. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 16 The residents spoken with were happy that they would speak to the manager or a member of staff if they had a problem and that it would be dealt with. The comments book in the home contained positive comments about the home from families and friends. ‘ They couldn’t be looked after better’ All the staff have had training in ‘Safeguarding Adults’. The staff spoken with were aware of the procedure to follow and would be prepared to ‘whistle blow’ if they thought there was a need to. They were aware of how to handle a complaint that was given to them. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24, 25, 26. Quality in this outcome group is adequate This judgement has been made using available evidence including a visit to the service. The residents are protected by the policies and procedures in the home to provide a safe environment, but there are potential dangers in some of the practices in the home. EVIDENCE: Abberdale House is a converted property in a residential area on the Hinckley Road, on the outskirts of Leicester city centre. There are three lounges, which give the residents, a choice of sitting areas. The carpets in the lounges were worn and in some areas badly stained, consideration should be given to replacing them to provide an improved environment and in some areas to avoid a possible trip hazard. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 18 Some of the plastic covered chairs had splits in them, which could cause damage to the residents’ skin if not replaced. The home was clean and welcoming, although there was a slightly unpleasant odour noted in the area around the front door. The bathrooms are clean and free from inappropriate items, which could present a hazard for the residents. One bathroom did contain some toiletries, which could be a hazard for the residents if someone who is confused drank them. They could cause cross infection if used for more than one resident. This was shown to the acting manager, whom had the items removed before the end of the visit. With their permission we looked at the case tracked residents bedrooms. The bedrooms were clean and well maintained and the residents had been able to bring their own belongings in to personalise them. There are some shared bedrooms. There was evidence of a track on the ceiling between the beds, which shows that privacy could be provided with a curtain when the room was being shared. There was evidence in the care plans that the sharing of a bedroom is discussed and agreed with the residents and their family before their admission. There was evidence of equipment such as hoists and special mattresses having been provided to help in the care and comfort of the residents. The staff spoken with said that they had received health and safety training for the chemicals used in the home. There were data sheets in place for them to find information about how to use the chemicals safely. There was a locked cupboard containing the cleaning products, which keeps them safe. There was a fire door being propped open with a fire extinguisher on the tour of the home. This was to allow the residents to go through, but consideration should be given to providing magnetic door closers upstairs as well as downstairs to avoid danger for the residents if there was a fire in the home. There were no further outstanding safety or maintenance issues seen on the tour of the premises. The registration certificate from the Commission for Social Care Inspection was displayed in the reception area. The current inspection report is available in the managers’ office. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome group is good. This judgement is made using the available evidence including a visit to the service. The residents’ needs are met and the recruitment policy and the training protect their safety. EVIDENCE: There is evidence of a good skill mix of staff, which makes sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitor spoken with felt that there were always enough numbers of staff on duty to look after their needs. We looked at three staff files and the required information was complete in two of them. This included evidence of identification, adequately completed application forms, two written references and a Criminal Records Bureau (CRB) check. The third one was for a member of staff who had been employed for a number of years and did not contain references. The current practice of the home is to make sure that all the required documentation is in place before an employee starts work. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 20 The application does not have enough space on it for an applicant to give a full employment history, which could mean that the manager does not get a complete picture of the prospective member of staff. There was evidence of staff training including induction and the staff spoken with confirmed that they had received recent training in moving and handling. Training in the protection of vulnerable adults, basic food hygiene and health and safety was also given. The staff are able to undertake dementia training and infection control, which the manager arranges. Consideration should be made for the acting manager and the staff to undertake training in the Mental capacity training to make sure that they know the rights of the residents. 100 of the staff hold a National vocational award at level 2 and there are four staff completing the award at level 3. The acting manager is currently completing the Registered Managers Award. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. The residents live in a home, which provides for their needs, with safety systems in place and with suitable staff training. EVIDENCE: The acting manager was available throughout the visit to the home. The acting manager is an experienced manager, who has been at Abberdale House for three months. She is currently completing the Registered Managers Award. This makes sure that managers have the skills which they need to manage a care home. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 22 There has been no application received by the Commission for Social Care Inspection for the acting manager to become the Registered Manager. This is a process to make sure that managers are ‘fit’ people to manage a service. There was evidence seen that some supervision for the staff was being done. This was confirmed by the staff spoken with. The frequency of the supervisions should be increased to meet the National Minimum Standard. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. . The acting manager holds regular meetings with the staff as well as one to one discussions with the residents, both to pass information on and to listen to their views and opinions. There are annual quality questionaires sent out to residents and their families to gain their views about the home. This allows the manager or the responsible person to respond to the residents and the staff’s needs. The administration of the residents personal finances has been reorganised with the help of the local authority’s finance department. These are handled by the acting manager and there are always two signatures to confirm any transactions, with receipts to support the expenditure. The residents are well protected by the financial policies in the home. Records for the maintenance of fire equipment and testing of water temperatures were found to be in place and up to date. There are records in place to show that fire drills and fire instuction have taken place. This was confirmed by the staff spoken with. Abberdale House DS0000053123.V358824.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 3 Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 4 5 6 Refer to Standard OP1 OP16 OP19 OP19 OP19 OP29 Good Practice Recommendations The provider should include the results of the annual questionnaire in the Statement of Purpose to give prospective residents a full picture of the home. The provider should make sure that there is a complaints book in the home to record any complaints and the results of the complaint. The stained and worn carpets in the lounges should be replaced to provide a more pleasant environment and to avoid the possible risk of the residents tripping. The provider should give consideration to putting magnetic closers on the upstairs fire doors to stop the practice of propping doors open. The plastic covered chairs, which are split, should be replaced to avoid damage to the residents skin. The provider should review the application forms for employment to allow a full employment history to be DS0000053123.V358824.R01.S.doc Version 5.2 Page 25 Abberdale House 7 8 OP30 OP31 9 OP36 given. Consideration should be given to providing training in the Mental Capacity Act. The manager should make an application to the Commission for Social Care Inspection to be the Registered Manager. The frequency of staff supervision should be increased to match the National Minimum Standard. Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Abberdale House DS0000053123.V358824.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!