Inspection on 08/09/05 for Acorn Residential Home

This inspection was carried out on 8th September 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

Acorn Residential Home 27/09/07

Acorn Residential Home 06/10/06

Acorn Residential Home 31/01/06

Acorn Residential Home 23/08/04

Acorn Residential Home 16/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Acorn Residential Home 47 Mitcham Park Mitcham Surrey CR4 4EP Lead Inspector Liz OReilly Unannounced 8 September 2005 15:00 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. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Acorn Residential Home Address 47 Mitcham Park Mitcham Surrey CR4 4EP 020 8648 6612 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) Mr Kanagaratham Nithiyananthan Mrs Yoheswari Nithiyananthan 8 Category(ies) of Learning disability (LD) registration, with number Learning disability over 65 years of age (LD(E)) of places Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2004 Brief Description of the Service: Acorn is a registered care home for up to eight younger adults with learning disabilities. The home is also registered to care for one older person with learning disabilities. The home is owned by the registered manager and her husband. The property is a large two storey house situated in a residential area of Mitcham close to shopping and public transport facilities. Communal areas of the home are situated on the ground floor. Residents bedrooms are on the ground and first floor. The property is not identifiable as a care home. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector on 8th September 2005 and was carried out over five hours. The inspector had the opportunity to meet all of the residents and to speak with five residents. What the service does well: What has improved since the last inspection? What they could do better: The registered persons must continue with the improvements to the environment to ensure that residents are provided with a well maintained environment. Sufficient, appropriate seating must be provided by the home owners to enable all residents to use the lounge area. Carpeting must be replaced on the first floor. The carpet in the lounge must be appropriately repaired or replaced. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 6 The cupboard under the sink in the ground floor bathroom must be replaced. All locks to bathrooms and toilets must be maintained in good working order. Where bedroom furniture is not sufficiently robust to meet the needs of residents the home owners must replace this with more appropriate furnishings. Staff must ensure that all records are signed at the time they are made. To ensure the health, safety and welfare of residents medication administration sheets must be signed at the time of administration. The medication sheets must be fully completed including the allergy section. All staff who administer medication must be provided with accredited training. To ensure that the wishes of residents and or their representatives are known and can be met information on these wishes regarding action to be taken at or following the death of a resident must be sought and recorded. 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. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 Residents are provided with information on the service via the Statement of Purpose and Service User Guide which assists in making an informed choice on where to live. The home owners must ensure that a copy of both of these documents is supplied to the Commission. The needs of residents are assessed prior to admission. EVIDENCE: At the time of the last inspection of the home the inspector required the registered persons to review the Statement of Purpose for the home which describes the home and sets out the aims and objectives of the service. This would ensure that prospective residents have full and accurate information with which to make an informed choice about where to live. At the time of this visit the manager informed the inspector that the Statement of Purpose had been reviewed and amended. A copy of the amended document and the Service User Guide produced by the home must be provided to the Commission. All residents are assessed by staff from social services prior to admission. The home is provided with a copy of this assessment and carry out their own assessment before anyone is admitted. In addition staff from the home carry out their own pre admission assessment for each individual. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 9 This ensures that staff have a clear understanding of individual needs prior to the resident moving into the home. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 9 The needs and personal goals of individual residents are known to staff through the provision of individual care plans. Staff carry out individual risk assessments to support and protect residents in developing independence. EVIDENCE: To ensure the needs of each resident are met, a care plan is produced for each person. A review of the care plan is carried out on a six monthly basis or more frequently should the needs of an individual change. The care planning documentation includes individual risk assessments. Each resident and or their representatives are involved in compiling and reviewing the care plan which ensures that residents have the opportunity to update their goals and agree the manner in which any care is provided. Staff maintain daily records which provide up to date information on the activities of individual residents. It was noted that not all staff are signing the entries made in the daily record. The manager must ensure that all records are signed by the member of staff completing them. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 11 In order to support residents to develop and maintain independence individual risk assessments are completed with regard to areas in which the resident may be vulnerable. Since the last inspection of the home risk assessments have been reviewed to ensure that the nature of the risk and actions to be taken are clearly documented. Risk assessments assure, as much as can be possible, the health, safety and welfare of individuals. Residents are supported in accessing advocacy services. One resident sated they were “very involved” in People First. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14, 15, 16 & 17 Residents take part in a variety of activities according to individual interests and wishes. Work needs to continue to ensure that the dignity of residents is maintained in daily routines within the home. Residents gave positive comments on the food provided in the home. The menu seen at this visit indicated that residents are provided with a varied diet with alternatives available. EVIDENCE: Staff support residents to attend further education, employment and or day centres. One resident stated they had “liked working in a pizza restaurant” as a work experience placement. This resident was now looking forward to doing a photography course at a further education college. A number of residents said they enjoyed the centres they attended despite recent disruption due to the main centre closing. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 13 One resident stated they had taken part in a football coaching course and had very much enjoyed this. This resident also enjoyed their work as a director of People First. At the time of this visit to the home residents were preparing to go on holiday to Minehead the next day. All residents spoken to were looking forward to the holiday. One resident stated they were “very excited” about the holiday. As noted in previous inspection reports, the National Minimum Standards for Younger Adults states that all residents should be offered a minimum of seven days holiday as part of the basic contract price. The manager informed the inspector that the placing authority had been approached regarding this but were not willing to renegotiate the contracts in place to accommodate this. Residents therefore pay for their own holidays. Residents bedrooms reflected individual interests with puzzles, musical instruments and other activities and entertainment equipment available. Residents confirmed that family members and friends are welcome in the home. Discussions with the home manager indicated that continued contact with family members in line with residents wishes is viewed as very important. Promoting independence according to individual strengths was observed to be part of the daily routine of the home. Residents were seen to be engaged in a variety of domestic activities with group members taking responsibility for a number of tasks. To ensure the privacy of individuals all residents are provided with a key to their own bedroom. As noted at the previous inspection of the home certain residents had developed a routine of bathing on their return to the home after their daytime activities and then changing into their nightclothes. This is an institutionalised practice which staff in the home are reported to have worked on with individuals to encourage them to change into another outfit instead. At the time of this inspection of the home one resident was in their nightclothes prior to the evening meal being taken. Staff must continue to promote the dignity of residents in this area. Residents gave very positive comments on the food provided. Residents described the food as “very good”, “lovely” and “the food is nice”. The kitchen is open to residents to make drinks at any time. A basic stock of food is available. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 & 21 Residents are provided with personal care according to their individual needs. The health care needs of residents are met. Records and training in relation to medication need further attention to ensure the health, safety and welfare of residents. Further information needs to be sought regarding the wishes of residents in relation to the death of an individual. EVIDENCE: Personal care was seen to be provided in private. Advice was seen to be given on personal care in a discreet manner. Residents stated that they get up and go to bed when they wish but are reminded to get up in time for college, day centres or appointments. Discussion with residents indicated that they make their own choices on clothing and hairstyles. Residents confirmed they had their own keyworker from among the staff. Two residents gave very positive comments on their keyworker. To ensure the healthcare needs of residents are met each resident is registered with a local GP surgery. The home also has regular links with staff from the Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 15 community learning disabilities team. Arrangements are in place for residents to access regular dental and optical checks. At the time of this visit one resident was being supported to administer their own medication. Risk assessments were seen to be in place in relation to this self medication. A medication profile is maintained for each person which gives information on all medication prescribed for each individual. Staff are provided with information sheets on individual medications. The manager reported that the supplying pharmacists is available to provide advice or guidance for staff. Medication administration sheets are maintained which record all medication administered in the home. It was noted that the allergy section of these records were not completed. It was also noted that medication had been signed as given for the following day. To ensure the health and welfare of residents the registered persons must ensure that all medication is only signed for at the time of administration and the allergy section of the records must be completed for each person. Staff in the home have yet to receive accredited training on the management of medication. The registered person must ensure that all staff who administer medication are provided with this accredited training. Since the last inspection of the home the manager has sought information on the wishes of residents and or their representatives regarding terminal care. To fully ensure that the death of any service user is handled with respect and in line with individual wishes the registered person should ensure that information on individual wishes, including observation of religious and cultural customs, are sought and recorded. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Residents stated that they felt the staff listen to them if they have any problems. Procedures are in place to ensure that residents are protected from abuse. EVIDENCE: The home has a complaints procedure in place which gives details of how and what to do if you have a complaint and who to contact if you feel the complaint has not been dealt with properly. Timescales for responding to a complaint are included along with the contact details of the Commission. Residents spoken to at this visit were aware of the complaints procedure and expressed confidence in the staff to “sort things out” if they were concerned about anything. To ensure that welfare of residents all staff have attended training on the protection of vulnerable adults. In addition the local authority policies and procedures on the protection of vulnerable adults are available in the home which ensures that staff know who to contact should there be any concerns raised. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 28 & 30 Further and on going work needs to be carried out to ensure that residents are provided with a well maintained and furnished home. The home was found to be clean and hygienic. EVIDENCE: The home is in keeping with the local community and is not identifiable as a care home. Since the last inspection of the home two residents bedrooms have been redecorated and new flooring has been laid in bedrooms. A number of minor maintenance issues raised at the last inspection have been attended to. At previous inspections of the home it has been noted that the lounge area of the home does not provide sufficient seating for all of the residents in the home. The registered persons must ensure that sufficient seating is provided in the lounge area for at least all the residents in the home. Discussions with residents at the time of this inspection raised concerns that the addition of another chair in the lounge area would cause residents difficulty with cleaning due to the weight of the chairs. The registered persons must ensure that the furnishings provided are appropriate for the home. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 18 At previous inspections it was also noted that the carpet in the main lounge had been partially repaired with edging strip which is not appropriate for this area. Action must be taken to fully repair or replace this carpet. During a tour of the building it was noted that the cupboard under the sink in the ground floor bathroom was in need of replacement, a lock on the first floor bathroom was in need of replacement and the carpeting on the first floor was showing signs of wear and tear. The registered persons must take action to attend to these issues to ensure that residents are provided with a well maintained environment. Each resident is supplied with their own single bedroom accommodation. Three residents invited the inspector to see their rooms. It was noted that residents had personalised their rooms with equipment and décor reflecting their personal interests. Two of the chest of drawers supplied to one resident were not sufficiently strong to contain their belongings. The registered persons must ensure that appropriate furnishings to meet the needs of individual residents are supplied. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 The staffing levels in the home are sufficient to meet the present needs of the residents. Staff are provided with opportunities to take part in training courses which ensures residents are supported by a well informed staff group. Staff must be provided with training on first aid. EVIDENCE: Two staff are available in the home mornings and evenings when residents are in the home. At night one member of staff is available sleeping on the premises. These staffing levels have proved sufficient to meet the needs of residents in the home. The manager is aware of the need to keep staffing levels under review in light of any changes in the needs of individual residents. Residents benefit from a stable staff group which ensures that all staff are familiar with the needs of individuals and residents received continuity of care. Agency staff are not employed in this home. Staff are provided with good opportunities for training which ensures that residents are cared for by a well informed staff group. Records indicated that one member of staff had attended training on manual handling, challenging behaviour, food hygiene and the protection of vulnerable adults. This member of staff has also been booked to commence NVQ level two training. As noted Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 20 previously all staff who administer medication need to be provided with accredited training on the management of medication. The manager informed the inspector that first aid training had been arranged for staff but this training had been postponed. The manager must ensure that first aid training is provided to ensure that at least one member of staff on each shift is a qualified first aider. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 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, 39 & 42 The manager of the home has continued with their training to further ensure that residents benefit from a well run home. The registered persons must ensure that following quality monitoring an annual development plan is produced. Staff take steps to promote the health, safety and welfare of residents. These checks must include the temperature of hot water accessible to residents. EVIDENCE: Since the last inspection of the home the manager has completed NVQ training in management and care. This continued training assists in ensuring that residents benefit from a well managed home. The home has set up quality monitoring systems which includes consultation with residents, families and visiting professionals. The registered persons must ensure that an annual review of the care provided is carried out with a development plan produced following the consultation process. A copy of the Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 22 report produced including feedback from residents must be provided to the Commission. To ensure the health and safety of residents, staff and visitors to the home regular maintenance checks are carried out on the fire alarm system, emergency lighting, electrical and gas appliances. Staff carry out weekly tests on the fire alarm system and fire drills are carried out on a regular basis to ensure that all staff and residents know what action to take should the fire alarms be activated. A record of any accident is maintained which ensures that any specific risks to individual residents are highlighted and addressed. A record of fridge and freezer temperatures is maintained to ensure that food is stored at the appropriate temperature. To further ensure the health and safety of residents staff must check the temperature of hot water accessible to residents on a weekly basis. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 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 2 x 2 x 2 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 2 3 Standard No 31 32 33 34 35 36 Score x x 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Acorn Residential Home Score 3 3 2 2 Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 2 x G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 24 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(2) Requirement The registered persons must supply to the Commission a copy of the up to date Service User Guide and Statement of Purpose. The registered persons must ensure that daily recording entries are signed by staff. The registered persons must ensure the practice of some residents wearing night clothes to have dinner must be kept under continuous review to ensure that the dignity of service users is being protected. The registered persons must ensure that all medication is signed for at the time of administration. The registered persons must ensure that medication administration sheets are fully completed including the allergy section. The registered persons must ensure that all staff who administer medication are provided with accredited training on the management of medication. The registered persons must ensure that the wishes of Timescale for action 1st November 2005 1st November 2005 1st November 2005 2. 3. 6 16 17 12(4)(b) 4. 20 13(2) 1st November 2005 1st November 2005 1st November 2005 5. 20 13(2) 6. 20 13(2) 18(1)(c) 7. 21 12(3) 1st November Page 25 Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 8. 24 23(2)(b) 23(2)(g) 9. 26 16(2)(c) 10. 28 16(2)(c) 23(2)(b) (c) residents concerning actions to be taken at and following their death are sought and recorded. The registered persons must ensure that the accommodation is well maintained and that adequate seating is available in the lounge. (timescale of 01.12.04 not met) The registered persons must ensure that sufficient adequate bedroom furniture is supplied to meet the needs of individual residents. The registered persons must supply to the Commission clear timescales for:- the appropriate repair or replacement of carpeting in the lounge and on the first floor. - the replacement of the cupboard under the sink in the ground floor bathroom. - the repair of the lock on the first floor bathroom door. The registered persons must ensure that training is provided to ensure that at least one member of staff on each shift is a qualified first aider. The registered persons must supply to the Commission a copy of the report compiled following the annual review of the service. The registered persons must ensure that a weekly check is carried out on the temperature of hot water accessible to residents to ensure water is supplied at a safe temperature. 2005 1st November 2005 1st November 2005 1st November 2005 11. 35 18(1)(c) 1st November 2005 1st November 2005 1st November 2005 12. 39 24 13. 42 13(4) Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 26 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. Refer to Standard 14 Good Practice Recommendations The registered persons should ensure residents in long term placements have the option of a minimum seven day holiday as part of the basic contract price. Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Acorn Residential Home G54-G04 S27205 Acorn V248896 080905 Stage 4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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