Inspection on 11/12/06 for Aeolian House

This inspection was carried out on 11th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aeolian House 30/09/09

Aeolian House 01/11/07

Aeolian House 05/01/06

Aeolian House 25/08/05

Aeolian House 07/10/04

Aeolian House 21/04/04

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

CARE HOME ADULTS 18-65 Aeolian House Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ Lead Inspector Vera Bulbeck Unannounced Inspection 11 December 2006 11:00 Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aeolian House Address Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ 01483 276561 01999 999999 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.mencap.org.uk Royal Mencap Society Kerry Louise Elliot Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1), Sensory impairment (1) of places Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents may be admitted to the home from the age of 40 years. One person may be over 65 years of age. 5th January 2006 Date of last inspection Brief Description of the Service: Aeolian House is a care home for adults with a learning disability. The home is a large Edwardian detached house on the outskirts of the village of Cranleigh. All bedrooms are for single occupancy, three on the ground floor, and seven on the first floor. There is a large lounge/dining room and a sitting room that can be used as a quiet room. The kitchen is spacious and has been recently refurbished, including two sinks. There are two bathrooms and a downstairs shower room. The home is situated in its own grounds, laid mainly to lawn. There is adequate parking to the front of the premises. A bus stop is a few minutes walk away. It is some considerable walking distance into the village of Cranleigh. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit to be undertaken by the Commission for Social Care Inspection as part of a key inspection. Mrs Vera Bulbeck, Regulation Inspector, carried out the inspection. The registered manager Ms Kerry Elliott was present. The inspection took 6 hours commencing at 11.00am and finishing at 17.00. There are currently eight residents living in the home, the majority of residents have lived in the home for some time and the most recent resident moved into the home September 2005. All eight residents were at various activities during the day including two residents who are in part time employment and were not home until after 16.00. The inspector was able to speak with some of the residents during this time. Residents are mobile and able to undertake small jobs around the home. The two members of staff on duty on the day of the site visit were spoken to and one member of staff commented the home is operating an open management style and the staff team feel supported and work together as a stable team. A number of comment cards were left with the manger to be completed by residents and relatives at the time of the inspection, to obtain their views regarding the service. Some residents will be able to complete comment cards with staff support. Four comment feedback cards were returned to the Commission for Social Care Inspection, all four were satisfied with the care received at Aeolian House, two commented that residents would like to be more involved with decision making in the home. A full tour of the premises was undertaken. Two care plans and two staff files were inspected. It was noted that the home has a large fish tank for two goldfish and two black cats live in the home called Shandy and Perky, who are fed and spoilt by the residents. The fees range from £477.75 per week to £517.00 per week. The inspector would like to thank the residents and staff members for their time, assistance and hospitality during the inspection. The residents living in the home wish to be called residents, therefore residents will be referred to as residents throughout the report. Aeolian House DS0000013545.V309254.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: Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 7 The ceiling in the spare bedroom used for relative’s to sleep in an emergency, needs attention; there has been a leak from the roof and needs to be attended to. A requirement will be made for this work to be completed. The management of the home need to undertake a regular monthly audit of the premises to ensure all areas in the home are well maintained, equipment is working and that the environment is safe for residents. 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. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs and aspirations are fully assessed and documented prior to admission and on an ongoing basis in regular reviews. EVIDENCE: Residents are admitted to the home following a full needs assessment, which is undertaken by the registered manager. The registered manager explained that she has a format for assessing residents to ensure the home can meet resident’s needs. This was evidenced by sampling, written records and discussion with the staff on duty. There have not been any new residents placed in the home since September 2005. There are currently no vacancies in the home; however, the placing of any new resident needs careful consideration as the majority of residents have lived in the home for some time. It was noted in resident’s files that a number of risk assessments have been undertaken. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ individual plans are clear and comprehensive including details of needs and goals. They also incorporate known or indicated preferences and choices, and include risk assessments. EVIDENCE: Staff stated that residents are supported to make decisions affecting their lives in a number of ways. Each resident has an allocated key worker, who is trained to offer one to one support and who knows the resident well and understands his or her needs. The residents confirmed this during discussions. The majority of residents are able to communicate and staff have the experience to enable residents to make decisions and choices, for holidays, menu planning and outings. For example residents are able to speak at meetings and make suggestions and one resident informed the inspector if he is not happy about anything in the home he immediately speaks with the manager who always listens and takes appropriate action. Resident’s individual choices of meals were recorded on their weekly menu plan. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 11 Staff advised that information is provided to residents to assist with decisionmaking and this is in a format to suit their individual needs. All residents are involved with their care planning and indicate they agree with their care plan. All residents hold a key to their bedroom and the front door. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. Systems are in place to ensure that residents’ rights are respected. EVIDENCE: Residents are supported to make choices in their everyday lives as far as they are able. Families of residents are consulted and encouraged to be involved in the decision making process. The inspector advised the staff on duty to involve an advocate for those residents who do not have contact with any family or friends. The majority of residents attend various activities; these include visiting the library, going to the pub for lunch, swimming, badminton and some like working out at the gym. Two residents go to church on Sundays with a Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 13 member of staff. Both residents also attend a weekly bible study class. residents went to see Cliff Richard live at a concert recently. Two All the residents have had a holiday this year, three residents went to Euro Disney in October, four residents went to Blackpool for five days, and another three residents went to Wales for five days. Donations are paid towards resident’s holidays. It was pleasing to note that the majority of residents have various places of work. Some residents work in a day centre, two residents work in Sainsbury’s in paid employment, one resident works three days a week and the other resident works two days a week. Another resident does voluntary work in a local shop in Cranleigh village and also works in a bookshop in Guildford. The management and staff of the home, to be commended for supporting residents in this area. There is considerable involvement within the local community. Some residents are able to use public transport with their bus pass and staff are also able to travel with residents with a bus pass. Some members of staff use their own car and regular shopping trips are organised. The inspector was informed that management are in the process of obtaining a lease car on behalf of the residents who receive an allowance for travel, from which the lease of the car will be paid. Residents informed the inspector that they are involved with the menu planning and eat healthily. Food intake and nutritional content is monitored and all residents are weighed monthly. Comments from residents regarding food were very positive and indicated they enjoy the food. A cookbook is used for new ideas, and an alternative meal is always available. The home has a quality assurance system in place to gain feedback from residents and their families. All members of staff receive training at induction on respecting and promoting the rights of residents and all residents are registered to vote. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen in care notes, to be provided, where needed, in a respectful and sensitive manner. Sound policies and practices are in place for the administration and management of medication. EVIDENCE: The inspector was informed by a resident they are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. The residents visit the local G.P surgery when necessary and residents have an annual health check. All residents have had a flu jab and the community psychiatric nurse from the PCT visits on a regular basis to support one resident. All residents have good support from the medical team as well as other professional health care people, including the dentist, optician, chiropodist and physiotherapist. The system for medication administration was seen and was generally carried out to a high standard. The Medication Administration Record (MAR) sheets were seen and no gaps in the recording were noted. Staff stated key workers, Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 15 who report in turn to the registered manager, monitor the MAR sheets. Any recurring gaps or errors would be referred to the manager, and this would be discussed at a supervision meeting. It was pleasing to see that guidelines are in place for medication that is given “as required”. A photograph of each resident is provided with the MAR sheets to guide staff to the correct resident and a medication information sheet gives details of the medications for each resident. It was also noted that a letter from the G.P for the use of homely remedies was on file. Staff stated that any additional entries to the MAR sheet, which have been handwritten on, are signed by the member of staff making the entry and by a second member of staff who checks that it is correct. This had been carried out. Two staff signs the MAR sheet for all medication given and for the receipt of medication into the home. Sample signatures of all staff that administer medication were held with the MAR sheets for ease of reference. Two residents are diabetic and one resident is able to administer his own insulin. The resident is also able to record his own blood sugar levels. Every year the resident attends the diabetic clinic at Royal Surrey Hospital, and the Community Nurse visits on a monthly basis or more often when necessary. The staff to be commended for the support and guidance provided to the resident and for the valued support of the medical team. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All required policies, procedures and practices are in place to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: There were no recorded complaints; the registered manager informed the inspector there were also no external complaints received. Records seen indicated that complaints would be responded to within the guidelines. The homes complaints procedure for residents is in pictorial form and some residents would be able to use it when necessary. The complaints form is written with widget symbols and easy for residents to understand. Each resident has a copy in his or her bedroom. All relatives have also received a copy of the complaints procedure. The majority of staff has completed the training for vulnerable adults. However, some staff require updates to the training. The registered manager confirmed that she would undertake the training for any new members of staff. Staff spoken to, stated that they had undertaken training in the protection of vulnerable adults and would report any concerns they had to the manager. Staff said they would be willing and able to report any concerns and “would go to any level to protect residents”. Resident’s finances are paid directly into their bank and fees for their placement is deducted by direct debit. The manager manages any personal allowance money and some relatives are involved. All residents have a Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 17 lockable cash tin for holding their own personal allowance money and for storing valuables or medication if necessary. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: The premises were found to be clean and hygienic, all staff to be congratulated on the cleanliness of the home. All areas in the home have had paper towel dispensers fitted, to ensure the risk of cross infection is eliminated. All the residents have their own bedroom. Bedrooms had been made personalised with pictures and posters, televisions, music and radio facilities and individual bedding and soft furnishings. One resident showed the inspector his bedroom, of which he was justifiably proud. It is pleasing to see that each room is individually decorated and residents are supported to choose the colour schemes to suit their preferences. Any vacant rooms will be re-decorated in a choice of colours by the prospective new resident. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 19 There were two areas that need addressing, the ceiling in the spare bedroom needs attention, it would appear the roof has leaked and caused the damage. The registered manager stated that the room is only used for relatives who may wish to stay if the need arises. The other area is the first floor bathroom and the cover is missing from the light. This could be a potential hazard. The home has a maintenance book which, is well documented, signed and dated when work is completed. The garden to the back of the house is very pleasant and well maintained. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All interactions observed between staff and residents evidenced a high degree of respect. Staffing is kept under review and provided to meet the needs of the residents at all times. EVIDENCE: It was pleasing to note that staff have a good understanding of the residents needs, are respectful and have a good rapport with the residents. On the day of the site visit two staff were on duty, plus the manager. Staff recruitment files are up dated and contain all the relevant documents as detailed in Schedule 2 of The Care Homes Regulations 2001. All staff has had a criminal record bureau (CRB) check and Protection of Vulnerable Adult (POVA) check prior to starting work in the home. It is imperative that up dates to CRB are undertaken. All staff has been provided with a copy of the General Social Council & Care, code of conduct document. Several staff have completed NVQ Level 2 and two staff are in the process of undertaking NVQ Level 3, hopefully this will be completed by April 2007. A number of staff has undertaken a number of courses and the majority are up to date with all other mandatory training. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 21 Staff supervision was seen to be undertaken on a regular basis, and staff are provided with a copy. The management of the home has produced a training programme, to enable management to identify when staff require up dates to their training. A number of training courses have been undertaken and all new staff receives an induction programme, which is covered over several weeks. Any specialist training required by staff is considered by the management of the home. There is one member of staff on sleeping in duty, the inspector was informed the home has a portable alarm which, is provided to any resident who is unwell. The rota indicates the designated member of staff administering medication. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach in the home provides an open, positive and inclusive atmosphere. The home has a quality assurance and monitoring system in place that is based on seeking the views of the residents. EVIDENCE: The registered manager is qualified, experienced and competent to manage the home and has completed the registered manager award. However, the award is currently waiting for the assessor of Guildford College to sign. The home has an effective quality audit monitoring system in place. The last recorded Regulation 26 visit was dated 30/10/06, the inspector was advised that a recent visit had been undertaken in November, but the record of this visit was not available. However, the previous visit was dated 02/05/06, visits should be undertaken on a regular monthly basis and a copy of the record should be available in the home. The registered manager completes a regular inspection on the home. The home has produced a yearly residents/relatives Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 23 survey in pictorial form, to establish if improvements can be made to the home. There were several comment feedback cards left, and so far none have been returned to the Commission for Social Care Inspection (CSCI). The resident spoken to on the day of the site visit was very complimentary about the home, he stated the manger is “very helpful and understanding nothing is to much trouble”. He also said the staff are really good and he is able to speak with any member of staff, particuarly if he has a problem and it is always sorted out. The records observed on the day of the site visit were found to be well documented and kept up to date. This included certificates for gas, electrical and a number of other areas tested. The management of the home to ensure the testing of Legionella certificate is available in the home at all times. The registered manager informed the inspector the computer used by management is to be upgraded in January 2007, at present the printer is not always working and there is no access to the Internet. Staff need to be kept up to date with areas connected to Commission for Social Care Inspection (CSCI). Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 X X X 3 X X 3 X Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The ceiling needs to be attended to in the guest room. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA24 YA39 Good Practice Recommendations The light in the bathroom needs a cover. Regular Regulation 26 monthly visits must be undertaken. Aeolian House DS0000013545.V309254.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Aeolian House DS0000013545.V309254.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. 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