Inspection on 07/06/06 for Agape House

This inspection was carried out on 7th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Agape House 29/05/09

Agape House 28/10/08

Agape House 05/08/08

Agape House 12/02/08

Agape House 15/05/06

Agape House 21/09/05

Agape House 15/04/05

Agape House 01/02/05

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

CARE HOMES FOR OLDER PEOPLE Agape House Agape House 45 Maidstone Road Chatham Kent ME4 6DG Lead Inspector Sue McGrath Key Unannounced Inspection 7th June 2007 13:00 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 Agape House DS0000061836.V340051.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. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Agape House Address Agape House 45 Maidstone Road Chatham Kent ME4 6DG 01634 841002 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) Nanthini Paramasivam Thiyagarajah Paramasivam Nanthini Paramasivam Care Home 20 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (16) of places Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th May 2006 Brief Description of the Service: Agape House is a detached Victorian home providing accommodation on two floors, there is a passenger lift to the first floor. Agape provides care for 20 older persons. It has four beds for service users with a diagnosis of dementia. There are a variety of aids and adaptations around the home, which enable more independence for the residents. The home has 16 bedrooms. The home is situated in a residential area less than a mile from Chatham railway station and town centre. The home is located on a main bus route and within walking distance of shops and a Post Office. The home has attractive front and rear gardens with seating. Agape is a Christian based home and has regular contact with local clergy. The fees charged by the service range from £385 to £450 per week. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on Thursday 7th June 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. Most of the requirements made at the last inspection had been complied with; some had been partially complied with and are re issued. Overall this was a positive inspection with generally good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for. What the service does well: The staff have a good understanding of the support needs of the residents. This is evident from the positive relationships, which have been formed between staff and residents and detailed care plans. The residents spoken to all had nice things to say about the staff, “Friendly and always willing to help” and “very kind and caring, we like to have a laugh together”. The meals in this home are good offering both choice and variety and cater for special dietary needs. Residents were complimentary about the food. The home was clean and tidy on the day and all the residents’ rooms felt homely and personalised with their own bits and pieces. The atmosphere in the home was very friendly and relaxed with staff seen chatting and joking with residents. Care planning and assessment have improved since the last inspection. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 7 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 Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 8 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, 2, 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The home’s statement of purpose and service user guide contains most of the information required to ensure residents have sufficient information to make an informed choice. Some recommendations are made to ensure these document fully comply with regulations. The home is also advised to read the guidance on CSCI’s website regarding the ‘provision of fees information by care Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 9 homes’ and to ensure all the necessary information is included in the home’s service user guide. The registered manager confirms that all residents now hold updated contracts and statement of terms and conditions as recommended in the last report. When new residents are referred to Agape House the manager completes an assessment of needs to ensure the home can meet their needs. Information is gathered form Care Managers and/or the prospective resident and their families. Included in the assessments is a social history to ensure a holistic approach and to ensure the home can meet all needs. Several members of staff have recently completed an extensive course in the care for residents with dementia. This was a requirement the home had to meet before it could be registered for dementia care. It is now registered for four beds. The owner/manager also continues to develop her skills and has completed her Registered Managers Award and NVQ 4 in Management. Other work related courses have also been completed. Staff training records show that other staff now have the skills and experience to deliver services and care which the home offers to provide. Staff and residents confirm that when they are first admitted to the home they are encouraged to visit and to share a meal or stay for the whole day prior to moving in. There is a period of six weeks probation time before a final decision to stay needs to be made. Family involvement with this decision is actively encouraged. Agape House does not offer intermediate care. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 10 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 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff though care plans are not always regularly updated to ensure changes are recorded and acted upon. Health needs are met and residents benefit from having full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Residents care plans were reviewed and found mainly to contain comprehensive information that would enable staff to fully meet residents needs. Some suggestions were made to improve some areas and these were mainly about adequate risk assessments for people with specialist needs such as Parkinson, Diabetes and Dementia. The manager agreed to look at ways to Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 11 improve these areas. Manager was also advised to improve recordings when G.Ps. and District Nurses gave instructions. Instructions were followed but outcomes need to be recorded as well. Most care plans are reviewed monthly, however as at the last inspection, some were a little late and the manager is again advised to monitor the process. Staff recording has improved slightly and notes were seen to be dated and signed. Health care needs are well met with residents having access to G.Ps, District Nurses, chiropody services, optical services and hearing tests if required. The residents also have access to a dentist who regularly visits the home. The procedure for the safe administration of medication was assessed and found to meet with the guidance issued by the Royal Pharmaceutical Society of Great Britain. Staff are appropriately trained. The manager is however advised to ensure all staff who regularly administer medication are assessed to ensure they remain competent and that a regular audit of the medication is undertaken and recorded. Discussion with the residents confirm that staff treat them with respect and dignity. Comments made included: ‘Staff always knock before coming into my room’ ‘Bath times are private and I feel at ease’ ‘I open my own mail but staff will help me if I ask them to’ Staff were seen to be polite and courteous during the inspection and clearly this was normal practice. The importance of promoting privacy and dignity is covered in the home’s induction for staff. All residents and families or friends gave positive feedback during the inspection about the approach of the staff team, some said ‘nothing is too much trouble for the girls’ and ‘they show great kindness and good care skills’. Residents are consulted regarding their wishes concerning terminal care and arrangements after death and this is recorded on their care plans, allowing them a dignified death according to their own wishes. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the flexible routines in the home, they are able to exercise choice in relation to routines of daily living. Activities are offered and the home does recognise that not all residents wish to participate. Residents benefit from the flexible visiting policy that enables friends and relatives to visit at all reasonable times. Residents receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The routines of the home are starting to evidence more flexibility to suit the residents’ preferences and capacities. They can get up and wander around the home, and can choose one of four places to sit. The residents are now being encouraged to exercise choice in relation to meals and mealtimes, and with some leisure and social activities including the time to get up or to retire for the evening. Evidence was seen that staff are recording choices made and some are keeping records of activities for each person. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 13 Activities are organised by staff as part of their normal duties, however some staff are better than other is finding time to prepare and complete activities. The home may wish to employ dedicated staff to co-ordinate and encouraged further choices and actual activities. The home does have an activities programme that includes musical movement, arts and crafts, sing a longs, bingo and other games. It is recognised that not all residents wish to participate in organised activities and the home does respect this. Staff maintain records of activities undertaken but this could be improved. A high number of residents say they miss going out for short trips and the home is currently arranging to hire a mini bus from Medway Council to ensure trips can be arranged on a regular basis. Families and residents confirm relatives and friends are encouraged to visit at any a time and are always made welcomed by staff. Families are actively encouraged to maintain contact with their relatives and are encouraged to remain involved with their care where possible. On the day of the inspection one resident was celebrating her birthday. The home had provided a card and present and had arranged a small tea party with a birthday cake, relatives were heard to be invited. A number of residents spoken to in the home commented on the food and said how good it is and that they welcomed all the choices offered. Evidence was seen of a four weekly rota on the wall, and a daily menu is displayed however this was not always adhered to. Residents were observed during meal- time and choice and variety is offered. One resident stated “ the food was excellent and they always have something on the menu which I like”. The cook regularly makes home made cake and tea and cake or snacks are offered mid-morning and mid-afternoon. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system and service users and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The complaints procedure now contains the timescales recommended from the last inspection. The policy is displayed within the home and is contained within the service users guide. The home has not received any complaints since the last inspection. The owner does make it a priority to ensure any negative comments are dealt with before they become a formal complaint. The home ensures the residents are safeguarded from any abuse, neglect or harm by having a policy for the home as well as the Local Authority Guidelines. The manager gives guidance for all staff at induction, however all staff must attend courses in the Local Authority’s protocols on Adult Protection, the manager is trying to arrange this training for as soon as possible. Some staff spoken with had knowledge of adult abuse and its effect on residents through their NVQ training. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 15 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, 20 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe and reasonably well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. However, some areas are showing signs of wear and tear. Residents benefit from living in a clean, pleasant and hygienic home. EVIDENCE: The home’s location and layout is suitable for its stated purpose; recent visits have been made to the home by the fire service and environmental health to ensure they meet all their requirements. The home’s lounges were beginning to show signs of wear and tear and the owner is strongly advised to implement a maintenance and renewal Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 16 programme. This was discussed with the owner who confirmed that plans are underway to re carpet some areas and to redecorate the lounges. Bedrooms seen had all been personalised by the residents. Bedrooms have sufficient space to accommodate the required furniture. There are several areas that need repainting and carpets replacing. Some bedrooms had been redecorated and had carpets fitted since the last inspection. The owner is also recommended to include maintenance of the window frames as part of the long-term strategy to improve the environment. At least one sash window was in need of repair. The outside of the home is very well maintained with pleasant front and back gardens. There is also a small patio area outside the conservatory/ dining room. New security gates have been fitted to both sides of the building. One family member was concerned that residents with dementia may be able to access the main road, as there was a small gap in the hedge. This was discussed with the owner who clearly stated that any resident with dementia is always escorted when outside and none had ever felt the need to find their way to the road. The home has good standards of cleanliness and the cleaning staff know which rooms to deep clean daily and only very low odours were detected. The requirement made at the last inspection regarding the fitting of a sluice was discussed. At the moment the home is struggling to find a suitable location to site the equipment. It is their intention to purchases one. Plans are currently being drawn up to include a new wing and a sluice room will be sited there. In the interim time the requirement will remain but it is acknowledged that the owner does intend to comply. The home has a separate laundry room, which met infection control requirements. Hand washing facilities are prominently sited and the provision of protective clothing was clearly seen. The kitchen was viewed and this was well maintained. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 17 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, 20 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staff that are trained and competent to do their jobs and who enjoy good morale. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The home has a full complement of staff. This is managed for each shift with the manager or a senior on duty then 3 care staff working on the floor for the morning shift and 2 care staff working on the floor for the afternoon shift with 2 waking night staff. The levels of staff turnover are low and agency staff are not required because ant extra hours are worked by current staff. The home has produced a training matrix so they can see at a glance what training is required, however this needs to be kept up to date and in line with the staff training certificates. The home is committed to training however there are some gaps. The home needs to send all staff on Adult Protection training, and all staff need to complete the five basic training core skills and also dementia care. It is noted that staff have been offered a good quality training in the last year with a high number of in depth lengthy courses, not just a one day course. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 18 The home does have an induction programme but is advised to consult the skills for care website (www.skillsforcare.org) and take guidance from their induction programme that related directly to NVQs in care. The home has nine carers who have NVQ 2, and three staff who have started their NVQ 2, and three staff who have NVQ3. The home has excellent staff files, which contain all the required info, however these need tidying so information is clearly accessed. The staff folders would also benefit from having a checklist /index. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from having a manager who is supported well by senior staff in providing clear leadership throughout the home and by staff who demonstrate an awareness of their roles and responsibilities. Residents benefit from having staff who receive regular supervision. Current practices protect the health, safety and welfare of residents and staff. EVIDENCE: The owner evidenced she is competent and experienced and is registered as the manager as well. She continues to undertaking training to update her knowledge and skills since she took over as manager. She is familiar with Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 20 conditions and diseases associated with old age due to her nursing background. The home’s head of care is also very competent to act up as acting manager should the manager be absent from the home. Staff say they are comfortable with the management and they all work well as a team. Staff supervision is being undertaken and does appear to be an in-depth process, which reflects practice, the home’s philosophy and identifies any training or further support needs. The home’s head of care has finished a course on supervision. The owner does undertake some quality assurance and mainly used feedback form current residents. It is advised that they extend their range of questionnaires to include relatives and other health professional including care managers. To comply fully with NMS 33 they must evidence they react to the findings of the questionnaires and produce a report, with outcomes, for all who participated in the surveys and CSCI. If completed correctly this could be seen as a positive marketing tools for the home to use and it could be included in the statement of purpose. The owner states that she does not hold monies on behalf of the residents and normally pays for the extras, such as hairdressing, chiropody and newspapers etc and then invoices the families directly. The manager, as far as is reasonably practicable, ensures residents and staff are protected by good health and safety practices. However, it was noted again that many policies and procedures have not been reviewed and updated. The owner must sign and date the procedures to evidence they have been reviewed. The home’s fire evacuation procedure was discussed as concerns were raised as to whether it was correct and met with current good practise guidelines. The owner confirmed she is considering updating the procedure. Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 21 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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 2 2 3 Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? yes 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 18(1) Requirement The registered person ensures that there is a staff training and development programme which meets the National Training Organisation (NTO) workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. This is carried forward from the last inspection. It is acknowledged this requirement is partially met 2. OP26 23(2)(k) The home does not have a sluice machine and a requirement is made for the home to purchase one. This is carried forward from the last inspection. It is acknowledged this requirement will be addressed in the new build. 3. OP38 23(4)(iii) Schedule four The register person should review the fire evacuations procedure to endure it complies with good practise guidelines. DS0000061836.V340051.R01.S.doc Timescale for action 30/08/07 01/01/08 31/08/07 Agape House Version 5.2 Page 23 4. OP18 12 The registered person shall ensure all staff receive training in Adult Protection 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP1 OP38 OP7 OP19 Good Practice Recommendations It is recommended that some minor adjustments are made to the home’s statement of purpose and service users guide as discussed. It is recommended that all policies and procedures need updating and the date this was completed added. It is recommended that risk assessments be improved for the specialist needs of some residents. It is recommended that the home has a renewal of fabric and redecoration programme ain place with timescales for completion Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Agape House DS0000061836.V340051.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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