Inspection on 19/06/06 for Ann Slade Care Home, The

This inspection was carried out on 19th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ann Slade Care Home, The 19/01/10

Ann Slade Care Home, The 22/10/09

Ann Slade Care Home, The 29/07/09

Ann Slade Care Home, The 24/07/07

Ann Slade Care Home, The 30/01/06

Ann Slade Care Home, The 14/09/05

Ann Slade Care Home, The 05/01/05

Ann Slade Care Home, The 09/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ann Slade Care Home, The 5 Mornington Road Southport Merseyside PR9 0TS Lead Inspector Mrs Margaret Van Schaick Unannounced Inspection 19th June 2006 09:15a 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 Ann Slade Care Home, The DS0000005316.V295927.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. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ann Slade Care Home, The Address 5 Mornington Road Southport Merseyside PR9 0TS 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) 01704 535875 01704 512917 Brooklyn Home Limited Mr Korwin-Granford Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 24 OP To admit one male service user under the age of 65 years Date of last inspection 30th January 2006 Brief Description of the Service: Ann Slade is a residential care home that specialises in the care of older people. The home is registered for 24 service users and is owned and managed by Mr Korwin-Granford who has many years experience in the care of older persons. Ann Slade is located within a suburb of Southport and is close to all local amenities. The home presents an older type property, which has been converted into a care home with the accommodation being provided over three floors all served by a passenger lift. The communal space within the home consists of one dining room 2 lounge areas and a small smokers lounge. All communal space is provided on the ground floor. The home has 22 single and one double bedroom all having en suite facility. The home provides limited car parking to the front of the premises. The home provides ramped access to all entrance and exit areas and has aids and adaptations in place to meet all assessed need. The weekly rates range from £356-£395. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and lasted 9 hours. 23 residents were accommodated at this time. The inspection was unannounced (site visit). A tour of the home took place with including many of the residents’ bedrooms and public areas including, the bathrooms and gardens. Care records and other home records including staff and health and safety records were viewed. Discussion took place with three staff and a self-employed activities person. Several residents were also spoken with. Three of the residents were case tracked (care files are examined and some of their views are obtained). All of the key standards were inspected and previous requirements and recommendations from the last inspection in January 2006 were discussed. Satisfaction forms “Have your say about….” Were completed by some of the residents. Some of the comments included in this report are taken from the survey forms. An additional visit to the home took place this year with regard to concerns raised by two residents to a health care employee. This was investigated and the regulations were met. What the service does well: All prospective residents are assessed prior to and during the admission process of the home. Residents care needs are generally well met and specialist intervention and care reviews are instigated where needed. Residents are able to live their lives as they please, have sufficient activities and enjoy a nutritious diet. Staff are alert to the varying forms of abuse and their understanding ensures residents in their care are protected where possible. The home provides a comfortable and homely environment for the residents who live there. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 6 The home provides staff with a good training programme including the NVQ qualification, which ensures staff are trained to meet the needs of the residents. The management consult with the residents, their relatives and staff on a regular basis to gain their opinions on how the home is run. This process enables residents, their relatives and staff to feel valued and promotes an open atmosphere. 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. Ann Slade Care Home, The DS0000005316.V295927.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 Ann Slade Care Home, The DS0000005316.V295927.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP3 Quality outcome in this area is good. The judgement has been made using available evidence including a site visit to the home. All prospective residents are assessed prior to and during the admission process of the home. Standard 6 is not applicable. EVIDENCE: Prospective residents are encouraged to visit the home prior to admission and this was confirmed through discussions with residents during the inspection. Assessments documentation was viewed in the three care files case tracked. One of the prospective residents assessments was carried out during their visit to the home. Care and support needs are identified and care plans were commenced at point of entry to the home. A full assessment of the residents’ individual needs has been carried out to cover all healthcare including medication, dental health opticians, hearing aids, mobility, GP or District Nurse input. Carer or family involvement, religious beliefs and personal safety have also been identified. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 9 A copy of the SW (Social Workers) care management assessment is in place and this includes a detailed assessment of the residents needs. Ann Slade Care Home, The DS0000005316.V295927.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. Residents care needs are generally well met and specialist intervention and care reviews are instigated where needed. Care records need to be completed at all times with accurate dates and signatures of staff. EVIDENCE: The three residents whose care files were case tracked evidenced a care plan in place. The care plans identify and include such areas as sleep pattern, mental condition, diet, safety, aids in use, pressure areas, spiritual needs, communication and personal hygiene needs. There is evidence of health professional visits in all three care files including their GP, dentist, optician, chiropodist, District Nurse and CPN (Community Psychiatric Nurse). Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 11 Manual handling documentation, nutritional assessments, Waterlow scores (tool to measure how prone a resident is to pressure sores) and risk assessments are in place. The residents’ care is reviewed on a fairly regular basis but some signatures and dates are missing in some of the documentation. Care management reviews are carried out and copies of these are on file. One recently admitted resident has a Person Held Record, which is issued by their social worker and all assessment documentation and their review processes are recorded in this document and held in the home. This is used for each review. Photos of residents are available when administering medication and there is a list of staff trained to administer medications in place. The deputy Manager has requested that residents GP’s review all their medication. Some of which is already done. This is good practice. The home continues to provide training on the management of medication in the home and the next one is booked for July. Temazepam (night sedation) and Diazepam (sedative) and are audited on a daily basis with two staff signatures, which is good practice. Accident records aren’t always completed. One resident had a leg dressing due to a recent accident but there was no record of it in the accident book. Ann Slade Care Home, The DS0000005316.V295927.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. Residents are able to live their lives as they please, have sufficient activities and enjoy a nutritious diet. EVIDENCE: Residents interviewed were generally very happy with the way they live their lives in the home. Staff in the home are flexible with how residents wish to spend their time. Residents interviewed stated, “I’m happy and everyone seems friendly and helpful” and “put it this way, I can’t complain and staff are nice at night”. Residents are encouraged to continue contact with their friends and relatives with some residents receiving visitors on a regular basis. Other residents go out to spend time with their friends and relatives. Comments from residents includes, “I see my son and granddaughter a couple of times a week, they can come at any time and have a cup of tea if wished”. Residents interviewed stated, “There is plenty to do, entertainment, the organ player and exercise class and periodically, we have visits from the church”. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 13 The inspector also met with the ‘exercise’ lady who visits the home twice a week for exercise and also does karaoke and a reminiscence quiz. Other activities include, bingo, one to ones with residents (chats) and outings to the local supermarket and Botanic gardens. Residents are able to retire to bed and get up when they wish. One resident commented, “Breakfast comes at 7am, I like it in bed and I get up after, I like to go up (retire) at 7.45 and potter around in my room, then I get ready for bed at 8.30, I like to go to bed early”. The menu offers choices at each mealtime and individual choices are recorded on a daily basis so that the cook can monitor the residents’ favourites. Residents interviewed were complimentary about the food served with comments including, “the food is very good, excellent” and “I am on a strict Medical) diet and staff give me what I want”. Further discussion showed that the food this resident was pertaining to was recognised as being healthy for their diet restriction. Ann Slade Care Home, The DS0000005316.V295927.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. Staff are alert to the varying forms of abuse and their understanding ensures residents in their care are protected where possible. EVIDENCE: All complaints and concerns are logged no matter how minor. This is good practice. The inspector viewed the complaints log and noted that many of the concerns raised were from residents about other residents in the home. The home needs to be aware of the residents’ dignity when recorded such concerns. A valuables book needs to be in place so that a record is kept of all valuables and the resident or their family would have a copy. The home has a lockable facility. The home has policies and procedures including a whistle blowing policy in place. Staff has attended training with regard to elderly abuse and attended POVA (Protection of Vulnerable Adults) training. Staff interviewed had a good understanding of the varying types of abuse and how to alert others to ensure residents are protected. Residents interviewed were confident that they could speak to the staff if they had any concerns. One resident stated, “If I had any worries I would speak to Jenny (deputy)”. Ann Slade Care Home, The DS0000005316.V295927.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP19,26 Quality outcome in this are is adequate. This judgement has been made using available evidence and a site visit to the home. The home provides a comfortable and homely environment for the residents who live there. EVIDENCE: A tour of the home took place with many residents bedrooms viewed and the public areas. Bedrooms viewed were decorated to a satisfactory standard and residents were able to personalise their rooms were wished. Residents interviewed were happy with their bedroom and stated, “I like my room and the bed’s comfortable” and “my bedroom is lovely and I have a beautiful ensuite”. Some areas of the home require decoration, in particular the ground floor bathroom/toilet areas. The metal frame around the toilet is rusty and there is a cracked sink in the opposite toilet that needs replacing. These were discussed with the deputy. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 16 The upstairs medi bath needs repair to the rubber seal. The home has also had a recent roof leak into the top floor, which has since been repaired. The ceiling tiles are in the process of being replaced. The laundry room floor is worn and requires replacing. Two steps in the laundry also require repair. The deputy advised that the laundry is due to be refurbished this summer. There are facilities in place for staff to wash and dry their hands. The maintenance book was viewed and shows ‘jobs’ to be done and the date completed and signed. The kitchen is tidy and clean. Hot food temperatures and fridge/freezer temperatures are recorded daily. Foods stored in the fridge were covered but not dated. The kitchen floor is made of red lino and easy to clean. The cleaning schedule identifies daily, weekly and monthly cleaning duties. The dry store is well organised and full of food. One small area in the home was noted to be smelly. This needs to be addressed, as the smell was unpleasant and impacted into the hallway. All other areas of the home were clean and hygienic. The garden area immediately outside the rear of the home is pleasant for residents to sit out. At the rear of the home part of the garden is being used to store building materials as there are improvements being made to an outhouse. At present the smaller garden area is safe for residents and this needs to be kept under review to ensure continued safety. Ann Slade Care Home, The DS0000005316.V295927.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. The home provides staff with a good training programme including the NVQ qualification, which ensures staff are trained to meet the needs of the residents. EVIDENCE: The staffing rota evidences sufficient staff are on duty to care for residents needs. Residents interviewed stated, “there are plenty of staff around, they are always there to help”. A visitor to the home stated, “staff are lovely, always very good, if residents need anything staff always give it to them”. The home has an external contracted domestic who is employed to maintain the homes cleanliness over a five-day week. Care staff are all qualified to NVQ level 2 or 3 with the exception of one. All three staff files checked evidenced all pre employment information and checks are in place. Training records show mandatory training is almost up to date. Training attended and certificates awarded are evidenced in staff files. The cook needs to have manual handling training and a fire training update. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 18 Interview notes are recorded and on file, which is good practice. Staff files also contain documented evidence of induction training and this was confirmed during staff interviews. Two of the induction programmes were not dated therefore this needs addressing. Ann Slade Care Home, The DS0000005316.V295927.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. The management consult with the residents, their relatives and staff on a regular basis to gain their opinions on how the home is run. This process enables residents, their relatives and staff to feel valued and promotes an open atmosphere. EVIDENCE: The registered provider/Manager has many years experience of managing the care home and is due to complete the RMA (Registered Managers Award). The Manager also attends further training to update his knowledge and understanding and ensure he manages the home to meet the needs of the residents. The deputy has gained the RMA also. Residents interviewed were pleased with the way the home was run. Comments from residents include, “Jenny has been quite helpful to me”. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 20 A visitor to the home commented, “I like the home, it’s very welcoming, always clean and fresh and residents are always happy”. Staff interviewed are very happy at the home with many of the staff having worked here for some years. Staff comments include “I’ve been in quite a lot of homes and this is a very nice home, I get on alright with Jenny and Edward (deputy and Manager)” and “Jenny and Edward are fabulous, they are always there for the residents if they need a chat in the office and I’m able to approach management, I have no problems”. A visitor to the home stated, “If I had to put my parents in a home I would choose this one, I visit sixteen each week”. Residents are canvassed for their views through questionnaires and also residents meetings take place on a monthly basis with results and minutes published. Minutes viewed evidenced various items up for discussion including, activities planned/requested, foods with the emphasis on salads and strawberries. Residents interviewed confirmed they attended the meetings, “I attend the meetings when there is one”. The most recent questionnaires completed in March 2006 showed a generally positive response. Relatives’ questionnaires were completed in March of this year and viewed as positive and included letters of thanks. Staff meetings also take place on a regular basis with items discussed including, 1 to 1 with residents, policies and procedures and care plans. Individual financial records are kept of all transactions with personal allowance books viewed and evidencing payments for chiropody, hairdressing and personal allowance receipts. Policies and procedures have been reviewed in January of this year. Servicing and certificates for all equipment, electrical and gas appliances is in place and up to date. Hot water temperatures are recorded and showers are sterilised weekly with records kept. The deputy was unable to produce the hoist servicing documentation and has therefore been asked to fax the appropriate certificates to the Commission. One of the residents’ bedrooms had a hair dryer attached to an extension lead in their bedroom. This was lying on the floor. This needs to be addressed to ensure residents and staff safety. Staff have a training programme that includes mandatory training with evidence of attendance in staff files. Induction training is in place for new staff. Accident records are generally completed but one recent minor accident was not recorded therefore staff need to be made aware that this has to be addressed. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 21 The Environmental Health Officer visited the premises in January this year and comments were good with no recommendations. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 23 (2) (b) Requirement The Registered Provider must ensure that the hallway ceiling tiles on the top floor of the home are replaced. The Registered Provider must ensure that the toilet frame, damaged sink and bath seal are repaired/replaced as identified in this report. The Registered Provider must ensure that the laundry floor and steps are repaired and the laundry room is decorated. Timescale for action 25/09/06 2. OP19 23 (2) (c) 25/09/06 3. OP26 23 (2) (b) and (d) 25/09/06 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 OP7 Good Practice Recommendations The inspector strongly recommends that all care plan documentation should be audited so information with regard to events, treatments are dated and signed. All other documentation that is out of date should be stored securely. DS0000005316.V295927.R01.S.doc Version 5.2 Page 24 Ann Slade Care Home, The 2. 3. 4. 5. 6. 7. 8. 9. 10. OP8 OP8 OP8 OP9 OP26 OP30 OP35 OP38 OP38 The inspector strongly recommends that all wound care documentation should be fully documented. The inspector strongly recommends that all manualhandling records should be signed and dated. The inspector strongly recommends that all accidents however minor should be recorded. The inspector strongly recommends that all medication that is self-medicated should be monitored. The inspector strongly recommends that the smell in the home (as discussed) should be monitored and advice sought as to how to deal with it. The inspector strongly recommends that the staff induction programme should be dated when commencing and on completion. The inspector strongly recommends a valuables book with a receipt facility should be in place. The inspector strongly recommends that the cook should attend manual handling training within the next two months. The inspector strongly recommends a risk assessment should be in place for the resident who is using the hairdryer in their room. Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Ann Slade Care Home, The DS0000005316.V295927.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!