Inspection on 31/07/07 for Applecroft Residential Care Home

This inspection was carried out on 31st July 2007.

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

The inspector 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

Applecroft Residential Care Home 05/05/06

Applecroft Residential Care Home 18/10/05

Applecroft Residential Care Home 14/06/05

Applecroft Residential Care Home 17/02/05

Applecroft Residential Care Home 26/10/04

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 Applecroft Residential Care Home 48/50 Brunswick Street Congleton Cheshire CW12 1QF Lead Inspector Helena Dennett Unannounced Inspection 31 July 2007 09:30 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 Applecroft Residential Care Home DS0000045159.V342145.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. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Applecroft Residential Care Home Address 48/50 Brunswick Street Congleton Cheshire CW12 1QF 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) 01260 280336 01260 299862 Applecroft@fsmail.net B & L Property Investments Ltd vacant post Care Home 25 Category(ies) of Dementia (1), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (1), Old age, not falling within any other category (25), Physical disability (2) Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 25 service users to include: * Up to 25 service users in the category of OP (old age not falling within any other category) * 1 service user in the category of MD(E) (mental disorder over the age of 65) * 2 named service users in the category of PD (physical disability) over the age of 60 within the overall number of registered places * 1 named service user in the category of DE (dementia) 5th May 2006 Date of last inspection Brief Description of the Service: Applecroft is a privately owned care home located near to Congleton town centre and close to local shops. It was formerly two private dwellings that have been converted and extended to provide a care home for older people. It is a three-storey building and residents can be accommodated on all floors. Access to all floors is via a passenger lift or stairs. There are 22 single bedrooms in the home; 13 of them have en-suite facilities, three with showers and three with baths. There are currently two communal bathrooms and three communal toilets in the home. Day space consists of two lounges and a dining room. The current range of fees is £353.47 - £395.00 per week. Additional charges are made for newspapers and hairdressing. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit, part of the key unannounced inspection of the home, took place over 7 hours. The inspector visited the home on 31 July 2007. The manager was not working on that day so the inspector returned to the home on 6 August to gain additional information and let the manager and the owner know the findings of the inspection. Before the visit the manager was asked to provide information as part of the inspection. The views of residents and relatives about the home were also sought; their comments are incorporated into this report. During the visit the inspector spoke to the senior carer, some staff members and residents. Three residents’ records were looked at to check the care they receive. Policies and procedures and records of medication, care plans, staffing rotas and training records were also examined. What the service does well: There is a friendly and homely atmosphere within the home so the people who live there feel comfortable. People living in the home were very complimentary about the staff and the care provided. The following comments were made on questionnaires sent to the people living in the home and their relatives before the inspection visit: • • • • • ‘My relative is happy and well cared for. Delighted with everything at Applecroft’. ‘Everything is done to a high standard’. ‘My relative said he is very happy at Applecroft and that he couldn’t be treated better’. ‘We all feel that we have found our relative a lovely place to stay in’. ‘The staff are all very caring and very helpful at all times’. An assessment of needs is carried out before a person moves into the home. This allows the person to make an informed decision on whether staff at the home can meet their needs. A further assessment is carried out when a person enters the home and a plan of care developed to make sure that staff at the home are aware of the needs of that individual. Advice from healthcare professionals such as doctors and specialist nurses is sought as necessary and acted on by staff to make sure that people’s healthcare needs are met. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 6 The people who live in the home said that they are involved in decisions about their lives and are supported in maintaining their independence as much as possible. The staff who work in the home are offered regular training and are supervised regularly to check they are competent to carry out their duties so people living in the home know that their needs will be met. There are good recruitment procedures now in place to ensure that only people suitable to work in a care home will be employed. The people living in the home said that the manager and the staff in the home are approachable and so felt they would be able to discuss any concerns they had. What has improved since the last inspection? What they could do better: Health and safety systems in the home need to be improved, in particular when contractors/workmen are refurbishing rooms. Detailed risk assessments had not been carried out in relation to the work and so people living in the home were placed at risk. Staff at the home must also ensure that people living at the home are not placed at risk of injury or burns as some of the radiators are not covered and could get very hot in the winter months. The quality assurance system needs to be improved to ensure that the quality of care and services provided is monitored. The owner of the home must ensure that all essential equipment is maintained regularly to ensure the health and safety of the people who live in the home. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 7 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. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Before moving into the home, people are provided with the information they need so they can make an informed choice about living there. EVIDENCE: Care records for three people who live at the home were looked at during the visit. A new pre-admission form has been developed since the last inspection. This is completed by the person doing the assessment and discussed with the person who is considering moving into the home. It provides staff with information about the health and personal care needs of the person, so that they can be confident that staff working in the home can meet their needs. According to the information provided by the manager before the inspection visit, everyone in the home is issued with a contract of residence. The contract relating to one person living in the home was looked at. It was dated 2003 Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 10 and did not contain up to date information on charges, so the person may not be aware of the full charges made to their account. Applecroft does not provide intermediate care and so standard 6 does not apply. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care provided for people living in the home is based on their individual needs and given in a way that ensures their dignity and privacy are respected. EVIDENCE: When a person first moves into the home, an assessment of their needs is carried out. This provides staff with information to make sure that they can meet their needs. A care plan is then drawn up from the information gained at the assessment and this is discussed with the person so that they know what to expect. The inspector looked at the care records of three people living in the home. Most of them centred on the individual’s needs. The manager and a senior carer review care plans every month, to ensure that the care provided is appropriate to the individual. However, care needs to be taken to make sure that the care plans are updated when there are any changes to the care Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 12 provided so that all staff are aware of the changes. For example: one person had been assessed by a nurse specialist who gave instructions to staff on how to meet the needs of that person. Although the instructions were in the back of the care notes, a plan of care had not been developed. There was evidence in the care plans that staff contact the GP and other healthcare professionals such as the continence advisor, district nurse and other specialists as needed. The inspector spoke with five people living in the home and one relative during the site visit. The following comments were made: • • • • ‘Through the care of the staff I have improved greatly’. I couldn’t find anywhere better to stay’. ‘The staff are wonderful’. ‘I am much better now since I have moved into the home’. The following comments were made on survey forms completed by people living in the home and/or their relatives, which were returned to CSCI. • • • • • • ‘I am satisfied with the care I receive’. ‘I have nothing but praise for the way in which my mother is looked after at Applecroft’. ‘I particularly like the way they always dress my relative, she has matching colours and jewellery, her nails are manicured and her hair done so that she feels special’. ‘I am very pleased with the attention given. I am very pleased with the care I am receiving’. ‘Very caring especially as communicating is difficult’. ‘Mum is happy and well looked after’. People living in the home said that staff respect their wishes and choices when providing care. One person gave the example that a member of staff will always call her GP when she asks. Medicines are generally well managed. Some of the people living in the home are helped to manage their own medicines. However, a risk assessment is not always completed to ensure that these medicines are kept safe and secure. The privacy and dignity of the people living at the home was seen to be promoted and maintained during the inspection visit. Staff knocked on bedroom doors before going in. People were treated with respect; staff spoke to them in a friendly but respectful manner. Good relationships appeared to exist. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are able to make choices about their lifestyle. Social and recreational activities meet individuals needs and expectations so they are able to live in the way that they choose. EVIDENCE: The people living at the home were positive about daily life and social activities. They felt there was enough to do at the home. Several people said they were looking forward to the trip to the zoo that was due to take place the week after the inspection visit. One person said that she particularly enjoyed the ‘exercise and sport sessions they have in the home’. She said, ‘I never thought I would hear myself say but I got top marks for my sports’. She went on to say that everyone appeared to enjoy the exercise sessions and have a ‘laugh’ during them. A list of the entertainment and activities provided is displayed. In addition staff play music, newspapers are available and people go out when the weather allows. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 14 Visitors are made feel welcome in the home. People living in the home said that staff encourage them to make choices regarding their daily living. One person said ‘I can come and go as I please’. Another person said that although she loves her bedroom she prefers to sit and chat in the lounge area and that staff respect this. Everyone spoken with was very complimentary about the food provided at the home. All said they get a choice and this was displayed on the menu board in the dining room on the day of the site visit. People living in the home made the following comments during the site visit: • ‘The food couldn’t be better. We get a choice and it is well cooked and well presented’ • ‘The food has improved quite a lot recently’ The following comments were made on the survey forms received back to CSCI before the site visit • • ‘Good variety of food – my relative always looks forward to her meals’ ‘Good entertainment and good food’ Lunch appeared to be a pleasant and relaxed affair. The dining tables were nicely set and kitchen staff served the meals. Everyone appeared to enjoy their lunch. The manager confirmed that snacks are available in between meals for anyone who may feel hungry. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are effective procedures so that people who live at the home are protected from abuse and have their rights protected. EVIDENCE: There is a complaints procedure in place at the home. This sets out the action a person can take if they are not happy with any aspect of the service. People living in the home said they were happy with the care and facilities provided. Everyone spoken with said that they would complain to the manager if they had a problem and were confident that any issue would be addressed. They also said that they see the owner regularly and would feel happy approaching him if they needed to. There is a policy on safeguarding adults available in the home. There was evidence that staff had attended training on adult abuse but this was in 2005. The manager stated she is in the process of accessing some more up to date training on this. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 16 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, 21, 24, 26, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some aspects of the environment need to be improved to ensure that the home provides a suitable and safe place to live in and that the privacy and dignity of people living in the home is maintained. EVIDENCE: The owner is continuing to refurbish the home. On the day of the inspection visit work was in progress on two of the bedrooms on the middle floor. Three resident’s bedrooms were on this floor. Some health and safety issues in relation to this were noted and this is further discussed under Standard 38. Two of the communal toilets did not have door handles in place and so it would be difficult for people who lived in the home to use them. These should be replaced as soon as possible so the dignity of people living in the home can be maintained. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 17 At the previous site visit the owner said that an additional bathroom would be provided. This has not been completed. Some of the carpets are showing signs of wear and tear and need to be monitored so they do not become a risk for the people who live in the home. There are two lounge areas and a dining area for people to use. The smaller lounge area had a large television; however there were only four chairs and no table and so the room did not have a homely feel. This lounge was not used during the inspection visit. More comfortable chairs should be provided so people living in the home might be more inclined to use this space. Bedrooms appeared bright and cheerful and they contained many personal items. Larger beds have been purchased for some people living in the home. This has resulted in the reduction of falls out of bed. Some of the radiators were not guarded and did not have guaranteed low temperature surfaces. Valves are in place so the temperature of the radiators can be regulated; however there is a risk that a resident could get burnt if the radiators are turned on full in the colder weather. A risk assessment was in place; this needs to be reviewed to ensure that all aspects of risk are covered. The owner of the home said that a water heating check to ensure Legionella cannot develop has been carried out. The home was clean and tidy. One person living in the home said that the home is always kept clean and fresh and there are never any unpleasant smells. The laundry room was found to be satisfactory in the main. The washing machine does not have a sluicing facility to deal with soiled or infected linen. This was raised as a problem on the last two inspections and could be an infection control issue. Care staff tend to the laundry as well as providing care. Most of the people living in the home said that their clothes were well cared for. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is enough suitably trained, competent staff working at the home so that the needs of all the people living there are met. EVIDENCE: People living in the home said that the staff working in the home meet their needs. The following comments were made on survey forms returned to CSCI: • • • • • • ‘My father says he is very happy at Applecroft and that he couldn’t be treated better’. ‘I have nothing but praise for the way in which my relative is looked after at Applecroft. The personal care and cleanliness of the home is excellent’ ‘The staff are all very caring and very helpful’. ‘Staff are very prompt and understanding’. ‘I am satisfied with the care I receive. Staff are cheerful, helpful and caring’. ‘Staff are always available’. People living in the home said that staff were very good and always attended to their needs promptly. During the visit staff were seen to answer call bells quickly and to treat everyone with respect. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 19 There is a good recruitment procedure in place, which makes sure that only people suitable to work in a care home are employed. A sample of personnel files was examined. These contained all of the necessary checks to make sure that the person was suitable to be employed at the home. Members of staff spoken with said they felt supported in their training. A record of achievement is kept. This contains details of the courses and training they have attended. There was evidence that all staff have attended training sessions on fire safety, moving and handling, mental health issues so they have the skills and knowledge to care for the people living in the home. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management approach of the home is open and friendly so people’s views are listened to and acted on. However, there were some problems with health and safety that could put people at risk. EVIDENCE: People living in the home said both the manager and the owners were friendly and approachable. The manager is registered with the Commission for Social Care Inspection. She has completed the registered managers award recently. There is no formal quality assurance system in place at the home. The manager seeks people’s views by sending questionnaires out to the people living in the home. The owner of the home visits regularly; however a report Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 21 on the visit is not completed. This should be completed monthly to enable the owners to monitor the quality of care and services that are provided. Staff meetings are held every six months. This keeps staff informed of any changes or issues. Although audits are not formally carried out, the manager monitors the number of accidents in the home and action is taken if any trends are identified. There are no formal meetings held for people in the home to enable them to air their views. The manager confirmed that she meets everyone on an individual basis to ensure that they are satisfied with the care and facilities that are provided. There is a system in place for managing people’s money in the home. Receipts are kept wherever possible. However for one person living in the home, there was no receipt for a regular transaction and only one signature recorded. It is recommended that two signatures be obtained for those transactions that do not have a receipt. Some health and safety issues were noted during the site visit. On the corridor on the first floor loose covers were placed over the corridor carpet and were considered a trip hazard. A window in an empty bedroom had been removed so that workmen could move their equipment without having to go through the home. Although this was boarded up in an evening it still presented a hazard during the day, as the room was not always occupied by the workmen. In addition workmen’s tools including hazardous objects were stored in this room which was not secure. There were no detailed risk assessments in place to identify how these risks were to be managed and how staff ensured the health and safety of the residents on that floor would be maintained. These issues had been addressed when the inspector returned to discuss the findings of the inspection visit with the manager on 06/08/07. Fire safety checks have been carried out in accordance with the home’s policies and procedures. A sample of maintenance records was looked at. Although there was evidence that the lift had been serviced yearly, there was no evidence that it had been inspected under the Lifting Operations and Lifting Equipment Regulations1998 (LOLER). There was no evidence that a gas safety check had been carried out. After the inspection the owner of the home said he had made arrangements for these checks to be carried out. Applecroft Residential Care Home DS0000045159.V342145.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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 2 2 X X 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 2 Applecroft Residential Care Home DS0000045159.V342145.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 OP38 Regulation 13 (4) (a) Requirement All parts of the home which service users have access to must be as far as possible free from hazards to their safety so people are not placed at risk of injury or harm. All essential equipment used in the home must be serviced appropriately so the health and safety of people living in the home is maintained. Timescale for action 06/08/07 2 OP38 23 (2) (c) 06/09/07 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 OP2 OP9 Good Practice Recommendations The people who live in the home should be provided with up to date contract so they are aware of the charges that are made. A risk assessment should be done for any service user managing their own medicines to ensure that the person is aware of the risks involved. DS0000045159.V342145.R01.S.doc Version 5.2 Page 24 Applecroft Residential Care Home 3 OP33 The registered person should ensure that an unannounced visit to the care home take place at least once a month and produce a written report on the conduct of the care home following the visit so they are aware of the quality of the care and services provided. Applecroft Residential Care Home DS0000045159.V342145.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Applecroft Residential Care Home DS0000045159.V342145.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. 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