Inspection on 23/05/05 for Ashbrook House

This inspection was carried out on 23rd May 2005.

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

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

Other inspections for this house

Ashbrook House 13/07/06

Ashbrook House 30/11/05

Ashbrook House 13/09/04

Ashbrook House 20/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Ashbrook House 20 St Hellier Avenue Morden Surrey SM4 6LF Lead Inspector Liz OReilly Unannounced Monday 23rd May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashbrook House Address 20 St Hellier Avenue Morden Surrey SM4 6LF 0208 646 3096 0208 646 3096 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Aslam Dahya Jenny Hamilton CRH Care Home 9 Category(ies) of LD - Learning Disability (9) registration, with number PD - Physical Disability (4) of places Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2005 Brief Description of the Service: Ashbrook House is owned and managed by Allied Care, a private organisation. The home is situated on a busy road in Morden close to local shopping, entertainment and public transport amenities. The home opened in 1999 and provides care and accommodation for up to nine residents with learning disabilities, some of whom also have physical disabilities. The home is staffed twenty four hours a day with staff awake in the home throughout the night. Allied Care own a signinficant number of care homes across the South East of England. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector on 23rd May 2005 over seven hours. The inspector had the opportunity to meet all of the residents in the home two of whom were able and willing to make comments on the care and accommodation. The inspector also had the opportunity to speak with the acting manager and one staff member. What the service does well: What has improved since the last inspection? Good progress has been made to involve residents and or their representatives in the care planning process thereby allowing residents more opportunities to influence the care they receive. This involvement also provides staff with a greater understanding of individual residents and how they can provide care tailored to the individual person. Staff within the home have made clear progress in ensuring the finances of residents are safeguarded by producing clear up to date and accurate records of individual residents financial transactions. Progress has been made in seeking out courses and activities outside the home for residents who previously only had access to structures activities in house. This provides residents with opportunities for contact with more people outside their home environment. Since the last inspection of the home the parking area to the front of the building has been resurfaced. This assists in safeguarding the safety of residents. Particularly those residents who use a wheelchair or walking aid. The shower room has been improved to provide more opportunity for residents to maintain and develop their independent living skills. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 6 The general environment and facilities have been improved for residents by the purchase of new furnishings in the lounge and new equipment in the kitchen area. Staff were observed to have made progress in supporting residents to be more involved in the day to day activity in the home. Communication between residents was seen to have improved with residents taking opportunities to support each other. 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. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 2 Residents or their representatives are not provided with the full information they need to make an informed choice on where to live. The admission procedure is followed to ensure that the needs and aspirations of prospective residents are assessed prior to admission. EVIDENCE: Copies of the statement of purpose which sets out the aims and objectives of the home are available. A service user guide which sets out more specific information on the home for residents and or their representatives has not been produced. The requirement for this document to be produced in a format suitable for residents has been in place since 2002. Action must be taken for this document to be produced and made available to residents. Pre admission assessments are carried out for each prospective resident to ensure that the home has information on, and can meet the needs and aspirations of each residents. One area of the pre admission process which requires further development concerns restrictions on choice and freedom. To ensure the rights of residents any restrictions on choices or freedom of movement must be discussed and agreed with the resident and their representatives during the assessment. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 and 9 Good progress has been made to improve the care planning systems within the home to ensure individual needs and aspirations are met. Residents have opportunities to participate and voice their opinions on life in the home. Staff support residents to take risks as part of an independent lifestyle. EVIDENCE: The care planning documentation for two residents was examined. Real progress has been made in involving residents in their own care plans. Residents have produced their own Lifestyle Plan which contains detailed information on their individual strengths, needs and wishes. Residents have added photographs and information they wish to share with staff. The home are in the process of implementing new care plans which set out residents aims and how staff would support them to achieve their individual goals. Residents are consulted on life in the home via monthly residents meetings. Minutes are taken at each meeting to ensure that the opinions and requests made by residents can be implemented. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 10 One resident has been involved in the staff selection process. Accessible information on the policies and procedures in use in the home has not as yet been made available to residents. Action should be taken to ensure this information is available to residents so that they have an understanding of the company policies and can make suggestions and comments should they so wish. In order to safeguard as much as possible the health and safety of residents individual risk assessments are carried out by staff for a variety of activities and situations. The home ensures a prompt response to any resident being missing from the home by following a missing persons procedure. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 16 Staff work with residents to provide opportunities for education and training taking into account residents wishes and strengths which assist in personal development. Staff have good knowledge of community facilities which assists residents in accessing services and community activities. The rights of residents to make choices in relation to leisure activities is reflected in the variety of outings and activities available. Where residents have some difficulty in making informed choices staff provide opportunities for residents to try new things. Residents have chosen to include details of any domestic responsibilities they have within their lifestyle plan. Further work needs to be carried out to ensure that residents right to freedom of movement are respected. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 12 EVIDENCE: Residents participate in a variety of activities including attending college courses, pottery classes and drama therapy. Staff are continuing to investigate other courses and activities to offer opportunities to residents to expand their knowledge, skills and social activities outside the home. Two residents stated they enjoyed their college courses. One resident who attends a cooking class shares the food they prepare with other residents. Staff have made progress in seeking out and arranging activities for residents who previously were unable to access outside facilities. Staff support residents to take part in activities outside the home including bowling, the cinema, pubs and restaurants. Residents have access to the home’s transport which is fitted with appropriate equipment for those residents who use a wheelchair. Residents also use public transport. Residents are supported by staff to follow their own leisure interests with trips arranged for individuals to London, concerts and shopping centres. Two residents stated they had enjoyed going to a concert recently. One resident has their own karaoke equipment which on the day of this visit they were sharing with other residents who were clearly enjoying the experience. At the time of previous inspection visits residents have stated they would like to continue developing their computer skills within the home. A recommendation that the home provide a computer for residents use with appropriate software has not been acted upon. Staff ensure that residents are registered to vote and support those residents who wish to vote. The residents have decided that this year they would go on an annual holiday together. In previous years residents have chosen different holiday destinations. Residents have access to aromatherapy monthly. An activities worker attends the home three days each week. Residents have access to a separate activities room in the garden. A volunteer worker attends the home one day a month to offer additional support to residents who wish to go out. In order to respect the rights of service users in relation to freedom of movement the keypad and code for exiting the building must be accessible to residents. Should individual risk assessments indicate a resident should not be supplied with the code for exiting the building this must be documented along Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 13 with the names of all those involved in this decision. All residents should be offered a key to their bedroom. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 20 Systems are in place to ensure the health care needs of residents are met. The health and welfare of residents is protected by well managed medication procedures. EVIDENCE: Staff support residents to attend regular health checks. Residents are registered with local GP practices. Dental and optical checks are arranged on a regular basis with appropriate services to meet the needs of individual residents. Community nursing services are arranged if required. Medication records are well maintained. At the time of this visit to the home medication records were up to date. Medication was stored, administered and managed in a manner which protects the health, safety and welfare of residents. Staff who administer medication have been provided with accredited training on medication. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 A complaints system is in place to ensure the views and concerns of residents are listened to and acted upon. All staff need to be provided with training on dealing with complaints. The home has a rolling programme of training plus policies and procedures to ensure residents are protected from abuse. Further work needs to be carried out to ensure clear guidance is available to staff on dealing with residents finances. EVIDENCE: The home has in place policies and procedures for dealing with complaints. A comments book is available at the entrance to the home in which any visitors to the home can use to raise concerns or make comments. All complaints are recorded along with any actions and outcomes. Records showed that staff were recording and listening to any day to day concerns raised by residents. To ensure that all complaints are dealt with appropriately all staff working in the home must be provided with training on dealing with complaints and in supporting residents to access and use the complaints system. In order to safeguard residents from abuse and to ensure that staff are aware of what to do should a resident inform them of abuse the organisation provides a rolling programme of training. The home has its own policies and procedures in relation to the protection of vulnerable adults along with copies of the local authority procedures. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 16 Facilities are available in the home for residents to deposit money in the home for safekeeping. Staff within the home were seen to be safeguarding the financial interests of residents by keeping up to date and accurate records of individual financial transactions. At the time of the last full inspection of the home a requirement was made for residents to be provided with clear information, on a regular basis, on any money held on their behalf at the organisations head office. The organisation have provided statements on the money held but these statements are not easily understandable and do not provide residents with a clear picture of the money available to them to spend. Further work needs to be carried out to ensure residents have a clear picture of the money they have available to them at the head office of the organisation. In order to safeguard residents finances a requirement was also made for policies and procedures to be available in relation to staff spending money on behalf of individual residents who may have difficulty in making informed choices. At this visit staff stated that should they wish to spend over two hundred pounds this would need to be approved by their line manager. Written guidance on this issue was not available in the home. The organisation must ensure that written policies and procedures are provided on this issue. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27, 29 and 30. Progress is being made to increase the comfort and safety of the home for residents. Bathrooms and toilets offer privacy to residents and these facilities have been improved. The home has not been assessed by a qualified person to ensure that the specialist equipment required to maximise independence for residents is available. Residents benefit from a clean and hygienic environment. EVIDENCE: Since the last inspection of the home the driveway for the home has been resurfaced to provide safe access to the home and transport particularly for those residents who use a wheelchair. Action has also been taken to ensure the comfort and safety of residents by ensuring adequate hot water and heating around the home. Two new sofas and a new armchair have been provided in the main lounge of the home. Staff reported that they were awaiting a third new sofa. This was seen to add to the comfort of residents. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 18 Action must be taken to check the safety of the microwave used by residents which was seen to be damaged. The shower room on the ground floor has been refurbished and is now accessible to those residents who use a wheelchair which will allow residents the opportunity to be more independent. The registered persons should ensure that the premises and equipment provided are assessed by an occupational therapist to ensure that the appropriate environmental adaptations and disability equipment is provided to enable residents to maintain and develop independence to their full potential. Residents are provided with a comfortable, clean environment within the home. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35 Sufficient staff were seen to be on duty on each shift to meet the needs of the present resident group. Residents are protected by the home’s recruitment policies and practices. Staff are provided with good opportunities for training to ensure residents are cared for by staff with appropriate training. EVIDENCE: During the day four staff plus the acting manager were seen to be on duty with two staff on duty each night, awake on the premises. Additional staff are made available if required to support residents in activities outside the home. The staffing levels are kept under review to ensure they continue to meet the needs of the residents in the home. Residents benefit from continuity of care as staff turnover and sickness was reported to be low. The privacy and dignity of female residents is safeguarded by ensuring that female staff are on duty at all times to assist with personal care if required. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 20 To ensure the protection of residents appropriate checks including Criminal Records Bureau checks and references are received on prospective staff members prior to their starting work in the home. Residents are offered the opportunity to take part in the selection process for staff. One resident has taken part in this process. The training programme in place addresses areas which safeguard the health, safety and welfare of residents. Training was seen to include health and safety, autism, epilepsy, sexuality and bereavement among other topics. All new staff complete induction training. Staff also have developed their knowledge by completing NVQ training. Three members of staff have completed NVQ level three training. One member of staff has completed NVQ level two. All other staff are to commence NVQ level two. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 & 42 The home has a new acting manager who has worked well to ensure residents benefit from a well organised and managed home. Checks are carried out on the building and equipment to ensure the health and safety of residents, staff and visitors to the home. Further checks must be carried out on the hot water supplied to ensure the safety of residents. EVIDENCE: Since the last inspection the registered manager has left the home and an acting manager has been appointed. The acting manager has been working in the home as the deputy manager and therefore residents have benefited from continuity of care. At the time of the last inspection a significant number of requirements were made. The acting manager has made good progress in meeting the majority of the requirements which indicates that the manager and staff are working together to improve the service to residents. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 22 Regular checks are carried out on the building and equipment to ensure the health and safety of residents. A record of accidents along with actions to be taken if necessary is maintained. All staff have received training in first aid and food hygiene. The fire alarm system is tested weekly and maintenance checks are carried out. Adjustments to lower the temperature of hot water in the shower room to ensure the safety of residents was required at the time of this visit. To ensure the safety of residents is maintained staff must carry out temperature checks on the hot water in the home prior to each resident using the shower and bath and carry out daily checks until this issue is resolved. A record of all temperature checks must be maintained. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 x x x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x 2 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 2 x Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashbrook House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 5(1)(2) Requirement The registered persons must ensure that a service user guide is produced for the home in a format suitable for the service users in the home. A copy of the service user guide must be provided to the Commisison and to every service user. (timescale of 1.12.04 not met) The registered persons must ensure that any limitations as to a service users freedom of choice, movement and or power to made decisions are included in the service user plan and agreed with the service user. (timescale of 1.12.04 not met) The registered persons must ensure that the keypad system is accessible to service users who use a wheelchair and all service users must be supplied with the code for the front door. Any instances where risk assessment indicates a service user should not be supplied with the code must be documented along with information as to who was consulted when making this Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 25 Timescale for action 1st September 2005 2. 2 17(1)(a) Schedule 3(q) 1st September 2005 3. 16 12(1)(2) 17(1)(a) Schedule 3 (3)(q) 1st September 2005 4. 22 18(1)(c) 5. 23 16(2)(c) 17(2) Schedule 4(9) 17(2) Schedule 4(3) 13(6) decision. (timescale of 01.12.04 not met) The registered persons must ensure that all staff are provided with training on dealing with and recording complaints. This training should include guidance on assisting service users to access and use the complaints procedure. (timescale of 1.12.04 not met) The registered persons must ensure that residents are supplied with regular clearly understandable information on the amount of money held on their behalf at the company head office. The registered persons must ensure that written policies and procedures are available to staff on spending money on behalf of service users. (timescale of 30.10.04 not met) The registered persons must ensure that checks are carried out on the microwave oven to ensure this is safe for residents and staff to use. The registered persons must ensure that checks are carried out on the temperature of hot water supplied prior to any service user using the bath or shower in the home. A record of these temperatures must be retained. Daily checks on the hot water temperatures must be carried out until such time as the hot water is consistently provided at a safe temperature. 1st September 2005 1st September 2005 6. 24 13(4) 10th July 2005 7. 42 13(4) 10th July 2005 Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 8 16 29 Good Practice Recommendations The registered persons should ensure that key company policies are made available to service users in a suitable format. The registered persons should ensure that all service uses are provided with a key to their bedroom. The registered persons should ensure that the premises and equipment are assessed by an occupational therapist to ensure the appropriate adaptations and equipment are available to service users. Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Ground Floor - CSCI 41-47 Hartfield Road Wimbledon SW19 3RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashbrook House G54-G04 S27206 Ashbrook House V233262 230605 stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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