Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/09/05 for Ashdown Nursing Home

Also see our care home review for Ashdown Nursing Home for more information

This inspection was carried out on 13th September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home was clean and tidy. Staff were observed to be caring in their approach to residents.

What has improved since the last inspection?

One new medication trolley has been purchased and new domestic linen has been supplied for use throughout the home. Work has started to improve the rear garden.

What the care home could do better:

The manager is working to try to maintain standards but is at present working both with the residents and in the office without any regular help. The administrative and management procedures in the home are not robust and do not protect residents. Care records of residents do not reflect that all of their identified needs are being met in the home or that their condition is being monitored and recorded on a regular basis. During the inspection vulnerable and distressed residents were left in the upstairs lounge unsupervised for most of the morning. The record keeping in the kitchen and for meals served is not maintained in a satisfactory manner. There was no evidence to indicate that residents were being given a varied and nutritious diet or that the specialist nutritional needs of dementia residents has been acknowledged. Records, which would evidence that safe environmental health procedures are being followed, were not available. Recruitment records are well below standard and staff have been employed without any of the necessary checks being carried out, putting residents at risk. Staff training is not up to standard and there are no recent records to indicate that night staff would know the procedure to follow in the event of afire. Some fire safety equipment is not being tested at the intervals specified by the fire service and there is not a fire risk assessment for the home. Not all residents have access to a call bell and individual risk assessments have not been carried out which would indicate which residents could safely have a call bell that they could use. The rear garden and patio area is unsafe for residents to go out into.

CARE HOMES FOR OLDER PEOPLE Ashdown Nursing Home 2 Shakespeare Road Worthing West Sussex BN11 4AN Lead Inspector Ann Peace Unannounced Tuesday 13 September 2005, 09:00am th 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 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. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashdown Nursing Home Address 2 Shakespeare Road, Worthing, West Sussex, BN11 4AN 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) 01903 211846 Newcare Homes Ltd Post Vacant Care Home 40 Category(ies) of Care Home with Nursing 40 registration, with number of places Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of forty service users may be accommodated. 2. Service Users in the category mental disorder may only be admitted if they have an associated dementia illness and are over 65 years of age. Date of last inspection 24 May 2005 Brief Description of the Service: Ashdown Nursing Home is situated in a residential area of Worthing in West Sussex. The service is privately owned, the registered providers are Newcare Homes Ltd. They purchased the home in 2004. The Registered Managers post is vacant at present. The Commission had been informed that the providers have appointed a manager who would be applying to be registered. No application has been received. Ashdown is registered for 40 residents over the age of 65 years who have dementia. The Statement of Purpose states that the home has 3 en-suite bedrooms, 16 single rooms and 12 shared rooms. Residents accommodation is on ground and first floors. 3 lounges, 1 on the first floor, 2 on the ground floor and a separate dining room are available. A passenger lift is available for rooms on the upper floor. There is a small garden to the rear of the property. Not all of the single rooms meet The National Minimum Standards, however the Inspector was informed that this would be addressed with the future planned improvements for the home. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this announced inspection on 13th September 2005. Prior to the inspection all records held on file since the last inspection were reviewed. During the inspection the building was toured and the majority of the bedrooms visited. Records relating to the care of residents and the administration of the home including staff records were examined. A case tracking exercise for 7 residents was undertaken to enable evidence to be gained about the continuity of care for the residents None of the residents were able to express an informed opinion of what it was like to live in the home. Staff were observed in their interaction with the residents and they displayed a caring and friendly manner. Staff were also asked their opinion of the home during the course of the inspection, and all said that they felt well supported to carry out their work. The Inspector had been shown the plans for future improvements in the home at a previous inspection. The conclusion of the inspection was that residents looked clean and staff were caring towards them. However due to lack of experienced assistance in the home the manager is unable to meet all of the requirements necessary for the good management of the home or ensure that all of the specialised needs and health and safety needs of the residents are met. Two immediate requirements were made at the conclusion of the inspection and others following compilation of the evidence. Following the inspection a letter expressing the serious concerns of CSCI has been sent to the providers. Where evidence found during this inspection remains unchanged from previously the report will state the same as the previous report. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The manager is working to try to maintain standards but is at present working both with the residents and in the office without any regular help. The administrative and management procedures in the home are not robust and do not protect residents. Care records of residents do not reflect that all of their identified needs are being met in the home or that their condition is being monitored and recorded on a regular basis. During the inspection vulnerable and distressed residents were left in the upstairs lounge unsupervised for most of the morning. The record keeping in the kitchen and for meals served is not maintained in a satisfactory manner. There was no evidence to indicate that residents were being given a varied and nutritious diet or that the specialist nutritional needs of dementia residents has been acknowledged. Records, which would evidence that safe environmental health procedures are being followed, were not available. Recruitment records are well below standard and staff have been employed without any of the necessary checks being carried out, putting residents at risk. Staff training is not up to standard and there are no recent records to indicate that night staff would know the procedure to follow in the event of a Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 7 fire. Some fire safety equipment is not being tested at the intervals specified by the fire service and there is not a fire risk assessment for the home. Not all residents have access to a call bell and individual risk assessments have not been carried out which would indicate which residents could safely have a call bell that they could use. The rear garden and patio area is unsafe for residents to go out into. 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. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The home has a good assessment process but this is not always completed appropriately or followed through to the care needed or given. Relatives and their representatives are invited to visit to ensure the home is able to meet their needs. Residents are given a written contract with the terms and conditions of the home. EVIDENCE: Records of new residents were examined and in the majority of cases had not been appropriately compiled to meet legislation or updated accordingly. There were gaps found when tracking between assessments to care plans, risk assessments and relevant recordings. The Statement of Purpose and Service Users Guide was available. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 10 Prospective residents and their representatives are encouraged to visit the home to make sure it will meet their needs. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 Staff treat residents in a caring and friendly manner, however the home is not meeting all of the residents identified needs. EVIDENCE: The records of residents admitted recently to the home were examined and did not meet the required standard or indicate that staff had clear instructions how to meet identified needs. The Inspector concluded that basic care needs for hygiene were being met but specialised needs and the necessary supervision of residents were not being met. Assessments, care plans and risk assessments could not be easily tracked to care given. A number of residents had fresh minor injuries to their legs and when this was discussed with the manager, a training and supervision issue was identified which does need action. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 12 Nutritional risk assessments and nutritional care plans are not always carried out or completed appropriately and do not show adequate monitoring. There were no records in the kitchen to indicate that the nutritional needs of residents are being identified and met. Records were not available to evidence that residents who need specialised diets were being given them. Staff were seen to care for and treat the residents in a friendly manner and with respect. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Within their capabilities residents are encouraged to make choices about their lifestyles. There are some areas that residents are not able to exercise choice and control over where they spend their time. The catering service in the home is below standard and resident’s nutritional needs are not being met. EVIDENCE: Due to the mental frailty of the residents, activities tend to be provided on an individual basis and there is no planned activity programme in the home. None of the residents presently accommodated are able to go out alone, the manager told the Inspector that residents are taken out in the afternoons, staff numbers allowing. There are two television lounges one on the ground floor and one on the first floor which was on during the inspection. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 14 Residents are able to use a dining room on the ground floor although this would not seat all of the residents. There are plans to extend the dining room. Staff were noted to help residents to eat in an appropriate manner to maintain their dignity, but more attention should be given to the compilation of nutritional assessments and care plans for individual residents. Records were not kept to indicate that for residents who need specialised diets were being given them. The rear garden is not available to residents as some maintenance is still required. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18 A clear complaint procedure enables relatives and representatives of residents to be sure that their complaint would be taken seriously and acted on within an appropriate timescale. New staff have not been instructed in adult protection procedures. EVIDENCE: There is a clear complaint procedure on display in the home and a copy is also contained in the Statement of Purpose/ Service Users Guide for the home. Policies and procedures are in place to protect resident’s legal rights. CSCI has received two complaints since the last inspection. The providers addressed one, this was found to be substantiated and appropriate action taken. The providers are still investigating the other complaint. Records were not available to indicate that all staff are aware of the procedure to follow in the event of abuse. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 Residents live in a well-maintained, clean and comfortable environment. Facilities and equipment are available to meet identified specialist needs. The rear garden at present would not be safe or pleasant for residents. EVIDENCE: The new owners have submitted plans to the Council to improve the home and these plans are still going through the process to gain permission. The home was clean and fresh with no unpleasant odours detected. The home has been decorated throughout and new carpets have been laid. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 17 Residents and their relatives have been encouraged to personalise rooms to make them more homely. The majority of rooms were visited and were comfortable and in the majority of cases meet the needs of the residents. A call bell alarm system is in operation but risk assessments have not been updated which would identify that those residents who would be able to use the call bell system have the opportunity to do so. The rear garden would not be suitable for the residents to use in its present state. Some work has been undertaken and more is planned. Not all fire safety systems have been tested as advised by West Sussex Fire Service. There were no records to indicate that safe environmental health procedures are being followed in the kitchen. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Staffing levels are not sufficient to meet the needs of the residents and staff training related to the resident’s needs, health and safety is not being provided. Recruitment procedures are not robust and do not protect residents. EVIDENCE: The Inspector was concerned to note that high dependency residents who had been taken to the lounge on the first floor were left for long periods without supervision, as staff were busy attending to other residents. One resident in particular was very distressed and only became calm when staff were in attendance. Staff did pop in and out of the lounge at various intervals to reassure residents, however the inspector informed the manager that this arrangement was not satisfactory and that staff numbers should take into account the need for the supervision of residents at all times. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 19 Some staff training has been undertaken but new staff did not have induction records to indicate that they had relevant training to carry out their roles; some mandatory training is not up to date. Staff numbers should ensure that all of the residents needs are met in the home and also to enable the manager to allocate adequate management time. During the previous inspection a number of staff employed by the previous proprietor did not have appropriate records compiled to comply with legislation or to protect residents. A requirement was made following the last inspection that this be addressed. CSCI was informed that records had been updated, but on examination at this inspection it was found that action has not been taken. The manager was again reminded that Criminal Record Bureau (CRB) disclosures are not transferable and new staff employed at the home must have a new CRB. Staff were working at the home who had not had any safety checks carried out, for example POVA/CRB, a number of references were not acceptable and work permits not satisfactory. The manager was informed that no one should be working at the home who has not been through a thorough recruitment process and that residents were being put at risk by the unsafe recruitment procedures in operation at Ashdown Nursing Home. The providers have contacted under cover of a separate letter. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36,38 Resident’s best interests are not safeguarded by the home’s policies and procedures and their health, safety and welfare is not promoted and protected. EVIDENCE: The home does not have a registered manager although CSCI was told following the previous inspection that an application would be forwarded in the near future to CSCI. CSCI have not received an application at the time of writing this report. A manager is presently employed at the home and is very caring in her approach but she is unable to spend the time needed to ensure that the home is managed effectively. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 21 The management structure within the home does not support effective practices either clinical or managerial. Fire and environmental health safe practices are not being followed. Records showed that fire safety checks are not being carried out at the specified intervals, and a fire risk assessment is still to be completed, despite being discussed at the previous inspection. The visitor’s book for signing in and out of the home is not completed properly and this would put any visitors at risk if there were to be a fire. Working practices in the kitchen are not up to standard; records have not been kept on a regular basis and no menus recorded since August 2005. Due to this the Inspector was unable to see what meals residents had been offered or whether there had been any choices. Environmental hazard risks are not identified in the kitchen and there were no temperatures recorded or evidence of a regular cleaning schedule. A small number of minor environmental issues that did need attention around the home were discussed with the manager at the end of the inspection. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 22 Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 23 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 1 COMPLAINTS AND PROTECTION 2 2 3 3 2 2 2 3 STAFFING Standard No Score 27 1 28 1 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 1 2 2 2 x x 2 x 1 Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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 3 Regulation 15 Requirement Service users care records must be compiled according to legislation. CSCI to be informed of action by Care plans must show how Service users needs are to be met and must be updated regularly.CSCI to be informed of action by Undertake nutritional screening and keep records of nutrition. Provide meals which meet the identified needs of service users. CSCI to be informed of action by Keep records of food provided for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory in relation to nutrition. CSCI to be informed of action by The providers must provide training for staff in adult protection procedures. CSCI to be informed of action by Unecessary risks to the health and safety of service users should be identified and as far as possible eliminated. To include environmental health. CSCI to be Timescale for action 31/10/05 2. 7 17 31/10/05 3. 8 16(2)i 31/10/05 4. 15 17(2) 31/10/05 5. 18 13(6) 31/10/05 6. 19 13(4)C 31/10/05 Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 25 informed of action by 7. 27 18(1)a The providers shall ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of the service users. An immediate requirement was made. CSCI to be informed of action by The registered person shall operate a thorough recruitment process to ensure the protection of service users. An immediate requirement was made. CSCI to be informed of action by The providers shall ensure that a training and development programme is in operation, to fulfil the aims of the home and meet the changing needs of the service users. CSCI to be informed of action by The providers shall appoint an individual to manage the care home and to apply for registration with the Commission. The providers shall maintain in the care home records specified in Schedule 4 including a record of all visitors to the home. CSCI to be informed of action by The providers shall make arrangements for all persons working at the care home to receive suitable training in fire prevention and fire safety procedures. An immediate rerquirement was made CSCI to be informed of action by The providers shall make arrangements for detecting, containing and extinquishing fires and for reviewing fire precautions and testing fire 1/10/05 8. 29 19 1/10/05 9. 30 18(1)c 31/10/05 10. 31 8 31/10/05 11. 37 17(2) 31/10/05 12. 38 23(4)d 1/10/05 13. 38 23(4)c 31/10/05 Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 26 14. 38 13(4)c saefty equipment at regular intervals. CSCI to be informed of action by The providers shall ensure that unecessary risks to service users are identified and so far as possible eliminated. CSCI to be informed of action by 31/10/05 15. 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 Good Practice Recommendations Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V246474 130905 Stage 4.doc Version 1.40 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. 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!