Inspection on 18/06/09 for Athelstan House

This inspection was carried out on 18th June 2009.

CQC 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 CQC judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Athelstan House 17/07/08

Athelstan House 11/09/07

Athelstan House 22/11/06

Athelstan House 27/04/06

Athelstan House 13/12/05

Athelstan House 21/02/05

Athelstan House 13/08/04

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 16/02/2010.

Key inspection report CARE HOME ADULTS 18-65 Athelstan House Athelstan House 42 Hanworth Road Feltham Middlesex TW13 5AY Lead Inspector Ms Jean Bovell Key Unannounced Inspection 18th June 2009 11:00 Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Athelstan House Address Athelstan House 42 Hanworth Road Feltham Middlesex TW13 5AY 020 8581 5576 020 8581 5576 athelstan.house@blueyonder.co.uk 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) Mr Paul Martin Harrington Mrs Rosemary Wairimu Harrington Manager post vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC: to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 17th July 2008 Date of last inspection Brief Description of the Service: Athelstan House is a registered care home for five younger adults with learning disabilities. It is situated on a residential street and is within short walking distance to local amenities, buses and trains. There are five bedrooms in the home all fitted with en suite facilities. Two of the bedrooms are on the ground floor and three are on the first floor of the house. There are also separate bathroom facilities on each floor. There is one separate lounge and a lounge/dining area for service users. There is a large garden at the rear of the home. Fees in the home range from £931 to £1158. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is one star this means the people who use this service experience adequate quality outcomes. This unannounced inspection was carried out between 11am and 4pm on 18th June 2009. A support worker and one resident were present. We were informed by a support worker that a Manager Designate had been been appointed on a parttime basis and was not expected to be on duty at the time of the inspection. A second resident was attending a day resource centre but returned to the home prior to the end of the inspection. During the course of the inspection, records, documents, policies and procedures in relation to key Standards were viewed. A tour of the building was undertaken and observations were made. We spoke to two residents and a support worker. A subsequent telephone discussion was held with the Manager Designate. A completed Annual Quality Assurance document (AQAA) submitted to the Commission was considered. Requirements that were made at the last key inspection and all key Standards were examined. What the service does well: A service is being provided to people of different cultural and religious needs. Needs led assessments in relation to prospective residents are carried out comprehensively prior to admission. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 6 Residents are able to participate in separate activities within the community and are supported in attending religious services of their choice. An open visiting policy is in operation and contact between residents and respective relatives and/or friends are encouraged and faciliated. The healthcare needs of residents are being met satisfactorily. People who use the service have adjusted well and appear settled and comfortable. The overal environment of the service is calm and homely. What has improved since the last inspection? Requirements made at the last inspection regarding the service user’s guide, reviewing of care plans, the environment, staff recruitment, staff training and the appointment of a manager, have been fully or partially met. The home has appointed a Manager Designate who is employed on a part-time basis. We were informed by a support worker that the service was actively attempting recruitment of an additional support worker. Care Plans relating to two residents have been reviewed. Staff training on Medication and Mental Health Capacity Awareness has been delivered. Training on Safeguarding Adults is being scheduled. New carpets and laminate flooring have been laid in the living and dining rooms, hallways and stairs. The upper-front exterior of the building has been repainted. The rear garden is being reasonably well maintained. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5.. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service user’s guide was in place but not inclusive of all required information. The care needs of prospective residents are appropriately assessed prior to admission. Residents’ contracts/statement of terms and conditions were not accessible at the time of the inspection. . EVIDENCE: The service user’s guide had been reviewed and copies were seen in residents’ bedrooms. The reviewed service user’s guide, did not, however, contain all Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 10 information required under the standard. It was not well presented or written/illustrated in a format suitable to meeting the needs of the people who use the service. Provisions that were included in weekly fees and detailed in the original service user’s guide, such as telephone calls, clothing and toilteries had been withdrawn or revised. We were unable to view residents’ contracts/statement of terms and conditions as these were not accessible at the time of the inspection. Two residents’ files were examined. Each file contained documented evidence that subseqent to referral by the placing authority, a comprehensive needs led assessment had been carried out by the home prior to admission. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Up-to-date care plans and related risk assessments have been undertaken. Residents are encouraged to maintain their independence but are support where required. EVIDENCE: The files of two residents were viewed but contained no written evidence that care plans and related risk assessments which had been carried out in September 2006 in one case and April 2008 in another, had been reviewed. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 12 We were however informed by a support worker, that reviews of care plans and risk assessments were undertaken but had not yet been printed out and attached to individual files. These were subsequently viewed on a computer screen. It was indicated that separate personal, social, healthcare and cultural/religious needs of residents had been reviewed, and included plans of action and set goals being put into place. Risks associated with activities identified in separate care plans such as smoking, vulnerabiity in the community, personal care and leaving appliances on, had also been re-assessed. Reviewed care plans and risk assessments were clearly and appropriately detailed. Residents are as far as possible, able to maintain their independence, within the supportive environment of the service. A resident with capacity is financially independent, does his/her own laundry and makes personal purchases such as toiletries, cigarettes and drinks. Another requires assistance and receives approximately £5 cash which is used for buying personal items such as newspapers, magazines, drinks and/or snacks. There were no indicators that the resident was being supported to buy toiletries including soap and toothpaste. People were observed moving freely around the house, making cups of tea and helping themselves to buscuits. Individal choices and interests were reflected, also, in separate personalised bedrooms. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Separate religious and/or cultural needs are being met satisfactorily. Residents are supported while taking part in activities within the local community. The rights of residents are respected and they are able to take responsiblities in relation to daily routines where appropriate. At least one adequately nutritious cooked meal is provided to residents each day. EVIDENCE: Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 14 We were informed by a support worker that a resident was supported in attending the Temple each week, where he/she joined in prayer and received a culturally prepared cooked meal. A visit to the temple had been scheduled on the day of the inspection. Activities in the local community in which people are able to participate include shopping, meals out, walks and visiting the cinema. One person attends a day resource centre on three separate days each week. We received no indication of annual holidays being arranged. A support worker confirmed that people who use the service were able to have personal relationships and maintain contact with relatives and/or friends. Residents received weekly visits from friends and relatives which may take place at the day centre or the home. They participated in activities in the local community with respective relatives and/or friends. People are able to receive telephone calls, make calls from private mobiles or at a fee, if the home’s telephone is being used. A support worker confirmed that residents regularly assisted with houskeeping tasks such as laundry, cleaning and shopping. Minimal stocks of food were being stored in the kitchen at the time of the inspection and basic varieties of cooked meals were listed on menus. These included sausages, corned beef, pizza, spaghetti and mince and gammon steak. No prime meats or fresh vegetables were indicated. However, a resident was provided with and appeared to enjoy, an ample serving of a basic lunch of his/her choice at the time of the inspection. We were informed by a support worker that a ‘sandwich’ out had previously been planned. Residents are able to help themselves to cups of tea and/or coffee but are expected to purchase their own soft drinks and preferred snacks. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service receive support with personal care routines where required. The separate healthcare needs of residents are being met. Medication procedures are satisfactory. EVIDENCE: We were informed by a support worker that residents were capable of meeting their own personal needs but may, on occasions, require prompting or Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 16 reminding. Both residents were independent in relation to haircuts, clothing and general presentation. It was evidenced on separate files that residents were registered with a local GP. Healthcare appointments such as visits to the GP, dentist and/or chiropodist were arranged whenever necessary and hospital appointments were being met. Residents were at all times accompanied to healthcare appointments by a member of staff. Prescribed medication were placed in blister packs and stored securely. Medication administration records were accurately documented and signed as required. A support worker confirmed that people currently placed at the home did not self-administer prescribed medication. Records were reflective of Medication Awareness training being delivered to a support worker. The home’s policy and procedures on medication were in place. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure is appropriately detailed. People who use the service are being protected from abuse. EVIDENCE: The complaints procedure was clear, concise and accessible to residents, relatives and/or friends. We were informed by a support worker that the home had received no complaints since the last inspection. A support worker confirmed that one resident maintained financial independence. The personal cash of a resident who required financial support was held in safekeeping by a support worker at the home. His/her financial affairs were, however, supervised by a close relative. The financial records regarding an individual were examined but no discrepancy was identified. Policies and procedures on Safeguarding were in place. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 18 It could not be evidenced that significant incidents or accidents had occurred at the home following the last inspection and no notifications had been submitted to the Commission. We were informed by a support worker that staff training on Safeguarding Adults had been ‘booked’ for later this year. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26 and 30. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual bedrooms are personalised and contain en suite bathroom facilities. However, bed-linen is not being regularly changed. The home is not being adequately maintained in all areas. The overall environment is safe, calm and homely. EVIDENCE: Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 20 Various improvements were made to communal areas at the home following the last inspection. These included new carpets on stairs, laminate flooring in the dining/lounge areas and hallways. Cupboard doors in the laundry room had been replaced and the upper front exterior of the house had been repainted. Items were, however, placed on floors inside laundry cupboards as no base or shelving had been fitted. Furniture in the small lounge were of poor quality. The lower front exterior of the house had not been re-painted. Net curtains needed laundering and all windows and window ledges required cleaning. Although, the rear garden was being reasonably well maintained, the patio at the front required cleaning. Separate personal choices and interests were reflected in residents’ bedrooms but bed-linen including pillows needed laundering and/or changing. There was initially no soap, toothpaste or toilet paper in one resident’s en suite bathroom or in the bathroom on the first floor. We were informed by a support worker that this was was due to a resident’s persistant wastage or mis-use of these items. The home is not well maintained or clean and hygienic in all areas, as stated above. Nonetheless, residents appeared well adjusted and comfortable in this environment. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 21 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 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A support worker is qualified and has received adequate training for meeting the needs of residents. However, he/she is not being supported by additional care staff. The home’s recruitment policy and procedures are satisfactory. EVIDENCE: A staff rota was not available for viewing at the time of the inspection. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 22 We were informed by a support worker that no other care staff was employed at the home but efforts were being made to recruit an additional member of staff. One support worker cover care/support duties during waking hours and overnight shifts. He/she is also responsible for undertaking health and safety checks and carrying out practical tasks such as shopping, cooking, cleaning, laundry, gardening and interior decorating. The need for additional care staff became apparent during the course of the inspection when a resident frequently demanded the attention of a support worker who was also required to assist with our inspection. The support worker was nonetheless observed being competent in meeting the needs of a resident. The records indicated that a support worker had achieved NVQ level 2 in November 2006 and modules included training in Health and Safety, Infection Control, Food Hygiene and Protection of Vulnerable Adults. There was recorded evidence that staff training on Medication and Mental Health Awareness had recently been delivered and training on Safeguarding Adults was scheduled. The recruitment files relating to a support worker and a part-time Manager Designate were viewed and contained all required recruitment documents. However, contents in files were not indexed, well ordered or securely attached. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 23 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 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Manager Designate is suitably qualified and experienced. However, the service is not being run effectively on a day-to-day basis. An annual quality assurance assessment has been satisfactorily carried out. Health and safety checks are not being regularly undertaken. EVIDENCE: Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 24 The home has recruited a part-time Manager Designate who is appropriately trained, qualified and experienced. An annual quality assurance assessment document (AQAA) has been completed appropriately and submitted to the Commission at the required time. Although gas maintenance and portable appliances tests were up-to-date, fire safety checks and water temperature and fridge and freezer checks, were not being regularly undertaken. The last recorded fire drill was carried out in September 2008. Environmental risk assessments were in place. The service is not being run effectively on a day to day basis. For example daily logs are not being maintained, regular health and safety checks and fire drills are not carried out. Residents bed-linen is not routinely laundered and/or changed. Necessary repairs are not being carried out. Furniture is of poor quality and overall maintenance standards of the environment in which the residents live are unsatisfactory. Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 3 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Version 5.2 Page 26 Athelstan House DS0000051552.V376424.R01.S.doc 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 YA5 Regulation 5(3) Requirement Timescale for action 24/07/09 2 YA17 16(2)(i) 3 YA24 13(4)(c) The Registered Person must ensure that residents’ contracts/statement of terms and conditions are accessible for viewing by CQC Inspectors. The Registered Person must 30/07/09 make sure that menues are revised to reflect wholesome varieties of freshly cooked meats, fish and/or poultry and vegetables. This is to ensure that the nutritional needs of residents are being met. 24/07/09 The Registered Person must ensure that that soap, toilet tissues, toothpaste and towels are at all times available in residents’ en suite facilities to avoid unnecessary risks to their health and welfare. This is restated from 20/08/08 The Registered Person must make sure that bed linen is regularly laundered to avoid unnecessary risks to the DS0000051552.V376424.R01.S.doc 4 YA26 16(2)(e) 24/07/09 Athelstan House Version 5.2 Page 27 health and welfare of residents. This is restated from 25/11/08. 5 YA30 23(2)(o) The Registered Person must ensure that the patio at the front of the building is maintained. 16(2)(f) The Registered Person must make sure that all windows and surrounding areas are kept clean. This is to ensure unnecessary risks to the health and welfare of clients. 19 The Registere Person must ensure that staff rotas are drawn up and accessible for viewing by CQC Inspectors. 23(4)(c)(iv)(v) The Registered Person must (e) make sure that health and safety checks including fire alarms and drills are undertaken on a regular basis. This is to ensure that the safety and welfare of residents are being protected. 23(4)(d) The Registered Person must ensure that suitable training in fire safety is delivered to all care support staff. This is to ensure safeguards to the safety and welfare of residents. 24/07/09 6 YA30 24/07/09 7 YA32 30/07/09 8 YA42 24/07/09 7 YA42 30/09/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Athelstan House DS0000051552.V376424.R01.S.doc Version 5.2 Page 28 Care Quality Commission Care Quality Commission London Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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