CARE HOME ADULTS 18-65
Beechwood The Lodge High Pitfold Hindhead GU26 6BN Lead Inspector
Fiona Cole Unannounced 10 May 2005 10:00 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. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Beechwood Address The Lodge, High Pitfold, Hindhead, Surrey, GU26 6BN 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) 01428 604278 Robinia Care - South Region To Be Confirmed CRH Care Home 6 Category(ies) of LD Learning Disability, 6 registration, with number SI Sensory Impairment, 1 of places Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The age range of the persons to be accommodated will be 18-50 years. 2. To accommodate one person with a sensory impairment. Date of last inspection 29 November 2004 Brief Description of the Service: Beechwood and The Lodge are both part of the Robinia Care Group. The Southern Region Organisation specialises in services for people with learning disabilities and challenging behaviours. The homes located on the Robinia South Old Grove site, just off the A3 South of Hindhead and situated on a small complex of largely purpose built single storey buildings, one providing day care (The Grove) and the remainder are residential. Beechwood is a five-bedroom bungalow and The Lodge is a two-bedroomed bungalow with one service user, supported by two members of staff over a twenty-four hour period. The Lodge is registered for one service user only. Beechwood and The Lodge are staffed independantly of each other with the Registered Manager overseeing the two homes. Each of the homes has its own communal facilities and enclosed secluded gardens with adjacent parking. The service users all present with challenging behaviours. The service is some distance from the local facilities but transport is provided to access the community and the ameniites at Hindhead, Grayshott and Haslemere. The service users, on weekdays access the on-site day centre, with its cafeteria facilities.
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, this means the home were unaware in advance of the visit. The inspection was carried out by two inspectors the inspection was the first inspection in the Commission for Social Care Inspection (CSCI) calendar year April 2005 to March 2006. The Service Manager Ms V Woodall was with the inspectors Instead of the acting manager who was away from the home on that day. Two service users and three staff were talked to during the course of this inspection. One service user shook hands with the inspectors but didn’t want to have any conversation with them on the day. The other service user was upset on the day of inspection, and didn’t want to talk. Three requirements were made at the last inspection, to produce an annual development plan, this has not been done. To produce a financial plan, this was required on 29/11/04; this has still not been sent to CSCI The new acting Manager has put in an application to be registered with CSCI. Four of the service users were attending the Grove day care facility and one service user stayed in the home supported by a member of staff. The staff in The lodge were working well with the service user, and there were no problems during the inspection. What the service does well:
The home has clear care plans with good information for all service users, which show not only their care needs, but also individual wishes. This included what they like eating, and the clothes they like to wear. Staff were seen to work well with service users and to attend to their personal needs in a caring and respectful manner. There is a full programme of activities available to the service users. Externally these activities include; The Kingsley Art and Drama Centre. Disco dancing,
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 6 music appreciation, birthday parties, swimming, rambling, bowling and tramp lining. In the house a number of games are played cards, chess draughts and other popular board games. Barbecues parties and visits to other service users to share a video and a take-away are encouraged. The home has a small 4-seater car available for its use and access to a larger 10-seater vehicle on a first come first serve basis. This is shared by other homes close by and would need to be booked in advance. The mini-bus is fitted with a tail lift for wheelchair access and full use is made of this in the summer months for trips out. The staff members who work at the home receive a good standard of training and supervision and this is shown in the care given to service users. The home has employed staff from overseas and has enrolled them all on to a basic English course demonstrating the homes commitment to making sure the staff in the homes are able to meet the needs of the service users. What has improved since the last inspection?
The new acting manager has worked with the service manager In the settling in of a new service user with a sensory impairment. This was shown in the very detailed care plan and daily activities log was in place which showed the home was meeting the service users needs and was looked at regularly The service manager is in the process of updating both the service user guide and statement of purpose, and is looking at ways of making those documents are clear to all service users using a picture approach. The manager has worked hard in making sure all care plans are looked at updated and read and signed by all staff members, as well as service users and/ or their advocates This was seen in the sampling of care plans. Training plans were up to date and signed Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 7 What they could do better:
The back garden although safe for service users was not interesting and had only four garden chairs available for the number of service users living at Beechwood. The fencing is attached to the hedge and was coming away in places. Both service users and staff can use the laundry room, this was discussed with the service manager at the time of inspection, as the area has a cupboard for storage of dangerous chemicals but a number of chemicals were also being stored in an unlocked cupboard. A metal strip was coming away from the work surface causing a potential hazard. The second freezer stored in the laundry had chipped cracked and broken drawers. An iron was left out on the work surface A strong odour was apparent in all areas in the home and was very strong in two areas a change of flooring was discussed with the service manager. A Service users mattress was found to be very stained and smelly and was leaning up against the wardrobe to dry out. Another service users bed was broken and needed replacing. All pillows inspected were old torn and the filling escaping, all old pillows need to be replaced. One bathroom contained service users personal toiletries, some of which should be in a locked cupboard Two toothbrushes were held in a mug near the sink and both were filthy, one containing hair. Two hairbrushes were left in the bathroom one labelled the other not. All personal items must stay in the service users rooms not left in the communal bathroom. The other bathroom had a number of broken sharp and cracked tiles and grouting falling away all around the bath and the sink area. There were holes in the wall where once a cabinet had been. In both bathrooms the extractor fans were not working. The end of the shower hose had the head piece were missing, as were the heads of the taps, therefore the inspectors were unable to tell the hot from the cold tap. The kitchen also had a number of missing cracked and broken cupboards and drawers but in particular it needed a deep clean urgently. The menus offered were not interesting, and not very varied offering a great deal of carbohydrate products, for example pies were listed on 3 occasions in one week. It was noted that one service user enjoyed fish and this choice did not appear at all in the menu. Care Plans all need to have a photograph of the service user within them
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 8 Three out of 5 inspected did not. Medication still needs careful management, as no date was evident on the “sharp Box”. The CD cupboard contained pocket money. Please refer to the requirements section for more detailed information. 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. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 9 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 Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 10 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, 3 and 4. 5 Prospective service users are given sufficient information about the home to enable them to make an informed choice (where appropriate in conjunction with significant others The statement of purpose was available but needed updating. The home carries out full assessments of service users before admission and they and their representatives can be certain that the home will meet their needs. EVIDENCE: The home has a comprehensive statement of purpose, and service users guide, which are currently being updated by the service manager in conjunction with the individual home manager; these were shown to the inspectors for guidance. Both these documents needed updating to include CSCI details new manager information and admission guide to the home. The home has a robust admissions assessment undertaken by the home manager. The assessment is very comprehensive and covers all aspects of the service users needs. The information is also gathered from significant others care manager parent’s advocates and any involved healthcare professionals.
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 11 After the initial assessment a service user may be encouraged to visit prior to admission where appropriate and stay over night or visit for a long weekend. This information was taken from the file of the most recent admission, and showed due diligence on behalf of the home in attempting to arrange visits prior to admission, it was not possible to speak with the service user on the day of inspection. The additional visits would help to ensure the service users individual needs could be met, and would determine any specialist equipment or services required, could be provided. In conjunction with the above it gives the manager the opportunity of looking at the needs of other service users alongside the prospective newcomer as well as staff skill mix. A copy of the contract between the home and the service users was in place, with full detail of services provided. Details of the rooms occupied are also included on the contract, the main contract is held in head office. The service users are unable to sign contracts and where possible the home encourage a representative to sign on their behalf. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 12 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 7 and 10. Evidence gathered at this inspection indicated that each of these standards was being met effectively. Service users and their advocates are regularly consulted regarding the care they receive, and this is followed up by the key worker to ensure the change is working and appropriate to the service users needs. Service user care plans are kept securely. EVIDENCE: All service users have an individual care plan, which includes the required documentation. Risk assessments were in place and updated on a regular basis, on going care progress records are maintained, and there is an effective key worker system in place. The care plans showed that service users had helped to produce the plan. Service users are encouraged to be as independent as possible. Goals in service user care plans reflected a commitment to supporting them in decision making for example in menu choice and what clothes they like to wear. The key workers were seen to work well with service users. A number of relatives are involved with the service users care. The service manager informed the inspector that a staff rota is in the process of being
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 13 introduced in picture form at Beechwood having been introduced in other homes and become very popular. Staff awareness and actions in relation to confidentially are underpinned by written policy guidance. Service users records are securely stored in lockable cabinets. Staff were found to be respectful of confidentiality and to understand the types of information that needed to be shared with others. All staff signs a confidentiality statement. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 14 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) 11, 12, 13 14 15 16. Evidence gathered during this inspection confirmed that the home met the standards inspected. The service users were able to personally develop and could attend different activities inside and out of the home. EVIDENCE: The relationship between service users was observed to be relaxed and friendly, creating a warm and homely feel. Service users were encouraged and supported to be as independent as possible and all appeared to lead active and interesting lives which included attending an art and drama college Southdown’s College, and a day care facility on-site. Other activities included board games barbecues takeaways and videos. Adjoining Beechwood is a smaller self-contained house known as The Lodge that is used to support and care for one service user who requires two to one care and two staff are on duty 24 hours a day. Service users are encouraged to assist with preparation of the evening meal but only ever supervised by a staff member/s even if the task is deemed suitable for a service user that requires minimum supervision. A risk assessment had been carried out on every participating service user.
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 15 It was clear from the care plans and the log that staff helped the service users to stay in contact with relatives and friends. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 16 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) 18, 19, 20, 21 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards, with the exception of standard 20. This meant the home was able to demonstrate that resident’s health and personal care needs were being met appropriately. The service users looked happy with the way the staff were working with them. Medication was handled appropriately. EVIDENCE: The recording of medication has improved since the last medication inspection undertaken in September 2004, Dates need to be thoroughly checked and monitored. The home already has a controlled drugs cupboard that is currently not used for medication storage. There are currently no services users who are able to self medicate. Evidence gathered from discussions with staff, substantiated by health and care plans indicated the home worked hard to ensure the residents needs were consistently met On-going training of staff in-house for the administration of medication showed the organisation recognises the importance of safe and correct medication handling. Bulletins and circulars about medication issues were supplied as and when appropriate and refresher and update training on the administration of medication is actively encouraged.
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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 and 23. Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. The home has a complaints procedure and a copy of the Surrey Vulnerable Adults Procedure. EVIDENCE: There is a written complaints procedure documented in the statement of purpose. This states that all complaints made at local level will be resolved within the statutory timescale of 28 days. No complaints have been received since the date of the last inspection. The complaints procedure has been produced using pictures and symbols for service users. The staff consulted on the inspection confirmed they were familiar and very prepared to help a service user complain should the need arise. The service users will have a pictorial form to use, once the guide is updated. Staff was not asked on this inspection about the VA process. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 18 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 25 30. The evidence gathered during this inspection was disappointing, as the home met the assessed standards only in part and a number of requirements have come as a result of standards dropping since the last inspection took place. The home has many areas that were in need of maintenance replacement and cleaning. In particular beds and mattresses. Clinical waste needs to be disposed of on a regular basis. EVIDENCE: The home has been developed and improved over the years; however, an action plan was recommended by the inspectors for a programme of work to be undertaken immediately from the date of inspection. The service users all require new pillows and these although on order had not arrived on the day of inspection. One service user requires a new bed as the drawers and sides of the bed were broken and unusable. Two service users require new mattresses preferably with PVC material to prevent further staining. Carpets were stained and very smelly. The two bathrooms require a thorough clean and the tiles and grouting in one replaced and holes in the walls filled in.
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 19 The kitchen had a number of broken drawers cupboards and work surface areas that need to be completely refitted. The service manger has ordered a new cooker but that had not arrived on the day of inspection. A second freezer in the laundry room needs to be replaced as all the drawers contain foodstuffs were either cracked chipped or broken making the handling difficult and potentially dangerous. An action plan detailing how the work would be completed, and contingencies planned to ensure the effect of the work on service users is minimal, was suggested by the inspectors. Please refer to the requirements section for more detail. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 20 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) 35 and 36. Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. Staff were enthusiastic and committed to supporting service users, with training and development given a high priority. EVIDENCE: The relationships between service users and staff were observed to be relaxed and friendly, creating a warm and homely feel. Service users are encouraged to be as independent as possible according to their abilities. Training and development of staff has been given a high priority and this was evidenced from the training schedules and very detailed induction programmes as well as a number of other courses to ensure they have the experience to meet the needs of the service users. All staff need to be in post for six months before commencing NVQ training. The service manager said the company is working hard in trying to meet the 50 of staff obtaining NVQ Level 2 by 2005. Supervision of all staff is being undertaken by the new manager on a regular basis, as is the supervision of the new manager by the service manger.
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 21 Staffs spoken to on the day of inspection were knowledgeable about the care needs of service users, and how these care needs were addressed within the home. Staff rotas are well written up giving the inspectors a clear idea of how the two premises were staffed, by whom and a total of hours worked by individuals. Staff Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 22 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 40 41 42. Evidence gathered during this inspection confirmed that, with the exception of Standard 42 (please see below) the home meets each of the assessed standards and was seen to be well run with sound and accountable management support. EVIDENCE: Training and development of staff has been given a high priority and this was recognised by the inspectors during their visit, by talking to staff and looking at the training schedule. A new acting manager is in post and going through the registration process The inspector was to shown that further improvements had been made to the care plans and in the revision of policies and procedures in conjunction with the service manager.
Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 23 The service manager is completing comprehensive Regulation 26 visits, which are valuable to the home and assisting the new manager in post. Standard 42 was not met in respect of cracked and broken/sharp tiles in one Of the bathrooms. Chemicals were not being stored in a locked cupboard. Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 24 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 3 3 3 3 3 Standard No 22 23
ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 3 3 3
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 1 3 2 1 3 N/A 1 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 1 Standard No 31 32 33 34 35 36 Score 3 3 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Beechwood Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 N/A 3 3 1 1 H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 25 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. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Standard 24 25 42 42 42 42 42 42 41 Regulation 39 43 13 (4) 13 (2) 13 (4) 13(3) 13 (4) 13 (4) 17 Requirement The home to produce an Annual Development {Plan Management to produce a Business and Financial Plan All chemicals to be stored in the locked cupboard. No dates on sharp boxes Tiles in bathroom sharp broken and cracked Toothbrushes in one bathroom filthy, one containing hair. Iron left out in laundry room, must be locked away End of shower head and taps missing in one bathroom making hot and cold impossible to see. Certificate of registration requires updating to include SI category Timescale for action 31/6/05 31/6/05 Date of Inspection Date of Inspection 31/6/05 Date of Inspection Date of Inspection Date of Inspection 31/6/05 Beechwood H58_s13702_Beechwood_v217331_100505_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. Refer to Standard 26 26 Good Practice Recommendations It is reccomended that washable flooring is laid in place of smelly carpet to eradicate the smell of urine. It is reccomeneded that service users furniture is reviewed and replaced as appropriate. One bed had broken drawers, two have stained mattresses and all have poor quality pillows. Fencing in the rear garden is unsightly. Attention should be given to the garden to enhance the environment for the service users. The freezer in the laundry room needs replacing as broken drawers make it difficult to access. Extractor Fans in both bathrooms need to be repaired and in working order. Clinical waste in bathroom bin needs to be emptied on a regular basis. Kitchen needs a deep clean. Cupboards and drawers need repairing. Grouting needs to be re-applied. Veneer on wall cupboard peeling off. Electric cooker needs replacing. 3. 4. 5. 6. 7. 28 29 29 27 24 Beechwood H58_s13702_Beechwood_v217331_100505_stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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