Inspection on 05/07/06 for Bessmount House

This inspection was carried out on 5th July 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bessmount House 29/07/09

Bessmount House 10/05/08

Bessmount House 12/12/07

Bessmount House 20/07/07

Bessmount House 15/11/05

Bessmount House 24/08/05

Bessmount House 07/04/05

Bessmount House 01/09/04

Bessmount House 13/04/04

Bessmount House 23/03/04

Bessmount House 06/01/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Bessmount House 1 Rose Hill Kingskerswell Newton Abbot Devon TQ12 3PP Lead Inspector Megan Walker Unannounced Inspection 10:30 5th July 2006 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bessmount House Address 1 Rose Hill Kingskerswell Newton Abbot Devon TQ12 3PP 01803 872188 NONE 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 David George Simpson Mrs Jacqueline Sheila Simpson Mr David George Simpson Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Bessmount House is a detached care home that is registered to provide accommodation and care for up to eleven people who need residential care for reasons of old age, not falling within any other category. It is situated in the village of Kingskerswell and is close to the Health Centre, local shops, church and other amenities. The home has been extensively renovated and refurbished over the past six years by the current Registered Providers, Mr David and Mrs Jackie Simpson. There are plans to extend the property to overcome some of the current cramped areas of the home. Mr Simpson is also the Registered Manager. Both Mr and Mrs Simpson work full-time at the home, including sharing the waking night duty. They currently live on the premises. There are seven single bedrooms and two double bedrooms, all except one have en-suite toilet facilities. All the bedrooms are connected to a call bell system and have telephone and television points. There is a quiet sitting room and a lounge-dining room. There is a bathroom/toilet on each floor. A chair lift provides access to the first floor. At the back of the house is an enclosed patio garden. There is a terrace to the front of the house where the home’s pet guinea pigs and ferrets have their cages. Below is a large garden providing home to a variety of domestic fowl. The home also has three dogs. Bessmount House has a no smoking policy. Bessmount House does not provide intermediate care and it is not registered to provide nursing care. The current fees at Bessmount House range from £350 to £700, information given to CSCI by the Registered Providers in May 2006. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days. On the first visit the Registered Providers were not present, however three staff members assisted with provision of information as required and spoke to the inspector about their experiences of working in the home. On this occasion it was not possible to inspect residents’ care plans or staff files because staff do not have access to these records. An Immediate Requirement was issued at the time that all records must be available for inspection at any time, and that residents’ care plans and the Accident Book must be accessible to staff. Another Immediate Requirement was also issued at this time that the home must have a qualified senior carer left in charge in the absence of the Registered Manager. There was no one formally in charge however the carer recognised as most senior showed throughout the day that she was competent, experienced, levelheaded and able to confidently manage the home regardless of all the events that took place during this inspection visit. The second visit was announced to ensure that the Registered Providers were available. Lesley Brown, Regulation Manager, was also present for this second visit. On this occasion care plans and staff files were available for inspection. The inspection on both days included a tour of the premises, observation of staff interaction with residents, and conversations with residents, staff and visitors to the home, looking at records and documentation, and checking medication and its administration. What the service does well: What has improved since the last inspection? Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 6 One of the bedrooms has been redecorated since the last inspection. All the main meals are now home cooked using fresh and good quality ingredients. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 8 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 the following standard(s): 3, 5 Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to moving into the home but some are knowingly being accepted outside the conditions of registration of the home, putting other residents and staff at risk. EVIDENCE: Conversations with family members of residents and with staff showed that prospective residents could visit the home prior to making a decision about moving into it. They are also assessed by Mrs Simpson to ensure that the home can meet the needs of the prospective resident, and that s/he will be compatible with the other residents. One resident who has recently come to the home explained the circumstances of her need for twenty-four hour care, and that she had been confident in her family’s judgement about Bessmount House being suitable for her. Mrs Simpson went to meet this person in hospital and had told her more about the home. She was discharged from hospital for an unconfirmed period of respite Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 9 at Bessmount House to consider if she would be able to manage on her own at home again. Two relatives visiting three different residents during the inspection explained how their relatives had come to live at Bessmount House. They confirmed that there was a trial period before making any decision to live at Bessmount House. One relative also explained that her one of her relatives came to Bessmount House for day care and had also had short stays for respite care (dependent on a bedroom being vacant). All new residents have a month’s trial period before making a decision about living at the home. The Pre-Inspection Questionnaire identified three residents as having dementia. Staff confirmed that this was the case. Also at least one of these residents moved into the home having been assessed as having dementia care needs. Discussion with the Registered Provider about this resident confirmed that it was known at the time of admission that the person had a diagnosis of dementia, however the Registered Provider had considered the greatest needs to be age-related. It was therefore a suitable admission in this instance and met the conditions of registration of the home. The Registered Provider was advised at this time about the implications of admitting people “out of category” and its potential impact on the existing residents in the home and the staff working there. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social needs are of utmost priority to the Registered Providers, however written care plans need urgent attention. EVIDENCE: The format of the care plans was being revised at the time of this inspection. The proposed style was inspected and was found to be an easy to read style and comprehensive in describing a resident’s assessed needs and how those needs would be met. It also provided background information about the resident to build a picture of the person prior to their need for residential care. At the time of this inspection none of these care plans was complete and a deadline for this to be done was agreed with the Registered Provider. Likewise a Daily Record was being devised and needed to be delegated for use by all staff. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 11 Discussion with the Registered Providers and staff showed that despite no written documentation, they all know the care needs of each individual resident. Staff stated that the home is fortunate in having very good local medical support from the local GP practice and the District Nurse team. This has meant that residents who are in their last stages of life are able to remain at the home and be cared for by the home’s staff with any additional support provided by the local medical centre. A District Nurse visiting the home during this inspection confirmed this to be the case. A carer demonstrated the homes’ procedures when handling medications. The receipt, recording, storage, handling, administration and disposal are all in accordance with laid down legislation. All of the stock examined in the drug storage room was in date. One resident was self-medicating at the time of this inspection. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 14, 15 Quality in this outcome group is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to live fulfilling lifestyles that meet all their expectations, preferences and satisfactions. EVIDENCE: A tour of the home confirmed that residents are encouraged to personalise their rooms with their own possessions. Discussion with the Registered Providers during this and past inspections confirmed that residents come and go as they please either independently or with relatives, friends, or staff who might take them shopping, out for trips or to the local church, for example. On both days residents were seen making their own choices about whether they sat in the sitting room, their bedrooms or outside in the garden. A resident was seen sitting out on the patio in the garden under the cover of a parasol giving protection from the sun, and enjoying the summer weather. Another resident was seen donning her Wellington boots to potter in the garden. The Registered Manager explained that the resident is encouraged to retain this independence as gardening and keeping a vegetable plot was very Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 13 important to her when she was living in her own home. He also hopes that plans currently under consideration by the local planning department will be approved thereby making it possible to offer individual plots for gardening to residents should this be of interest. Residents are encouraged to manage their own finances. A leaflet with information about advocacy services is available to residents. The Registered Providers have recently made arrangements for the midday meal to be cooked at the home. A local catering company previously provided it and although the food was satisfactory, there was too much waste each day. There was no discussion with residents about this change and, initially, it caused an issue for some of the residents. On the first day of this inspection, lunch was not ready until nearly 14h00 due to a delay in shopping for and delivery of the food to be cooked. Staff confirmed that whilst this was exceptional, it was not out of the ordinary for the food to be bought on the same day it was to be eaten. Menus of the past few weeks were available for inspection but there was no evidence of any preplanning to assist staff in meal preparation. The lunchtime meal was seen to be good quality pork chops and a large selection of vegetables. The pudding was a homemade fruit flan. There was no choice offered to residents prior to this being prepared for them, however a resident who was unwell was given lighter food of her choice. Residents can choose where they take their meals including outside in one of the gardens should that be their wish. Mealtimes are flexible and suit individual needs and preferences with the exception of lunchtime that is usually about 13h00. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously, listened to and issues resolved promptly. EVIDENCE: Since the last inspection there have been no complaints made either to the Registered Providers or to the Commission about Bessmount House. In discussion with the Registered Providers it was evident that they are very alert and aware of how the home’s residents should be treated and how they are treated. They are also very strict about whom they employ and the standard of care that they expect staff to provide to residents. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 19, 26 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable and attractive homely environment that is clean, pleasant and hygienic. EVIDENCE: Each bedroom was personalised and it was evident that residents had their own possessions around them. All the bedrooms except one have an en-suite toilet and wash hand basin. One en-suite is accessible using a wheelchair. The bedrooms do not have locks. It was agreed at the last inspection that locks would be fitted when rooms became vacant but this has not happened. The call bell in one of the bedrooms was an electrical wire taken from a socket in the bedroom into the en suite and wrapped around the toilet roll holder. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 16 The toilet flush in an upstairs’ en suite did not work properly and required two staff members to resolve this for the resident. One bedroom door was held open with a door wedge. The lounge and dining room look out onto a large grassed area to the front of the home with several mature trees and uninterrupted views of the parish church and green in the distance. At the rear is an enclosed courtyard that was delightfully presented with potted plants and flowers giving an oasis of colour and tranquillity. Suitable upright, padded deckchairs and a table with a parasol have been provided for the comfort of the residents using the patio at the front of the house. Similarly in the courtyard at the rear of the home, there was garden furniture for use by residents. There is a large communal bathroom on the first floor with a power-assisted bath chair to enable easy access in and out of the bath. The bath water temperature is regulated and records of bath water temperature checks were seen. Also appropriate measures have been taken to prevent Legionella risks. There is a toilet for residents and visitors’ use downstairs however the bath and shower are not used. This room looked shabby and tired, and in need of redecoration. The current laundry facilities are domestic in size however there are plans to include a purpose-built laundry room in the proposed extension to the home. The kitchen is also domestic in size. It is also currently used as a staff room. Inside the front door the wall has been treated for dry rot. This whole area is awaiting redecoration. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to this service. Residents are potentially at risk due to minimal staff training. EVIDENCE: Staff were seen to be carrying out their duties in a professional, sensitive manner whilst resident feedback, as well visitors feedback, was very complimentary regarding the care and attention given by all members of the home’s staff team. On the first day of this inspection the Registered Providers were away for the day. The carer recognised by the other staff as most senior showed throughout the day that she was competent, experienced, levelheaded and able to confidently manage the home. This included taking immediate and appropriate action with an accident involving a resident who fell in the sitting room after lunch. Most of the staff files included 2 written references, an up to date CRB check and relevant personal information required by Schedule 4 however two CRB checks were outstanding. Files also had a personal training record, and a training needs identification form as part of an employee review. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 18 Most staff have received basic training including Food Hygiene, Moving and Handling, Infection Control, Health and Safety in the Workplace, Fire Training, and Handling and Administration of Medicines. “Personal Solutions”, a Management Consultancy used by the Registered Providers, was supposed to be providing an induction programme for new staff but this has not been forthcoming. One fairly recently appointed member of staff confirmed that she has not had any form of induction since starting work at the home. No staff has any level of NVQ training with the exception of the Registered Manager. During the second visit this was discussed with the Registered Providers. Later during this visit they confirmed that they had spoken to individual staff and found that they were willing and wanted to work towards NVQ In Care Levels 2 and 3. It was agreed that this would be set up for them. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 37, 38 Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to this service. The residents’ benefit from the ethos and management approach of the home. EVIDENCE: The Registered Providers ensures that there is an open, positive and welcoming atmosphere within the home. The interaction between the residents and staff throughout the inspection showed that meeting the needs of the residents is paramount. The management and staff were seen to be working well together. Informal feedback is continuously received by the Registered Providers from residents, relatives and staff, however there is no formalised quality assurance system in place. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 20 It became apparent during this inspection that this was another task that “Personal Solutions” had agreed to do but not done. Mr Simpson stated that he would pursue this matter and all other outstanding issues directly with “Personal Solutions”. Residents either handle their own financial affairs or have given Power of Attorney to either a relative or appointed solicitor. The Registered Providers do not handle any residents’ monies. Record keeping required by regulation for the protection of residents is poor. SEE “CHOICE OF HOME”. Health and safety records were satisfactory. Records seen showed that regular maintenance checks are being carried out, and that gas and electrical appliances were being routinely serviced and checked. All temperatures for the ‘fridges’, freezers, cooking, bath water, etc, are checked and recorded. The fire protection system was well maintained. Staff all recently had fire safety training. There are two qualified first aiders, one of whom is Mrs Simpson. All staff have done or are shortly due to do training in Food Hygiene, Infection Control, and Moving and Handling. COSHH and RIDDOR procedures are followed by staff. The Commission is notified of any incident relating to the well being of residents as required by the Care Standards Act 2000. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 2 2 4 2 3 4 STAFFING Standard No Score 27 3 28 1 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X 1 3 Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 22 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 OP3 Regulation 4,1b 4,3 5,1a Sch1.6 14,1 15,1 17,1a Sch 3 23,2b 13,4 12,4a Requirement Prospective residents must only be accepted if the home is able to meet the assessed needs of the individual within the conditions of registration of the home. The Registered Providers must maintain in respect of each resident a record that includes the information specified in Schedule 3. The toilet in the en suite in room 5 must be maintained in good working order. A safe alarm system must be fitted appropriately in the en suite of room 10. Appropriate door locks must be installed when bedrooms become vacant or if individual resident request this facility or if circumstances in the home change A minimum ratio of 50 members of care staff, excluding the Registered Manager, must be qualified to NVQ Level 2 or above by 2008. The Registered Providers must DS0000003652.V292051.R01.S.doc Timescale for action 31/07/06 2. OP3 OP7 OP37 30/11/06 3. 4. 5. OP21 OP22 OP24 31/07/06 30/09/06 31/07/06 6. OP28 18,1ac 19,5b 01/01/08 7. OP30 18,1 Bessmount House Version 5.2 Page 23 8. OP30 18,1 9. OP33 24 10. OP37 17,3b provide new staff with structured induction training within the first six months of appointment and ensure that it meets with the required standards. The Registered Providers must keep records as evidence of any induction training undertaken by staff. An effective quality assurance system must be developed to establish the residents’ level of satisfaction with the care services they receive in the home. This must also be extended to all visitors to the home including health and social care professionals, to establish their level of satisfaction with the care services being provided in the home. The results of all the surveys undertaken must be published and available to prospective service users and the Commission The Registered Providers must ensure that all records referred to in this regulation are available at all times for inspection in the care home by any person authorised by the Commission to enter and inspect the home. This was an Immediate Requirement at the time of this inspection. 30/11/06 30/11/06 31/03/07 05/07/06 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 Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 24 1. 2. OP21 OP26 The communal toilet in the first floor bathroom should be fitted with a more conventional flush mechanism. Food should be stored in an alternative location to the laundry room. Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bessmount House DS0000003652.V292051.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!