Inspection on 04/08/09 for Bigwig House

This inspection was carried out on 4th August 2009.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bigwig House 29/08/08

Bigwig House 11/09/07

Bigwig House 27/06/06

Bigwig House 15/12/05

Bigwig House 01/06/05

Bigwig House 25/01/05

Bigwig House 08/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report CARE HOME ADULTS 18-65 Bigwig House Rhubarb Hill Holywell Bay Newquay Cornwall TR8 5PT Lead Inspector Ian Wright Key Unannounced Inspection 4th August 2009 10:00 Bigwig House DS0000009102.V376936.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. Bigwig House DS0000009102.V376936.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 Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bigwig House Address Rhubarb Hill Holywell Bay Newquay Cornwall TR8 5PT 01637 831220 01326 371099 mail@dcact.org 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) Spectrum Mr Terry David Morgan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Bigwig House DS0000009102.V376936.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 either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 3. Date of last inspection 29th August 2008 Brief Description of the Service: Bigwig House provides care and accommodation for three people on the autistic spectrum. It is run by Spectrum, an organisation that provides specialist care to people on the autistic spectrum. The home is situated in Holywell Bay, which is near Newquay. The accommodation is on two levels and consists of three single bedrooms, an office, kitchen, dining room and lounge. There is a sizable garden and satisfactory car parking for staff and visitors. The home has its own transport. The current residents do not need any specialist equipment or adaptations, and the home is not adapted for a person with a physical disability. Spectrum employs a registered manager responsible for the day to day running of the home who is supported by a team of staff who cover shifts at the home over the 24 hour period. Spectrum aims to provide service users with appropriate support in a small domestic environment in a community setting. The fees for people living in the home are decided on an individual basis based on the person’s needs and as agreed with the sponsoring authority. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use the service experience adequate quality outcomes. This key inspection took place in seven and a half hours in one day. All the key standards were inspected. The methodology used for this inspection was: (1) To case track two people using the service. This included inspecting their records. (2) Discussing care practices with staff and management. (3) Discussing with people using their service their experiences of life at the home. (3) Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: People using the service do generally receive a good service. However, we have set four statutory requirements. Lack of compliance with the regulations in these areas does increase the level of risk for example to people using the service. Subsequently we have rated this service as ‘adequate’ overall, and will reinspect this service within 12 months to ensure satisfactory improvement in these areas has occurred. Improvement therefore is required regarding: (1) The operation of the medication system and training in this area for staff administering medication (2) Staff training needs to improve in some areas (3) Health and safety precautions e.g. regarding the regular testing of heating to ensure it is safe (3) Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 6 Improvement in quality assurance systems so there is for example better monitoring of the above three matters; so the service complies with regulatory requirements. 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. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 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. Information provided to people who use the service (e.g. regarding services offered) is good. For example all people who use the service (and /or their representatives) receive a statement of terms and conditions of residency or contract when they move in. This ensures people are aware of their rights and responsibilities. Pre admission assessment procedures are satisfactory and ensure the registered persons check they can meet the persons needs before admission is arranged. EVIDENCE: We inspected a copy of the homes statement of purpose and service user guide. These contain satisfactory information about the service. The registered provider has a satisfactory assessment procedure. For example prospective clients and their families visit the home before admission is arranged. Senior staff visit the person to meet them as part of the assessment process. The person concerned also visits the home as part of the assessment process. There have been no admissions to the service since the last inspection. We were able to inspect contracts / statements of terms and conditions of residency for people using the service. Information inspected was satisfactory. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 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. Satisfactory care planning procedures are in place. There is satisfactory opportunity for people to participate in making choices and be involved in decision making. Staff enable people using the service to take an appropriate level of risk so they can pursue as independent a lifestyle as possible. These measures ensure the needs of people who use the service are met and they are given the opportunity to make choices how they lead their lives. EVIDENCE: A care plan was contained in the file for each person we case tracked. Care plans are accessible to staff. There is a review process in operation, and people who use the service (and / or their representatives) are invited to meetings which occur. From discussion and observation, people who use the service are involved in making decisions about their lives, and how the home is run. Where Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 10 restrictions are in place, these are recorded. Restrictions in place appear appropriate considering peoples needs. Suitable risk taking seems to take place to enable people using the service to live as independently as possible. The home has its own transport, which enables people to participate in community activities. Suitable risk assessments are kept on file, and reviewed as necessary. Personal monies are managed by staff on behalf of people using the service. Money is held in cash tins. It is important that cash tins are locked away for example in a safe or a secure cupboard. Suitable records are kept recording any expenditure. Management have appropriate systems to ensure records are checked. Some documentation containing personal information was kept in the lounge of the home. This information should be locked away so confidentiality is maintained at all times. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 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 registered persons ensure people living in the home can live a lifestyle which meets their needs and wishes. EVIDENCE: People using the service have the opportunity to pursue a range of activities such as attending work placements, going to the leisure centre, going to the pub etc. Other social and shopping trips are organised according to the wishes and needs of individuals. There is evidence from daily records that people participate in a suitable range of activities. People have opportunity to visit friends and relatives and these people also visit the home. Routines in the home seem appropriate according to individual needs. There was a relaxed and friendly atmosphere in the home throughout the time of the inspection. The home has a menu with a suitable range of meals available. Records also show people appear to have a varied and nutritious diet. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 12 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, 20 People using the service experience generally good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare needs of people living in the home are generally satisfactorily promoted and met, although some improvement regarding recording medical appointments needs to occur. The management of medication is adequate and some improvement is necessary in this area. EVIDENCE: We observed people using the service receiving suitable care and support from staff. Support was carried out in a professional, but relaxed and friendly manner. Documentation regarding how care tasks are completed is satisfactorily documented in care plans. People living in the home appear to have their personal hygiene needs met. All people using the service looked well cared for on the day of the inspection. Records show people living in the service have suitable access to health care professionals such as GPs, dentists, district nurses, chiropodists, opticians etc. However, record keeping for one person needed some improvement. For example it should be possible to ascertain e.g. at a glance when someone last Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 13 saw an optician. If the person does not wish to use these services, or they are not appropriate this should be recorded in the care plan. We inspected the medication system. The medication policy seems satisfactory. Medication is stored appropriately in a medication cupboard. Medication is administered via a monitored dosage system supplied by a local pharmacist. We did raise a concern that ‘Risperidone’ for one person was not labelled. As two people were prescribed this medication (and the dosage size is different) there is an opportunity for people’s medication to be mixed up so it is essential medication is always labelled correctly. Most staff have received appropriate training regarding handling medication, however records show that some staff had not received this. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 14 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, 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 registered persons have satisfactory complaints and adult safeguarding procedures. This should help to ensure any concerns, complaints and safeguarding allegations are investigated appropriately. EVIDENCE: Copies of the complaints and adult safeguarding procedures were inspected and are satisfactory. There have been no concerns, complaints or safeguarding concerns raised to the commission about this service. We would advise the registered provider to include information regarding access to the social services complaints procedure within their procedure and /or within individual service user guides. People who are funded by local authorities have a right to use this procedure if they are funded by social services, and subsequently they should be made aware of this. The registered providers adult safeguarding procedure is satisfactory. Care staff said they would inform the manager if they suspected any abuse had occurred. Training regarding safeguarding is delivered to care staff as part of their induction. Staff who we spoke to, said they had no concerns regarding the attitudes of other staff or care practices in the home. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 15 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): 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. Bigwig House provides a suitable facility for the people living there. EVIDENCE: The building was inspected. Three people are accommodated at the home. The home is a spacious house. There is a kitchen, and laundry. There are three single bedrooms. The communal areas consist of a lounge and a dining room. Carpets in some of the communal areas were stained, but we were told they are due to be replaced on 13th August 2009. In one of the bathrooms the towel rail was broken and there was no toilet roll. We were told the toilet roll was removed as people can put the whole roll down the toilet. However, the registered persons should try and find some way of ensuring people using the service have ready access to toilet tissue. We have been told thermostatic valves are fitted to all bath and shower facilities. The home was clean, warm and light enough on the day of the inspection. The kitchen was clean. Laundry facilities are satisfactory. The outside of the building and the gardens were maintained to a satisfactory standard. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 16 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, 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. Staffing levels appear satisfactory to meet the needs of people currently accommodated at the home. Recruitment checks are to a good standard. Improvement is required regarding staff training. These measures ensure people who use the service are supported by suitably knowledgeable and skilled staff. EVIDENCE: On the day of the inspection there were satisfactory numbers of staff on duty. For example there were four staff on duty in the morning and early afternoon, three people from 15:00-17:00, five people from 17:00 to 20:00, four people from 20:00 to 22:00, and one person sleeping in overnight. Personnel records were inspected for the staff on duty for the day of the inspection. These were satisfactory. Staff employed had two references, a Protection of Vulnerable Adults First check (POVA First) , a Criminal Records Bureau check (CRB) , a completed application form and evidence of Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 17 identification. It would be helpful if a scanned copy of the POVA First check is stored with other personnel records on the Spectrum records system. This will help us validate this check has been completed before the member of staff has commenced employment. We inspected training records for the same sample group of staff. By law staff require the following training: * Regular fire training in accordance with the requirements of the fire authority. *There must always be at least one first aider on duty (at appointed person level) *All staff must have manual handling training and should have regular updates of this (e.g. annually) *All staff must have basic training in infection control. * Staff who handle food receive food hygiene training. * All staff must have an induction and there needs to be a record of this. * Awareness training regarding the needs of people accommodated. The delivery of training is generally satisfactory. The registered provider offers staff a comprehensive staff induction which covers the majority of the elements required by law. Staff subsequently attend follow up training which covers the areas more comprehensively. However, some of the staff files inspected show that some of the staff still need to attend the follow up training. For example some staff need to have medication training, basic manual handling training (there is no moving and handling support for people living in the home), infection control and fire awareness training. Some staff also need to attend training regarding dealing with aggression. For example a specific risk has been highlighted to female staff, and although there have not been any incidents recently, all staff do need to receive appropriate training in this area. There are opportunities for staff to obtain a National Vocational Qualification in care. When staff have received an NVQ 2 there is the opportunity to obtain an NVQ 3 in care if this is deemed by management as appropriate. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 18 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): 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 and the staff team are effective in ensuring the service is managed to a generally good standard. However, some improvement is required to quality assurance procedures, and health and safety procedures resulting in the overall rating in this area being adequate. EVIDENCE: The registered provider is Spectrum, a registered charity supporting people with autism / aspergers syndrome. The registered manager of the home is Mr Terry Morgan. In regard to quality assurance, there is some evidence of a satisfactory system in place. For example there is some evidence that people using the service and their representatives have been surveyed about their views. It is however not Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 19 clear what action occurred suggestions made for improvement of the service. The service does have an annual development plan which is prepared for the registered provider. The quality assurance system does need to be more effective in ensuring matters such as staff training and health and safety precautions are maintained to the National Minimum Standards. The Commission has requested the registered manager to complete an Annual Quality Assurance Assessment (AQAA) (an annual dataset, and self assessment required by CSCI). This is due to be returned in early September. We have received some notifications, required by the commission (e.g. regarding untoward incidents) which are required according to the Care Home Regulations 2001. Policies and procedures in the home are dated May 2003. It is important there is evidence these are being regularly reviewed and updated when required. The filing system at the home also needs improvement. A number of records can now either be dead filed or destroyed so the office is tidier and it is easier to find the required records. The registered provider has a health and safety policy. There is a fire risk assessment dated January 2009. Testing of fire extinguishers and the fire system appear to have been completed appropriately by external contractors (January 2009). Internal checks on the fire system appear to have been completed appropriately by staff (e.g.emergency call points and emergency lighting). Health and safety risk assessments have been completed. However, we did not view any risk assessment or routine testing records regarding the prevention of legionella. If this is not occurring this needs to be organised. The Health and Safety Executive publish a useful document regarding this matter via their website. Suitable records regarding accidents and incidents are kept. Portable electrical appliances have been tested and appear satisfactory. The electrical hardwire circuit was tested. This test was completed in December 2005. The documentation states the test needs to be recompleted in 3 years. Usually this test is completed every 5 years-so the registered persons need to check if documentation is incorrect or if the test now needs to be recompleted. There are records that the central heating system was serviced in May 2007 and May 2008, but records were not provided to show the service was completed in 2009. This needs to be completed as necessary, and /or documentation made available for inspection. Some improvement is also required regarding health and safety related training (see ‘staffing’ section). An up to date certificate of insurance is displayed. Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 20 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Version 5.2 Page 21 Bigwig House DS0000009102.V376936.R01.S.doc NO 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 YA20 Regulation 13 Requirement The registered persons must ensure: 1. All medication is correctly labelled e.g. with a pharmacist label with the dosage and the name of the person it is prescribed for. 2. Staff administering medication must receive suitable training. These measures will ensure the medication system operates to a satisfactory standard. Staff must receive training required by law and according to the needs of people living in the home. This will ensure that people living in the home can be assured staff are trained according to legal standards. The registered persons must ensure: 1. There is a quality assurance policy in place. 2. Quality assurance systems are improved for example so standards required by DS0000009102.V376936.R01.S.doc Timescale for action 01/12/09 2. YA35 18 01/03/10 3 YA39 24 01/12/09 Bigwig House Version 5.2 Page 22 regulation are met. (E.g. in regard to health and safety, training etc.) Improvement in this area will help to ensure there is an effective system to ensure continuous improvement. The registered persons need to ensure satisfactory health and safety precautions are in place. For example: 1. Ensure suitable testing occurs on the electrical hardwire circuit (as necessary) 2. The oil central heating is serviced annually. 3. There is a policy and satisfactory procedure regarding the prevention of Legionnaires’ disease. This will help to ensure people living in the home reside in a safe environment. 4. YA42 13 01/12/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP22 Good Practice Recommendations Ensure there is reference to the Social Services Complaints procedure, in the homes complaints procedure, and /or service user guide, as people funded by local authorities have a right to use this if they have a concern or a complaint. Improve the storage of records in the home, so all records are kept confidentially and it is easier to find records required for the operation of the home. 2. YA41 Bigwig House DS0000009102.V376936.R01.S.doc Version 5.2 Page 23 Care Quality Commission Care Quality Commission 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. Copyright © (2009) Care Quality Commission (CQC). 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