Inspection on 27/10/08 for Bishopsgate Lodge Care Home

This inspection was carried out on 27th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bishopsgate Lodge Care Home 08/03/07

Bishopsgate Lodge Care Home 12/10/05

Bishopsgate Lodge Care Home 09/05/05

Bishopsgate Lodge Care Home 20/10/04

Bishopsgate Lodge Care Home 17/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Bishopsgate Lodge Care Home Hexham Street Bishop Auckland Durham DL14 7PU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sam Doku     Date: 2 9 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Bishopsgate Lodge Care Home Hexham Street Bishop Auckland Durham DL14 7PU 01388607580 01388451140 bishopsgate@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Valerie Davies Type of registration: Number of places registered: Southern Cross Healthcare Services Ltd care home 51 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Bishopgate Lodge Care Home is situated on the outskirts of Bishop Auckland. The home was purpose built and can accommodate up to 51 service users. The home provides 24-hour personal care (including nursing care) for older people with general nursing needs. The home is on three floors and is easily accessible to all service users. There are a number of communal rooms including lounges and dining rooms. The weekly fees charged at the home range from 390.50 Pounds to 524.00 Pounds. 0 Over 65 51 Care Homes for Older People Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of this service is 2 Star. This means the people who use the service experience good quality outcomes. The inspection was unannounced and commenced on 27 October 2008 and completed 29 October 2008. Before the visit the inspector looked at: Information we have received since the last inspection visit on 8 March 2006. How the service dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). The views of the people who use the Care Homes for Older People Page 5 of 26 service through talking to them. During the visit the inspector did the following: Talked to the people who use the service, the manager, nursing staff, care staff and ancillary staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: The home provides useful information about the services offered. Information is made available in the reception area of the home including a service user guide, complaints procedure, newsletter, forthcoming events in the home, the most recent copy of the inspection report and other relevant information. The manager carries out monthly accident audits and uses the information to evaluate the general risk assessments in the home and for individuals. There are good systems in place for accounting for the residents monies. These are kept on computer and receipts are available for all the items bought for the individuals. The manager and the senior managers of the company are proactive in dealing with staffing issues at an early stage to prevent further escalation and discontent amongst the staff team. The manager tries to involve relatives in the review of the care plans. Some relatives have been involved in this process and contributed to the care plans of their family members. The staff are very enthusiastic in ensuring that the residents engage in meaningful social and recreational activities. There are several indoor and outdoor activities for the residents. The role of the activities coordinator is acknowledged by residents, relatives and care staff as very beneficial to the residents and keeps them active and interested in taking part in organised activities. The manager and area manager take concerns from staff very seriously. They have documented cases where staff expressed concerns relating to personnel matters and these have been addressed. They continue to address some of these concerns to ensure that all staff grievances are dealt with fairly. The catering staff provide meals which are nutritious, nicely presented and in sufficient quantities. The residents and relatives commented that the food is good and there is always sufficient food in the home. The home has good admissions procedure and residents and relatives confirmed that they were given the opportunity to visit the home and to see it for themselves before they decided on coming to live there. The residents and relatives made very positive comments about the home and the staff. Staff were described as very caring and helpful. Some of their comments include: I like it here. I have made one or two friends. It is the next best to being in my own home. The girls are lovely and very caring I cant praise the staff well enough. The activities lady is very good and she keeps us going. There is always something going on here. The home is nice and clean and there is always plenty to eat. Care Homes for Older People Page 7 of 26 Relatives were equally very complimentary of the staff and the home in the comments they made to the inspector. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 home provides good information about theservice, and prospective residents can visit and make informed decisions about whether to live in the home. All residents are assessed before admission and also on admission, to make sure that the home has the necessary skills and facilities to look after the residents, thus promoting their welfare and wellbeing. Evidence: The home provides good information to prospective residents in the form of service user guide, statement of purpose and the most recent copy of the key inspection report. These are freely available in the reception area of the home. The home is good at inviting people to come and view the home, and the feedback from residents and relatives is that they found the visits to the home helpful. The manager stated that it is the policy of the home to invite people who are wishing to go into care to visit the Care Homes for Older People Page 10 of 26 Evidence: home and to see the place and assess it for themselves before making decisions about coming to live at Bishopsgate Lodge. The inspector spoke to a number of residents about their experience of the pre-admission process and they all confirmed that they were supported by the home to visit and to spend sometime in the home when they were making inquiries about care homes. Two relative also commented on how helpful the staff were when their family visited to see the home for themselves. An assessment from a social worker is obtained before admission is arranged. The home also carries out their own assessment before confirming a place. The residents files contain evidence of social work assessments and also of the assessments carried out by the home. The manager confirmed that it is the policy of the home that assessments are carried out before admission. These assessments are used as the basis for compiling the care plans for each resident. The company has contracts with the residents which provide details of the conditions of residence and the responsibilities of the provider. These have been signed by the residents or their representatives. The home does not provide an Intermediate Care service. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 residents receive care that meets their personal and healthcare needs. Furthermore, the home has good procedures in place for the administration and safe handling of medication. However, the manager needs to carry out regular audits to avoid minor discrepancies in the recording system. On the whole, the residents are treated with dignity and their right to privacy is upheld. Evidence: Care plans have been drawn up for all the residents and these set out their care needs. The way the care is provide is recorded in the daily report book which proved details of how healthcare is being provided. However, some of the plans require more details or information to guide staff on providing for specific care needs. Examples of these were discussed with the manager who agreed to review the plans and to provide further details needed to help staff provide the care that people need. The care plans are regularly reviewed and in some cases the residents and or their relatives had been Care Homes for Older People Page 12 of 26 Evidence: involved in these reviews. The inspector spent some considerable time talking to the residents. They confirmed that they have access to healthcare facilities including GP support and other healthcare professional including psychiatrist, speech therapist, optician, chiropodist, dentist, occupational therapist and dietician. The records relating to residents contacts with medical professionals provide further evidence about how the healthcare needs are being met. The home has policies on the storage and administration of medicines. On the whole these policies are followed by all nursing and senior care staff who are responsible for the administration of medicines in the home. A random check of the medicines administration system was undertaken by the inspector. There were some minor discrepancies noted, but these could be easily addressed by increasing the number of occasions when the manager carries out her medication audits. At the time of the inspection the staff were noted to relate very well with the residents and there was obvious respect between staff and the residents. The atmosphere was relaxed and residents and staff were involved in sharing jokes . The residents confirmed that the staff treat them with respect and dignity. The staff were friendly and professional in the way they interacted with the residents. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 residents experience meaningful and fulfilling activities which enhance their wellbeing and sense of purpose. Furthermore, the home supports and encourages residents to maintain close relationship with their friends and relatives. The home also provides individuals with the opportunity to make decisions about their care thus promoting their choices and independence. The residents are provided good variety of wholesome and nutritious meals, which promotes their health and wellbeing. Evidence: The activities coordinator provided good information about the activities that the residents get involved in. These are recorded in the activities book. The care plans contained information about the social and recreational care needs through the social history section of the plans. Some of the activities include art and craft, watching video, card games, board games, outings, and quiz games. At the last residents meeting, a programme of activities for the coming months was drawn up. The meeting minutes list the following activities; staff competition to be judged by residents, Care Homes for Older People Page 14 of 26 Evidence: bonfire night, Wear It Pink (fundraising activity for cancer research), Christmas Faire and Christmas party. These forthcoming activities are listed on the Notice Board. There are pictures displayed in the home showing past social and recreational activities that took place. The residents are able to make choices and make independent decisions about their care and the way they wish to be looked after. Residents described how they are able to do the things they like to do with the support of the staff. The dining room is pleasantly decorated and furnished. Dining tables were appropriately set and residents had their meals in pleasant and comfortable environment. Examination of past menus show that the home provides a choice of menu for the residents. The chef talked about making suitable arrangements to make sure that the residents received a home-made and nutritious diet. However, the dinning room seem cold and number of the residents complained about it. This was brought to the attention of the manager who indicated that this would be investigated and addressed to ensure that the residents are comfortable in all parts of the home. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives have information about how to make a complaint thus promoting the residents right to express their views about the service. Furthermore, staff are aware of safeguarding adults procedures and have received suitable training which safeguard the welfare of the residents. Evidence: The home has a robust complaints procedure and a copy of this is posted in the reception area for residents and visitors to see. A summary of the procedure is the service user guide. Details in the complaint book shows that the home takes complaints seriously. The book contains details of safeguarding meeting and the result of any investigations carried out, and the outcome. A number of residents and relatives were spoken with about the homes complaints procedure. Residents said they are aware of the procedure and feel confident about raising any concerns with the manager if they were unhappy about anything. The training record shows that a large number of the staff have received training in safeguarding. Staff who were spoken with were familiar with the homes policy on safeguarding vulnerable people. The home has good system in place for holding the residents monies on their behalf. Care Homes for Older People Page 16 of 26 Evidence: The system is robust and secure. A random check was carried out on three residents finances and no discrepancies were found. All transactions made on behalf of the residents have been accounted for and receipts have been kept as proof of purchase or transactions. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 home provides safe, secure, clean, warm and pleasant environment for the residents to live in. However, the problem of bad smell from the sluice room on the first floor should be investigated and addressed. Evidence: The home is clean and maintained to a good standard. The bedrooms that were visited were clean and personalised, reflecting individual tastes and preferences. Residents have been encouraged to furnish their rooms with personal items making it homely and comfortable for them. All the bedrooms have an en-suite toilet facility. The rooms are warm, homely and comfortable. All radiators have protective covering and window have restrictors on to ensure that they can only open so far to ensure safety of the residents. The corridors are wide enough to allow people with walking aids to move around freely. There are sufficient communal lounges and other spaces in the home for the residents to choose from. These areas are appropriately furnished and decorated. There are detailed written policies covering all aspects of the running of the home. These include policies on infection control. Staff have had training in infection control and records show that the home has adhered to infection control procedures. There Care Homes for Older People Page 18 of 26 Evidence: are anti-bacterial hand washing dispensers in bathrooms and toilets. The standard of cleanliness in the kitchen was not up to standard. The walls in some part of the kitchen were dirty and greasy. This was particularly noticeable around the dish washer area. The central pillar in the kitchen was also dirty and need cleaning. The area around the fryer was also dirty and needed cleaning. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen but the inspector was informed that there is not sufficient hours to do thorough cleaning of the kitchen. Records relating to food temperatures and other food hygiene measures are not properly maintained. In recent weeks there have been gaps in the recording system and this was put down to the lack of full a time cook. The kitchen staff informed the inspector that the fryer has been out of order for over six months. The steamer part of the convection cooker does not work and the cooks feel this is a drawback to providing the residents with properly prepared and nutritious steamed vegetables with their meals. The hot lock for keeping the plates warm has broken and needs to be repaired. It was noticed that the earth wires in the kitchen were dangerously hanging and have become a potential trip hazard. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 staffing numbers are satisfactory and promote the safety and welfare of the residents. Furthermore, the home adheres to good recruitment practices, which safeguards the welfare of the residents in preventing unsuitable staff from working in the home. Evidence: The home employs sufficient numbers of staff to meet the needs of the residents. There is a registered nurse on duty at all times including night duties. Staff and residents spoke about the staffing levels and there is a general view that there are always sufficient staff on duty to meet their needs. However, the night staff commented that as there is only one nurse on duty through the night, it is sometimes difficult to get her attention especially when she is involved with medication and someone needs attention, with nursing care procedure at the same time. The manager indicated that this had not been a problem in the past and said she would look into it and make sure that the nurses are aware of this and to give priority to immediate nursing situations. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety Care Homes for Older People Page 20 of 26 Evidence: training. These were confirmed in the AQAA that the manager sent to the Commission and also by the staff training log. Four staff files were examined to check on the recruitment process by the manager. The files show that the home has been following the company policy on recruitment. All the files contain completed job applications, copy of job description, appropriate references, evidence of CRB checks and record of training. The arrangements for staff induction does not meet the Skills for Care induction standards. Some of the induction documentations were only completed on the first day on duty by the new employee. This is not in keeping with the company induction policy. The entire induction programme was supposed to be over six week period but in two cases the forms were only completed on the first day of commencement of employment. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 home is managed by a qualified and experienced person, who runs the home for the benefit of the residents. There are suitable arrangements in place to provide supervision for the staff. This promotes the quality of the service that the residents receive. The safety and welfare of residents is protected by the regular servicing of equipments and the safety arrangements that are in place. Evidence: The registered manager has a long experience of managing a residential care home. She is currently in the process of making application to the CSCI to be registered as the manager for Bishopsgate Lodge. Staff, residents and relatives commented on her ability as a manager. Most staff stated that she is approachable and supportive of them. However, some staff were critical of her approach, stating that she is always too Care Homes for Older People Page 22 of 26 Evidence: busy to make time to listen to them. The inspector discussed this with the manager and the area manager for the comapny. Further information provided by the manager and the area manager indicate that there had been a long standing personnel issues in the home which the company is dealing with. Records show that the manager and the area manager had been dealing with some of these issues appropriately and accurate records are kept on all the actions taken. The area manager continues to interview staff about these. The inspector examined the personal allowance records and reciepts of transaction. This showed that there is a good system in place and that the residents monies are safe and properly accounted for. Reciepts are kept for all the transactions made on the residents behalf. The accounts are regularly audited. There are suitable arrangements for staff to receive one-to-one supervision from the manager. Staff records show that the manager has provided individual supervision to staff on regular basis. Staff commented that they find the supervision sessions useful. The company has detailed written Health and Safety policies and these are used by the manager and senior staff as references documents. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is evidence that staff adhere to the policies as set by the company. Staff have received training in fire safety, COSHH, first aid, food hygiene and infection control. Servicing and maintenance records show that all portable appliances have been tested. A record is maintained of regular water temperature. Regular servicing of fire equipment, passenger lift, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection take place. There are records in the home indicating fire drills and fire instructions with staff. The manager confirmed that all staff have received up to date fire safety training. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 16 The manager must make suitable arrangements for maintaining satisfactory hygiene in the home. Areas of the kitchen were dirty and need thorough cleaning to maintain good hygiene standards. 19/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 3 19 20 26 The earth wire in the kitchen should secure as this is a potential trip hazard. The temperature in the dining room need to be monitored to ensure that the place is warm enough to the residents. The problem of odour in the sluice room must be investagated and corrective action put in place to address it. The staff induction programme should be reveiwed to make sure that the training that staff receive during their induction period are properly documented and meets the Skills for Care standards. 4 30 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 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!