Inspection on 10/01/07 for Bywater Hall

This inspection was carried out on 10th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Bywater Hall 02/02/09

Bywater Hall 12/12/05

Bywater Hall 23/11/04

Bywater Hall 16/09/04

Bywater Hall 15/03/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

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The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Bywater Hall 1 Leeds Road Allerton Bywater Wakefield West Yorkshire WF10 2DY Lead Inspector Carol Haj-Najafi Key Unannounced Inspection 10th January 2007 09:30 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 Bywater Hall DS0000001624.V320010.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. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bywater Hall Address 1 Leeds Road Allerton Bywater Wakefield West Yorkshire WF10 2DY 01977 667878 01977 667879 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) Tri-Care Limited Mrs Susan Sharp Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (1) of places Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The one place for Physical disability will be for the resident named in the NCSC letter dated 9 September 2003 12th December 2005 Date of last inspection Brief Description of the Service: Bywater Hall is a purpose built care home, located in Allerton Bywater which is east of Leeds City Centre. Care is provided for 44 older persons both male and female aged 65 and over. The bedrooms are located over two floors accessible by stairs or a passenger lift. There is easy access throughout the home for wheelchair users. All bedrooms have en suite facilities which offer privacy to the residents. There is a television and telephone point in each room and residents can have a refrigerator if they wish. The rooms are pleasantly decorated and residents can bring their personal possessions to help them feel at home. Bywater Hall has a modern in-house laundry, a hairdressing salon as well as Hydrotherapy baths. Support services are in place with a choice of GP, district nurses, chiropodist, dentist and optician. The range of fees charged is between £279 and £480 per week. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk. The last key inspection was carried out in December 2005. A pre-inspection questionnaire was completed by the home and this information was used as part of the inspection process. Comment cards were sent to residents and social care professionals, these responses have been included in the inspection report. One inspector carried out a site visit which started at 9.30am and finished at 6.30pm. During the visit the inspector looked around the home, observed staff and resident relationships, spoke to twelve residents, eight relatives, four staff and the registered manager. Resident plans, risk assessments, healthcare records, meeting minutes, and staff recruitment and training records were looked at. What the service does well: The admission process is good. Residents are properly assessed before they move in and management make sure they can provide the appropriate type of care. Residents are happy living at the home and were very positive about staff and the manager. Comments included, staff are good, we can talk to the manager and staff, they are very kind, we have super staff, if they say they will be a minute then they will only be a minute, it’s a nice home, I’m very happy here, we have a laugh, I’ve made some friends, I can come and go to my room whenever I want. The environment is very good, all rooms have en suite and are nicely decorated; residents are very comfortable. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Bywater Hall DS0000001624.V320010.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 Bywater Hall DS0000001624.V320010.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is good and residents are appropriately assessed before they move into the home. EVIDENCE: Admission records for two residents were looked at. Each resident had assessments that identified the type of support they required. One resident had a social work and a pre admission assessment. The manager co-ordinates admissions and completes pre-admission assessments. Senior staff and the deputy said they were also involved in the admission process and a team discussion is held to establish whether the home is suitable. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 9 Both residents talked about their admission to the home. They said they received information about the home and were satisfied with the admission process, they were happy living at the home. One said she had a trial period before she had to make a decision about moving in on a permanent basis and she thought this was a very good idea. After her trial period she said she told everyone she was ‘very happy and not going back home’. The other resident said the manager had visited her and talked about the home. At the point of admission, each resident is issued with a contract that sets out the terms and conditions and the fees. The room allocated was not included although it should be. This ensures each resident has an allocated room and if a resident has to move for any reason a new contract would be issued. The home does not provide intermediate care. Bywater Hall DS0000001624.V320010.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good care planning system is in place and individual needs are met. Effective systems are in place to make sure health care needs are met. EVIDENCE: Four care plans were looked at and these identified how individual needs should be met. There was sufficient guidance for anyone reading the plans to understand how individual needs should be met. For example; can dress self on top half and then will use call system for assistance. Information from pre admission assessments had been transferred to the care profile plans. All staff were familiar with the assessment and care planning process. Staff talked about how they supported residents and this was reflected in the care plans. Management and senior staff have written the care plans and Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 11 reviewed them monthly. One resident had some health problems, risk assessments and care plans had been changed to reflect the change in need, and then changed again when the resident’s health improved. This is good practice. One resident had signed his assessments and care plans, relatives had signed other plans on behalf of residents. One resident had still to sign her care plan and assessments. The administration of lunchtime medication was observed and this was administered appropriately. Medication and medication records were looked at and the amount of medication and the records corresponded. Risk assessments had been completed for two residents that self medicate and they had appropriate storage to keep their medication safe in their room. One Social Work comment card stated that the home was good at providing care to people that want to maintain independence and staff are friendly and work well in partnership. Another health and professional comment card stated they were satisfied with the overall care and staff gave the appearance of being a good care team. Bywater Hall DS0000001624.V320010.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents enjoy living at the home and feel they can make decisions about what they do although some improvements need to be made in the organisation and planning of social and recreational activities, the quality and timing of meals and the safety of personal clothing. EVIDENCE: Residents and relatives spoke positively about the staff and the manager and these comments have been included in the staffing section. There were also many comments about the home in general. These were as follows, it’s a nice home, I’m very happy here, we have a laugh, I’ve made some friends, I can come and go to my room whenever I want, it’s a nice place, everything is ok, I’m highly satisfied. Relatives also said they were informed when there were any health issues and they could visit anytime and were made very welcome. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 13 An activity timetable has been introduced and this provides a varied activity programme but staff generally thought it was not successful because only a very small number of residents joined in. One resident said the activities were better when we had an activity organiser because we had better quizzes and she had time for chats. Staff also thought this was a better system because they often get diverted from spending quality time with residents. Several residents said they enjoyed spending time in their room watching TV. Four weeks of daily records for three residents were looked at and there was evidence that they had received personal care, healthcare appointments, family visits but the level of activity was limited. The inspector sat with residents for lunch. The meal was three courses, very well organised and residents generally enjoyed the food, although several commented that the meat was tough. Juice and a hot drink were provided with the meal, and salt and pepper and napkins were on each table. During the course of the day several residents said they were not happy with the meals and some said they had deteriorated over the last few months. Staff said they thought the quality of the food was good. The manager said the home had a vacancy for a cook and this could be one of the reasons some residents were not happy with the food. The manager spends time in the dining room at meal times and already monitors the quality of the food but she agreed to monitor this more closely. Four resident comment cards had mixed responses about meals, one stated they always liked the meals, one stated they usually like them and two stated sometimes. Residents also said that there was a long gap between supper which is served at 7.00pm and breakfast which is served at 8.00am. Although staff said residents could have a drink after supper, drinks and a snack are not offered routinely. The manager agreed to look at this and make sure drinks and snacks are offered later in the evening. Several people talked about problems with the laundry service because clothes had been getting mixed up and some had gone missing. One resident comment card stated that there had been a lot of problems with clothes going missing from the laundry. The manager confirmed this had been a problem but they hoped this had been resolved because a laundry assistant had started work just before the inspection and there was now someone working in the laundry seven days a week. Bywater Hall DS0000001624.V320010.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. 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. Satisfactory procedures are in place and residents will report their concerns to staff and management, therefore residents are protected. EVIDENCE: Residents and relatives said they were happy to talk to the manager and staff if they had any problems. Staff said they talk to the manager or deputy if they are unhappy and would pass on any concerns. The complaint’s procedure was displayed in the entrance and details of who to contact were included. Address and telephone details were also included in the statement of purpose and resident guide. A complaints record is held in the office, although not all the relevant details of a recent complaint were available. The manager said the complaint letter was held at head office but this information should also be available in the home. The pre inspection questionnaire stated that an adult protection procedure was available and all staff had recently completed adult protection training. Bywater Hall DS0000001624.V320010.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Bywater Hall provides pleasant ‘hotel-style’ accommodation which is pleasant and residents are very comfortable. Some equipment is stored inappropriately because there is insufficient storage space. EVIDENCE: A tour of the building was carried out. All communal areas and bathrooms were visited and the majority of bedrooms were seen. The home was clean and tidy and there were no odours. Decoration, furniture and furnishings were of a high standard. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 16 Residents, visitors and staff all said the environment was very good. The garden is enclosed, well maintained and a very pleasant area that residents freely access. Bedrooms are all en-suite and furnishings are co-ordinated. TVs are provided and some had small fridges. Residents and relatives said they had been encouraged to bring personal possessions to the home. This is good practice and demonstrates that everyone is encouraged to make their room homely and more comfortable. Residents were using all the communal rooms and were seen to walk freely around the home. There were vases of flowers, bowls of fruit, pictures and ornaments in communal areas which helped enhance the homely environment. The call system was periodically checked during the tour. One bell was not working and the manager had not been aware of this before. The call system had not been tested to make sure call bells were working. The manager agreed to introduce regular testing. Two windows on the first floor had not been fitted with restrictors. The manager also agreed to address this. One toilet on the ground floor was being used to store equipment, which included a TV, napkins, raffle prizes and a notice board. This is not appropriate because a room with a toilet is not a suitable environment to store equipment. There are only two store cupboards on each floor but they already house a lot of other equipment. Wheelchairs, a motorised scooter, blank paperwork and activity material were being stored throughout the home in communal areas. Several residents said they did not have sufficient hot water in their en suite rooms. Some staff also said some rooms did not have hot water. The temperature was checked in some en suites and it was only luke warm. One resident was upset that the toilet brush had been removed from their en suite. The manager said the organisation had sent a directive that all should be removed for infection control reasons. The manager agreed to talk to residents and try to resolve any issues. A new cleaning system has been introduced and different products are all colour coded. Staff and the manager said the system was working well. Bywater Hall DS0000001624.V320010.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are skilled, have a good understanding of residents’ care needs and are very popular with residents. Most of the time a good standard of care is provided but because staffing levels have been changed without proper consultation and consideration for meeting needs, a good standard of care is not always provided. Recruitment, induction and training programmes are good. Staff have been committed to completing NVQ awards, which helps to improve care practices EVIDENCE: Residents and relatives talked about staff and the manager and everyone was very positive. Comments included, staff are good, staff are nice, we can talk to the manager and staff, they are very kind, staff are considerate, we have super staff, if they say they will be a minute then they will only be a minute. Some residents and relatives also commented that there were not enough staff and comments included, staff are always busy, there are not enough staff. The home should operate with six staff during the day and four staff on a night. The staffing levels were agreed when the home opened five years ago Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 18 with the organisation and the registration authority. The organisation has recently reduced staffing levels although this was not discussed with the CSCI. The home has been operating with three night staff and five staff on an evening. Residents, staff and management raised concerns about the reduction in staffing levels during the night. It was said that three night staff was not sufficient to meet the needs of the residents. Four resident survey cards were returned to the commission. They all stated that there were usually staff available when you need them but one survey raised concerns that on occasions there were insufficient staff. Two residents spoke individually about their experience since the night staff levels have been reduced and they were clearly unhappy. One said, there was ‘a big difference’ with three staff and they had had to wait for one hour before they could use the commode, another said they could no longer get up when they wanted to. The manager was aware of these concerns and said she had passed them on to her area manager. Daily staff handovers are held and the inspector attended the afternoon handover. This was a formal meeting and staff recorded key information. Staff asked questions and clarified points. They also discussed personal care and how one resident might feel about changes in her care needs. This was good practice and demonstrated that staff were taking residents’ wishes and feelings into account. Recruitment records for three staff were looked at. Most of the relevant information was available although one file only had one reference. The manager stated that the organisation would not allow a staff member to start unless they had two references and she believed that a copy of the second reference had not been forwarded to the home. She agreed to obtain this for the file. The induction training package that is completed by new staff was looked at and this provided a lot of information about good care practice. The Pre Inspection Questionnaire and training record stated that staff had completed a range of training within the last twelve months. Eighteen of the twenty-five care staff have completed NVQ level 2 or equivalent. Staff said they were encouraged to attend training and had plenty of opportunities for personal development. . Bywater Hall DS0000001624.V320010.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. Quality assurance systems are in place to make sure the home is providing a satisfactory service. The organisation could improve communication and consultation with the home. EVIDENCE: The manager has been in post for three years and has relevant qualifications. Residents and staff were very complimentary about the manager and thought the home was well managed. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 20 Customer satisfaction questionnaires are sent out to relatives once a year. These were sent out in February 2006 and the results from Head Office were discussed with relatives at a meeting in August. The registered provider wrote to the Commission and confirmed that all recommendations from the survey were actioned. Once a month the provider visits the home and looks at the general conduct, these visits are called Regulation 26 visits. The manager confirmed the visits were completed regularly and copies of reports from these visits have been sent to the CSCI. The pre inspection questionnaire stated that policies and procedures are available and regular maintenance and health and safety checks by external agencies are completed at the home. An electrical wiring check has not been completed since November 2001; this should have been done again in November 2006. Three residents smoke; relatives had bought the cigarettes which were kept in individual drawers in the office. There was no system in place to record when cigarettes had been received or handed out, therefore it is not possible to monitor that they have been given to residents. Relatives are responsible for managing resident’s finances. The home holds monies for each resident which is used for hairdressing, chiropody and purchasing small items. Receipts are obtained for any purchases and a record of transactions is maintained. Financial records for three residents were looked at. The amount held in the safe corresponded with the amount on the individual balance sheets. The records were not signed and it was not possible to identify who had handled the money, therefore money is not safeguarded. It is good practice for the staff member who has handled the money and a second person to sign and confirm the transaction. When appropriate the second person should be the resident. Bywater Hall DS0000001624.V320010.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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 4 3 2 X 4 2 4 STAFFING Standard No Score 27 1 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 2 X 2 3 Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 OP15 Regulation 16 Requirement The registered person must make sure residents are offered food and drinks after 7.00pm. The registered person must make sure the call bell system is in good working order. The registered person must make sure all windows above ground floor level are fitted with window restrictors. The registered person must make sure en suites have a supply of hot water which is close to 43C. The registered person must ensure adequate numbers of staff are on duty to meet the assessed needs of residents. Changes in staffing levels must be agreed with the CSCI. The registered person must make sure residents’ finances and cigarettes are safeguarded. This relates to recording when cigarettes are deposited for DS0000001624.V320010.R01.S.doc Timescale for action 28/02/07 2. OP22 23 28/02/07 3. OP25 13 28/02/07 4. OP25 23 28/02/07 5. OP27 18 28/02/07 6. OP35 17 28/02/07 Bywater Hall Version 5.2 Page 23 safekeeping and residents and staff to sign when money is given to residents. 7. OP38 13 The registered person must ensure the health and safety of staff. This relates specifically to the electrical wiring system. 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard OP2 OP12 OP14 OP15 OP16 OP19 Good Practice Recommendations The registered person should make sure resident’s contracts include details of the room they have been allocated. The registered person should look at how recreational opportunities can be further developed. The registered person should continue to closely monitor the laundry service to make sure residents do not loose an excessive amount of personal clothing. The registered person should monitor the quality of food to make sure it is of a satisfactory quality. The registered person must make sure information relating to complaints s available in the home. The registered person should provide appropriate storage facilities should be provided for equipment. Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 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 © 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 Bywater Hall DS0000001624.V320010.R01.S.doc Version 5.2 Page 25 - 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!