Inspection on 10/10/07 for Carlton Mansions

This inspection was carried out on 10th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carlton Mansions 07/07/06

Carlton Mansions 21/02/06

Carlton Mansions 31/08/05

Carlton Mansions 24/02/05

Carlton Mansions 28/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Carlton Mansions 8 Apsley Road Clifton Bristol BS8 2SP Lead Inspector Jill Cornelius Key Unannounced Inspection 10th October 2007 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 Carlton Mansions DS0000026500.V345165.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. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carlton Mansions Address 8 Apsley Road Clifton Bristol BS8 2SP 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) 0117 9734394 0117 9238603 carlton.mansions@fshc.co.uk Acegold Limited (a wholly owned subsidiary of Four Seasons Health Care Ltd) Ms Sugandhva Jadeja Care Home 26 Category(ies) of Dementia (2), Old age, not falling within any registration, with number other category (24) of places Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 named people who have dementia. Certificate will revert to 26 OP when persons leave. 7th July 2006 Date of last inspection Brief Description of the Service: Carlton Mansions is one of a group of residential care homes owned and operated by Four Seasons Health Care. The Home is registered with the Commission for Social Care Inspection to provide accommodation and personal care for 26 people aged 65 years and over. Within the registration the home is registered to provide care for two named persons with a dementia. Carlton Mansions is located in a residential suburb of the city of Bristol. Local shops and amenities are located nearby. The home is a large Victorian property, and accommodation is arranged over four floors - a passenger lift enabling access. Individual rooms are comfortable, well maintained and personalised by the residents. The communal space consists of two lounges, a dining area and a conservatory overlooking the courtyard garden to the rear of the property. The current weekly fees are from £339 - £610 per week. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over eight hours and was undertaken to review the care practice to ensure that it is in line with the legislation and that best practice is being followed at the Home. This inspection also reviewed the requirements made at the last inspection to ensure that they have been met. The outstanding requirements were in relation to undertake the refurbishment of the ground floor toilet/ bathroom and providing staff with storage facilities. The manager stated that this would be included in the upcoming refurbishment plan of the building in 20007. The requirements remains in place Residents looked well cared for and were noted interacting with staff in an informal and friendly manner. A tour of the building was undertaken; six residents and three staff members and two relatives were spoken with. A number of records were reviewed. What the service does well: Residents’ placements continue to be fully reviewed following their admission to the home. This allows residents’ and their relatives to make sure that Carlton Mansion can meet their individual needs. There are systems in place to ensure that residents receive the appropriate health care at the right time. This ensures that the physical health needs of residents are well met. The standard of personal care provided to residents at Carlton Mansion is good. This ensures that residents’ are treated with respect and that their right to privacy is upheld. Visitors are made welcome and meals are well managed and provide daily variation, good nutrition and social contact for people. The home has a satisfactory complaints system with some evidence that people living at the home feel that their views are listened to and acted upon it. The residents and staff team continue to benefit from an experienced manager who encourages an open style management approach. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 6 The system for accessing records that must be available for an inspection is good and records were found to be up to date and accurate. This protects residents’ rights and best interests. Comments from our survey include: ‘I like living here. I’m very happy here’ ‘ All staff are unfailingly kind to me’ ‘ It’s super and wonderful’ 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. Carlton Mansions DS0000026500.V345165.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 Carlton Mansions DS0000026500.V345165.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. Information about the home and their admission processes, ensure that placement is only offered to those people whose need can be met. EVIDENCE: The residents care files reviewed contained detailed assessment of physical, emotional and social needs before admission to the home. Residents spoken with made positive comments about the home and staff. One example noted on our surveys included “I receive the care and support I need most gratefully’. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 9 One resident spoken with on the day of inspection stated “ I came to look round with my daughter and saw this room and liked it. I like it here staff are very good and kind to us.” Another resident spoken with stated that they signed a contract at the home. The home provides prospective residents with a written confirmation that their needs will be met in respect of health and welfare after assessment. Staff spoken with demonstrated understanding of the needs of the resident. Carlton Mansions DS0000026500.V345165.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, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers care and support to residents throughout their lives and towards the end, it also protects the residents by reviewing their health needs. There is appropriate drug administration, however this could be at risk due to the low lighting around the medication trolley. EVIDENCE: Five care files there was evidence of pre assessment before the residents were admitted to the home. The care files seen contained individualised care plans in relation to each assessed need and gave clear direction to staff to enable them to deliver appropriate care to the residents. Staff spoken with stated that they have access to the care files. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 11 These care files were noted to have been reviewed monthly and when care needs changed. In addition, there was a comprehensive and detailed care plan for a specific need of a resident with challenging needs and regularly reviewed risk assessment to ensure that these need are adequately met. Entries in the daily progress notes showed that care provision was being followed as written in the care plan. It was pleasing to note that up to date manual handling risk assessments were in place with appropriate actions for staff to take in relation to these where in place. In regard to how residents perceive their care at the home, one resident stated, “ I am happy here, staff look after me well, I have a medical condition and is being managed well. I get up when I like and I go to bed when I like.” Another resident stated, “staff are very kind, I look forward to having my bath.” One resident stated staff “respect me and always made sure that the door is closed when I am bathing or using the toilet”. One resident stated, “I signed my care plan.” Staff were noted knocking on the doors before going in to the residents rooms to assist them with personal care. The care files viewed had evidence of visits from the health professionals to include General Practitioners (GP) Chiropodists, Opticians and Dentists. Medication administration was reviewed. Staff undertake appropriate procedures in the administration of medication. In relation to the Medication Administration Record Sheet (MARS) these are signed and dated and all medications are correctly labelled. It was also noted at this inspection that the medicine policy was in place, there was evidence of receipt and disposal of medication, Controlled drugs were properly recorded and signed by two trained staff members and balance was correct. It was noted that the wall lighting where the medication trolley/ administration take place was not working. This area was therefore putting the people living at Carlton Mansions at risk to due to the lack of lighting for the safe administration of medication. Staff spoken with were aware of measures to be taken if a resident became terminally ill and in the event of death. Staff also demonstrated awareness of the importance of ensuring that information about residents is kept confidential. Carlton Mansions DS0000026500.V345165.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 good. This judgement has been made using available evidence including a visit to this service. Residents remain enabled to maintain links with their families. People living at Charlton Manor are provided with nutritious meals and meaningful activities. EVIDENCE: Care plans reviewed contained a social assessment form, which is completed by the resident or their representative on admission to enable the home to plan a suitable activity based on the details given. The home has been able to recruit an activities person. Weekly activities displayed on the residents’ notice board included Board Games (Monday) Chair exercise (Tuesday), Cookery (Wednesday), Craft (Thursday), Bingo, Sherry, (Friday) Video / Walks. Photographs of a recent summer event were seen displayed at the reception. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 13 The manager stated that a leaflet of all planned activities is sent to the relatives and friends for their dairies and such planned activities such as a Cream Tea on 16th June, a Barbecue on 11th August, a curry evening on 14th September, celebrating international elderly day party on the 1st October, Music show on the 5th October. Records of the residents who participated in activities were noted in the activities book this included residents that declined and reason for this. Our survey asked: Are there activities in the home that you like to take part in? Responses included ‘I like it when the girls take me out especially to the shops’ ‘I’d like to have more opportunity to go out more often’ ‘I don’t like to play games I like to watch’ ‘I really enjoy the music shows’ Residents spoken with stated that the home actively supports them to maintain contact with families, friends and representatives and that visiting time is not restricted. One resident told the inspector that their family visit regularly. “The Vicar or a lay person from the church comes to see us because I find it difficult to get around”. Another resident stated, “Our friends and relatives come to see us”. The menu on the day was displayed on the notice board at the reception. It was also noted that the residents were offered a glass of wine each with their meal. Residents spoken with after lunch stated that they enjoyed their meal. One resident stated, “Food is excellent, I can’t eat it all.” Our survey asking: Do you like the meals at the home? Responses included ‘I am a vegetarian and they provide me with a good choice of meals’ ‘The meals are wonderful’ ‘I don’t like peas, but staff know this’ Staff were noted interacting with residents at mealtime and residents who needed assistance were helped in a sensitive and dignified manner. Carlton Mansions DS0000026500.V345165.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, 17, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are enabled to complain and are confident that their complaint will be listened to. Practices at the Home ensure the protection of residents from harm and abuse EVIDENCE: The Home has appropriate and robust procedures in place for management of complaints. The complaints procedure was noted displayed in the hallway at the entrance. This document contains information about the Commission for Social Care Inspection to enable individuals to contact the Commission if they were not satisfied with the outcome of their complaint to the organisation. Residents spoken with and responses noted on our survey evidenced that residents are aware of whom to complain to. One resident stated, “I have no reason to complain”. Another resident stated that they are aware of their rights and were enabled to vote using the postal voting system. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 15 Staff are aware of the Whistle Blowing policy and would report any bad practices to the Manager without fear of reprisal. There is evidence of staff training in relation to Protection of Vulnerable Adults from Abuse. There is a copy of the Bristol City Council policy on The Protection of Vulnerable Adults from Abuse at the Home to ensure that the Home is aware of the protocol to be followed if incidents of abuse occur. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 16 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, 21, 22, 25, 26Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents enjoy a suitable, safe environment, however, the home fails to adequately maintain some areas of the building. EVIDENCE: Residents sitting in the lounges, looked relaxed, well cared for and enjoying each other’s company. Some residents spoken with stated that they felt safe at the home. At the inspection a requirement was made for heavily stained carpets in the hall way of the new extension to be deep cleaned or replaced. It was also noted at this inspection that carpets in different areas of the home remained heavily stained. It was also noted that there was a large number of cobwebs in the lounges on the high plaster work. Discussion took place in relation the deep cleaning schedule. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 17 The last inspection requirement in relation to providing appropriate storage for staff was reviewed. This requirement had not been met; the manager stated that this is being included in the refurbishment plan again for October 2006. This has as yet not taken place. It was noted that the same residents bathroom used by staff to store their personal effects was noted locked and residents were denied access to the use of this facility. The maintenance book was up to date clearly stating jobs/tasks to be carried out, date completed and any relevant comment in relation to outstanding jobs. The whole of the stairs and hallways has not been refurbished but some work on the lower hallway has been undertaken to the worse of decortation where wall paper was coming of the walls.The Manager stated that a programme of refurbishment has been assessed however, at the time of inspection there was no date to undertake this. The manager has to wait for Fourseasons Head Office to action this. The Manger also stated that Carlton Mansions been awarded the DOH grant award by Bristol City Council for refurbishment of our bathrooms and to install a walk in shower. The refurbishment of the conservatory was coming to completion on the day of inspection and residents were looking forward to use this again. Our survey asked; Is the home fresh and clean? Responses include ‘The house keepers do their job very well’ ‘My room is always fresh and clean’ ‘The décor in the lounges and halls are very old and shabby’ Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. The home is adequately staffed with appropriately trained and experienced staff. Staff receive training and are competent. EVIDENCE: On the day of the inspection the staffing levels were appropriate to meet the needs of the residents, but it was noted that staff were extremely busy assisting residents throughout the day of inspection. It was also noted that in addition to the rota there was an agency carer on duty in assisting one to one care for a resident in the later stages of their life. This is good practice. The training files of staff was reviewed it was pleasing to note that following the last inspection training on challenging behaviour has been provided. This protects the residents. Other training attended includes Protection of Vulnerable Adults from Abuse, Basic Food Hygiene, First Aid and Control of Substances Hazardous to Health. It was also noted that some staff members have achieved National Vocational Qualification (NVQ) at level 2 and 3. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 19 One staff member spoken with confirmed that they were currently undertaking NVQ at level 3. The recruitment policy and procedure is robust and documentation in relation to recently appointed staff was satisfactory. It was noted that there has been a large number of staff turnover since the last inspection. This may cause low morale in regular staff, who are then working additional hours to cover any gaps in shifts. Our survey asked: Do you receive the medical support you need? Comments include ‘I have full confidence in the staff’ ‘Staff in training could be a little more courteous’ Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 20 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, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home benefits from good leadership and management. Its practises offer protection to the health and safety of residents. EVIDENCE: The atmosphere at the Home on the day of inspection was positive and welcoming. Staff were noted interacting with residents in an informal and friendly manner. Staff spoken with stated that staff work as a team and that the Manager has good leadership qualities. These have enabled staff to provide quality care and to support the residents. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 21 Residents spoken with made positive comment about the Manager, Ms Sungandhva Jadeja who they fondly call “Shobi” One resident stated, “Shobi is very kind, she comes to see us. Nothing is too hard for her” One survey returned from a health professional states “I regard Carlton Mansions as a very well run home, possibly the best in this area. They have an experienced long serving matron, capable, and good relationships with residents”. A survey from a relative states” A very lovely home, I am happy with the care and love my father receives. The staff are always kind and caring to all residents” Staff supervision was reviewed. Evidence from the records viewed showed that staff have received supervision. Staff spoken with confirmed that they have received supervision and that they benefited from the exercise. It afforded them the opportunity to express their opinion about the services provided at the home and to discuss areas of concern in relation to residents’ care. Health and Safety records showed that the home had undertaken generic risk assessments of vulnerable areas of the home. Other health and safety records are up to date. Accidents were noted to be properly recorded and reviewed as required. The fire log-book was noted to be up to date and evidence from records and confirmation from staff showed that staff have attended fire drills. Quality assurance for the Home was reviewed. The Manager stated that the home audits it quality of service using different tools. These include leaflets for feedback from health professionals, relatives and residents; one to one discussions with residents following any concerns raised are resolved as soon as possible; Medication audit; Residents’ money audit; Risk assessment of individual residents and general risk assessment of the home; staff supervision; care plan reviews monthly and when required; monthly health and safety checks; discussions at residents’ and staff meetings. The manager also stated that the company Fourseasons have introduced a new structure for customer satisfaction surveys. Carlton Mansions is scheduled for later in the year. These results are collated at their Head Office and made available to the home who then provide written feedback to residents’ and relatives/advocates including how we plan to make any changes, to address any issues highlighted in the responses. The most recent resident’s meeting minutes of August 07 were observed. The most recent staff meeting minutes of June 07 were observed. The home has policies and procedures to include Protection of Vulnerable Adults from Abuse, Medication, Whistle Blowing, Manual Handling and Infection Control. These have recently been updated. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 22 Residents’ monies checked evidenced that the record is up to date. Other residents’ documented information was noted to be securely locked away. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes 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 OP21 Regulation 13 (4)(a) Requirement Ensure that residents have access to bathroom facilities after appropriate risk assessment. A programme of maintenance work including: Plans to repair the flooring and refurbish the lower ground floor bathroom. The renewal of carpet in the main lounge and communal areas. Detail of redecoration for the hall and stair ways must be sent to the Commission for Social Care Inspection and reasons for any delay must be put in writing. Provide additional lighting to the area where medication is administrated. Timescale for action 30/11/07 2. OP19 23(2) (b) 31/01/08 3. OP9 13(2) 30/11/07 Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 25 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 OP26 Good Practice Recommendations Undertake a deep clean to remove cobwebs on the high plasterwork in the lounges and communal areas. Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 4th Floor Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Carlton Mansions DS0000026500.V345165.R01.S.doc Version 5.2 Page 27 - 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. 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