Inspection on 21/09/06 for Chatterwood Nursing Home

This inspection was carried out on 21st September 2006.

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

Chatterwood Nursing Home 18/10/07

Chatterwood Nursing Home 03/02/06

Chatterwood Nursing Home 20/07/05

Chatterwood Nursing Home 16/02/05

Chatterwood Nursing Home 13/08/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Chatterwood Nursing Home Huntsbottom Lane Hillbrow Liss Hants GU33 7PA Lead Inspector Pat Griffiths Unannounced Inspection 21st September 2006 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 Chatterwood Nursing Home DS0000038996.V306007.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. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chatterwood Nursing Home Address Huntsbottom Lane Hillbrow Liss Hants GU33 7PA 01730 895485 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) Milkwood Care Limited Mrs Joyce Gilfroy Care Home 24 Category(ies) of Dementia - over 65 years of age (10), Physical registration, with number disability (5), Physical disability over 65 years of of places age (24), Terminally ill (5), Terminally ill over 65 years of age (24) Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 5 service users may be admitted between the ages of 55 and 64 years 3rd February 2006 Date of last inspection Brief Description of the Service: Chatterwood offers nursing for 24 residents over the ages of 55 years. There are five shared bedrooms and thirteen single, nine of which have en-suite facilities. There are two day rooms and a conservatory and the home has a shaft lift. There is a very large garden at the front of the home, which is not easily accessed by the residents because of the steep sloping paths and there is a large patio, which is accessed via the conservatory. The home is in a rural area and the local shops in Liss are accessible with assistance. The pre-inspection questionnaire indicates that the current fees for the home are £450 - £650 per week, with additional charges for hairdressing, chiropody and newspapers for which the residents are individually invoiced. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 21st September 2006. The inspector was able to tour the home and meet the residents, their visitors and members of staff. The registered manager was available to assist the inspector. During the visit all key standards were examined and care plans, documentation for staff recruitment, supervision and training, fire safety checks and fire drill records were seen by the inspector. Information was also gathered from the pre-inspection questionnaire and comment cards returned to the commission from residents and their family and friends. What the service does well: What has improved since the last inspection? What they could do better: The care plans are individual and personal, but do not contain information such as the likes and dislikes of the residents or what time they prefer to get up or go to bed. The residents also need to be encouraged to make choices, and the choices must be recorded in their files and to enable the staff to meet their needs. The manager needs to ensure that the fire alarm is tested weekly and the results documented. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 6 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. Chatterwood Nursing Home DS0000038996.V306007.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 Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Arrangements for assessing prospective residents ensures that their individual needs can be met in the home. The home does not provide intermediate care EVIDENCE: The manager said that she does the preadmission assessments and usually goes to visit the potential residents. Occasionally the potential residents visit the home, but usually it is family or friends that visit the home and then advise the potential resident . The manager said that information about health and care needs is obtained from the GP and care manager as well as meeting and assessing any potential residents. The pre-admission assessment is completed before a place is offered in the home and is used as the basis for the care plan. The inspector saw several assessment records and noted that the assessments included Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 9 information about all aspects of the residents personal, health and social needs, including spiritual and cultural needs. The home does not provide intermediate care. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Arrangements for care planning and risk assessment do not always ensure that the residents assessed and changing needs are met. The residents’ health care needs are met by visiting healthcare professionals. The homes medication policy and practices do not always protect the staff and the residents. Arrangements ensure the residents privacy and dignity is upheld EVIDENCE: The inspector looked at three individual care plans for the residents and saw that they provide most of the information on how the assessed needs of the resident should be met. One care plan contained the residents ‘life story’, written by their family, which provided a lot of information and meant that staff could know more about the resident, such as family names and where they had lived or gone to school. The plans are individual and personal, but do not contain information such as the likes and dislikes of the residents or what time they prefer to get up or go to bed. The manager said that staff are aware of the residents likes and dislikes and their personal needs, but a resident told Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 11 the inspector that she did not like being told when to go to bed, which has happened on several occasions. This was discussed with the manager as it underlined the need for more detailed information to be included in the care plans. The manager and the inspector also discussed the need to encourage the residents to make choices, for the choices to be recorded in their files and for staff to be aware of and support the decisions. The care plans contained lots of bits and pieces of paperwork and were not easy to read, some files had been updated with newer versions of some of the documentation and in some files the old paperwork had also been left in place. The need for consistency in the care plans and ease of use for all staff was discussed with the manager. Staff were seen supporting residents in a dignified and respectful manner. Assistance was given at the resident’s own pace and in an unhurried fashion. The home has a medication policy in place and discussions with nursing staff indicate that the policy is followed. None of the residents are responsible for their own medication. The manager showed the inspector the system the home has for disposing of unused or unwanted medicines. The home uses a labour-intensive process for ordering new stock and recording all medicines received into the home and the inspector, manager and nursing staff discussed the use of the Medication Administration Record sheets. The MAR sheets would enable the staff to see at a glance what medication had been received, administered and the current stock levels for all residents on their individual sheets. The treatment room, where the drug trolley is kept, had medication information displayed on the walls, but it was dated 1999. The need for up to date information, guidance and reference books was discussed. The manager is going to obtain copies of the Nurse and Midwives Council handbook ‘Guidelines for the administration of medication’ and the Royal Pharmaceutical Society ‘Guidelines for medication administration in care homes’ as well as the British National Formulary, which provides up to date information on all medication. The home also provides domestic or homely remedies, such as painkillers for a headache or linctus for a cough, but the list of medication needs to be updated and signed by the relevant GP’s to indicate their approval. The manager said that the residents have healthcare provided by visiting healthcare professional such as the GP, dentist, optician and chiropodist. One of the care plans seen by the inspector indicated that the resident was visited by the community psychiatric nurse, but there were no notes or information placed in the care plan following the visit. A hairdresser also visits the home. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home ensures that there are a variety of activities available for the residents and an open visiting policy. Residents are not always encouraged to exercise control over their lives. Arrangements ensure contact is maintained with family and friends and a wholesome and balanced diet is available EVIDENCE: The manager said that the home has an activities programme and the residents join in as they wish, the activities available include exercises, musical entertainment such as karaoke and an organist, bingo, reminiscence sessions and arts and crafts. The manager said that a minister from the local church visits monthly and there is a weekly mass for those who wish to attend. On the day of the visit several of the residents were sat out on the patio, enjoying the autumn sunshine. Staff had put up a parasol and everyone was wearing a sunhat and sun cream was applied. The inspector noticed that the ladies sat out for most of the day, enjoying lunch outside, too. Staff attended to make sure everyone was comfortable and to provide regular drinks. The manager said that the home has an open visiting policy and residents can entertain their guests in their bedroom, the garden or one of the sitting rooms Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 13 in the home. Visitors were seen to come and go during the day of the visit and one commented ‘it’s a super place and they are well looked after’. The cook was away on the day of the visit, but the carers told the inspector that the menu is based on the likes and dislikes of the residents and that choices are available at every meal. Snacks are also available on request. Meal times were seen to be leisurely and help was given in an unhurried manner when needed. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home has a complaints procedure in place, enabling residents, relatives and staff to make complaints should they wish. Staff training in Adult Protection promotes the safety of the residents. EVIDENCE: The home has a complaints policy in place, details of which are available for staff, residents and their visitors. The manager said that she is currently reviewing the policy and will be amending it to contain more information regarding the timescales in which the home will respond to any complaints and details of the other agencies that potential complainants may wish to contact, such as social services. Visitors that spoke with the inspector felt happy that they could take any complaints to the manager and that it would be dealt with properly. The manager said that the home would obtain an up to date copy of the local authority adult protection policy and make it available for staff to read. Staff that spoke with the inspector indicated that they understood the prevention of abuse and adult protection policies. The manager said that all staff have completed adult protection training and a session has been booked for the new staff. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Arrangements ensure the home is safe, well maintained, clean, and hygienic. Arrangements for maintaining the home ensure that residents stay in a safe environment. EVIDENCE: The inspector was able to tour the home and see some of the bedrooms, kitchen, laundry and communal areas. On the day of the visit the home was seen to be clean and tidy, with no unpleasant odours. A comment card from a relative of one of the residents said ‘my mother is very well looked after and the home is always clean and pleasant (unlike some I have been in)’. The bedrooms seen by the inspector looked homely and had been personalised by the residents and their families. The residents commented that they were glad that they could bring some of their ‘bit and pieces’ with them, which included photographs of their families and small items of furniture. The Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 16 communal area is a very large room with separate areas that include a dining area, sitting areas and the conservatory and also has a storage area for the wheelchairs. The kitchen is small but has all the necessary equipment to cater for the residents. The large chest freezer, which is in the pantry next to the kitchen, was felt to be very hot on the day of the visit and the handyman telephoned for the engineer to visit and assess it. The manager said that one of the baths had been out of action for some time but the plumbers were due to attend the following week to fit a new bathroom suite. The laundry is at the back of the home in a purpose built extension, with new equipment. The vent from the pantry is in a window that is shared with the laundry, which is not good practice and it is suggested that advice is sought regarding this. The home has a rolling programme for decoration, rooms are painted as they become vacant and the front of the house has been recently painted. The large gardens are landscaped, but much of the garden is inaccessible to the residents as the paths down to it are very steep. There is a large patio off the sitting room/conservatory and residents admire the gardens from there. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The numbers and skill mix of staff ensure that needs of the residents are met. The home has a recruitment policy and procedure, which is now used properly to protect the residents and staff. Arrangements for induction and training ensure that the staff are able to meet the needs of the residents. Arrangements ensure that residents’ needs are met and that they are in safe hands at all times EVIDENCE: The home employs four registered nurses, ten care assistants and five ancillary staff such as cooks, cleaner and laundry staff. The home also employs a handyman and gardener. Six of the care staff have completed National Vocational Qualifications (NVQ) in care and the other four are currently doing the training. The home has robust staff recruitment policies and procedures. The inspector looked at the files of three new members of staff, which were seen to contain suitable application forms and a written interview record sheet, where the interview is documented in more detail and helps the manager to make informed decisions regarding suitability for employment in the home. The inspector also found that all the relevant checks had been completed, such as obtaining references and Criminal Records Bureau disclosures. Other staff files Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 18 were checked and found to contain the correct information and there was evidence that the nurses have had Nurses and Midwives Council (NMC) checks on their professional qualifications before starting work in the home. The manager said that new staff do not start work in the home until their Criminal Records Bureau (CRB) disclosure is returned or an acceptable POVAfirst is obtained. The manager said that when a job offer is made to new staff, they are also sent a job description, dress code and details of the routine in the home. The contents of the files were stored in a haphazard fashion, making it difficult for the inspector to find some information. The manager said that she would get some new file-covers, sort out the file contents, and make them more user- friendly. The home has a rolling programme of training and a record is kept to ensure that all staff are up-to-date. The training plan was seen to include sessions booked for adult protection, manual handling, infection control and health and safety. Comments from friends and relatives of the residents include ‘the staff are always cheerful and caring, my mother always appears very content and well looked after’ and ‘my mother in law has been looked after for seven years at Chatterwood. The staff could not be kinder or more helpful’ and ‘I am very happy with the care my aunt receives from the staff, she is not the easiest lady to care for, but they are always patient and caring when attending to her’ Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The experienced registered manager has an open approach to management, which benefits residents and staff. The resident’s financial interests are safeguarded by the home’s clear procedures for dealing with their money. Residents are usually protected by the regular supervision of staff and the safe working practices operated in the home. EVIDENCE: The registered manager is a trained nurse who is very experienced in providing nursing care in a residential setting. Mrs Joyce Gilfroy has worked at the home for more than fifteen years and has been the manager for over five years. She continues to attend training sessions to meet her nursing professional development requirements and has completed the Registered Managers Award. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 20 During the course of the day it was suggested that the manager reviewed the staffing levels to enable her to have more ‘management hours’, as she is currently spending a lot of time helping to provide care in the home and some management responsibilities are not being met. This was evidenced when the homes policies and procedures were examined and found to be out of date and needing to be reviewed and amended. Staff that spoke with the inspector said that Mrs Gilfroy is very supportive and understanding and residents also said that they felt able to talk with her at any time. During the visit it was apparent that the home had a relaxed and friendly atmosphere and that there was a good rapport between Mrs Gilfroy and the residents and staff. Visitors that spoke to the inspector also commented on the friendliness of the staff and said that they felt able to discuss any issues with them, should they need to. The manager said that meetings are held for residents to feedback on the quality of care provided at the home, the next one is being held in November. The manager said that the minutes are read and discussed with residents who did not attend the meeting and for those with sight impairment. The manager said that a service-user survey was being organised and the views of the residents and their relatives would be sought, the results would then be collated and made available on request. The manager meets with one of the providers of the home on a monthly basis to discuss the running of the home. The registered manager said that the discussions covered all aspects of the home including staff training and recruitment, equipment required and maintenance of the property. The manager said that no money was held at the home for residents. Any costs incurred by the residents such as hairdressing, chiropody and the purchase of newspapers were invoiced by the home to the person responsible for the residents finances. The manager undertakes regular formal supervision for all the staff members. A staff member spoken with said that supervision meetings were held at a time agreed by both people. Records were kept of the meetings and those seen indicated that issues discussed included the staff member’s standard of performance, training requirements and opportunities and annual leave. Staff meetings are also held on a regular basis and the minutes are available for all staff members. Records for checks on fire safety equipment and emergency lighting indicated that the required monthly and weekly checks were not being completed. Records also showed that staff received training in fire safety and attended unannounced fire drills. The fire alarm tests for the three weeks prior to the visit had not been logged. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 21 The manager said that staff receive training in health and safety issues including moving and handling, food hygiene, infection control and first aid. Health and safety notices are displayed throughout the home. At the time of the inspection the kitchen looked clean and in good order with food stored appropriately. Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 22 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 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 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 X 3 X 3 X X 2 Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The registered person must ensure that the care plans are updated to contain information such as the likes and dislikes of the residents and reflect any choices that have been made The registered person must ensure that the fire alarm tests are carried out weekly and the results documented The registered person must ensure that the homes policies and procedures reviewed, amended and up dated. Timescale for action 31/12/06 2 OP38 23 30/09/06 3 OP38 12 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP26 Good Practice Recommendations The registered person should obtain advice from an environmental health officer about the suitability of the vent in the window between the pantry and laundry. DS0000038996.V306007.R01.S.doc Version 5.2 Page 24 Chatterwood Nursing Home Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Chatterwood Nursing Home DS0000038996.V306007.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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