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Inspection on 19/07/05 for Chelwood Corner Nursing Home

Also see our care home review for Chelwood Corner Nursing Home for more information

This inspection was carried out on 19th July 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Many of the residents and their relatives spoke positively of the overall level of nursing and personal care. Individual preferences with particular regard to activities and the provision of meals are managed well by the home. Chelwood Corner employs adequate staffing levels of suitably trained nurses and care staff to meet the assessed needs of residents.

What has improved since the last inspection?

What the care home could do better:

A number of immediate requirements were issued on the day of inspection mostly relating to health and safety aspects within the home. Fire safety procedures were of particular concern. Fire notices were not on display in some areas of the home, fire doors were not closing securely and one fire exit was found to be blocked by equipment. Concerns relating to the use of hazardous substances within the home were also raised. The Inspector will be liaising with the Fire Safety Officer and Health and Safety Executive. The overall environment is in need of redecorating and general maintenance. Medication practices continue to be a cause for concern.

CARE HOMES FOR OLDER PEOPLE Chelwood Corner Beaconsfield Road Nutley East Sussex TN22 3HJ Lead Inspector Niki Palmer Unannounced 19 July 2005 10:00 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 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. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chelwood Corner Address Beaconsfield Road Nutley East Sussex TN22 3HJ 01825 740282 01825 740282 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Mehrad Foroudy Mrs Jennifer Ann Foroudy Mrs Jennifer Ann Foroudy Care Home 27 Category(ies) of Terminally ill (TI), 2 registration, with number Old age, not falling within any other category of places (OP), 27 Physical disability (PD), 27 Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only older people will be accommodated 2. The maximum number of residents to be accommodated is twenty seven (27) 3. Residents must be aged 65 years or over on admission 4. That a maximum of two (2) service users can be accommodated with a terminal illness 5. That residents may have a physical disability Date of last inspection 3 November 2004 Brief Description of the Service: Chelwood Corner is a large converted manor house offering nursing care to residents who are over 65 years of age and who may have a physical disability. The home can also provide care for up to two residents who are terminally ill. The home is located on the outskirts of the village of Nutley, East Sussex. There are no local amenities within easy access for residents, or access to public transport except taxis, although car parking is available at the home. Chelwood Corner is spread out over two floors, which are accessible by a recently installed passenger shaft lift. The home comprises of 23 single and two double bedrooms. All bedrooms are centrally heated. There is a large garden to the rear of the property with vast views over Ashdown Forest. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Chelwood Corner will be referred to as ‘residents’. This unannounced inspection took place on a Tuesday between 10.00am and 4.00pm. The inspection began with discussions with the Registered Manager of the care home in respect of progress made since the last inspection, followed by an inspection of the premises. In order to gather evidence on how the home is performing, individual discussions took place with four residents, whilst others commented on their care during lunchtime, the Inspector having been invited to join them for a meal. In addition, five care staff were spoken with during the visit, three registered nurses and four visitors to the home. 24 residents were accommodated at the time of the inspection. Records and documentation inspected included: three care records, the homes complaints procedure, staffing rotas, quality assurance systems and medication procedures and records. What the service does well: What has improved since the last inspection? Since the last inspection and in response to a complaint received by the Commission for Social Care Inspection, the home has begun to make some progress to comply with the National Minimum Standards. The home’s preadmission assessment has been reviewed and amended alongside the home’s complaints procedure and care of the dying resident – this was noted to be commendable practice. Bathing facilities for residents and staff have been improved, and some furniture and bed linen has been replaced. Some of the bedrooms have been redecorated to individuals’ preference. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 6 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. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 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 standard(s) 1, 3 and 6. Prospective residents and their families are provided with sufficient written information to help them in their decision of where to live. The systems in place for the pre-admission assessment of new residents are satisfactory. EVIDENCE: The home has a detailed Statement of Purpose, which was seen on the day of inspection. It includes details of the home’s philosophy of care, facilities and services provided, details and qualifications of staff and the home’s complaints procedure. The vast majority of the residents and relatives spoken with stated that they had been provided with this written information prior to them moving in, and found it helpful in making a decision of where to live. Since the last inspection the home has reviewed it’s pre-admission assessment document. Three recently completed assessments were seen, all of which were found to be detailed and cover all aspects of daily living such as the level of support that the individual required, their social interests and background and specific needs such as any history of falls and prescribed medication. It had not been recorded however who had completed the assessment, or the date that it had been carried out. Intermediate care is not provided. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 9, 10 and 11. Practices for the administration and recording of medicines need to be improved, although commendable written information and procedures are in place to ensure that all residents and their relatives are treated with dignity and respect up until and following their death. EVIDENCE: Nursing staff were observed to follow safe procedures for the administration of prescribed medication over lunchtime, however it was concerning to note that medicine administration records had not been completed in some instances and it was therefore unclear whether or not the medicines had been given. All controlled drugs were found to be stored appropriately and accurate records maintained. Discarded medicines (those that have been refused) are put in to an empty container and returned to the pharmacy. A recommendation has been made for the home to include this practice and the procedures that are to be followed in its medication policy. On the day of the inspection all staff were found to treat the residents with kindness, dignity and respect. Residents and relatives spoken with confirmed that the staff team are always kind and helpful. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 10 Whilst personal care is being given to individuals, engaged signs were seen placed on bedroom and bathroom doors. Relatives said that all staff make them feel welcome to the home and offer them a private place to meet with their family. Since the last inspection the Registered Manager of the home has developed a comprehensive information booklet for residents and relatives to read in relation to dying and death, titled ‘Thoughts for Ahead’. This has been provided to all existing residents and their families and prospective residents. It is sensitively written and acknowledges that having to think about the future is very hard for people. It covers all aspects of dying such as different forms of pain relief that can be offered and the support that can be provided by nursing and care staff. In addition there is a separate section titled ‘How do you know when it will happen? This provides the reader with information such as the signs to look out for when someone may be near death and encourages relatives to spend time at the home – overnight if necessary. It also provides information regarding the death itself and what relatives can expect in relation to the registering of the death and practical advice on arranging the funeral. There are two forms at the back of the booklet which residents/relatives are asked to complete regarding their wishes. This includes details of who should be contacted, religious preferences, resuscitation, the funeral and preferred funeral director. Once completed this information is stored in individuals’ records. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12 and 15. The arrangements in place for the provision of daily social activities are managed well by the home. All residents receive a varied, wholesome and nutritious diet. EVIDENCE: On the day of the unannounced inspection, Chelwood Corner had invited friends and relatives to join the residents and staff for a barbecue and music at the home in the afternoon. Leisure interests and hobbies are recorded in individual plans of care and a variety of opportunities are offered by the activities coordinator such as knitting, sewing, crochet, card games and keepfit. A photo album is on display in the reception area, which shows different events such as a nativity play and carols performed by a local school, and inhouse karaoke evenings. Residents spoken with said that they have the choice of what time they would like to go to bed at night and get up in the mornings. One of the residents also said that she is sometimes offered breakfast in bed. Residents are encouraged to dine in the dining area, although some choose to remain in their bedrooms. The lunchtime meal was found to be relaxed and calm. Staff were seen to offer discreet support to those who needed it. All residents are offered a choice of two hot meals and desserts for lunch and a lighter option in the evening. All menus are planned in advance with special dietary needs catered for. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 12 All of the residents spoken with confirmed that all meals are hot, tasty and nutritious. A variety of hot and cold soft drinks such as tea, coffee and squash are available throughout the day and evening. Two of the residents spoken with confirmed that alcoholic drinks are available on request. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 16. This home has adequate systems in place to ensure that all complaints will be dealt with appropriately. EVIDENCE: The home has a detailed complaints procedure in place, which outlines how complaints, however trivial can be made and who will deal with them. In response to a requirement made in the last inspection report, all verbal complaints and concerns are now recorded and stored centrally. Details were seen on the day of the inspection of concerns raised and the action taken. An anonymous complaint was made to the Commission for Social Care Inspection in November 2004 regarding the living accommodation provided to overseas nurses at the home. These safety issues were raised with the Fire Brigade and Health and Safety Executive, in addition the views of the Adaptation Auditor responsible for undertaking the assessment of the placement were sought. Notices of enforcement were issued to the home from the Fire Brigade and Health and Safety Executive and the complaint upheld. On the day of inspection the Inspector did not gain access to the living accommodation of staff and will be seeking confirmation from the Fire Safety Officer and Health and Safety Executive to ensure that the home is complying with the requirements. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 19, 21, 22, 23, 24, 25 and 26, In order for the home to present as an attractive and homely place to live, the Registered Manager needs to ensure that all areas are kept clean and wellmaintained throughout. EVIDENCE: It was a requirement of the previous inspection report that consideration must be given to residents’ own facilities prior to any extension and building work being started. All building work for the planned extension of the home to create more bedrooms and communal areas is currently on hold. Residents spoken with and an inspection of some bedrooms confirmed that redecoration has begun in some of the rooms. Residents have been consulted regarding their choice of colour and décor. Since the last inspection one of the assisted baths on the ground floor has been replaced with a walk in shower. All toilets and bathrooms are clearly marked. Two additional toilets are planned to be installed once the building work has begun. Separate showering facilities for staff accommodated on the third floor have been installed. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 15 On the day of inspection it was noted that no aprons were available in the sluicing area for staff to use in accordance with good infection control practice. The home provides grab rails and other aids throughout the home for residents. Evidence was seen that all hoists were tested and maintained in March 2005. On the day of inspection, one of the bedrooms currently vacant was being used to store equipment such as wheelchairs, spare mattresses and other aids. Nine single bedrooms have en-suite facilities, which were approved previously under old regulations, however these facilities would not be approved with today’s standards. They are cubicles separated by a curtain, which do not promote individuals’ privacy and dignity. Those seen were found to be of satisfactory cleanliness. Two of the bedrooms are of shared occupancy, one of which up until recently was shared by a married couple. Screening to maintain the privacy and dignity of residents is provided. A number of bedrooms were seen during the inspection. Over bed tables and bed linen are gradually being replaced. A number of curtains were found to have come away from the curtain pole and in one room the carpet was loose; this posed a potential risk to the resident accommodated. Although the home employs a number of domestic staff, it was noted that some of the carpets in individual rooms were dirty; this was addressed with the housekeeper. Three of the relatives spoken with said that the home is usually well-maintained however is in need of “sprucing up” and having some money and time spent on it, however their main area of concern was for the care of their relatives, which in their opinion is of a high standard. It was a requirement of the previous inspection that all taps deliver hot water at the recommended 43 degrees centigrade. One of the hot water outlets in one of the resident’s bathrooms was found to be delivering hot water at 62 degrees centigrade, potentially posing a risk to residents and staff. Lighting on the third floor was found not to be working; in addition at the time of the inspection another light bulb in a resident’s bedroom stopped working. Windows and window restrictors were found to be working and in place on the day of inspection. Although many of the rooms are installed with timed air fresheners, some were found to be empty; some offensive odours were noted in these rooms. Good policies and procedures are in place for the care of residents with MRSA; alcohol gel is provided throughout the home and suitable equipment stored in individual bedrooms and bathrooms. An immediate requirement was made for the home to remove hazardous substances (Hibiscrub) as it is no longer recommended for use. In addition it was concerning to note unlabelled containers to dispense cleaning products - another immediate requirement was issued. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28. Sufficient numbers of suitably trained staff are on duty throughout the day and night to meet the needs of the residents accommodated. EVIDENCE: Chelwood Corner Nursing Home employs 31 staff, comprising of six qualified Registered Nurses, 12 care staff, domestic and housekeeping staff. On the day of inspection staffing rotas, residents and their relatives confirmed that the home is always suitably staffed. Three care staff and one Registered Nurse are on duty to carry out all personal care needs to those living on the second floor, whilst two carers and one nurse implement care to those living on the ground floor. The home is approved by a University to employ four adaptation nurses from overseas. Four staff are currently undertaking this course. Of the 12 care staff employed six are considered to be trained to at least NVQ level 2. Discussions took place with the Registered Manager of the home in respect of those employed from overseas. A recommendation has been made for the home to clarify with previous employers of these staff, their status in regard to NVQ. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 37 and 38. Although this home has good systems in place to monitor the effectiveness of the care provided, health and safety factors throughout the home remain a cause for concern. EVIDENCE: Since the last inspection, the home has begun to seek the views of visiting professionals in regard to the care that is provided by the home. The very positive views of a local General Practitioner, Speech and Language Therapist and Chiropodist were seen on the day of inspection. In addition, a comments and suggestions leaflet is on display in the reception area for visitors to complete. The home uses a recognised tool for monitoring the effectiveness of the care provided by the Registered Nursing Homes Association, which is based on meeting the National Minimum Standards. At the end of each section an assessment summary is recorded, which gives details and action points as to how the home will work towards improving standards. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 18 Residents and their relatives said that staff share with them any changes in their plans of care, and the majority were aware that they could request access to their files at anytime. All records seen were well-maintained and up to date. A requirement has been made for the home to ensure that all personal records are stored securely, and not in the corridors where anyone could gain access to them. In accordance with recent enforcement notices issued by the Fire Brigade, the home has installed an additional fire door on the second floor leading up to staff accommodation. It was noted that two of the doors on the second floor were not self-closing securely (this is an outstanding requirement). Additionally, fire exit notices were not displayed in the area where recent building works had been carried out. A number of electrical extension cables were in use throughout the home, which were found to pose as a trip hazard to residents and staff – an immediate requirement was issued. The Health and Safety Executive previously recommended that balcony doors on the second floor, leading out on to a flat roof be restricted. The Registered Manager of the home has agreed in the past to keep them locked. On the day of inspection although they were closed, they were not locked. It was a requirement of the previous inspection report that the fire exit accessed via room 12 must be kept free of obstacles. It was concerning to note during the inspection, that it was blocked by a Zimmer frame. This was addressed immediately with the Registered Manager. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 1 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 2 3 3 1 1 1 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x 2 1 Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 20 YES. 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 OP3 Regulation 14(1)(a) Requirement Timescale for action 19/07/05 2. OP9 3. OP21 4. 5. 6. 7. OP24 OP24 OP24 OP25 That the homes pre-admission assessment document is signed and dated by the person completing the assessment. 13(2) All staff must adhere to the Regulation homes policies and procedures 17(1)(a) for the safe handling and & recording of prescribed Schedule medicines. 3 13(3) Appropriate equipment to ensure good infection control practice must be available throughout the home. 16(2)(c) That curtains are re-hung and/or replaced throughout the home. 16(2)(c) Loose fitting carpets must be secured to maintain the safety of residents. 16(2)(j) Carpets must be kept clean throughout the home. 13(4)(c) Risk assessments must be carried out in respect of the distribution of hot water and appropriate action taken [THIS IS OUTSTANDING FROM THE TWO PREVIOUS INSPECTION REPORTS]. 19/07/05 19/07/05 19/08/05 19/08/05 19/07/05 19/08/05 Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 21 8. OP25 23(2)(p) 9. 10. OP26 OP26 16(2)(k) 13(3)(4) 11. 12. 13. OP26 OP37 OP38 13(3)(4) 17)1)(a) (b) 23(4) 14. OP38 23(4) 15. OP38 13(4) 16. OP38 23(4) All lighting should be checked on a regular basis to ensure that all lightbulbs are functioning correctly [THIS IS OUTSTANDING FROM THE PREVIOUS INSPECTION REPORT]. The home must ensure that all areas are kept free from offensive odours. Hazardous materials no longer recommended for use must be removed from the home [IMMEDIATE REQUIREMENT]. All cleaning products must be clearly labelled [IMMEDIATE REQUIREMENT]. All personal records must be stored securely. All fire doors must close securely when door guards are released [IMMEDIATE REQUIREMENT OUTSTANDING FROM THE PREVIOUS INSPECTION REPORT]. Fire exit signs and notices must be displayed throughout the home [IMMEDIATE REQUIREMENT]. All electrical extension cables in use must not pose as a trip hazard to residents and staff [IMMEDIATE REQUIREMENT]. That the fire exit accessed via room 12 is kept free of obstacles [THIS IS OUTSTANDING FROM THE PREVIOUS INSPECTION REPORT]. 19/07/05 19/07/05 19/07/05 19/07/05 19/07/05 19/07/05 19/07/05 19/07/05 19/07/05 Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 22 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. Refer to Standard OP9 OP28 OP38 Good Practice Recommendations That the procedures for discarding refused medicines are included within the homes medication policy. That the NVQ status of staff employed from overseas is clarified with previous employers. In accordance with the recommendations made by the Health and Safety Executive, balcony doors on the second floor should be kept locked. Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT 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 Chelwood Corner H59-H10 S13973 Chelwood Corner V230581 190705 Stage 4.doc Version 1.40 Page 24 - 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. 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