Inspection on 31/10/07 for Cherry Tree House

This inspection was carried out on 31st 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

Cherry Tree House 22/09/08

Cherry Tree House 09/05/07

Cherry Tree House 18/09/06

Cherry Tree House 04/10/05

Cherry Tree House 19/07/05

Cherry Tree House 02/09/04

Cherry Tree House 29/04/04

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

CARE HOMES FOR OLDER PEOPLE Cherry Tree House Cherry Tree House 29 St Johns Road Farnham Surrey GU9 8NU Lead Inspector Pauline Long Unannounced Inspection 31st October 2007 09:00 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 Cherry Tree House DS0000013597.V354441.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. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Tree House Address Cherry Tree House 29 St Johns Road Farnham Surrey GU9 8NU 01252 734417 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) cherry-tree-house@hotmail.com Mrs Gillian Margaret Nicholls Mrs Gillian Margaret Nicholls Care Home 6 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (4) of places Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 2 (two service users may be in the category: dementia for older persons DE(E). 9th May 2007 Date of last inspection Brief Description of the Service: Cherry Tree House is a privately owned detached house that is situated in a quiet road near the centre of Farnham. The property is the family home of Mr and Mrs Nicholls. The home is managed and staffed solely by Mr and Mrs Nicholls and their family. The home has a domestic feel and service users are accommodated in attractively decorated single rooms. There is a small parking area at the front of the home and a large, level garden is available for use by the service users. The service is registered to provide personal care for up to six older people, two of whom may have dementia. The fees at this service range from £327.00 per week to £400.00 per week. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was a second unannounced ‘Key Inspection’. The inspector arrived at the service at 09.00 and was in the service for 5 hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The CSCI would like to thank the residents, the managers and for their hospitality, assistance and co-operation during the site visit. What the service does well: What has improved since the last inspection? All but one of the previous requirements have been met. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 6 The care planning process and records have improved. Care plans now provide the reader with a better view of a residents needs. Risk assessments have improved ensuring that any assessed risk has an action plan in place to minimise the risk. Residents are protected by more robust medication procedures and practices. More effective infection control measures have been put in place, paper hand towels are in place in the communal bathroom and WC. All hazardous substances are now stored appropriately and safely in a locked facility, ensuring the continued health and safety of the residents. Two rooms have been redecorated and re-carpeted providing a more pleasant place for the residents. 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. Cherry Tree House DS0000013597.V354441.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 Cherry Tree House DS0000013597.V354441.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): 3&6 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The needs of some but not all residents have been assessed prior to being admitted to the home. The home does not provide an intermediate care service. EVIDENCE: It was not necessary to sample service users files in respect of pre-admission assessments as this standard was fully assessed/discussed at the previous inspection in May 2007. Following that inspection, the registered providers have decided that no further admissions to the home will be undertaken. This was further reaffirmed in the completed Improvement plan submitted to the Commission following the previous inspection and in the completed AQAA (Annual Quality Assurance Assessment) sent to the Commission prior to this inspection. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 9 During the site visit it was confirmed that no new residents have been admitted to the home since the previous inspection. The home does not provide for an intermediate care service. Cherry Tree House DS0000013597.V354441.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the improved care planning and medication practices at the home. EVIDENCE: Improvements have been made in respect of the care planning process at the home. Each resident had an up to date care plan in place. Whilst these improvements were noted, we would advise the registered providers to further develop the care plans to ensure all activities of daily living are recorded. This would help to ensure that staff are aware of resident’s and help ensure that all needs are fully met. Discussions were had with the providers in respect of the amount of paperwork in the care plan documentation and we recommended that they remove any parts of the care plan that did not apply to an individual resident. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 11 All of the care plans sampled had been regularly reviewed, however discussions were had with the providers about the benefits of providing more detailed information in the reviews. It was noted that daily records referred to residents healthcare appointments being undertaken. Improvements were noted in the medication procedures and practices. All medication received at the home is now logged in the residents medication record, which allows the providers to audit and track the medication. The medication procedures, practices, storage and records were sampled. Storage was safe, medication records were well documented with no gaps in signatures noted. There were large photographs of each resident on file, in order for staff to clearly identify each resident. No controlled drugs were being administered at the time of the site visit. None of the residents are responsible for administering their own medication. Discussions with residents indicated that they were treated respectfully. We observed staff to be polite and courteous and to treat the residents with respect. A recommendation has been made in respect of these areas. Please refer to page 25 of this report. Cherry Tree House DS0000013597.V354441.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to join in the family activities and to keep in touch with their own families. The food at the home is good and meal times were observed as being a positive and pleasant experience for the residents. EVIDENCE: Discussions were had with all of the residents about life in the home. They commented that they could rise and go to bed as they wished. One resident stated that he liked to be in bed by 6pm in the evening as he rises very early in the morning. Other residents commented that they like to get up early and liked to sit in the sitting room and watch the television, or chat to the provider’s granddaughter. The providers stated that there was no formal programme of activities at the home. They commented that the residents are encouraged to join in the family events, including summer barbeques. Residents and staff were heard discussing the upcoming fireworks night. One of the resident’s commented that he regularly attends two local social, clubs. This was evidenced in his care plan. None of the residents choose to go to church, although transport is available if they wish to attend. The providers Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 13 stated that they had good relationships with the local churches and could always ask them to come to the home if required. The majority of residents in the home have family or friends. The providers stated that they encouraged the residents to keep in touch with their families. Residents commented that their relatives visit the home quite frequently. One relative commented that he spoke with his daughter on the phone occasionally. Meal times at the home were observed as being a pleasant and positive experience for the residents although somewhat quiet, there was very little interaction by staff. This was discussed with the providers at the time. The tables were nicely laid and residents chose where they sat. The food served appeared wholesome and appetizing, residents commented that, the food at the home is always good. It was noted, however, that none of the residents were offered a drink with their meal. This was discussed with the registered providers, who stated that the residents never requested a drink with their meal but tea and coffee were offered following their meal. A four-week menu was sampled and indicated that a range of food was served to suit resident’s needs. The providers stated, however, that the menu was not always adhered to, as residents like to change their minds. A recommendation has been made in respect of these areas. Please refer to page 25 of this report. Cherry Tree House DS0000013597.V354441.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): People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents legal rights are protected and they are protected by the homes Complaints and Safeguarding Adults Procedures, EVIDENCE: The homes complaints procedure was presented in a simple format enabling the residents to read and understand it. It requires updating however, to reflect the current address and telephone number of the Commissions Oxford office. The registered providers stated that they had not received any complaints since the last inspection. The residents spoken with confirmed that they had not had to make a complaint and that if they did they would speak with the manager. The Commission has not received any complaints about this service since the last inspection. The provider stated that the home ensures that the resident’s names are included every year on the electoral register and that they are encouraged and given the opportunity to vote. One of the residents confirmed this. No safeguarding referrals have been made since the last inspection. We were told that the registered providers had undertaken training in the Local Authority Safeguarding Adults Procedures and that whilst none of the staff at the home had undertaken any formal training in respect of Safeguarding Adults from Abuse, they all had an understanding of the local authority multi agency procedures in respect of reporting abuse. Discussions with staff indicated that protecting adults from abuse had been covered in their NVQ training, however Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 15 none of the records could be evidenced on the day. The providers were advised to keep copies of all training records at the home. An up to date copy of the local authority procedures is kept at the home for staff to refer to if necessary. Discussions were had with the registered providers in respect of all staff undertaking training in protecting adults from abuse. The provider stated that he had been exploring possible training resources this was evidenced in the brochures shown to the inspector on the day. The provider stated that he had ordered a training video in order to carry out this training and expected it to be delivered on the 01/11/07. Discussions were had with the providers following the site visit. They confirmed that the home had received the training video and that all of the staff at the home were undertaking this training. Cherry Tree House DS0000013597.V354441.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, 22 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean, pleasant and homely environment. One piece of equipment in use had not been appropriately serviced. EVIDENCE: The resident’s accommodation is situated on the ground floor of the property. There is a ramp to access the front of the property and handrail at the back of the building enabling access to the garden for those frailer residents. All the residents bedrooms were seen during the site visit. They were clean, warm and comfortably furnished. It was noted that the drawers in one bedside cabinet had been removed. This was discussed with the provider, who gave a satisfactory explanation as to why this had happened. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 17 The sitting room /dining room was furnished in a homely style with appropriate furniture and was well maintained. Residents commented that they had everything they needed and that it was just like home. Two bedrooms have been redecorated and re-carpeted. Residents commented that they were pleased with their bedrooms. It was noted that residents use an oxford hoist bath seat. The provider stated that he undertakes the maintenance of this equipment, however could not evidence this, this was a concern. In order to ensure the continued health, safety and welfare of the residents the equipment must be serviced by an appropriate qualified Hoist engineer, it must be maintained in good working order and records must be kept. This equipment must be appropriately serviced and records kept in order to ensure it is fit for purpose. The home was clean and hygienic, with good infection control measures in place. Paper towels are now provided in the communal toilet and bathroom. A requirement has been made in respect of these areas. Please refer to page 25 of this report. Cherry Tree House DS0000013597.V354441.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 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The homes recruitment procedures and practices do not fully protect the residents. Residents are supported by sufficient numbers of staff, however they have not undertaken all of the required training. EVIDENCE: It was not necessary to examine all staff files during this site visit as they were fully checked during the last inspection in May 2007. The staffing arrangements at the home remain the same. The registered providers and their immediate family provide personal care and carry out all other roles, including shopping, cooking, laundry and house keeping. A staffing rota has been developed and is being maintained. The registered provider stated that he had employed two family friends to provide cover for the home whilst they were on holiday. He provided evidence that he undertaken all the required checks on these individuals in order to protect the residents, for example CRB (Criminal Record Bureau) and POVA (Protection of Vulnerable Adults). He had also requested and received two references. Discussions were had around the lack of other information, for example: application forms, work histories and evidence of relevant qualifications. The registered providers were advised to refer to Schedule 2 and 4 of The Care Homes Regulations 2001 (as amended), in order to ensure that all of the required information is sought Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 19 prior to anyone starting work at the home and in order to demonstrate safe recruitment practices. A requirement was made at the previous inspection in respect of staff training this requirement has not yet been fully met. Discussions were had with the registered provider who stated that he had been exploring the options for staff training and that he had ordered training videos in respect of Moving and Handling and POVA. He commented that he expected them to be delivered on the 01/11/07. Discussions were also had in respect of other training required, including COSHH (Control of Substances Hazardous to Health) First Aid and Food Hygiene. One of the staff has achieved a First Aid Qualification, however this could not be evidenced. Three of the staff have undertaken and achieved an NVQ to level 2. Both of the registered providers have achieved an NVQ 4 in Care. Residents commented that the staff at the home were good. As discussed earlier in this report the registered providers intend to close the home, they commented however, that they were anxious to ensure that the remaining residents could reside at the home until they wished to leave or the home could no longer meet their needs. The providers stated that they were in the process of exploring training possibilities. This was reaffirmed in the completed AQAA document submitted to the commission. Discussions were had with the providers following the site visit. They confirmed that the home had received some of the training videos discussed and that all of the staff at the home were undertaking this training. A requirement has been made in respect of these areas. Please refer to page 25 of this report. Cherry Tree House DS0000013597.V354441.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, 33, 35 & 38 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Management practices at the home put residents at risk through lack of appropriate training, incomplete recruitment practices and non-professionally serviced equipment. Resident’s views are sought and their financial interests are protected. EVIDENCE: The home is managed jointly by the registered providers, and they have run the home for several years undertaking all duties on a day to day basis. Both registered providers have undertaken and completed an NVQ 4 (National Vocational Qualification) in care. Twelve requirements were made at the previous inspection, eleven had been met. The remaining requirement, in respect of staff training was in the process of being addressed. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 21 The AQAA (Annual Quality Assurance Assessment) document sent to the providers was not fully completed within the required timescales. It should be noted that it is a legal requirement to complete this document. This was discussed with the registered providers during the site visit and they were reminded of the importance of completing this document fully and how an incomplete document would reflect on the fitness of the registered providers. Correspondence received at the commission indicated that the home would be closing sometime in the future, this was further evidenced in the improvement plan submitted following the last inspection and reference was also made to the closure in the completed AQAA document. Discussions were had on the day of the site visit and the registered provider stated that they were considering their options and that the home would not be admitting any further residents. As discussed earlier in this report a requirement was made at the previous inspection in respect of staff training. The registered providers intend to close the home, they commented however, that they were anxious to ensure that the remaining residents could reside at the home until they wished to leave or the home could no longer meet their needs. The providers stated that they were in the process of exploring training possibilities. This was reaffirmed in the completed AQAA document submitted to the commission. Discussions were had with the providers following the site visit. They confirmed that the home had received some of the training videos discussed and that all staff at the home were undertaking this training. The home has developed a service user survey in order to seek the views of the residents. This was distributed to the residents following the previous inspection. The surveys were sampled and evidenced that the residents were happy with the care, accommodation and food provided at the home. We sampled two compliment letters sent to the home, relatives commented that the providers and staff at the home had been “ so kind to their relative and that the relative had been so happy living at Cherry Tree House”. Discussions were had with the registered providers about the benefits of including the resident’s families/advocates, GP’s and other care professions who visit the service in the surveys. The registered providers on behalf of two residents hold a small amount of money for safekeeping; records in respect of these monies were checked and were found to be accurate. Transactions in respect of each resident are recorded in an individual record book, in order to provide a clear audit trail. As discussed earlier in this report the standard of record keeping has improved. Care plans are more detailed, medication records are more robust and staff duties are now recorded on a monthly rota. It was noted that whilst Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 22 accidents and incidents are recorded, there is a concern in respect of residents confidentiality as all accidents are recorded in the same book. This was discussed with the registered providers, who stated they would use a more appropriate record in order to meet the requirements of the Data Protection Act. Accidents and incidents are properly reported to the Commission. Requirements were made at the previous inspection in respect of various health and safety issues, these requirements have been met. As discussed earlier in this report, it was noted however that there was a fixed bath hoist in use at the home. The registered provided stated that he undertook the servicing of this piece of equipment, which was a concern. In order to ensure the continued health, safety and welfare of the residents the equipment must be serviced by an appropriately qualified Hoist engineer, it must be maintained in good working order and records must be kept. Requirements have been made in respect of these areas. Please refer to page 25 of this report. Cherry Tree House DS0000013597.V354441.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 X 2 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Cherry Tree House DS0000013597.V354441.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 OP29 Regulation 17(2) Schedule 2(5)(6) Schedule 4(6) 23(2)(c) Timescale for action The records specified in Schedule 31/12/07 4 of The Care Homes Regulations 2001 (as amended) must be maintained. Application forms, work histories and evidence of relevant qualifications must be obtained and kept. The bath hoist/chair must be 31/12/07 appropriately serviced by a qualified hoist engineer, must be appropriately maintained and records kept. Requirement 2. OP22 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. Refer to Standard OP15 OP38 Good Practice Recommendations Drinks should be placed on the dining table at meal times in order for residents to make choices as to whether or not they would like to have a drink. Accident records should be recorded in a manner that meets the requirements of the Data Protection Act. Cherry Tree House DS0000013597.V354441.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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