Inspection on 14/02/07 for Chollacott House Nursing Home

This inspection was carried out on 14th February 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

Chollacott House Nursing Home 12/07/08

Chollacott House Nursing Home 18/07/07

Chollacott House Nursing Home 19/04/06

Chollacott House Nursing Home 31/01/06

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Chollacott House 61 Whitchurch Road Whitchurch Tavistock Devon PL19 9BD Lead Inspector Fiona Cartlidge Key Unannounced Inspection 14th February 2007 10:00 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 Chollacott House DS0000064645.V325532.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. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chollacott House Address 61 Whitchurch Road Whitchurch Tavistock Devon PL19 9BD 01822 612811 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) WWW.stone-haven.co.uk Stonehaven (Healthcare) Ltd Vacancy Care Home 27 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (3), Physical disability of places over 65 years of age (25) Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Two service users under the age of 65 in relation to the PD category only can be admitted Service users aged 65 years and over PD(E) Maximum registered 25 service users (both) LD Maximum registered 1 service user (both) OP Maximum registered 3 service users (both) A Registered Manager with the relevant experience, qualifications and skills to manage a Care Home providing Nursing is employed within 3 months of Stonehaven (Healthcare) Ltd being registered as the Provider for Chollacott House Sufficient numbers of staff with the skills and qualifications to meet the needs of service users are on duty at all times 19th April 2006 7. Date of last inspection Brief Description of the Service: Chollacott House is a large Edwardian building set in extensive grounds near to the market town of Tavistock. The home is registered to provide nursing care to a maximum of 27 Service Users over the age of 65, and 1 Service User with a learning disability. The accommodation is presented on two floors accessed via a passenger lift; there is level access throughout the building; there are 23 single rooms, 12 of which are en-suite and 2 double rooms 1 of which is en - suite. There is a large dining and lounge conservatory area leading on to a further smaller lounge, all on ground floor level. Information about the home was found in the entrance hall, people can request a copy of the latest inspection reports from the administration office. Information given to the Commission by the provider indicates the current range of fees is from £381 to £585/week. Additional charges are made for chiropody, hairdressing, newspapers/magazines and activities. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 5 The home has been under the ownership of Stonehaven (Healthcare) Ltd since October 2005. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The site visit took place over 6 hours 30 minutes and was unannounced. Two inspectors performed a partial tour of the home when some bedrooms and all communal areas were viewed. Three residents had their care case tracked this means their records were examined in detail and all three residents were spoken to in depth about the care and services they receive. Ten other residents were spoken with during the visit, as were 3 visitors/relatives, 6 members of staff and the acting manager. Personnel records of 3 members of staff and policies and procedures were also inspected. What the service does well: The feedback about food served was positive, all of the residents spoken to said how good it was; fresh milk, meat and vegetables is regularly and locally sourced. The people living in the home said they were happy with the visiting arrangements, visitors said they feel welcomed into the home, visiting was seen to take place in the lounge and privately in residents own rooms. Residents and their relatives/friends know how to make a complaint, the manager takes complaints seriously and improvements to the service are made if necessary. People feel safe living in this home; the staff have received training in recognising and handling signs or allegations of neglect or abuse. The bedrooms are homely and there is evidence that residents have been able to bring personal belongings with them in to the home. Those residents spoken to about their private accommodation said they like the décor in their own rooms. The residents were complimentary about the staff team confirming their needs were met 24 hours a day. Comments received from clients included: ‘I am really impressed with the care and support that I am given here’, ‘the staff are kind and attentive’ Staff attitudes are perfect, they all try very hard’. Patients, visitors and staff made positive comments about the manager in the home saying they felt comfortable approaching him with issues. The Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 7 commission has received an application to register him as manager of this service. What has improved since the last inspection? What they could do better: The registered provider should make sure that all prospective and existing residents and or their representatives are provided with their own guide to the services provided at the home. Residents should be provided with a choice of menu at all meals. Staff need to ensure they clearly record when medication is given and indicate clearly why it is not given if that is the case this will ensure residents receive the medication they are prescribed and reviews will be accurate. Plans of care should be agreed with residents or their representatives and reviewed and recorded in a style accessible to them, this will ensure resident receive the care they want and need. Safer processes for the recruitment of all staff will further protect residents by making sure that only people suitable for working in a care setting are employed. An activities programme should be developed and communicated to residents to provide stimulation and leisure opportunities for them. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 8 Design solutions should be put in place within the home to minimise the risk to residents and staff of trips and falls. Regular repairs should be made to the fabric of the building to prevent leaks in the roof. 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. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 9 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 Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 10 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): 1,3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are not aware of information that is available about this service. Assessments performed on prospective residents are not consistent and do not provide enough detail, this poses a risk to residents because some of their needs may not be recognised and therefore may not be met. This home does not provide intermediate care. EVIDENCE: The home has a statement of purpose this document sets out the aims and objectives of the home and provides information about the service. This booklet was available in the entrance of the home the document has recently been reviewed and contains current information about the staff available in the Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 11 home. Residents spoken to were unaware of the document and the manager could not confirm that each resident is provided with a copy. An assessment of care needs of prospective service users takes place prior to admission to the home. Records seen included copies of assessments carried out through care management arrangements and hospital/community health care teams where applicable. The personal records of 3 residents were seen in detail and these three residents were then spoken with about their experience of living at Chollacott. Documents seen provided evidence that the home uses a standard preadmission assessment form; this did not contain all the recommended questions for all residents admitted to the home. Assessments seen were sometimes not dated or signed. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although improving, the variable practice regarding the planning and delivery of care means that all services users cannot be sure that their health and personal care needs will be fully met. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Residents spoken with confirmed they receive a good level of care. Personal records held on behalf of 3 residents were examined; in all of those seen there were documented assessments which provided information about skin integrity, moving and handling, safety - including risk of falls, nutritional screening and social needs. The information generates the plans of care, which provide the basis for the care to be delivered. Some of the records seen were Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 13 unclear and inconsistent and there was little evidence that residents or their representatives are involved in the planning or review processes. Records are maintained for all visits to the home by social or health care professionals, all residents are registered with a GP. Records provided evidence that as well as visits from General Practitioners, district and specialist nurses, chiropodists, physiotherapists and dentist’s visit. Records of outpatient appointments show that visits to community and hospital health resources are enabled. The medication system is generally well managed; the inspector looked at storage and recording – controlled drug stock was checked against records and found to be correct The home uses a monitored dosage system, which is well organised and easily audited and administered from purpose built trolleys directly to the residents on a 1:1 basis. There were some gaps in the administration records this poses a risk to residents as medication may not have been given or 2 doses may be given in error. Disposal of unused medication is safe, well recorded and removed by a licensed contractor. Staff were seen and heard knocking on doors before entering rooms and were carrying out personal tasks in private. Staff observed in conversation with residents were heard to be courteous and respectful. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A limited range of activities within the home and community mean the residents do not have a range of opportunities to participate in stimulating and motivating activities. Residents are unaware of menu choices. The manager showed a good understanding of the areas of weakness and there is a good capacity for the service to improve. Residents are able to maintain contact with family and friends; visitors are welcomed into the home. EVIDENCE: During the site visit, some residents were seen sitting in the lounges; Others were seen spending time in their rooms, reading, listening to music, and watching television. Some effort is made by the home to find out resident’s life histories and interests these were seen documented in the person centred care Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 15 plans. The home does not provide a regular organised activities programme residents spoke of entertainers coming into the home and outings in a mini bus but said this had been last year. Staff were seen to spend some time in conversation with residents when able. The feedback about food was positive all of the residents spoken to said how good it was; Menu choices are not well advertised residents spoken to in the morning were unaware of what food was being served at lunch time. The staff member serving lunch could not inform the patient what the meal was when they asked. The people living in the home said they were happy with the visiting arrangements, visitors said they feel welcomed into the home visiting was seen to take place in the lounge and privately in residents own rooms. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives/friends know how to make a complaint, the manager takes complaints seriously. People are safe living in this home. EVIDENCE: The complaints procedure was found to be included in the document ‘statement of purpose’, which was situated in the entrance hall and in posters in areas of the home. Three people who had their care case tracked said they were aware of how to make a complaint and know who to speak to if they are not happy they said they would talk to ‘the manager or staff’. All confirmed they had nothing to complain about. Residents said they feel safe living in the home. A record of complaints is kept including investigation methods – statements and responses to complainants including any action taken. The policies and procedures seen, included information on adult protection and whistle blowing. Staff training records show that staff have recently received training on the protection of vulnerable adults. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 17 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, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally the environment is satisfactory the décor and furnishings are homely; there are areas of the home that would benefit from improvement. EVIDENCE: A partial tour of the home took place, not every bedroom was seen, but those that were looked homely and there was evidence that residents have been able to bring personal belongings with them in to the home. Those residents spoken to about their private accommodation said they like the décor in their own rooms and have everything they need. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 18 The furniture, furnishings and equipment in communal rooms appeared to be in good order. These rooms are clean, pleasant, fresh and warm providing an interesting and homely environment. A Passenger lift provides access to less mobile residents between floors, the interior door and floor are stained and a resident said it looked dirty and they did not like using it because of this. The lift lacks a hand rail and the instructions were difficult to follow further compounding those who wish to remain independent. Some equipment such as mobile commode chairs looked damaged and worn and some were rusty as were some bath hoists; these were due for a service at the time of the inspection and the manager confirmed this with the contractor during our visit. A cable containing frayed telephone wires was exposed on the 1st floor landing and a bowl was found on the floor for collecting water from the leaking roof. Cleaning products were found unattended on landings in the laundry and some bathrooms. Trailing leads in a ground floor passage provided a trip hazard. The cleanliness in the kitchen was not of a satisfactory standard and there were signs that areas needed a deep clean; shelves and beneath appliances had a build up of dust and grease on them. At the time of the site visit a door opening onto a steep set of steps leading to the basement was found locked but with the key in place and easily accessible. This posed a risk of serious injury if anyone fell down the steps. The risk has not been assessed. The rest of the environment was found to be largely odour free and hand wash facilities and disposable gloves were generally available through out the home. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is showing improvement and the management team has robust plans to improve staffing and training. This capacity to improve should result in better outcomes for people using the service. The homes recruitment practise does not fully protect residents from being placed at risk of harm or abuse. EVIDENCE: Three Personnel files were examined, one of these records showed a commitment to safe recruitment practises, the file contained a detailed application form, 2 written references, Criminal Record Bureaux check, health checks and main terms and conditions of employment. The manager confirmed the other two staff had been employed via an agency but was unable to provide evidence that the checks required had been performed. Individual training records (personal development plans) provided evidence that training is provided and ongoing. Staff spoken to on the day of the site Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 20 visit confirmed they received sufficient training to enable them to meet the needs of those living in the home. At the time of the visit 6 care staff were spoken to they confirmed that things had improved since the new manager had started and confirmed that equipment they had been requesting is now being provided. Records and discussion with all disciplines of staff show that the manager is committed to ensuring the homes employees obtain regular training/updates. The residents were complimentary about the staff team confirming their needs were met 24 hours a day. Comments received from clients included: ‘I am really impressed with the care and support that I am given here’, ‘the staff are kind and attentive’ Staff attitudes are perfect, they all try very hard’. Records and discussions and observation of practise confirmed that the numbers of care staff have increased since the last inspection this has assisted in raising the staffs’ moral and reflects on the improved standard of care being provided. The levels of ancillary staff have not increased this was evident through the poor standard of cleanliness in the kitchen and laundry and lack of organised social activities. Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements are meeting the needs of the service, and the quality of the service is improving. EVIDENCE: The new manager is an experienced 1st level registered nurse, has considerable management experience and has attained the Registered Managers Award. Patients, visitors and staff made positive comments about the manager in the home saying they felt comfortable approaching him with Issues. The Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 22 commission has received an application to register him as manager of this service. Communication systems are regular through staff handovers and regular staff meetings; minutes of these were seen and contained positive reassuring messages for the staff team. Each resident has a key worker and resident and relatives meetings are planned for 2007, as is a regular newsletter. Letters were seen that confirm residents and or their representatives have been invited to attend a meeting to discuss catering arrangements in the home. Improvements have been made in securing money held by the home on behalf of residents two signatures are required for every transaction and audits are carried out regularly by an external consultant employed by the provider. Maintenance and associated records provided evidence that the registered provider has a sensible approach towards maintaining the health and safety of residents and staff; the fire precautions logbook indicates that the fire alarm is tested weekly and emergency lights monthly. Records and discussion confirmed that the staff have regular training in fire safety and moving and assisting residents. Chollacott House DS0000064645.V325532.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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Chollacott House DS0000064645.V325532.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 OP1 Regulation 5(2) Requirement The registered person must supply a copy of the service users’ guide to each service user. Carried forward from 01/10/06 The registered person must not supply accommodation to a service user at the care home unless, so far as it shall have been practicable to do so, the registered provider has confirmed in writing to the service user that having regard to their assessment the care home is suitable for the purpose of meeting the service user’s needs in respect of their health and welfare. Carried forward from 01/09/06 Timescale for action 01/04/07 2 OP3 14 01/04/07 Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 25 3 OP7 15 Service user plans of care must be drawn up with the involvement of the service user, recorded in a style accessible to the service user; agreed and signed by the service user whenever capable and or representative (if any) Carried forward from 01/09/06. The registered person must ensure the health and well being of service users through the correct recording of medication in the care home. Carried forward from 01/09/07 01/04/07 4 OP9 13(2) 01/04/07 5 OP15 16(2) The registered person must 01/04/07 ensure that residents are offered a choice of meals at lunchtime. The choices must be communicated to them in written or other formats to suit their capacities, which is given, read or explained to enable them to make a choice. Carried forward from 01/09/06 To ensure the right to privacy and dignity and security is available to people being admitted to the home, the registered provider must fit locks to bedroom doors as and when the rooms become vacant. All people living in the home must be provided with lockable storage space for medication, money and valuables and be provided with the key which they can retain (unless the reason for not doing so is explained in the care plan.) Carried forward from 01/09/06 01/05/07 6 OP24 16(2) Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 26 7 OP29 19(1)(b) The registered person must not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of schedule 2. Carried forward from 01/09/06 All substances that could be hazardous to health (cleaning materials) must be stored securely when not in use. Carried forward from 01/09/06 01/04/07 8 OP38 13(4) 01/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP19 Good Practice Recommendations Service users should be given more opportunities for stimulation through leisure and recreational activities, which suit their needs, preferences and capacities. A plan to prevent risks to residents through dangers identified in the environment should be made this relates to exposed frayed wires and bowl catching water on the first floor landing and trailing cables and unlocked door leading to steep steps on the ground floor hall ways. The interior of the passenger lift should be cleaned/refurbished and a handrail should be considered to enable independence. 3 OP26 Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Chollacott House DS0000064645.V325532.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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