Inspection on 03/05/06 for Claydon House

This inspection was carried out on 3rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Claydon House 16/11/07

Claydon House 06/01/06

Claydon House 19/07/05

Claydon House 02/03/05

Claydon House 28/09/04

Claydon House 26/02/04

Claydon House 30/09/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Claydon House 8 Wallands Crescent Lewes East Sussex BN7 2QT Lead Inspector Linda Boereboom Key Unannounced Inspection 3rd May 2006 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 Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Claydon House Address 8 Wallands Crescent Lewes East Sussex BN7 2QT 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) 01273 474844 01273 486175 Claydon House Limited Rachel Bridget Bekaert Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is thirtytwo (32). Service users must be older people aged sixty-five (65) years or over on admission. That service users are admitted for residential care (excluding nursing) 6th January 2006 Date of last inspection Brief Description of the Service: Claydon House is registered to provide personal care and assistance for up to 32 Older People and has been owned by Caring Homes Ltd since March 2000. The building consists of a detached Victorian house has been extended to provide accommodation over four floors. It is situated in a quiet private drive on the outskirts of Lewes. Lewes town centre is approximately half a mile away and there is access to all main transport links and local amenities. There is limited parking space outside the home but unrestricted parking in surrounding roads, Wallands Park is within five minutes walking distance. Accommodation is comprised of mainly single rooms, with a shaft lift accessing all floors. There are two lounges and dining rooms and a conservatory which allows easy access to a sheltered garden. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 3 May 2006 and was facilitated by Rachael Bekaert the Registered Manager and Sue Turner the Regional Manager for Caring Homes Ltd. At the time of inspection there were twenty four residents, twenty three females and one male. The cost of residency varied from £324 to £700 per week. During the inspection that lasted for seven hours, the Inspector was able to speak to a group of approximately ten residents in the sitting room and four others independently. Two visitors, visiting a relative were also able to make their comments. Comment cards were issued to staff; residents and relatives, and the local GP surgery, however at the time of writing this report few had been returned. The home’s administration process was also looked at and discussed with attention paid to residents’ care planning, staff recruitment and training. The home had a calm, homely atmosphere and residents appeared well cared for with many enjoying their coffee in the main sitting room on the ground floor or the conservatory area at garden level. Feedback was given to the Registered Manager both during the inspection and at the end of the day. The Inspector would like to thank the staff and residents in the home for their hospitality and for helping to make the inspection a pleasant one. What the service does well: What has improved since the last inspection? Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 6 The requirements made in the last inspection report were discussed in full with the Registered Manager and the Inspector found that all had been addressed. Although there were issues that had arisen concerning the call bell system in the ground floor sitting room these were being overcome and plans in place to renew it completely. The Registered Manager has worked hard to integrate the home more within the community and residents are now able to enjoy increased communication with a home nearby that predominantly has male residents who visit for organised events and coffee. A local school also visits and joint working has been taking place for charity fund-raising, which involves both residents in the home and school children. Internally some carpets have been replaced that were highlighted in the last inspection report and where requirements were made concerning the food, the Inspector found at this inspection that the employment of new catering staff had raised the standard. 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. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 The quality outcomes in this area are good. Residents are only admitted to the home following a comprehensive pre-admission assessment and steps are taken to ensure they feel happy with their decision to move in. EVIDENCE: The Inspector spoke with the Registered Manager and Regional Manager about the pre-admission process and was told that all residents received an assessment during a visit to the home or in their place of residence at that time. Referrals are either made privately or through a Social Services department. Information is sought via relatives, a key-worker nurse in a hospital setting or a social worker. The Registered Manager stated that although Social Services referrals are very comprehensive she always makes an independent assessment to ensure the home is suitable for the prospective resident. The Inspector looked at pre-admission assessments and found them to include sufficient social, medical and care information. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9,10 and 11 The quality outcomes in this area are good. Care plans are well maintained with attention paid to monthly reviews. Residents are protected by the home’s medication procedures. EVIDENCE: The Inspector reviewed care plans of six residents and found them to be well maintained covering all aspects of social, psychological, physical and spiritual needs. Care plans had been reviewed on a monthly basis and the requirement from the last inspection complied with. The home has access to all healthcare professionals within the NHS framework; evidence was seen of district nurse and GP involvement in resident care; an optician and dentist can be accessed if required. Two residents spoke to the Inspector about visits received by them from district nurses to apply dressings. One staff member has been specifically trained by the local physiotherapy department to provide armchair exercises for residents. Residents spoken with by the Inspector said that staff treated them well and with respect. All said their medication was brought to them at the correct time and a doctor called if necessary, should they be unwell. The medication storage area was looked at by the inspector and found to be kept clean and tidy with no evidence of stockpiling. Records were in place for Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 10 returning unused medication to the pharmacy, controlled drugs and temperatures to the room and the fridge used for storage. Each resident had their own medication in stock and there were no shared creams or lotions. At the time of inspection no resident used controlled drugs, there was a lockable facility specifically for the purpose of storage of these in place. Each residents mar sheet (medication administration record) contained a photograph of the individual resident for easy identification. The inspector noted that where residents had refused medication, this had not been recorded appropriately; a requirement will be made in this report that this is addressed although the standard will be graded as a 3. The home has a process in place in the event of the death of a resident and the Registered Manager told the Inspector that staff are supported and encouraged to attend funerals to give them the chance to say goodbye to the resident. Relatives are able to visit the home and stay without restriction sharing the homes facilities when a resident becomes terminally unwell. If they choose to stay elsewhere the Registered Manager said that help is given in finding accommodation locally. In memory of one resident, a coffee machine has been bought for the residents’ sitting room and is used for coffee mornings to raise money for charity. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14 and 15 The quality outcomes for this area are good. Residents are able to take part in organised activities that are varied and interesting. Staff have taken steps to integrate the home and residents within the local community to improve their social contact. Food in the home is good and the proportions provided are suitable for the residents needs. EVIDENCE: The staff in the home have ensured that social activities for residents are interesting and varied. The Inspector saw the notice board in the main hallway advertising forthcoming events including a clothes party that took place on the day of inspection. Residents spoken with by the Inspector said they enjoyed a variety of activities including, knitting, armchair exercises, walks outside, cooking, knitting, gardening (growing seeds) and artwork. The home has an activities co-ordinator who currently works 17.5 hours a week and will be increasing time in the home to the allocated 25 hours a week. The umbrella company for the home provides a minibus one day a week to take residents out. On the day following the inspection a trip was planned to the coast to see the spring flowers and lambs. The home has linked with a smaller home nearby for visits for tea to enable residents to meet people locally and the Registered Manager said this has proved popular. In addition the home raised money for a local school and now works with them raising money for charity. Recently the school provided ferrets and joined in with a wildlife talk held at Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 12 the home. Joint working has also taken place through a talk on orchids and the children created posters for which the home provided posters for the best three. Residents, with the help of the activities co-ordinator, have created their first Claydon newsletter that, at the time of inspection, was being proofread prior to printing. The Inspector spoke with both the activities co-ordinator who was very proactive in getting residents to join in. Residents said they enjoyed activities and found them interesting and fun. Where one resident said she felt lonely, the Registered Manager stated she was aware and addressing the situation. The Inspector asked residents sitting together in the sitting room, about their bedtimes and getting-up times. All aid they were able to choose the times they went to bed and got up and all said they had enough baths each week. Residents who were asked said staff always answered their call bells quickly. Requirements were made in the last report relating to the food provided in the home however, since that report two new catering staff (a chef/manager, supported by a cook) have been employed and the situation has improved. One was spoken with by the Inspector who confirmed that there is a rolling programme of meals and information available from the home to add interest variety and nutritional advice. The Inspector saw that alternatives to the main menu were available and advertised on the notice board and observed a member of staff asking each resident their preference for meals on the following day and the size portions they each preferred. During conversation with residents the Inspector learned that they would like squashes available during the day in addition to the regular rounds of tea and coffee and water that is always available. Some said they no longer received the offer of nighttime drinks, these issues were discussed in full with the Registered Manager during feedback and a requirement will be made in this report although the standard will be graded as a 3. Comment cards returned after the inspection and conversations with residents during inspection supported that they enjoyed the food and portions were acceptable. Small preferences made by individual residents were fed back to the Registered Manager at the end of the day. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18 Quality outcomes for this area are good. The home has a complaints policy and adult protection policy in place and staff are aware of their responsibilities relating to the protection of residents in their care. EVIDENCE: Since the last inspection report there have been no complaints made directly to the Commission for Social Care Inspection and no incidences involving adult protection. One regulation 26 report sent to the Commission from the home did show an internal complaint and the Inspector was satisfied that this had been dealt with in-house in an appropriate manner. The Registered Manager deals with any complaints and refers on to the regional manager if necessary. The Registered Manager told the Inspector that she explains the process to all new residents and their relatives in person and then gives them the supporting information in the service user guide. The Inspector looked at staff records and found that staff had been trained in the protection of vulnerable adults as part of their induction. All staff receive yearly updates to support their existing knowledge. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 the following standard(s): 19,20,21,22,23,24,25 and 26 The quality outcomes for this area are good. Residents have a pleasant and clean environment in which to live with pleasant individual and communal areas. EVIDENCE: Requirements were made in the previous report relating to the condition of some carpets and the availability of the call-alarm system in the ground floor sitting room. Since then the home has replaced three of the carpets and a site engineer assessed the call alarm system and a purchase order made for the works to be undertaken and the old system, which is now obsolete to be replaced. The Inspector discussed the system with both the Registered Manager and Regional Manager and was assured this would be done. The new system will be tied in with the refurbishment of the ground floor of the building. Staff are in close proximity to the sitting room and the Registered Manager’s office situated nearby with the door open. Residents are able to use the system if they are mobile and the point was re-enforced that staff need to be vigilant in case a resident with poor mobility requires assistance. An Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 15 Occupational Therapist had inspected the building as required in the last inspection report; a copy was shown to the Inspector. Residents rooms visited by the inspector on a tour of the building were seen to be homely and well furnished, those on the lower ground floor being more inviting than those on the ground floor that are due for refurbishment. Refurbishment of the ground floor is planned; it was scheduled for 2005 but work commenced. The home has a maintenance person now employed who was spoken with by the Inspector. The conservatory to the home backs onto the garden and is accessible to residents by use of a walkway, however the grass had not been attended to and was very long. The maintenance person said the lawnmower required repair. A requirement will appear in this report to address this problem as the hazard to residents and staff prevents them from using the area. This issue was discussed with the Registered Manager during feedback. Residents told the Inspector that the upstairs bathroom had been out of action for up to a month due to a leak and a bucket was situated in the entrance hall to collect water, this was confirmed in comment cards received on the day. The Registered Manager said the estates department had been alerted. A requirement will be made that this is addressed and treated as a priority. The sitting rooms are comfortable and the large conservatory is also used as a sitting area, which gives access to the garden. This was a very light and bright area, comfortably furnished, with plants creating an open feel. Residents and relatives were seen to be using the conservatory during the inspection. Overall the home was clean and tidy, domestic staff having increased to three covering a total of sixty hours per week. All staff have access to protective clothing and the home has hygiene notices and training in place for health and safety, food hygiene, and COSHH (control of substances hazardous to health). Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The quality outcomes for this area are good. The home has sufficient staff on duty to meet the need of the residents who are suitably trained to ensure they are able to deliver knowledgeable safe care to residents. EVIDENCE: On the day of inspection the home had sufficient care, cleaning and catering staff on duty to meet the needs of the residents, only one resident reported that staff seemed ‘rushed’ and this was discussed with the Registered Manager during feedback. All residents said they were supported in getting up and going to bed at a time convenient to them and all said they were happy with the number of baths they were offered and the care provided. The Inspector spoke with the Registered Manager and Regional Manager about numbers of staff and was assured that they increase with resident occupancy and that agency staff for care were rarely used. The recruitment procedure seen by the Inspector was thorough and records looked at showed staff had been Criminal Records Bureau checked and the home had received two references, there was one exception relating to references where a member of staff was longstanding. Staff training is good and the Inspector saw evidence of this. The home has a mixture of internal and external trainers with a rolling programme in place for fire safety, moving and handling, first aid, food hygiene, health and safety, infection control, pressure area prevention, protection of vulnerable adults, cosh, and customer care (including all contacts). The Registered Manager is also a qualified trainer. The Inspector saw the training programme and matrix which was very comprehensive and included evidence of distance learning and attendance. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 17 A recent scheme piloted by the Regional Manager is taking place for residents and relatives to put forward staff names to be recognised for their contribution to the well being of the residents by ‘going that extra mile’. Some staff did return comment cards and issues raised in them were discussed with the Registered Manager prior to the draft report being sent out. Comments made inferred that staff had not received adequate training and instruction. These were all highlighted and the Registered Manager stated she would address them at the next staff meeting. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35 and 38. The quality outcomes for this area are good. The home is well managed ensuring the safety and security of the residents and staff. EVIDENCE: The Registered Manager is a Registered General Nurse with a specialty in orthopaedics, she also has a Bsc in nursing, the Registered Managers Award (RMA) and is an NVQ verifier. In March 2006 the Commission for Social Care Inspection registered her as manager of the home. The Regional Manager and Registered Manager explained the quality management systems in place to promote a good quality of care these included; monthly sample audits by the Registered Manager in medication, training, personnel, and clinical processes. This information is directed to Regional manager. The Clinical Director of the umbrella company undertakes an annual clinical audit. Six monthly, the Registered Manager undertakes a property audit. Questionnaires are sent to residents annually along with questionnaires to staff to gauge their satisfaction. Food surveys are also sent Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 19 out as an independent item. The Regional Manager stated she would be revisiting the food satisfaction survey to ensure continuation of improvements to the residents’ meals continues. The recent inspection report made a requirement that a copy of the annual accounts including a business plan were sent to the Commission for Social Care Inspection. The Inspector discussed this at length with the Registered Manager and Regional Manager who were unclear as to how specific this needed to be. Budgets were discussed and the Inspector told that these were set in October and reviewed in April. Home accounts are sent to the Regional Manager to be reviewed by the company on a quarterly basis. Any overspending/under spending is discussed between the Registered Manager and Regional Manager. The Inspector judged that the home has a procedure and process in place that keeps the home financially viable. Staff in the home do not have any involvement in residents pensions or fees. The Registered Manager has a residents allowance system in place that enables relatives or residents to leave a small amount of money in the home’s safe. Records were seen of possessions brought into the home by residents and the arrangements of the home are supported in the home’s service user guide. Each resident has lockable facilities available but are asked not to keep valuables in their individual rooms. The home has taken into consideration the health and safety of residents ensuring that requirements from the last inspection have been addressed. The Inspector toured the building and noted that safety signage is in place, radiators covered and window restrictors in place as appropriate. All electrical appliances are PAT tested. Records are now kept of water temperatures and staff have appropriate training as mentioned in section 6 of this report to ensure the health and safety of residents. The Inspector and Registered Manager spoke about fire safety and during the inspection the fire alarms were tested as routine. An external provider is used to train staff on management of the situation should a fire break out, this includes vacation of residents and a comprehensive contingency plan including how to deal with unwanted media intervention. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 20 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 X X 3 Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13(2) Timescale for action Staff administering medication to 05/05/06 residents to ensure that when residents refuse to take their medication this is recorded appropriately on the MAR sheet. Residents to have squash and 05/05/06 juices readily available throughout the day and the offer of night time drinks before going to bed. The leak in the first floor 31/05/06 bathroom to be repaired enabling the residents to resume using the facility and avoid inconvenience. Requirement 2. OP15 16(h J) 3. OP19 23(2)b Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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 Refer to Standard OP19 Good Practice Recommendations The grass to be kept short during the time that residents are likely to be using the garden area. Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex 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 Claydon House DS0000021410.V289421.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!