Inspection on 17/05/07 for Clova House

This inspection was carried out on 17th May 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clova House 28/07/08

Clova House 09/06/06

Clova House 03/10/05

Clova House 11/04/05

Clova House 18/11/04

Clova House 01/06/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Clova House 97-99 Clova Road Forest Gate London E7 9AG Lead Inspector Sarah Greaves Unannounced Inspection 17 and 19th May 2007 10:30 th DS0000041147.V337784.R01.S.doc Version 5.2 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 DS0000041147.V337784.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 Adults 18-65. 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. DS0000041147.V337784.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clova House Address 97-99 Clova Road Forest Gate London E7 9AG 020 8281 7413 020 8281 7452 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) Simiks Care Limited Ms Annette Ajufo Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places DS0000041147.V337784.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2006 Brief Description of the Service: Clova House is a care home for adults with mental health care and support needs, and Simiks Care Limited owns it. The service is registered with the Commission for Social Care Inspection to provide care and accommodation for to up to eleven people between the ages of eighteen and sixty-five. The premises are situated in a residential area of Forest Gate in Newham, close to public transport and other community amenities. Parking on the road is not restricted. DS0000041147.V337784.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over two days. The inspector arrived at the service on Thursday 17th May 2007 in order to conduct an unannounced inspection of the key National Minimum Standards. Information was gathered from reviewing the service’s compliance with previously issued requirements, touring the premises, checking medication, looking at policies and speaking to both the registered manager and the proprietor. The inspector visited the service on Saturday 19th May 2007, in order to meet residents that were not present at the time of the first visit. On this occasion, the inspector talked to residents and staff, read care plans and looked at health and safety documents. What the service does well: What has improved since the last inspection? Seven requirements and two recommendations were issued in the previous inspection report; six requirements and one recommendation were met. The service demonstrated that the needs of residents were more frequently reviewed via the care planning process and improvements were noted in both staff recruitment practices and staff formal supervision. The physical safety and comfort of residents had been improved through the provision of new mattresses and showerheads, and the service evidenced an annual monitoring of portable electrical appliances. The recommendations (review of staffing levels and new ventilation for the cooker) were also met. DS0000041147.V337784.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000041147.V337784.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000041147.V337784.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assured that their needs will be assessed and planned for before they move into Clova House. EVIDENCE: The inspector read the service’s Statement of Purpose and Service User’s Guide. It was noted that these documents stated that one of the staff is qualified as a social worker; the registered manager was advised to ensure that prospective service users and their representatives were clearly advised in writing that this member of staff is not employed within the care home as a social worker. The inspector read three care plans during this inspection. Each care plan contained satisfactory evidence to demonstrate that full multi-professional (medical, health care and social care) assessments were conducted prior to residents moving in for a trial period. Residents were provided with a clearly written contract, which they were requested to read and sign. Via discussions with residents, the inspector found that people were aware of their entitlements. DS0000041147.V337784.R01.S.doc Version 5.2 Page 9 DS0000041147.V337784.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents were identified and planned for, and confidentiality was appropriately maintained. EVIDENCE: A requirement was issued in the previous inspection report for the service to ensure that the needs of residents were reviewed at least once each year, or more frequently if there were any significant changes. The three care plans read by the inspector at this inspection visit demonstrated that reviews were being undertaken on a six-monthly basis. Concerns regarding the meeting of diabetic health care needs have been raised within this report. The residents were encouraged to contribute their views about the care home at the monthly residents meetings; the minutes for these meetings evidenced that discussions took place regarding issues such as activities, food and the premises (such as requests for new equipment). Information regarding how to contact advocacy services was displayed; the inspector was informed that none DS0000041147.V337784.R01.S.doc Version 5.2 Page 11 of the residents currently wished to engage the services of an advocate. The inspector observed that residents made choices about their daily routine during this inspection visit and the level of consultation with staff depended upon factors such as the current mental health needs of individuals. All of the residents were assigned a key-worker, which was a member of staff with specific responsibilities to support a resident. Key-workers maintained a formal written record of any significant discussions with residents. Each of the three care plans read at this inspection visit were noted to contain satisfactorily written and up-to-date risk assessments. Confidential information was stored in an office, which was kept locked when not in use. Staff were guided by a suitably presented confidentiality policy. DS0000041147.V337784.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to undertake fulfilling activities within their home and the wider community. Friendships and relationships are supported. Residents reported that their food is good; however, the menu plans need to demonstrate a balanced approach. EVIDENCE: The service organised activities for residents, such as a video club, swimming, cookery, current affairs discussions, dance and going out for walks in local parks. An ‘arts and entertainment’ outing was organised once a week to amenities such as cinemas, art galleries, historical places of interest and museums. Residents were encouraged to suggest activities at their monthly meetings. Residents were supported to take an annual holiday. Via discussions with residents and through speaking to the registered manager, the inspector found that residents accessed local facilities and activities for people with mental health care needs, which included DS0000041147.V337784.R01.S.doc Version 5.2 Page 13 opportunities for self-development, learning and relaxation within a therapeutic and supportive environment. The inspector spoke to a resident who had visited a relative; another resident joined this visit, which demonstrated that good friendships had been established. Another resident was supported to visit shopping, eating and cinema facilities that reflected their culture; a member of staff with the same culture accompanied the resident if required. Observations and discussions with residents indicated that a flexible approach was encouraged; residents stated that they popped out regularly to local shops, cafes, the library and a sports venue. The inspector witnessed residents being encouraged to visit relatives, in accordance with resident’s own expressed wishes. The service’s visiting policy welcomed visitors; any restrictions would be subject to consultation with the resident and discussions with relevant professionals. The inspector was satisfied that residents were supported to enjoy their entitlements, such as voting, attending places of worship of their choice and fulfilling long-standing roles within their own family and/or community. Specific examples have not been recorded within this report in order to maintain the confidentiality of residents. The inspector found that there was a good choice of fresh fruits and snacks available for residents. The menu plans viewed by the inspector did not always specify the main ingredients used for meals (for example, the type of meat or poultry used in a casserole or stew); therefore the inspector could not determine whether menu planning was balanced. The inspector was informed that all of the residents had agreed that they were happy to have Halal meat; however, one resident informed the inspector that they would like to be offered pork. The inspector observed residents getting involved with food preparation; one resident confirmed that they liked to cook. The inspector was informed that there was an allocated day for residents to prepare meals or bake (with support from a support worker/cook, as required), although some chose to engage in this activity more frequently. DS0000041147.V337784.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Via discussion with the registered manager, the inspector was informed that none of the residents required physical assistance with their personal care; however, some residents were stated to need prompting and encouragement. The individual personal care preferences and needs of residents were recorded in their care plans. The inspector noted that residents chose to have a bath or shower at various times during the day, in accordance to their own wishes. It was observed that the hot water temperature had become noticeably lukewarm at 16:10 on the first day of this inspection; the registered manager was advised of this finding and asked to investigate. One of the care plans read during this inspection addressed the health care needs of a resident with diabetes; the inspector was informed that three residents have been diagnosed with diabetes. The inspector noted from the care plan that staff were instructed to either undertake a blood test or undertake a urinalysis test if they were concerned that the service user’s blood DS0000041147.V337784.R01.S.doc Version 5.2 Page 15 sugar levels were too low. No evidence was provided to verify that staff had received training in these tasks from the Primary Care Trust. The inspector spoke to a senior care worker regarding blood sugar levels; the member of staff was not able to correctly identify this information. The registered manager was advised to promptly liaise with community nursing services in order to provide staff with appropriate training for the care of people with diabetes. The inspector found that the care plans for people with diabetes contained nutritional information that did not correspond with current guidelines. The registered manager was advised to seek advice from the community nursing services. Via the reading of the care plans and through discussion with the registered manager, no other issues of concern were identified in regard to the residents’ access to health care. The mental health care needs and general health care needs of each resident were discussed at their Care Planning Approach meetings, which occurred annually or more frequently. These meetings were attended by the resident (and their supporters, if applicable), representatives from the care home and external medical, health care and social care professionals. The inspector noted that the minutes for a Care Planning Approach (CPA) meeting stated that the resident had a different diagnosis to the diagnosis recorded by the service; the minutes also incorrectly referred to a member of the home’s care staff as being the ‘named nurse’. The registered manager was advised to inform the CPA administrator of these errors to avoid any unnecessary confusion. The inspector checked the care home’s storage of medication and the medication administration records. It was observed that white correcting fluid had been used to amend an entry to a medication administration record; a requirement has been issued in this report in regard to this unacceptable practice. It was noted that a medication that needed to be discarded within twenty-eight days of opening had not been labelled with the date of opening and the required date for disposal; although this was rectified during the inspection, a recommendation has been issued in this report. The inspector looked at the care home’s policy for meeting the needs of people who are terminally ill. It was noted that this policy had not been updated since May 2004; the registered manager was advised to review this policy, taking into account the Department of Health’s ‘End of Life ‘ guidance. The current policy contained an ambiguous statement regarding staff administering intravenous therapy; the registered manager was advised to amend this as such treatment would not be given by staff within the home. DS0000041147.V337784.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector looked at the service’s complaints procedure, which was satisfactorily written. Via discussions with residents, the inspector found that people felt confident about raising any concerns or complaints with the registered manager. Residents stated that they would speak to their families and/or their social workers if they were not satisfied with the registered manager’s response. The service produced a satisfactorily written Adult Protection procedure and staff had received training in relation to the protection of vulnerable adults. Written guidance was provided to staff regarding how to whistle-blow if they were concerned about practices within the care home. DS0000041147.V337784.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A requirement was issued in the previous inspection report for the service to ensure that the front door is kept closed. At the last inspection, an inspector was concerned to find that the main door was wide open when she arrived. At this inspection, the inspector was able to also walk into the premises as the front door was left open. On this occasion, a member of staff had left the front door open. This requirement has been repeated in this report. Requirements were also issued in the previous inspection report for the service to renew its stock of mattresses and to remove the lime scale from the showerheads; these requirements had been met. The following observations were made during a tour of the premises: 1) An unsecured ladder was left in the garden DS0000041147.V337784.R01.S.doc Version 5.2 Page 18 2) The enamel was peeling on a communal bath 3) The kitchen needed to be cleaned. Food containers in an unhygienic condition were found in a kitchen cupboard. These findings indicated a pattern of accumulated untidiness, rather than the outcome of staff having not cleared up after one or two meal sittings. 4) There were loose bricks lying in the rear garden. These observations were pointed out to the registered manager. A recommendation was issued in the previous inspection report regarding effective ventilation for the cooker. This recommendation had been addressed by the service. The inspector noted that residents had personalised their bedrooms, in accordance to their own wishes. However, there was limited evidence of the service providing ‘homely’ touches to the communal areas such as the bathrooms, toilets, corridors and lounges. This observation was discussed with the registered manager. The inspector recommended that the premises would benefit from being decorated with different colours, more paintings, plants and decorative additions. The home was clean and free from any offensive odours, apart from the previously stated lack of cleanliness in the kitchen. DS0000041147.V337784.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector looked at two staff files in order to review staff training, recruitment and supervision. Staff received mandatory training (such as induction, food hygiene, Adult Protection and first aid) and training specific to the needs of the residents (such as ‘challenging behaviour’ and ‘assessing and managing risks’). Staff accessed National Vocational Qualifications in Care and the service possessed a training plan. As previously identified within this report, the knowledge and training for staff to manage the needs of residents who have diabetes needs to be reviewed and addressed. A recommendation was issued in the previous inspection report for the service to review its staffing levels. This recommendation has been deleted as the staffing levels appeared to be satisfactory at the time of this inspection. A requirement was issued in the previous inspection report for the service to ensure that a check has been made with the Criminal Record Bureau prior to appointing staff. At the time of this inspection, there were no new staff and all DS0000041147.V337784.R01.S.doc Version 5.2 Page 20 staff had a Criminal Record Bureau check. A member of the domestic staff at another home owned by Simiks Care Limited had been appointed as a ‘trainee care worker’ at Clova House; however, there was no evidence of the interview notes for the current position and the two references seen by the inspector had been obtained for employment in the original domestic position. The inspector was informed that the interview notes were held at head office and a good practice recommendation has been issued for the service to obtain a reference from the other Simiks care home (to provide a more recent opinion regarding the candidate’s suitability to work with residents with mental health care and support needs). A requirement was issued in the previous inspection report for the service to ensure that all staff received a minimum of six formal one-to-one supervisions each year. The supervision records seen by the inspector demonstrated that staff now received regular supervision (every other month). The inspector noted that staff meetings were also held every other month. DS0000041147.V337784.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager demonstrated that the service had achieved clear improvements since the last inspection, which has been evidenced through the care home meeting six out of the seven requirements and both of the recommendations. The inspector found the registered manager to be knowledgeable about the mental health, social and recreational needs of the residents; however, there is a need to improve upon how the service meets health, safety and environmental needs. The service undertook quality assurance surveys, which sought the views of residents, relatives, social services and health care services. The surveys DS0000041147.V337784.R01.S.doc Version 5.2 Page 22 indicated that residents and other stakeholders were generally pleased with the service provided. The service appeared to be responsive to suggestions for improvements from residents. The inspector noted that the registered provider undertook monthly- unannounced monitoring visits (and produced a written report), as required by the Care Homes Regulations. A requirement was issued in the previous inspection report for the service to produce evidence of valid portable electrical appliances testing; this requirement was found to have been met. The inspector checked the following health and safety practices, which were found to be satisfactory: 1) Electrical installations by a competent person 2) Landlord’s gas safety certificate 3) Weekly testing of the fire alarm points 4) Fire evacuations 5) Fire risk assessments and 6) Employers liability insurance. During the kitchen tour, the inspector observed that an opened carton of fruit juice that needed to be refrigerated had been locked in a food cupboard by a member of staff. The refrigerator contained another opened juice carton and an opened jam; both items had not been labelled with the date of opening. DS0000041147.V337784.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 Adults 18-65 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 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 2 3 X 3 X X 2 X DS0000041147.V337784.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA17 Regulation 17(2) Requirement The Registered Manager must ensure that there is sufficient details recorded on the menu plan to enable any person inspecting the record to determine whether the diet offers balanced choices in order to meet the nutritional and health needs of the residents. The Registered Manager must ensure that the water is of a suitable temperature to enable residents to bath/shower at a time of their convenience. The Registered Manager must ensure that staff receive appropriate training and information to meet the needs of residents who have diabetes. Care plans must be amended to reflect any changes of practice. The Registered Manager must ensure that staff comply with the service’s own medication policy and refrain from altering entries with white correcting fluid, so that the safety of residents can be fully monitored. The Registered Manager must ensure that residents are provided with a safe and secure DS0000041147.V337784.R01.S.doc Timescale for action 31/07/07 2. YA18 23(2)(p) 30/06/07 3. YA19 18 31/08/07 4. YA20 13(2) 30/06/07 5. YA24 13(4) 30/06/07 Version 5.2 Page 25 6. YA24 23(d) 7. YA24 23 8. YA24 23 (d) 9. YA42 13 (4) rear garden, to prevent any accidents and injuries. The Registered Manager must ensure that the kitchen and kitchen utensils are kept clean, to promote the safety and welfare of residents. The Registered Manager must ensure that the front door is kept closed, in order to protect residents from intruders. This is a repeated requirement. The Registered Manager must ensure that the baths are maintained in a good condition, in order to promote the dignity, comfort and safety of the residents. The Registered Manager must ensure that food items that require refrigeration are stored in the refrigerator and opened food items must be labelled with the date of opening. 30/06/07 30/06/07 30/09/07 30/06/07 DS0000041147.V337784.R01.S.doc Version 5.2 Page 26 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 YA1 Good Practice Recommendations The reference to a member of staff’s social work qualification within the Statement of Purpose and Service Users Guide needs to clarify that this person is not employed within the care home in a social work capacity. Medications that need to be discarded after 28 days (such as ear and eye drops) should be marked with the date of opening and the date for disposal. The policy addressing the changing needs (terminal care) of residents should be updated. The home should provide homely decorations in the communal areas. The home should seek relevant and updated references in the event of Simiks Care Ltd non-care staff applying for care positions. 2. 3. 4. 5. YA20 YA21 YA24 YA34 DS0000041147.V337784.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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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