Inspection on 31/07/06 for College House

This inspection was carried out on 31st July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

College House 15/07/08

College House 30/07/07

College House 24/01/06

College House 07/09/05

College House 08/03/05

College House 19/10/04

College House 11/02/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE College House 87 College Street Cleethorpes North East Lincs DN35 8BN Lead Inspector Stephen Robertshaw Unannounced Inspection 31st July 2006 09:30 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 College House DS0000002897.V295241.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. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service College House Address 87 College Street Cleethorpes North East Lincs DN35 8BN 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) 01472 693957 01472 351749 Maria.Gatt@ntlworld.com Mrs Maria Gatt Mrs Maria Gatt Care Home 19 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (19), Old age, not falling within any other of places category (19) College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 day care place for under 65 with presenile dementia Date of last inspection 24th January 2006 Brief Description of the Service: College House is a well established home situated in a pleasant residential area in the sea - side resort of Cleethorpes; it has good access to local amenities and public transport. The home is registered to accommodate 19 service users with residential care needs. Accommodation is provided on two floors; there is stair and chair lift access to the first floor. There are eleven single rooms and four shared rooms; three of the single rooms have en-suite facilities. The home has two lounges and one dining room; all rooms are decorated and furnished to a good standard. There are bathroom and WC facilities located on each floor. There is a pleasant courtyard area where service users can sit out. The home is well maintained and provides a pleasant, homely inclusive atmosphere. The home is owned and managed by Mrs Maria Gatt. The current fees for the home are between £329 and £367 per week. Additional costs are made to the service users for hairdressing and chiropody services, newspapers and personal toiletries. A copy of the Commission’s last inspection of the service was available at the home for service users and visitors to access. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was unannounced and the inspector was at the site for approximately seven hours. At the time of the site visit there were eighteen service users living at the home. The site visit was unannounced and took place on the 31st July 2006. The inspector was at the home for approximately seven hours. The evidence for this report was gathered through talking with nine of the service users, two visitors, four staff, the manager of the home and from the returned pre-inspection questionnaire, contact with service users’ social workers and through six returned staff, two service user questionnaires and one relative’s comment card. The pre-inspection questionnaire had been returned to the Commission before the site visit took place. The service users’ experiences at the home appeared to be very positive saying that all of their needs could be met there and it provided a safe, homely and friendly environment. What the service does well: All of the staff working at the home have the appropriate safety vetting before they begin to work there. This means that the service users are protected form abuse or exploitation at the home. The service users spoken to by the inspector said that they were very happy living at the home and that they did not need anything else. The individual care plans explain how individual needs should be met. This means that all of the care that they need is given to them. The service users have good access to professional healthcare workers to support their health needs this includes their doctor and hospital specialists. The records held in the home show how service users are supported to maintain contact with their family and friends. This helps them to settle at College House knowing that their family and friends are still in touch with them All of the staff that give out medication to the service users had had the proper training. This means that they should always get the right medication that is prescribed for them. The manager of the home is always available to the staff and the service users. This means that she keeps up to date with everything that is happening at the home. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. This means that the service users have a full assessment of their needs completed before they are admitted in to the home to make sure that the home can appropriately support their individual needs. EVIDENCE: The inspector looked at the care files for three of the service users that were living at the home. At the time of the inspection there were eighteen service users living at the home. Each care file that was observed by the inspector included a statement of their terms and conditions for residency at the home. This included the fees to be paid and the number of the room to be occupied. The files also included the funding authorities contract between the service and the service user. The home’s statement of purpose and service user guides were up to date and included all of the required information for the service users. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 9 The care files also included an assessment of the service users’ individual needs. The assessments were a combination of the homes pre-admission assessment and the needs assessments completed by the funding authority. All of the assessments that were observed had been completed before the service user had been admitted to the home ensuring that their assessed needs could be met there. The home has recently increased its availability for service users with dementia related problems. This was as a direct result of requests from the local authority to care for the needs of these service users. The home’s pre-admission assessments have improved in relation to the quality and content of the information that they hold. Service users’ weight is regularly recorded at the home as part of the ongoing assessment of their healthcare needs. The assessments included identification of individual needs in relation to sight, hearing and communication, mobility, history of falls, mental state and social interests including religion and cultural needs. The home does not provide nursing care however the assessments identified any nursing needs and how they could be supported through the home. The evidence provided both during and before the site visit supported that the home has the capacity to meet the assessed needs of the service users. Service user spoken to by the inspector supported this information. One service user said, “The staff are very good to me, I don’t need anything else.” Another reported, “The home is not like being in your own home but it provides everything that you need.” Several service users confirmed to the inspector that they had been given the opportunity to visit the home before they made a commitment to be there on a more permanent basis. The home does not provide intermediate care. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 Quality in this outcome area is good. This means that the service users care plans are appropriate to their assessed needs and they are evaluated on a regular basis. EVIDENCE: The inspector observed the care plans for three of the service users living at the home. The care plans could easily be correlated with the needs identified through the service users original assessments. The care plans include more detail than previously in relation to how the needs should be met. The care plans that were observed had all been signed in agreement by the service user or their representative. The care plans had also all been evaluated on a regular basis to make sure that the service users’ needs remained the same or that the home could continue to meet them appropriately. Two care management social workers spoken to by the inspector confirmed that they were invited to reviews of the service users’ needs at the home and that the home’s care plans were related to the care plans that they had developed before the admission to the home. The social workers stated that College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 11 the staff working at the home appeared to have a good understanding of how to meet the needs of the service users. The home does not provide nursing care, however individual care plans showed how service users’ healthcare needs should be met and who was responsible for meeting these needs. The care file information identified when service users had received any healthcare support from professionals that are based in the community. This included GP’s, District Nurses, Chiropodists and Psychiatrists. There are appropriate moving and handling systems in the home are these are regularly serviced and repaired. The home also promotes good tissue viability and any pressure areas are care planned appropriately. The assessment procedure also includes the nutritional needs for individual service users. The staff training programme includes specialist training in relation to the care of older people and associated dementia problems. The inspector observed the administration of medication to service users in the home. The staff followed all good working practice and legal guidelines. The training records in the home supported that the staff that administer medication have received appropriate accredited medication training. This ensures the safety of the service users and minimises the possibility of any errors in the administration of prescribed medication. There were no controlled drugs held in the home. All of the medication record sheets were up to date and were accurately recorded. The majority of medication in the home is provided through a local chemist in a monitored dosage system. Service users confirmed to the inspector that their privacy and dignity was respected at all times in the home. One service user said, “The staff always call me by my name and when I want to be on my own I can. Staff always knock on my door before they come in.” All of the care plans observed by the inspector included the last wishes of the individual service users in the event of their deaths. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This means that the service users’ daily lives at the home are well balanced and opportunities are provided for them to become involved in activities. EVIDENCE: The service users’ assessment of need and care plans showed that their social, religious and cultural and recreational needs are met at the home. Service users confirmed to the inspector that they ‘get up’ and ‘go to bed’ at times suitable to them. There is also the availability for the service users to choose which communal area they wish to use and where to sit in it. Adverts for activities were observed around the home. However several service users spoken to by the inspector stated, “There are activities but I don’t want to be involved in any of them’” The staff confirmed that to the inspector. Other service users said that they could attend religious services at the home if they wished to. Currently these are only Christian services as there are no service users in the home with any other religious or cultural needs. The College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 13 manager and staff confirmed that if service users had any different religious or cultural needs then these would be accommodated for through the home. Service users had a choice at meal times of what to eat and where to eat it. The inspector ate with a group of the service users. The mealtime was unrushed and the service users said that the meals at the home were ‘very good and tasty’. The meal was also well presented. The inspector toured the kitchen and found it to be very clean. The cook had received training in food hygiene and nutritional assessment. The cook is responsible for ordering all of the food stock for the home. The food stores were well stocked and the items were all within their timescales. The only special diets in use at the home were low fat or low sugar. One service user was identified as being on a peg feed system. The staff had received appropriate training to administer the food and medication through though this system. A district nurse oversees the regime for the peg system. Other service users care files showed that they had been assessed by a dietician to make sure that their dietary needs could be met at the home. Visitors confirmed that they can access the home at any reasonable time and that the ‘staff always’ makes them ‘feel welcome’. The inspector observed the interactions between the staff and visitors to the home and confirmed that these were very efficient, communicative and professional. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 Quality in this outcome area is adequate. This means that the service users are protected form potential abuse at the home but the visitors are not all aware of how to make a formal complaint to the home. EVIDENCE: There had been no formal complaints recorded at the home since the last inspection. The home has clear complaints procedures however some visitors were not aware of how to make a formal complaint they simply responded by saying that they would ‘speak to the manager’. Staff receive protection of vulnerable adult training provided through the local authority and through their NVQ training. Staff interviewed by the inspector were aware of what constituted suspected abuse to service users and the homes polices and procedures for reporting suspected abuse. They were also aware of the home’s whistle blowing policies and procedures. The home does not hold responsibility for any of the service users finances. These are maintained by the service users families or legal representatives. Eight service users are subject to the Power of attorney to protect them from ant financial abuse. The home has had no referrals to the local POVA team since the last inspection. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is adequate. This means that the environment is able to meet the needs of the service users. However there are some safety issues that need addressing. EVIDENCE: The home provides accommodation to the service users through eight single bedrooms of which three include en-suite facilities and four double bedrooms. The service users in shared rooms have signed agreement to share their rooms with the other service user. Several of the service users invited the inspector to look around their rooms. They were all well maintained and had been personalised to the service users personal tastes and preferences. This included small items of their own furniture, photographs, paintings and ornaments. A service user stated that this made it ‘feel like home’ and was ‘comfortable’. The home also includes six toilets, two bathrooms and three shower rooms. These are all in close proximity to the communal and bathroom areas. The College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 16 areas were all very clean and with the exception of one bathroom upheld the homes policies and procedures for the control of infection. One bathroom included two bars of soap that could cause cross infection if they remained there. The staff immediately removed these when the inspector pointed this out to them. A visitor to the home said to the inspector that it ‘always smelt clean and fresh’. Staff training records showed they receive infection control training and interviews with staff showed that they understand the homes infection control policies and procedures. The hallway, stairs and landing of the home have had a new carpet fitted to them since the last inspection. There is a clear maintenance and renewal plan for the home. The cupboard in the hallway that houses the electric meter and fuses was left open even though it had a lock on it. This could cause injury to the service users if they had access to it. There is a choice of communal areas for the service users to see their peers, family and friends. One of the smaller communal areas has been designated as a smoking area. Some of the service users stated that it was difficult to access the smoking area because you have to go down a step to it. The lighting and furnishings provided in the home are domestic in character. The home has not had an overall assessment of the premises completed by a suitably qualified professional. However individual service users’ case files showed that they had received individual assessments for their mobility and movement needs. The inspector observed the records for the maintenance of the call system, mobility aids, wheelchairs and hoists. These were all up to date and showed that the equipment in the home is well serviced and maintained. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 17 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 Quality outcomes in this area are good. This means that the staff are well trained to meet the needs of the service users and the selection process supports the protection of vulnerable adults from abuse. EVIDENCE: The manager of the home informed the inspector that she has recently increased the staffing hours at the home by an additional twenty hours per week to allow more one to one time with the service users and to enable more activities to be introduced to the service users. The pre-inspection questionnaire returned before the inspection showed that the home provides sixty fours hours per day at the home. That equates to 448 hrs per week. This is above the recommendations of the Residential Forum. The inspector observed the personnel files for four members of staff. Interviews with the staff supported that the home operates a thorough recruitment procedure that is based on equal opportunities. All of the staff personnel files observed by the inspector included an application form, two written references, interview records, POVA first and CRB information and personal identity documents. The induction training for the staff is provided through an external training provider and meets the requirements of the National Training Organisation. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 18 There was one member of staff under eighteen employed at the home. They do not provide personal care to any of the service users and no staff under twenty one are ever left responsible for the building. Staff training records identify that they receive all of the mandatory training required of them and also specialist training in relation to the identified needs of the service users including dementia training. In the past twelve months the staff have received training for fire, protection of vulnerable adults, manual handling, funeral awareness, mental health awareness, basic care, infection control and first aid. Training planned for the oncoming months includes mental health, protection of vulnerable adults, medication, NVQ 3 and health and safety. A training course has been identified f=through the local business link to deliver training to the staff in relation to ‘working with ethnic minority groups. Some of the training is repeated several times a year to ensure that all of the staff group have the opportunity to take part in the training. All of the remaining care staff are enrolled on the NVQ 2 award and are working towards the award. The manager maintains an ‘at a glance’ record of the training completed by the staff to make sure that they are up to date with their training requirements. The home’s pre-inspection returns showed that nine of the staff working at the home had completed NVQ 2. There are sixteen care staff working at the home therefore 56.25 of the staff have achieved the award. Three staff had also completed NVQ 3 in care. Funding for the NVQ courses has been supported through grants from the local authority. Staff interviews and training records supported the evidence that the staff receive in excess of the minimum three days paid training per year and all of the mandatory training is met by the staff group. If training is provided on staffs off duties then they are paid to attend the training. Outside professionals that have contact with the home that spoke with the inspector stated that the staff have the necessary knowledge and skills to care for the service users. The staff group at the home are fairly consistent and only two staff had left the service since the last inspection. A service user said that “there are always enough staff” at the home to meet their needs and the needs of their peers. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 19 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): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is adequate. This means that the management of the home supports the care needs of the service users however the homes quality assurance and monitoring system is not yet fully established. EVIDENCE: The manager of the home is also the registered provider. She has completed the Registered Manager’s Award and her NVQ 4 in care has been submitted for external verification. Staff interviews and returned questionnaires showed that there are clear lines of responsibility and accountability in the home. National Minimum Standard 32 continued to be exceeded. The management approach to the home is very open, approachable and inclusive. The service College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 20 users stated that they could speak to the manager at any time and that she ‘always listened’ to them. The quality assurance and monitoring system in the home has improved and a new system has been bought in by the management and will be implemented in the near future. The new system includes monthly questionnaires, an at a glance training plan for staff, and a training matrix. Service users and visitors spoken to be the inspector supported the quality of the services provided through the home. Although resident meetings are held at the home to enable them to air their views, they are very poorly attended by the service users. At the last inspection the home had a clear financial plan that demonstrated its financial viability and this included a maintenance and refurbishment plan for the financial year. At this inspection the plan was not available as it was being updated for the current financial year. Appropriate insurance for the home and the company was appropriate and was in place. Staff interviews and supervision records supported the evidence that the staff receive a minimum of six formal recorded supervision periods per year and their supervision includes the philosophy of care in the home, their actual practice and career development needs. The staff also stated that they are also regularly offered informal supervision as and when they require it. The records required by regulation were all seen to be in place and were up to date and were accurately recorded. The use of key worker contact with service users had improved since the last inspection. Staff spoken to by the inspector clearly understood the importance of clear recording of information to ensure that service users’ needs were being met. All of the appropriate health and safety requirements were met by the home. This included regular tests of the fire systems and up to date safety certificates for the gas and electrical safety systems. All of the moving and lifting equipment in the home was maintained and serviced on a regular basis. College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 3 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 2 17 3 18 3 1 3 1 3 3 3 3 1 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 4 2 2 3 3 3 3 College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 13 (4a,c) Requirement Timescale for action 01/08/06 2. OP21 OP26 16 (2j) The registered person must ensure that the cupboard containing the electricity meters are secured at all times to maintain the health and safety of the service users. The registered person must 01/08/06 ensure that all the bathrooms support the homes policies and procedures for the control of infection. 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 OP33 Good Practice Recommendations The registered person should make sure that the home has an effective quality assurance and monitoring system in position. This includes the implementation of the new system from September 2006. The registered person should make sure that the home has an up to date business and financial plan that is open to inspection. DS0000002897.V295241.R01.S.doc Version 5.2 Page 23 2. OP34 College House College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 College House DS0000002897.V295241.R01.S.doc Version 5.2 Page 25 - 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!