Inspection on 19/09/06 for Connaught Court Nursing & Residential Home

This inspection was carried out on 19th September 2006.

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 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

Connaught Court Nursing &... 29/08/08

Connaught Court Nursing &... 11/09/07

Connaught Court Nursing &... 07/03/06

Connaught Court Nursing &... 23/08/05

Connaught Court Nursing &... 19/01/05

Connaught Court Nursing &... 06/07/04

Connaught Court Nursing &... 15/03/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 Connaught Court Nursing & Residential Home St Oswald`s Road Fulford York North Yorkshire YO10 4FA Lead Inspector Ms Anne-Marie Foster Key Unannounced Inspection 19th September 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 Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.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. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Connaught Court Nursing & Residential Home Address St Oswald`s Road Fulford York North Yorkshire YO10 4FA 01904 626238 01904 611741 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) rmbi.org.uk Royal Masonic Benevolent Institution Mrs Nancy Gray Care Home 90 Category(ies) of Dementia - over 65 years of age (90), Old age, registration, with number not falling within any other category (90) of places Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 90 (OP) and up to 90 (DE (E)), no more than 15 of whom may require nursing care, up to a maximum of 90 Service users. 7th March 2006 Date of last inspection Brief Description of the Service: Connaught Court is a care home owned by the Royal Masonic Benevolent Institution. A maximum of 90 service users can be cared for at any one time. The home is only available for Freemasons or their dependants. The home has 4 residential areas for up to 65 service users, known as Ebor, Yorvik, Knavesmire and Fairfax. One of these is for service users with high dependency needs. A nursing area called Viking is provided for up to 15 service users. There is a self-contained area for up to 10 service users with dementia needs called Fred Crosland House. The home is situated in Fulford on the outskirts of York. Local amenities are available. The home has its own grounds which are accessible to service users. Weekly fees as at August 2006 range from £430.00 to £668. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over eight hours, excluding preparation time. Two inspectors conducted the inspection and were assisted by the home’s manager and her two deputies. The inspector gathered information about the home in a variety of ways, including this site visit. A pre inspection questionnaire was sent to the home to gather information about the services it provides. Fifteen questionnaires were sent out to the families of service users to seek their views about the home, and nine of these were returned to the inspector. Information from notifications received by the Commission of Social Care Inspection were taken in to account. Staff were spoken with, and were observed whilst carrying out their duties. The inspector spoke with the service users about their experience of living in the home. Service user’s care plans were examined, as were other relevant documents. A tour of the home was made including communal areas, service areas and service users’ rooms. What the service does well: The home provides good information to prospective service users in its service users guide and statement of purpose, which will help people in making a decision about moving into the home. A full time activities organiser is employed who arranges a variety of activities for the service users. The home has a robust complaints and protection system to help safeguard the service users. The home is purpose built, it is spacious and clean and service users enjoy a variety of seating areas, both inside and outside including the library, conservatories or lounges. The gardens are attractive and well maintained. The home benefits from a stable group of staff who know the service users well. A dedicated training officer is employed and staff have ample opportunities to attend a variety of training events. Good quality assurance systems are in place to seek the views of those using the service, so that the home can improve its service for those who use it. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.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. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.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 Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.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): 1,3,and 6 Quality in this outcome area is good. Service users needs are identified and assessed prior to admission, and no service user moves in to the home unless those needs can be met. This judgement has been made using available evidence including a visit to this service EVIDENCE: Good information is given to prospective service users. The service user’s guide and statement of purpose are clearly set out, which will help people to make an informed choice about moving into the home. The deputy managers or team leaders assess prospective service users needs prior to admission. This may involve seeing them in their own home or in hospital. The pre admission assessment forms were examined, and were found to contain useful detail, which then goes on to help staff in planning the care to meet the needs of the new service user. There is currently no provision for intermediate care. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 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 Quality in this outcome area is adequate. Service users live in a home where their needs are met, however further improvements to the care plans and medication administration should be made. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans at the home were examined and found to be good, and improvements had been made since the last inspection with regard to risk assessments and the wishes of service users upon their death. There were some areas that still need improving. Out of seven care plans looked at, six had not been reviewed monthly, this is necessary in order to update information and reflect any changing needs of the service users. Old information that was no longer relevant was still contained in the care plans; this could lead to confusion for staff and should be removed once no longer required. The medication administration systems over the three areas of the home were inspected. Generally, medication records were found to be satisfactory, Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 10 however the inspector found some controlled drugs that were no longer required in the drugs cupboard. These should have been disposed of in the proper manner. Also, in the drugs trolley one liquid medicine bottle was found to be sticky, so it had been wrapped in tissues, which had become hardened making the medicine label very hard to read. One nurse was seen to administer eye drops whilst the service user was sat in the dining room, with lunch on the table. Treatments such as this should be made available in the service users own room, in order to help maintain the individual’s privacy. Staff must adhere to the correct procedures relating to the administration, storage, handling and disposal of medicines in order to protect the service users from discomfort and risk. Service users are treated with dignity at the home. Staff were observed during the day and their interactions with the service users was noted by the inspector. Staff were seen to be patient and caring, they knocked on doors before entering and used the preferred term of address with the service users, and this helps to ensure that their dignity and privacy was respected. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 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 Quality in this outcome area is adequate. Service users live in a home that provides a variety of activities, however more could be provided for the less able individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a full time activities organiser. Service user’s interests are recorded and there are a variety of activities organised, for example exercise classes, minibus trips to York and the supermarket, crafts, bingo, coffee mornings, chapel services, speakers and quizzes. The service users in Fred Crosland house enjoy the activities that staff provide for example the inspector saw one person enjoying a memory card game with the carer. Staff here also report that skittles and the reminiscence room are popular at the moment. Whilst the activities were advertised around the home on pin boards, it was apparent that the less independent service users were unable to access this information. One comment card received by the commission also supported this view. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 12 One service user who is partially sighted had not seen the timetable and said they didn’t know “entertainment was laid on”. One service user who needs a wheelchair, and who has poor sight cannot read the posters on the board as they are too high up. Those that are less mobile are unable to access the information available and would need assistance, prompts and reminders about events from the care staff so that they are also able to enjoy a varied lifestyle, more choices and stimulating activities. Service users can have relatives or friends to visit as they wish and the home maintains good community contacts. The routines at the home are flexible, and service users told the inspector “ I can get up when I like”. Staff help service users to make some choices about how to spend their day, there are several lounges to sit in, plus a library, and service users were positive about the home “I have no complaints” “I have little to grumble about”. The lunch time meal was observed, in the main dining room the tables are well set out, with pleasantly arranged tables including nameplates and cruet sets. In Viking wing the tables are not as nicely laid out and there are no nameplates or cruet sets and service users sit in their wheelchairs to eat lunch rather than be transferred to a normal dining chair. Service users in Fred Crosland house were seen to enjoy their lunch, which was served in the pleasantly decorated and homely dining room. Staff were seen to be available to assist as necessary in each dining area. The meal of either belly pork or shepherds pie looked satisfactory. The medications are given out during lunchtime, which service users did not seem to mind, however one nurse was seen to administer eye drops whilst the service user was sat at the table with lunch in front of them. This poor practice is undignified for this individual, and could spoil the meal for them and other service users. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 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 in this outcome area is good. Service users live in a home where they are protected by a clear complaints policy and knowledgeable staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is posted on the wall and is included in the service user’s guide. Service users say they know how to make a complaint, and know that they will be listened to and the matter taken seriously. Staff spoken with also say that they are confident that any complaint they have will be taken seriously and acted upon and that the managers were approachable and ‘open’. The complaints book was inspected and the inspector found that all complaints that were recorded had been dealt with in a professional and timely fashion. The home has robust policies and procedures that relate to the protection of vulnerable adults. All staff spoken with were sure about how to report any suspicions of abuse. Staff also have recently attended their adult abuse awareness training and this, along with an open, clear complaints system will help to protect the service users from abuse. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 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 and 26 Quality in this outcome area is good. Service users live in a home that is well maintained and hygienic, but some areas were noted to need attention. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean, well maintained and its layout suits its purpose. Communal areas are spacious and service users rooms are of a good size, and set out in a comfortable and homely way. Fred Crosland House in particular has excellent décor, which is bright and light, but kept homely. Service users have individualised doors, which are more easily identifiable because of their colour, or symbolic picture, which is of benefit to those with dementia. This unit has a ‘reminiscence parlour’, which is set out in a typical 1920’s- 1950’s fashion. This is popular with service users and their relatives. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 15 The central kitchen was inspected and found to be clean, however the dry goods area has some missing panels from the ceiling that must be replaced. The grounds of the home are attractive and well kept, with a variety of seating arrangements available so that service users can enjoy the fresh air. Fred Crosland House has its own private garden area and courtyard, which service users, can access. The home and gardens are safe and well maintained, and this is of benefit to the service users. The home is kept clean and hygienic. In Fred Crosland House the service user’s rooms were noted to be very comfortable and tidy. They were well individualised with lots of photographs available for the service user to refer to. In Viking unit the rooms were noted to be less tidy particularly in those rooms where the service user was dependent and so unable to tidy their own things away. Some rooms appeared cluttered, with toiletries not cleared away from the morning activities. This could compromise the service user’s comfort. The laundry was inspected; the home has a large laundry, which is kept clean and organised by the laundry staff. Several commercial washing machines with sluice facilities, and tumble dryers are available, and the laundry staff report no problems except for when clothes are not labelled. The floor to the laundry is made of an impermeable finish. The ‘red bag’ system is used to deal with soiled laundry, and this is washed at 65 degrees or above. This all helps to reduce and control the risks of cross infection. The inspector noted that several wheelchairs were unclean and had splatters of old food on them; this was discussed with the manager, and has become a problem since service users do not use their own personal wheelchairs. The manager agreed that this needed addressing in order to prevent discomfort to the service users. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 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 Quality in this outcome area is good. Service user’s needs are met by the numbers and skill mix of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff complement at the home is good and staff said to the inspector “ yes there are enough of us”. Service users thought that their needs were met and one service user said, “ The call bell gets answered pretty quickly”. On Viking unit there were five staff available for fifteen service users in the morning and in Fred Crosland House there were three staff for ten service users in the morning. In all, the home employs well over one hundred staff. More than half of the care staff hold the National Vocational Qualification (NVQ) 2 or 3 certificate in care, (excluding qualified nurses) and the service users needs are met by the numbers and skill mix of staff. The recruitment system was inspected and found to be robust. Five staff files were examined. Each of these was found to contain the documents required by regulation, for example two written references, a Criminal Records Bureau checks and an employment history trail. The home operates a thorough recruitment procedure, and service users are supported and protected by this. The home employs a full time trainer. Staff say they are well trained and a comprehensive training timetable was available. Training takes place both in house and externally and staff reported to the inspector that they receive good amounts of training which helps the staff to be competent at their jobs. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 17 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): 31,33,35 and 38 Quality in this outcome area is good. Service users live in a home that is run in their best interests, however two areas relating to safety should be improved upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A well-qualified, experienced manager runs the home. Staff and service users said that she and her deputies provide an effective management team, and the home is well managed. There is a quality assurance system in place and the home actively seeks the views of the service users and their relatives and the results of these are collated and published. There are regular service users’ meetings in place where people can express their views about the home and how it is running. This continuous self-monitoring will help the home to both identify areas for Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 18 improvement as well as measure any success in meeting its aims and objectives and statement of purpose. The system for managing service users monies was inspected. The home uses a ‘pool’ system to store service user’s cash; records are in both paper and computerised form. Receipts are retained, and each transaction is recorded. Lockable facilities are available for those service users that wish to keep their own monies and service users financial interests are safe guarded. The staff receive a comprehensive induction training with particular regard to moving and handling, fire safety, first aid, food hygiene and infection control. More staff have completed their first aid training so that the home can ensure there is a qualified first aid person working each day, which was identified as a problem at the last inspection. Since the last inspection the home has purchased new ‘profiling’ beds for the service users that need bed rails. The bed rail is now incorporated and the home have no beds using separate bed rails at present. The home will retain its bedrail policy however, and also the maintenance man is to routinely check that the profile beds are kept in good order. Certificates that relate to the safety and maintenance of equipment and machinery were examined. These were found to be in good order for example; lift maintenance, portable electrical appliances and gas boiler service. A sample of the hot water temperatures were tested and found to be satisfactory. In these areas the inspector found the health safety and welfare of the service users and staff to be promoted and protected. The sluice doors were locked on the day; this was identified as a problem at the last inspection and has been acted upon. The kitchenette door however, on Viking wing was kept open over the lunch period and the room was left unsupervised. This was discussed with the deputy manager who said that the room is only open when in use, however the member of staff using this kitchen was serving lunch in the dining room. This room contains a water boiler for hot drinks, and dishwasher solution, which is a corrosive. The door was then closed for the rest of the lunch time period. This door should be kept locked if no one is in attendance, to prevent risks of scalding and chemical accidents to the service user and their families. Whilst the inspector was in the kitchen a member of the care staff team was observed walking through the kitchen without a protective coat. This practice happens regularly and should cease, so that any risks of cross contamination are reduced. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 19 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 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 2 X X X X X X 2 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 X 3 X X 1 Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 20 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 OP7 Regulation 15 (b) Requirement Timescale for action 01/10/06 2. OP9 14 (2) 3. OP38 13 (4) (a) Care plans must be reviewed at least monthly, and should be pertinent to the service users’ needs. Staff should adhere to the 01/10/06 home’s policy and procedure that relates to the safe administration, handling, storage and disposal of medicines. The registered manager should 01/10/06 ensure that all parts of the home to which service users have access are free from hazards; the kitchenette door on Viking wing should remain locked when not attended. Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP10 OP12 Good Practice Recommendations Staff should ensure that medical treatments for service users are given in the privacy of their own room. It is recommended that the activities programme is made available to all service users in a form that they can read. In particular that those people with disabilities have access to the advertised information, and/or are reminded, prompted, assisted as necessary so that they are more able to attend events according to their likes and dislikes. • The registered manager should review the lunchtime experience in Viking Wing in order to make it more pleasurable. The tables are not set out in the same pleasant fashion as the residential units dining room. • The administration of medication treatment should be saved for when the service user is in their own room. • Service users should be given the opportunity to sit in a proper dining chair at the table if they wish rather than sitting in a wheelchair. The ceiling panels in the dry goods area of the kitchen need to be replaced. The rooms of those service users who are dependant on staff should be kept tidy and free from clutter. There should be a routine programme for the cleaning of service user’s wheelchairs. Care staff should not walk through the kitchen unless authorised to do so. A protective white coat must also be readily available for care staff to wear if they are authorised to be in the kitchen. 3. OP15 4. 5. OP19 OP26 6. OP38 Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Connaught Court Nursing & Residential Home DS0000027959.V311187.R02.S.doc Version 5.2 Page 23 - 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!