Inspection on 04/10/07 for Dawes House

This inspection was carried out on 4th October 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 but made no statutory requirements on the home.

Other inspections for this house

Dawes House 04/05/06

Dawes House 14/12/05

Dawes House 15/12/04

Dawes House 29/07/04

Dawes House 24/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

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

CARE HOMES FOR OLDER PEOPLE Dawes House 6 Bramlands Close London SW11 2NS Lead Inspector Louise Phillips Unannounced Inspection 4th October 2007 10:00a 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 Dawes House DS0000010185.V352226.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. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dawes House Address 6 Bramlands Close London SW11 2NS 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) 020-7223-5002 020 7223 3957 locardiam@servitehouses.org.uk Servite Houses Locardia Munikwa Care Home 29 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (6), Old age, of places not falling within any other category (29) Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Dawes House is a care home providing personal care for 29 older people, including up to six people with a mental disorder, excluding dementia. The service is owned and managed by Servite Houses. The home is situated on a residential estate and is within easy reach of Clapham shopping centre. There is good access to public transport links and the home is located very close to Clapham Junction railway station. Dawes House is a purpose-built two storey building divided into three units. Each unit has it’s own lounge, kitchen/dining area, quiet lounge, bathrooms and toilets. The two floors are served by a lift. Residents are able to utilise the large communal lounge on the ground floor and the secluded garden adjacent to this. The most recent CSCI inspection report and information about the service are available in the reception area of the home. The fees charged by the home are: £485.85 per week for those residents funded by Wandsworth local authority £538.58 for privately funded residents. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of a couple of days. One day was spent at Dawes House talking to the manager, seven staff, five residents and viewing paperwork. A tour of the premises was carried out and care records were inspected. Other time was spent seeking clarification from the Responsible Person over some areas that arose from the inspection, and some of these are referred to in the report. Time was also spent gathering information from the inspection record for the home and from surveys that were sent to eleven relatives, seven healthcare professionals and ten staff. These were received back from two relatives, one professional and five staff only. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 6 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 Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. The residents are well assessed prior to moving to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of residents were spoken to throughout the day. Each has lived at the home for varying amounts of time and all said they enjoyed living there. One resident who had moved there recently said that they felt they had sufficient information before choosing to move to Dawes House. Copies of the Service Users and Statement of Purpose were observed in residents bedrooms and in the hallways on each unit. The file for a resident recently admitted to the home was examined. Findings indicate that the home has a good process for assessing and admitting new residents, with appropriate referral information being sought from the social worker, psychiatrist or other care professionals as necessary. At the time of Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 8 the inspection the manager and acting assistant manager were spending time away from the service carrying out a joint assessment of a potential resident who was in hospital. Intermediate care is not provided by the home. Dawes House DS0000010185.V352226.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. The residents’ needs are met through attention to individual needs, preferences and care planning. Some improvements are needed to ensure that medication is stored securely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Feedback from relatives is that they generally feel that their relative gets a good level of care, given at the residents own pace, with one commenting that: “…the residents do not appear regimented in any way...”. The care files are well organised, and it is easy to access relevant information about the care and support needs of each resident. Six care plans were looked at during the inspection. These are in a good format, covering significant areas such as independence, washing and dressing, sexuality and strengths and limitations, plus all activities of daily. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 10 Each file contains a summary of the typical daily routine for each resident. These are individualised, stating such things as: ‘likes to have cup of tea before wash’, their favourite television programme and what time they like to go to bed. There is also a brief life history for each resident. The information is detailed, indicating that staff know the residents well and take time to find out about them as individuals. However, the care file for one resident on Edinburgh unit stated that they should have ‘mainly diabetic meals’ though there was nothing in the residents care file to indicate why this was necessary, and there was no care plan to detail this. The record-keeping in the daily log is much improved throughout the home, with staff now writing much more details about what each resident has done, eg ‘ (resident) did own washing/ dressing’ and ‘(resident) spent time with (other resident)’ and ‘took part in painting’. Further work is needed to ensure that each residents’ wishes regarding the event of their death is recorded, as these were incomplete. One example of this is where a resident had been at the home since 2002, yet there was no record of what they would like to happen when they die. The home maintains in each residents care file a record of all healthcare appointments and health professional visits to the home, such as the dentist, chiropodist, doctor and nurse. Residents said that if they did feel unwell the staff responded quickly to ensuring they were seen by a doctor. Each residents weight is monitored monthly and care plans are in place to detail any lifting and handling requirements of the resident, also highlighting what they resident is able to do for themselves. Medication at the home is managed well, with appropriate storage and monitoring systems in place to ensure that this is given correctly. All staff who give out medication have received training on how to do this safely. A record is also kept of staff checking that all medication has been given, as prescribed, prior to the end of their shift. On two units it was observed that the keys to the medication cabinet were either kept in a drawer, or in the lock to the cabinet, even when it was not being used. It is important that these keys are kept on a staff member, or in a locked area when not being used. Dawes House DS0000010185.V352226.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. Individual and external activities for residents are limited by staffing levels. Meals cater for varying cultural lifestyles, though residents should be offered the opportunity to be involved in cooking and baking. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the last inspection a requirement was made to ensure that appropriate records are maintained of all activities that residents are involved in. The records for these were examined on each unit and although recording of activities has improved, these still need to be developed, and consistently throughout the home. This is because the activity file on one unit details activities done throughout the week, such as quizzes, exercise to music, bingo, painting and board games, though this needs to provide more information about what actually happened during the activity and for how long. On one unit the records were blank for five days prior to the inspection. The requirement has been restated. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 12 Any activities detailed also appear to be done on a group basis, with no oneto-one activities evidenced. Staff spoke about a ‘clothes party’ that had occurred, though there was no evidence that residents are encouraged to go out of the service to purchase clothes from where and when they like, as an alternative to this. It was observed that better use is being made of the large lounge on the ground floor, with this having a new television and music centre. The manager stated that group activities tend to take place in this area, and board games were occurring on the morning of the inspection. Feedback from relatives is that they would like to see more activities occurring at the home, particularly residents being taken out. Staff also echo this, saying that they want to take residents out on a more individual basis, but are unable to, one commenting that: “…there is not enough staff to do the work and take residents out…”. The staffing of the service is that there is one staff member on each unit, to care for nine/ ten residents, with one ‘floating’ staff member to provide support. The organisation must look at ways to increase staffing numbers to ensure that more activities can occur with the residents outside of the service. Feedback from relatives is that they are able to visit their relative whenever they wish, and that staff are always welcoming to them. Relatives also say that the staff are good at contacting them when any incident concerning their relative occurs at the home (eg. falls). When asked what needs to improve about Dawes House, one relative stated: “…more attention to particular dietary requirements…”. The manager stated that recent improvements had been made to the menu, with more Chinese and Caribbean meals added to cater for different cultural backgrounds of some residents living at the home. Residents are able to have breakfast when they wish, and one resident, who was eating an omelette at about 10:30am spoke about how she had just woken up, due to having a cold, and staff had just prepared her the breakfast. One relative did express concern that their relative might not understand what is being offered on the menu each day, and it is recommended a more accessible format of menu is used, other than just written. Consideration should also be given to making better use of the kitchenettes on each unit, with more individual meals prepared there, with the involvement of residents, and the kitchenettes being used for baking sessions with residents. Dawes House DS0000010185.V352226.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. There are appropriate policies and procedures for dealing with complaints. However, the reporting and notification of incidents must be improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a complaints procedure that is provided in the Service Users Guide and Statement of Purpose for the home. Relatives said they would raise any areas of concern with the manager. Staff said that they do try and answer concerns, and if they are not able, they refer them to the manager. The manager maintains a log of all complaints received, along with all actions taken and any correspondence relating to these. Staff records indicate that they have received recent training in elder abuse awareness and safeguarding adults, so to minimise risks to residents. A number of incidents had occurred at Dawes House since the last inspection. The CSCI had not been informed about these in the required time period. One of these was a potential Safeguarding Adults issue. These issues were raised with the Responsible Person for Servite Houses, and a requirement has been made to ensure that appropriate reporting and notification procedures are carried out immediately following any incident. Dawes House DS0000010185.V352226.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24 and 26 Quality in this outcome area is adequate. The staff and residents make the environment welcoming, however improvements need to be made to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One relative commented that: “…from what I have seen there appears to be a caring ethos applied to all residents…”. When asked what could be better about Dawes House one staff member stated: “…provide modern homes and modern facilities to use…pull the building down and put a modern one as there is a lot repairs always…”. A relative similarly stated that Servite Houses should: “…update the home to modern standards…”. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 15 The previous inspection required that the walls in all hallways on the first floor be redecorated to a good standard. It was observed that these walls had been repainted to make the environment much brighter and comfortable. There was new flooring in some areas and some of the toilets had been decorated with pictures to make these rooms more homely. There are a number of issues (below) concerning the environment that were identified during the inspection, and need to be addressed by the service: • The fire exit on Richmond unit – the steps leading down to the pavement need clearing of weeds, and one step is in need of repair. The service also needs to address the broken pavement at the bottom of the steps with Wandsworth Local Authority. Consideration should be given to putting closed circuit television (CCTV) in this area, as the exit leads out onto road and staff said sometimes homeless people sleep on the steps, therefore blocking the fire escape route. The fire door needs to be made good as it is stiff to open and close. Consideration should also be given to linking the opening of fire exits to the alarm system. Residents bedrooms – some bedrooms were observed to have no curtains and it is required that these are installed in all bedrooms. Telephones in lounge areas – it was observed that telephones are situated in the lounge are on each unit. One relative expressed concern about the distance that there relative is from the telephone when they phone to talk to them. On one occasion during the inspection a staff member was overheard talking to a healthcare professional, explaining the illness of one of the residents. Having the telephones in these areas does not promote confidentiality, or accessibility for residents, and the service should consider the installation of cordless phones. Edinburgh unit – carpets in communal lounge was observed to be stained and in need of cleaning. Walls in kitchen areas had dribble marks and in need of cleaning or re-painting. The hole in the skirting board beneath the oven needs to be made good. The television in room 105 needs repairing/ replacing as there is no picture present on the screen. Edinburgh unit and York unit – cleaning products stored in unlocked cupboards in the kitchen areas. These was addressed during the inspection by staff, though the service must ensure this continues. • • • • Dawes House DS0000010185.V352226.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. The service encourages staff to do training, to enhance the care of the residents, though there are not enough staff to ensure the residents needs are met at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Dawes House maintains a consistent staff team, most who have worked at the home for a number of years and have a good working knowledge of the residents, and working with older people. The home holds recruitment information on each member of staff. The staff files contain relevant information such as proof of identification, two references and Criminal Records Bureau check. All new staff are checked against the Protection of Vulnerable Adults (POVA) register to ensure they are suitable to work with older people. New staff receive an induction to the service which covers areas such as care issues, communication and health and safety procedures. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 17 A record is maintained of all training done by staff, which includes recent training in abuse awareness, care plan writing, and medication awareness. The manager stated that all staff are due to have in-house training in October 2007 on food awareness, first aid and moving and handling. Feedback from staff is that they are happy with the level of training they receive, and they are supported to do this by the manager. As highlighted earlier in the report, there is a shortage of staff to carry out activities with residents. One the day of inspection there was one staff member working on each of the units, and one ‘floating’ member of staff to provide additional support. Feedback from staff is that they feel there is usually enough staff to do the job, with one saying there is never enough, commenting that: “…one carer cannot give proper support to nine or ten residents…”, with another staff member saying: “…the organisations main concern is on paperwork…I want to care for the residents…”. The low staff numbers needs to be reviewed by Servite Houses as a matter of priority. This is due to the findings from this inspection, and particularly in light of a recent incident at the service. This is where a resident was left on the commode for a long period of time, and then injured themselves trying to get off this, where the manager stated that this occurred due to there not being enough staff to support the resident. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 Quality in this outcome area is good. The service is managed appropriately, and improvement need to be made ot the supervision of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the registered manager has left the employment of Servite Houses, and other managers have been covering this post, where there is currently an agency manager overseeing the running of Dawes House. The manager has a good awareness of areas of development needed to improve Dawes House, and demonstrated a good understanding of what was required to manage the service. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 19 Since the last inspection a new position of part-time receptionist has been implemented, which is much more pleasant, where you are now greeted by them when you arrive at the home. Quality assurance is carried out by the service through residents and relatives meetings. The manager also carries out an audit of the service monthly, ensuring that care plans, and staff supervision sessions are up-to-date. Visits by the Registered Provider are carried out monthly, and a report of the visit held at the service. The CSCI have not received copies of these reports for a number of months, and it is required that these are sent monthly following each visit. One-to-one supervision of care staff is carried out by the senior care staff who are supervised by the manager or acting assistant manager. The schedule detailing the frequency of supervision varies significantly, with some staff only receiving supervision every three or six months. Staff must receive a minimum of six supervision sessions a year, at regular intervals. The home holds a personal allowance for each resident that is funded by themselves, their family or through social services. This money is used for when a resident wants to go shopping or use the hairdresser, etc. Three residents cash balance was checked and found to correspond with the records and receipts. The cash is kept in an individual wallet for each resident, in the safe. The administrator explained that the company is an appointee for some of the residents. The home maintains records to demonstrate that appropriate health and safety checks are carried out on the fire system and equipment, fridge and freezer temperatures and water temperatures, gas safety and Portable Appliance Testing, etc. The home carries out health and safety risk assessments on the laundry, kitchen and COSHH (Control of Substance Hazardous to Health) products. On the day of inspection some COSHH cupboards were found unlocked and containing a number of COSHH products. This was dealt with by staff during the inspection. Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 20 Dawes House DS0000010185.V352226.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X 3 X X 2 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 2 3 3 Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement The Registered Persons must ensure that the care plans detail the actual needs of each resident. The Registered Persons must ensure that the keys to the medicine cabinet on each unit are kept securely at all times. The Registered Persons must ensure that full records are maintained of actual activities provided. (Previous timescales not met) 4. OP14 18 The Registered Persons must ensure that staffing levels are increased to enable more outside, and one-to-one activities to occur with residents. The Registered Persons must ensure that appropriate procedures are followed in the reporting and notification of any DS0000010185.V352226.R01.S.doc Timescale for action 30/11/07 2. OP9 13(2) 30/11/07 3. OP12 16(2) (m)(n) & 18(1) 30/11/07 30/03/08 5. OP18 37 01/11/07 Dawes House Version 5.2 Page 23 incident that occurs at the service. 6. OP19 OP24 23(2)(b), (4)(b), 13 The Registered Persons must ensure that all points raised on page 17 of this report are addressed within the timescale. The Registered Persons must ensure that there are appropriate numbers of staff on duty at all times to meet the needs of the residents. The Registered Persons must ensure that a report, following the monthly visit by the Registered Provider are supplied to the CSCI every month. The Registered Persons must ensure that staff receive a minimum of six supervision sessions a year, at regular intervals. 31/03/08 7. OP27 18(1)(a) 30/11/07 8. OP33 26(5) 30/11/07 9. OP36 18(2) 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP11 OP15 OP15 Good Practice Recommendations The Registered Persons should ensure that each resident’s wishes in the event of their death are recorded. The Registered Persons should ensure than a more accessible format of menu is used, other than just written. The Registered Persons should consider making better use of the kitchenettes on each unit, with more individual meals prepared there, with the involvement of residents, or them being used for baking sessions with residents. DS0000010185.V352226.R01.S.doc Version 5.2 Page 24 Dawes House 4. OP19 The Registered Persons should consider installing closed circuit television (CCTV) outside the fire exit on Richmond Unit to increase the safety of the residents. Consideration should also be given to linking the opening of all fire exits to the alarm system. The Registered Persons should consider the installation of cordless telephones on each unit. 5. OP19 Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Dawes House DS0000010185.V352226.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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