Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/12/07 for Denewood House Care Home

Also see our care home review for Denewood House Care Home for more information

This inspection was carried out on 3rd December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents move into Denewood House with assurances that the home is a suitable place where their needs can be met, to ensure this is wholly effective; the pre-admission assessment should be fully completed. The principles of care planning to meet residents needs are in place although attention is required to ensure residents health and welfare is protected. Residents confirmed a caring staff group treats them with respect and dignity and also confirmed that there is sufficient activity in the home along with visitors and trips out if they are able. Residents enjoy the meals that are served. Procedures are in place relating to adult protection and complaints in order that residents can be reassured that staff have the necessary knowledge to protect them and listen to any concerns. Denewood House is well equipped and furnished and residents are comfortable in their own rooms and in communal areas of the home. The numbers and deployment of staff is sufficient to meet residents needs and residents can be assured that staff are correctly recruited, staff training programmes are in place to ensure they keep up to date with the necessary skills required to meet residents needs.Although management systems are in place, these need reviewing to ensure the care home is run in the best interests of residents, where requirements have been made as a result of this inspection, these must be addressed.

What has improved since the last inspection?

There were no requirements of the last inspection.

What the care home could do better:

No resident can be accommodated at the home without a formal care plan with clear instruction for staff as to how care needs are to be met. The care plan must be written in consultation with the resident and/or their representative to ensure they are aware of, and kept informed of the arrangements for their care. All medicines must be properly managed to protect the health and welfare of residents and to ensure medicines are controlled in accordance with prescribed instruction.

CARE HOMES FOR OLDER PEOPLE Denewood House Care Home 12-14 Denewood Road West Moors Ferndown Dorset BH22 0LX Lead Inspector Jo Palmer Key Unannounced Inspection 3rd December 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Denewood House Care Home DS0000061333.V356249.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. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Denewood House Care Home Address 12-14 Denewood Road West Moors Ferndown Dorset BH22 0LX 01202 892008 01258 841255 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) Samily Care Ltd Mrs Caroline Anne Bleach Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Denewood House is a detached house in a residential area of West Moors, local shops, churches, pubs and a library are available close by following a level walk. The home is registered with the Commission for Social Care Inspection to accommodate a maximum of 21 older people. It is privately owned by Samily Care Ltd and managed by Mrs Bleach. The bedrooms are located on the ground and first floors. There are two double bedrooms and 17 single rooms. The home does not have a passenger lift but a stair lift operates to the first floor. Due to the layout of the home the service users are assessed on admission to determine that they are independently mobile. Public transport is available from outside the premises. The rear garden has seating available for service users; some of the rooms have patio doors opening out to the garden. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 3rd December 2007 between 10.40 and 14.55. Mrs Caroline Bleach, owner of Samily Care Ltd and registered manager for Denewood House was present and assisted with the inspection process. A new manager has been appointed and this inspection took place on her first day, this person will apply to become the ‘registered’ manager after her probationary period of employment at the home. The main purpose of this key inspection was to check that the residents living in the home were safe and properly cared for and to review the homes performance against the key National Minimum Standards The inspector spoke with four residents, three staff members and the owner/manager, took a tour of the premises and examined relevant records. What the service does well: Residents move into Denewood House with assurances that the home is a suitable place where their needs can be met, to ensure this is wholly effective; the pre-admission assessment should be fully completed. The principles of care planning to meet residents needs are in place although attention is required to ensure residents health and welfare is protected. Residents confirmed a caring staff group treats them with respect and dignity and also confirmed that there is sufficient activity in the home along with visitors and trips out if they are able. Residents enjoy the meals that are served. Procedures are in place relating to adult protection and complaints in order that residents can be reassured that staff have the necessary knowledge to protect them and listen to any concerns. Denewood House is well equipped and furnished and residents are comfortable in their own rooms and in communal areas of the home. The numbers and deployment of staff is sufficient to meet residents needs and residents can be assured that staff are correctly recruited, staff training programmes are in place to ensure they keep up to date with the necessary skills required to meet residents needs. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 6 Although management systems are in place, these need reviewing to ensure the care home is run in the best interests of residents, where requirements have been made as a result of this inspection, these must be addressed. 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. Denewood House Care Home DS0000061333.V356249.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 Denewood House Care Home DS0000061333.V356249.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. (Standard 6 is not applicable) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A pre admission process is in place, assessments are routinely undertaken to ensure that only residents whose needs can be met by the home are offered places there, although this assurance is compromised where there are gaps in information. EVIDENCE: Three resident care files were examined, of these, two contained recent preadmission information. A senior person from the home visits a resident prior to admission, or the resident visits the home. An assessment is made from information obtained to determine whether Denewood House is a suitable place for the person to move into, following this assessment, it was evident that the person is written to confirming the findings of the assessment and that Denewood House is an appropriate care home. Of the two pre-admission Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 9 assessments seen, the format provides for observations of all aspects of the persons health and personal welfare, in some instances sections of the form had been left blank resulting in an incomplete picture of the persons needs being available. One section of the form asks for details of the assessment process, including the source of information (whether the resident themselves or their representative) and the name of the person completing the assessment, these had been left blank. Denewood House Care Home DS0000061333.V356249.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. A systematic approach to care planning is in place in most instances providing staff with the information they need to meet the assessed needs of residents; where care plans are absent, residents are left vulnerable. Care records evidence that further systems need to be developed to ensure that care needs are met and reviewed appropriately. Medication systems are poorly managed and do not protect residents welfare. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Three resident care files were examined, one of these relating to a resident who moved to the home in September did not contain any form of care planning. Of the two care plans examined, detail was provided for staff in a manner that gave clear instruction regarding how they should meet residents Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 11 care needs in relation to their daily routines; these care plans were written respectfully and there was evidence that resident’s preferences were considered. Although space on the format was available, none of the care plans seen had been signed by the resident or their representative to indicate that they had seen the care plan and agreed with its contents. Care staff keep records relating to care provided, these generally provide a detailed account of the residents lives in the home, records are written respectfully and clearly. Concerns were noted however where a member of staff had made an observation in the records although there was no evidence of any follow up or conclusion, for example, one entry related to a visit by a district nurse who commented that the resident ‘must see the GP immediately and mobility must be limited’, there were no subsequent entries for this resident concluding the identified condition or indicating treatment. Another entry referred to bruising that was noted on a resident who also complained of pain, there was no record of investigation into this bruising or how it may have occurred. A locked cabinet holds all medicines securely in the home, this cabinet and records relating to the administration of medicines were examined. A monitored dosage system (MDS) of administering medicines is used, this is a system issued in 28 day blister packs by the dispensing pharmacist, the MDS packs are supported by medication administration records (MAR) where all medicines movement in the home is to be recorded. The system at Denewood house is not used properly, it was evident that medicines are not always used in order from the MDS packs and records are not always signed appropriately. Some tablets remained in the MDS packs although the records had been signed to indicate it had been administered, some records had not been signed although the tablet was missing from the blister pack. Examination of one residents daily care records stated that a tablet had been given to the resident in the bathroom, the tablet fell out of the residents mouth and was spoilt so another tablet was given, there was no evidence in the medication recording system as to where the second tablet might have come from. Some medicines are issued in the original containers as they are not suited to being stored in blister packs, of these tablets, there was no audit trail, it was hard to secure any evidence that these were being used in accordance with prescribed instruction. It was evident from examination of medicines that on one particular shift, medicines had not been given to any resident, the tablets remained in the blister packs and the records had not been signed. The Commissions pharmacy inspector has been asked to visit this home. Denewood House Care Home DS0000061333.V356249.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social care is considered in the home in respect of individual residents needs. Family and friends are able to visit at any time. Meals in the home are generally well accepted by residents who confirmed their dietary needs are met. EVIDENCE: Care plans are written for residents indicating the level of need in relation to their social, cultural and recreational activities, care plans were seen headed ‘decision making’, ‘handling affairs’, ‘communication’, ‘hobbies and interests’ and ‘relationships’. Records of care provided for residents include an activities sheet, these, for most residents were seen to include activities such as receiving visitors, attending a church service, having their hair and nails done and in some instances, going out with relatives. Meal times in the home are a social affair and residents were seen enjoying the midday meal in each other’s company, there was a lively ‘buzz’ in the dining room. Residents spoken with were content with the level of activity in the home and the provision of meals. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 13 Meals are provided using an eight-week menu plan, a set main meal and supper is available to residents and an alternative if the meal of the day is not liked or wanted. The menus showed the set meals to be varied with a range of traditional dishes. Breakfasts are served by individual choice. Stores of food in the kitchen were seen briefly and noted to be good quality produce, it was evident that fresh fruit and vegetables are used. Denewood House Care Home DS0000061333.V356249.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. With correct procedures in place, residents can be assured that any complaints raised will be addressed to a satisfactory conclusion. Adult Protection procedures are in place in accordance with Department of Health Guidance and local authority procedures meaning that any allegations of abuse should be managed effectively although reported incidents have not been notified to the Commission. EVIDENCE: A complaints file is held where any complaints received are documented; the record showed that a verbal complaint had been received; the record indicated how this was resolved. Caroline Bleach confirmed that no formal complaints had been received although was aware of the need to ensure full documentation is held relating to the complaint, its investigation and the outcome. Adult protection procedures are in place detailing for staff what action must be taken should any suspicions or allegations of abuse be reported, staff training files indicated that all staff have attended training in adult protection and discussion with staff evidenced that they were aware of the homes procedures Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 15 in relation to adult protection. During this inspection, Mrs Bleach indicated two incidents that had been reported to the adult protection team, there was no record held of the outcome of any investigation and Mrs Bleach has been advised to send copies of the referrals to the Commission and to chase up the outcome with the investigating teams. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Denewood House provides residents with a comfortable environment in which to live where they are safe, warm and have suitable facilities to meet their needs. EVIDENCE: Residents spoken with confirmed that they are comfortable in their rooms and are able to bring personal effects to make their space more homely. Bathrooms, showers and toilets are sited around the home, these provide suitable facilities, are clean and mobility equipment is installed and serviced as necessary. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 17 Radiators and hot surfaces are not guarded although risk assessments have been carried out for each resident to identify possible risks of accidental scalding. Where a risk is considered, an item of furniture is placed in front of the radiator to prevent the resident getting too close; a recommendation in respect of properly guarding radiators and hot surfaces is repeated. Mrs Bleach confirmed that valves have been fitted to hot water outlets to ensure water is not excessively hot; temperatures were not measured during this inspection although running hot water did not feel excessively hot to the hand. Communal areas of the home are pleasantly furnished and decorated and residents were seen to be making good use of these areas. The home was clean and well maintained at the time of inspection with no unpleasant odours; infection control procedures are in place. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 18 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. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are on duty to meet resident’s needs. Training is provided to staff in order that they have the skills and are competent to do their jobs. Safe staff recruitment practice is used. EVIDENCE: Staff rotas were not examined although it was confirmed that there were five members of staff on duty in the morning, four each afternoon and two at night; additionally there is a housekeeper and cook. Residents confirmed that staff are available when they need them. Five care staff employed are currently undertaking the NVQ level 2 award; four care staff have already attained the award. Four members of care staff are currently undertaking level 3 NVQ. Since the last inspection, the assistant manager has moved over to Samily Care Ltd’s other home, a new person has been appointed as manager for Denewood House (although not yet registered); this person has level 4 NVQ and the Registered Managers Award. Staff training records are unwieldy and would benefit from reorganising to assist in recognition of training needs and when statutory training becomes Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 19 due for updates. Mrs Bleach confirmed however that all staff have attended courses in the following areas: • Adult protection • Moving and Handling • Infection control • Food Hygiene • First Aid • Pressure area care • Medication Mrs Bleach confirmed that some staff are booked for updates of these courses. Staff files seen demonstrated appropriate recruitment. Application forms are used to recruit into vacant posts, applicants provide personal details as required in Schedule 4 (Care Homes Regulations) including work history and qualification, provide names of referees and sign a Rehabilitation of Offenders statement. References, POVA (Adult Protection) and Criminal Records checks are made before an applicant is successful and starts employment at the home. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst systems are in place for the effective management of the home, these systems are not always used to their best advantage and it was evident that some areas need substantial reorganisation to ensure they meet the expected standards. EVIDENCE: Mrs Bleach, registered manager and joint owner of Samily Care Ltd has appointed a new manager for Denewood House. This person will apply for registration as manager following a probationary period; in the meantime, Mrs Bleach remains the responsible person for the management at Denewood Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 21 House. This inspection has highlighted some areas where the management and organisation needs to be improved and requirements have been made in relation to this. Standard 33, although a key standard, was not inspected in any detail, the Commission for Social Care Inspection will be sending an AQAA (Annual Quality Assurance Assessment) to Denewood House on which it should measure its services against National Minimum Standards and prepare its plans for development. Mrs Bleach did confirm however that she has formulated questionnaires which have been sent to residents, relatives and visiting professionals in order to ascertain their views on the service, these have yet to be returned. Residents who ask for assistance with the management of their personal finances can be assured of effective systems with procedures in place to protect them. Examination of records and cash held on behalf of residents demonstrated that a residents income, expenses and balance is correctly held; cash held in the home is not excessive and is held securely. The home has a fire risk assessment that was reviewed in March 2007, Dorset Fire and Rescue Service last visited the home in March 2006. Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 23 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 14 Requirement No resident should be living at the home without a formal care plan identifying how assessed needs are to be met by staff. All care plans must be written in consultation with the resident or their representative and signed to indicate their agreement with the care planning approach. Where a resident’s health is noted to deteriorate or there is a change in a resident’s needs, action must be taken to seek professional advice regarding this and records must indicate the outcome of the consultation. A record must be held indicating the amounts of all medicines received into the home including the date and signature of the staff member responsible. Medicine records and audit trails must be regularly monitored, the outcome and action taken recorded to ensure that medicines are given as prescribed and accurately recorded. The medication policy must be DS0000061333.V356249.R01.S.doc Timescale for action 31/01/08 2 OP7 14 31/01/08 3 OP8 14 & 15 31/01/08 4 OP9 13 31/01/08 Denewood House Care Home Version 5.2 Page 24 updated so that staff have clear procedures to follow on all aspects of handling medication. 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 OP3 Good Practice Recommendations It is recommended that the home’s proforma for preadmission assessment is either reviewed or used in its entirety to ensure all the necessary information is obtained to make a full and informed assessment of need; indication should be given on the form of the source of information. Whilst it has been noted that any incidents relating to adult protection have been reported, it is recommended that the registered manager ensure that a record is kept on file indicating the outcome of any such investigation. It is recommended that all radiators and hot surfaces are guarded to prevent against accidental scalding. It is recommended that staff training records are organised in such a way that enables the registered manager to see, at a glance, which members of staff are due for updates on statutory training courses and to recognise gaps in training. 2 OP18 3. 4. OP25 OP30 Denewood House Care Home DS0000061333.V356249.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Denewood House Care Home DS0000061333.V356249.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. 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!