Inspection on 28/07/05 for Eagle House Care Home

This inspection was carried out on 28th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Eagle House Care Home 15/05/08

Eagle House Care Home 16/05/07

Eagle House Care Home 05/10/06

Eagle House Care Home 06/12/05

Eagle House Care Home 17/01/05

Eagle House Care Home 22/07/04

Eagle House Care Home 02/02/04

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 Eagle House Fleetgate Barton on Humber North Lincs DN18 5QD Lead Inspector Stephen Robertshaw Unnnounced 28.7.05 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 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. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eagle House Care Home Address Fleetgate Barton on Humber North Lincs Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01652 635440 Mr Kumar Thakerar Mrs Elizabeth June Marrows Care Home 40 Category(ies) of DE(E) (11), OP(29) registration, with number of places Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions to the homes registration. Date of last inspection 17 January 2005 Brief Description of the Service: Eagle House is situated in the town of Barton upon Humber close to all of the local amenities. The home provides care and support for up to forty service users within the categories of older people, and older people with dementia. The home is registered to support eleven service users with complex needs associated with dementia. Service users falling into this category are supported in a separate unit that has been made safe and secure but which is accessible from the main building. The unit is on the ground floor and has eleven single bedrooms. District and Community Psychiatric nurses provide the nursing element of care when required. The accommodation is provided over two floors that are accessed by stairs and a passenger lift. There are thirteen shared rooms and three single rooms on the first floor and a lounge and dining room on the ground floor. The home has a pleasant garden to the rear and side of the building with mature fruit trees and a small pond. There is ample car parking space. The atmosphere and setting is homely and domestic in character. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Eagle House provides a homely atmosphere that helps the service users to feel safe, and well cared for. What the service does well: What has improved since the last inspection? The activities in the home have improved in both the variety, and frequency. Care plans in the home are now all evaluated on a minimum of a monthly basis, which means that care provided changes when it needs to. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4 and 5 The home has a clear statement of purpose, and service user guide that helps service users to recognise that the home is able to meet their needs, and would be suitable to them. The homes pre-admission assessment of service users ensures that only service users that meet the homes registration are admitted in to the home. EVIDENCE: The inspector observed four service users case files. Two were for service users that had recently been admitted to the home in emergency situations. The home had not completed an assessment of their needs, and individual care plan. Staff interviewed stated that they were meeting the needs identified in the care management care plans that had been provided to the home. The service users involved were interviewed and confirmed that their needs were being met in the home. The other two service users case files included comprehensive assessments of the service users, and detailed care plans that identified how the service users needs must be met in the home. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 9 The assessments were a combination of care management, and the home preadmission assessments. The company have introduced a new assessment, and care planning system to the home. The home has supplemented the new paperwork with some of its existing care plan material, and this appeared to be very effective in identifying, supporting, and maintaining the best interests of the service users care. The homes assessments included their social interests, hobbies, and religious and cultural needs A statement of terms and conditions was observed for all four service users that were case tracked. The statement of terms and conditions, and service user guides had recently been updated and included the responsibility of the Commission transferring from the Scunthorpe to the Hessle office. The statement of terms and conditions also identified additional costs for the service users whilst resident in the home this included hairdressing and chiropody services. Day of the inspection interviews with outside professionals that were visiting the home supported the evidence that the home has the capacity to meet the needs of the service users and that they are within its registration requirements. Diary records that were observed, staff interviews, and discussions with service users provided evidence that the service users are given the opportunity to visit the home, and have trial periods there before they commit themselves to a more permanent placement. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 The personal, and healthcare needs of service users are all met in the home, and service users stated that they have good access to professional services that are based in the community. EVIDENCE: The home does not provide nursing care, however the records observed by the inspector identified that when individual service users have health care needs, these are met through appropriate health care professionals that are based in the community. This included GP’s, community, and district nurses, chiropodists and psychiatrists. Service users and staff confirmed that when service users see health care professionals in the home, they are always provided with privacy, and dignity. With the exception of the two recent emergency admissions to the home, all of the homes care plans had been evaluated on a minimum of a monthly basis. The inspector observed the medication records in the home. These were all accurately recorded and were up to date. The controlled medication in the home was stored for, and was accounted for appropriately. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 11 Staff that administer medication in the home receive accredited medication training provided though a local college. This was confirmed through the homes training records, and interviews with the staff. Administration of medication was also observed, and was found to be in line with legislation and good working practices. The observations made during medication periods in the home evidenced that the service users are treated with dignity and respect. The medication storage area in the home is quite small, however it was well organised, and kept tidy. The medication in the home is provided through a local pharmacy in sealed monitored storage systems. The assessment format in service users case files identified the term of address that they prefer to be called by, and identifies any individual cultural, or ethnical requirements of the service users. Service users spoken to by the inspector stated that they choose their own clothes to wear, and that on the majority of occasions they only receive their own clothes back from the laundry, and if there are any errors then these are quickly rectified. The inspector observed the case file of a recently deceased service user. The diary entries, and contact sheets for family, and professional carers confirmed that the home had supported the service user well in their final days, and regular contact was maintained with their family, GP, and community nurses. The case file identified that prior to their death the service users last wishes had been identified and followed. Following the service users death the home had received a letter of thanks from the family for the care that they had provided at a very difficult time, and the support that they had offered to the family themselves. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The service users at the home can decide for themselves what daily routines and activities they become involved in. EVIDENCE: The activities records in the home included singers visiting the home, exercises to music, memory cards, sing-a-longs, and painting and colouring. Service user case files included individual social activity records, and discussions with service users confirmed that they had been involved in the activities that were recorded in their individual files. The service users stated that they were happy with the frequency, and range of activities that were made available to them. Visitors to the home that were interviewed by the inspector stated that they were always made to feel welcome when they visited the home, they were always offered refreshments, and if required they could also eat at the home. Service users also stated that when they have visitors they are always able to see them in private if they wish. Notices were around the home informing visitors, and service users of events happening in the local community. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 13 The inspector ate with the service users. The meal was well presented, and tasty. The service users stated that if they did not want the meal that was provided then they could be provided with an alternative, and that they were always happy with the meals that they received. The inspector also toured the kitchen. The kitchen was very clean, tidy and well organised. Food health and hygiene certificates were clearly displayed on the wall. The food stores, fridges, and freezers were all well stocked. The service users stated to the inspector that there was always a variety of meals on the menu at the home, and fresh fruit was also available to them. Service users were observed being supported to eat their meals. The majority of this support was appropriate however one member of staff was stood assisting a service user to eat, and she should have been seated next to her. The service users spoken to by the inspector said that they were able to state what time they wanted to rise from, and retire to bed. Preferred times to rise and retire were included in care file information. Staff stated that they kept to these times, but if service users did not want to get up, or go to bed that they were left were they wanted to be. The service users also told the inspector that when activities were going on in the home they were invited to attend them, but if they did not want to join in the activities then they did not have to. The manager, and deputy manager of the home organise the majority of the homes activities, and entertainments. The home does not employ an activity co-ordinator. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18 The home effectively deals with any complaints that are received from service users, or visitors to the home, and reduces any risks that may be present. EVIDENCE: The complaints procedures in the home had recently been updated to include the new address of the CSCI office that is responsible for home. The complaints records in the home evidenced no internal complaints have been received since March 2004. A complaint was recently made directly to the Commission in relation to the care of a terminally ill service user at the home. A relative had complained that they had not been informed when the service user died. The investigation by the commission identified that the relative was not identified as the next of kin in the service users records. The next of kin was correctly identified as the service users son. The records evidenced that the son had been continually involved in the care of the service user up to their death, and after the death being confirmed to him he was going to inform other family members. The management and staff at the home were very co-operative , and open with the investigation The complaint was not upheld. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 15 Individual service users case files included information relating to the Court of Protection, and identified who was responsible for their financial arrangements. The records observed in the home also provided evidence that the service users were supported to vote in the recent local, and national elections. This was a combination of postal votes, and attendances at the local polling station. Service users spoken to by the inspector stated if they had voted or not in the elections, and that this was of their personal choice. No pressure was placed on them to either vote, or not vote. Family members, and staff at the home supported Service users in this process. The staff training records showed that the staff receive training in relation to the Protection of Vulnerable Adults. This was a combination of elements of NVQ training, internal information, and training provided through the local authority. Staff interviewed by the inspector were very aware of adult protection issues, and the process to follow if they suspected any abuse. The staff were also very confident in the support that they would receive from the management in the event of any suspected abuse. The management were aware of the reporting systems to the local authority, or police service if abuse was suspected at the home. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,22, 23,24,25 and 26 The home has a choice of areas where the service users can sit by themselves, or with their family and friends, and the decoration is well maintained. EVIDENCE: The home has two dining rooms. Service users including those with dementia problems use the larger dining room, and a great deal of food is spilt on the carpeted area. The carpet is cleaned following each meal time, observations identified that however well it is cleaned there is always some residue that is beginning to be odorous. Consideration ought to be given to an alternative floor covering for this area that is more suitable to regular cleaning. The remainder of the home was clean, tidy, and free from offensive odours. Deodorising sprays have recently been fitted throughout the home. These are released automatically and help to maintain the homely atmosphere. The home has access to five bathrooms. One of these was being used for storage, and should be made available for use immediately, and a second Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 17 bathroom included a very short bath that was not appropriate to the needs of the service users. Consideration should be given to convert this bathroom to a shower room. Currently the home does not have shower facilities, and this alteration would make the room available again, and offer choice to the service users to have either a bath, or a shower. Four of the bathrooms include toilet facilities, and a further four separate toilets are also available to the service users. They are clearly marked, and are well positioned around the home. A tour of the premises by the inspector identified that the home includes eleven double, and fourteen separate bedrooms. These had all been personalised by the service users in them. Most of the service users had simply introduced pictures, and ornaments that were special to them, and others had included items of furniture including televisions. Records in the home showed that all of the service users electrical items had been safety checked. The handyman is now responsible for maintaining the water temperatures in the home and recording them on a regular basis. His records showed compliance with the regulations. Some of the hot water pipes in the home are exposed and could cause harm to the service users if their skin came in to contact with them. The path around the outside of the home is uneven, and there are gaps were pipes are protruding these could cause service users to trip, or fall and must be improved Smoking is not allowed in the home, however a large amount of cigarette ends were littering the path area outside adjacent to the dining room. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 and 29 There are always appropriate numbers of staff available at the home, and they receive the training, and supervision that they need to meet the needs of the service users, and to ensure their safety. Staff working at the home had not all received Protection of Vulnerable Adults clearance before starting at the home. This could put the service users at risk of abuse. EVIDENCE: The staff training records identified that the staff receive all of the required mandatory training, and receive training related to the needs of older people. The staff training records, and interviews with staff confirmed that they exceed the minimum requirement of three paid training days per year. The staff in the home, and the management are committed to achieving 50 of the care staff to have achieved NVQ 2 or equivalent by 31st December 2005. Currently 19.2 of the staff had already achieved the full award. Staff personnel files indicated that equal opportunities are followed in the selection of new staff to the home. Not all of the verbal references had been followed up for new staff, and a new member of staff had been employed prior to receiving CRB, or POVA first clearances. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 19 Service users, and visitors spoken to by the inspector stated that there were always appropriate numbers of staff available at the home, this was confirmed through observation of the staff duty rotas. Direct and indirect observations supported the evidence that the staff communicate appropriately, and effectively with the service users whilst maintaining the service users dignity and respect. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35,36,37 and 38 The management of the home is very open, positive, and includes the views of the service users. EVIDENCE: The standard for the management approach to the home was exceeded. Interviews with staff, and discussions with service user and visitors to the home supported the evidence that the management provides an open, positive and inclusive atmosphere. Records of staff and service user meetings evidenced that their opinions are sought for the maintenance, and development of services provided through the home. The external management visit the home on a minimum of a monthly basis, and leave a copy of their assessment of the home, and the services provided in the managers office. A copy of this report is not forwarded to the local Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 21 commission office. If this report was submitted to the commission it should meet the requirements of a regulation 26 report. Service user case files identified if they were not responsible for their own finances, and if that was the case the files recognised who was responsible for them, this included family members, and solicitors. Pocket money accounts are maintained in the home for appropriate service users. These were sampled by the inspector and were found to be up to date and were accurately recorded. The monies were securely stored, and any transactions had been countersigned for. Staff supervision records provided evidence that they receive the minimum of six formal recorded supervision periods per year, and their supervision covered areas including the philosophy of care in the home, monitoring of their working practices, and identification of training and personal development needs. If additional support was identified then the frequency of the supervision periods was increased. The staff training records evidenced that they receive appropriate training to identify and meet the needs of older people. The health and safety records in the home supported that the electrical, and gas safety certificates were up to date, and all of the aides and equipment in the home are regularly maintained and serviced. Contracts were also in place for the disposal of waste, and clinical waste at the home. The ground floor windows of the home should be fitted with restrainers to ensure no inappropriate entry is made in to the home. Other health and safety requirements not met in the home have previously been identified in this report. These include the uneven pathway around the outside of the building, and the exposed hot water pipes. Some have been covered since the last inspection, but this process has not been completed throughout the home. There is a disused pond in the garden area. This must either be filled in, or fenced off to ensure the safety of the service users when they are out in the garden. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x 2 2 x 3 3 2 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x 4 x 2 3 3 2 2 Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement The registered person must ensure that all new service users have their needs assessed by the home prior to their admission. In the case of emergency admissions the assessment must be completed within 48hours. The registered person must ensure that the home has developed indivial care plans for all of the service users in the home The registered person must ensure that the path, and pond area of the garden are made safe for the use of the service users. The registered person must ensure that the number of bathrooms available to the service users is the same as registered in March 2002 The registered person must ensure that all of the hot water pipes in the home are provided with protective covers to ensure the safety of the service users.Previous requirement of 07/02/05 was not met. The registered person must ensure that a minimum of the J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Timescale for action 28 August 2005 2. OP7 14 11 August 2005 3. OP20 and 38 23 01 December 2005 18 August 2005 4. OP21 23 5. OP25 and 38 23 07 december 2005 6. OP28 18 31 December Page 24 Eagle House Version 1.40 7. OP29 18 8. OP34 25 9. OP37 26 10. OP38 12 homes care staff have achieved NVQ 2 or equivalent by 31st December 2005 The registered person must ensure that all of the requirements of schedules 2 and 4 are met in the employment of new staff to the home. This included CRB and POVA clearances, and folloing up vewrbal references with hard copies.This is an outstanding requirement. the requirement for ist March 2005 was not mey The registered person must ensure that a business and financial plan is open to inspection to ensure the financial viability of the home. This is an oputstanding requirement from 30 september 2003. The registered person must complete regulation 26 reports in relation to the home and forward a copy of the report to the local office of the CSCI. Previous requirements from . The requirement from 02 February 2004 was not met. The registered person must ensure that the ground floor windows are provied with appropriate restrainers to ensure innapprpriate, and unauthorised access to the building is prohibited. 2005 11 August 2005 11 August 2005 30 August 2005 30 November 2005 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 20 Good Practice Recommendations The registered peron shouyld condider a more appropriate floor surface for the large dining area. J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 25 Eagle House 2. 21 The registered person should consider replacing the small bathroom with shower facilites to offer choice to the service users to meet their personal hygiene needs. Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Unit 3, Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eagle House J54 s2782 Eagle House v241906 UI 280705 Stage 4.doc Version 1.40 Page 27 - 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!