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Inspection on 14/11/06 for Eastwood Lodge

Also see our care home review for Eastwood Lodge for more information

This inspection was carried out on 14th November 2006.

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.

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

The home has a welcoming atmosphere and is very homely. There is a choice of sitting areas, either in one of the lounges or the conservatory. Relatives commented that staff were very welcoming, approachable and helpful when they visit. Residents stated "the staff really look after me", "nothing is too much trouble" and "I am very happy here". Staffing levels are appropriate to meet the needs of the residents and staff are very aware of the residents` needs and how these should be met. They were observed to offer assistance in a way that respected each individual resident. The manager sees staff training as a high priority and this is both beneficial to the staff and to the residents. One member of staff stated, "This boosts my confidence".

What has improved since the last inspection?

One of the previous requirements has been met. The kitchen cupboard doors have been repaired.

What the care home could do better:

The care plans are comprehensive and detailed, however the manager needs to ensure that all daily recordings are more informative and relate to specific care plan goals and outcomes; this will ensure that residents` needs are met. All residents should have a yearly review to ensure that their placement continues to meet their needs. From discussion with staff and the manager it was evident that staff are receiving supervision but the manager must ensure that all staff receive six supervision meetings a year and that an annual appraisal takes place to look at staffs` working practices and to identify future training needs.

CARE HOMES FOR OLDER PEOPLE 47 - 49 Eastwood Lodge 47-49 Eastwood Road Goodmayes Ilford Essex IG3 8UT Lead Inspector Julie Legg Key Unannounced Inspection 14th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000025897.V322441.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. DS0000025897.V322441.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 47 - 49 Eastwood Lodge Address 47-49 Eastwood Road Goodmayes Ilford Essex IG3 8UT 020 8599 2983 020 8270 1765 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) Mr Sukhraj Gill Mrs Kamaljit Gill Mrs Kamaljit Gill Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places DS0000025897.V322441.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Eastwood Lodge is a 19 place care home for older people, situated in a residential area of Goodmayes, a short walk from local shops and public transport. The home is privately owned and one of the two owners is also the registered manager. The building is an adapted two-storey property in keeping with other houses in the locality. There are seventeen single bedrooms, eleven of these are en-suite and one double bedroom, most of which are on the upper floor, which is accessed by both stairs and a lift. There are two lounge/dining areas on the ground floor; one of the lounges leads through to a conservatory, which overlooks the garden. Care staff assist residents with personal care to the level that each person needs, whilst encouraging independence. Care staff ensure that all health care needs are met by arranging appointments with health professionals. A hairdresser visits the home weekly. Care staff arrange both individual and group activities, but respect the wishes of residents who choose not to take part. DS0000025897.V322441.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over one day. The inspector spoke to seven residents about their experience of moving into and living at the home and to three relatives visiting the home. Discussions took place with the manager, senior carer and three other care staff. Staff were spoken to about care practices and their employment at the home. Care staff were observed directly and indirectly providing care to residents. A tour of the home was undertaken and a number of staff and residents’ files as well as other records were examined. What the service does well: What has improved since the last inspection? One of the previous requirements has been met. The kitchen cupboard doors have been repaired. DS0000025897.V322441.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. DS0000025897.V322441.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 DS0000025897.V322441.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): 1,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have detailed information on the home to enable them to make an informed choice about moving into the home. A detailed pre-assessment is undertaken of all prospective residents, this will ensure that their identified needs can be appropriately met by the home. Prospective residents and their relatives are able to visit the home prior to their admission and obtain a copy of the service user guide. EVIDENCE: The Statement of Purpose has been revised and further developed. It clearly states the objectives and philosophy of the service and states the number of DS0000025897.V322441.R01.S.doc Version 5.2 Page 9 single and double bedrooms. The service user guide is informative and written in plain English, a copy of this document is given to all residents. The file of a fairly new resident was looked at. The manager of the home had undertaken a thorough pre-assessment and other information was gained from relatives and health professionals. Residents and relatives are able to visit the home prior to a resident moving in. Some of the residents were able to visit the home prior to moving in, one resident told the inspector “I visited two other homes, but this one was more homely and Kay (manager) made me feel welcome”. Other residents who had not been able to visit but had relatives, who had visited on their behalf, felt that they had made the right choice, one relative that was spoken to said, “We visited other homes but we liked the atmosphere here and it feels homely”. The home does not provide intermediate care. DS0000025897.V322441.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, 10 and 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of each resident are set out in individual care plans. These plans provide the staff with sufficient information to ensure that care needs are met on a daily basis. The daily recordings could be more informative which would ensure that residents’ needs are being met. There are clear medication policies and procedures for staff to follow and medication records are being completed correctly, which safeguards the residents with regard to their medication. Residents wishes in relation to their funeral arrangements are identified on their care plans but the do not have end of life care plans, these would ensure that their wishes in relation to their final days and their death are clearly identified. DS0000025897.V322441.R01.S.doc Version 5.2 Page 11 EVIDENCE: Each resident has their own care plan, four of these care plans were examined during the inspection. The care plans are detailed and comprehensive, identifying the residents’ personal, social, religious, cultural and health needs and how these needs should be met. The daily recordings could be more informative and relate to specific care plan goals and outcomes. This is Requirement 1. Residents’ care plans that were examined showed that they are being evaluated on a monthly basis. Many of the residents are self-funding, however the manager should still undertake yearly placement reviews, to ensure that the home is able to continue to meet the residents’ needs. This is Requirement 2. Residents’ health needs are clearly identified as part of their care plan and how these needs are to be met. Records indicate that health professionals such as, chiropodists, dentists, GPs and community nurses have seen residents. Other written evidence includes residents being weighed monthly. Residents confirmed that the chiropodist and dentist had recently visited them. Risk assessments were examined. These were detailed and cover areas such as bathing, self-medication, behaviour, dressing, moving and handling and fire safety. There are policies and procedures for the administration and recording of medication, guidance on homely remedies and an error in administration of medication policy and procedure. Medication Administration Records (MAR) were examined and all had been completed appropriately and medication given correlated with the MAR charts. The deputy manager undertakes a weekly audit of all medication. The inspector spoke to a number of residents who all said that staff treated them with respect and were sensitive to their feelings when undertaking personal care. One resident said, “they respect my privacy, they always knock on my bedroom and wait for me to tell them to come in”. Staff talked about and were observed to treat residents in a respectful and sensitive manner. On examining residents’ files it is identified who the resident wishes to be contacted at the time of their death and their wishes regarding their funeral arrangements. However, there was little evidence on the files to confirm that residents or relatives had been consulted with regard to end of life matters. It is extremely important that end of life care for all residents is in accordance with their wishes, or that of their relatives. End of life care is not just recording ‘burial’ or ‘cremation’, it should also contain the care the resident would like DS0000025897.V322441.R01.S.doc Version 5.2 Page 12 and where they would like to be cared for at the end of their life and what they would want to happen. This is Recommendation 1. DS0000025897.V322441.R01.S.doc Version 5.2 Page 13 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. There is an activities programme that provides variation and interest for people living at the home. Visiting times are flexible and visitors are made to feel welcome, this ensures that residents are able to maintain contact with family and friends. Residents are assisted to exercise choice and control over their lives. The meals in the home are well presented and nutritionally balanced. They offer both choice and variety to the residents. EVIDENCE: Residents were asked their views and care plans were examined. The signing in book shows that there is a steady stream of visitors to the home on most days and on the day of the inspection, two relatives and a friend visited. Relatives take some of the residents out either for lunch or shopping and DS0000025897.V322441.R01.S.doc Version 5.2 Page 14 visitors are invited to join in some of the activities within the home. The care plans contain information about preferred activities including spiritual. Some of the residents attend the local Methodist church, the monthly fellowship meetings and other church activities. Parishioners also visit the home and another resident receives visits from the local priest. There are regular activities such as, exercise sessions with music, quizzes and arts & crafts; on the day of the inspection some of the residents were making Christmas cards. Other residents enjoy knitting, reading the newspaper, crosswords and talking books and one of the residents plays the electric piano. The residents recently enjoyed ‘bonfire night’ with fireworks and sparklers. There are two lounges and one is designated as the ‘quiet’ room, where residents can sit and read or have a chat. The home each day has a ‘letter of the day’; on the day of the inspection it was famous people whose name began with the letter ‘B’, residents were encouraged and assisted to write names on the white board. Visiting times are flexible and visitors confirmed that they could visit at any time. Relatives and friends said that they are always made to feel welcome and are offered tea or coffee. Residents have the choice as to where they see their relatives/friends, in either of the two lounges, the conservatory or their bedrooms. Residents/relatives’ meetings take place monthly, at the last meeting discussion took place about ‘what activities are going to take place during December’, feedback on Bonfire night and any complaints or concerns. Meals are served in the dining rooms and on the day of the inspection, meals were nutritionally balanced. There was a choice of three meals; turkey roast, spaghetti bolognaise or a vegetarian option. All of the residents and relatives were complimentary of the food and that they had more than enough to eat. During lunch, staff were seen offering gravy to residents and as to whether they wanted jam on their semolina. One of the dining rooms has tablecloth on the tables and the other one doesn’t. The inspector enquired as to the reason for this and the manager said, “it has always been like this”. It is a Recommendation that all of the dining room tables should be furnished with tablecloths. This is Recommendation 2. DS0000025897.V322441.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that their complaints will be listened to and acted upon. The home has a policy and procedure regarding allegations of abuse. The staff have undertaken training in adult protection/abuse awareness to ensure that there is an appropriate response to any allegations of abuse. EVIDENCE: The home has a written complaints policy and procedure and the complaints book was examined during the inspection, there were seven complaints during the past year, and all had been dealt with satisfactorily. Eight even residents were asked, “If you were unhappy about anything in the home, who would you talk to”? The residents said either Kay (manager), Margaret (deputy) or a member of their family. All of the relatives and friends that were spoken to said they would talk to the manager if they had any concerns and felt confident that they would be listened to. There are written policies and procedures for dealing with allegations of abuse and whistle blowing. These policies and procedures are part of all care staff’s induction programme and formal training has also taken place. Staff files that DS0000025897.V322441.R01.S.doc Version 5.2 Page 16 were examined had evidence of training attended and staff that were spoken to confirmed they had attended training and were aware of the actions to be taken if there were any concerns about the safety and welfare of any of the residents. DS0000025897.V322441.R01.S.doc Version 5.2 Page 17 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): 19,20,21,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is very welcoming and provides the residents with a safe, clean and comfortable environment. Residents have access to indoor and outdoor facilities that adequately meet their needs. There are sufficient and suitable toilets and bathrooms for the number of residents. Residents’ bedrooms meet their needs and are furnished with their personal possessions. DS0000025897.V322441.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home has a very welcoming and homely atmosphere. A tour of the home was undertaken during the inspection. The living area of the home consists of two lounge/dining rooms and a conservatory. All of these rooms are appropriately furnished and decorated; residents chose the colour scheme and the furnishings for the recently built lounge/dining room. The conservatory looks out to the back garden, which in the summer is used by the residents. There are sufficient toilets and bathrooms on each floor; overall there are five toilets, two bathrooms and a shower room. All of these rooms were in working order, clean and odour free. There are seventeen single bedrooms; eleven of those are en-suite and one double bedroom, which is en-suite. The double bedroom has screens, which affords the residents their privacy. Every bedroom has been decorated differently, appropriately furnished and personalised. Some of the residents have bought small items of furniture from their own homes as well as televisions, radios, photographs, pictures and plants and one resident bought her electric piano that is in the home’s conservatory. The home is cleaned on a daily basis and throughout the inspection the home was found to be very clean, tidy and free from any odour. Residents indicated that they were very satisfied with the hygiene and cleanliness of the home. DS0000025897.V322441.R01.S.doc Version 5.2 Page 19 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. The home’s staffing levels are satisfactory and there are sufficient staff on duty, who have the skills and training to meet the individual needs of the residents. The home has a clear recruitment policy and procedure and appropriate checks are undertaken, which ensures the protection of the residents. EVIDENCE: Staff rotas were examined and the rota correlated with the number of staff on duty. During the day there are three care staff and two waking night staff, this is sufficient to meet the needs of the residents. Staff files that were examined showed that all recruitment and selection procedures are being adhered to. All files have a completed application form and candidates have had a face-to-face interview. Copies of passports and driving were also evident and Criminal Records Bureau (CRB) checks had been undertaken. Two written references are also obtained; it is a recommendation DS0000025897.V322441.R01.S.doc Version 5.2 Page 20 that the manager telephones the referees to confirm the authenticity of the references. This is Recommendation 3. All staff undertakes an induction programme, evidence was seen on files that this had been undertaken. Staff that were spoken to all said that they very much enjoyed working at the home, that they had received appropriate training. One carer said, “The manager encourages us to go on training and this boosts our confidence”. Since the last inspection, staff files show that staff have undertaken further training in protection of vulnerable adults, first aid, moving and handling, food hygiene, oral hygiene, medication awareness, infection control, loss and bereavement and a three day course on dementia. There are eighteen care staff; seven have achieved NVQ 2, four have achieved NVQ3, two are awaiting their NVQ3 certificates and four staff have commenced their NVQ2. The manager and staff are to be commended for their high achievement in NVQs and their overall training. Standard 30 has been exceeded therefore this standard has achieved a score of 4. DS0000025897.V322441.R01.S.doc Version 5.2 Page 21 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 36,37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is run in their best interests by an experienced and qualified manager. Residents’ financial interests are safeguarded by the policy and procedures of the home. Staff receive supervision but there needs to be an adequate system in place to ensure that regular supervision and annual appraisals take place. The home’s record keeping, policies and procedures safeguard residents’ rights and best interests. Residents and staffs’ health safety and welfare are promoted and protected. DS0000025897.V322441.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager is also the registered proprietor; she has her Registered Manager’s Award. She has substantial experience of working in a residential care setting and has undertaken further training to enhance her knowledge of caring for older people. She has an understanding of the needs of the residents and the areas in which the home needs to improve and further develop. A very experienced and qualified deputy supports the manager, which enhances the quality of care at the home. Comments from residents and relatives were very complimentary. Residents and relatives views are sought at monthly meetings, the last meeting discussed activities for December, the Christmas meal and feedback was given by residents on Bonfire night. The home has a formal quality assurance in place and recommendations are acted upon. The Commission is also notified of any significent events within the home. The home has an appropriate policy and procedures for safeguarding residents’ finances. Currently the home are not responsible for any residents’ finances, this task is carried out by relatives/friends. From discussion with staff and the manager it was evident that staff are receiving supervision but the manager must ensure that all staff receive six supervision meetings a year and that an annual appraisal takes place to look at staffs’ working practices and to identify future training needs. This is Requirement 3. The home has carried out all health and safety checks. Fire drills and fire alarm testing are regularly undertaken. Water, freezer and refrigerator temperatures are also recorded regularly. All staff have undertaken moving and handling traini8ng, which is updated on a regular basis. Residents’ files that were examined showed that risk assessments are being reviewed regularly or when a change in need is identified. During a tour of the home, refrigerators and freezers were inspected and it was found that food containers were not labelled and dated of when opened. Food must be appropriately labelled and dated to reduce the risk of accidental food poisoning. This was a previous requirement that has been set with a new timescale. This is requirement 4. DS0000025897.V322441.R01.S.doc Version 5.2 Page 23 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 3 3 X 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 Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 3 2 DS0000025897.V322441.R01.S.doc Version 5.2 Page 24 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. 2 Standard OP7 OP7 Regulation 17 (1) 15(2) Timescale for action Daily recordings need to be more 31/01/07 informative to ensure that residents’ needs are met. Every resident’s placement must 31/03/07 be reviewed at least yearly to ensure that the home can still meet the needs of the resident. Care staff must receive formal 31/03/07 supervision at least six times a year and a yearly appraisal. The registered person must 31/12/06 ensure that stored food is labelled and dated on the day of opening. Previous timescale of 15/10/05 not met. Requirement 3 4 OP36 OP38 18(2) 13(4) 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 OP29 Good Practice Recommendations For each resident to have an ‘end of life’ care plan. All of the dining room tables should have tablecloths The manager to telephone referees to confirm the DS0000025897.V322441.R01.S.doc Version 5.2 Page 25 authenticity of the references. DS0000025897.V322441.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 DS0000025897.V322441.R01.S.doc Version 5.2 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!