CARE HOMES FOR OLDER PEOPLE
Ebberly House 17/18 Ebberly Lawn Bear Street Barnstaple Devon EX32 7DJ Lead Inspector
Jo Walsh Unannounced Inspection 7th December 2006 08:45 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 Ebberly House DS0000022086.V324382.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. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Ebberly House Address 17/18 Ebberly Lawn Bear Street Barnstaple Devon EX32 7DJ 01271 345684 01271 345684 ebberly@tiscali.co.uk 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 Peter Frederick George Allen Mrs Beverly Judith Watton Care Home 19 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (16) of places Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: Ebberly House is a large, adapted Victorian property, situated in a residential area close to the centre of Barnstaple. The home is sited on the corner of a private residential square, which provides an attractive outlook from the homes lounge. There is dedicated parking for visitors to Ebberly House in the square. Access to the house is on several levels, the main entrance being approached from Ebberly Lawn. Other entrances have ramped access for wheelchairs. There are stair lifts to facilitate access inside the home. Ebberly House provides long-term accommodation for up to 19 elderly people. There are 17 single bedrooms are of varying sizes and outlook and one double room, all are furnished individually. The communal rooms on the ground floor are spacious and comfortably furnished; the atmosphere is homely and relaxed. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on a weekday in December and lasted for approximately 7 hours. The focus of the inspection was to seek the views of the residents and all residents were sent a survey prior to the inspection date. A total of 8 were returned. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. The inspector case tracked 3 residents, meaning these individuals were spoken to at length about their experiences of living at the home, and their records of care and medications were also looked at. Four other residents were also spoken to during the day. Four visiting relatives were also spoken to during the inspection and their comments have been included in the report. Time was also spent with the registered provider, the manager and staff and some key documents were looked at, these included care plans, medication records, staff files, residents’ finances and the fire logbook. A tour was completed on the home, including most of the residents’ bedrooms. The home was asked to complete a pre inspection questionnaire, which includes details of safety and maintenance as well as information about staff training. 8 staff was also asked to complete surveys prior to the inspection and 4 were returned. Four social service/health care professionals returned comment cards and their views have been included in the report. This information helped to inform the inspection process. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 6 What the service does well:
The home has systems in place to make sure that all potential new residents are fully assessed prior to moving in. This ensures that they are able to meet all identified needs. Each resident has a detailed plan of care that tells staff what their personal, health care and social needs are. Plans are well written and enable staff to provide care in a consistent way that the individual prefers and takes into consideration preferred routines. Residents comments included ‘staff are brilliant’ ‘the staff are very good and regularly check on me to make sure I am OK’ ‘The staff are very sensitive to my needs.’ The home provides a well balanced diet offering choice and variety. Residents are able to choose where they wish to have their meals and mealtimes are relaxed and unhurried. One resident commented ‘the food is beautiful, home cooked and plenty of it’. The home is clean and provides residents with a homely environment, where visitors are made welcome. Four visiting relatives all confirmed that they are able to visit at any time can see their relatives in private if they wish. The staff group try to ensure that regular activities are offered to entertain and engage residents each day. These include games, sing songs and videos afternoons. There are two comfortable lounges to choose from so residents wishing some quiet time do not have to join in activities. The staff team are experienced and have regular training to ensure they can do their job safely and effectively. They have a good understanding of individuals’ needs and work hard to ensure that individuals are cared for in a way they prefer. They support people in a respectful way ensuring that dignity is upheld. The home has good recruitment processes in place that ensures residents are protected. The registered manager is qualified and experienced to run the home and the staff group, residents and visiting relatives spoken to all said she listened to their ideas and concerns.
Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
The home needs to ensure that all residents are given a copy of the homes terms and conditions. This will ensure residents understand their rights and responsibilities. Some improvements are needed to ensure that the medication system of administering is safe and fully protects residents. During the inspection it was noted that one individuals medication had been left for them to take. One of the tablets had fallen on the floor. The registered manager changed the policy in respect of ensuring staff watched residents take medications before signing the records to say it had been administered. She also made staff on duty that day aware of this change to policy, and said she would ensure all staff was made aware of this. The registered provider needs to ensure that sufficient and appropriate equipment is in place for the safe moving and handling of residents. The home currently only has one hoist, which is stored in the airing cupboard. Residents’ bedrooms are over three floors and there is no lift between floors, so it would be difficult for staff to use the hoist in all areas if needed. The home must ensure that all cleaning products are kept locked away, to protect residents. This has been identified as a potential risk during the previous inspection, so it is disappointing to find cleaning products were not all safely locked away. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 8 In order to ensure residents privacy, it is recommended that all residents’ bedroom doors are fitted with a lock that is easily accessible to staff in an emergency. The registered provider has been required on two previous occasions to ensure that they home have a valid electrical wiring certificate. Without this they are unable to guarantee that the premises are safe and this could place residents at a potential risk. The home has a large number of radiators that are not covered. The risk assessments for individuals concerning risks form hot surfaces do not fully identify all risks and must be reviewed. Where significant risks are identified solutions must be put in place to reduce and/or minimise risks. 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. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 9 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 Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 10 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): 2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Not all residents have full information about their rights and responsibilities. Systems are in place to ensure that residents’ needs are fully assessed prior to moving in to ensure the home can meet all their needs. EVIDENCE: As part of a wider study that CSCI are carrying out about the information that people get about care homes for older people, the three newest residents were asked what information they were given about the home. Only one resident was able to remember that they had been given some information about what the home offers. The registered manager confirmed that all prospective new residents are given a residents guide and a copy of the home’s statement of purpose. Often this information is given to the residents’ family or representative to go through
Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 11 with them. One visiting relative said they had only received a copy of the funding authority contract but had not had one from the home. The registered manager explained that they currently only give contracts to privately funded residents. The home needs to adapt this for residents who are funded by the local authority, so that every individual has information about the homes terms and conditions. The files of the three individuals who were case tracked were looked at and these contained copies of care management assessments and care plans and in two cases the manager had been able to visit the individual and complete her own assessment of the individuals needs. This assessment provides basic details of personal, health care and social needs and is used to help the home complete a care plan once the resident has moved in. One individual had come from another area and in this instance the registered manager had sent the assessment form to the individuals family to complete. Staff spoken to said that they were made aware of new residents needs via the assessment information either before they moved in or on the day they moved in. This helps them to understand the individuals’ needs. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 12 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): 7,8,9,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal, health care and social needs are well met. Some improvements are needed to the medications procedures to ensure that residents are fully protected. Residents are treated with respect and their right to privacy is upheld EVIDENCE: Three care plans were looked at in some detail. They are well organised and detail all information about the individuals personal, health care and social needs. This assists staff to provide care in a consistent way. Residents spoken to said that they were well cared for and that the staff treated them with respect. Comments included ‘staff are brilliant’ ‘the staff are very good and regularly check on me to make sure I am OK’ ‘The staff are very sensitive to my needs.’
Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 13 Four visiting relatives spoken during the inspection all said that they thought that their relatives needs were well cared for and that they were kept informed about any health care issues/appointments. Staff spoken to on the day of the inspection had a good understanding of individuals needs and said that the information in their care plans was a useful reference for them. Staff were observed throughout the day to be providing care and support in a respectful and caring manner. Three general practitioners who provide a service to residents returned comment cards and all responded positively to the questions posed. None of the responses gave any direct comments. During the tour of the premises with the registered manager it was noted that one residents morning medication had been left in their room for them to take. The registered manager found one of the tablets on the floor. She said that for some residents they would leave medications for them to take after their breakfast. It was explained that their practice and procedures need to be changed to ensure that the staff member giving out medications ensures they witness the individual take the medications then sign the record to say they have been administered. This would then ensure that a safe a robust system was in place that protects residents. The manager agreed to look at this straight away and during the inspection day changed their procedural policy and made staff on duty aware of changes made. The manager also said she would ensure that all staff were made aware of this. The medication storage and records for the three people who were case tracked were looked at. The home uses a monitored dosage system and the records used appeared well maintained and up to date. The manager confirmed that all staff have recently undertaken BOOTS training in safe handling and administered of medications and that she checked individuals competencies during supervision and by regularly observing practice. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ social needs are met and daily routines of the home meet their expectations and preferences. Residents are able to make choices in their everyday lives. The home offers a good balanced diet with choice and variety. EVIDENCE: During the inspection residents were observed to be choosing where they spent their time, several residents said they preferred to spend most of their time in their room and that staff respected this. Residents can choose where they have their meals and said they are supported to get up and go to bed at times that suit them. Staff spoken to confirmed that residents preferred routines are respected as far as possible. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 15 Some of the newer residents did not seem aware of what activities were offered at the home and it may be of benefit to post up what activities are happening each day so that people can make a choice about whether they wish to participate. The registered manager said that they have an activity planned each day, usually in the afternoons and these included, sing-along, bingo, videos as well as spending time one to one with residents. The home also has a weekly prayer service and at Christmas time they have social activities that relatives and friends are invited to attend. Residents who completed surveys and those spoken to during the inspection were generally happy with the meals provided. The home operates a four weekly menu that appears to offer a good range and choice of meals, with fresh fruit and vegetables. The cook said that they are aware of individuals’ likes and dislikes and she plans these into the menus. She said that they could also cater for any special dietary requirements as needed. Residents’ comments included ‘the food is beautiful, home cooked and plenty of it’ ‘the food is good here.’ Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 16 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are listened to and acted upon. Policies and procedures are in place to protect residents from abuse. EVIDENCE: The home has a written complaints process that all residents get a copy of. There have been no complaints received directly to the home. One complaint was received by Social Services and CSCI from a relative of a resident who has since left the home. The manager and provider worked with both departments to respond and resolve the complaint issues. CSCI are satisfied the complaint was dealt with satisfactorily. The home’s pre inspection questionnaire evidences that the home has policies and procedures in place to protect residents and staff spoken to on the day of the inspection were aware of what to do should they suspect abuse of any form. Records for how the home handles residents’ personal monies were checked; these are well maintained although receipts should be requested for all services, including hairdressing. Ebberly House DS0000022086.V324382.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): 19,22,23,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the home is clean and homely, some improvements are needed to ensure that the environment is safe for residents. EVIDENCE: A tour of the premises was completed with the registered manager. Most of the residents’ bedrooms were looked at as well as all the communal areas. Very few of the radiators have been covered and several in the hallways as well as some pipe work near the office felt very hot to touch. Risk assessments have been completed for individuals in respect of risks from hot surfaces, however these did not provide enough detail to demonstrate that the home had properly assessed all risks of hot surfaces. This could compromise residents’ safety. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 18 Very few of the bedrooms have locks fitted and the registered manager explained that they would only fit a lock if requested and this was stated in their information given to all new prospective residents. In order to ensure individual privacy it is recommended that all bedroom doors be fitted with a lock that is easily accessed by staff in an emergency. The home has one hoist, which is normally kept in the airing cupboard. This would indicate that it is not frequently used, and the manager said that it would be difficult to carry to other floors if they needed to use it on a different level. The home needs to ensure that both staff and residents are safe when moving and handling and should seek the advice of a specialist as to what appropriate equipment they need to ensure safe practices are maintained. There was cleaning fluids in the laundry area, which is not kept locked. This is a potential risk to residents who may be confused and was identified as a risk during the previous inspection. Communal areas are well furnished and provide a homely environment for residents to enjoy. The home was clean and free from odour. Ebberly House DS0000022086.V324382.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff group are experienced and trained to meet the needs of the residents. Staff recruitment practice is robust and protects residents. EVIDENCE: The staffing levels are sufficient to meet the needs of the current resident group. There is normally three carers on during the morning shift, 2 on during the afternoon and one waking night and one sleep in staff during the night and early morning. The home has more than 50 of staff that have achieved a National Vocational Qualification level 2 or above and training is provided in all aspects of health and safety as well as areas such as dementia care and Parkinson’s disease. Staff spoken to during the inspection said they had completed or were completing an induction process, that they were offered regular training and that they were given one to one supervision sessions. Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 20 Three staff files were looked at and they had details to show that all relevant checks and references are followed up. This ensures that residents are protected by a through recruitment process. Ebberly House DS0000022086.V324382.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): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the residents. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are not always fully protected. EVIDENCE: The registered manager is qualified and experienced to run the home. Staff and residents spoken to all said that they could talk to her and that their opinion was listened to. Two visiting relatives also made special mention about
Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 22 how good they thought the manager was saying that ‘she always keeps us informed and is available for a chat, nothing is too much trouble’ The registered manager sends out surveys to residents as part of their quality assurance programme and this information is collated, but needs to be made available to residents and a copy sent to CSCI. The information on the pre inspection questionnaire provides details of how the home ensures health and safety issues are covered. Staff confirmed they do training in all areas relating to health and safety. Two areas of concern that could compromise the health and safety of residents and need to be addressed. The home has previously been required to have a valid electrical wiring certificate. This has not been completed. The registered provider stated that the contractor he uses has been unable to complete the work as yet. He was reminded that he has a duty to ensure the premises are fit and safe and this includes ensuring the electrical system is sound. The other concern is the number of radiators that are not covered. Risk assessments do not fully identify all risks and must be reviewed. Where significant risks are identified solutions must be put in place to eliminate these risks. Ebberly House DS0000022086.V324382.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 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13(2) Timescale for action The registered person shall make 31/01/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This relates to ensuring that staff observe residents take their mediations before recording that it has been administered 31/12/06 (4) The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety; (b) any activities in which service users participate are so far as reasonably practicable free from avoidable risks; and (c) unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This refers to hazardous liquids in the laundry.(previous date set for compliance 31/12/05)
Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 25 Requirement 3. OP26 13(4)(a)( b)(c) 4) The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety; (b) any activities in which service users participate are so far as reasonably practicable free from avoidable risks; and (c) unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This relates to ensuring that risk assessments are reviewed in respect of risks form hot surfaces, and where significant risks are identified solutions put in place to reduce or eliminate risks The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This refers to the electrical testing remaining overdue. (The previous dates set for compliance 30/09/05 and 31/12/05) 5. OP38 13(4)(a) 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 26 1. 2. 3. 4. OP18 OP22 OP24 OP33 The home should ensure that receipts are kept for all transactions dealt with on behalf of residents, this includes hairdressing The home should ensure that they have sufficient equipment to enable staff to move residents safely. The home should ensure that all residents’ bedrooms are fitted with a lock that is easily accessible to staff in an emergency. The home should ensure that results of any surveys are collated and made available to residents and a copy sent to CSCI Ebberly House DS0000022086.V324382.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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
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