Inspection on 26/07/07 for Eldon House

This inspection was carried out on 26th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Eldon House 09/02/10

Eldon House 14/07/09

Eldon House 29/08/06

Eldon House 04/01/06

Eldon House 06/07/05

Eldon House 04/03/05

Eldon House 13/09/04

Eldon House 29/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Eldon House 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX Lead Inspector Mr Berwyn Babb Unannounced Inspection 26th July 2007 01:05 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 Eldon House DS0000008224.V347248.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. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eldon House Address 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX 01782 326620 01782 313633 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) Eldon House Care Services Ltd Mrs Susan Ibbs Care Home 34 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (34), of places Physical disability (4), Physical disability over 65 years of age (12) Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 - PD over 60 years Date of last inspection 29th August 2006 Brief Description of the Service: Eldon House is registered to provide personal care and support for up to 34 people. Of these 6 may require dementia care, 12 may have a physical disability and 4 people may be under the age of 65 years. The home is located in an area of mixed age properties, in Dresden, close to Longton town centre. There is easy access by public transport. There are local shops and amenities close by. There is parking to the rear of the property. The home comprises a large detached Victorian property, and a single storey extension added some years ago. Accommodation is on 3 floors: Lower ground floor has 9 bedrooms, ground floor where there are 3 lounge areas, dining room, kitchen and offices, and 15 bedrooms, and the first floor which provides a further 10 bedrooms. All but one are for single use. There are 8 ensuite bedrooms. Assisted bathrooms and toilet areas including a shower room are located conveniently throughout the home on each of the 3 floors. The laundry is located in a Porta Cabin to the rear of the property and has good facilities, though the Care Manager was recommended to ensure that the flooring should be impermeable, as per National Minimum Standard 26.4. The well-kept garden to the front of the home has further good seating facilities, which were said to be much used in normal summer months. A large garden shelter had been added here since the last inspection, and to the rear of the premises, a shelter had been built that was less than 75 enclosed, and was for the use of residents who wish to smoke, in line with the newly enacted legislation. This structure had been furnished with exterior specification lighting, to be available after dark, if needed. Eldon House DS0000008224.V347248.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 was carried out during the afternoon of Thursday the 26th of June 2007 by a single inspector. The care manager and her deputy and three members of care staff were in attendance throughout, and all afforded hospitality and help in the process of this inspection. Information was gathered from records kept in the home, including staff rotors and training programs, and the care plans of people who use this service. Some of them spoke to the inspector about their experiences of living in the home, and a four interview was undertaken with a member of staff. The home was clean, warm, tidy, free of unpleasant odours, and well decorated throughout, with a good standard of furniture and fixtures and fittings. One lady told the inspector: Weve always got workmen in the home, the boss (Mr Irwin) looks after the home very well . She also stated that she was very satisfied with the food, and this sentiment was echoed by several other people be including one gentleman who said that it was: Pukka . The only major concern was protecting people from the possibility of burns due to radiators and pipes being too hot, and within four days of this visit, Mr Irwin (the proprietor) had placed a contract for individual covers to be fitted to all 75 radiators in the home. The current fees for accommodation in this home are £344 per week. There is no top-up, and the only extras of such things as hairdressing and toiletries. The home operates a comforts fund found this has paid for outings to the theatre, to Trentham Awakes, and according to one user of the service, to Lord Baths safari park. What the service does well: This home continues to provide comfortable and secure accommodation in a domestic style of property that is located firmly within the heart of our local community, for a group of frail elderly people who needs 24-hour care. It has a good history of retaining staff and of regular import from the registered proprietor. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eldon House DS0000008224.V347248.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 Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures to ensure that perspective users of the service were informed of the ability of the home to meet their assessed needs and personal choices was demonstrated to be functioning properly. Intermediate care was not being offered at the time of this inspection. EVIDENCE: The inspector looked to the care plan of the last person to be admitted, and later had a private chat with her. She was able to confirm that she had been given a full choice of homes, having been shown several before deciding to come and live at Eldon house. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 9 She had benefited from a fall multi-agency community care assessment whilst in hospital, and the deputy manager had also done an assessment to determine that the home was able to meet our needs and personal choices. She confirmed that her son and daughter-in-law had been involved in her decision to move into the home, and that she was in her own words: Very comfortable in the home. This home does not cater for Intermediate Care as defined by National Minimum Standard 6. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Though were comprehensive care plans demonstrating the assessed needs and personal choices of people using this service, and how these were being met. EVIDENCE: A review of a sample of the care plans of people using this service demonstrated that the information regarding assessed needs and personal choices had been used as a basis for producing a program designed to enable them to have these met in the most dignified and appropriate manner possible. They were written in a professional manner that would inform staff coming on to shift of the current status of each person, and what was required of them to assist people to experience the lifestyle that they wanted. There were records of appropriate intervention from various health professionals, both to respond to known and emerging needs, and also to Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 11 undertake preventative work to ensure the current state of health was maintained. This included the visits by the district nurse, the GP, and various specialists, as well as the visits to clinics and for hospital appointments, and for the tertiary health input of such people as the dentist, the optician, the chiropodist, and the hearing specialist. Such basic information as mobilises with a Zimmer, susceptible to a bad chest, arthritis particularly bad in the winter, history of falls were seen, together with personal choices, such as likes to have her inhaler, but wants staff to be responsible for all other medication . The medication record was reviewed without any errors or discrepancies being found, and arrangements for the storage of medicines was in line with current recommended best practice. When speaking to people who use the service the inspector was told that people were treated with dignity and that their privacy was respected, and he was able to observe the familiar banter with which they treated staff, a welcome sign that they were comfortable, a word that was used by several people in conversation with the inspector. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People use this service and good contact with their families and the local community, were treated with dignity and sensitivity, and enjoyed a varied diet including seasonal and local delicacies. EVIDENCE: People who use this service told the inspector about the contacts they maintained with family and friends. One lady told him: my son comes to visit me every week and another lady informed him members of my family visited regularly every Tuesday. Another person wanted to record how wonderful her daughter-in-law had been to her, and how much trouble she had taken to ensure that the right place was found for her to live in*become clear that she required more help than could be provided in her own home. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 13 Several people mentioned the provision of Bingo sessions in the home, and one lady said: We make things you know (Craft items) for the fete we hold in June. We enjoy doing that, and the money raised goes towards purchasing little extras such as new garden furniture, or paying for trips out . Another lady said how much they enjoyed seeing the children from the day nursery opposite when they have their fire drills. Apparently there was an arrangement for the children to come and stand just inside the car park during these practising evacuations, and many of the ladies derived pleasure from coming to the Windows overlooking the car park to watch them. Members of staff were observed to treat everybody with dignity and sensitivity, especially when approaching them to undertake a personal care task. People using the service who were asked about this confirmed that people always treated them with respect, but said that they enjoyed the banter that they felt able to engage in with their carers, who knew where the line was between being informal, and those occasions which demanded a more professional relationship. The inspector joined people in the dining room whilst they were enjoying their cooked meal, and was told that they had no complaints about food, and that they always had a supper, and refreshments were available at any time by asking a member of staff. The kitchen had recently been redecorated and was clean and tidy, with sufficient utensils and cooking implements, and the food preparation and storage areas were similarly clean and well ordered, with fridge temperatures being recorded, and adequate stocks of foodstuffs. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service were shown to be cared for by our staff group who were aware of the issues relating to the protection of vulnerable adults, and to the need to assist some people in expressing their concerns and or complaints. No complaints had been received about the service, and their policy and procedure was in line with National Minimum Standards. EVIDENCE: During a formal interview, a member of staff was asked about how people who use this service could make a complaint, and about her understanding of what constituted an abuse, who could abuse people living in this home, and what procedure she should follow if she had cause to suspect that somebody was being abused. She was fully aware that anybody who came into any contact with people living in the home could be potential abusers. She was also aware of a wide range of things that constitute abuse, not only those things that could be done to another person, but also those things which if they were not done for a person asking for, or assessed as needing them, would be abusive. She considered that anything that challenged the dignity and personal choice of a resident in the home would be an abuse against them. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 15 She was also able to confirm that since the last inspection, she, and all her colleagues, had received statutory training in the Protection of Vulnerable Adults. She also confirmed that by the nature of the home and the low turnover that they experience in care staff, most of the people working in the home have such a good understanding of the usual behaviour and appearances of the people who use the service, and that they would quickly recognise if something was troubling them, and if that person lacks the capacity to make a complaint on their own behalf, would assist them to do so. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24, 25, and 26. Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. People who use this service live in a safe and well maintained environment, with appropriate indoor and outdoor communal facilities, sufficient unsuitable lavatories and washing facilities, comfortable bedrooms which reflected their history and personality, and a good standard of cleanliness and decoration. Previous concerns about the radiators and pipework remained, but in an urgent response to this inspection, the proprietor has now undertaken to fit covers to all radiators. EVIDENCE: Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 17 A cursory visual examination was made of the exterior of the home without any items of concern being noted. The car parking area at the rear of the home had been given a new surface to 50 of its area, and subsequent discussion with the proprietor revealed that he was awaiting response to a planning application for building work at the rear of the home, before taking the decision on whether to surface the remaining of not. Workers that had been under way during the previous inspection to extend the seating area at the front of the home had been completed, and further goodquality garden furniture had been installed, including a garden shelter which was tastefully in keeping with the overall nature of the property and its surroundings. A very full tour was made of the internal environment, and the deputy care manager was at pains to point out all the improvements that have taken place since last inspection. All but a handful of bedrooms had received new carpets, and the floor covering in the rooms that had not done so, where of a very high standard. In addition to the new carpets, some bedrooms had received new chairs, and others have had their existing chairs recovered. Redecoration had also taken place in many bedrooms, as well as in the shower room, and in the kitchen. To comply with recent legislation, a shelter had been provided outside one of the fire exits, for people who use this service and who wish to smoke to be able to continue to do so. This was a substantial affair that had been made as comfortable as possible, and had been provided with exterior specification lighting, so that it could be used at night. It has already been noted, from a conversation with one of the people using this service, that repairs, renewals, and refurbishing continue all the time. She said: We have always got workmen and here, the boss (Mr Irwin) looks after the home very well . An excursion across the car park was made to the Porta-kabin where all the laundry equipment is situated, and this was found to be in good order, with appropriate sluicing facilities on one of the machines, and space for the dedicated laundry person to do the ironing. The only adverse comment was that the carpeting on the floor did not meet National Minimum Standard 26, in that it was not impermeable. This will be a recommendation at the end of the report. There were no inappropriate wedges keeping doors open, and where it was either necessary, or the personal choice of the occupant of a room, doors were retained open on magnetic catches or individual door guards, both of which were activated by the fire alarm to release the door into the closed position. (This paragraph refers to a requirement made after the previous inspection) Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 18 Individual rooms have been personalised to reflect the history and choices of their occupants. Those people with a strong religious conviction had been able to express this in their pictures and other artefacts, and other people had retained reminders of their previous home, their family, holidays that they had enjoyed, and personal interests or hobbies, such as Craft work or mementos of favourite stars of stage, screen, and the music industry. Those people who spoke to the inspector confirmed that their rooms were comfortable and as one man said: If we want anything done to them, we tell him (Mr Irwin). One person and had a telephone with large size numbers, and when asked about it she said: I use it to call my family, I find it very comforting, and these big buttons make it easier for me to use . All bedrooms had a means of calling for assistance in an emergency, and in some of the rooms, it was noted that an extension cable enabled the less mobile to use these whilst in bed, without even having to turn over. Eight bedrooms have ensuite facilities, and the rest are served my bathrooms and toilets that are conveniently situated around the home. It was noted that spare toilet rolls were being stored on the top of the cistern, and a recommendation is being made in this report that to ensure good infection control, these should no longer be stored near to the toilet. Many radiators still did not have any means of adequately ensuring that they remained at a safe temperature that would not occasion burning if someone was to fall against them, and this was discussed with the care manager resulting in a written undertaking from the proprietor to have individual covers made for all radiators at the home, and in subsequent discussion, he confirmed that these would be fitted on a priority programme based on risk assessment of the individual accommodated in each bedroom. It is necessary to repeat the statutory requirement to carry this work out, but the prompt response of Mr Irwin should be noted together with his commitment to this major expenditure at this time. All parts of the home were clean, tidy, well maintained, hygienic, and free from any malodours. Systems were seen to be in place to manage the disposal of clinical and general waste, together with supplies of personal protective equipment in appropriate places where they could be accessed for use when undertaking personal care tasks. Members of staff were observed to be wearing such equipment during the course of this inspection, and it was confirmed that aprons are colour-coded so that no mistake can be made between those used for personal care and those used for preparation and serving of food. Eldon House DS0000008224.V347248.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. People who use this service were being cared for by a group of staff whose conduct was appropriate, supportive, and helpful, and who reported that they were receiving appropriate training for the job that they were doing. EVIDENCE: Staffing arrangements for the home were confirmed by conversation and reference to the current staff rota, and show that as well as the registered care manager, there were always three carers during the day supported by the cook, laundry assistant, and domestic assistant, and two staff watchful waking at night who had access to both the care manager and her deputy. It had been a requirement of the last report that all staff must receive training in the protection of vulnerable adults (abuse), and the registered care manager confirmed this has no taken place, and that a fresh batch of refresher courses in mandatory subjects have been arranged as follows: Health and Safety the fifth and seventh of September Food hygiene 12th of September Moving and Handling the 19th of September First aid the 26th of September. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 20 A formal interview was undertaken with a member of staff, and she confirmed that the process of recruiting her had met with all equal opportunities legislation, and had required her to provide written references and a clear CRB check. She had received induction training prior to starting alone on the floor of the home, she enumerated her qualification and experience for the post for which she was employed, and demonstrated a sensitivity and regard for the privacy and dignity of people using this service while summarising how she would undertake a personal care task for someone. Eldon House DS0000008224.V347248.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, and 38. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. This reflects both the continued need to protect people use the service against the potential danger of Burns from pipes and radiators, and the undertaking given by Mr Irwin to attend to this matter with all haste. Hence the judgment is good and not poor as it would have been if no such commitment had been made. EVIDENCE: Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 22 The Registered Care Manager of this home is appropriately qualified and has substantial experience in managing a home that offers accommodation and care for the frail elderly. She is ably supported both by a proprietor who believes in being hands on , and by a very experienced deputy. Surveys of people who use the service and their supporters demonstrate something that was expressed by several people on the day of this inspection. They said: I am content here . (One gentleman used the word Pukka, to describe how he felt about the service.) These systems in place to safeguard the financial interests of the people use this service were not examined on this occasion, but it is worth repeating that the fees being charged are limited to those being paid by the local authority, and that with the exception of personal choice items such as hairdressing and toiletries, there are no extra charges. The home has a comforts fund, and people who use this service spoke with pleasure about the garden fete that is held each summer to help raise money for this. With the funds generated outings are paid for, the most recent being a visit to the newly refurbished Trentham Gardens. Those people who told the inspector about the summer fete stated that they enjoyed having the purpose and feeling of personal value that came from producing items to be sold there. The only item on identified as compromising the health and safety of people in this home was the lack of guaranteed means of ensuring that radiators and pipework did not become so hot that they posed a potential hazard. The requirement of the last report to attend to these matters will be repeated in this section, though as was stated under the section on the environment earlier, Mr Irwin has now given a written undertaking to have individual covers made for all 75 radiators in the home, and to fit these on a priority programme that will reflect the areas where people are felt to be at greatest risk. No other health and safety issues arose from this inspection, and it was pleasing to observe the substantial amount of work that had been done to maintain and improve the standard of the home. Eldon House DS0000008224.V347248.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 X 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 3 3 3 X X 3 2 3 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 X X X 3 Eldon House DS0000008224.V347248.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. Standard OP25 Regulation 13 Requirement The registered person must ensure the health and safety of all residents by making certain that no pipe or radiator reaches a temperature over 43 degrees centigrade. Timescale for action 26/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP26 OP26 Good Practice Recommendations The registered person is recommended to remove all toilet rolls from the cistern and store them away from the toilet. The registered person is recommended to ensure that the fore in the laundry is covered with an impermeable material. Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Local Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Eldon House DS0000008224.V347248.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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