Inspection on 29/08/06 for Eldon House

This inspection was carried out on 29th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 26/07/07

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Eldon House 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 29 August 2006 14:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eldon House DS0000008224.V305459.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.V305459.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.V305459.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 - PD over 60 years Date of last inspection 4th January 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, though this was not available on the day of this inspection, as it is in the process of being re-surfaced. 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 14 bedrooms, and the first floor which provides a further 10 bedrooms. All but one are for single use, with the exception of the one being used as a double bedroom for a couple. There are 8 en-suite bedrooms. Assisted bathrooms and toilet areas including 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. The well-kept garden to the front of the home was being revamped at the time of this inspection, to provide further good seating facilities, which were said to be much used in the summer months. Eldon House DS0000008224.V305459.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 and early evening of Tuesday August the 29th 2006, at which time 33 people where a resident in the home, with one person in hospital. The registered care manager was on duty, assisted by a senior carer, and three care assistants. The deputy manager who had not been on duty, called in at their home and stayed for the afternoon to assist with this inspection. Residents spoke openly to the inspector as he toured the home, and all were very positive about the experience of living at Eldon house. Many comments cards had been returned to C. S. C. I. prior to this inspection, and none of them made any adverse remarks. A selection of comments included: Pleasant staff always on duty take a very good care of (name of resident). We are very pleased with everything . The standard of care my mother receives at Eldon house is excellent. (Name of resident) have been in the home for nearly 6 months and I am very pleased with the general health improvement and level of care being received. I feel happy, safe, and cared for. I am very satisfied with the home and care they provide I must say I am exceptionally happy with the care (identification of resident) gets at Eldon house. I feel like a friend to all staff and patients when I visit. And a visiting professional wrote: One of the best residential homes that we look after. Mrs Ibbs and her staff should be congratulated. The home was warm and clean, comfortably furnished, and had an atmosphere of good humour and caring concern. Some concern was expressed to the care manager regarding the lack of progress with two of the requirements of the previous report, namely the lack of up-to-date training for both Moving and Handling, and the protection of residents from abuse. These requirements will be repeated a gain in this report a hand may result in enforcement action being taken against the providers if an immediate satisfactory response is not received. As a result of this inspection concern will be expressed in this report that so many of the radiators in residence rooms have no guard to them, or are not of any low surface temperature type of manufacture. The care manager told the inspector that this was not felt to be needed as the heating system was regulated to prevent it taking pipes and radiators above 43°C. What the service does well: Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 6 This home provides a group of frail elderly residents with comfortable and secure accommodation in a domestic style of property that is located firmly within the heart of a local community. It has a good history of retaining staff, and of having daily input from the registered proprietor. It caters for the general elderly, 12 elderly people who have a physical disability, and in addition can cater for four younger adults who have a physical disability. (Currently there is only one person who falls into that category). What has improved since the last inspection? What they could do better: A requirement of the last two reports to be able to demonstrate that appropriate training had taken place to equip staff with knowledge of how to recognise, respond to, and prevent abuse, has not been satisfactorily implemented. In a home that appears otherwise to provide thoughtful and responsive care to vulnerable people, this is a matter of extreme concern. A further requirement of the last report to ensure that the refresher training in Moving and Handling had not been met at the time of this inspection, which was exactly 7 months after the time set for this training to have taken place. Concern will be expressed throughout this report about whether the central heating regulation arrangements are in fact adequate to ensure that nobody receives a burden as a result of falling against unguarded radiators or hot water pipes, and a further concern is raised about the prevalence of wooden wedges found in the close proximity to fire doors. Discussion took place with the care manager about the need to use a mechanism that was approved by Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 7 the local fire officer, and in fact examples of this type of Door Guard were seen on bedroom doors during a tour of the environment. Under the regulations registered services are required to respond in a timely manner to any requirements that have been made in reports, and reference to the last two reports will show that this home has a poor record in complying with this regulation. 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. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 8 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.V305459.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. The judgment on the outcome for this group of residents is adequate. This judgment was arrived at using all the available evidence including this visit to the home. Viewing a sample of care plans satisfied the inspector that full and sufficient assessments had taken place prior to residents being admitted. He also verified that the home does not provide intermediate care as defined by these standards. EVIDENCE: The inspector looked at several care plans chosen at random, and in these he found good evidence that a resident who had been admitted under private arrangements had been assessed by the care manager or another senior member of staff using it a checklist of their assessed needs and choices that was the equal of the Care Management tool, used for residents admitted by social workers. Whilst talking to one resident he was told: Sue (the care manager) came to see me and asked all about my problems and the things that I liked to do. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 10 There was also a clear audit trail between the pre-admission assessment, and the ongoing care plan for each individual. Reviews where seen to be done regularly once per month, or when any change in a persons situation dictated it. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. The outcome for this group of residents was good. This judgment was arrived at using all the available evidence including this visit to the service. Documentation was in place to record the assessed needs and choices of the residents and how these had been me. EVIDENCE: The care plans review would during this inspection proved to be extremely comprehensive, free from any derogatory terminology, and had been revised to improve security under the data protection legislation, and to cut out any unnecessary duplication. This followed recommendations made by the inspector conducting the previous inspection. Details were recorded of care given by members of staff, and interventions sought and received by outside health professionals, to meet the assessed and emerging health needs of residents. These included arrangements to attend clinics, GPs surgeries, and hospital appointments, both for chronic conditions, and for assessment and treatment of newly emergent one is. The tertiary health care needs such as dentist, chiropodist, optician, and ear care specialists were seen to be arranged regularly through the National Health Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 12 Service, with some residents making arrangements for alternative or additional private attention, especially to feet. The weight charts that are now in each resident’s care plan all showed (in the samples seen) that there had been an increase in weight since the resident had been admitted to the home. The majority of the residents in this home do not administer or stall their own medication, but rely upon staff to perform this service for them. An appropriate list of who had been trained and approved to administer medicines was shown to the inspector, and one resident told him: I was getting in such a mess trying to remember which one to take and when that it has been a great relief to have them do this for me. When asking residents about the way in which members of staff and management treated and he was told: Oh they are lovely to me here, they always knock on the door when they come in, and it is such a relief to know that even if I am asleep they will be looking in every hour during the night to see that I am all right. You read so much in the paper about women on their own being broken into, but here I feel safe because theyre always other people and the staff around both day and night. Eldon House DS0000008224.V305459.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. The outcome to this group of residents was good. This judgment was arrived at using all available evidence, including this visit to their home. Residents said that they were able to live as they wished, keep in touch with who they want to, have what they wanted to eat, and not to things they didnt want to do. EVIDENCE: During his tour of the home the inspector was able to speak privately with several residents who were in their room, and more collectively with some who were in the communal areas. One lady said: its very nice, if Im feeling a bit off they let me stay in bed and get up at my own pace, and I can always come and lie down on the bed after lunch, because Im usually need of a little nap then. Another person said: I like to spend some time on my own, Ive worked in the public domain in all my life and now I want a bit of privacy. They respect that here and Im able to watch my television, especially the quiz shows, I really enjoy those. At other times though, if I feel like it, I can spend time in the lounges chatting or watching whats going on. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 14 A gentleman with whom the inspector spoke wish to have it recorded that in his opinion: It’s ace here. I have always wanted to do this. The inspector also spoke to the son of one resident who visited his mother on a twice daily basis, and as someone who had first-hand experience as a carer, he was very impressed with the extent to which the staff went to ensure that care needs were met, and the way they always maintain the dignity of the resident who was being assisted with a personal care task. The kitchen area was not visited during this inspection, but menus provided with the provider dataset showed there to be a good variety in the choice of meals available, and this was confirmed by people who spoke to the inspector as he progressed around the home. One gentleman assured him: All the food is very good here, why do you think Im looking so healthy? People told him that snacks such as a light supper where available to suit their need, and that staff are always ready to make them a hot drink if they needed it. Eldon House DS0000008224.V305459.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The outcome of this group of residents was adequate. This judgment was arrived out using all available evidence including that collected during this visit to the home. EVIDENCE: The inspector undertook a formal interview with a member of staff. When they discussed the subject of the protection of vulnerable adults her answers satisfied him that of the natural responses of carers within this home would provide the best form of defence against the possibility of residents being abused. She not only correctly identified that anybody could abuse a vulnerable elderly person, but was also able to point to a wide age range of circumstances and situations that would be an abuse of a person, both through acts of omission, and through ommissive acts of neglect. She responded particularly robustly to the importance of the bedroom being the only private space left available to residents once they had entered the home, and considered that anybody infringing upon this privacy, would be guilty of abusing a resident. She knew what signs to look for that might alert her to abuse having taken place, and also what procedure she should follow once she suspected this. Whilst during her induction she had read all the leaflets given to her including one about abuse, she had not completed the type of training indicated in the requirements made both in the last report and in the report prior to that. Eldon House DS0000008224.V305459.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, and 26. The outcome for this group of residents was adequate. This judgment was arrived at using all the available evidence including that collected during this inspection of the home. With the exception of the concern regarding the use of door wedges, and the protection of hot surfaces such as pipes and radiators, the environment was comfortable, warm, clean, and odour free. EVIDENCE: The inspector undertook a tour of all the communal areas of the home open to residents, but did not visit the kitchens all the laundry during this inspection. He found residents to be comfortably dispersed in lounges that were located at various points around the home. The furnishings were comfortable and of good quality, and the residents that he spoke to were positive in their praise of their surroundings. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 17 In the dining room there were substantial wooden farmhouse kitchen style of tables with sufficient distance between them to enable people using walking frames or in wheelchairs to have easily and dignified access. Table linen, place settings, condiments, and crockery and cutlery were all seen to be of superior quality, and to residents, the care manager, and other members of staff, told the inspector: We have two sittings, so that those people who are unable to manage their foods themselves are not stigmatised, and can be assisted along with other people receiving the same type of help as they are. When visiting the bedrooms of those people who were about and able to give permission for this inspection, the most striking thing was the variety of choice demonstrated by the way people had decorated their personal space with treasured possessions and pieces of their own furniture. Some of these bedrooms had previously been shared rooms, and were therefore of equal size with most modern beds sits. All were equipped with means of calling for a system is if needed, and the inspector was told that staff were exceedingly prompt in responding to any call upon them. The provision of private telephones with oversized buttons and numbering was noted in several rooms, and a couple of residents said that they found them very convenient to use, and to keep in touch with their families and their friends. As stated earlier the inspector was concerned that so many radiators in bedrooms did not have a guard over them or appear to be of the low surface temperature style of manufacture, but when he discussed this with the registered care manager she told him: At a recent joint visit by the health and safety officer, (who with other responsible agencies contributed towards the Consumer Protection Compliance Certificate issued on the 10th of August 2005) she said that she was happy with the assurance that the regulators on the central heating system ensured that the radiators did not exceed 43°C. Another area that caused concern to the inspector was the number of wooden wedges that he spotted around the home. It will be a requirement of this report that where residents choose to have their door left open the day are provided with a type of door guard that is approved by the local fire officer. Wooden wedges should never be used for keeping a fire door open at any time. This requirement will be made on the standard 38 later in the report, as that standard refers directly to issues of health and safety. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The outcome to this group of residents was adequate. This judgment was arrived at by using all the available evidence, including that collected during this visit to the home. The deportment of staff observed throughout the inspection was excellent, but the requirements made in the last report in respect of training issues have not been addressed. EVIDENCE: During the course of this inspection the needs of residents were observed to be met in a dignified manner by staff whose cheerful interaction in no way went beyond the limits of sensitivity and privacy. As stated in the summary, there were numerous remarks in comment cards returned to c.s.c.i. before the inspection about the high regard that residents, relatives, and professional visitors have for the carers in this home. Such phrases as: The support has always been very satisfactory The staff are very attentive Pleasant staff Mrs Ibbs and her staff are to be congratulated. This inspector undertook a formal interview with a member of staff, and was reassured by her attitude and by the way that she was eager to provide the best possible care for the ladies and gentlemen who live at Eldon House. Of her own volition she had undertaken academic training to ensure that she was able to meet the high standards required in producing care plans and communicating in the written form. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 19 When he questioned her about her recruitment, she was able to tell him that after hearing about the vacancies through a friend she was sent an application form, which in her view met all the requirements of equal opportunities legislation. After having been called for an interview and asked for two references, certificates of her qualifications, and a C R. B. check, she was started on a probationary contracts working her first two weeks as a supernumerary until she had got to know the home of the people who live and work there, the various safety aspects such as the fire are at evacuation procedure (general procedure for the home, not for identified individuals) how the call systems worked, (she said there were three separate systems being operated in the home) and had been given various booklets and policies to read, and asked to sign a declaration that she had both read them and understood them. In answering questions about an intimate care to ask, she demonstrated an awareness of health and safety, and an empathy with the position of the resident who would be dependent on her to maintain their courtesy and dignity. This home has registration to take people who have Dementia, and she knew that it was important to speak gently to them, and to remind them every few minutes of what it was that they were trying to do together. The area of concern was the absence of any evidence that previous requirements regarding all substantial training in how to protect vulnerable elderly people from abuse had been met. Those requirements made in the previous report and the report before that will be repeated in this report and if not responded to in a timely and appropriate fashion will lead to instigation of enforcement action against the home. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. The outcome from this group of residents was poor. This judgment was arrived at by using all the available evidence. It includes observations made during the current visit to the home. EVIDENCE: The registered manager has the required experience to run the home and easy in possession of National vocational qualification level for in management and care. Time spent in her company shows her to be deeply concerned for the best possible outcome for those people for whom she is responsible. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 21 Reference has been made several times in this report so far to the comments made by the visiting professionals, relatives, and residents in the home with regard to their satisfaction with the way their home is being run, and to the freedom that they feel they enjoy as residents there. More than one person mentioned to the inspector the elements of safety and security that they had found in this home, and which had been lacking for them when they wear on their own in the community. Only three of the current residents continue to handle their own financial affairs, all the others depend upon members of their family to do this for fun. Nobody is recorded as having made arrangements under the Power of Attorney, or to be subject to a Guardianship order. Adequate records were kept of the management of residence personal allowances, and the care manager has been able to verify that they received all of these in full. There will be to require months under a standard 38 of this report, the first referring to the lack of radiator covers, and the second to the danger of using wooden wedges to keep open fire doors. Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 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 X 17 X 18 2 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 23 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 OP18 Regulation 13(6) Requirement The Registered person must provide instructions and training for staff to prevent Service users being harmed, suffering abuse, or being place at risk of harm or abuse. - Previous timescale not met. Moving & Handling training must be provided for all staff. 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. The registered person must ensure that no fire door is kept open by any means other than one agreed with the local fire officer. Timescale for action 31/01/07 2. 3. OP30 OP38 13(5) 13 31/01/07 30/11/06 4 OP38 13 07/09/06 Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 24 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 Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eldon House DS0000008224.V305459.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!