Inspection on 06/07/05 for Eldon House

This inspection was carried out on 6th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Eldon House 09/02/10

Eldon House 14/07/09

Eldon House 26/07/07

Eldon House 29/08/06

Eldon House 04/01/06

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 Dresdon Stoke-on-Trent Staffordshire ST3 4EX Lead Inspector Peter Dawson Announced 6 July 2005 9:00 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eldon House Address 69 Richardo Street Dresden Stoke- on -Trent Staffordshire ST3 4EX 01782 326620 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Eldon House care services Mrs Susan Ibbs CRH 34 Category(ies) of DE(E)-6 registration, with number OP- 34 of places PD- 4 PD(E)- 12 Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 4-PD over 65 years Date of last inspection 4 March 2005 Brief Description of the Service: Eldon House is registered to provide personal care and support for up to 34 people. Of these 6 may reuqire dementia care, 12 may have a physical disability and 4 people may be under the age of 65 years. The home is located in Dresden, close to Longton town centre which is easily accessible. There is easy access by public transport. The home is located in an area of old and new properties, local shops and amenities are 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 with several bedrooms, the ground floor where there are 3 lounge areas, dining room, kitchen and offices. Most of the bedrooms are located on this floor. The first floor provides further bedroom accommodation. All rooms are for single use with the exception of 1 which is used as a double bedroom for a couple. There are 8 en-suite bedrooms. Assisted bathrooms and toilet areas including shower room are located on each of the 3 floors. The laundry is located in a Porta Cabin to the rear of the property and has good facilities. There is a well-kept garden to the front of the home with good seating facilities and much used in the summer months. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. All places in the home were occupied at the time of this inspection and there reported to be people waiting for admission. Written feedback was received directly by the Commission for 5 residents, 5 relatives and Social Work Placements Officer. All spoke positively about the care provided at Eldon House. Two relatives indicated that they did not have access to inspection reports and there is a recommendation in this report relating to this. One relative felt that some redecoration was required, but the inspector was satisfied with the ongoing programme of redecoration in the home. Feedback from the Social Worker referred to the excellent quality of care at Eldon House. A pre-inspection questionnaire was completed by the home and provides a basis for this report. The requirements of the last report have all been addressed. Residents spoken to were satisfied with care. Recently admitted residents were spoken to and it was clear that pre-admission procedures had been followed as stated in the standards. They had settle well into the home and were satisfied with the level of care and felt they’re chosen lifestyles were being accommodated. There was a relaxed atmosphere in the home, proprietor, managers and staff spoke readily and in a very friendly way with residents. There were many examples of good humoured exchanges, residents laughing and enjoying the good natured bantering. Several residents have high dependency needs, several immobile requiring appropriate pressure relieving equipment and regular turning and attention to general health needs. The level of care provided was high and there was evidence of good staff knowledge of resident need and good staff commitment to resident care. The inspector was particularly impressed with the natural, friendly and positive exchanges between all staff and residents. Care staff demonstrated a natural skill in communication, particularly with residents with very limited verbal abilities. There was a review relating to a vulnerable adults issue and action required to provide a more robust reporting system for staff and greater staff awareness of the various forms of abuse. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? There has been training for all staff in Fire Prevention. Recruitment procedures have improved to include appropriate references and checks prior to employment. Radiators have been provided in the communal areas and are of good quality and attractive, blending with the décor. 5 bedrooms have been redecorated and upgraded with new carpet and some new furniture. Disposable hand towels have now been provided in all toilet and bathroom areas. All residents are weighed regularly with good recording of weights and monitoring. The required level of 50 of NVQ trained staff by 2005 has been achieved. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 7 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. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 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 standard(s) 1-5 The standards relating to choice of home were found to be met in relation to all residents admitted since the last inspection. EVIDENCE: There is a statement of purpose/service users guide available in the home for reference by present and prospective service users and their relatives. This information has been updated recently. There is a copy contract with the statement of purpose. Most residents are funded by Local Authorities and contracts are provided for those residents which they sign and retain a copy. Assessments are undertaken by Care Management in virtually all instances prior to admission. All prospective residents are assessed prior to admission by the Manager or Deputy. It was clear from discussions and inspection of documents that Care Management and Home assessments had been made in relation to recently admitted residents. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 10 The capacity to meet need is outlines in the statement of purpose. There were indications from observations, discussions with residents and examination of records that assessed needs were being met. Where possible prospective residents are invited to and spend time in the home prior to admission. In circumstances where this is not possible relatives visit the home and have extensive discussions with staff. Where it is not possible for the prospective resident to visit the home prior to admission, the person is always seen by staff in their current environment prior to admission. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 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 standard(s) 7 - 11 There is a good standard of care planning in place. Daily recording could be reviewed. Recording in relation to vulnerable adults was inadequate. There is good health care awareness. The system of medication administration is safe. EVIDENCE: Care plans were sampled in relation to recently admitted residents and past resident for retrospective discussion. Initial assessments were of good standard and provided the basis for those plans. All plans are reviewed on a monthly basis in the home and overseen and reviewed by the Manager. Care plans provided clear instructions to staff in relation to personal care, heath and social care needs of residents. There were good examples of social histories compiled by the home. Risk assessments were seen to be in place and also reviewed regularly. There are not daily entries for all residents. Recording tends to be related to specific events or changes in care provision. The home may wish to consider more regular recording of daily events. In relation to a recent vulnerable adults situation there was inadequate recording of events. Staff had some difficulty Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 12 in relating this to confidentiality, but were advised that such events must be recorded and known to all staff to ensure adequate safety measure are in place and that a changed plan of care is provided in such instances. Several local GP practices provide a service to the home and a good service is reported. There are no pressure area management problems in the home at this time. Three residents have virtual total dependency and require 2 staff for most functions of daily living. District nurses are visiting only 2 people to provide dressings at this time and others only for the usual health checks. Two residents continue to see Consultants on an outpatient basis following surgery. There was good recording of health care needs and staff appeared aware and knowledgeable about preventive health care matters. All residents are now weighed regularly on a monthly basis and where there are concerns about weight, weighed on a weekly basis. A resident weighing only 4 stones was weighed weekly and was eating and drinking extremely well. All information was recorded. Five people are currently assessed as requiring dementia care. The home does not have category to admit people with mental health needs although some do now fall into this category. The home intends to provide staff training in this area and apply to the Commission for additional MD category to admit people with those needs. Medication administration and records were inspected. Recording on MAR sheets was accurate. Returns to the pharmacy are countersigned and the medication system checked annually by the Pharmacy. There is no homely remedies policy and it is important to instruct relatives that over the counter medication must be cleared with senior staff prior to being brought into the home. There was some doubt whether a prescription was PRN and this will be checked with the pharmacy. The home has a policy relating the care of the dying and death and this was discussed in relation to recent deaths in the home, the principles being applied in relation to residents and relatives. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 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 standard(s) 12 - 15 The standards relating to daily live and social activities were found to be met. Residents spoke positively about chosen lifestyle, family contacts and food provision in the home. EVIDENCE: Several instances of chosen lifestyle were observed and confirmed in discussion with residents. Many residents spend time in their bedrooms during the day, all rooms were very well personalised reflecting the individuality of residents, and all had TV/music facilities. Several had private telephone installations in bedrooms. Residents confirmed that their needs and wishes were sought and acted upon. Regular activities are provided and entertainment brought into the home. Residents spoke in detail about activities and clearly enjoyed the social benefits. There is a small but pleasant and well-maintained garden area with many seats and tables, the area also has BBQ and residents confirmed they had used the garden areas in the recent hot spells. The home has a newsletter for information of residents/relatives. There had been recent fund-raising by staff for the comforts fund and a planned garden party arranged for July. Residents are involved in arrangements, preparation and the events. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 14 Contacts with families are considered a vital part of care and there is an open visiting policy. Relatives are encouraged to take residents out if possible. Library services are accessed, the home provides 4 local and 4 daily newspapers. Clergy visit the home regularly. A resident registered blind has regular talking books delivered. All residents spoken to expressed satisfaction with the food provided. The mid day meal was seen and well presented and there were menu alternatives. There are 2 sittings for mealtimes and this provides time for residents to eat and enjoy the social aspects without pressure. It also allows time for more dependent residents who need assistance with eating to be afforded individual attention and privacy and dignity. The kitchen was inspected. New fridges/freezers have been purchased and also smaller items of equipment. Hygiene standards in the kitchen were high and the EHO is due to visit shortly. Resident’s finances were not inspected on this visit. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 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 standard(s) 16-18 The complaints procedure is in place and is satisfactory. The protection of residents must be ensured by provision of instructions to staff concerning the reporting of abuse. All must be given a copy of the procedures and sign to confirm they have received and understand them. EVIDENCE: There is a complaints procedure posted in the home for residents and visitors which is satisfactory. The homes complaints book was seen and no complaints have been received in the last year. No complaints have been received in relation to the home by the Commission. Recent incidents in the home which were reported under the Vulnerable Adults procedures tested the procedures in the home, to be followed in relation to the protection of residents from abuse and staff knowledge of those procedures. These were found to be inadequate. A referral was not made swiftly and incidents not recorded adequately. The Commission were not informed immediately following those incidents. It is a requirement of this report that the registered person must provide clear instructions to staff and training for staff in relation to the broad definitions of abuse and the procedures for reporting suspected or actual abuse. This will ensure residents are protected from risk, harm or abuse. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 The environment is comfortable and homely, retaining much original Victorian character. There is a good ongoing redecoration/replacement programme. The home is safe and suitable for its purpose. Bedrooms are well personalised and comfortable. Hygiene standards are good, although attention to malodours in 2 bedrooms identified is required. Generally - a good, homely, comfortable and safe environment. EVIDENCE: Accommodation is on 3 floors with lift and stair access to all floors. There are also 2 stair lifts to the first floor. Corridors are generally wide allowing wheelchair access. Wheelchair users are located only on the ground floor and there is good access to bathroom/toilets in that area. Since the last inspection a bathroom has been converted into a shower room with small step to the shower itself. The proprietor is considering possible ramp onto the shower area. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 17 The home is large with a large Victorian building with later added single storey extension where en-suite facilities are provided. There are 8 en-suite facilities in the home. There are adequate numbers of bathroom/toilet areas located throughout the building and near to the communal areas also. There is a programme on ongoing decoration and refurbishment. Since the last inspection 5 bedrooms have been redecorated and new carpets fitted. This includes some bedrooms on the lower ground floor where light furnishings/carpets have maximised the relatively restricted natural light and made a vast improvement to those rooms. A relative in feedback form directly to the Commission felt that some redecoration was needed in some areas, but the Inspectors view is that generally the decoration in the home is good; the proprietor certainly continues an ongoing programme of redecoration. Radiator guards have been fitted to the communal areas (corridors & lounge areas) following risk assessment. The radiators are good quality metal type and look very attractive. Other areas have been risk assessed as not requiring guards and this will be reviewed during the next inspection. New locks have been fitted to most bedroom doors, approved by the fire officer. Most bedrooms have a lockable facility for valuables/medication Hand and grab rails are located as appropriate with toileting aids in place. The home does not have a hoist. Two frail residents require 2 staff to move and have been risk assessed. The home are prepared to purchase a hoist if required but feel the present arrangements are adequate. They will review this in the light of changing dependency levels. Bedrooms were all well personalised and have numerous facility for TV/Video/Music and several have private telephone installation. Bedrooms have been upgraded and generally are well decorated and furnished and comfortable. There were many examples of residents bringing substantial items of furniture from home. A recently admitted resident preferred to bring the majority of bedroom furniture which was in place. The home is generally clean and pleasant. Hygiene standards are good. It was noted in 2 bedrooms that mal-odours required further attention and this will be addressed. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27-30 The numbers and skill mix of staff is satisfactory. The NVQ requirements for 2005 are met at this time. Recruitment procedures have improved. Moving & Handling training is being pursued. EVIDENCE: Staffing of the home is as follows: 7.30 – 2.30 - 4 members of staff 2.30 – 10.0. - 3 members of staff Nights 10 – 8 Two waking night care staff. There is always a Senior Carer on duty throughout the 24 hour period. In addition to the above staff the Director of Care and the Registered Manager work full time in the home working at various times over the 7 day period. There are a total of 522 Care Hours per week (Plus Director of Care and Manager). Additionally there are catering, domestic and laundry staff providing 92 hours cover per week. The staffing levels appear adequate to cater the perceived needs of residents at this time. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 19 Additional cover is instantly available at nighttime in case of emergency. Admissions to hospital at night would be escorted by additional member of staff called to the home. Staff records were sampled and new staff employed since the last inspection have all been subject to required recruitment procedures including CRB checks prior to employment. There has been an improvement in the recruitment procedures operated in the home. New staff had received appropriate induction courses. All staff have now received GSCC Codes of Practice. There has been staff training for all in Fire Safety recently which was a requirement of the last report. Moving & Handling training for new staff and updates for others are now required. Previous training source used has been unable to provide this. The home are considering possibility of a member of staff becoming and approved moving and handling trainer. Training records were seen and statutory training had been provided for staff as required. Training planned includes First Aid, Basic Food Hygiene and Health & Safety. There are 16 Care staff – 9 have obtained NVQ2 standard or above. Four are presently completing NVQ training and 4 just enrolled to commence. The home therefore meets the required standard of 50 of NVQ trained staff by 2005. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The Management structured of the home is good residents benefit from this. Aspects of record keeping require improvement to ensure protection of residents. Swift notification of reportable incidents to the Commission are required. Some training requires updating. EVIDENCE: The Registered Manager has the required experience to run the home and also completed the NVQ4/Registered Managers award as required. The Proprietor and Director of care have a daily presence in the home and support the work of the Registered Manager. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 21 There is a relaxed and positive relationship between Proprietor and Senior Members of staff. All also were seen to have positive, friendly and relaxed relationships with residents. Financial procedures were not inspected for evidence on this inspection. The proprietor has owned the home for the past 17 years and has no debt commitment. There has been investment into the fabric of the home. The home generally runs to capacity and had maximum 34 residents at the time of this inspection. There is regular supervision for all staff at least 6 times per year. Records seen were generally of good professional standard. Areas of recording which could be improved were daily notes for all residents and recording of serious incidents in the home which is mentioned above. All staff have recently received Fire Training from Staffordshire Fire Service on 29.5.05. This was a requirement of the last report. Moving & Handling training and updates are required and the home are presently pursuing this particular area of training need. Spot checks of servicing of equipments had taken place as required. Window restrictors are in place. The premises are secure and new external security lights have been recently fitted. Risk assessments were in place relating to residents activity, the building and fire. Fire equipment had been tested and serviced as required. Reportable incidents under Regulation 37 had not been notified to the Commission as required. This related to a Vulnerable Adults issues which should have been reported immediately to the Commission. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 1 3 3 3 3 3 3 3 2 Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 23 no 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 38 Regulation 37(1)(e) Timescale for action The Registerd person must notify Immediate the Commission without delay of & Ongoing any event affecting the wellbeing or safety of service users. The Registered person must 31.8.05 provide instructions and training for staff to prevent Service users being harmed, suffering abuse, or being place at risk of harm or abuse. Further investigate mal-odour in Immediate 2 rooms identified. 6.7.05 Requirement 2. 18 13(6) 3. 26 16(2)(k) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 33 Good Practice Recommendations A copy of the inspeciton report must be available in the reception area of the home for residents, relatives, staff. Eldon House E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Stafford - 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 E51-E09 S8224 Eldon House V228505 06.07.05 Stage 4.doc Version 1.40 Page 25 - 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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