Inspection on 27/06/06 for Eldonian House Care Centre

This inspection was carried out on 27th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eldonian House Care Centre 27/04/09

Eldonian House Care Centre 02/10/08

Eldonian House Care Centre 14/04/08

Eldonian House Care Centre 09/05/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Eldonian House Care Centre Eldonian Way Liverpool Merseyside L3 6JL Lead Inspector Peter Cresswell Key Unannounced Inspection 27th June 2006 9:00 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 Eldonian House Care Centre DS0000067206.V301493.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. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eldonian House Care Centre Address Eldonian Way Liverpool Merseyside L3 6JL 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) 01352 755590 Raydonborne Limited Elizabeth Tracey Davies Care Home 30 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (19), of places Physical disability (2) Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Older people with dementia (DE) (E) shall be accommodated in a self contained area of the establishment. 1 March 2006 Date of last inspection Brief Description of the Service: Eldonian House is a purpose built care home for 30 older people. It is part of the Eldonian Village in the Vauxhall area of north Liverpool, close to the city centre. The home is near to pubs, local shops and the community facilities of the village such as the village hall. The home is registered to accommodate older people, people with dementia and two named younger people with physical disabilities. Residents with dementia (generally referred to as EMI elderly mentally infirm) are now located in a self contained unit - called the Serin Unit - within the home. At the time of the inspection there were 24 residents in the home, seven of whom were in the EMI unit. All of the residents have single rooms with en suite facilities. There are two main lounges, one of which is in the Serin Unit, the other in the main part of the home and solely for the use of the other residents. Each wing has a small self contained courtyard and there is a spacious dining room which is partitioned for separate use by the different groups of residents. Since the last inspection the home has been taken over by new owners, who operate the home on a leasehold basis. The new owners, Raydonborne Ltd, have been registered by the Commission for Social Care Inspection. The Responsible Individual, Pamela Haddock, previously provided management oversight for the former owners via her consultancy, Pamela Haddock Associates. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection since the registration of the new owner. The visit was unannounced and was initially dealt with by a senior care assistant until the manager arrived. The inspector spoke to the manager, senior carer and staff as well as a number of residents and relatives. He toured the home and examined care plans, medication, fire safety records, accident book, menu and residents’ finances. What the service does well: 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. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 6 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 Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 7 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): 1, 3, 4, 5. Quality in this outcome area is good. Eldonian House’s assessment and admission procedures ensure that residents are only admitted if their care needs can be met in the home. Prospective residents and their families are encouraged to visit the home before moving in, ensuring that the home suits their needs. EVIDENCE: The new owners provided a satisfactory Statement of Purpose and service user guide when they were recently registered by the Commission for Social Care Inspection. Residents are assessed before admission by the Registered Manager, who uses a form called ‘Assessment of resident on admission’. Residents and their families are encouraged to visit the home before making a final decision on whether to move in but this is not always practical for residents with dementia. The care and facilities provided by the home, particularly in respect of residents with dementia, are based on the specialist knowledge of the Registered Manager and the Responsible Individual. Eldonian House charges fees of between £266-385 a week, depending on the needs of the resident. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 8 Eldonian House does not provide intermediate care (though it does occasionally provide respite care) so Standard 6 does not apply. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 9 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, 10, 11. Quality in this outcome area is adequate. Care plans and daily reports are good and help to ensure that service users receive care that is appropriate to their needs. There were some minor, persistent discrepancies in the recording of medication which need to be addressed in order to protect the welfare of the residents. EVIDENCE: Care plans are drawn up by senior care staff, based on the initial assessment of the resident. The plans set out in detail the action needed to be taken by care staff to meet the needs of the residents. They include the resident’s attitudes to death and dying – one recorded a resident’s philosophical view that ‘It will happen to us all.’ The plans are reviewed regularly by keyworkers and the reviews are recorded. Daily reports are kept on the resident’s main file and are reasonably detailed, relating to elements of the care plan. The files include nutrition risk assessments and Waterlow (pressure sore) assessments. Senior care staff have in many cases produced excellent, detailed life histories based on information from families and the residents themselves. These documents provide valuable information that can be used to develop care plans and activities as well as giving a useful picture of the resident and his or her interests and personality. All residents have single Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 10 rooms with ensuite facilities and personal care can therefore be provided in complete privacy. All residents receive appropriate health care and are registered with local GPs. District Nurses visit the home to provide any nursing assistance that is necessary. Visits by health professionals are recorded separately on the individual resident’s case file. Medication is securely stored in a spacious medication room and is on the whole efficiently organised, using a Monitored Dosage System. However, there were again some shortcomings which need to be addressed. Medication records were examined for three residents and the following errors were found: * there were unexplained gaps on the Medication Administration Record (MAR) sheets for four medications; * several tablets could not be accounted for (more than twelve in one instance, when it seemed likely that one loose blister pack had not been recorded); * one controlled drug was not on the MAR sheet. This drug was to be administered ‘as required’ and there were no written instructions as to the circumstances in which it should be used; * the amount of one medication administered could not be accounted for as its receipt had not been recorded; * the temperature of the where medications are kept had not been recorded for two recent weeks. Controlled drugs are kept in a locked CD cabinet and their administration is recorded in a bound CD register with entries are countersigned by a second member of staff. One specialist drug is administered by the District Nurse who asks staff to witness its administration and countersign the entry. Staff who administer medication have received training and it is not clear why so many relatively minor errors should continue to occur. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 11 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, 15. Quality in this outcome area is good. The home arranges some activities to satisfy the residents’ needs and expectations though these could be extended. Visitors are welcome in the home and the home’s firm roots in the community help residents continue to feel that they are part of the community where many of them grew up or lived before coming to Eldonian House. A balanced, varied and traditional diet meets the residents’ nutritional needs. EVIDENCE: Eldonian House employs an Activities Organiser for ten hours a week and she has now begun to produce a newsletter for the residents and their relatives. The June edition reports on a table top sale which raised £75.60 for the ‘residents fund’ and a proposed ‘strawberry scone and cream day’. Poor weather has restricted some outside activities recently. The home now has the use of a vehicle for outings and trip is planned to Chester Races later in the year. Some residents attend a local Age Concern lunch club and the Activities Organiser does exercise sessions in the home. Some residents said that they enjoy visits by entertainers (‘we have some lovely times’, said one) but could not recall many other internal activities. One resident said that she enjoyed visiting the local canal side and seeing the swans. As the home now has residents with dementia the Registered Person should consider providing more dedicated activities organiser hours. Some activities have been organised to involve both units and the Registered Manager and other staff said that they had been successful, but no risk assessments have yet been completed for Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 12 them ,as suggested at the last inspection. Such assessments should be carried out to protect the interests of residents in both wings of the home. Some residents choose to spend a lot of time in their own rooms, watching television and they told the inspector that they were happy to do so. Some residents have their own supplies of drinks in their room, such as red wine or whisky. The inspection took place during the World Cup and the home was suitably and patriotically decorated with England flags and posters. The Serin Unit lounge has an orientation board to help residents know, for instance, what day it is. Unfortunately the board was inaccurate on the day of the inspection – telling the residents the wrong day. Orientation information can be helpful but if it is not kept up to date it is, of course, counterproductive. Eldonian House is a community based home, with firm roots in the local community. Many residents and staff are from the local area and some residents who spoke to the inspector said that by coming to live at Eldonian House they were returning to the neighbourhood in which they had grown up or lived previously. A number of relatives visited the home during the inspector’s visit and were made very welcome. The menu is balanced and consists of meals that suit the tastes of most of the residents. Meals are generally traditional but the menu includes options such as curry. There is usually a choice of main meal at lunchtime (the main meal of the day). Residents have the choice of a cooked breakfast and several choose to have breakfast in their room. The evening meal is lighter but is normally also a cooked meal (examples being sausage and onion in gravy, egg on toast or chopped pork and beans) with sandwiches as an option. Most of the residents were satisfied with the meals provided, though one or two said they would like a more extensive choice. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 13 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, 18. Quality in this outcome area is good. The home’s policies for dealing with complaints and allegations of abuse protect the interest of the residents. EVIDENCE: Eldonian House has a complaints procedure and keeps a record of complaints, though none had been received since the last inspection and most concerns are resolved informally. The home also has appropriate policies in relation to adult protection and whistle blowing. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 14 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, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. Residents have well furnished individual rooms with en suite facilities, ensuring their privacy and comfort. New magnetic door closers allow residents to enjoy greater freedom whilst ensuring their safety. EVIDENCE: Eldonian House is a purpose built home for the care of older people. The building has two wings, with a dining room in between the two wings. One of those wings – furthest from the main entrance – has been converted into a self-contained unit (the ‘Serin’ – or Star – Unit) for older people with dementia (‘EMI’). Access to the unit is gained via a simple switch and all exits, including doors to the stairs, are protected by electronic number pads. The Serin Unit has a small smoking room which was formerly the handyman’s room and is now being redecorated and re-furnished to create a comfortable environment for those residents who choose to smoke. The dining room is used by both wings and is separated by a fixed room divider. The divider allows movement between the two units but residents are supervised when they are having their meals. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 15 All of the residents have single ensuite bedrooms, many of which are personalised and all of which have televisions. Many residents choose to spend a lot of time in their room. A number of residents have beds fitted with bedrails for safety reasons and the Registered Manager said that bedrails are only used on the recommendation of district nurses, who also do risk assessments. If the home has not completed its own risk assessment it should be recorded that the district nurse has done so and, if possible, a copy of that assessment should be kept. The top corridor has been redecorated by the home’s handyman. The damaged enamel on two of the baths – noted in previous inspection reports – has not yet been repaired. Magnetic closers have been fitted to most of the fire doors in the home; they close automatically if a fire alarm is sounded. This allows the doors to be safely kept open if that is what the residents want. The bathroom opposite room 21 is no longer used for bathing but does store some old or surplus furniture. It should be kept locked at all times to prevent residents going in there by mistake and putting themselves at risk. The home was clean and was generally odour-free, but there was an unpleasant odour on one of the first floor corridors and in one of the bathrooms. The odour in the bathroom appeared to be caused, at least in part, by there being no lid for the waste bin. Equipment to help a resident with continence was stored untidily on the floor in one bedroom. This is undignified and unhygienic and such equipment should be stored tidily and where possible out of direct sight. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 16 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, 30. Quality in this outcome area is good. Sufficient staff are deployed to meet the needs of the residents but staff numbers need to be kept under review as more residents with dementia are admitted. Specialist training in the care of older people with dementia is carried out to equip staff with the knowledge to meet the needs of these residents. EVIDENCE: The home is normally staffed by a senior carer and four care staff, plus the manager and ancillary staff such as catering staff (70 hours), domestics (70.50 hours) and the full time handyman. Night staffing consists of a senior carer who sleeps in and two waking care staff. This staffing may need to be reviewed when both units are full. Eight care staff have NVQ2 or above, still slightly short of the 50 target set out in the National Minimum Standards. Three more staff will shortly be starting NVQ2 and a further four will be doing NVQ3. Staff are receiving training in the care of older people with dementia; the training is delivered by PHA and is based on programmes devised by the Alzheimer’s Society. The training programme is nearly complete but has been delayed slightly by staff sickness. Other training does take place and four members of staff are manual handling trainers, though the recent emphasis has remained on the EMI training. Other recent training has included fire safety and continence care. Future training plans include Pressure Area Care and COSHH updates. Once the dementia care training is complete the Registered Manager needs to review the training programme, including recording training completed in a clear format. No new staff have been Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 17 recruited since the last inspection but agency staff have been used to cover for some staff sickness. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 18 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, 36, 37, 38. Quality in this outcome area was adequate. The home has quality assurance procedures to monitor the level of service to the residents. However the absence of key safety certificates means that the safety of residents is not effectively safeguarded. EVIDENCE: The Registered Manager is qualified and competent. She is qualified as a Registered Mental Nurse though she is not of course practising as such in Eldonian House, which is not registered for nursing care. Details of accidents are recorded in an Accident Book but should be filed separately to adhere to the letter of the Data Protection Act. This can be done with the existing book, though other – larger - formats may be a bit easier to use. Staff use wheelchairs to move residents around the home but none of them were fitted with footplates (which were found in the dining room). It is potentially hazardous to use wheelchairs without footplates. If a resident or someone acting on their behalf does not want to use footplates then a suitable disclaimer should be signed and a risk assessment carried out. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 19 The Registered Person has a quality assurance system based on detailed audits carried out by the Registered Person every three months. The Registered Manager and the Registered Person formulate an action plan after each audit. The Registered Person also carries out visits to comply with Regulation 26 of the Care Homes Regulations though none have been recorded for the last three months. The Registered Manager gets informal feedback from talking to residents and their relatives. The home only deals with the financial affairs of one, longstanding, resident. This resident’s savings are kept in a current account which bears no significant interest but the Registered Manager said it has been difficult to make other arrangements because of the resident’s capacity. The manager should consider contacting an advocacy service to see if they are able to help in this case. The financial records were properly kept. Most other resident’s personal allowance is dealt with by their families other than a few cases where the allowance is given by the home direct to the resident, who sign for it and keep the money themselves. Financial and administrative matters in the home are currently dealt with by an external agency. Since the last inspection electro magnetic catches, which release the door in the event of an alarm being sounded, have been fitted to most doors. Many other doors have automatic ‘Dorgard’ closers. The Registered Person plans to fit the closers to remaining fire doors. A priority in this respect should be the main door to the Serin Unit as it would be convenient for the residents if the door could sometimes be kept open. The home did not have an up to date electrical safety certificate or gas safety certificate. The manager said that this was due to delays by the home’s chosen contractor. Whatever the reason, the final responsibility lies with the Registered Person and it is unacceptable that the home still does not have this certification, which is essential for the protection of the residents. It is essential that such certificates are obtained as soon as possible. Fire safety checks are carried out by the maintenance worker and were up to date, though it would be wise to include the year when the date is recorded. The kitchen was on the whole clean and well organised but one or two minor items (such as soy sauce) were out of date . Kitchen staff should do a thorough stock check to make sure that all out of date items are disposed of. Food stocks should be regularly rotated. The Registered Manager may wish to obtain a copy of the Food Standards Agency pack Better Business Safer Food and discuss its use with the Environmental Health Officer (EHO). The requirements from the latest visit by the EHO had been carried out, except for the fitting of protectors to the fluorescent lights in the kitchen. The Registered Manager said that she had been unable to find appropriate covers as the lights are not a standard fitting. It is suggested that this matter is discussed with the EHO. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 3 3 2 Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 21 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 OP9 Regulation 13(2) Requirement The Registered Person must make adequate arrangements for the recording of medicines.(Originally required by 01/04/06) The Registered Person shall keep the home free from hazards to the safety of residents and must therefore keep the identified unused bathroom locked. The Registered Person must maintain satisfactory standards of hygiene in the home and keep the home free from offensive odours and must therefore: * eliminate the identified odour on the first floor; * store continence equipment tidily, discreetly and hygienically. The Responsible Individual must visit the home at least once a month unannounced and prepare a report, which shall be supplied to the Commission for Social Care Inspection. The Registered Person shall take adequate precautions against the risk of fire and must therefore obtain up date gas and electrical DS0000067206.V301493.R01.S.doc Timescale for action 01/08/06 2. OP25 13(4) 27/06/06 3. OP26 16(k) 01/08/06 3. OP33 26 01/08/06 4. OP38 23(4) 01/08/06 Eldonian House Care Centre Version 5.2 Page 22 safety certificates for the premises. (Originally required by 01/03/06) 5. OP38 13(5) The Registered Person must make suitable arrangements for moving service users and must therefore ensure that footplates are fitted to wheelchairs unless otherwise indicated by a risk assessment. 01/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 3. 5. Refer to Standard OP12 OP12 OP12 OP21 OP28 OP38 Good Practice Recommendations Risk assessments should be completed for activities which involve residents from both units in the home. The Registered Person should consider extending the hours worked by the Activities Organiser. Information provided to help confused residents must be kept up to date. The worn enamel on the two identified baths should be repaired or replaced. (Originally recommended on 8 June 2004) The Registered Person should continue with a training programme to enable the home tomeet the standard of 50 of care staff with NVQ2. Accidents should be recorded in a format which complies with the Data Protection Act. Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Eldonian House Care Centre DS0000067206.V301493.R01.S.doc Version 5.2 Page 24 - 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. 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