Inspection on 28/02/07 for Eliza House

This inspection was carried out on 28th February 2007.

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

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

Other inspections for this house

Eliza House 19/06/07

Eliza House 25/04/06

Eliza House 13/09/05

Eliza House 05/07/05

Eliza House 02/11/04

Eliza House 11/05/04

Eliza House 18/03/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Eliza House 467 Baker Street Enfield Middlesex EN1 3QX Lead Inspector Caroline Mitchell Key Unannounced Inspection 28th February 2007 11:00 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 Eliza House DS0000010670.V332962.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. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eliza House Address 467 Baker Street Enfield Middlesex EN1 3QX 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) 020 8367 8668 020 8367 2129 Peaceform Limited Mr Noah Sagnia Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (26) of places Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must not take people who have severe dementia with challenging behaviour or nursing needs. 25th April 2006 Date of last inspection Brief Description of the Service: Eliza House is a purpose built care home that is registered to care for up to twenty six frail elderly people, some of whom may have dementia. There are twenty six single bedrooms and service users share a large lounge, divided into two seating areas plus a dining room, bathroom, shower room and outside seating areas. The home is operated by Peaceform UK Limited who also own other care homes in the UK. The home is located a short bus ride away from Enfield Town and is close to a park. The fees are normally £395 to £405 for each placement, and service users are expected to pay separately for hairdressing, chiropody, and some toiletries. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on an unannounced basis, and took approximately four hours to complete. The inspector was aided by the manager, who was open and helpful throughout the process. An additional visit was undertaken in June 2006, as a result of the Commission receiving an anonymous complaint regarding there being inadequate laundry facilities in the home. A brief summary of this visit is below: The allegation was made that there had been no washing machines working in the home for 9 days. This was found to be the case. However, there was evidence that action was taken to address this issue. The allegation was made that dirty laundry, soiled with body fluids and faeces were stored in the communal bathrooms upstairs. There was no soiled laundry in black bags stored in the upstairs bathrooms at the time of the inspection. However, there was a large quantity of soiled laundry in the laundry room. The allegation was made that the home smelled. No unpleasant smell was noted, relating to the laundry facilities, at the time of this visit. However, there was a musty odour in one wing of the home. This was noted at the previous key inspection and a requirement was made for this to be investigated and addressed. The allegation was made that staffing levels were poor. There was sufficient staff on duty to meet the needs of the number of residents in the home at the time of this visit. The allegation was made that the staffing rota falsely featured a cleaner. It was confirmed by two staff members that the cleaner had been on duty that morning. The allegation was made that the responsible person instructed staff not to disclose that there was a problem with the washing machines. The staff spoken to did not support this allegation. The allegation was made that the responsible person was a bully. The staff spoken to did not support this allegation. A further additional visit was made in September 2006, as a result of an anonymous complaints regarding there being inadequate cooking facilities, and no hot water. A brief summary of this visit is below: On the day of the additional visit was made in September 2006 the inspector was able to confirm that a domestic four-ring cooker had been installed. The cook said that it remained difficult to cook for the twelve residents on the temporary cooker. Whilst in the kitchen a number of repairs were identified as necessary and requirements were made these. During the tour of the home it was noted that most of the en-suite toilets, some of the bedrooms, and most of the corridors were in need of redecoration. This is particularly the case in Cedar wing. A requirement was made for an action plan to be formulated regarding re-decoration, refurbishment and repair in the home, and for a copy of this to be provided to the Commission. During the tour of the home it was Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 6 noted that the change in the storage of the medication is an improvement, and the pharmacist for the home, who was undertaking a visit at the time of the inspection, confirmed this. Compliance with the requirements made at the key inspection that was undertaken in April 2006 was reviewed. There were a number of requirements that were no longer relevant, as the residents to whom these applied were no longer living in the home. Staff had been provided with training regarding tissue viability and the prevention of pressure ulcers. Training had been provided regarding the protection of vulnerable adults and health and safety. It the inspections in September 2005, and again in April 2006 the requirement was made that every person employed in the home has two written references, which the registered persons have satisfied themselves are authentic. Three new staff had been employed and the some references had been authenticated for the newly recruited staff, but not all. Consequently, this requirement was restated for a third time. The registered persons had recruited a manager on a temporary basis and a deputy manager has recently taken up post. The manager said that there are less issues with staff moral since a number of staff have left. Eleven requirements were made as a result of the visit made in September. Five of these were initially made at a previous inspection in June. What the service does well: What has improved since the last inspection? What they could do better: There is still room for improvement in relation to the language and format of the original care plans. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 7 In terms of the building, the two toilets in the foyer are redecorated and refurbished, that both the water damage in two of the bathrooms, and the smell of damp in one of the bathrooms, are properly dealt with and to address the issue of the smell of urine in one person’s bedroom by steam cleaning the carpet. Several of the resident’s bedrooms are in need of redecoration and the net curtains need to be replaced. The hot water was found to be too hot in the bathrooms and this needs to be addressed. Requirements are restated for the registered persons to provide a suitable cooker, to ensure that a radiator cover is repaired, to ensure that the smell of damp in one toilet near the lounge is dealt with, to ensure that the melted plastic light cover in the kitchen is replaced, and to fix the external tap that is leaking on the outside kitchen wall. Unmet requirements impact upon the welfare and safety of residents. Failure to comply by the timescale given will lead the Commission to consider enforcement action to ensure compliance. Because concerns are developing as to the financial viability of the home and the registered persons have been required to submit details of the financial position of the home to the Commission. Additionally, the registered persons are required to provide a copy of the programme of maintenance, renewal and decoration of the premises to the Commission and to provide a copy of the current certificate of liability insurance. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eliza House DS0000010670.V332962.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 Eliza House DS0000010670.V332962.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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not reviewed. EVIDENCE: Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 10 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. There has been improvement with regard to the written records for residents. However, there remains room for improvement in the original care plans. EVIDENCE: The manager has not reassessed or rewritten the previous care plans, but has made some improvement by adding supplementary information. However, there is still room for improvement in terms of the format and language of the original care plans, in order to make them more personal to each individual, and generally more accessible to residents. A recommendation is made in respect of this. The registered persons were previously required to ensure that all residents for whom bed rails are being used have been appropriately assessed and that appropriate risk assessments are in place regarding their use. At this inspection the manager confirmed that no bed rails were being used. One Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 11 residents, who was assessed as at risk of falling out of bed, had been referred to their GP for a an appointment for an Occupational Therapy visit in order to assess the suitability of the use of bed rails. In the meantime, a mattress was placed at the side of the bed to reduce the risk of injury through falling. The registered persons were previously required to ensure that a health action plan be put in place for each residents, setting out their health needs and the arrangement in place to treat and monitor these. The manager has improved the system for monitoring residents’ health care needs and input from health care professionals. There is more detail included in people’s written records regarding any issues they may have with their health, along with the action taken by staff in the home to adress these issues. It was previously recommended that staff be reminded about the home’s values regarding upholding the privacy of residents. Particularly in respect of ensuring that toilet doors are closed when they are assisting residents in the toilet. This was because there are two toilets that are in the lobby near the lounge that do not ideally placed to protect the privacy of the residents. The manager confirmed that this issue is a priority for her, and she is always watchful that toilet and bathroom doors are closed when needed. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There has been a marked improvement in the suitability and frequency of the activities provided to residents in the home. EVIDENCE: The inspector noted that there is lots of evidence of improvement in the area of activities in the home. Two residents specifically praised the new activities, one saying “theres more activities since the new manager took over”. There was a lot of reminiscence material around, such as 1930’s scrapbooks and pictures of politicians and film stars from that era, and the staff were engaging with residents more than has been observed in the past. They were playing games that improve concentration and hand-eye co-ordination. The manager explained that she and several other staff members were undertaking a training course in caring for people with dementia. She showed the inspector the more reminiscence materials and the life history books that are being creating about each resident. Eliza House DS0000010670.V332962.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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not reviewed. EVIDENCE: Eliza House DS0000010670.V332962.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24, 25 & 26 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The physical state of the home is deteriorating and, although some previous requirements have been responded to, there is a need to redecorate and refurbish in many areas of the home. EVIDENCE: The manager told the inspector that a new boiler was installed before Christmas and the inspector noted that a new fridge and dishwasher had been provided. The entrance lobby, the first lounge, and bedroom 6 had been redecorated. The registered persons were previously required to ensure that ensure that a programme of routine maintenance and renewal of the fabric and decoration of the premises is produced and a copy provided to the Commission. A plan was submitted to the Commission, but did not provide sufficient detail of the Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 15 planned repair, redecoration and renewal for the home. This requirement remains relevant and a new timescale is given, in order to give the registered persons opportunity to submit a more detailed plan, dealing with each room and including intended timescales. In the kitchen, the registered persons must provide a suitable cooker to adequately facilitate the preparation of food. This was because an ordinary domestic cooker had been installed, as a temporary measure, after the previous cooker became unusable. At this inspection the situation remained the same, with the four ring domestic cooker still in place. The cook did tell the inspector that, while there were nine residents to cook for, she could cater adequately. As this cooker is a temporary measure and is not adequate in the longer term, this requirement is restated as part of this report. In the kitchen, the registered persons were previously required to ensure that the door seal on the large fridge was replaced and ensure that the leaking wash hand basin was repaired. It was noted at this inspection that these issues had been addressed. In addition the ceiling had been re-painted. The registered persons were previously required to ensure that two plastic light covers in the kitchen were replaced. This was because they had been melted by use of the wrong size light bulbs. At this inspection the inspector noted that one of the plastic covers had been replaced, but the second remained in place. This requirement is reworded and restated as part of this report. The manager confirmed that, since the carpets had been cleaned in the downstairs wing the unpleasant odour that had been evident at the previous three inspection visits was gone. She confirmed that all of the carpets throughout the home had been shampooed. The registered persons were previously required to ensure that the smell of damp in the dining area, and in the toilet in the foyer near the lounge, be properly investigated and the necessary remedial action taken. At this inspection the inspector could detect no smell of damp in the dining area and the manager confirmed that there had been none since the previous inspection. However, in the toilet in the foyer near the lounge, continues to smell damp and there are signs of water damage. This requirement is reworded and restated as part of this report. In addition it is necessary for the two toilets in the foyer near the lounge to redecorated and refurbished, and a requirement is made in respect of this. In order to address the issue of the smell of urine in room 16 the requirement is made for the carpet to be steam cleaned. Several of the residents’ bedrooms were identified as in need of redecoration. These were primarily in Cedar Wing and room 7 was identified as a matter of priority. The net curtains in the dining room and in several residents’ bedrooms were noted to be in a poor state and a requirement is made in relation to this. In addition it is recommended that the armchairs in both lounges be steam cleaned. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 16 It is recommended that the armchairs in both lounges be steam cleaned. In relation to the bathrooms in the home, the registered persons were previously required to ensure that the radiator cover in the first floor bathroom in Beech wing is repaired. This requirement is restated as part of this report. There was evidence of water damage in two bedrooms and one smelled very strongly of damp. Requirements are made in respect of these issues. Outside the home, there were previously items of discarded furniture and these were noted to have been removed, the registered persons were previously required to ensure that remedial action be taken regarding the external tap that was leaking onto the outside kitchen wall. It was evident that a new tap had been fitted. However, it was noted at this inspection that the tap continues to leak, and continues to cause water damage to the external wall. This requirement is reworded and restated as part of this report. The registered persons were required to ensure that soap and disposable hand towels are available in the laundry room and the inspector was able to confirm that this had been addressed. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. There has been an improvement in the evidence kept of the checks undertaken before staff are employed in the staff. However, not all the records were available for all of the staff that were working in the home. EVIDENCE: The registered persons were previously required to ensure that every person employed in the home has two written references which the registered persons have satisfied themselves are authentic. The inspector was able to confirm that references for one staff member, who was recently recruited, were authenticated. However, the inspector was unable to review the written records for all staff, as they were not available for one staff member. The manager said that the registered persons had told her that these particular records were at head office. A requirement is made in respect of this. Eliza House DS0000010670.V332962.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 34, 36, 37 & 38 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The manager has not received adequate supervision since being appointed and has not yet applied to be registered with the Commission. The registered persons have been required to submit details of the financial position of the home to the Commission. EVIDENCE: The registered persons were previously required to ensure that the manager submits an application to be registered with the Commission. The manager explained to the inspector that, whilst the local authority was not placing in the home, there had been some uncertainty about the future of the home. Thishas delayed the application. This requirement is restated as part of this report. Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 19 It was previously recommended that the objective set for the home, and the registered persons monitor the targets set for improvement as part of the monthly visits. In order to monitor this requirement, the inspector asked to see the notes of the manager’s supervision, and found that there is no evidence of any formal supervision being provided to the manager since she was appointed in May 2006. A requirement is made in respect of this. The inspector noted a distinct improvement in the daily record keeping in the home. Staff are now writing more about each person’s day, how they have been and what activities they have been taking part in. The inspector noted that the certificate of liability insurance on display in the home had expired in January 2007. A requirement is made for a copy of the current insurance certificate for the home to be provided to the Commission. Because of prolonged periods, particularly over the past two years, when local authorities were not making placements in the home, and because this is becoming evident in the deterioration in the state of the building, concerns are developing as to the financial viability of the home. A requirement is made for the registered persons to provide a financial plan for the home to the Commission, along with the details of the financing and financial resources of the home. The inspector met the staff member who is the fire warden and was shown the fire risk assessment and the emergency plan. The fire warden did a test of the fire alarms and demonstrated that the magnetic door closures were in working order. The bath water was tested in two bathrooms, and was found to be too hot at 47°c. A requirement is made in respect of this. Eliza House DS0000010670.V332962.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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X 1 X X 2 2 2 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X 2 X 1 3 2 Eliza House DS0000010670.V332962.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 OP19 Regulation 16 (2)(g) Requirement The registered persons must provide a suitable cooker to adequately facilitate the preparation of food. The previous timescale of 10/10/06 was not met. The registered persons must ensure that a programme of routine maintenance and renewal of the fabric and decoration of the premises is produced and a copy provided to the Commission. The registered persons must ensure that the radiator cover in the first floor bathroom in Beech wing is repaired. The previous timescale of 30/10/06 was not met. The registered persons must ensure that further remedial action is taken regarding the external tap that is leaking on the outside kitchen wall. The previous timescales of 30/06/06 and 10/10/06 were not met. The registered persons must ensure that the net curtains are DS0000010670.V332962.R01.S.doc Timescale for action 01/06/07 2. OP19 23 (2) 01/05/07 3. OP19 23 (2) 01/05/07 4. OP19 23 (2) 01/06/07 5. OP19 23 (2) 01/05/07 Eliza House Version 5.2 Page 22 6. OP19 OP26 23 (2) 7. OP21 8. OP21 23 (2) 23 (2) 9. OP21 23 (2) 10. OP21 23 (2) replaced in the dining room and in the residents’ bedroom, where necessary. The registered persons must ensure that the smell of damp in the toilet in the foyer near the lounge, is properly investigated and the necessary remedial action taken to address the issue. The previous timescale of 30/10/06 was not met. The registered persons must ensure that the two toilets in the foyer near the lounge are redecorated and refurbished. The registered persons must ensure that the water damage around a pipe in the bathroom with linen store is, is properly investigated and the necessary remedial action taken to address the issue, and that the area is redecorated. The registered persons must ensure that smell of damp and the water damage in the bathroom next to room 12 is properly investigated and the necessary remedial action taken to address the issue, and that the area is redecorated. The registered persons must ensure that the water damage to the tiles in the bathroom next to room 12 is repaired. The registered persons must ensure that the residents’ bedrooms are redecorated in the ground floor wing. Room 7 was identified as a priority. The registered persons must ensure that the melted plastic light cover in the kitchen is replaced. The previous timescale of DS0000010670.V332962.R01.S.doc 01/06/07 01/06/07 01/05/07 01/05/07 01/06/07 11. OP24 23 (2) 01/06/07 12. OP25 23 (2) 01/05/07 Eliza House Version 5.2 Page 23 13. OP26 23(2) 14. OP29 17 Schedule 4 8 9 15. OP31 16. OP36 18 (2) 17. OP34 25(2) 18. OP34 25(2) (e) 19. OP38 13 (4) 10/10/06 was not met. The registered persons must ensure that the carpet in resident’s bedroom number 16 is steam cleaned. The registered persons must ensure that the written records for all staff are kept in the home and are available for inspection. The registered persons must ensure that the manager submit an application to be registered with the Commission. The previous timescale of 30/10/06 was not met. The registered persons must ensure that the manager is provided with formal one-to-one supervision at least six times a year and to ensure that a record of this is made available for inspection. The registered persons must provide a financial plan for the home to the Commission, along with the details of the financing and financial resources of the home. The registered persons must provide a copy of the insurance certificate for the home to the Commission. The registered persons must ensure that the water temperature at baths and showers throughout the home is maintained at no more than 43°c. 01/04/07 01/04/07 01/05/07 01/04/07 01/04/07 01/03/07 01/03/07 Eliza House DS0000010670.V332962.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. 1. Refer to Standard OP7 Good Practice Recommendations It is recommended that the registered persons review the language and format of the original care plans in order to make them more personal to each individual, and generally more accessible to residents. It is recommended that the armchairs in both lounges be steam cleaned. 2. OP26 Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eliza House DS0000010670.V332962.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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