Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 11/05/06 for Erindale (1a)

Also see our care home review for Erindale (1a) for more information

This inspection was carried out on 11th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staff worked together to provide a high standard of care to residents. Medicines were well managed and records well maintained. Management and staff worked with and involved relatives to ensure residents had a lifestyle that suited their needs and their ability. The records seen which were required by regulation were well maintained and up to date. Records seen showed that recruitment procedures were followed.

What has improved since the last inspection?

Care plans had improved but were not been reviewed in line the guidance in the standards. Since the last inspection bedrooms, the lounge and hallways had been redecorated. Bedrooms had new flooring fitted and plans were in place to replace the lounge carpet in June 2006. The gardens were neat and tidy on this occasion. The manager had introduced individual staff training records and those seen were up to date. A system had been introduced to provide staff with regular formal supervision. Staff said they benefited from these sessions both in relation to their work and personal development. A system had been introduced to check that nurses employed in the home were registered with the Nursing & Midwifery Council.

What the care home could do better:

In view of comments made by relatives management should review how they could provide more outings for residents. One suggestion to do this would be to employ domestic staff, which would enable care staff to have more time to do this. Staff should record resident or relative involvement with care planning. Where necessary efforts must be made to verify the authenticity of references received for employees. The home must provide a clear evacuation policy and procedure for staff to follow in the event of a fire.

CARE HOME ADULTS 18-65 Erindale (1a) 1a Erindale Plumstead London SE18 2QQ Lead Inspector Ms Pauline Lambe Key Unannounced Inspection 11th May 2006 09:50 Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 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 Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 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 Adults 18-65. 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. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Erindale (1a) Address 1a Erindale Plumstead London SE18 2QQ 020 8317 8200 020 8317 8200 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) londonroad@tiscali.co.uk Milbury Care Services Limited Mr Asfik Faris Mamode Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: 1a Erindale is one of a group of six homes for adults with learning disabilities. The homes are located in the London Borough of Greenwich and Milbury Community Services Limited is the registered care provider. This home is located in a residential area of Plumstead within walking distance of local shops and bus routes. The detached bungalow was built in 1993 and is registered with the Commission for Social Care Inspection to provide accommodation and nursing care for residents with learning disabilities. The property consists of an open plan lounge, a dining room, a kitchen, a laundry, four single and one shared bedroom and a staff office. Adequate toilet and bathing facilities are provided to meet the needs of the residents. The fees in this service ranged from £692 to £865 at the time of this inspection. Residents pay privately for hairdressing, aromatherapy, some leisure activities, part holiday payments and personal items such as toiletries, personal clothing and personal furnishing items. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for this unannounced inspection was completed over two days for 6.50 hours. On the first day the manager was not on duty and the nurse in charge and staff assisted with the inspection. On the second day the manager was present. Four residents were in the home and two residents were at the day centre. The service was last inspected on the 28th September 2005. The inspection included a review of information held on the service file, a tour of the premises, inspection of records, talking to residents, relatives and members of the staff team. Following the inspection contact was made with relatives and other interested parties to get their views of the service. Feedback from relatives and others was positive about the service, the staff and the care provided. From the evidence provided during the inspection the home was well managed and residents had their needs met by a capable and committed team. Efforts had been made to address all requirements and recommendations made at the last inspection. What the service does well: What has improved since the last inspection? Care plans had improved but were not been reviewed in line the guidance in the standards. Since the last inspection bedrooms, the lounge and hallways had been redecorated. Bedrooms had new flooring fitted and plans were in place to replace the lounge carpet in June 2006. The gardens were neat and tidy on this occasion. The manager had introduced individual staff training records and those seen were up to date. A system had been introduced to provide staff with regular formal supervision. Staff said they benefited from these sessions both in relation to their work and personal development. A system had been introduced to check that nurses employed in the home were registered with the Nursing & Midwifery Council. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 6 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. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. Systems were in place to ensure compliance with these standards. EVIDENCE: It was not possible to assess how the home met standard 2 as no new residents were admitted to the home since the introduction of the national minimum standards. The manager was aware of the need to comply with the above standards when considering a new admission and relevant policies and procedures were provided. The inspector contacted the regional manager to get information regarding resident’s contracts for service. Contracts were seen on files but these did not show what fees the resident paid. Greenwich PCT contracted care services with the provider to meet the needs of the residents. The inspector was told that records kept at head office finance department would show what, if any, fees were paid by residents. The Commission or relatives could view these records on request. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. Care plans were prepared to show how identified care needs were to be met. Feedback from relatives indicated that residents were provided with a lifestyle that suited them. EVIDENCE: Care plans for two residents were inspected. These included risk assessments, assessments of needs and care plans to show how identified needs were to be met. It was evident from the care plans seen that the cultural and religious needs of residents were being met. Residents did not have the ability to make informed decisions about their care or lifestyle or to comment on this. Staff prepared the care plans based on their knowledge of the residents and from discussion with relatives. Relatives contacted confirmed staff kept them informed of resident’s care, health and well-being. As there was no evidence in care plans to show relative involvement it was recommended that staff record the fact that they discussed these with them. Life plans were up to date and had been prepared with the involvement of all interested parties. Care plans were kept under review though this was not being done monthly. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 10 Six resident feedback comment cards were sent to the Commission. The key workers completed these on behalf of the residents, as they were unable to do this. Comments received from relatives showed that they were very satisfied with the care and lifestyle provided to their resident. Comments made included ‘ I am very pleased with how our resident is cared for’, ‘our resident is very happy in the home’ and ‘nothing is ever perfect but the home is brilliant’. Recommendation 1. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 to 17. Quality in this outcome area was excellent. This judgement has been made using available evidence including a visit to the service. Staff supported residents to access day centres, medical services, leisure activities and to keep in contact with family. Meals were balanced and varied and relatives contacted said they felt their residents were treated with dignity and respect. EVIDENCE: Residents were unable to provide feedback on how satisfied they were with their lifestyle. By reviewing records, observing resident and staff interaction, talking to staff and relatives it was evident staff made efforts to ensure residents led lifestyles suited to their ability. All except one resident attended a day centre a set number of days each week where they were engaged in activities suited to their ability. Residents were supported to maintain contact with family and some of the residents went home occasionally. Residents had the opportunity to enjoy social activities such as day trips, shopping trips, religious services, weekend breaks and holidays. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 12 Relatives contacted said they were made feel welcome when visiting the home and said that staff kept them informed of their residents health and well-being. However relatives said that residents did not get out as often as they used to. The manager said that this was due to driver and staff difficulties but that every effort was made to ensure residents had adequate opportunities to enjoy social and leisure activities at weekends and on their days off from the day centres. See recommendation 3. Menus seen indicated a varied diet was provided. Menus were prepared on a six weekly cycle. Staff said it proved difficult to change menus, for example a summer menu of salad and cold foods would not meet the dietary needs of the residents therefore menus were planned round resident preferences and ability. Residents needed all foods pureed or artificial feeding. During lunch staff were observed attending to residents sensitively. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area was excellent. This judgement has been made using available evidence including a visit to the service. Records showed resident’s needs were being met and they received a high standard of care. Medicines were safely managed. Relatives contacted said they were very satisfied with the way residents had their health and personal care provided. EVIDENCE: As mentioned the residents in this home were unable to make decisions affecting their lives or to voice their views on the service. Relatives spoke positively about the way resident’s needs were met. Comments included ‘The service is very good’ and ‘I have confidence in the staff and management’. Once a week each resident had a ‘pampering day’. This included getting up late, having breakfast in bed, enjoying a leisurely Jacuzzi bath, having their hair washed and some quality one to one time with their key worker or another member of staff. None of the residents could manage their own medication. Systems were in place to safely store and manage medicines. Medicine administration charts were well maintained and those checked for two residents were found to be correct. Currently the supplying chemist disposed of medicines. Should this practice discontinue then the medicine procedure will require amendment and a suitably sized container provided to hold medicines waiting disposal. The Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 14 home had a list of homely remedies agreed with the GP. Records were kept for these but not in a way that enabled an audit trail to be easily completed. Medicines were stored in the staff office and it was recommended that the temperature of this room be monitored, especially in the Summer months. Should the room become too warm to store medicines safely then action must be taken to remedy this. Requirement 1 and recommendation 2. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area was excellent. This judgement has been made using available evidence including a visit to the service. The home had good systems in place to manage complaints and allegations or suspicions of abuse thereby ensuring the safety of the residents. Relatives contacted were aware of the complaints procedure. EVIDENCE: The home had policies and procedures on how to manage complaints and allegations of abuse. Relatives indicated they were aware of the home’s complaint procedures. The complaint record and last inspection report were left in the hallway and available to all. Since the last inspection no complaints or allegations of abuse had been made about the service to the home or to the Commission. Staff who spoke to the inspector showed they had a good understanding of adult protection and records seen showed that they had access to training on this topic since the last inspection. The inspector contacted the cashier who visited the service to discuss the management of resident’s finances. From the information provided adequate systems were in place to ensure resident’s finances were safely managed. Each resident had a bank account and individual records kept in the home in relation to personal finances. Cashier’s employed by the provider acted as appointees for the residents. Financial records were available to residents, relatives and other relevant parties to see. The financial records kept in the home for two residents were checked and found to be correct. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 29 and 30. Quality in this outcome area was excellent. This judgement has been made using available evidence including a visit to the service. The home was not purpose built to accommodate the category of residents currently living there but from evidence provided and feedback from relatives the home was suited to meeting the needs of the residents. EVIDENCE: Since the last inspection the lounge and hallways had been redecorated. Plans were in place to replace the lounge carpet in June 2006. A maintenance technician visited the home weekly to undertake any repairs needed and address any health and safety issues identified by staff. One relative expressed concerns about maintenance issues. In their view the provider was ‘slow to do repairs and did not maintain the gardens properly’. At this inspection the garden areas were neat and tidy. The home had four single and one shared bedroom. Bedrooms seen were clean, tidy, personalised and equipped to meet the needs of the occupant. All bedrooms had ceiling hoists and bedroom doors had automatic closures fitted as a fire safety precaution. None of the bedrooms had en-suite facilities and only one had a washbasin. Since the last inspection all bedrooms had been Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 17 redecorated and had new flooring fitted. Relatives and staff commented on the improvement this has made to the environment for the residents. Appropriate moving & handling equipment and bathing facilities were provided. Hoists and the assisted bath were last serviced on 10/05/06. Residents had their own special wheelchairs and where possible armchairs were provided to give them an alternative choice of seating. The home was clean and tidy with systems in place to prevent the spread of infection and ensure a safe environment was provided. Staff were provided with hand washing facilities where needed and with protective clothing. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. Employee files seen included the information required by regulation, staff rotas showed adequate staffing levels were maintained and staff received relevant training and supervision. EVIDENCE: The staff team comprised of a manager, trained nurses and support workers. Domestic staff were not employed and care staff did the domestic duties. From the rotas seen the home maintained the staffing levels agreed with the previous regulatory body. Relatives contacted varied in their opinion about staffing levels. Although most of the relatives contacted felt the staffing levels were adequate some felt that if more staff were on duty residents could get out more. Staff presented as a committed team who worked together to ensure residents received a high standard of care and had their needs met. All the staff that spoke to the inspector had a good understanding of resident needs and how these were being met. Two employee files were seen. Both of these complied with regulation. However hand written references received without an official stamp, a compliment slip or on headed paper must be verified as authentic. A new induction record was provided and it was evident that new staff were working Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 19 through this. A system was in place to check that nurses employed were registered with the Nursing & Midwifery Council. Five care staff had achieved NVQ level 2 or above. The manager had implemented individual training records for staff. Staff training needs were identified during supervision or relevant to meeting resident needs. Since the last inspection staff had access to training such as fire safety, food hygiene, health & safety and GIST days. From the records seen it was evident new employees were booked on relevant training courses. A system was in place to provide staff with supervision and staff said they benefited from these sessions. Requirement 2 and recommendation 3. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. The home was well managed and in the best interest of the residents. The provider had quality assurance systems in place and attention was given to maintaining a safe environment. EVIDENCE: The manager has been in post for some time and presented as having appropriate leadership skills. He is registered with the Commission and had recently completed the Registered Manager’s Award. The staff presented as a supportive team who worked together to meet the resident’s needs. Staff meetings were held regularly and minutes kept to show areas discussed. The provider completed an annual audit of the service and sent a copy of this to the Commission. The audit for 2005 indicated that there was an overall satisfaction with the service. Reports were regularly sent to the Commission as required by regulation 26. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 21 From the information provided in the pre-inspection questionnaire and a random check of safety records, it was evident the property and equipment provided was safely maintained. Safety records checked included fire safety, electricity, gas and servicing of moving & handling equipment. Fire drills were held at times to include both day and night staff. A fire risk assessment had been completed on the premises but not a policy and procedure in relation to evacuation in the event of a fire. A maintenance technician visited the home weekly to carry out repairs, to address health & safety issues identified by staff and to keep the gardens neat and tidy. Recommendation 4. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 X 28 X 29 4 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 4 X 3 X X 2 X Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13 Requirement Timescale for action 30/06/06 2. YA34 19 3. YA42 23 The registered must ensure that records for homely remedy medicines are kept in such a way as to enable an audit trail to be completed. The registered person must 30/06/06 ensure reasonable satisfaction as to the authenticity of references obtained for employees. The registered person must 30/06/06 ensure staff are provided with a clear evacuation policy and procedure to follow in the event of a fire. 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 YA6 Good Practice Recommendations The registered person should ensure staff record in resident’s care plans any involvement or discussion with relatives when preparing these and ensure care plans are reviewed regularly. The registered person should ensure the temperature of DS0000006759.V289680.R01.S.doc Version 5.1 Page 24 2. YA20 Erindale (1a) 3. YA32 the medicine storage should be monitored especially in the Summer months to ensure medicines are stored at the correct temperature. The registered person should consider employing domestic staff in view of comments made by relatives about the reduction in resident outings. If care staff did not have to undertake domestic duties this could free up time to enable them to take residents on more outings. Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Erindale (1a) DS0000006759.V289680.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!