Inspection on 08/08/06 for Fairmount

This inspection was carried out on 8th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairmount 11/02/08

Fairmount 30/01/07

Fairmount 23/11/05

Fairmount 11/05/05

Fairmount 13/01/05

Fairmount 05/07/04

Fairmount 12/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Henry Nihill House

Birchwood

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

The Infirmary

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

CARE HOMES FOR OLDER PEOPLE Fairmount Mottingham Lane Mottingham London SE9 4RT Lead Inspector Ann Wiseman Unannounced Inspection 8th August 2006 09:30 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 Fairmount DS0000006924.V309581.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. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairmount Address Mottingham Lane Mottingham London SE9 4RT 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 8857 1064 020 8402 7401 Mrs Jenny South Mr Harold South Mrs Maria Jacoba Wilhelmina Saward Care Home 35 Category(ies) of Dementia - over 65 years of age (8), Learning registration, with number disability (1), Old age, not falling within any of places other category (27) Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Fairmount is a large detached house set in its own landscaped grounds. It is a Grade 2 listed building, having been the home of W.G.Grace the noted cricket player. The home provides care and accommodation for older persons. The service users accommodation is on all three floors accessed by two passenger lifts. There are various lounges and sitting areas, and all public areas of the home are accessible to all of the service users. There are grab and handrails in the passageways, stairs, toilets, showers and bathrooms. Specialised bathing and toilet equipment and lifting aids are available. All toilets, showers, bathrooms and bedrooms have lockable doors, which can be accessed from the outside, in case of an emergency. The home has been extended with furnishings and facilities to a high standard. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was unannounced and facilitated by the Registered manager who has only recently take up the post after the owner retired from managing the home. The home was found to be clean, tidy and well decorated. The new Manager is in the process of monitoring and revising files, records and service user care plans the latter redesigned. Care staff are being asked to take more responsibility for recording information and key workers will be responsible for transferring the information from the old care plans to the new and for updating them as they go. The Inspector was able to talk with several of the service users and meet with four family members visiting the home and has contacted a further nine since the Inspection. Everyone felt the Home was a good place to be and that they were looked after well. The Inspector would like to thank everyone who helped her during this Inspection especially the Service Users. What the service does well: What has improved since the last inspection? What they could do better: Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 6 Attention is needed in some health and safety areas. Cleaning materials were stored in rooms that were not locked and the garden sheds are used as a store for DIY equipment and chemicals which were open and unattended. Some of the service users have Dementia and it is particularly important that confused and vulnerable people are kept safe from the risk of eating or drinking poisonous substances by mistake. A fire door at the front of the house did not have a sign visible from the outside indicating it was a fire door and the exit was blocked by parked cars. On the day of the Inspection some aspects of the medication records caused concern and needed to be addressed. 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. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 7 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 Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 8 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): All standards in this area were assessed on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The service offers enough information to enable prospective service users and their families to make an informed decision about whether the home will be able to meet their needs. A contract is given to each new Service user and assessments are carried out by a care manager or the home’s staff prior to them moving into the home. EVIDENCE: The home has a Statement of Purpose and Service Users Guide, which sets out the aims, objectives, philosophy of care, services and facilities. Residents are also given the home’s Service User Guide, which sets out the physical environmental standards of the home and all are in the process of being updated to reflect the recent changes in manager. The Inspector had the opportunity to look in detail at eight Service User files and found all to contain contracts and assessments that had been carried out by Care Managers or staff from the home. The files also contained assessments Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 9 and reports from other professional groups such as Hospital Consultants and Physiotherapists. The Service User and their family are encouraged to visit the home before they decide if they like it and once they have moved in their placement is reviewed after six weeks. Fairmount DS0000006924.V309581.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were inspected during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Existing care plans are detailed and to requirement and are being reviewed and updated. EVIDENCE: Existing care plans are detailed and to requirement but need reviewing and updating. The new Manager has installed a new style of care plan and key workers will have the responsibility of transferring personal details from the old to the new and updating and reviewing information during the process. Some of the new care plans are hand written and are difficult to read, this could lead to mistakes and misunderstandings. It is recommended that either key workers have access to a computer while transferring data or the care plans are typed by administrative staff. Please see Recommendation 1 All the Service Users have been registered with a doctor and receive appropriate treatment. Doctors visits are recorded and necessary actions are passed on at hand over sessions between shifts and recorded on the Service Users file. Evidence was also found that the Service User can expect for all his Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 11 other health care needs to be met such as optician, dentist, psychiatry and other specialists. Medication was stored appropriately in a locked cupboard in a room that is kept locked when not in use. There were blank spaces in the medication records and it was not possible for the Inspector to check whether the medication had been given as the Nomad system is used and each week the empty strips are removed and replaced by the next weeks pills. There was no report or explanation for the missing signatures. Medication is checked in on its arrival, but the audit trail is not completed. One chart indicated that a particular medication had not been supplied from the chemist, however the chart was signed as given. The Manager was unable to explain where the medication was obtained from. On another occasion it appeared that the medication had not been signed for by one person and the next responsible person had not noticed the omission and had signed in the previous days box leaving her space empty, the Inspector was able to check, and the medication appeared to have been given. Some medications where hand written on the Marr sheet and were not signed by two people in contravention of the homes Medication Policy, one, a PRN pain Killer did not have the strength of the tablet indicated nor the circumstances it should be give nor the maximum dose to be administered in a day. The home does not have PRN guidelines in place that indicate the medication that can be given as needed, under what circumstances and what the maximum dose should be. Nor is PRN medication mentioned in the homes Medication Policy. This must be addressed. PRN medication is that which is not regularly taken but may be needed from time to time for a specific reason such as pain killers and behavioral medication. Please see Requirement 1 There was no list of people who can give medication with their signatures and initials so the Inspector was unable to readily identify people responsible for mistakes and omissions. . It will be a requirement that a robust system is put in place so there is an audit trail to be followed. This will enable checks that will safeguard the Service Users from the misuse if medication. There must also be an up to date list of people who give medication with their signatures. Also, regular checks by a senior person must be put in place, so that mistakes are discovered and investigated in a timely manner. Please see Requirement 2 Since the Inspection, the Inspector has been informed that action have already been taken to change the medication systems and to put checks in place. All interaction observed between the Service Users and care staff was light hearted and genial. Staff approached each Service User in a respectful way and everyone said that staff treated them with respect and upheld their right to privacy. Service Users are asked what arrangements they wanted at the time of their death and that information is kept on their file. Fairmount DS0000006924.V309581.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these key standards were assessed on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users have reported that they are happy in the home. Family and friends are encouraged to visit, visitors are accepted at any reasonable time and can sit with Service Users who are ill as long as they want to. Service Users are given opportunities to make choices and to control their lives. Food is well presented and looked appetising. EVIDENCE: Those asked said that the home was a good place to live and that it turned out to be as they had expected. They felt that they were able to make decisions for themselves and exercise choice. There are areas on each floor that have sinks and cupboards that were intended to allow the Service Users to make their own drinks. At the moment they are not being used, it will be a Recommendation that the Manager considers putting these areas back into use, enabling Service Users and their visitors to help themselves to drinks. Please see Recommendation 2 There is a calendar of events including craft and sing along sessions, live performances from local musicians, coffee mornings and visits from a local school with whom they have close contacts. The garden is a well kept and Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 13 attractive area. Service Users are encouraged to use the garden and if anyone wants to do some gardening they can. There are shops and pubs locally and Service Users are supported and enabled to go shopping or enjoy a pub trip. Religious services are held regularly in the home. Family and friends are made welcome and are invited to eat at the home if they arrive at a meal time. Service Users chose between two meals for dinner and the cook will prepare alternatives on request. Many of the Service Users need their food to be soft and easy to eat, the manager has introduced a system where food is prepared and frozen in moulds that resemble the original food so that when it is on the plate it appears more appetising. The Manager has said that she is developing Menus with pictures that will be available for the next Inspection. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 14 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): All three of these standards have been assessed on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users and their families are aware of the Complaints procedure and are confident that complaints will be take seriously and acted on. The homes recruitment process and training protects Service Users from abuse. EVIDENCE: The Commission had not received any complaints regarding this service and the home has no complaint since the last Inspection. The Home has a complaints policy and procedure that is clear and open. The recording of complaints is clear and it is possible to track complaints from start to finish. Those asked felt that they knew who to complain to and that their complaint would be listened to and dealt with. One Service User told the Inspector that she was unhappy about another Service User with dementia who keeps her awake at night. The Manager explained the background of her complaint and the steps she had take to appease the Service User, The Inspector believes that the Home is taking appropriate action in dealing with this issue. Where Service Users lack capacity the home makes arrangements for someone to act on their behalf, either a family member or an independent advocate. This information was recorded in the Service User records. Each Service User has been registered to vote and to have s postal vote if they desire. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 15 The Home’s recruitment process protects Service Users from abuse by only employing those that have no history of abuse and can produce a full service history and two references. Staff are given Protection of Vulnerable Adult and Whistle Blowing training. Evidence was found on staff records that shows that the recruitment policy had been followed. The Home’s policies, procedures and staff hand book clearly say that any form of abuse will not be tolerated and staff found abusing Service Users will be disciplined. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were addressed during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Bedrooms are well appointed, well decorated and comfortable. The home is clean, pleasant and hygienic. EVIDENCE: Facilities in the Home are well maintained and comfortable, the communal rooms are pleasant and well decorated. Toilets and bathrooms are suited to their purpose and have been adapted for any special need of the Service Users. All hoists and similar equipment have been regularly maintained. Bedrooms were clean and contained the required furniture and equipment, all of the rooms had personal belongings that made them look homely. Some of the rooms had adaptations to help the Service User live an independent lifestyle. one Service User who has a sight impairment has a phone with large numbers and a talking clock. Fairmount DS0000006924.V309581.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were inspected during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. There are sufficient care and domestic staff on duty to meet the needs of the Service Users. There is a varied list of training available and the recruitment process is robust. EVIDENCE: There are sufficient care and domestic staff on duty to meet the needs of the Service Users with five care staff on duty during the early shift, four on the late shift and two waking night staff. The people on duty during this Inspection corresponded to those on the rota for that day. The Home has met the minimum requirement of 50 of it’s staff having attained an NVQ2 qualification or above and it has a rolling program of NVQ training. The Home very rarely uses agency staff as additional shifts are covered by part time staff. The training program includes core training such as First Aid, Fire, Infection Control, Manual Handling and Medication. There is also specialised training offered; Understanding Older People, Dementia, Depression in Older People and Report Writing. Staff interviewed appeared Knowledgeable and caring. The homes recruitment policy follows requirement and no staff are employed without first having a clear police check and obtaining two references. Staff files examined contained proof that the procedure had been followed and included CRB and POVA checks, references, copies of applications, job descriptions, contracts and disciplinary actions taken. Fairmount DS0000006924.V309581.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): The above standards were all assessed on this occasion. Quality in this outcome area is adequate. This judgment had been made using available evidence including a visit to this service. The Manager has only recently taken up her post and is still making changes to suit her management style. The Service Users have said they are happy in the Home and how it is run. There is a strong Quality Assurance System in place and the home does not manage Service Users finance. The number of supervision sessions have improved since the last Inspection but needs to continue to improve. Record keeping is evolving at present due to changes the Manager has made. The Home is, on the whole, safe and well maintained, but there are some health and safety issues that are potentially dangerous to service users, visitors and staff. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 19 EVIDENCE: The Registered Manager appears to have a good understanding of the needs of Older People and knows what the pressures of running a care home can be. She has recently undergone the registration process carried out by the Commission and has received her Registration Certificate. The Inspector was able to talk with several Service Users and thirteen family members and asked for their opinion of the standard of care received at Fairmount. All but one was very positive and felt that the Home was of a high standard and was a good place to live. The one person who was unhappy expressed her views in front of the Manager who is aware of her feelings and is working to improve the situation. Service Users are given the opportunity to have their say in the running of the Home at User meetings also, they and their next of Kin, are sent Quality of Care Assessment forms annually. This year’s is about to go out and the Inspector was shown a copy, the questions are varied and detailed. Once the questionnaires are returned the manager will be collating the information and will publish the details and outcomes in due course. The home does not deal with any of the Service Users monies, if a Service User is unable to manage her finances their next of kin is asked to take responsibility or an independent appointee is allocated. In the past it has been recommended that a supervision program be set up and that each staff member should have at least six sessions a year, some supervisions have happened but not all staff are receiving supervision regularly. This recommendation will be made a requirement. Please see Requirement 3 In the past it has been the practice that senior staff took responsibility for recording care notes, the new Manager has broadened that responsibility to all the care staff in a bid to make them feel more involved. The Key workers have also been given the job of transferring information from the old care plan format to the new one, reviewing and updating the information in the process. All other records examined during the Inspection were found to be up to date and in good order and were stored in a locked room. The manager reassured the Inspector that if a Service User asked to see their records they would be made available to them in accordance with the Data protection act 1998 and other statutory requirements. Health and Safety training is given such as moving and handling and Fire training. Records examined showed that Safety checks done, fire drills and point checks are undertaken at regular intervals and the fire equipment was checked on 8th June 06, the gas systems were checked on 24th April 06 and hoists were serviced on 22nd April 06. Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 20 The Home offers accommodation people who have dementia, the garden is well maintained and accessible to all the Service Users but there are sheds containing hazardous products such as slug pellets and DIY equipment that, on the day of the Inspection, were left open and unattended. It is a Requirement that the sheds are kept locked at all times even if the gardener is working in the area. If it is not possible to lock the sheds, all hazardous materials and equipment must be removed. Please see Requirement 4 There is a fire door in the dinning room that opens onto the car park at the front of the home. On Inspection the door was difficult to open and the Inspector had to get help from a staff member to open it, she said the door often stuck. The outside of the door has no indication that it is a fire door and there were cars parked in front of it, these cars would cause difficulties for people trying to leave the building in a hurry. It is required that these doors are marked as fire doors on the outside and that people are asked not to park in front of them, also the fire door must be adjusted so that it is easier to open. Please see Requirement 5 Cleaning materials were left in various areas and cleaning storage rooms were not locked nor did they have a locked cupboard for the safe storage of hazardous materials. It is required that all cleaning materials are stored in a locked room or cupboard while not in use and that they are never left unattended while in use. Please see Requirement 6 Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 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 3 18 3 3 3 3 3 3 3 3 3 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 3 3 3 3 2 3 2 Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 22 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 2 Standard OP9 OP9 Regulation 13 13 Requirement The Registered Manager must produce guidelines for the giving and recording of PRN medication. a robust system must be put in place so an audit trail can be followed so that checks can be made that will safeguard the Service Users from the misuse if medication, including an up to date list of people who give medication and their signatures. Also, regular checks by a senior person must be put in place, so that medication mistakes are discovered and investigated in a timely manner. Arrangements must be made to enable all staff to receive supervision six times a year. The garden sheds must be kept locked at all times even if the gardener is working in the general area. If it is not possible to lock the sheds, all hazardous materials and equipment must be removed. Fire doors must be kept free of obstruction and well maintained so they are easily opened. DS0000006924.V309581.R01.S.doc Timescale for action 19/12/06 19/12/06 3 4 OP36 OP38 18 13 19/12/06 19/10/06 5 OP38 23 19/10/06 Fairmount Version 5.2 Page 23 6 OP38 13 Cleaning materials were left in various areas and cleaning storage rooms were not locked nor did they have locked a cupboard for the safe storage of hazardous materials. It is required that all cleaning materials are stored in a locked room or cupboard while not in use and that they are never left unattended while in use. 19/11/06 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. Refer to Standard OP7 Good Practice Recommendations Care plans have been hand written and some are difficult to read it is recommended that either key workers have access to a computer while transferring data or the care plans are typed by administrative staff. There are small areas on each floor that have sinks and cupboards that were intended to allow the Service Users to make their own drinks. At the moment they are not being used, which is a shame and it is recommended that the Manager considers putting these areas back into use, enabling Service Users and their visitors to help themselves to drinks. 2. OP14 Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 24 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 Fairmount DS0000006924.V309581.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!