CARE HOME ADULTS 18-65
Galteemore Rest Home 12 Bank Square Southport Merseyside PR9 0DG Lead Inspector
Mr Mike Perry Unannounced Inspection 27th July 2006 10:00 Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 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 Galteemore Rest Home DS0000005412.V306172.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 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. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Galteemore Rest Home Address 12 Bank Square Southport Merseyside PR9 0DG 01704 538983 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) Mr John Campbell Mrs Ellen Mary Campbell Mrs Elaine Bridget Bennett Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users to include up to 15 LD The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection Brief Description of the Service: Galteemore provides care and accommodation for up to 15 adults with Learning Disabilities. A private individual, Mr J Campbell, owns the home. Mrs E Bennett is the Registered Manager. The home is located in a quiet square off the Promenade in Southport and is very close to the town centre, shops, amusements and facilities. The home is a converted house and bedrooms and bathrooms are located over four floors. There is no lift and residents on the top three floors need to be mobile to be able to access these areas. There is seating to the front of the property and a small patio to the rear which residents enjoy using. Parking is available but is a pay & display service. The fees for the service are £350.50 weekly. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was a ‘key’ inspection for the service and covered the core standards the home is expected to achieve. The inspection took place over a period of one day. The inspector met with residents and spoke with 4 in more depth. The inspector also spoke with members of care staff on a one to one basis and the registered manager and the Provider. Relatives were contacted by phone. Service user comment cards were also given out to try and gain more views as to how the home is run and what it is like to live there. A tour of the premises was carried out and this covered all areas of the home including the resident’s rooms [not all bedrooms were seen]. Records were examined and these included two of the resident’s care plans, staff files, staff training records and health and safety records. What the service does well:
The home has information available for residents and relatives giving an outline of the service and the way that the home is run and this materiel [service user guide] is available in the home. Those residents spoken to who could outline how they were admitted stated that staff had been very helpful at the time and had taken time to settle them in. The manager has been introducing a system called Person Centred Planning [PCP] and this assists in breaking down the care into clearly defined areas and then setting clear goals that can be aimed at. Residents spoken to felt involved in the care planning and some where able to talk about ‘reviews every so often to see how things are going’. One resident discussed how she chooses to go out daily with another resident to local shops and along the promenade and to do some shopping; ‘this helps me get confidence and be trustworthy’. The manager was able to show risk assessments in place for those residents who wished to participate in daily living events. Relatives were very pleased that ‘residents do a lot in the day and are always out and about’. Relatives always feel welcomed in the home. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 6 The manager was able to discus rights and risks associated with personal relationships and under stood how to access support and information. Residents felt that there best interests where upheld by staff and new how to approach staff to make a complaint. All residents spoken to described the food in the home as very good. Menus are placed on each table. There is usually only one main meal on offer but staff awareness is such that personal choice of residents is known and special requests are easily catered for [confirmed by resident interviews]. Staff interviewed understood basic principals of care such as the need for privacy and dignity to be maintained. Residents spoke well of staff assistance ‘they are always on hand if you need them’. Both care files seen evidence regular appointments and checkups with local GP’s, chiropody and dental and other health care appointments. Residents spoken to were clear that staff would listen to them if they had any concerns about feeling unwell and said that they ‘ felt safe’ knowing this. Any worries were acted on and not ignored. Residents spoken to stated that they felt safe in the home and that staff were concerned about their wellbeing. They knew that if they had any concerns they could mention them and would be listened to. Home was clean and tidy and well maintained. residents spoke about how they are encouraged to maintain their own rooms. Bedrooms seen were very well personalised and displayed evidence of the resident’s personalities. Staff where observed to be interacting with residents regularly and residents spoke in very positive terms regarding the staffs ability to support them. Some comments received by residents and relatives were: ‘ Couldn’t be better’, ‘excellent’ and ‘100 ’ Staff files contained training records and staff spoken to where able to list recent updates and training courses attended and stated that they felt training in the home was good and appropriate. Residents and relatives are asked their views as to how the home should be run on a regular basis and some of these service user surveys were seen it the feedback very positive. Health and safety is managed effectively in the home with liaison between the manager and the Registered Provider who is also a regular presence in the home and attends to much of the routine maintenance. What has improved since the last inspection?
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 7 There were no requirements and recommendations following the last inspection. What they could do better: Please contact the provider for advice of actions taken in response to this inspection.
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 8 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 9 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 Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 10 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): 1,2 The quality of this outcome group is adequate. There is information available to service users so that a choice can be made regarding whether to move in or not. Assessments are carried out prior to admission but do not include the referring social worker assessments so that a full picture is not available at the time of admission. EVIDENCE: The home has information available for residents and relatives giving an outline of the service and the philosophy of the home. This materiel [service user guide] is available in the home. Assessments [pre admission] where seen for 2 residents. The manager had carried out the assessments. One was not signed. The information was pertinent and displayed evidence that service users had been consulted. Further assessments are carried out following admission to the home. There were no copies of social worker assessments available even though both residents had been referred through social services [ one had been in the home for a number of years however]. The manager explained that it is difficult to get copies of assessments from social workers and sometimes admissions [which are infrequent as residents tend to stay in the home for long
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 11 periods and there are therefore few vacancies] can be urgent on an emergency basis were social workers assessments are simply not forthcoming. The importance of these assessments was discussed. Residents should not be admitted without proper assessments including a copy of the Care Management assessment being made available. In the case of ‘emergency’ admissions a discussion with the social worker should be recorded on the preadmission document outlining care needs as a prerequisite to a fuller written assessment being supplied later. Those residents spoken to who could outline how they were admitted stated that staff had been very helpful at the time and had taken time to settle them in. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 12 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): 6,7,9 The quality in this outcome group is good. Care planning has been devised so that a full picture of the resident is made available and residents can feel involved in the way care is managed. The management of risk factors associated with resident’s choice of lifestyle or behaviour is effective so that residents feel supported in activities they choose. EVIDENCE: Plans of care were seen for two of the residents in the home. The manager has been introducing a system called Person Centred Planning [PCP] and this assists in breaking down the care into clearly defined areas and then setting clear goals that can be aimed at. There are sections on health, finance, activities and also personal aims and objectives where the resident can some input into how the care is organised. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 13 Residents spoken to felt involved in the care planning and some were able to talk about ‘reviews every so often to see how things are going’. Residents signed the plans seen. One resident discussed how she chooses to go out daily with another resident to local shops and along the promenade and to do some shopping; ‘this helps me get confidence and be trustworthy’. The manager was able to show risk assessments in place for those residents who wished to participate in daily living events. Relatives were very pleased that ‘residents do a lot in the day and are always out and about’. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 14 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): 12,13,15,16,17 The quality outcome for this area is excellent. As much as possible residents are encouraged to contribute to activities and therefore feel part of the external and internal community of the home. Relatives and friends are encouraged to be part of the home and friendships in the home between residents are supported. Staff recognise residents rights in choosing daily living activities. Food offered is appropriate and enjoyed by residents who clearly enjoy the social experience. EVIDENCE: Residents where in and out of the home during the time of the inspection. Some residents have day services that they attend and others were visiting friends locally. Staff informed the inspector about the allotment, which some
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 15 residents attend and help grow fresh fruit, and veg, which is used in the home. One resident discussed her routine that includes local shopping trips with another resident and trips along the promenade. Another resident who prefers to stay in the home spoke about the colouring and reading she likes doing and how staff will sit and listen to her. Some residents had been on holiday to a caravan in Wales and more trips are planned. Relatives reported that they are always welcomed into the home. One resident talked about family in Shrewsbury who keep in contact by phone. Another resident gets the train regularly to see friends in Ainsdale. The manager was able to discus rights and risks associated with personal relationships and under stood how to access support and information. Residents felt that there best interests where upheld by staff and new how to approach staff to make a complaint. Staff new the complaints procedure and where observed interacting and supporting residents during the inspection. The food in the home was described as very good by all residents spoken to. Menus are placed on each table. There is usually only one main meal on offer but staff awareness is such that personal choice of residents is known and special requests are easily catered for [confirmed by resident interviews]. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 16 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): 18,19,20 The quality in this outcome group is good. Personal care is offered on an individual basis, which encourages independence and helps ensure appropriate standards so that residents are supported. Health care is well managed including regular liaison with referring agencies so that health care needs are met. EVIDENCE: The level of self care residents receive varies but most are able to provide routine self care with minimal assistance from staff. Staff interviewed understood basic principals of care such as the need for privacy and dignity to be maintained. Residents spoke well of staff assistance ‘they are always on hand if you need them’. Both care files seen evidence regular appointments and checkups with local GP’s, chiropody and dental and other health care appointments. One resident has epilepsy and the liaison with health care professionals is closely monitored
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 17 with follow up appointments and routine testing adhered to so that the resident is supported through all processes. There are residents who have diabetes and all are followed up routinely by the diabetic services in liaison with the GP. Any routine blood monitoring is also carried out with records available. The dietician had also been involved. Residents spoken to were clear that staff would listen to them if they had any concerns about feeling unwell and said that they ‘ felt safe’ knowing this. Any worries were acted on and not ignored. None of the current residents self medicate. Residents spoken to were happy with this arrangement. The manager stated that risk is measured and entries regarding the management of medication are made in the care notes. Two medication recording sheets were seen and the recording was clear and accurate. The manager had some knowledge of the various medicines and had reference material. The supplying pharmacist advises the home and carries out routine auditing yearly. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 18 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): 22,23 The quality in this outcome group is good. There is a complaints procedure and concerns are acted on so that resident feel safe in the home and are protected. EVIDENCE: The manager was aware of the local adult protection procedures and staff interviewed were aware of what would happen in any investigation and also how the report any concerns. Staff interviewed had attended some training around adult protection issues. Residents spoken to stated that they felt safe in the home and that staff were concerned about their wellbeing. They knew that if they had any concerns they could mention them and would be listened to. Relatives felt that the level of staff involvement and commitment was very good and likewise they felt that staff and management could be approached if they had concerns and they would be listed to. There have been no complaints about the service since the last inspection. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 19 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): 24,30 The quality in this outcome group is good. The environment at Galteemore is maintained in a very good state being both clean and comfortable so that residents feel at home. EVIDENCE: The home is located in a quite square off Southport promenade. It is near shops and many local facilities, which residents regularly access. It is a converted house and bedrooms and bathrooms are located over 4 floors. Because there is no lift residents on the upper floors need to be mobile. The manager is aware of this and there was some discussion with relation to one resident that is being closely monitored. The top floor shower room was found not to have a lock on the door. The manager was advised to check all bathrooms / toilets to ensure that locks are fitted. There are seating and patio areas to both front and rear of the building and these areas are well used by residents.
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 20 Home was clean and tidy and residents spoke about how they are encouraged to maintain their own rooms. Bedrooms seen were very well personalised and displayed evidence of the resident’s personalities. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 21 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): 32,33,34,35 The quality in this outcome group is good. There is appropriately trained and experienced care staff employed so that residents feel supported and that their needs are understood and met. The recruitment processes in the home are generally robust and the necessary checks required prior to employment are carried out and provide protection for residents although one staff file needs updating. EVIDENCE: For 15 residents the home is regularly staffed with the manager, 2 carers and a cook. The home is small and job roles are flexible with all staff attending to laundry and kitchen duties at various times. Staff have requisite training in food hygiene training. Staff where observed to be interacting with residents regularly and residents spoke in very positive terms regarding the staffs ability to support them. Likewise relatives felt that staff were skilled at their work and gave residents good support ‘ couldn’t be better’, excellent’ and ‘100 ’ were some of the comments received.
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 22 Staff files were seen and the manager ensures that recruitment processes are followed so that staff are not employed with out references of criminal records [CRB] and Protection of Vulnerable Adult [POVA] clearance so that residents are protected. One staff had originated overseas but there was no evidence of identity check or clearance with the home office regarding work status and this must be addressed. Staff files contained training records and staff spoken to where able to list recent updates and training courses attended and stated that they felt training in the home was good and appropriate. The induction programme was discussed and although thorough in general issues lacks any reference to learning disability or the model of care used in the home [Person Centred Plan] and this should be addressed. The future registering of all staff with the General Social Care Council [GSCC] was discussed as well as the need to issue all staff with a copy of the Code of Conduct. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 23 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): 37,39,42 The quality in this outcome group is good. The manager of the home has the experience and qualifications to ensure that the home is run satisfactorily and that residents best interests are maintained. The quality systems in place ensure good monitoring and ongoing improvements take place so that residents care can be progressed and procedures are appropriately managed to ensure smooth running of the home. Some health and safety issues do need addressing and these were fed back to the manager. EVIDENCE: Elaine Bennet is the manager of the home. She is a constant presence and residents, staff and relatives commented on her commitment. She is seen as approachable and supportive.
Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 24 Residents and relatives are asked their views as to how the home should be run on a regular basis and some of these service user surveys were seen it the feedback very positive. One issue noted on a survey was discussed and the manager had been careful to follow this up and discuss it further with relative concerned. The manager also keeps quality assurance notes from discussions with residents so that the service can keep up to date with resident needs and aspirations. There are also external quality audits and the main one of these is carried out on a yearly basis. Health and safety is managed effectively in the home with liaison between the manager and the Registered Provider who is also a regular presence in the home and attends to much of the routine maintenance. Generally the management is good with risks assessed on a regular basis and the home maintained satisfactorily. There are some issues that need to be addressed and these were fed back to the management: • Some aspects of the infection control policy and practice in the home needs addressing. With all staff involved in the management of laundry there needs to be consistency in terms of understanding and practice of management of infected linen with red alginate bags being in supply for any eventuality. Liquid soap and paper towels need to be used in the laundry. Liquid soap should be installed in all communal bathrooms / toilets. The availability of the infection control officers in the local trust should also be available for all staff. The homes cat should be kept away from the laundry area. The control of legionella has not been addressed by the management. The current system of controlling hot water temperatures to taps [ to prevent burns] means that circulating water temperatures may be to low to control any risk. The manager was advise to liaise with the Health and Safety executive regarding this. The accident book was seen and advice given as to the filing of accident forms. • • • • • • Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 25 Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 26 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 3 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 2 x Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14 Requirement Residents must not be admitted in the future without full assessments being undertaken which includes a copy of the social services assessment. The manager must update the staff file discussed in relation to immigration and work status. The issues around infection control policy and practice as outlined in he report must be addressed. Timescale for action 01/09/06 2 3 YA34 YA42 19 13 01/09/06 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA24 YA34 YA35 Good Practice Recommendations The manager should check all bathroom toilets to ensure that locks are fitted appropriately. Copies of the GSCC Code of Practice should be issued o all staff. The staff induction programme should contain information on learning disability and introduce the concept of Person Centred Planning.
DS0000005412.V306172.R01.S.doc Version 5.2 Page 28 Galteemore Rest Home 4 YA42 5 YA42 The HSE should be consulted regarding any legionella risk, which may be apparent with the current control systems in place on the hot water system. A risk assessment should be carried out. Accident forms should be filed and referenced as discussed. Galteemore Rest Home DS0000005412.V306172.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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