Inspection on 10/05/05 for Glenroyd House

This inspection was carried out on 10th May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 14 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glenroyd House 22/01/08

Glenroyd House 15/02/07

Glenroyd House 13/07/06

Glenroyd House 25/03/06

Glenroyd House 14/03/05

Glenroyd House 16/09/04

Glenroyd House 10/02/04

Glenroyd House 21/05/03

Glenroyd House 17/12/02

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

CARE HOME ADULTS 18-65 Glenroyd House 26 High Road North Laindon Basildon Essex SS15 4DP Lead Inspector Claire Brookes-Nandara Unannounced 10 May 2005 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 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 Stationary 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. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Glenroyd House Address 26 High Road North Laindon Basildon Essex SS15 4DP 0141 579 270 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Grenroyd House Vacant CRH Care Home 8 Category(ies) of LD Learning disabilities (8) registration, with number of places Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 Private accommodation must be provided for residents to meet with visitors, separate from their own rooms, within one year of the date of registration. Date of last inspection 11th March 2005 Brief Description of the Service: Glenroyd House provides accomodation and personal care for eight adults over the age of eighteen with learning disabilities. The home is situated in a residential area, close to local amenities. Each resident is provided with their own single room within this two storey detached house. There is a large garden to the rear of the property, and a parking area for vehicles at the front. The home has its own mini bus which takes the residents to and from their community based activities and leisure pursuits. Residents also have the opportunity to attend college, and pursue hobbies if they so wish. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection occurred in May 2005. The Lead Inspector was accompanied by a second Inspector (Ron Reeves). During the course of the inspection a tour of the premises took place, and the inspectors spent time around the home observing the residents everyday living and their interaction with the staff and their peers. Four residents, one support worker, two senior staff and the home’s manager were spoken to. What the service does well: What has improved since the last inspection? The garden has seen some improvements since the last inspection. Rubbish has been removed and the grass has been cut. The disused pond is now filled with topsoil in preparation for a herb garden, and some small decorative garden ornaments have been added to the lawn and to one of the trees. The home is undertaking a major review of its record keeping methods. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 standard(s) 1, 2, 4 & 5 Glenroyd House offers new residents good support with their transition into their new home. EVIDENCE: The homes Statement of Purpose is very detailed with regards to Glenroyd Houses’ aims, objectives and philosophies, but it lacks up to date details of the registered manager and her address. Residents’ current contracts do not meet the standards and are currently under review by the home. Although there have been no new admissions to Glenroyd House since the last inspection, the acting manager said that the home would always work with any prospective resident to make their settling in period as comfortable as possible. An assessment of their individual needs would be made to ascertain the homes suitability for them. Repeated visits, over-night and weekend stays would be arranged and supported as required. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 standard(s) 6,7 & 10 The residents of Glenroyd House are offered choices in their everyday lives, and are supported by staff to make decisions for themselves. However there is not an adequate system in place to monitor and record the choices that each individual makes, to record how these decisions have a positive impact on their lives. EVIDENCE: The residents spoken to are not aware of their Care Plans and what is contained within them. However, the manager showed the inspectors an action plan produced since the last inspection, which outlines their intention to use Person Centred Planning (PCP) in consultation with the residents by 01.06.05. The residents spoken with said that they are offered choices in all aspects of their lives, and are able to make their own decisions. This was reflected by the staff, who the inspector observed supporting the residents throughout the day, to make their decisions about what they wanted to do, and promoting their independence skills. The current Care Plans do not record the residents’ freedom of choice, however the acting manager stated that the new PCP system will evidence this . Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 10 Residents do not currently have much awareness of how the information about them is handled. But the manager has plans to update their files and include the residents in the forming of the new system. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 standard(s) 11, 12, 13, 14 & 17 Whilst the residents of the home regularly participate in enjoyable activities, on the day of the inspection Glenroyd House’s organisation of the food and mealtimes was disorganised and managed badly. The people that live here have opportunities to pursue outside interests, but the home does not properly take care of their well being as a whole. EVIDENCE: Six individuals currently attend college on a regular basis to improve their life skills, and there is a variety of appropriate community based leisure activities on offer at the home. These include evenings out to restaurants, day trips, and social clubs, and contributing to the home in ways such as planning and cooking the groups meals, and helping to improve the garden area. Residents spoken to, said that they very much enjoy their activities. One said that the Wednesday Club sometimes has a disco, which she loves. Another resident told the inspector: “My Key Worker is very good. She takes me to a café sometimes – and always invites me to go.” Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 12 A cause for concern was the stock and storage of foods on the premises. When inspecting the kitchen we found the freezer to be completely empty, except for a tub of ice cream. The fridge only contained some condiments and fizzy drink. One member of staff told us that on that morning only one resident was able to choose cereal for breakfast – due to a shortage of milk, the others had to have toast. Money was available to buy more food for the week, but this was only bought when a member of staff became available to go to the supermarket. There were no ingredients stored in the home that could make up a main meal for anyone. The Daily Food Intake records are generally not completed with sufficient detail. Some entries read “eaten out” or “packed lunch” which does not mention the persons nutritional intake for this meal. Not all sheets are completed on each day, so very often there is no evidence to prove that the residents have always been offered food, or sometimes it would appear that only one meal has been served per day. Two residents at the home have special dietary requirements. One should have a low calorie diet The home has been monitoring her weight, but she has a stock of foods and drinks stored in her room that have been supplied by her family and which contain a high fat and sugar content. This was not supporting her need to have a balanced, healthy and nutritious diet. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 standard(s) 18, 19, & 20 The Personal and Healthcare Support at Glenroyd House currently has some short falls when meeting the needs of the residents. There is poor record keeping and a lack of a holistic approach to the care offered. EVIDENCE: The residents are all self-caring in terms of washing and dressing, but some need supervising whilst bathing and showering. There are five male and three female residents, but only two male carers on the staff team at this time. This results in not all residents receiving care from a person of the gender which they may prefer. Glenroyd House is currently in the process of recruiting two more male members of staff to enable male residents to have more of a choice in this area. The Care Plans monitor how the residents’ needs are being met with support from staff. One person is taken by staff for kidney dialysis three times a week, and others are taken for medical check-ups when required. The residents’ emotional needs and how they are supported is not evident or recorded for inspection. The Medication file was found to generally be disorganised. Although photos of residents were on the front of each of their files (which is good practice), one was found to be damaged and unclear. There was lots of paperwork stored in Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 14 with the files which did not need to be there. Not all staff had signed the form which shows that they have had, and understand the Medication Training. One residents Medication Administration Record (MAR) had had a medication changed from a daily dose to a PRN, but this had not been correctly printed on their MAR sheet. And three other residents MAR sheets contained regular omissions. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 standard(s) 22 & 23 Glenroyd House takes concerns, complaints and the protection of its residents seriously. Once all staff have attended the necessary training, the home will be able to fully meet these standards. EVIDENCE: The home has it’s own complaints book, which is designed in a suitable format. All staff have read the homes’ Abuse guidance policy, and the local authorities protection guidelines. The manager has had training for Protection of Vulnerable Adults, and all staff are booked and due to attend Adult Protection training very soon. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 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 standard(s) 24, 26, 27, 28, 29 & 30 This home’s presentation of its overall environment is poor and not very homely. The building is poorly decorated throughout, and the furniture in the communal areas does not make the best use of the space available. Glenroyd House has not made necessary adaptations to equipment, to help meet the residents’ needs and to maximise their independence. The kitchen in particular is not kept to a good hygienic standard. EVIDENCE: The furniture in the lounge nearest to the entrance of the building is dirty and stained, and the room contained an unpleasant odour. The lounge and dining area to the rear of the building have no lamp shades on the ceiling lights. One of the light bulbs doesn’t work. Two sofas are placed in a dark corner of the room. A large step separates the lounge from the dining area (which is a newly built extension of the building). This step is beneath a door way which has a frame of metal bolted to the wall, which was left behind when the extension was built. Two signs are on the wall, to warn of a tripping hazard. The inspector witnessed a resident struggle to move over the step Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 17 with a hot drink. A member of staff had to run to assist her to prevent a potential accident. Two of the female residents’ bedrooms were decorated to a good standard and had been personalised with their own belongings. Both rooms needed to be more thoroughly cleaned, and the carpets cleaned and vacuumed. One of these rooms has a structural problem with a large crack in the wall between the door frame to the bathroom, and the ceiling. Two male resident’s rooms were decorated to a poor standard. One had no light in the bathroom. He told me: “It don’t work … they haven’t fixed it!” His room was also very cold, with a dirty carpet. His rubbish bin was full up with old cloths, tissues and cardboard, and his chest of drawers was broken – with one drawer broken down and put behind his door. This resident wished to spend time in his room, but was uncomfortable because the bed that he was trying to relax on had no sheets or duvet – just a bare mattress. Staff told me that his bed clothes were in the garden airing. The inspector suggested that the home invest in a second duvet set for all residents, so that their beds will always have covers available. The other resident’s room needed repainting as the walls were marked in several places. This resident’s bedding was seen to be stained and discoloured which was unsightly and unpleasant. To the side of the building is a lockable gate which is visible from the street, and leads through to the back garden. It was left open and unlocked, which could pose a risk of residents leaving the premises unaccompanied. The inspectors were told by the manager that one resident has a history of going missing. It could also allow intruders access to the property. One residents’ ground floor bedroom has a patio type door which leads to the garden, she had left it open and unlocked and this could give an intruder easy access to her room. One resident is not physically able to use the bath in her room, as she cannot get in or out of it. The management were advised to contact Occupational Therapy via Social Services for them to make an assessment for aids and equipment. In the kitchen the floor was very dirty between appliances and cupboards. Its layout is such that adequate cleaning of these areas would be extremely difficult. A way of making these parts of the floor either more accessible for washing or totally sealed-off needs to be found. Dried goods such as pasta and breakfast cereal are stored unhygieneically in low cupboards, torn open and in some cases with the contents spilling out. Some cupboards were dirty and stained inside. There was no lid on the kitchen bin, which was full. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 18 Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 & 34 The care staff at Glenroyd House understand the residents’ needs very well. All residents spoken to at the home spoke very highly of the staff, and seemed especially close to their key workers. The acting manager has not reviewed her staffing levels regularly, to ensure that the available ratio of staff to residents meets their assessed needs. And not all staff recruitment files contained original copies of the relevant legal paperwork. EVIDENCE: The staff at Glenroyd House have developed supportive and understanding relationships with the residents, and are aware of their interests, personal needs and preferences. During the inspection, the senior at the handover of the shift gave good and clear information to her colleagues about the residents. They in turn showed a very good understanding of the client group, by making appropriate comments and asking relevant questions. Glenroyd house is currently in the process of recruiting five new members of staff (including two males), to prevent shortages in the future and to better reflect the gender composition of the residents. The new acting manager has just started to organise staff meetings and supervision, which she intends to have on a regular basis from now on. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 20 One of the recruitment files sampled was found to be inadequate. It did not contain an original, up-to-date Criminal Records Bureau check. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40 & 42 There was evidence throughout the inspection, that the home has suffered from poor management in the past. Staff morale at Glenroyd House needs to improve. Not all staff understand the homes policies and procedures, and can effectively maintain the necessary written records. The homes’ health and safety equipment is not regularly maintained to the correct standard. EVIDENCE: The acting manager was appointed in April, and is currently studying for an NVQ 4. The inspectors noted that she is placing the organisation of the home under review, to make much needed improvements to the service. Whilst support staff are good at caring for the residents and their needs, some expressed concerns about ongoing disagreements that exist within the staff team. Policies and procedures are in place and records are kept, but there is not always evidence to prove that all staff have read and understood them. The Meal Planning and Nutrition Policy had only been read and signed by six members of the staff team. And the Hygiene Awareness Induction had only Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 22 been undertaken by four staff. There is a Food Temperature book, but entries for it are often missing. The only available first aid box in the home was only a basic kit and did not contain sufficient equipment to deal with a serious accident. Fire drills have been carried out regularly (which is good practice). Fire extinguishers must be checked for wear and tear on a monthly basis. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 x 3 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 Glenroyd House Score 1 3 x Standard No 24 25 26 27 28 29 30 Score 2 x 2 2 2 2 2 Version 1.20 Page 23 I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc 9 10 LIFESTYLES x 1 Score STAFFING Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 2 Standard No 31 32 33 34 35 36 Score 3 x 2 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 x Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x 2 x Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 24 Yes 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. 2. Standard YA1 YA5 Regulation 4 5(1)(b)(c) Requirement The Statement of Purpose must be updated. Resident contracts are currently under review. Each resident needs to be provided with a contract or statement of terms and conditions for the home. All aspects of the residents lives, their individual needs and personal goals should be reflected in each of their care plans. With input from the residents themselves. The registered person should ensure that the residents know that all of the information kept about them is handled appropriately, and their confidences kept. The registered person must make sure that the residents are regularly offered healthy meals, by supplying a nutritious, varied and balanced diet. Meals must be offered three times daily, including at least one cooked meal; and the kitchen must be sufficiently stocked so to ensure that a range of drinks and snacks are available at all times. Timescale for action 1 September 2005 1 August 2005 3. YA6 15 1 September 2005 4. YA10 17(1)(b) 1 September 2005 5. YA17 16(2)(i) 1 August 2005 Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 25 6. YA20 18(c)(1) 17(1)(a) 7. YA24 23(2)(b) (d) 8. YA27 YA29 23(2)(n) 9. YA30 16(2)(j) 10. 11. YA34 YA38 19 Schedule 2 12(5)(a) (b) The registered person needs to make sure that the medication records are properly maintained, and that all staff have read and understood the policies and procedures for dealing with medication. The registered person needs to ensure that the premises are homely, comfortable and safe. The home should be kept in a good state of decoration and repair. Adaptions should be made or aids supplied where necessary, to enable all residents to make the best use of their bathroom facilities. This refers to the resident who cannot access the bath in her own room. The registered person must make sure that the home is regularly cleaned and properly maintained in order to keep to a high hygienic standard. All staff must have an up-to-date Criminal Records Bureau check. The registered person must ensure that the management team builds an effective relationship with the support staff, and that they are able to communicate a clear sense of direction and leadership within the home. The registered person must evidence that all staff have read and understood the homes policies and procedures, in order to protect the residents health, safety and welfare. This would also safeguard their rights and best interests. 1 August 2005 1 September 2005 1 September 2005 1 August 2005 1 September 2005 1 September 2005 12. YA40 YA42 1 August 2005 Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard YA17 YA26 YA40 YA42 YA24 Good Practice Recommendations The registered person should ensure that well organised stock rotation practices occur, so that food is always available to residents when required. The registered person should make sure that all residents are supported to personalise their own rooms. All policies and procedures, codes of practice and records should be signed by the registered manager, dated, monitered and amended as necassary. The registered person should make sure that an adequately stocked first-aid box is available in the home. The registered person should obtain an assessment by an Occupational Therapist regarding the wooden step in the lounge/dining area and its safety. It would be advisable for the registered person to remove the metal frame from the lounge/dining area, in order to provide the residents with a more homely environment. Glenroyd House I56 I06 S32135 Glenroyd House V32135 100505 Stage 4.doc Version 1.20 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. 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