Inspection on 25/06/07 for Grovewood House

This inspection was carried out on 25th June 2007.

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

Grovewood House 18/05/06

Grovewood House 02/12/05

Grovewood House 01/06/05

Grovewood House 21/10/04

Grovewood House 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Grovewood House Main Street South Charlton Alnwick Northumberland NE66 2NB Lead Inspector Anne Urwin Brown Key Unannounced Inspection 25th June 2007 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 Grovewood House DS0000000641.V338278.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. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grovewood House Address Main Street South Charlton Alnwick Northumberland NE66 2NB 01665 - 579249 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 Bakr Mrs Bakr Mrs Linda Steele Care Home 34 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (8) of places Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18th May 2006 Brief Description of the Service: Grovewood House is located in the village of South Charlton, a few miles north of Alnwick. The house is set in its own grounds and has been converted and extended to accommodate up to thirty-four elderly people. There are attractive gardens to the front and side of the building with ramped level access to the front entrance and garden entrance. The accommodation is arranged on two floors and stair lifts are fitted. Public transport is very limited and the main links are by bus from Alnwick or train from Alnmouth. Fees are from £414.72 to £409.40 per week for accommodation. A copy of the Statement of Purpose is available at the home that provides clear information about the facilities and services provided by Grovewood House. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 20th September 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 25th June, 2007 and 6th July, 2007. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: The needs and wishes of each person living at Grovewood House had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Plans of care and risk assessments have improved since the last inspection and work is going on to further develop recording systems. This meant staff had the information they needed to support each person. The arrangements for supporting people to make decisions about their daily lives and choices were satisfactory. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 6 Satisfactory arrangements were in place for people to take part in activities in line with their needs and choices. The arrangements for supporting people living at Grovewood House to maintain contact with their friends and family were good. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. The meals at the Home provided a varied, nutritious diet. Staffing levels were adequate and appropriate training is provided. This means that staff has the skills to meet the needs of the people living at Grovewood House. The staff are well supported by the Manager. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Grovewood House DS0000000641.V338278.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 Grovewood House DS0000000641.V338278.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 6 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided for people thinking about living at the Grovewood House so that they are able to decide whether or not to move into the home. Good comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and met at the Grovewood House. Intermediate care is not provided. EVIDENCE: The Statement of Purpose/Service User Guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes information about the services offered by the home including staffing, the range of needs that can be met at the home, contact Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 9 with family, social activities, and arrangements for religious observance as appropriate, complaints, care planning, and the homes environment. Residents and their representatives are encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. Two residents said in their questionnaires that they had enough information before they were admitted to decide that Grovewood House was the right place for them to live. Six relatives questionnaires also confirmed this. Individual records contain comprehensive pre-admission assessments, which are completed by the Manager or the senior staff. The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People. Individual plans of care are drawn up using the information in the assessment. In addition care management assessments were available in the records sampled. Four people spoken with during the inspection said that they were satisfied that staff were aware of their needs when they came to live at the home. They said they felt well supported by the staff when they came to live at the Grovewood House. Relatives’ questionnaires also contained positive responses about how the home meets residents’ needs. The home is not registered for, and therefore does not provide, intermediate care. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good individual plans provide information for staff to support meeting peoples’ needs. Care is planned sensitively with people living at the home in a way they prefer. Peoples’ health care needs are well met using a multi-agency approach. This helps to keep people healthy. Good procedures and practice for dealing with medicines protects those living at the Grovewood House. EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. Care plans have improved since the last inspection and further development is continuing. Some assessments have not been regularly updated to reflect residents’ Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 11 changing needs. Monthly reviews of the care plan are recorded. Continence plans do not clearly identify individual needs. Risk assessments are in place for specific interventions, and these are updated when necessary. Reviews involving relatives where appropriate are carried out and records confirm this. Three people said that they are very satisfied with the care they receive, they said staff are caring and kind. Questionnaires from relatives also reflected positive views about the quality of service including one that said “I feel that the home gives a high level of support. If any issues have arisen they are discussed with me and a plan is agreed and carried through.” Staff were well informed about individual needs and demonstrated this during the inspection. Peoples’ health care needs and any specific treatments are recorded. All contact with the doctor, district nurse and other health care professionals is recorded appropriately. Records showed that the home seeks expert advice from external professionals if necessary. Aids and other equipment are in place for those who need it. Residents said that the staff are aware of their health needs. Two residents’ questionnaires said that they said they get the medical support they need. The systems for managing medicines in the home are in line with safe working practice guidelines. The records relating to the administration of medicines are fully completed and staff are clear about the procedures. Checks of receipt and disposal of medicines are carried out and records confirm this. Arrangements for storage of medicines are satisfactory. Staff training in handling medicines has been provided. Risk assessments are in place for people wanting to manage their own medicines and lockable storage is provided. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have good opportunities to make decisions about their lifestyle and take part in a variety of activities that helps them to maintain good links with the local community. Residents are encouraged to exercise control over their lives, which helps them retain their independence. Mealtimes are flexible to suit individual choices and lifestyles. People are given plenty of choice and good support is provided for those with specific needs who require help to eat meals. EVIDENCE: People living at Grovewood said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. There is a programme of activities and information about this is made available on the notice board in the main hall. People coming to live in the home receive Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 13 information that describes regular activities and outings organised. During the inspection it was observed that people are encouraged to make choices about where and how they spend their time. There are videos, music tapes, newspapers and books available and new flat screen televisions have been provided in two sitting rooms. Residents said how they are enjoying these televisions as they have much better picture quality. One questionnaire suggested that an activity organiser “could provide a wider programme of activities on site and community based to meet the needs of residents more fully” while another said “able to get into the garden is a plus.” People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Two people said that they could see visitors in their own rooms or in the public areas of the home. Information is available for relatives about visiting and this is made available before a resident is admitted. One relative said that staff are welcoming and they enjoy visiting the home as there is a relaxed atmosphere. People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. They are encouraged to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are encouraged to follow their own religion and local ministers visit the home regularly. One relative questionnaire said that Roman Catholic faith needs are met. The menu shows that a varied diet is provided that offers choice at each mealtime. The food being served on the day of the inspection was mince pie with a choice of three fresh vegetables and mashed potatoes, portion sizes were being adjusted according to resident’s choice. Chocolate pudding with chocolate custard was being served and was very well received by the residents. Peoples’ likes and dislikes are recorded and the cook regularly consults with them about the food. There is choice about where food is served so that people can choose to have their meals in their room or in the dining room. People living in the home said that the food is sufficient, very good and that they have plenty of choice as well as being able to make suggestions for the menu. Fruit is provided at coffee time as a healthy alternative to biscuits. Most staff have completed Food Hygiene training and updates are organised for staff as required. The cook has completed the Food safety management course to level 4 and is undertaking further training in nutrition and food preparation. She is planning to re-examine the menus as part of her training. Grovewood House DS0000000641.V338278.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place and is clearly displayed to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: Each person is supplied with a copy of the complaints procedure, which is clearly written and easy to understand. People living in the home said they knew how to make a complaint and that they felt able to speak to the either the owners, the manager or the staff if they have any concerns. Records of complaints are good and this includes details of the investigation and any actions taken. Staff were aware of how to help someone living at Grovewood House to make a complaint. Relatives questionnaires revealed that families were satisfied that they could raise issues and that they would be an appropriate response and one gave an example about an armchair being replaced when several types were offered until “the most suitable was found.” Policies and procedures provide clear guidance to staff about protecting people living in the home and the action to be taken in the event of any allegations being made. People using the service are made aware of what abuse is and Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 15 the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Grovewood House DS0000000641.V338278.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22, 24, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Grovewood House provides a safe environment that encourages independence. The home is comfortable, clean and generally well maintained. There are an adequate number of bathrooms and toilets. This has a positive impact on privacy and dignity for people using the service. Good quality accommodation is available for individuals in single rooms. Specialist equipment is available to maximise peoples’ independence. The home is clean, pleasant and hygienic, although a sluice is not provided, which means that infection control procedures could be compromised. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 17 EVIDENCE: Maintenance systems are in place and records are available of work carried out. The home is well decorated and furnished in a homely style. The garden is well maintained and there is a secure fenced area that is safe for residents and they can go out through the sitting room. Sitting areas are comfortably furnished to suit residents’ needs. New flat screen televisions have been installed in each sitting room and residents said that they were very pleased with these and find they have a much clearer picture than the old ones. In each sitting room the lighting is good and is sufficient for reading and other activities. There are an adequate number of toilets and bathrooms. One of the bathrooms on the ground floor is being fitted out as a shower room, but work is not yet completed. The ground floor bathroom has a manual hoist fitted so that residents can be helped to bath, however the layout of the bathroom is not ideal for people with mobility problems. The bath is only accessible from one side making it difficult for staff to easily assist residents. The manager reported that there are plans to refurbish this room and to fit a new assisted bath to suit the needs of the residents. People living at the Grovewood have access to all public and private areas of the home. Records showed that a physiotherapist or other appropriate professional has undertaken individual assessments that led to equipment or aids being provided for individuals. There are grab rails and other aids in corridors, bathrooms and toilets to suit peoples’ needs. Call system points are fitted throughout the home as necessary. All rooms have windows for ventilation. Central heating is fitted and the temperature can be adjusted. Radiator guards are fitted to protect people living at the home. Tests are carried out annually on all electrical equipment. Thermostatic controls are fitted to all hot water outlets. Emergency lighting is fitted. The laundry is suitably equipped. Written guidance is in place for the control of infection. One member of staff attends meetings as the link worker for Infection Control and passes information on to staff to ensure that there is an up to date and consistent approach to Infection Control. At present there is no sluice fitted and the risks of cross infection are increased as commodes are in regular use. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Grovewood House. Opportunities for training are good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The rota showed that staffing levels are adequate to meet peoples’ needs. People living in the home said during the inspection that there were enough staff on duty at the home. From residents and relatives’ questionnaires positive responses were received about the quality of care and staffing issues. During the inspection staff showed that they were aware of peoples’ needs. Staff said that there are enough staff to cover the rota and that arrangements for covering holidays and sickness work well with people usually working extra hours when necessary. At night there are two waking night staff on duty and those living in the home said that they find this sufficient for their needs. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 19 Nine staff have completed national qualifications in care. Fifty per cent of staff have achieved a level two in the National Vocational Qualification in care. A further six staff are working towards gaining this qualification. Staff are committed to training and recognise the importance of gaining recognised qualifications. They said they feel training is well supported by the management of the home. Staff recruitment policies and procedures are in place to protect people living at the home and records show that these are followed. Appropriate reference and Criminal Records Bureau checks are carried out and evidence of these was in individual records. The training records show that appropriate training opportunities were provided during the past year. Records are clearly maintained and offered an efficient and easily examined system. Moving and handling, food hygiene, first aid, fire, and health and safety are provided at appropriate intervals and systems are in place for tracking this. Training in the past year included National Vocational Qualifications in care. Staff said that new staff receive appropriate induction training and records confirm this. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has an open style and good management systems ensure that the service provided suits the needs and wishes of the people living at the home. Quality assurance systems are being developed and more work is needed to ensure that they help to shape the quality of the service to suit the needs of the people living at Grovewood House. Satisfactory systems for protecting peoples’ financial interests are in place. People living in the home and staff are protected by adequate systems and practices for health and safety. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Manager has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability in place as this is a family run business. There are some management systems in place that could be improved to provide the basis for a good quality assurance system. The Manager has a clear vision of the home’s values and priorities. She is aware of the need to keep up to date with practice and attends training courses to develop her skills. The Manager communicates a clear sense of direction and is improving and developing systems to monitor practice in the home. This area needs further work to put in place a comprehensive system that monitors service provision as well as taking into account the views of those using the service. Business planning is informal and more work is needed in this area. Guidance is in place for handling money belonging to residents. Samples of money held were checked and found to balance with the records and receipts held. Records are clear and receipts were available to show how money is spent. Records show that training in moving and handling, first aid, fire safety, food hygiene and infection control is provided at regular intervals. Staff said that they receive this training. Records showed that regular checks are made of electrical equipment and the central heating system. Risk assessments are in place for safe working practices. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Records of fire alarm tests, servicing of fire equipment and the alarm, fire training and emergency lighting are kept in a suitable manner. Full details of accidents are kept. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 22 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X 18 3 3 3 2 3 X 3 3 2 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 X 3 X 3 X X 3 Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP26 Regulation 13 (3) 23 (2) (k) 24 Requirement Sluice facilities need to be provided to prevent the risks of cross infection as commodes are in regular use. The system for evaluating the quality of the service provided must be developed and maintained. Timescale for action 31/10/07 2 OP33 30/09/07 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 OP21 Good Practice Recommendations The ground floor bath should be replaced with an assisted bath that can easily be accessed on either side. Grovewood House DS0000000641.V338278.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Grovewood House DS0000000641.V338278.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. 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