Inspection on 07/05/08 for Hampton Court

This inspection was carried out on 7th May 2008.

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

Hampton Court 27/11/08

Hampton Court 15/05/07

Hampton Court 11/07/06

Hampton Court 14/03/06

Hampton Court 08/11/05

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Hampton Court 34 Scarisbrick New Road Southport Merseyside PR8 6QE Lead Inspector Mrs Trish Thomas Key Unannounced Inspection 7th May 2008 11:00 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 Hampton Court DS0000065950.V363315.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. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hampton Court Address 34 Scarisbrick New Road Southport Merseyside PR8 6QE 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) 01704 532173 01704 532172 finance@rhcare.co.uk Ramos Healthcare Limited Ms Janet Marshall Care Home 20 Category(ies) of Dementia - over 65 years of age (20) registration, with number of places Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to a maximum of 20 DE(E). The Service should employ a suitably qualified and experienced manager who is registered with the Commission For Social Care Inspection. 15th May 2007 Date of last inspection Brief Description of the Service: Hampton Court is a large detached house, which has undergone conversion to provide residential care for up to twenty older people who have a degree of mental health need. The building was originally a Victorian dwelling house set in its own grounds, situated on a regular bus route, about half a mile from the town centre of Southport. The accommodation is divided over three floors with the day facilities on the ground floor, with bedrooms on the ground and upper floors. The office is on the lower ground floor, as are the laundry and kitchen. Externally the grounds are secure with seating provided for residents. Ramos Healthcare Ltd own the home and the responsible person is Mr Roland Mangahas Ramos. Janet Marshall is the registered manager. The weekly fee for this service is £410.00 - £418.70. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means that people who use the service receive good quality outcomes. The visit was unannounced and the methods, which we (the Commission) used to assess standards in Hampton Court, are as follows. Discussion took place with residents of Hampton Court, the manager, Mrs. Janet Marshall, staff and visitors. A short observation was carried out to assess the support given to people during their meal and when socializing in the afternoon. Records kept in Hampton Court regarding procedure, health & safety, training and staffing were read. A sample of support plans for residents were assessed to ensure there is guidance in place to meet each person’s assessed needs. Before the visit, information about Hampton Court, which we have received since the last key inspection, was reviewed. This included the annual quality assurance assessment, which had been filled in by the manager and returned to us before the date of the visit. The AQAA is a self-assessment tool for registered providers, which gives us a lot of information about how the service has improved and developed over a twelve-month period, barriers to improvement and proposals for the future. We have not received any CSCI questionnaires about Hampton Court to the date of the report and any we receive after this date will be reviewed (acted upon if necessary), and the outcomes recorded. What the service does well: During the visit, a resident told us, “I am doing all right here. Nothing is too much trouble for the staff.” A visitor told us, “ (Name) is very well treated here, well looked after and well nourished. We know she is safe and happy here, we cannot ask for more than that.” A short observation we carried out showed us positive input from staff towards residents, and a relaxed atmosphere during the meal and throughout the visit. Residents’ diversity is respected in practice and in the ways by which each person’s support is planned and provided. A lot of information is given to people before they move in to Hampton Court and they and their families are involved in planning and reviewing their care. There are high levels of contact between management and supporting health and specialist services and residents appear to be benefiting from the support they are receiving. Those who were spoken with or observed, were spending time as they chose and to maintain their independence in a safe environment, risk assessments and safety checks have been consistently carried out and updated. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 6 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. Hampton Court DS0000065950.V363315.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 Hampton Court DS0000065950.V363315.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): Quality in this outcome area is good. Prospective residents have had their needs assessed and have the information they need to make an informed choice as to whether Hampton Court will make a suitable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 1,3. Hampton Court has a statement of purpose and service user guide, which are given to prospective residents and their families. These documents give people the information they need to make a decision as to whether Hampton Court will make a suitable home. Having knowledge about the accommodation, staff, training and the service in general helps people to make an informed decision as to whether Hampton Court will meet their needs and preferences. All people who are referred to Hampton Court have had their needs assessed by relevant professionals and by senior staff from the home. A written Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 9 assessment of each person’s needs is carried out by a social worker and sent to the manager by the Local Authority. Hampton Court has an assessment document which staff follow to assess the physical, mental health and personal care needs of each person, their beliefs, preferences and their social needs. In this way staff will assess whether the service can meet the needs of each person before they live permanently in the home. The assessment outcomes form the basis of each person’s support plan. Hampton Court DS0000065950.V363315.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): Quality in this outcome area is good. Residents’ health and personal care needs are met through the care planning procedures in place in Hampton Court and their diversity is respected in the way support is given. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 7, 8, 9, 10. All residents of Hampton have a care plan and those for three residents were assessed to ensure that staff have guidance, (action plans) to follow in meeting the identified needs of each individual. Care plans were easy to follow and written in plain language. They supported the person’s diversity as the resident and/or their family had been involved in care planning and regularly reviewing the outcomes. There are risk assessments in place to support the safety and independence of each person. Examples of those risks identified for one person were those related to dementia and short term memory loss and for falls. There were Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 11 strategies in place to ensure the security, safeguarding and physical safety of the individual. Staff who were spoken with were clear about the support needs of people who were discussed and how their needs would be met. A visitor spoke about the care provided to her relative, “ (Name) is very well treated here, well looked after and well nourished. We know she is safe and happy here, we cannot ask for more than that.” A resident said, “I am doing all right here. Nothing is too much trouble for the staff.” All residents of Hampton Court are registered with local G.P.s and there was evidence in care files of input from relevant mental health professionals for those who need this service. There were records on individual files of treatment from paramedical services such as chiropodists and dentists and support for pressure care through care planning, visits from district nurses and provision of pressure relieving equipment. There are policies and procedures in place in Hampton Court, for managing residents’ medication and staff who administer medicines have received relevant training. It is stated in the AQAA that medication training will be ongoing in the coming year. To ensure that there is an audit trail of medication, there are systems for the checking in of prescribed drugs to Hampton Court, and for the return of unwanted drugs to the pharmacy. This will avoid a build up of stocks of unwanted or out of date drugs. Storage arrangements for medication were seen to be satisfactory during the visit. To ensure clarity of the circumstances when “as required” medication will be given, it is recommended that care plans be written for drugs prescribed “as required” and that these drugs are included on the medication administration record for the individual. There are secure facilities for storing records and the service principles support each person’s right to privacy and confidentiality. Staff who were spoken with, were aware of how each person’s privacy and dignity will be respected in care giving. There was evidence during the visit that residents are offered choices about how and where to spend their time. Residents’ preferred rising and retiring times, favourite meals and social preferences are recorded in their care plans and a resident said, “I watch my favourite television programmes and have my dinner in the lounge because I want to.” Hampton Court DS0000065950.V363315.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): Quality in this outcome area is good. The lifestyle in Hampton Court meets residents’ cultural and social needs and their diversity is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 11,12,13,14. There is an activities programme in Hampton Court (which includes cinema shows, flower arranging and exercise). On the day of the visit some residents were enjoying sitting in the garden as the weather was fine. The garden is well maintained and secure and there is ramped access from the dining room. There are newspapers, board games and playing cards in the home for residents’ use. Staff appeared to take time to chat with people and a resident was reading a newspaper to his companion. Some of the people who live in Hampton Court prefer to remain in their bedrooms during the daytime. A lady who was visited in her room said, “I have all I need here, they bring me meals and drinks and I am comfortable.” Two visitors were spoken with. They said there is always plenty of staff around when they call in and they thought the support provided to their relative is, ”Very good”. Visitors who came to Hampton Court during the Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 13 inspection were made welcome by staff. They were served a tray of tea and left in private with their relative. They said, “Staff are always the same, very pleasant and welcoming.” Residents’ diversity is respected through support for their religious beliefs and also respect for the rights of those who have do not have any religious affiliations. There is access to independent advocacy services for those who have no family and there is ongoing contact with relevant mental health services for continuing support to any individual who may need it. There is a menu on display in the dining room and the meal served during the visit (roast chicken, potatoes and vegetables with trifle for dessert) was well presented and looked appetising. The majority residents were seated in the dining room, and two were seated in the lounge where their dinner was served, others were served in their bedrooms. A resident said, “I enjoyed my dinner.” Another person said, “It is very nice.” A gentleman said, “There is plenty to eat here and I can get a drink whenever I want one. The dining room is bright and comfortable and new dining tables have been purchased since the last visit. There were three members of staff serving and assisting residents with their meals in the dining room. Two people seated in the lounge were independent and when they had finished eating, staff asked if they enjoyed their meal. Both indicated that they had. We carried out a short observation over a ninety-minute period in the lounge/dining room. The outcomes showed positive contacts from staff towards residents, as they were constantly consulting with them and giving them information about what was happening or what choices were available to them. The way in which residents were addressed by staff, was respectful and they appeared relaxed and at ease. Hampton Court DS0000065950.V363315.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): Quality in this outcome area is good. Residents and their representatives know their complaints will be listened to and that residents are protected through the training and procedures in place in Hampton Court. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 16 and 18. Hampton Court has a complaints procedure, which is given to residents and their representatives. In this way they know about their right to complain and about how their complaints will be investigated. A record of complaints is kept in Hampton Court. This was read and gave evidence that there have been no complaints or safeguarding referrals to CSCI about Hampton Court since the last key inspection. For residents’ protection, there are safeguarding procedures in Hampton Court and most of the staff have received relevant training and updates. Staff who were spoken with were aware of safeguarding procedures and the action to be taken to alert relevant agencies, if abuse of resident was to be suspected. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. Hampton Court is clean and well maintained inside and outside, providing a comfortable home for the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 19 and 26. Hampton Court is a large converted Victorian house situated close to bus routes and local amenities. The building is generally well maintained and is furnished and decorated in domestic style. There is a parking area at the front and gardens at the side and rear of the property. There are bedrooms and toilets on the ground floor and two upper floors and assisted bathing facilities for residents. Bedrooms are for single occupancy and have been individualised by the occupants’ personal possessions and photographs. New furniture has been purchased for some of the bedrooms. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 16 There are two comfortable lounges and a dining room on the ground floor. There is ramped access at the rear of the property and a series of aids to mobility throughout the building, such as a passenger lift, assisted baths and grab rails. Specialist beds and pressure relieving equipment is provided, as needed. Utility areas such as the laundry, kitchen and offices are on the lower ground floor. There are procedures for staff to follow, for control of substances hazardous to health and infection control. Domestic staff are employed throughout the day, they have received the relevant training and are provided with protective clothing such as gloves, aprons and overalls. The building was clean, odour free and well organised in all areas at the time of this visit. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents of Hampton Court are protected through the recruitment and training procedures in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standard 27,28,29, 30. A staff roster is maintained in Hampton Court naming the staff on duty each day and night. The roster for the day of inspection gave a true record of staff on duty for the morning and afternoon shifts. The staff who were on duty were, the manager, two care assistants, one domestic assistant and one cook for nineteen people in residence. An administrator is employed to carry out clerical duties for Hampton Court. An evening kitchen assistant to assist with the preparation and clearing of teas, was in the process of being recruited. The training schedule was seen and two members of staff were spoken with. The records give evidence that staff receive induction training, mandatory training and some health related training (such as stoma care), and they undertake NVQ care qualifications. The manager confirmed that over fifty percent of staff have gained their NVQ qualifications. A member of staff who was spoken with said that there is plenty of training and updates on offer in Hampton Court and she had completed NVQ training. Having reviewed the training records, a recommendation is given that training in dementia care and safeguarding be updated for staff who have not done this. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 18 There are recruitment procedures in place to ensure that only those who are of good character and capability work in Hampton Court. A sample of staff files, which were read, gave evidence of the recruitment procedure followed and of the clearances obtained by management, before a person takes up their position, such as employer’s references, protection of vulnerable adults list, and criminal records bureau checks. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. Hampton Court is managed in a way, which protects the welfare of people who live there, and their views are valued in developing the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 31,33,35, 38. The manager of Hampton Court, Mrs. Janet Marshall, is an experienced and qualified care home manager. Her duties include the direct care of residents and she has a broad knowledge of their needs and preferences. In addition to the role of carer, there is time allocated to managerial duties with support from the administrator. A member of staff who was spoken with said she receives good support from the manager and regular formal supervision and performance appraisal to make sure her work is to a satisfactory standard. Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 20 There is an internal quality assurance system in Hampton Court, to ensure that residents’/representatives’ views are regularly sought and acted upon. In reading the questionnaires completed by residents and their families, (from October 2007), they expressed general satisfaction with the service. Two of the written comments received are, “Thank you for taking care of my dad.” “Staff very caring and nothing is too much trouble.” The outcomes of responses in questionnaires are reviewed and improvements made to the service accordingly. One example is that copies of the complaints procedure have been placed in residents’ bedrooms. Some further improvements to the service to be arranged include, a suggestion box and (for residents’ convenience), an increase in orientation aids throughout the home, such as relevant signs on doorways. For residents’ protection there are financial procedures in place in Hampton Court. There is no involvement by management of the home, in residents’ financial affairs. When possible this remains with the individual or their family, or under Power of Attorney. Extra charges not included in the fees for Hampton Court, such as hairdressing, are made clear to residents and their families and are billed for in arrears as extras. There are health and safety procedures in place in Hampton Court and staff have received relevant training in 2007, such as Fire Awareness, Food Hygiene, and First Aid. Patient Handling updates for staff were given in February 2008. In the AQAA it is stated that training will be ongoing in 2008. Certification for checks to equipment throughout the building were read and were in date, as was the fire book, which records equipment checks and drills. A fault detected during a systems check in April to a fire door, had been rectified without delay and the equipment was in working order on a subsequent check. For residents’ protection, there is a “No smoking” policy in Hampton Court. A lot of work has been carried out on the lift to rectify faults identified during the engineer’s checks and the lift was in working order at the time of this visit. There are procedures for recording accidents to residents, staff and visitors to Hampton Court. The accident records were seen and these had been well maintained, are reviewed and risk assessments carried out according to avoid the repetition of falls or accidents. The laundry and kitchen were clean and well organised during this visit and there are procedures for control of substances hazardous to health and infection control, which are followed by domestic, cooking and care staff. The storage of food was satisfactory, items in the freezers were marked with the date, and kitchen records had been satisfactorily maintained. New flooring has been purchased and is to be fitted in the kitchen in the near future. For residents’ protection, on the upper floors, most of the windows have restrictors Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 21 in place to control the size of the opening. In one upper floor bedroom, which was tested, as discussed with the manager, there was no restrictor in place, it is recommended that a restrictor be fitted. Hampton Court DS0000065950.V363315.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 2 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Hampton Court DS0000065950.V363315.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. Standard Regulation Requirement Timescale for action 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 OP9 Good Practice Recommendations To ensure clarity of the circumstances when “as required” medication will be given and for residents’ protection, it is recommended that care plans be written for drugs prescribed “as required” and that these drugs are included on the medication administration record for the individual. To ensure that staff receive updates to relevant training and for residents’ protection, training in dementia care and safeguarding to be updated for staff who have not done this. To ensure that residents are protected against accident and injury it is recommended that a window restrictor be fitted to one upper floor bedroom, as discussed with the manager. 2. OP30 3. OP38 Hampton Court DS0000065950.V363315.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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. 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