Inspection on 16/08/05 for Hartington House

This inspection was carried out on 16th August 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hartington House 26/09/07

Hartington House 02/08/06

Hartington House 16/01/06

Hartington House 28/02/05

Hartington House 29/09/04

Hartington House 11/03/04

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

CARE HOME ADULTS 18-65 HARTINGTON HOUSE 14 Hartington Road Heaton Bolton BL1 4DP Lead Inspector Lucy Burgess Unannounced 16 August 2005 th 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. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hartington House Address 14 Hartington Road Heaton Bolton BL1 4DP 01204 410854 01204 493126 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) Perpetual (Bolton) Ltd Mrs Tricia Varey CRH PC Care Home only 5 Category(ies) of MD Mental Disorder - 5 registration, with number of places HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Date of last inspection 28th February 2005 Brief Description of the Service: Hartington House is a small care home providing residential care for up to 5 people with mental health needs. The home is part of a small group of two homes (the other being Somerset House). Both homes share the same staff team and are situated near to each other in the residential area of Heaton in Bolton. There is a small office at Hartington House, although the main office base for the two homes is at Somerset House. A local company, Perpetual Care, owns the home, with the day-to-day management carried out by the Registered Manger. Hartington House is an end terrace house, consisting of 5 single bedrooms and communal areas. The house is close to a main road leading into Bolton town centre and is accessible to local amenities and public transport. Residents are generally of a younger age range at Hartington House than those at Somerset House. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day for a period of 6 hours. The inspector took the opportunity to look round the home, view records as well as talk with residents and staff. Discussion and feedback was also held with the Manager. The home is registered to provide accommodation for up to 5 people with mental health needs. At the time of the inspection there was one vacancy. What the service does well: What has improved since the last inspection? What they could do better: Care plans are in place for each of the residents. Where areas of need and risk have been identified in relation to weight and personal care these should be recorded within the plan and monitored by staff ensuring the needs of residents are met and changes can be seen and followed up when necessary. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 6 Staff recruitment files were looked at for the newest members of the team. Information did not include all details and checks needed before staff start work at the home. This needs to be addressed so that residents are protected. The medication system was satisfactory. Items of medication were found which were no longer required, these should be returned to the pharmacist. Staff should also make sure that they sign the sheets on each occasion when medication is given so that the practice followed is safe. Generally the environment requires attention. Works has been completed in some areas and new flooring fitted. Further work is needed to improve the look of the home making it comfortable and homely for those that live there. 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. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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 HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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) None EVIDENCE: The key standards will be assessed at the next inspection. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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, 9 and 10 Residents care plans and risk assessments do not fully reflect the support needed. These should be developed ensuring residents health and well being is maintained and encouragement is provided where necessary. Residents feel able to approach staff and were seen to enjoy open and friendly relationships with staff. EVIDENCE: Care plans and risk assessments have been developed for each of the residents. Information includes details about their mental health needs and behaviours, daily routines and professional involvement. Goals have also been identified within the care plan outlining individual long and short-term aims. Formal reviews are held with relevant health care professionals so that mental health of residents can be monitored. Minutes of these meetings are held on file. Additional support for the residents and staff if available from social workers and community psychiatric nurses (CPN) should this be needed. Plans of care are also regularly reviewed in-house and involve the resident and key workers. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 10 Daily records are also completed by the staff following each shift. These include details of administration of medication, meals taken, activities and any additional information i.e. appointments, incidents etc. Individual files would benefit from being re-organised with current information being held at the front of the file so this is easily accessible to the reader. Further information needs to be included in two of the plans with regards to diet and weight and personal care needs. The plan for one resident stated that previous concerns have been related to the refusal to eat and a rapid weight loss. A risk assessment had been completed and identified that this area needed to be monitored, a balanced diet was to be offered and weight needed to be checked on a weekly basis. Although some information regarding diet intake was recorded on the evaluation sheets this was limited and there was no evidence of regular weight checks being made. As this area has been identified as an area of concern and relates to the stability of the residents mental health this must be recorded in such detail so that appropriate action can be taken where necessary. The second plan requires more information about the support required in relation to the residents personal care needs. On the day of the visit the resident was wearing several items of clothing, which were heavily soiled. Whilst it is recognised that the resident is able to choose what to wear, advise and support from staff in making more suitable choices as well as addressing personal care needs should be encouraged to assist the resident in enhancing their appearance. Residents are encouraged and supported in making decisions about their lives and daily routines. Those able to come and go freely do so pursuing their own interests, whilst others require or prefer the support from staff. Daily routines are very much dependant on individual preferences and motivational levels. Due to the needs and behaviours of some residents met, it was difficult to gather feedback about their satisfaction in relation to living at Hartington House, however from general discussions and observations it was apparent that residents enjoy the company of staff. Interactions with staff were seen to be open and friendly. Staff were found to have a good awareness of individual needs and gave good examples of how they respect residents wishes and offer choice. Where necessary money is held by staff on behalf of the residents. Due to identified needs or behaviours individuals have an agreed budget plan. Information is recorded and signed following all transactions. All information regarding the residents is held securely within the staff office. This is accessible to staff to refer to throughout the day. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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 to 17 Residents choose how they wish to spend their time both in and away form the home. Individual’s access places within the community, enabling them to develop skills and increase their independence. Support is offered where required. Residents continue to maintain contact with family, this is encouraged so that residents benefit from other relationships and friendships. A variety of meals are provided. Improvements have been identified in relation to the monitoring of diets and provisions for special diets ensuring the rights and needs of residents are upheld. EVIDENCE: The home is situated close to a main road and is easily accessible for the local buses to and from Bolton. There are also local shops, churches and pubs within a short distance of Hartington House. Individual routines vary. Residents choose to follow activities both in and away from the home accessing the local and wider community. Additional staffing has now been made available at the home during the day and night time. This allows greater opportunity for individual or group support. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 12 Residents choose to lead fairly unstructured lifestyles. Routines in relation to rising and retiring are flexible and activities are informal, this is very much dependant on individual motivational levels. One resident has however enrolled at the local college to do tap dancing and singing. The home also has a vehicle available, which is used for errands and appointments as well as for the recent day trips. These have included, Chester zoo, Southport, strawberry picking and a medieval fayre. Residents are also considering a trip to Alton Towers. Due to the needs of residents a holiday has not been considered as this would impact on the preferred routines of individuals. Each of the residents also maintain contact with family. Arrangements are made with staff in relation to visits and over night stays away from the home. This activity has been identified within the care plan of one resident to assist in maintaining and developing relationships within the family. The homes vehicle is used to take residents to and from visits. Individual rights are promoted. Residents are given their mail unopened, however support is offered with those items needing a response etc. Residents also have a key for their own room, however are not routinely given a key to the front door due to areas of risk. Generally the house is always occupied. Residents prepare their own breakfast and support is provided where necessary. Staff will generally prepare the lunch and evening meals. Residents who wish to prepare/cook their own meals are supported to do so. One resident has halal food. This was said to be purchased from the local shops and supermarket, however there were no items seen within the home. The majority of food products were tinned ‘value’ items and frozen meals or pies etc. Other choices were available which included a lamb joint being cooked for the evening meal. As already identified, one resident has a history of nutritional and weight problems. Whilst this has been identified within his care plan, sufficient monitoring and recording has not taken place. This is to be addressed. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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 and 20 Residents health and personal care needs are consistently met ensuring their well-being is maintained. Specialist health services are also accessed to promote the health needs of residents. A safe system of medication administration was found. Minor improvements were identified ensuring residents are protected and practice is safe. EVIDENCE: Residents have access to all health services and are registered with a local GP. Mental health professionals also closely monitor the mental health needs of residents as part of the individual’s discharge plan. Evidence of reviews with consultants, community psychiatric nurses and social workers are held on file. Staff will offer support when attending such appointments. Additional services have also been accessed where additional care needs have been identified. These have included psychologists and occupational therapists. One resident who has some mobility difficulties has recently had an assessments with regards to suitable aids and adaptations to assist his movement around the home. These have not been provided. Further issues with regards to continence management had also been identified. A referral had been made to the continence advisor for assessment and advice. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 14 Residents are generally able to manage their own personal care needs, however prompts and encouragement are offered in ensuring needs are met. The support staff are both male and female therefore allowing for same gender support should this be preferred. As outlined earlier in the report, more information needs to be recorded in the residents care plans with regards to support and encouragement needed in supporting individuals in meeting the own personal care, including their appearance. The medication system was examined. Generally a safe system is in place. It was noted however that medication had not been signed for. Where medication has been refused or is held by staff but administered by someone else i.e. the nurse, this should be identified on the record sheets. Medication is provided in weekly doset and is clearly labelled evidencing what medication has been dispensed. Several items needed to returned to the supplying pharmacist as they were either no longer required or unlabelled. The home has a returns book in place. Members of the team had also recently undertaken medication training. Residents’ medication is also regularly reviewed with health professionals ensuring the stability of their mental health. Due to identified risks service users do not generally self medicate, however this would be based on the assessed needs of individuals. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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 and 23 Systems were in place with regards to the investigation of complaints and adult protection issues, ensuring that residents were listened to and protected. EVIDENCE: Clear policies and procedures are in place covering these standards. A copy of the Local Authorities Vulnerable Adults procedure has been accessed. The team have some knowledge in relation to the procedure to follow and training has been completed. The newest members of the team will attend training later in the year. Where issues have been raised by residents, information has been recorded and action taken where necessary. No complaints have been raised with the CSCI. The home also has further written policies and procedures for adult protection. These include dealing with whistle blowing, aggression, service users finances and missing persons. All staff have a Criminal Record Check in place. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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 and 30 Hartington House provides a clean and comfortable environment. Further redecoration and refurbishment would enhance the environment for the people living there. EVIDENCE: Hartington House is a small home accommodating 5 residents and is in keeping with those around it. The home consists of 2 lounges, one of which is the staff sleep-in room, a dining kitchen, 2 bathrooms and 5 single bedrooms. There is also a staff office on the second floor. Some of the bedrooms have been personalised. This is dependant on individual wishes. One room is currently unoccupied, this has been repainted and new furniture purchased ready for the new resident. Several areas have recently been refurbished and redecorated, which have made some improvement to the environment. This has included a new bathroom suite and shower to the first floor bathroom, laminate flooring to rooms 2 and 4 and redecoration of room 2. The manager has identified further work to be completed, this includes, redecoration of the hall stairs and landings including woodwork, new floor covering for the halls and stairs. Action is also needed to the lock to room 1 as HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 17 this has been removed leaving a whole in the door. The curtains need rehanging in rooms 3 and 4 and the closing devise to the sleep-in lounge needs to be repaired. A slight odour was noted on the first floor, this was said to be related to issues with one resident. This is being followed up and as identified new floor covering is to be fitted following redecoration. One resident has recently been assessed with regards to aids and adaptation to assist in movement around the home. Additional rails have been fitted to the main entrance and stairs. Domestic tasks are addressed by the support staff and were possible residents are also encouraged to assist. It was noted that whilst separate hand-washing facilities are available in the basement laundry and kitchen there was no provision of liquid soap and paper towels to prevent the spread of cross infection, these should be provided. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 18 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) 32 to 36 Staff at the home are in sufficient numbers to meet the needs of service users. Recruitment and selection procedures need to be improved ensuring that the service users are protected. Training has been identified in relation to mental health needs enabling staff to develop the knowledge and skills needed in meeting the needs of service users. EVIDENCE: The staff team at Hartington is relatively small and other than recent recruitment to increase the team few changes have been made. There are two senior support staff that assist the registered manager. Staffing at the home has recently been increased to provide double cover throughout the day and night. This has been due to the difficulties experienced by staff in relation to behaviours exhibited by residents as well as having additional staff available to offer more 1-2-1 or group support during the day to join activities. Staff files were seen for those recently employed. Whilst some files contained personal details, completed application form including full employment details, references and identification others did not. The manager must ensure that information outlined within the regulations is collated and held on all files prior to individuals commencing work, therefore ensuring the safety and protection HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 19 of service users. Checks required from the Criminal Records Bureau (CRB) had been carried out on each of the team members. Newly appointed staff have undertaken a 1-day online TOPSS induction as well as an introduction into the home, policies and procedures and the needs of the service users, however no information was seen on file evidencing what information had been shared. Some members of the team have also undertaken further training, this has included TCI, which is in relation to behaviour management and intervention, vulnerable adults, 1st aid and medication. Further vulnerable adults training has been identified for the newest members of the team. Further courses are also being explored with regards to mental health needs and relevant legislation, to include views from a service users perspective, advocacy, support needs etc as well as an overview in relation to relevant legislation. This would offer staff an insight into mental health and the legal framework under the Act, which relates to residents supported at the home who have moved there following an agreed formal discharge programme. Support is offered on a formal and informal basis. As the team is small communication was said to be good and the team were described as being ‘very supportive’. Staff felt supported by the manager and felt they could approach her if they had any issues or concerns, each expressed that they enjoyed their work at the home. Supervisions are carried out by the manager and senior staff. Due to senior staff recently being away some sessions have not been carried out. Staff confirmed that although they have previously had supervision recent session had not taken place. Little evidence was provided on file. The manager must ensure that sessions are held regularly and that information is recorded and placed on file. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 20 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) None EVIDENCE: The key standards will be assessed at the next inspection. HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 HARTINGTON HOUSE Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 22 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. Standard 6 Regulation 15 Requirement That care plans include all information as outlined within the report in relation to the care and support needs of service users That action identified within the risk assessments is followed up and evidence of monitoring is recorded and place on file That codes are entered on the medciation sheets where medication has been refused or administered by another person i.e. nurse That medication no longer required or unlabelled is returned to the supplying pharmacist That a suitable lock is fitted to the door of room 1 That liquid soap and paper towels are made available in the kitchen and laundry for staff hand-washing to prevent cross infection. (previous timescale of 31 April 2005 not met) That information required under Regulation in relation to staff is held on file prior to commencing employment. (previous timescale of 31 April 2005 not met) F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Timescale for action 30 September 2005 30 September 2005 30 september 2005 30 September 2005 30 October 2005 30 September 2005 2. 9 13 3. 20 13 4. 20 13 5. 6. 24 30 23 13 7. 34 19 30 October 2005 HARTINGTON HOUSE Version 1.40 Page 23 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. Refer to Standard 17 24 24 37 Good Practice Recommendations That adeqaute provisions are made available with regards to halal food That the curtains are re-hung in bedrooms 3 and 4. That the closing devise to the sleep-in lounge is repaired That copies of the monthly reports in line with Regulation 26 are fowarded to CSCI (previous recommendation) HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton, BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI HARTINGTON HOUSE F56 F06 S9315 Hartington House V212794 160805 Stage 4.doc Version 1.40 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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