Inspection on 10/01/07 for Haven House (Knaphill)

This inspection was carried out on 10th January 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

Haven House (Knaphill) 18/11/08

Haven House (Knaphill) 06/11/07

Haven House (Knaphill) 15/12/05

Haven House (Knaphill) 04/07/05

Haven House (Knaphill) 11/11/04

Haven House (Knaphill) 15/06/04

Haven House (Knaphill) 08/01/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Haven House (Knaphill) Haven House Limecroft Road Knaphill Surrey GU21 2TH Lead Inspector Vera Bulbeck Unannounced Inspection 10th January 2007 09:45 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 Haven House (Knaphill) DS0000013665.V325231.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. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haven House (Knaphill) Address Haven House Limecroft Road Knaphill Surrey GU21 2TH 01483 489197 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 Kreshna Kumar Poonyth Mrs Elizabeth Mary Poonyth Mr Philip Stow Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (19) Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of the 19 service users accommodated all 19 may fall within the category of either MD or MD(E). The age range of service users will be: 50 years and over Date of last inspection 15th December 2005 Brief Description of the Service: Haven House is a large detached property set within its own grounds. The home is within walking distance of local facilities. Accommodation is provided for up to nineteen adults and is based on two floors. Two people share one double sized room. The communal areas are spacious and consist of a dining room, main lounge, a smaller lounge and a large kitchen, which is accessible to residents. There is a conservatory and large garden, which has a summerhouse and is accessible to all the residents, particuarly residents who smoke. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit to be undertaken by the Commission for Social Care Inspection for the year April 2006 to March 2007. The site visit was over a period of seven hours and thirty-five minutes. For details of how each standard was met please refer to the main body of the report. The site visit was unannounced, which meant that visitors, staff and residents were not aware of the visit prior to it commencing. The inspector had the opportunity to speak with the majority of residents who live at the home. The residents were very complimentary about the home and staff. A full tour of the premises was undertaken. Three care plans were observed. There was two care staff on duty, the registered manager and proprietors. There were nineteen residents currently living in the home at the time of arrival by the inspector. The staff on duty was spoken with during the visit. Two comment cards were received completed by residents and comments were complimentary towards the home and staff. One resident had requested to speak with the inspector. However, on the day of the site visit the resident was not feeling well and refused to speak. Thirteen relatives completed the comment feedback cards and all felt the home was welcoming and were kept informed about important matters. One person stated that they were satisfied with the home and the care given. Another relative commented that they are not aware of the homes complaints procedure and did not have access to the inspection report. Comments from another relative stated they felt residents were well cared for and had plenty to eat, food is good quality and the atmosphere in the home is relaxed and friendly. Mrs V Bulbeck, Lead Inspector for the service carried out the site visit. Mr P Stow the Registered Manager and the Proprietor Mr K Poonyth were present. The home is registered for nineteen places. The fees for the home are from £46.00 per day to £75.62 per daily rate. The staff was observed to be courteous and the atmosphere within the home was relaxed and friendly. The inspector would like to thank the residents and staff for their co-operation and hospitality during the inspection. The residents living in the home wish to be called residents, therefore service users will be referred to as residents throughout the report. What the service does well: Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 6 Resident’s views are continually sought to improve the service the home provides. This is maintained by regular meetings with residents and staff. The inspector spoke to a number of residents; all were complimentary towards the staff, regarding the care provided and the staff team. Residents living in the home appeared to be happy; they were well dressed and enjoyed their lunch on the day of the site visit. One resident spoken to was very complimentary regarding the home and stated he very much enjoys living in the home, staff are helpful and nothing is too much trouble. Lunch is served in the dining area, the tables were nicely laid the food was plentiful and appeared appetising and nourishing. Residents are provided with a choice of meal and the manager regularly speaks with residents to find out their views on the meals provided. The inspector spoke with several members of staff on duty on the day of the site visit; staff commented they feel supported by the manager and work as a stable team. What has improved since the last inspection? What they could do better: The registered manager to spend more time on management duties, and to delegate some areas that require addressing as a priority. There are some areas in the home that require improvement. However, the registered manager and proprietor have already identified these areas, which will receive attention in the very near future. Please contact the provider for advice of actions taken in response to this Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 7 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. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 8 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 Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 9 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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident is only admitted to the home following a needs assessment to ensure that the home can meet the resident’s identified needs. The home does not offer intermediate care. EVIDENCE: At the time of the visit it was noted that a resident had recently been admitted to the home and a pre assessment had been undertaken this was found to be well documented, the resident was involved in the assessment to ensure the home is able to meet the residents needs, prior to admission to the home. The home has provided a service users guide to all residents and relatives. This was not checked on this visit. However, management of the home to ensure the statement of purpose and the service users guide is reviewed on a regular basis, and a copy should be provided to all residents. Relatives or a Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 10 designated person needs to be provided with a copy particuarly, if a resident is unable to be involved with the care provided in the home. The home does not offer intermediate care. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance are planned and were documented in care plans and discussion with a resident was evidently provided, where needed, in a respectful and sensitive manner. Policies, procedures and practices are in place. EVIDENCE: Three residents care plans were sampled and there was evidence that resident’s health, personal and social care needs had been identified, assessed and met. Care notes are well documented and detailed. A copy of the care plan is kept in an area to enable staff to use as a working tool. There was evidence on residents files regarding residents attending various health checks including, dental, eye tests, chiropody and an annual health check by the G.P. The majority of residents are able to visit the doctor, two residents are unable to visit the doctor’s surgery, and the doctor visits the home when necessary. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 12 A number of risk assessments need to be updated for all residents living in the home. Medication records were detailed and found to be well documented and a list of staff signatures needs to be recorded on the file. The medication returns book was currently with the pharmacist on the day of the visit. There are no controlled drugs administered in the home. Medication is administered from blister packs and records were found to be well documented, with two signatures for administering medication as required. There needs to be a photograph of the resident on the MAR sheet file. Storage facilities were appropriate. However, medication is currently stored in a cupboard in the dining area. There are plans in place to change a large food storage cupboard into a clinical room and the medication will be moved to this area. Five residents are diabetic, two residents are self-medicating and undertake their own insulin injections twice a day and test their own blood sugar levels. Three other residents are medication-controlled diabetic, which the staff administers. Four members of staff have completed medication training. It was noted in the fridge in the kitchen that medication was stored. The inspector advised the home, that medication stored in the fridge needs to be in a lockable container, to ensure there is no risk to residents. Residents use the fridge when making drinks; therefore this practice needs to be reviewed. All medication including creams must be stored appropriately in a locked facility. The residents spoken to confirmed that staff are respectful and knock on the door before entering. Observation by the inspector was residents and staff have a good rapport, residents are able to discuss with the staff any worries they may have and staff reassure residents, by supporting, explaining, and helping to clarify any problems and to ensure residents have a clear understanding. The registered manager informed the inspector that he has organised a no smoking group for five residents and a member of staff. The NHS, PCT, funds this group and a consultant visits the home every two weeks for the meeting. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 13 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): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged to maintain contact with family and friends. Meals are varied with individual choices and preferences, as well as special dietary needs catered for. EVIDENCE: A few residents have contact with family and friends and those who do not have family or friends the inspector advised for an advocate to be involved. The staff and residents are involved with the cooking in the home. A resident helps in the kitchen most days, this is by preparing vegetables and helping with the washing up. This work is his choice, he is very happy to be working and wears a uniform including a hat. The main meal is served at lunchtime and a light meal is served in the evening. There is a three-week menu and the meals provided in the home need to be reviewed to ensure they are nutritional in content and well balanced. Recording of the temperature of the meat must be undertaken when necessary. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 14 Several resident’s confirmed the food is very good. However, several residents stated they were hungry and waiting for their next meal, this was before lunch and later in the afternoon. The management of the home to seek the advice of a dietician to ensure residents meals are wholesome, and those residents who require special dietary needs are met. The home has organised a cooking group and this is popular with the residents. A resident likes to cook Indian food. The majority of the residents are able to go out alone. Some travel on the buses and trains, and are able to attend various activities including day centres. One resident works in a day centre five days a week as a volunteer. A number of residents attend church on a Sunday and during the week attend coffee mornings organised by the church. Five residents went on holiday to Bognor in September 2006 for four days. Some residents prefer not to have a holiday, and one resident is saving with the help of staff to have a holiday next year. Another resident enjoys a daily bet on the horses. He goes to the betting shop and places small amounts of money on a horse; this practice is maintained by communicating by writing words down. He keeps a record of the bets he places and a record of his winnings. He has also been to Goodwood and Ascot races with a member of staff this year. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 15 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a simple, clear and accessible complaints procedure, which includes timescales for the process. However it does need to be updated. All required policies and procedures are in place to ensure that residents are safeguarded from harm or abuse. These also need to be updated. EVIDENCE: There have not been any recorded complaints in the home for some considerable time. All residents are provided with a copy of the complaints procedure, and copies are available on request. The homes policies and procedures for the protection of vulnerable adults and a whistle blowing policy were in place and the majority of staff has received the protection of vulnerable adults training except a new member of staff. Staff on duty confirmed they had undertaken this training and were aware of the procedures. However, some staff requires updates to this training. The home has a copy of Surrey Multi Agency procedures. Residents are encouraged to vote and some have been registered for a postal vote. Haven House (Knaphill) DS0000013665.V325231.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): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose. It is accessible and safe with a pleasant and homely atmosphere. However, several areas around the home need attention. EVIDENCE: The home was found to be clean and tidy, the staff and residents undertake the cleaning duties on a daily basis. Some of the residents like to be involved with the occasional job in their bedroom. The home has a nice homely touch and residents stated they enjoy living in the home. There are areas in the home that require attention and these areas are being addressed. The proprietor and the registered manager informed the inspector that the dining room is next on the list to be refurbished. The inspector was also informed that there are plans to undertake some building in Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 17 the grounds of the home. To accommodate residents who require support rather than care. These changes are subject to planning permission. Areas around the home that require attention: The surround to a washbasin in a resident’s bedroom needs attention, all communal areas require paper hand towels and soap dispensers. In one of the resident’s bedrooms it was noted that the resident’s towel was folded up on a laundry basket, this was because there needs to be a towel holder. The window frames in some of the front bedrooms need attention, and a carpet was badly stained and needs attention. All the doors need to have an appropriate lock fitted to enable all residents if required by the resident a key, if they do not wish to hold a key this must be clearly documented in the care plan. The staff must be able to access the bedrooms in an emergency. On the comment cards received from residents it was mentioned by two residents they would like a key. All radiators should have a protective cover fitted, unless the radiators are specifically of the low surface temperature type. The grounds are spacious and open and well maintained. Haven House (Knaphill) DS0000013665.V325231.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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff meets resident’s needs. The home has a comprehensive staff recruitment and training programme which incorporates all areas needed to ensure, as far as reasonably possible, that residents are in safe hands at all times. EVIDENCE: There are two care staff on duty during each shift; the registered manager and proprietor are also on duty. There are no agency members of staff employed in the home; the home has its own bank staff. The registered manager or the proprietor covers any shift that is not covered by bank staff. Management need to review the staffing levels to ensure the registered manager has appropriate time to undertake the management tasks required. Full recruitment procedures are mainly being followed. All staff has been checked against the Criminal Records Bureau (CRB) before working in the home. Staff records were observed and found to be well documented, including contracts and terms and conditions. The registered manager is in the process of updating all staff files to ensure all relevant documents as detailed in The Care Homes Regulations 2001, Schedule 2 are being followed. Training has been ongoing and the majority of staff has attended a number of training courses. A training plan has been produced and was up to date. All Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 19 new staff has a comprehensive induction-training programme, and all staff has received (POVA) protection of vulnerable adults training. However, some updates to training are required. Two members of staff commenced NVQ Level 2 recently in December 2006, one member of staff commenced NVQ Level 4 in August 2006, and another two members of staff have completed the registered managers award in July 2006. Training has been identified as a priority. However, a number of staff needs to complete updates to some of their training. The registered manager who has been in post for a short time informed the inspector this area has been identified and plans are in place for staff to undertake training where required. It was also identified that supervision needs to be undertaken on all staff on a regular basis. Again the registered manager stated that he has already commenced work in this area and plans are in place for all staff to be supervised within the next two months. Haven House (Knaphill) DS0000013665.V325231.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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s, benefit from an open, positive and inclusive management style. The home has a monitoring system in place that is based on seeking the views of the residents. All policies, procedures and practices are in place, but some need updating to ensure, so far as is reasonably practicable, the welfare, health and safety of residents and staff. EVIDENCE: The registered manager has completed the Registered Managers Award and is experienced to manage Haven House. A questionnaire (Customer Care Satisfaction) is sent to all residents on a yearly basis and a questionnaire has recently been sent out in December 2006, Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 21 on the day of the visit, five comment cards had been returned and the majority of comments were positive regarding the home. Two residents commented they would like a lock on their bedroom door. Regular weekly meetings with residents are held and the last recorded meeting was undertaken on 05/01/07. The inspector was informed that staff meetings are held on a three monthly basis. However, the last recorded staff meeting was dated 23/08/06. The registered manager informed the inspector resident’s finances are mainly managed by the residents. Some residents have their own post office account and their personal allowance is paid directly into their own account. The registered manager stated that for some residents a giro cheque is sent to the home for the distribution of resident’s personal allowance. The registered manager withdraws the resident’s money from the post office. The registered manager, deputy manager and proprietor have access and manage resident’s finances. Records were seen and found to be well documented. , The home had a visit form the Environmental Health Officer (EHO) 19/05/06. Areas of work identified have been completed. However, there is a need to ensure the temperature of cooked meat is recorded when necessary. On the day of the site visit it was noted that some items had been tested and recorded but the Sunday roast had not been. It was noted in one residents bedroom the call bell had a broken cord; therefore the resident would be unable to use in an emergency. All call bells must be checked on a regular basis to ensure they are all working and each resident has a call bell. Staff must be made aware and be clear regarding the testing of the system. A number of records were checked including the fire records and the inspector advised the home to implement an emergency contingency plan and to ensure the fire risk assessment is kept up to date. Haven House (Knaphill) DS0000013665.V325231.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Haven House (Knaphill) DS0000013665.V325231.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 OP19 Regulation 23 Requirement A number of areas around the home environment, to be addressed as detailed in the report. Training needs to be up dated on some courses. All call bells must be in working order. Timescale for action 09/03/07 2 3 OP30 OP38 19 23 09/03/07 26/01/07 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 2 3 4 Refer to Standard OP9 OP15 OP15 OP38 Good Practice Recommendations Medication procedures need to be reviewed. The meat probe needs to be recorded when necessary. The menu needs to be reviewed. Fire records need to be reviewed. Haven House (Knaphill) DS0000013665.V325231.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Haven House (Knaphill) DS0000013665.V325231.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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