Inspection on 12/12/06 for Hazelmere House Care Home

This inspection was carried out on 12th December 2006.

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

Hazelmere House Care Home 10/11/08

Hazelmere House Care Home 30/01/06

Hazelmere House Care Home 23/11/05

Hazelmere House Care Home 30/03/05

Hazelmere House Care Home 13/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hazelmere House Care Home 2-4 Welholme Avenue Grimsby North East Lincs DN32 0HP Lead Inspector Stephen Robertshaw Unannounced Inspection 12th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hazelmere House Care Home DS0000002849.V307827.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. Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazelmere House Care Home Address 2-4 Welholme Avenue Grimsby North East Lincs DN32 0HP 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) 01472 240399 01472 362955 Homearch Limited Mrs Kim Gallagher Care Home 30 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (22) of places Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: Hazelmere House is situated in a residential area of Grimsby. It is within walking distance of shops. It is also on a public transport route. The home is able to support and care for up to thirty people over the age of sixty-five, six of whom can have the category of Dementia. The home is over two floors accessed by a passenger lift. An extension was completed several years ago as part of an overall refurbishment programme that has brought the standard of accommodation up to high specifications. There are twenty-eight single rooms and one shared room, and all have the benefit of en-suite facilities. There are two assisted bathrooms and a large shower room downstairs and a further assisted bathroom upstairs. The home has two lounges and a large dining room with an extra seating area at one end. There are mature gardens to the rear of the building with a patio area and lawn. There are facilities for car parking at the front and side of the building. The manager of the home has had her application accepted to be recognised by the Commission for Social Care Inspection as the registered manager. The current fees for services provided through the home ranges between £329 and £367 per week. All service users are expected to additionally contribute a £5 a week ‘top up fee’ for the services provided at the home. Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was unannounced and took place on 12th December 2006. A preinspection questionnaire had been returned to the Commission before the inspection took place. Four staff questionnaires were returned by the domestic staff and one were returned from a member of the care staff. The inspector observed documentation in the home and case tracked three of the service users. What the service does well: What has improved since the last inspection? The home now has a business plan to show that the business is in good health and is not at risk of closing. The service user guide has been updated to show the service users who is responsible for owning and managing the service. The broken fridge in the kitchen had been replaced this helped to support the health and safety of the service users. The manager of the home has completed training to show that she has the ability to manage the service and understands the needs of the service users. Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 6 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. Hazelmere House Care Home DS0000002849.V307827.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 Hazelmere House Care Home DS0000002849.V307827.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): 1,2,3,4,5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are provided with the opportunity to visit the home before moving there to make sure that it will meet their needs. EVIDENCE: The inspector case tracked three of the service users living at the home, and as part of this process observed all of the case file information held at the home in respect of the care that they receive there. The homes has a service user guide and statement of purpose that describes the services available though the home. The statement of purpose had been amended to include the details of the new registered manager and to identify that they are no longer resident at the home. These documents were seen to be evaluated on a minimum of an annual basis. The service users are individually provided with a copy of this document. Service users and their Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 9 family carers that were spoken to by the inspector stated that the home has the capacity to meet the needs of the service users. One service user said to the inspector, “It has been good for me since I came here, I’m well looked after.’ Staff training records showed that the they receive all of the mandatory training and training in relation to the specialist needs of older people. One service user stated ‘the staff are good at their jobs’ and ‘they are never too busy to pay attention to us’. The care files observed by the inspector all included an assessment of the service users individual needs. These had all been completed before the service users were admitted in to the home to make sure that their needs could be met there. The assessments were a combination of the home’s preadmission information and care management assessments of needs where the service users care was funded through the local authority. The assessments covered all aspects of the individual service users’ health, physical and social care needs. A visitor to the home stated that they had been included in the assessment process, they told the inspector ‘the manager of the home came to visit…in hospital and spoke with us as well to see what help…needed if she went to live at the home’ The service users and their visitors also stated that they had been given the opportunity to visit the home before they made a decision to move there on a more permanent basis. One of the visitors stated to the inspector that they had ‘chosen’ to visit Hazelmere because of its ‘good reputation’ and understood the services provided there as they had ‘experience of other care homes’. Hazelmere does not provide intermediate care to service users. Hazelmere House Care Home DS0000002849.V307827.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): 7,8,9,10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users have their individual needs met at the home in ways that are acceptable to them, and their needs are continually reassessed to make sure that the care that they receive is appropriate to them. EVIDENCE: All of the care files observed by the inspector included clear care plans describing how their individual needs must be met. Service users funded through care management or health authorities had their care plans also included in their files. Outside professionals confirmed to the inspector that when they develop care plans for any service users at the home, the home’s care staff ‘always follow them’. The homes care plans included all of the care needs identified through the service users original assessments and they had all been evaluated on a Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 11 regular basis to make sure that the needs were still being met. Where changes in individual care needs were identified then new care plans had been introduced to meet them. Service users care files demonstrated that when they had health care needs that could not be met by the homes care staff, then appropriate healthcare professionals including GP’s and community nurses were consulted to support the service users and the home. Service users aid to the inspector that when they see healthcare professionals in the home then they are always seen in private, and that the care workers did not discuss other service users problems with them. Staff that administer prescribed medication to the service users had all received accredited medication training. The inspector observed medication being given out to the service users, and the staff involved followed all appropriate legislation and good working practices. The only problem identified with the medication in the home was when a prescription for Haloperidol was ‘lost’ by the local pharmacy. The management and care staff at the home took all of the necessary steps to make sure that the prescription was re-issued and there was no further delay in the administration of the medication to the service user. The controlled drugs held in the home were appropriately stored in a double locked cupboard and all drugs were appropriately recorded and stored. The controlled drugs cupboard is also in a locked room. There are hand-washing facilities for the staff in the medication room. All of the service users medication records include a photograph of the service user to ensure that all staff are clear who the medication is intended for. At the end of each staff shift the senior staff from either shift sign to accept responsibility for all of the medication in the home. This makes sure that there is a clear audit trail for all of the medication. The manager of the home also undertakes a weekly audit of the medication in stock and of the medication record sheets. All of the record sheets were up to date and had been accurately recorded. All of the service users’ care files that were observed by the inspector included their last wishes in the event of their deaths. This makes sure that any religious, social or cultural needs are respected in the event of their deaths. Staff training records also supported that staff receive training to support service users that are terminally ill and to support their families and the other residents in the event of a death at the home. Hazelmere House Care Home DS0000002849.V307827.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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are allowed to maintain and develop their personal lifestyles at the home. EVIDENCE: The routines in the home were observed by the inspector and were seen to be very flexible. This included the times that the service users got up from bed, and the times and where they ate their meals. Service user meetings identified the specific interests of the service users so that they can be included in the home’s activity programme. The activities in the home are advertised on the home’s notice boards. Some visitors stated that they felt that the ‘the activities don’t always happen! But it looks good’ and that there was ‘not enough stimulation’ for the service users at the home. However, activity questionnaires that had been returned to the home as part of their quality assurance programme identified that in general the service users and their carers were satisfied with the variety and frequency of activities made available to them at the home. The home’s activity co-ordinator has Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 13 attended training with the local authority in relation to ‘providing Meaningful Activity’ (05/10/06). The training included special activities for individuals with dementia related problems. The manager stated to the inspector that activities for service users with dementia care needs are to be introduced son at the home. The three areas of training for dementia activities include earlyreflective, planned and orientated activities, early middle- symbolic activities and middle/late-sensory activities. The visitors to the home told the inspector that they are always made to feel welcome by the staff and the management and that they are usually offered refreshments when they visit. The visitors and service users also said that there are opportunities for the service users the access activities in the community and various individuals from the community access the home to support the activity programme. The only religious services/access to the home is currently for Roman Catholic and Church of England service users. There were no other faiths identified at the home at the time of the inspection. The manager stated to the inspector that if any service users with different religious beliefs would be supported to maintain their faith at the home through the appropriate people for them. Service users were observed by the inspector being supported with their personal autonomy and choice. This included when to rise and retire to bed and where to eat and what to eat. Any service users with pocket money accounts at the home had them appropriately accounted for and these were up to date and were accurately recorded. The inspector ate a meal with several of the service users. The mealtime was relaxed and individuals were given their own time to eat their meals. Where support was required for service users to eat their meals this was carried out with dignity and respect. The inspector observed the kitchen at the home and this was seen to be well maintained and all of the appropriate records were kept up to date. The equipment was very clean. However the kitchen drawers were broken and required attention and the kitchen floor was badly marked and really needed replacing. A small fridge and freezer had been placed on top of each other and were precariously balanced. This could raise health and safety issues for the individuals working in the kitchen. These items must be made secure in order to prevent any injuries. Hazelmere House Care Home DS0000002849.V307827.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the homes has appropriate policies and procedures to support any complaints or allegations that are received. EVIDENCE: There had been no formal complaints or allegation made at the home since the last inspection. However all of the appropriate policies and procedures were in position. Staff that were interviewed by the inspector were all aware of the policies and procedures and what amounted to an allegation of any abuse towards the service users. Training records at the home showed that the staff undertake protection training through a variety of different ways including NVQ, distance learning courses and training provided through local authority. Hazelmere House Care Home DS0000002849.V307827.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): 19,20,21,22,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the environment is suitable to the needs of the service users. EVIDENCE: This was supported through the inspector’s tour of the premises and through discussions with service users, visitors and staff. Much of the home had been redecorated since the last inspection. The use of a small lounge area has been changed to include a new dining area and the exterior of the home had been repainted. The only concerns identified in relation to the environment of the home were in the kitchen area. As previously stated the floor was badly marked and looked as it required replacing. The kitchen drawers were broken and needed to be Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 16 repaired or replaced, and a fridge and freezer were placed on top of each other and the top one was not stable and could fall on top of anyone attempting to open or close it. Their has been no change in the actual square footage available to the service users with the change in status for some of the rooms. The home does not use a CCTV system that is intrusive on the service users’ daily lives. The toilet and washing facilities are well spaced around the home, and were close to all of the communal areas and service users’ bedrooms. The toilets and bathrooms were all very clean and tidy and generally there were no offensive odours present in the home. One of the shower rooms in the home has an on-going problem with odours and poor drainage. The manager stated to the inspector that this was being looked in to at the time of the inspection. The laundry was well organised and the washing machines were programmable to sluicing and disinfection standards. Service users and visitors to the home stated that when laundry is finished it is ‘usually’ returned to the right person. The home has not had an overall assessment of the premises to ensure that it can meet the individual needs of the service users, however individual service users care files showed that they had been appropriately assessed for their mobility needs. All of the moving and handling equipment in the home had been serviced and maintained on a regular basis. Three service users invited the inspector to look around their rooms. These had all been decorated and included the service users’ personal tastes and preferences including their pictures, ornaments and small items of furniture. The lighting at Hazelmere is domestic in character and all of the radiators have low temperature surfaces to ensure the safety of the service users. Hazelmere House Care Home DS0000002849.V307827.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): 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. This means staff receive the appropriate training to make sure that they can meet the needs of the service users. EVIDENCE: The staff at Hazelmere are very positive towards their training to ensure that they understand the needs of the service users and how to meet them. 51 of the care staff have achieved NVQ 2 or equivalent in care. This is in line with government standards. Six further staff are registered on the award. The home’s training plan shows that the staff receive all of the expected mandatory training and also receive training specific to the needs of older people. The manager of the home confirmed to the inspector that they utilise the residential forum to calculate the number of staff required on duty at the home at any time. The inspector observed the staff training and personnel files for three of the staff that worked at the home. All of their personnel files showed that they had been employed following equal opportunities guidelines this was also supported Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 18 through interviews with the management and staff. The staff had also all received the appropriate security vetting before they had any access to the service users or any information relating to their care. There were no staff working at the home that were under twenty-one. The staff personnel files showed that the home operates a thorough recruitment procedure that is based on equal opportunities and the protection of service users. All staff receive a minimum of a POVA first clearance before commencing work at the home. Training records showed that new staff receive induction and foundation training that meets the requirements of the Sector Skills council workforce training targets. Staff interviewed by the inspector confirmed that they receive in excess of the requirement to be provided with three days paid training per year. The staff are provided with name badges. However on the day of the inspection several of the staff were not wearing them. As many of the service users have memory related difficulties they can find it difficult to remember the names of the staff that they want to speak to and therefore may not request their support out of embarrassment. As the staff are provided with name badges they should wear them at all times to make themselves known to the service users and visitors to the home. Hazelmere House Care Home DS0000002849.V307827.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): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management of the home understands and supports the needs of the service users and the staff groups. EVIDENCE: The manager of the home has been recognised by the Commission as the registered manager for the home. The homes service user brochure had been amended to include the details of the manager. The manager of the home has completed the Registered Managers Award and the NVQ 4 in care. The deputy manager of the home is working towards NVQ 3 in care and is a qualified moving and handling trainer. Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 20 The manager stated that since the last inspection of the service the staffing structure of the home has been changed. The home now employs a senior member of staff on every shift. This has increased the quality of care provided to the service users and ensures that a line of management is available at the home at all times. The staff that were interviewed by the inspector and the service users that were spoken to supported the evidence that the management of the home is open, positive and approachable. One service user dais ‘the manager is always walking around the home to see if we are alright’. The home has an effective quality assurance and monitoring system. Service users are provided with a choice in how services are delivered to them at the home. This includes how they wish to follow any religious or cultural needs. Appropriate support is brought in to the home to assist service users to support and sustain their personal beliefs. The home has a current business and financial plan, however this is very basic and does not detail the forward planning of the service. Although there are no concerns in relation to the financial viability of the service it would be benefited through the development of a clearer and more in depth plan. The inspector observed the pocket money accounts for three of the service users and the home’s ‘comfort fund’. All of the accounts were up to date and had been accurately recorded. Appropriate receipts were in position for all of the individual records. The staff personnel records and interviews with management and staff confirmed that all of the care staff receive a minimum of six formal recorded supervision periods per year and that the supervision covers all aspects of their practice, the philosophy of care in the home and their personal development needs. The manager confirmed to the inspector that new staff to the home will complete the up to date induction standards. The records maintained at the home in line with regulation and good working practices were all up to date and had been accurately recorded. Where appropriate the records had been stored in accordance with the Data Protection Act 1998. All of the moving and handling equipment was well maintained and the records showed that they had been serviced on a regular basis. The electrical and gas systems for the home all had up to date safety certificates. Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 22 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. 1. 2. 3. 4. 5. Refer to Standard OP12 OP19 OP19 OP19 OP21 OP27 Good Practice Recommendations The registered person should make sure that stimulating activities are provided at the home for all of the service users that want to be involved in them The registered person should renew the floor cover in the kitchen to maintain hygiene standards. The registered person should re-new or replace the broken drawers in the kitchen. The registered person should make sure that all of the fridges and freezers are in safe working positions in the kitchen. The registered person should continue to identify the problems with the odour in one of the shower rooms. The registered person should make sure that the care staff wear their identification badges at all times whilst at work to identify themselves to the service users and visitors to the home. DS0000002849.V307827.R01.S.doc Version 5.2 Page 23 Hazelmere House Care Home Hazelmere House Care Home DS0000002849.V307827.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Hazelmere House Care Home DS0000002849.V307827.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!