Inspection on 09/08/05 for Heatherway Resource Centre

This inspection was carried out on 9th 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

Heatherway Resource Centre 17/05/07

Heatherway Resource Centre 08/11/05

Heatherway Resource Centre 04/03/05

Heatherway Resource Centre 26/11/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Heatherway Resource Centre 11 Heatherway Monks Hill Estate, Selsdon Croydon, Surrey CR2 8HN Lead Inspector Lee Willis Unannounced 09 August 2005 09:30 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. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heatherway Resource Centre Address 11 Heatherway, Monks Hill Estate, Selsdon, Surrey, CR2 8HN 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) 020 8657 7763 020 8651 1374 Hannah_Miller@croydon.gov.uk London Borough of Croydon Ms Susan Marie Smith Care Home 5 Category(ies) of LD Learning Disability 18 - 65 year olds (5) registration, with number of places Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 04 March 2005 Brief Description of the Service: Heatherway Resource Centre is owned, managed and staffed by the London Borough of Croydon. The Centre is registered with the Commission for Social Care and Inspection to provide temporary respite care for up to five younger adults with learning disabilities. There are currently thirty-eight individuals who use the Centre on a regular basis, although the duration and frequency of their stays varies considerably, along with their needs, which ranges from moderate to high. Need is determined by an assessment carried out by Care Managers representing the Local Authority. Sue Smith continues to be in operational dayto-day control of the Centre, which she has managed for the past four and a half years. Heatherway is a detached two-storey building situated in the heart of Selsdon and is within easy walking distance of local shops, eateries and public transport links. The property comprises of five single occupancy bedrooms, the majority of which are located on the first floor, although one is postioned on the ground floor to accommodate service users with mobility needs. There is also a staff sleep-in room, an open plan L shaped communal lounge/dining area, a separate kitchen, and laundry room. There are sufficient numbers of toilets and bathing facilities to meet service users needs. The Centrre also has a well-maintained garden at the front and back. The front garden has been supplied with a permanent wheelchair accessible ramp and the rear garden has plenty of tables and chairs for service users, their guests, and staff to enjoy it in the Summer months. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and began at 9.45am. It took place over two and a half hours on Tuesday 9th August 2005. All three of the service users who had stayed at Heatherway the previous night were all out attending various day centres at the time of this inspection. Consequently, none of the service users views about the Centre have been ascertained. Nevertheless, to date the Commission has received seven comment cards in respect of the Centre, the majority of which were completed by people who use the service. The rest came from service users relatives. Furthermore, telephone contact was also made with two of the relatives who completed comment cards, and their help with the inspection process is very much appreciated. The majority of this inspection was spent talking with the senior carer in charge of the early shift and other staff on duty at the time. A considerable amount of time was also spent examining the Centres records and touring the premises. No additional visits or complaints investigations have been carried out by the CSCI in respect of this service in the past twelve months. What the service does well: What has improved since the last inspection? All the requirements identified in the Centres previous report have been addressed within the agreed timescales for action. The Centres emergency admission policy has now been up dated, cold running water supplied to sinks in bedrooms, heating controls on radiators made accessible to service users, and training dates arranged for staff to attend managing aggression and challenging behaviour courses. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 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. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.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 Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.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) 1 & 4 The Centres emergency admissions procedures are sufficiently robust to ensure the needs of anyone placed as an emergency are assessed as soon as reasonably practicable, thus minimising the risk of an ‘inappropriate’ referral being accepted. EVIDENCE: The Centre has produced a brightly coloured guide to the home, which also doubles up as its Statement of purpose. It was positively noted that as required in the centres previous inspection report its emergency admissions policy had been amended to clarify the Local Authorities position on the matter. The new version of the policy clearly states that ‘emergency placements are avoided whenever possible’, but when they are accepted, a thorough assessment of needs will be carried out as soon as reasonable practicable, and a placement terminated, if the centre was unable to meet these needs’. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.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) 8 Suitable arrangements are in place, which enable the service to participate, as well as express their opinions, about all aspects of life at the Centre. EVIDENCE: On arrival at the Centre it was positively noted that a letter was conspicuously displayed in the entrance hall reminding service users, their representatives, visitors and staff about the Commissions role and how to contact us. Furthermore, notice boards in the entrance hall also contained a lot of useful information about what was on in the local area and how to get there by public transport. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 10 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) 12, 13, 14 & 17 Social, leisure and employment opportunities for service users to engage in both inside the home and in the wider community are well managed and provide the service users with daily variety and stimulation. The menus are nutritionally well balanced; provide daily interest and choice for the people staying at the Centre. EVIDENCE: The relatives of two service users both said that they were very satisfied with the number and variety of opportunities their loved ones had to engage recreational activities, both inside and outside the Centre, while staying there. Staff on duty at the time of this inspection said the local community is well used by the service users. One of the centres neighbours confirmed that they regularly see service users and staff getting ready to go out in the minibus. All three of the service users who had stayed at Heatherway the previous night were out attending various Day centres at the time of this inspection. The shift leader said it was custom and practice for the service user to be consulted about what they would like to do at weekend and therefore no Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 11 decisions about outings and in-house activities would be decided until the service users had arrived. The duty roster indicated that sufficient numbers of staff would be working on Saturday (13/08/05), including several people who were ‘authorised’ to drive the minibus, thus ensuring service users activity preferences could be catered for. The planned menu for the week was varied and identified two choices of main meal. The shift leader said service users who do not like any of the food on offer could ask staff to prepare them an alternative meal. It was clear from records maintained by staff of food actually consumed that the Centre continues to tread each service user as an individual, taking into account each persons specific religious, cultural and dietary needs. Furthermore, it was positively noted that the Centre has developed an extremely comprehensive recipe book, which is available in pictorial form to enable service users with communication difficulties to make informed choices about the meals they eat. The shift leader also said service users who are unable to communicate their wishes effectively are encouraged to tour the kitchen with staff and physically point to items of food they would like to eat. The staff team have also compiled a comprehensive list of each service users food and drink preferences. On a tour of the kitchen ample stocks of fresh fruit, vegetables, cereals, meat, fish, snacks and soft drinks were all found to be correctly stored in fridges and the pantry. Food taken out of its original packaging was labelled and dated in accordance with basic food hygiene standards. The relatives of two service users spoken with both commented favourably about the quality and variety of the meals provided by staff at the Centre, which they both believed there loved ones really enjoyed. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 12 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) 19 Suitable arrangements are in place to ensure that service users physical and emotional health care needs are identified and met. EVIDENCE: The Centres accident book revealed that none of the service users who had stayed there since March 2005 had been involved in any accidents or admitted to hospital. The Centres Occurrence book continues to be appropriately maintained by staff and is used to record all incidents that adversely affect the health and welfare of service users. The shift leader was aware that the occurrence of any such incident must be reported to the Commission in accordance with the Care Homes Regulations (2001). Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 13 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 & 23 Service users relatives are confident that any concerns they may have are listened to and acted upon. The Centre has made suitable arrangements to train its staff team to prevent service users, so far as reasonably practicable, being harmed or abused. EVIDENCE: The Centres complaints book revealed that there had been no formal complaints made about its operation in the last twelve months. It was positively noted that service users and/or their representatives are still being actively encouraged by staff to complete a satisfaction questionnaire after each stay, which forms part of the Centres quality assurance system. The relatives of service users spoken with on the telephone both said that they felt confident that any concerns they had about the Centre would be listened too and taken seriously. The shift leader stated that no allegations of abuse have been made within the Centre in the past twelve months and that in accordance with its philosophy of care no physical intervention techniques are ever used by staff to deal with aggression and challenging behaviour. Documentary evidence was available on request to show that the vast majority of the staff team were booked to attend a managing aggression and challenging behaviour training day on 6/01/06, as required in the previous inspection report. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 14 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, 26, 27, 28 & 30 Some progress has been made to improve fittings in the centre, although little has been done to improve the interior décor of the bedrooms. To ensure the service users stay at the centre is a far more comfortable and pleasant one, all the bedrooms must be redecorated and old mattresses replaced. The arrangements that are in place to control infection are in the main robust. However, the Centres arrangements for the disposal of clinical waste needs to reviewed to ensure the service users, are so far as reasonably practicable, protected from harm. EVIDENCE: No changes have been made to the Centres physical environment in the past twelve months and overall the premises continue to be suited for its stated purpose. The shift leader said that as recommended in the Centres previous report the manager has been in contact with the London Fire and Emergency Planning Authority (LFEPA) and arranged for them to inspect the Centres fire safety and prevention measures in August. Having viewed all the bedrooms on the first floor it was positively noted that appropriate action had been taken by the Local Authority to ensure all the Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 15 sinks in these rooms had been supplied with cold running water and holes cut in radiator covers to enable service users to control the heating in their bedrooms. However, some of the mattresses in these rooms, particularly the one in bedroom No#4 and the staff sleeping room, were found to be rather uncomfortable and worn out. If these mattresses are not replaced the service users and staff may not only experience sleep deprivation, but may also suffer long-term injury, as a direct consequence. It was recommended in the Centres previous report that the Local Authority should replace all these unsafe mattresses/beds. As this proposal was not considered, or at least no action taken, the providers are now required to replace them. Furthermore, it was also recommended that a time specific rolling programmes to redecorate all the bedrooms be established. All the bedrooms viewed looked rather ‘shabby’ and neglected. The wallpaper in most bedrooms was discoloured, stained, and/or torn. The shift leader believed that none of these bedrooms had been decorated for over a decade. The unanimous opinion expressed by relatives spoken to on the telephone and staff met during this inspection was that the Centres bedrooms were all in desperate need of upgrading. Having tested the temperature of water running from the hot tap attached to a first floor bath it was found to be a safe 42 degrees Celsius at 11.20am. The Centre has a suitably sized garden, which is well maintained. It consists of a well kept sloping lawn, a large patio area, which has sufficient numbers of tables and chairs for service users, their guests and staff to enjoy in the Summer, and a free standing swing in the far corner. The Centres kitchen is domestic in scale, hygienically clean, and is suitably equipped with food preparation and storage equipment. However, the kitchen units have not been upgraded for many years and like the bedrooms are starting to look rather worn and shabby. Nevertheless, the units remain functional and it is therefore recommended that the providers should start developing a timetabled action plan to replace these units sometime in the future. Having toured the premises it was found to be spotlessly clean and free of offensive odours. The Centre has all the relevant information/legislation regarding infection control, including polices for dealing with clinical waste, bodily fluids, hand washing and the wearing of protective clothing. The Centres washing machine has a sluice programme and is capable of thoroughly cleaning foul laundry at appropriate temperatures, in accordance with infection control guidelines. The laundry room is too small to have a sink, but hand washing facilities are prominently sited in the bathroom next door. The shift leader explained that clinical waste is stored in a former laundry basket lined with a black bag, which is kept in the ground floor bathroom. This basket is emptied at the end of each shift and the contents put into a metal bin in the front garden. The centre has a contract with the local authority to collect this waste on a weekly basis. An old laundry basket is not a suitable vessel to store clinical waste, albeit temporarily, and this practice contravenes infection Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 16 control guidelines. The Centre must be provided with a solid, leak proof bin, preferably metal, which has its own lid. Adequate supplies of latex gloves and plastic aprons were found in all the bathrooms. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 17 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, 33, 34 & 35 In the main the Centre ensures that sufficient numbers of ‘suitably’ experienced staff are on duty at all times to meet the health and welfare needs of the service users. However, sufficient numbers of staff still need to attend basic food hygiene training to ensure they have the necessary knowledge and skills to perform all their duties, including concern food preparation and storage. EVIDENCE: The number of staff on duty matched the staff duty roster for that morning and seemed adequate to meet the needs of the three service users currently staying at the Centre, who had all been assessed as ‘high’ dependency. Of the five members of staff on duty at this time, four were care workers, one of whom was the designated senior in charge of the shift, and the fifth member a domestic. Staff training records revealed that the vast majority of the Centres current staff team had either achieved or were working towards obtaining a National Vocational Qualification in care – level 2 or above. Consequently, the Centre is well on course to ensure that at least 50 of its current staff team are trained to an NVQ level by the end of 2005. Progress on this matter will be assessed at the Centres next inspection. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 18 The Centre continues to experience extremely low rates of staff turnover. In the past six months the manager has not needed to recruit any new members as the service continues to operate with a full compliment of staff. Consequently, the Centres recruitment procedures were not assessed on this occasion. One of the main benefits of having a stable staff team is that service users receive continuity of care from experienced individuals who are familiar with their needs and the Centres daily routines. The relatives of service users spoken to on the telephone reiterated this point and were very impressed with the caring approach of the staff team. Sufficient numbers of the existing staff team have either received training or are booked to attend suitable courses in the near future in a number of core areas of practice, including fire safety, first aid, moving and handling, managing aggression and challenging behaviour, vulnerable adult protection, infection control and medication. Documentary evidence of staff attendance of basic food hygiene courses revealed that a number of staff need to receive this training or up date their existing food hygiene knowledge. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 19 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) 42 The homes health and safety arrangement are sufficiently robust to protect the service users, their guests and staff from harm. EVIDENCE: Up to date Certificates of worthiness were in place as evidence to show that the homes gas (Landlords) installations, fire alarms and extinguishers, mobile hoists and portable electrical appliances had all been checked in the past twelve months. Furthermore, the Centres electrical wiring had also been checked within the past five years, in accordance with health and safety Regulations. Having been on a tour of their premises it was positively noted that two sound activated ‘dorguard’ realise mechanism had been fitted to bedroom doors on the first floor. These were fitted to meet the needs of two service users who liked to leave their bedroom doors a jar at night. The mechanism will ensure these fire doors will close automatically in the event of the fire alarm being sounded. Having checked at random a number of the Centres fire doors it was noted that none had been fitted with an effective Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 20 smoke seal. It is recommended that the manager should seek advice from the Centres local fire brigade on this matter. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.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 2 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 x x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 3 3 x 2 Standard No 11 12 13 14 15 16 17 x x 3 3 x x 4 Standard No 31 32 33 34 35 36 Score x 3 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Heatherway Resource Centre Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x G53 S39508 heatherwayUI V214371 010805 stage 0.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 1 Regulation 12(4)(b) Requirement The guide to the Centre must be available in a more accessble format, which is suitable for the people for whom the service is intended, i.e. Be written in plain English and illistrated using pictures, photographs and symbols, where appropriate. Previous timescale for action of 1st May 2005 not met. All the Centres old worn out mattresses/bedsteads must be replaced. Recommendation made in previous report, but not acted upon. All the bedrooms must be decorated to a reasonable standard and a rolling programme established setting out when the work should be complete. Recommendation made in previous report, but not acted upon. Clinical waste must only be stored in containers which meet infection control standards. Sufficient numbers of staff must attend basic food hygiene training. Documentary evidence of this training must be avialable for inspection on request. Timescale for action 1st October 2005 2. 26 12(1), 13(4) & 16(2)(c) 23(2)(d) 1st October 2005 1st January 2005 3. 26 4. 5. 30 35 13(3) & 16(2)(k) 13(4) & 18(1), Sch 2.4 1st October 2005 1st November 2005 Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 23 6. 7. 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. Refer to Standard 28 32 42 Good Practice Recommendations The providers should begin the process of developing a timetabled action plan to replace all the Centres old kitchen units. At least 50 of the Centres staff team (carers) should be trained to NVQ Level 2 or above in care by the end of 2005. The manager should seek advice from the Local Fire Authority about fitting smoke seals around fire doors. Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 24 Commission for Social Care Inspection Croydon, Kingston & Sutton Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 Heatherway Resource Centre G53 S39508 heatherwayUI V214371 010805 stage 0.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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