Inspection on 10/07/06 for Heronswood

This inspection was carried out on 10th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Heronswood 07/08/09

Heronswood 30/09/08

Heronswood 12/09/07

Heronswood 05/12/05

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Heronswood Heronswood 51 Harestone Hill Caterham Surrey CR3 6DX Lead Inspector Lisa Johnson Unannounced Inspection 10th July 2006 11.40 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 Heronswood DS0000064646.V302782.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. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heronswood Address Heronswood 51 Harestone Hill Caterham Surrey CR3 6DX 01883 344645 01883 341232 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) S.E.S Care Homes Ltd Ms Susan Jane Bodle Care Home 21 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (21) of places Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Heronswood is a converted and developed detached house providing accommodation for older people. The home is provided over three floors and the upstairs accommodation is accessed by a passenger lift. The home has two lounges and a conservatory, which leads from one of the lounges to the rear of the house. The home has a separate dining room. Fifteen of the eighteen rooms have en-suite facilities. There is a well-maintained and accessible garden to the rear of the house and parking facilities are available at the front. The weekly fees range from £448-£567. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over seven hours and was carried out by Mrs. L Johnson regulation inspector. A full tour of the premises was undertaken and care plans, staff files and policies and procedures were sampled. The inspector spoke to five relatives and six members of staff. The inspector spoke to four residents to gain their views on the care provided and to one relative who was visiting. One comment card was received from a relative. The responses received are included in this report. The inspector would like to thank the residents, relatives and staff for their hospitality and cooperation during this inspection. What the service does well: What has improved since the last inspection? Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 6 At the previous inspection December 5th 2005 a number of requirements were made in respect of the maintenance and décor of the home. These matters have been resolved which included redecoration and improvement in lighting in the sitting room, the downstairs corridor has been repainted and the carpet cleaned. Repairs have been completed to the tiles and plasterboard in the upstairs bathroom with a shower curtain having been replaced. A chest of drawers has been and a carpet has been cleaned in bedrooms. Staff files checked during this inspection confirmed that police check reference numbers were maintained. Fire alarm checks are completed on a regular basis. What they could do better: The inspector sampled two residents’ files and it was observed that one person has needs, which are not included in the homes registration categories. A requirement was made that an application must be submitted to the Commission for Social Care Inspection for this variation to the certificate to be agreed. When the inspector arrived at the home it was reported that a resident had gone missing from the home, which had been noted after a short period of time. The home had carried out appropriate action and this individual returned to the home. A requirement was made that a risk assessment is competed to look at the security arrangements in the home. This is to ensure that the welfare, health and safety of residents is protected. There is a complaint procedure in place, however this needs updating to include the details of the new owner. This is to ensure that residents and relatives have the information they require should they wish to raise a complaint or concern. The homes needs to ensure that all care staff receive updated training in safeguarding adults and the manager needs to attend the local authority multiagency safeguarding adult training. It was further required that the home implements a local safeguarding adult policy which makes reference to the local authority procedures. This is to ensure that residents are protected from abuse. The home needs to complete the maintenance and redecoration to the outside of the house to ensure that residents have a comfortable and pleasant home to live in. Staff personal files were examined and a record was maintained of a verbal reference gained for one individual with one written reference available on file. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 7 However a requirement was made that no new staff should be employed in the home until two written references have been obtained. This is to ensure that the welfare and safety of residents is protected by the homes recruitment policies and practices. A number of care staff hold National Vocational Qualifications (level 2). A requirement was made that fifty percent of staff should have National vocational Qualification (level 2). This is to ensure that residents are supported by appropriately qualified staff. A further requirement was made that all care staff must receive infection control training. It was recommended that the home updates the individual staff training schedules and that the home considers employing a cook at the weekends. A requirement was made that arrangements should be made to appoint a manager and that an application must be submitted to the Commission for Social Care Inspection for registration. The home should ensure that daily fridge temperatures are recorded, as there were some gaps. Radiator covers must be provided in the sitting room. This is to ensure that the health and safety of service users is protected. The inspector was informed that during a fire training session he noted that door wedges were being used on some bedrooms and that this must cease. The use of wedges was not observed on this inspection. However two residents expressed their dissatisfaction about this as during the daytime they like to keep their doors open and find difficulty opening the doors. It was recommended that the home consult with the fire officer to explore other door fixtures, which meets health and safety requirements and preferences of individuals. 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. Heronswood DS0000064646.V302782.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 Heronswood DS0000064646.V302782.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that pre admission assessments are completed prior to any individual moving into the home. Improvement is needed to ensure that the home can meet any identified specialist needs before admission to the home. The home does not support individuals with intermediate care. EVIDENCE: The home makes arrangements to visit prospective residents and pre admission assessments are completed and opportunities are available for individuals to visit the home. Two residents assessments were sampled one of which included an individual who had been recently admitted to the home. Service users are provided with information about the home. One relative confirmed this by stating, “I was provided with a lot of information about the home and we were given opportunities to visit”. The inspector examined the pre- admission assessment for another individual who has an identified care need which is not included within the categories as Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 10 stated on the homes registration certificate. Therefore a requirement was made that the home should submit an application to the Commission for Social Care Inspection to amend the categories. Heronswood DS0000064646.V302782.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personals needs of residents are set out in an individual plan. One identified matter needs attention to ensure that resident’s needs are fully met. Residents have access to a range of specialist services. Residents are protected by the homes medication policy and procedures and their privacy and dignity is respected. EVIDENCE: Care plans were sampled for two individuals, which were based on assessment including health, personal, emotional and social needs. Pressure area assessments were implemented where required and mobility assessments had been completed. All individual care plans were being reviewed and updated. Care plans had been signed by individuals or their representative. Residents are supported to access a range of health specialists including a gp, district nurse, community psychiatric nurse and chiropody. On arrival at the home the inspector was informed that a service user had gone missing which was noticed after a short period of time and the home had Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 12 contacted the police. The police found the individual a little later in the local area and he was bought back to the home. The inspector was informed that this was the first occasion that this had occurred. A requirement was made that the home should complete a risk assessment to ensure that the health, safety and welfare needs of this individual are met. Staff were observed to speak to service users kindly and with respect. During the inspection service users privacy was maintained by ensuring that doors were shut when carrying out personal care. Service users maintain links with family and friends and during the inspection two residents were seen receiving visits from relatives. The homes medication administration systems were examined and records were maintained adequately. Photographs of individuals were available with their medication card. Medicines were stored appropriately. A homely remedies list was completed and disposal records were maintained. The home has received recent updated training from their pharmacist. There was one gap noted of a staff signature on one medication card, however the home demonstrated that systems were in place to audit any irregularities. Heronswood DS0000064646.V302782.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a range of activities. Residents maintain contact with their family and friends. Residents are offered a well balanced diet and residents are supported to exercise choice. EVIDENCE: The home has reviewed its recreational and social activities and programmes were on display. Activities include for example wine and cheese tasting, in door bowling, knitting classes, painting, quizzes and reminiscence sessions. The local vicar and priest visit the home to carry out Holy Communion and one individual goes out to the church. One resident told the inspector that she had been out the local garden centre with staff and the home is looking to increase more community activities. Residents were observed to be reading newspapers and one individual told the inspector she likes to read. One resident told the inspector he likes to help to take care of his room and likes to dust. Residents maintain links with their families and friends and during the inspection two people were receiving visits. One relative spoken to said “There is a nice atmosphere in the home and I am made to feel welcome”. There are no restrictions on visiting and relatives can visit in private if they wish. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 14 Another written comment received also concluded that relatives are made to feel welcome when they visit and are able to see their relative in private. One person was seen to have a telephone in their room to maintain contact. Residents are able to have their breakfast in their rooms but one individual told the inspector she likes to come into the dining room. Residents are able to bring personal possessions into the home, which was seen, on display in bedrooms. The home provides varied menus and the inspector spoke to the homes cook. Fresh vegetables are provided and choices can be accommodated to meet any individual preference. The lunchtime meal was a good standard and was well balanced, nutritious and well presented. Baskets of fresh fruit were available in the dining room for residents to have. Residents spoken to expressed their satisfaction with the meals provided and comments included “Good meals” and “Plenty to eat” . Heronswood DS0000064646.V302782.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that there is a complaints policy in place but this needs to be updated. Policies and procedures are in place for safeguarding adults. The manager and staff need to attend updated training in safeguarding adults. This is to ensure that service users are protected from abuse. EVIDENCE: The home has a written complaint procedure in place, which was available in the service user guide and was seen on display on the notice board. The home has received one complaint with written notes maintained of the outcome. The complaints procedure needs updating with the name of the new provider. This is to ensure that residents and relatives have the information they require should they wish to raise a concern or a complaint. Residents spoke positively of the care and support they receive in the home. Comments received included “The staff are caring”, “very helpful and kind”. One relative spoken to during the inspection said, “The staff communicate with him and there is a nice atmosphere in the home”. One comment card was received from a relative confirmed that they are informed of any changes in their relatives wellbeing and were satisfied with the care. The local authority multi- agency safeguarding adult procedure was available in the home and a whistle blowing procedure was in place. A requirement was made that the home implements a local policy that makes reference to the local authority safeguarding adult procedure. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 16 A number of established staff who have worked in the home have completed safeguarding adults training, but training records indicate that they require updated training. The inspector spoke to one new member of staff who was clear in her responses as to the various types of abuse and was aware of her responsibilities if she witnessed abuse, although this individual has not completed formal training. A further requirement was made that the manager attends the local authority safeguarding adult training to ensure that residents are protected from abuse. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are needed to ensure a comfortable, well-maintained and safe environment for residents. The home was clean and hygienic at the time of the visit. EVIDENCE: The home is situated in a residential road close to Caterham town centre. The service provides a homely atmosphere. Since the previous inspection improvements to the maintenance and decoration have taken place. The sitting room and dining room were viewed as comfortable. The home has made some progress to complete and improve the external appearance but this has yet to be fully completed. A further requirement was made that this work is fully completed to ensure that residents have a comfortable and wellmaintained home to live in. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 18 There is a garden to the rear of the house with a conservatory. A requirement was made that arrangements be made to review the unsecured openings to side of the house that lead to the front of the house. This is to ensure residents have a safe home to live in. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing levels in the home are sufficient to meet the needs of residents. Further training is required including National Vocational Qualifications. Improvement was needed to ensure safe and appropriate recruitment practices to protect residents. EVIDENCE: There is currently twelve residents living in the home. During the day there is three staff on duty headed by a senior carer. After five o’clock there is two staff on duty with a waking night and sleep-in staff member provided. The home employs ancillary staff and a cook who is available on weekdays. At weekends a fourth member of staff is provided to cover cooking duties. it was recommended that the home consider employing a cook at weekends. There are four staff who hold National Vocational Qualifications (level 2) or above. Due to some staff changes the home does not have fifty percent of staff holding National Vocational Qualifications. The inspector was informed that arrangements are being made for some staff to commence the programme in September 2006. A requirement was made that this matter is completed to ensure that residents are supported by appropriately qualified staff. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 20 The home is currently updating mandatory training for staff with fire and medication having been completed. First aid training was noted as being booked for September 2006 and moving and handling training being arranged. Some staff have received dementia awareness training. New staff are inducted and the inspector spoke to one staff member who said that that she was orientated into the home and has been receiving support and supervision. The home must ensure that all staff have received updated training in safeguarding adults and infection control. This is to ensure that staff are trained and competent to carry out their jobs. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 34 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A registered manager needs to be appointed to run the home. The home is run in the best interest of residents. The home does not manage finances on behalf of residents. Two health and safety matters were identified that need attention to ensure that the health, welfare and safety of service users is protected. EVIDENCE: Since the previous inspection the registered manager has recently resigned. Currently the deputy manager is managing the home and is completing National Vocational Qualification (level 4). The existing manager wishes to stay in the role of deputy manager. Therefore a requirement was made that the responsible individual must appoint a manager and submit an application to the Commission for Social Care Inspection for registration. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 22 The home has implemented quality assurance questionnaires for residents and relatives, which were sampled and the inspector was informed that relative questionnaires have recently been sent out to gain up-to-date feedback. The home does not manage any financial affairs on behalf of residents. The fire records were examined with evidence that checks and records were up to date. Water temperatures records were maintained and were seen on display the bathrooms. Two matters were identified that need attention. There were gaps in the daily fridge temperature records and radiator covers are required in the sitting room. This is to ensure the health and safety of residents. The inspector was informed that during a fire training session he noted that door wedges were being used on some bedrooms and that this must cease. The use of wedges was not observed on this inspection. Two residents expressed their dissatisfaction about this as during the daytime they like to keep their doors open and find difficulty opening the doors. It was recommended that the home consult with the fire officer to explore other door fixtures, which meets health and safety requirements and preferences of individuals. Information received from the home indicates that regular maintenance of equipment and services is completed. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 23 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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 2 Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 24 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 OP3 Regulation 39 Requirement Timescale for action 20/07/06 2 3 4 OP8 OP16 OP18 5 OP19 The registered person must submit an application to the Commission for Social Care Inspection for a variation to the conditions of registration. 13(4)(a)(c The registered person must ) complete a risk assessment for one individual. 22 The complaints procedure must be updated 13(6) A) The registered person must implement a local safeguarding adult policy that makes reference to the local authority multiagency safeguarding adult procedures. B) All staff must receive updated training in safeguarding adults. C) The manager must attend the local authority safeguarding adult training. 23(2)(b) A) The external redecoration work must be completed B) The external security arrangements must be reviewed. DS0000064646.V302782.R01.S.doc 20/07/06 10/08/06 10/10/06 10/10/06 Heronswood Version 5.2 Page 25 6 OP28 18(1)(a) 7 8 9 OP29 OP30 OP31 15(5)(b) Schedule 2 18(1) ( c ) (1) 8(1) The registered person must ensure that fifty percent of staff have gained National Vocational Qualification (Level 2) or above. Two written references must be available on all staff files. All staff must receive training in infection control. The registered person must appoint a manager for the home and an application must be made to the Commission for Social Care Inspection for registration. The registered person must ensure that the fridge temperatures are recorded daily. Radiator covers must be supplied in the sitting room. 10/10/06 10/07/06 10/10/06 10/09/06 10 11 OP38 OP38 16(2)(j) 13(4)( c ) 10/07/06 10/09/06 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 OP27 OP30 OP38 Good Practice Recommendations It is recommended that a cook is employed in the home at weekends. It is recommended that the individual training records for staff be updated. It is recommended that the fire officer is consulted to look at alternative door closures. Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Heronswood DS0000064646.V302782.R01.S.doc Version 5.2 Page 27 - 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!