Inspection on 29/06/05 for Hilton Rest Home

This inspection was carried out on 29th June 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 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

Hilton Rest Home 07/01/09

Hilton Rest Home 19/12/06

Hilton Rest Home 29/12/05

Hilton Rest Home 26/01/05

Hilton Rest Home 20/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hilton Rest Home Quarry Street Padiham Burnley BB12 8PH Lead Inspector Pat White Announced 29 June 2005 9.30 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 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. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hilton Rest Home Address Quarry Street Padiham Burnley BB12 8PH 01282 775016 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) Mr Joseph Robb Buirds & Mrs Marlene Joan Hyslop Buirds Miss Julie Williams Care Home 21 OP 21 Category(ies) of Old Age registration, with number of places Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26 January 2005 Brief Description of the Service: Hilton Rest Home is registered to provide accommodation and personal care for 21 older people. The home is a detached premises set in a residential area approximately a quarter of a mile from Padiham town centre. The home is built on two levels, which are linked with a passenger lift; there are no internal stairs. Accommodation is provided on both levels in 9 single bedrooms and 6 shared bedrooms. Four of the single bedrooms have an en suite facility. Shared space consisted of two lounges and a conservatory. The lounge adjacent to the front door was a designated smoking area; all other rooms were smoke free. The main lounge could be partitioned to make two rooms. The home was managed by Miss Julie Williams, who is an experienced manager of care homes for older people and who had gained the Registered Managers Award. A range of policies and procedures, which were in accordance with the National Minimum Standards for older people, underpinned the home’s care practices. The staffing levels at the home were in accordance with the guidance of the previous registering authority. Hilton Rest Home gained the Investors in People Award in September 2001. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced inspection, the purpose of which was to assess important areas of life in the home that should be inspected over a 12 month period, check the progress of previous legal requirements and good practice recommendations, and check other matters in the home which came to the inspector’s notice. The inspection took 9 hours, 45 minutes and comprised of, talking to residents, a tour of the premises, looking at resident’s care records and other documents, and discussion with the manager. Written information about the home was provided before the inspection and some of that information is included in the report. A member of staff was interviewed and the regular visiting hairdresser was spoken with. Nine residents were spoken with, and others were observed in their routine daily activities. One relative was spoken with. Three residents and six relatives completed comment cards. What the service does well: Residents are well cared for in the home. All residents spoken with, and those who completed comment cards, stated that they were well cared for and that staff were caring and patient. Comments such as “nothing is too much trouble” and “staff are very kind” were made. Every effort is made to accommodate residents’ wishes and choices. Residents have consistently praised the food served in the home, and it is commendable that there is a choice of two, cooked lunch - time meals. At this inspection comments such as the “food is very good” were made. There were thorough and safe systems and procedures for the administration of medication to residents. The home provides a pleasant and comfortable environment for the residents, and residents stated they were satisfied with their private accommodation. The registered persons are committed to staff training and development and ensured that staff are trained in NVQ courses and other required courses. The target of 50 being trained to at least NVQ level 2 had been exceeded. The staff recruitment procedures are thorough and in accordance with the legal requirements and help to ensure the protection of residents from unsuitable staff. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 & 5. Standard 6 was not applicable The home’s admission procedures, including pre admission assessments in the place of residence and prior visits by prospective residents and relatives to the home, helped to determine whether or not the home could meet people’s needs. Residents’ needs were being met in the home. EVIDENCE: The Statement of Purpose and the Service User Guide were not assessed at this inspection. At the previous inspection these documents were found to be in accordance with Regulations 4 and 5 respectively and standard 1. The registered person will ensure that these documents are kept under review and amended as necessary. The viewing of residents’ records confirmed that residents had “Service Agreements” from the Social Services, if applicable, and a signed copy of the home’s “Terms and Conditions”. Records also showed that an in house assessment was carried out prior to admission for all those people recently admitted. This in house assessment included all the matters listed in standard 3.3. Copies of the social work Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 9 assessment had been obtained for those residents admitted through “care management” arrangements. After admission a care plan was generated. The registered person confirmed in writing to prospective residents that the home could meet their needs and residents spoken with indicated that their needs were met. Residents spoken with and who completed comment cards stated that their needs were met at Eaves Hall and that they were well cared for. One resident who was recently admitted to the home said he “could not wish for a better place”. However several residents had some degree of confusion and memory loss and two residents were registered blind. Staff would benefit from specific training in these matters (see standard 30) Residents were given the opportunity of visiting the home prior to making a decision about whether or not Hilton Rest Home was suitable. Two residents spoken with stated that their relatives and or friends had visited the home, and that the manager had visited them in their place of residence. One person recently admitted stated that he had heard of Hilton, and decided it was the home in which he wanted to live. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 The care plans had improved and contained useful information about the residents’ health, personal and social care needs. Residents’ health care needs were promoted and maintained. Medication procedures and systems had been developed to ensure the safe handling, storage and administration of medication. Residents and visitors felt that residents’ rights to privacy and dignity in the home were upheld. EVIDENCE: All residents had a written care plan, and the contents of these had improved since the previous inspection. These contained appropriate risk assessments, including one for the prevention of falls and vulnerability to pressure areas. There was a useful “social profile” section. One resident was on the Care Programme Approach and Information on psychological issues was included in the care plan. The care plans were being reviewed approximately once a month and there was evidence that residents were involved in the compilation of their care plans. The residents’ health care, including psychological health, was promoted and residents had access to all the necessary health care services. The resident on the “Care Programme Approach” was having all relevant support from the Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 11 mental health services. Pressure area care was managed appropriately in the home, with advice and support from the district nurse as required. However the care plans must contain the details of all care and prevention measures given with respect to pressure areas. Residents’ weights were monitored and recorded and there was information about diet and food preferences. It is recommended that more comprehensive nutritional screening is undertaken. The medication management systems and procedures were inspected at the previous inspection by the pharmacy inspector, Ms Maggy Howells. Only the previous requirements and recommendations were monitored at this inspection, and all had been met. Residents’ medication was well managed in the home. Good practices and procedures ensured the safe administration of medication to residents. Residents in conversation, and through the comment cards, stated that their right to privacy was respected, and that staff treated them appropriately when giving assistance. One resident confirmed that staff respected her choice to spend most of the time in her room. The member of staff spoken with demonstrated a good understanding of the importance to residents of privacy and dignity. The hairdresser spoken with stated that all the residents were encouraged to visit her, and were given assistance from care staff. She stated that residents always appeared well cared for and were encouraged to continue to take a pride in their appearance. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 Routines were flexible enough to suit individual preferences. There were suitable activities enjoyed by the residents, and the visiting arrangements encouraged and enabled residents to maintain contact with family, friends and the wider community. Residents had choices in some aspects of their lives. The food served was appetising, wholesome, enjoyed by the residents and afforded them choices. EVIDENCE: Residents confirmed that routines were flexible to suit their preferences. Examples such as having meals at a place of their choosing, going out alone and being enabled to continue with their preferred religious observance, were given. These details of preferred routines were recorded on the care plans. Former hobbies and leisure interests were also recorded on the care plans, and interests such as football and craft were encouraged. Leisure activities include games, entertainers and trips out. Games of bingo and dominoes were played at the time of the inspection and one resident organised the “domino school”. Pictures of “old Burnley” and other old photographs were on the home’s notice board and stimulated reminiscence conversations. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 13 Residents and relatives who completed comment cards confirmed that visitors were made welcome in the home at any time and that residents could be visited in private. Residents were encouraged and enabled to have time away with relatives and friends. One resident informed the inspector that she had a lot of visitors and was taken out to church functions. She spoke of her enjoyment of the monthly visits by the church choir. At the time of the inspection an aromatherapist and a hairdresser were working in the home. Residents had some choices in their everyday lives, such as what to wear, of rising and retiring times, whether or not to vote in elections and the choice of bringing small items of furniture for their bed rooms. Some residents had their own telephone line. The meals served appeared wholesome and varied and suited residents’ tastes. There was a “four weekly” menu which showed a choice of two cooked meals at lunchtime. The menus showed varied, appetising and nutritious meals. The menus were changed every few months after consultation with the residents. Some residents ate in the conservatory dining room; others who needed assistance ate at individual tables in the lounge. Those spoken with praised the food and the three who completed comment cards stated they liked the food. Appropriate alternatives were served to those with diabetes. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 & 18 There was a simple and clear complaints procedure accessible to residents and relatives. Residents and relatives knew how to make a complaint. There was awareness in the home of residents’ rights as citizens. The home had appropriate policies and procedures to protect the residents from abuse. EVIDENCE: The home had a suitable complaints procedure, of which all the visitors who completed comment cards stated they were aware, and which was in the Service User Guide. The three residents who completed comment cards stated that they knew who to talk to if they were unhappy about their care. The grumbles of one resident, and the action taken, were recorded on his care plan. Residents spoken with stated that they had no complaints, and if they had they would speak to the manager. Comments such as “it’s very nice here” were made. One resident on respite care stated that it was “first class”. Residents’ rights appeared to be upheld. For example residents were encouraged and enabled to vote in the recent general election, and there was information about advocacy in the home. The home had appropriate policies and procedures to assist in the protection of residents from abuse, and guidelines were being developed to protect staff from aggression from residents. There had been no recent allegations or Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 15 suspicion of abuse. Residents who were spoken with and those who completed comment cards stated that they felt safe living in the home. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 25 Hilton Rest Home provided pleasant, well - maintained and clean private and communal accommodation that suited the residents’ needs. There was a programme of refurbishment and renewal that ensured these tasks were carried out in a planned and prioritised way. EVIDENCE: The premises were well maintained and decorated, and certain areas of the home had been improved since the previous inspection. For example more heaters had been covered and the emergency lighting had been replaced. Bedrooms were decorated as required and when they become vacant. There were car-parking facilities at the front of the building and outdoor areas to the front and rear of the building, which service users, could use in fine weather. The communal space consisted of a two - part lounge, a conservatory which was used as a dining room, and a small lounge used for smoking by residents and staff. All these areas were bright, pleasantly decorated and furnished. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 17 The registered person had conducted an audit of disability equipment and had concluded that grab rails in the corridors might be needed. The bedrooms were furnished, decorated and equipped for the comfort of the residents, and residents had brought small items of furniture with them. Residents spoken with were complimentary about the accommodation and were satisfied with their bed - rooms. The hot water temperature in some bedrooms was still considerably over the recommended range (see standard 38). Though standard 26 was not fully assessed the home was clean and fresh at the time of the inspection. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 The home had sufficient staff on duty to meet the needs of the residents. The staff training programme was being developed according to the needs of the residents and staff. The home’s staff recruitment policies and procedures were thorough, met legal requirements, and therefore assisted in the protection of residents from unsuitable staff. EVIDENCE: At the time of the inspection, and according to the rotas supplied, the numbers of staff in the home were sufficient for meeting the needs of the residents. The domestic and cooking hours ensured that standards relating to cleanliness and meals were met. Residents who spoke to the inspector, and those who completed comment cards, indicated that they thought there were enough staff on duty, and that in general members of staff were kind and caring. One resident stated that the “staff are very kind”; another said that “some were nicer than others”. The inspector was informed that 67 of care staff was trained to at least NVQ level 2. Staff records showed that the home’s recruitment procedures were fully in accordance with the Care Homes Regulations, and supported the protection of residents from the appointment of unsuitable staff. The inspection methods used indicated that the registered persons were committed to staff training and development, and that staff had completed Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 19 courses in moving and handling, food hygiene, diabetes, medication management and first aid. The home’s in house Induction training programme was in accordance with the Skills for Care (the former TOPSS) specifications. Further staff training was planned in accordance with the needs of the staff and the residents, for example training in dementia and sensory impairment. The member of staff spoken with confirmed the training opportunities offered by the home and demonstrated commitment and enthusiasm for his work. He also confirmed that he had been recruited according to rigorous procedures. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30, 33, 35, 36 & 38 The manager was competent and fit to run the home and was supportive to residents and staff. Quality monitoring systems, involving residents and relatives, had been implemented. Residents’ monies were managed appropriately, and therefore safeguarded, but the recording of expenditure could be further improved. Staff training and the home’s procedures ensured a safe environment for most residents and staff, but the hot water temperatures in some areas of the home could still pose a risk to some residents. EVIDENCE: Mrs Williams, the registered manager of the home, had the recommended qualifications and extensive experience in managing and working in care homes for older people. She demonstrated that she is competent in running the home. The registered persons Mr and Mrs Buirds were closely involved in the running of the home and there were clear lines of accountability. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 21 Mrs Williams worked along side the care staff and was described as being approachable and supportive. She communicated a clear sense of direction and leadership. A quality monitoring survey had been conducted prior to the inspection and the results were sent to the CSCI. Information from residents/relatives questionnaires, complaints (lack of) and management meetings were included in the survey. The results showed a high level of satisfaction with life at the home. The results will be made available to residents and relatives. Financial procedures appeared to safeguard residents’ finances. The current group of residents managed their finances in conjunction with the next of kin. However the spending money of some residents was held in the office safe and staff assisted residents to spend this. The manager must ensure that the records state the details of the commodities on which this money is spent. Formal supervision of care staff and annual appraisals were being undertaken. The member of staff spoken with stated that he felt well supported and supervised at work and well equipped to carry out his job. The registered persons ensured the health and safety of both residents and staff. Staff had undertaken health and safety training within the last 12 months. There was a rolling programme of moving and handling training and there was a person competent in first aid on every shift. The home’s fire precautions were in accordance with the Regulations and the home’s electrical wiring and appliances had been tested appropriately. However it is recommended that records be kept of the members of staff attending each fire drill. The home’s “bulk hot water” had been tested and certified free from Legionella in May 2005. Accidents were recorded appropriately and the CSCI notified accordingly. However as stated above the hot water temperature in some bedrooms was still considerably over the recommended range. This was outstanding from several inspections and the registered person must ensure with priority, and demonstrate to the CSCI, that residents are not at risk from hot water temperatures. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 3 3 x 3 x x 2 x STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x 3 x 2 3 x 2 Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 23 no 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 7 Regulation 17(1)(a), Schedule 3,3 (n) & 13 (4)(c) Requirement The manager must ensure that all care, and intervention by care staff and district nurses in relation to pressure areas and prevention of pressure sores, are fully recorded on the care plan (Previous timescale of 18 February 2005 not met) The registered person must ensure that all service users are protected from hot water temperatures.(previous timescale of 4 March 2005 not met) Records must be kept of the details of the commodoties on which residents money is spent by staff on behalf of the residents. The registered person must ensure that all service users are protected from hot water temperatures.(previous timescale of 4 March 2005 not met) Timescale for action 31 July 2005 2. 25 13(3)(4) (a)(c) 31 July 2005 3. 35 17 (2), schedule 4, 9. (a) 13(3)(4) (a)(c) Immediate on the receipt of the report. 31 July 2005 4. 38 Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 24 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. Refer to Standard 7 38 Good Practice Recommendations It is recommended that detailed nutritional screening is undertaken Records should be kept of the members of staff attending each fire drill. Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB 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 Hilton Rest Home F57 F07 S9497 Hilton V226203 290605 Stage4.doc Version 1.30 Page 26 - 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. 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