Inspection on 04/08/05 for Holmwood

This inspection was carried out on 4th August 2005.

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

Holmwood 05/08/08

Holmwood 10/08/07

Holmwood 21/12/06

Holmwood 27/07/06

Holmwood 11/03/06

Holmwood 21/03/05

Holmwood 10/06/04

Holmwood 17/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Holmwood 39 Chine Walk West Parley Ferndown BH22 8PR Lead Inspector Rosie Brown Unannounced 04 & 12 August 2005 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. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Holmwood Address 39 Chine Walk, West Parley, Ferndown, Dorset, BH22 8PR 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) 01202 593662 Mrs Margaret Anne Gallagher PC Care Home only 13 Category(ies) of OP - 13 registration, with number of places Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 2 double rooms Date of last inspection 21 March 2005 Brief Description of the Service: Holmwood Care Home is owned and managed by Mrs Gallagher, it is registered to accommodate a maximum of 13 elderly residents in nine single and two double rooms. The home normally operates with all rooms occupied singly. Nine of the bedrooms, all with en-suite baths or showers, are situated on the ground floor; the remaining two rooms are located on the first floor. The communal lounges and dining room are on the ground floor. There is no passenger lift or stair lift so those service users accommodated on the first floor need to be mobile enough to manage the stairs. The home usually accommodates the more independent type of resident, although full time care is provided. The back garden has established shrubs, hedges and trees providing a sheltered environment. Garden seating is available. The front garden areas are not used by residents but have mature trees and shrubs which surround the home, a gravelled car parking area is available for visitors and staff to use. The home is situated in a quiet road a short drive away from the centre of Ferndown which has a good selection of shops and local amenities. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced on 4th August 2005 when inspector Rosie Brown arrived at the home. The inspector went into the home but was told by Mrs Gallagher that she was about to leave to attend an NVQ level 4 management in care training course. As the inspector had not visited the home before it was agreed that the inspection would take place on 12th August 2005 starting at 9:00am. The inspection was the first of two statutory unannounced inspections planned to take place this year. The inspection was concluded by mid-day. Service users appeared to be happy and well cared for in a homely environment. The inspector assessed 16 of the National Minimum Standards and the requirements and recommendations set out in the previous inspection report. The communal areas and a selection of bedrooms were viewed: residents’ care records, other records and some of the home’s policies and procedures were also examined. The inspector used observation skills to assess certain findings, spoke with four service users, one visitor and the staff on duty. What the service does well: During the visit residents said they felt happy and content with life in the home, they expressed their satisfaction with the social care provision and were clear that they did not have to participate: ‘activities and routines are our choice’. They made positive comment about the management of the home and the facilities available to them. Residents were very complimentary of the food ‘varied and plentiful’ and of the kindness of the staff and Proprietor. One visitor and two residents said they felt confident that if a complaint or grumble is made it is taken seriously and properly remedied. Care records demonstrated regular review and the involvement of other health care professionals at appropriate and significant times of change. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: As stated earlier, the statement of purpose should provide accurate information so that prospective service users can make an informed choice when moving into the home. The medication record charts must be routinely signed at the time of administration to demonstrate if the medicine has been taken or not. A solution should be found regarding the stained hall carpet. The upgrading of the kitchen must be completed promptly and in the meantime objects, crockery and other items from the kitchen must be safely packed away. An action plan concerning the future development of a proper laundry should be submitted to the Commission or the requirement which is repeated from the previous report, met. Mrs Gallagher must provide the CRB information and a list of staff employed to work at Holmwood as required in this and the previous report. Staff records Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 7 must be kept in the home and contain evidence of recruitment, employment, training and supervision. Records required by the Regulations must be kept in the home and be available for inspection at all times, e.g. the staff rota. A copy of the POVA guidance must be obtained and kept for reference regarding staff records their recruitment, employment and supervision. A quality assurance system including the views of all stakeholders and an annual business plan must be drawn up to demonstrate cyclical review of the facilities and services supplied by the home. Evidence to demonstrate financial viability must be supplied to the Commission. 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. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 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 standard(s) 1 and 6 The home has a statement of purpose and guide and the information provided gives a clear description of the home’s facilities and environment but contains out of date information about smoking arrangements and does not include service user’s views of life in the home. Therefore an informed choice cannot be made before moving into the home by just reading the guide. The home does not provide intermediate care. EVIDENCE: A copy of the home’s statement of purpose and guide was given to the inspector who noted that the information did not include reference to the service users’ views of life in the home. One resident said they a very happy in the home while another commented that it was the next best thing to living at home. It contains a statement that the home ‘cannot accept smokers’ but two of the current service user group smoke in their bedrooms. In addition, the complaints section must make clear that a complaint can be made to the Commission at any stage and not just when unresolved by the proprietor. Two service users and one relative confirmed that they were supplied with information about the home prior to admission. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 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, 9 and 10 Each service user has a care plan that includes their identified needs along with guidance for staff to follow to ensure that their health, personal and social care needs are met. The home’s medication storage arrangements are safe and most service users choose to have their medicines administered by staff. Service users confirmed that their health care needs are responded to appropriately that their privacy is upheld. EVIDENCE: The majority of service users living in the home remain relatively independent with many continuing to dress and bath themselves. Service users’ daily care records were briefly examined and demonstrated that personal, health and social care is provided according to the care plan. Two care plans were sampled and evidenced that they identify service user’s needs and that care related risk-assessments were in place: these are subject to regular monthly review. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 11 One service user said she is extremely happy in the home, feels safe and looks after her own medicines. (A documented risk-assessment detailing the arrangements regarding this was shown to the inspector). One said ‘ I really enjoy the afternoon bingo sessions’ and ‘I get books from the mobile library’. An accident book that complies with Data Protection must be obtained and used in the home. The medication storage arrangements were seen, records revealed that one service user continues to manage their own prescribed medicines and the home take responsibility for ensuring she has regular supplies of all necessary items. Since the previous inspection the home’s medication policy has been updated to include instructions that the medication administration record (MAR) chart should be signed by staff when medicines have been given and how medication is received into the home. A written risk-assessment has been drawn up for each service user concerning self medication as required in the previous report. The MAR charts were examined and on two occasions the chart had not been signed by staff to confirm if medication had been administered or refused. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 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) 13 and 14 The home welcomes service users’ visitors and social activities are arranged to take place most afternoons for those who choose to participate. Service users confirmed that they continue to be as independent as their frailties allow and that the home encourages this. EVIDENCE: The home keeps a visitors record book that demonstrates relatives and friends regularly call at the home. One service user said that visitors are made welcome by staff they are always offered a cup of tea with the resident in their room, they also said that they are pleased to join in social events and afternoon activity sessions because; “it’s a bit of fun”. Another service user and their visitor talked about being able to maintain individuality and the importance of being able to exercise choice regarding social care. They reflected upon enjoying reading a daily paper and completing the crossword and not feeling compelled to participate in communal games and eating meals in their room. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 13 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 and 18 Complaints and grumbles are taken seriously and residents felt their concerns are listened to and acted upon. The home has a procedure concerning the protection of vulnerable adults to ensure a proper response to any allegation of abuse but evidence of staff training in this subject was not available. EVIDENCE: The home has a complaints procedure and this is issued to service users as part of the admission process. Mrs Gallagher stated that the home had received a complaint from a service user about her daily paper and their wish for it to be taken to her room directly following its delivery at approximately 7am each morning. The resident concerned said that the situation has been resolved and confirmed the matter was taken seriously: the paper is now promptly brought to the room each day by staff with breakfast on a tray. The information contained in the home’s service user guide must be amended to make clear that a complainant may contact the Commission in the first instance. Some time was spent considering the implementation of the POVA guidance by the Department of Health in July 2004 and a hard copy of this guidance must be obtained and kept in the home. A procedure for responding to allegations of abuse is contained in the home’s policy and procedures file for staff reference and guidance. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 14 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 and 26 Improvements are currently being made to the home’s kitchen but this is not causing inconvenience regarding residents’ meal provision. Most areas of the home are pleasantly decorated and clean although part of the lounge and dining room are being used to store items that have been moved out of the kitchen. The home appeared clean throughout but improvements to the laundry facilities must be achieved to ensure that suitable arrangements are made to prevent spread of infection in the home EVIDENCE: The home’s hallway has been redecorated but the light coloured carpet remains stained and detracts from the initial homely ambience. There is a large lounge with a smaller adjacent lounge area and a separate dining room situated nearby: conservatory style doors lead out into the garden from the dining room and provide a pleasant view of the outdoor surroundings. Communal rooms are comfortably furnished and decorated but appeared a Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 15 little cluttered in some areas because objects and equipment from the kitchen were temporarily stored there while the kitchen is being upgraded. There are eleven bedrooms with full en-suite bathrooms or shower rooms; the majority are available on the ground floor while two are situated on the first floor. The first floor is accessed by the main stair-case only there is no stair lift, therefore the rooms available on this floor can only be used by fully ambulant service users. In addition to the en-suite facilities there is a separate toilet close to the lounge and a separate conventional bathroom with bath seat available if necessary. Mrs Gallagher said that she is considering upgrading the bathroom to provide an assisted bath. The hot water supply to baths and showers is governed so that hot water is supplied at a safe temperature and the majority of radiators are guarded. One service said they had asked for the radiator cover to be removed and a risk-assessment has been drawn up regarding the removal of the guard in their bedroom. A requirement to regulate the hot towel rail in one en-suite was set out in the previous inspection report and this has been met. Mrs Gallagher spoke of future intentions to extend the home and build a proper laundry thereby moving the washing machine which is currently fitted in a small cupboard in a corridor and the tumble dryer which is situated in another cupboard in a different corridor. It was not clear how noisy these two items of equipment are but none of the service users identified this as a problem during the inspection. A requirement to ensure that the floor is made impermeable and the walls readily cleanable in the washing machine area is repeated in this report but extended to request a time-scaled action plan regarding future improvements. Mrs Gallagher also explained that she is clearing the large front garden area which contains a number of substantial shrubs and trees to provide a larger care parking area and to establish a more landscaped effect at the front of the home. The home has recently has visits by the Fire Safety Officer and the Environmental Health Officer and the Commission has received reports stating that all is satisfactory in both cases. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 16 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 and 29 The home has a stable staff team, with many staff having worked in the home for a number of years. Staff on duty appeared to have a friendly helpful approach toward service users; care plans identify service users needs and were well known by staff. The home was unable to evidence that each staff member has a satisfactory CRB check in place. The home’s recruitment policies and procedures must be updated to include the Protection of Vulnerable Adults guidance issued by the Department of Health in July 2004 to ensure that service users are protected and not placed at risk when new staff start working in the home. EVIDENCE: There are 17 staff employed to work in the home. On the morning of the inspection there were two staff on duty with Mrs Gallagher. One service user said that ‘there are always plenty of staff on duty’ while another said, ‘all staff are very good, very kind and helpful’. The staff rota was not available for inspection and Mrs Gallagher agreed to forward a copy: at the time of writing this report the rota has not been received. The staff records were not being kept in the home as required and were therefore not available for inspection. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 17 The previous inspection report required that a complete list of staff employed their start date and their CRB disclosure check date must be forwarded to the Commission but this remains outstanding. The CRB disclosure for one staff member who was on duty at the time was shown to the inspector and this was satisfactory. The home does not hold a copy of the POVA guidance issued by the Department of Health in July 2004 and a copy must be obtained: recruitment procedures must be updated to include reference to this information particularly if new staff commence working in the home before a satisfactory CRB/POVA check is returned. Mrs Gallagher said that no new members of staff have been employed since the previous inspection but she is recruiting for a new care worker and hopes they will be working by September. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 18 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) 31, 37 and 38 Mrs Gallagher has owned and managed the home for several years and works in the home most week- days as part of the staff team to ensure that residents receive consistent quality care. Staff recruitment, employment, supervision and training records were not available for inspection but the Skills for Care (formerly known as TOPSS) induction pack has been obtained to ensure that all new members of staff are trained to NTO specifications. A staff training programme has yet to be implemented to ensure that staff are appropriately trained to meet all service users identified needs. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 19 EVIDENCE: Mrs Gallagher is experienced in residential care management and is currently undertaking the Registered Managers award at a local college. The home has yet to achieve the ratio of 50 NVQ level 2 trained staff but Mrs Gallagher is hoping to achieve this target within the next year: a training programme has yet to be implemented. A quality assurance system has not been commenced, Mrs Gallagher said that a questionnaire concerning service users views about life in the home has been circulated, returned and acted upon: one outcome being that residents wanted greater variety in the musical afternoons and now both mail and female entertainers call into the home. Two service users confirmed that they enjoy the arranged entertainers. There is no business and financial plan and Mrs Gallagher agreed to forward a letter from her accountant to demonstrate that the home is financially viable. The home’s fire risk-assessment must include reference to all rooms, cupboards and en-suites where extractor fans are situated and the associated cleaning/servicing programme. In addition, it must also include where smoking takes place. The home’s fire records evidence regular servicing and maintenance of the Fire safety system and fire fighting equipment. The Fire Safety Officer visited the home on 3rd August when he found the existing fire precautions were being satisfactorily maintained. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 20 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 2 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 2 STAFFING Standard No Score 27 2 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 2 x x x x x 1 2 Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 21 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 OP18 Regulation 18 Requirement Timescale for action 31.10.05 2. OP19 3. OP29 4. OP37 5. OP38 The home must be able to demonstrate that all staff have been supplied with training concerning the protection of vulnerable adults. 13 (4) The objects, crockery and other items from the homes kitchen must be safely packed away while the kitchen is being upgraded. Amended The staff Regulation recruitment,employment and s 18 & 19 supervision procedures must be updated to relect the POVA guidance issued by the Department of Health in July 2004. Schedules All records required by the 2, 3 & 4 Regulations must be kept on the premises and open to inspection at all times. The registered person must forward a copy of the staff rota to the Commission. 18 During future inspections the registered person must be able to evdence that new staff are supplied with induction training to NTO specifications. In the meantime an action plan must also be provided to the Commission to demonstrate how D55 S26820 Holmwood V236376 040805 Stage 4.doc 31.10.05 31.10.05 31.10.05 31.10.05 Holmwood Version 1.40 Page 22 6. OP38 24 &25 50 of the staff team will become trained to NVQ level 2 or the equivalent. The registered person must 31.10.05 produce a business and financial plan for the home which includes quality assurance information and subject to annual review. The home must be able to demonstrate financial viability. 7. 8. 9. 10. 11. 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. Refer to Standard OP1 Good Practice Recommendations The registered person should supply a copy of the amended Statement of Purpose to the Commission. The information should include the required details. ( previous timescale of 1.5.05 partly met). An accident record book that complies with Data Protection should be obtained and used in the home. The MAR charts should be routinely signed when the service user has taken their medicine. (previous timescale of 1.5.05 partly met). All staff, who administer medicines, should have accredited training on medicines, how they are used and how to recognise and deal with problems in use.( although Mrs Gallagher said that training has been supplied there was no evidence available to support her statement, this is therefore repeated from the previous report). A solution should be found regarding the removal of the stains on the hall carpet , or the carpet replaced. (previous recommendation repeated). An action regarding the development of a proper laundry should be supplied to the Commission. Or the registered person should ensure that suitable arrangements are made D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 23 2. 3. 4. OP8 OP9 OP9 5. 6. OP19 OP26 Holmwood 7. OP33 to prevent infection at the care home. The laundry floor finishes must be impermeable, these, and wall finishes must be readily cleanable.(changed from a requirement timescale of 30.9.05 not met). The registered person should develop the quality assurance system to include: The views of family and friends and of stakeholders in the community (e.g. GPs, chiropodist, voluntary organisation staff). Annual findings should be included into the buisnes plan. Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Dorset BH17 0NF 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 Holmwood D55 S26820 Holmwood V236376 040805 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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