Inspection on 22/05/06 for Hotel in the Park

This inspection was carried out on 22nd May 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hotel in the Park 26/09/07

Hotel in the Park 26/01/06

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

CARE HOME ADULTS 18-65 Hotel in the Park 130 Sewardstone Road Bethnal Green London E2 9HN Lead Inspector Anne Chamberlain Key Unannounced Inspection 22nd May 2006 10:00 Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 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 Hotel in the Park DS0000063544.V295200.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 Adults 18-65. 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. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hotel in the Park Address 130 Sewardstone Road Bethnal Green London E2 9HN 0208 983 1394 020 7267 9099 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) The Camden Society *** Post Vacant *** Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Hotel in the Park is a respite service for adults of mixed gender who have learning disabilities. It offers 7 beds and is managed by the The Camden Society. The hotel offers short and longer breaks up to a maximum of around six weeks per year, for each person. The premises are fully adapted for disability and all the bedrooms single and double, are en-suite. There is a comfortable lounge, cheerful dining room and a large garden with outdoor garden furniture. The hotel is situated in a quiet street in Bethnal Green, adjacent to a large and beautiful park, and close to Cambridge Heath Road and good transport links. The building is owned by the London Borough of Tower Hamlets and there are offices on the second floor let to the Primary Health Care Trust. The London Borough of Tower Hamlets has a block booking with The Camden Society for the rooms in the hotel, and is charged a unit cost of £205 per night by them. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out over seven hours, on one day. The inspector interviewed the manager, deputy manager, a member of staff, and spoke to two guests. She also contacted two day centres and a club where guests attend, for comments and views on the service. The inspector toured the premises including the garden but excluding bedrooms which were in use. She case-tracked three guests who had stayed the night before, viewing their files, their medication administration and the staff records for their keyworkers. Other items of key documentation were also viewed. The inspector would like to take this opportunity to thank the guests, staff and manager for their assistance and co-operation with the inspection. What the service does well: What has improved since the last inspection? The service has generally responded well to the requirements and recommendations of the previous inspection. The nature of the service throws up a variety of issues and manager has demonstrated that she learns from experience. The hotel has maintained its high standard of presentation. They now have a chef which has enhanced the service considerably. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. A recommendation has been made regarding assessments,to improve practice further. EVIDENCE: The inspector viewed the assessment information for three guests who stayed at the hotel the day before the inspection. The assessment information is satisfactory but the assessments had not been signed by the guests or their families. Also the assessments will be a year old in August. The inspector recommends that the existing assessments are updated before August and the new versions are signed by the guests or their families. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Decisions making is supported but requirements have been made regarding individual plans and risk assessments. EVIDENCE: The needs and personal goals of individuals are recorded in documents terms Working Practices. In addition to this there are risk assessments. The inspector felt, and the manager agreed, that there is considerable overlap between the two documents. The inspector felt that there was a lack of clarity around risk assessing, as some working practices clearly identified risks. The working practices must guide staff in the delivery of care. Where risks are identified there should be cross referencing to a separate risk assessment for that aspect of care. The working practices and risk assessments must be updated annually. A requirement has been made to ensure compliance with the above. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 10 The ethos of the hotel is very empowering and strongly supports equality. Staff work to ensure guests have equality and can access chosen leisure activities whatever their disability. Guests choose their rooms, food and recreation, inside and outside of the hotel. This was evidenced on their guest monitoring sheets. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Social and recreational, community opportunities are well presented. There is an emphasis on respect for the individual and communication is clear. EVIDENCE: Guests mainly attend day services from the hotel. On the day of the inspection one guest who does not attend any services was spending the day at the hotel. The manager explained the specific needs of this individual and the inspector was satisfied that the hotel is doing all it can do meet them. The inspector approached two day centres and a club used by guests, for comments and views on the hotel. The responses were positive with staff remarking on the excellent communication they have with the hotel and Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 12 stating that guests seem very happy to be there and are well cared for during their stays. The inspector spoke on the telephone with an individual who was present at the day service but also uses the hotel. She was very positive about the hotel and said she would recommend it. The deputy manager had researched an extensive list of activities and events taking place in London and this was viewed by the inspector. The guest monitoring sheets, and the many photographs available, evidenced guest participation in a wide range of enjoyable activities. One guest told the inspector he was going bowling that evening. The hotel has good communication with families. Relatives telephone to check what their guest is doing during their stay so that they can discuss it with them when they get home. One guest has a mother in hospital and has had an extended stay at the hotel because of this. He is taken regularly to visit and the inspector viewed documentary evidence of this. The guest also confirmed verbally to the inspector that he is taken to see Mum in hospital. The inspector felt that the ethos of the hotel accords respect to guests and that their rights and responsibilities are upheld. Guests have keys to their rooms, which are held on reception. The manager stated that post is handed unopened to guests, although support is available if requested. Staff always knock on bedroom doors and guests have a choice of male or female support with personal care. The previous inspection recommended that a cook be employed to relieve staff to undertake their caring responsibilities. The inspector was pleased to meet the new chef. The inspector sat with guests as they were assembling for evening dinner. The dining room is very pleasant and the atmosphere convivial. A guest told the inspector that the food was lovely. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Health, personal care and emotional needs are met. Three requirements have been made regarding medication. EVIDENCE: As previously mentioned care is delivered according to working plans. Staff sign the working plans to confirm that they have read them. It is the responsibility of the manager to ensure that staff who are familiar with the working plans are on duty when guests are in the hotel. The inspector noted that for the three guests whose files she examined, two staff had been on duty the night before, and they had read their working plans. The deputy manager was also on duty that night. He has been in post for only five weeks. He said that he had read the plans but had not yet signed them. The manager stated that guests who have pre-arranged medical appointments will be escorted by family. However if a guest needs to see his general practitioner or attend the walk in centre, staff will arrange and escort. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 14 The manager said that the hotel does all it can to meet the emotional needs of guests. She gave the example of the guest who has his elderly Mum in hospital. He is coming to terms with her condition and the impact this is having on his own life. Staff support him in this, allowing him physical space when he needs it and coming alongside him to give personal support. As previously mentioned the inspector viewed on file documentary evidence of the way the service is meeting this need. Whenever a guest begins a stay at the hotel a new Medication Administration Record (MAR) sheet is started. The inspector viewed the MAR sheets for the three guests she was case tracking, and matched the medications held for them. No discrepancies were identified. The inspector noted an error regarding the administration of rectal diazepam on a MAR sheet. She pointed this out to the manager. In order to impove the health care provision to guests medication records must be completed without error. The manager agreed to amend the record. There was a requirement at the last inspection regarding correcting of MAR sheets. The MAR sheets were free from Tippex, meeting the requirement. The manager had also responded to a recommendation that she store medications for individuals in separate trays within the medication cabinet. The inspector noted that one guest has her health supplements supplied to the hotel in a dosette box. The manager said that the guest also has a second dosette box at her day service. The service does not have a list of these supplements and does not record the administration of them, although they are on prescription. The manager agreed that the hotel is administering these preparations without knowing what they are. The manager agreed that the medication for this guest needs to come into line with the medication administration policy. The hotel had spare supplies of some of the health supplements and the manager agreed these need to be returned to the family. Requirements have been made to ensure compliance with the above agreed improvements. At the previous inspection the manager was asked to consider the carriage of medication to and from the hotel to day centres. The manager told the inspector she has discussed the matter with her line manager and social services, and it will be discussed parents and carers at reviews. Practice has not changed, but the inspector appreciates that the manager has followed the recommendation. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. A previous requirements and a recommendation have been met, but two new requirements have been made regarding complaints. EVIDENCE: The inspector viewed the complaints policy and guest guidance. There were no complaints recorded since the last inspection. However the inspector learned that a serious allegation of staff negligence had been made verbally by a parent, to the manager. The parent had said that she did not want to make a complaint, but the information had resulted in an investigation, the results of which are being forwarded to senior management. The inspector pointed out to the manager that carers sometimes feel rather delicate about making complaints, but clearly the nature of the information was serious and the complaints procedure should have been used. The manager agreed to record this matter as a complaint and to handle it according to the complaints procedure. The inspector advised the manager that she must support individuals to use the complaints procedure where appropriate. Two requirement have been made. The previous inspection resulted in a requirement that the adult protection policy states that it is linked to the Tower Hamlets adult protection policy. This Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 16 has now been done and there is a copy of the local authority policy in the office. There was a recommendation that the missing persons policy be amended to include relevant telephone numbers which had been omitted. This has been done. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The hotel environment is very welcoming. EVIDENCE: The previous inspection report described the facilities at the hotel and there have been no changes. The inspector felt that the high standard of décor in the hotel had been well maintained. All the rooms and areas she inspected were clean, bright and fresh. It was particularly nice to see the gardens front and rear looking tidy and inviting. The manager has just added to the reception area a board where photographs of the staff on duty will be displayed. The home was clean and hygienic with no offensive odours. The previous report detailed the arrangements for laundry which are good. Unfortunately the recommendation of the previous inspection that a cleaner be employed has not yet been achieved. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. There is a restated requirement regarding the formal supervision of the manager. EVIDENCE: The staff group at the Hotel in the Park is ethnically diverse reflecting the local community in which the service is situated. Community languages are spoken supporting communication with guests. There was a recommendation at the previous inspection that the home recruit a deputy manager. The new deputy manager has been in post for five weeks. The manager reported that the staff group is now more settled with no other changes. Only one staff file was available for inspection as they are generally kept at the head office of the organisation, but there was some other relevant documentation which the inspector viewed. A robust recruitment and probatation procedure was evidenced. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 19 The inspector viewed training profiles They evidenced staff having induction, basic and additional training, but unfortunately were not up to date with 2006 training. The previous inspection required that the manager have formal supervision not less than six times per year. The manager could not produce evidence of supervision at this frequency. Her line manager stated that they had had supervision in January and March 2006, but she had not written up the supervision notes for March yet. She also stated that the manager had had a performance review in March 2006. The national minimum standards specify regular recorded supervision meetings at least six times a year in addition to contact on day to day practice. The supervision policy for the organisation states that supervision of staff should be monthly. A record must be made of supervision sessions and a copy given to the supervisee shortly after the meeting. The requirement is therefore restated. The discussion which the inspector had with a staff member generally underpinned the other evidence collected. The staff member was positive about the service and said she very much enjoyed working there. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home is well generally well managed but quality assurance can be developed further and a recommendation has been made regarding this. EVIDENCE: The previous inspection required that the manager be registered with the Commission for Social Care Inspection (CSCI) as quickly as possible. The inspector is satisfied that the manager has done all she can to comply with this requirement but various administrative obstacles have delayed the process. The requirement is restated. Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 21 The manager stated that the London borough of Tower Hamlets undertakes its own inspection of the service. There are focus meetings between the director of the service, the human resources manager, the manager and her line manager. The inspector saw a diary entry for one of these. The manager stated that they receive feedback from families, often on the telephone and this is not recorded. Families also feedback to social services and the service meets with social services, again the inspector saw evidence in the form of a diary entry. The inspector feels that quality assurance is rather undeveloped in the service and would recommend that the hotel devise a system for recording the views of guests and their families. This could be through surveying or simply capturing feedback when it is given. The inspector viewed the arrangements for the Control of Substances Hazardous to Health (COSHH). The policy was seen and the inspector matched three items found in the COSHH cupboard against the assessment and safety data sheets kept. They all checked out and the inspector was satisfied with the arrangements. The inspector viewed the contents of the refrigerator in the kitchen and was pleased to see that food was being correctly labelled with the date of opening, thus meeting a requirement of the previous inspection. The inspector viewed the record of temperatures for the refrigerator and freezer which were being satisfactorily recorded. The inspector viewed the record of water temperatures. The previous inspection required water temperatures for all outlets in the unit be recorded weekly to ensure that the water temperature is maintained at around 43 degrees Celsius. Since the last inspection in January the temperatures had been taken on five occasions. The inspector felt it a shame that this area of safety is neglected when other aspects are well met. The requirement is restated. The inspector viewed the record of Portable Appliance Testing (PAT)which was undertaken on 27th April 2006. The hotel had a food and safety inspection from Tower Hamlets on 3rd April 2006. They made a recommendation that the hotel undertake additional monitoring work and the inspector saw evidence that this is being done. At the last inspection the inspector viewed the fire safety risk assessment, policy, and records of fire drills. At this visit she noted posted on walls fire Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 22 instructions, fire alarm zone chart and fire alarm procedures. She also noted that fire extinguishers had been checked in April 2006. Hotel in the Park DS0000063544.V295200.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 x 3 x x 2 x Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 YA6 Regulation 15 Requirement The manager must ensure that working practices guide staff in the delivery of care. Where risks are identified there should be cross referencing to a separate risk assessment for that aspect of care. The working practices must be updated annually. Risk assessments must be updated annually. The manager must ensure that errors on MARS sheets are eliminated. The manager must ensure that all prescribed medication which is administered at the hotel is in line with the hotels policy on the administration of medication. Timescale for action 01/08/06 2 YA6 24 01/08/06 3 YA9 24 01/08/06 4 YA20 13 01/07/06 5 YA20 13 01/07/06 Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 25 6 YA20 13 7 YA22 22 8 YA22 22 9 YA36 18 10 YA37 8 11 YA42 13 The manager must ensure that surplus health supplements held by the hotel for a guest are returned to the family. The manager must record the serious matter discussed with the inspector as a complaint and deal with it as such. The manager must support individuals to use the complaints procedure where appropriate. The manager must have formal supervision not less than six times per year (previous timescale of 01/03/06 not met). The manager must be registered with CSCI as quickly as possible (previous timescale of 01/04/06 not met). The manager must ensure that water temperatures for all outlets in the unit are recorded on a weekly basis, to ensure that the water temperature is maintained at around 43 degrees Celcius (previous timescale 01/03/06. 01/07/06 01/07/06 01/07/06 01/07/06 01/08/06 01/07/06 Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 26 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 YA2 Good Practice Recommendations The inspector recommends that the assessments are updated before August and the new versions are signed by the guests or their families. The manager should devise a system for recording the views of guests and their families. This could be through surveying or simply capturing feedback when it is made. YA39 Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Hotel in the Park DS0000063544.V295200.R01.S.doc Version 5.2 Page 28 - 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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