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Inspection on 30/11/06 for Inglewood Residential Care Home

Also see our care home review for Inglewood Residential Care Home for more information

This inspection was carried out on 30th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Comments received from people living at the home were very positive about the staff and the manager at the home. Residents said that they were generally very satisfied with the care and support they received at the home. Residents said that the food at the home is very good. They noted that changes to the menu have been made recently and that there is `lots of variety and choice`. The care plans and assessments in place at the home are very comprehensive. This means that all aspects of service user`s health and social care needs are monitored and kept under review, ensuring that their needs are met in an appropriate and timely manner.

What has improved since the last inspection?

The general environment at the home has greatly improved since the last inspection. Several areas of the home have been redecorated or refurbished. This has made the home a warm and homely place to live. Staff recruitment processes have also been improved and prospective staff are subjected to proper checks. This helps to ensure that service users are cared for by suitable people and are protected from harm. People living at the home have been consulted about the meals served in the home. Menus have been reviewed and updated and service users have received nutritional assessments. This has helped to make sure that service users receive a healthy and nutritionally balanced diet.

What the care home could do better:

The manager has started to implement a system for monitoring the quality of care provided by the home. This needs to be further developed to ensure that all aspects of life at the home are continually monitored and improvements made where necessary. The manager also needs to make sure that theupgrading of the central heating system and the electrical systems in the home are carried out without delay.

CARE HOMES FOR OLDER PEOPLE Inglewood Residential Care Home 139 Dalston Road Carlisle Cumbria CA2 5PG Lead Inspector D Jinks Unannounced Inspection 09:30 30 November 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inglewood Residential Care Home Address 139 Dalston Road Carlisle Cumbria CA2 5PG 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) 01228 526776 Mrs Sylvia June Clark Mrs Sylvia Lynn Bendle Care Home 26 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (25) of places Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 25 Older People And 1 Older Person with Dementia Date of last inspection 31st May 2006 Brief Description of the Service: Inglewood is a care home providing residential care for up to 26 older adults, one of whom may have dementia. The home is an older property, which has been adapted for its present use. It is situated approximately one mile from the city centre. The accommodation for service users is provided on two floors, and there is a passenger lift and stair lift. There is one double bedroom; the remaining rooms are for single occupancy. A large number of the bedrooms have en-suite toilet facilities. There are bathrooms and a new shower room, which are equipped to assist people with a disability. There are two communal lounges and a dining room. There is a designated area for people who wish to smoke. The home has a pleasant garden to the front of the home with seating and there is a small car park. The manager has produced an information booklet about the services the home can provide and a copy of the latest inspection report is available at the home. Both these documents are available from the manager on request. The scales of charges are £363.00 per week (November 2006). Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assessment of this service included an unannounced visit to the home, discussions with the manager and staff at the home as well as meeting and talking to some of the people living at the home. During this visit all the key standards of the National Minimum Standards were assessed. Questionnaires were sent out to people living at the home and their relatives or representatives. These helped to obtain personal views of the services provided by the home from people with varied backgrounds and experiences. . The registered manager had completed a pre-inspection questionnaire prior to this visit. This assisted in verifying information throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: The manager has started to implement a system for monitoring the quality of care provided by the home. This needs to be further developed to ensure that all aspects of life at the home are continually monitored and improvements made where necessary. The manager also needs to make sure that the Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 6 upgrading of the central heating system and the electrical systems in the home are carried out without delay. 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. The summary of this inspection report can be made available in other formats on request. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5. (Standard 6 is not applicable to this service). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that prospective service users have their care needs assessed prior to moving into the home. EVIDENCE: The manager has produced information documents about the home. This helps prospective service users, their families or the representative to decide whether the home will be suitable and able to meet their needs. These documents would benefit from a review and an update to ensure they accurately reflect the services the home is able to provide. Service users participating in the inspection process had received help from their families with regard to choosing a home. They had been able to visit and look around prior to moving into the home. Samples of service user files were looked at during this visit. They contain detailed pre- admission assessments that have been carried out by the manager. The manager has ensured that copies of assessments have also been obtained from social services or the primary care trust where applicable. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have detailed care plans to help ensure that staff understand and meet their needs appropriately. EVIDENCE: The service user files looked at contain detailed care plans, which have been drawn up from the initial assessments. Care plans include details of risk assessments covering several topics including; falls, skin care, manual handling, mobility and medication risk assessments. The plans identify each service user’s level of independence and staff encourage service users as much as possible to maintain their independence. Strategies are in place for staff to follow when working with service users with special needs including communication and special diets. The manager has introduced person centred care assessments and this has helped to further identify any significant and special needs that service users may have. Care plans are reviewed at least monthly. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 10 Daily notes are kept in respect of each individual service user and these confirm that service users have access to health care professionals such as doctors, opticians, chiropodists and district nurses. The manager ensures that residents receive an assessment of their nutritional needs. Where issues are identified, the manager obtains advice and guidance from the dietician and the doctor. Nutritional screening is monitored and reviewed frequently. Service users and staff were observed during the visit to this home. Service users are treated with respect and dignity. Staff knock on doors before entering rooms and service users are able to see their visitors in private if they wish. Consideration should be given to the storage of continence management aids, particularly in the communal bathroom and toilet areas. This would further enhance the privacy and dignity afforded to service users. The residents spoken to during this visit confirmed that they are able to make choices in their daily lives including when they get up or go to bed and whether they take their meals in the dining room or in the privacy of their own room. Residents were observed being helped to the dining room at lunchtime. This was done in a sensitive, relaxed and friendly manner with positive interactions between staff and residents. The home has a comprehensive set of policies and procedures for the safe storage, administration and disposal of medication. None of the current residents are self-administering their own medication; the home has a policy in place to review residents that may wish to administer their own medication. All the medication is kept in a locked room; the room is clean and tidy. The home has a drugs fridge, which was locked at the time of inspection, there is an external thermometer and the temperatures are recorded correctly in a folder. Only specified members of staff are allocated to administer medication, a copy of this list is kept. These staff members have been trained in-house and most have undertaken the Safe Handling of Medication training course. The medication for four service users was checked. The medication record charts indicate that medication is correctly administered and recorded. The home does not have an oxygen storage facility; the manager told us that the cylinders are taken directly to the resident’s rooms. The bedrooms of the residents who were on oxygen did not have warning signs on the outside of the bedroom doors, the manager informed us that the signs were on the inside of the doors, the manager was asked to move the signs to the outside of the doors for Health and Safety purposes. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities made available are flexible and varied to suit service users expectations, preferences and capacities. EVIDENCE: The manager has consulted service users on their interests and hobbies. This information is now incorporated into the admission assessment and recorded in care plans. The person centred assessment used by the home also helps to identify the interests of service users. A record book is kept of the activities provided in the home. These include games such as bingo, cards and quizzes. Church services are held in the home for residents to attend if they wish and a Catholic priest or Sister regularly visit some service users in the privacy of their own room. Arrangements have been made for a resident to attend church services in the community each week. Residents are also able to visit the nearby bowling club but this is a more frequent activity in the summer. Arrangements have been made for residents to attend a Carol concert and a Christmas show at a local theatre if they wish to go. Entertainers are brought into the home and recent events include a singer/musician and a clothes party. Arrangements are underway for the residents Christmas celebrations. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 12 Residents are able to invite their relatives or friends to attend one of the parties that have been organised. The manager has produced a monthly newsletter at the home to help inform residents of events and improvements planned for the home. A suggestion box has also been placed in the entrance to the home. On the day of this visit, after lunch, staff and some residents participated in a quiz game, whilst others entertained themselves with TV, newspapers, reading and crosswords. Several residents were sat together in the lounge chatting. After consultation with the residents, the home has produced a three-week rolling programme of menus. Menus offer a wide variety of choice for each meal. There are now fewer meals with chips and more with rice or pasta. The manager was advised to specify the type of soup and sandwich fillings to further improve the menu and information provided to service users. Staff and residents confirm that there are alternatives to the meal choices on offer if residents do not like the meals on the menu. Records of resident’s meal choices are kept. The serving of lunch was observed. The choice was roast pork and stuffing with potatoes and vegetables or quiche and chips, dessert was either home made apple pie and custard or artic roll. The food was nicely presented, and the residents commented on enjoying their meals. The home keeps a good stock of dry goods, the storeroom was clean and tidy and well ordered. The kitchen was also clean and tidy. Records are kept of food, fridge and freezer temperatures every day. There is a procedure for reheating meals and most of the staff have been trained in basic food hygiene either externally or in-house. Staff on duty explained that if residents ask for snacks at different times a choice of light meals can be provided. Service users requiring special diets were well catered for. Nutritional assessments had been undertaken and the manager had sought professional advice. Where dietary supplements are required, these have been obtained. Residents at risk of nutritional deficits are monitored closely. Weight and waist measurements are taken regularly, food and drink intake is recorded and dental appointments sought. The manager has produced an information book for staff to use. This includes cultural and religious information on diets and food, special dietary needs of people with dementia for example and signs and symptoms of dehydration and poor nutrition. Some staff will undertake further training in this subject via a distance-learning course. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the policies and procedures in place the home. They are confident that any concerns they have will be listened to and taken seriously. EVIDENCE: The manager has obtained copies of the local authority’s multi-disciplinary guidance and procedure in respect of the mis-treatment of vulnerable adults. The manager has reviewed the home’s policy and procedures in respect of adult protection and this has been communicated to staff. The procedures include; whistleblowing, reporting allegations and suspicions to relevant agencies including social services and the Police. All staff receive protection of vulnerable adults training on induction and as part of their National Vocational Qualification (NVQ) training. Staff meetings take place to ensure that care staff are clear about the implications of these matters. There is also a restraint policy at the home. Where restraint is identified as a need, it will be recorded in the persons care plan, used only as a last resort and only by trained staff. The manager indicated that there were no service users in the home at the time of the visit identified as needing ‘restraints’, including bed sides/rails. Staff receive some training in this subject. The home also has a policy and procedure in relation to complaints and comments. The manager has received no complaints since the last inspection. Residents and their relatives confirm that they are aware of the procedure and know whom to address their concerns to. A suggestion box has been added to the home. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a warm, comfortable and homely environment. EVIDENCE: The manager has now employed a domestic assistant at the home to help maintain the cleanliness of the home. Night staff are also responsible for some domestic duties and the manager and the owners do the deep cleaning of the home on a regular basis. The general cleanliness of the home has improved very much. The home is warm, bright and pleasant. New carpets have been fitted in several of the resident’s bedrooms and the dining room has had new furniture. The windows in the front of the house have been replaced and this contributed to the appearance and warmth of the home. The call bell system has been extended to all the toilet and bathroom areas. These areas are clearly identified as bathrooms and toilets. The owner has converted one room into a lovely walk-in shower room. Service users are very Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 15 pleased with this addition to the home and it has become very popular. Service users with limited mobility are able to access the shower with ease. Several areas of the home have been completely redecorated. The designated smoking area was the conservatory but this is now earmarked for refurbishment and temporary arrangements have been put in place for residents who wish to smoke. Staff are no longer allowed to smoke in the home. There is a small sluice room, which the manager indicated is to be upgraded as part of the home’s improvement plan. An unpleasant odour was noted in two areas of the home. The manager is aware of these matters and is addressing them. There is one bathroom that has not been upgraded but this is generally not used. Service user’s rooms were bright and well decorated. Residents were very happy with their rooms and said that their ‘bed linen is changed at least weekly’ and that their ‘rooms are kept beautifully’. They had also been able to bring some of their own possessions with them when they moved into the home in order to personalise their rooms. Further plans for improvements to the home include the upgrading of the central heating system and the electrical wiring at the home. The laundry was found in a clean, tidy and well organised situation. Protective clothing is available and special bags are used for soiled laundry to help reduce the risk of the spread of infection. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have been recruited, inducted and trained adequately to give a good standard of care that meets the needs of services users. EVIDENCE: On the day of inspection there were sufficient numbers of care staff on duty. The two-week rolling staff rota in operation at the home indicates that sufficient numbers of staff are on duty at all other times in order to meet the needs of people living at the home. The staff and residents spoken to during the visit confirm that the staffing levels are good for the care needs of the current residents. Some staff work fairly long hours each week. Discussions with the staff on duty indicate that they are more than happy to work these hours. There is a part time cook employed at the home. The manager, and her mother also cook meals. The care staff cook the light evening meals. The home has a comprehensive set of recruitment and selection polices and procedures, including volunteer support, induction of new staff, staff training, supervision and disciplinary issues. Other supporting polices are also in place. Staff personnel files were checked during this visit. They contain the required information, are well ordered and stored in locked drawers. The home’s recruitment policy is being followed and no new staff start work without two appropriate references and a Protection of Vulnerable Adults (POVA) first check. In most cases the home has also waited for Criminal Record Bureau checks (CRB) to be returned. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 17 Application forms contain all the necessary sections to help ensure that the manager obtains full information, including previous work history, for each applicant. This document should be reviewed to ensure that it fully meets the requirements of equal opportunities legislation. There is a high level of care staff undertaking National Vocational Qualifications (NVQ’s). These vary from level 2 and 3 in care, and also include staff taking level 4 and 5 in care management. All staff receive adult protection training on induction and as part of their NVQ training. The manager indicated that all staff have received recent training in moving and handling from an independent trainer, fire safety and first aid training. Details of this information was seen in the staff files that were checked and confirmed by staff working at the home. The registered manager is booked on a manual handling up-date, this will enable her to train and up-date staff on manual handling techniques. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of service users. EVIDENCE: Evidence seen throughout the visit indicates that the manager has taken her role seriously. Requirements made at the last inspection have been complied with or are in the process of receiving attention. Policies and procedures have, in the main, been reviewed and updated in line with good practice and changing legislation. Staff meetings have taken place to discuss inspection reports and the action that will be taken to ensure that the home continues to comply with the national minimum standards. The manager has commenced work on a quality assurance programme to help ensure that the home meets the needs of residents to a satisfactory standard. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 19 Service users at the home are encouraged to manage their own finances, wherever possible. The home is not currently responsible for any of the resident’s personal finances. Records of staff training were seen. The training undertaken indicates that the manager is aware of her health and safety responsibilities at the home. The central heating system has been checked and new boilers are to be installed in January 2007. The electrical system at the home has been inspected and is receiving attention to ensure that the home is safe. Fire fighting equipment and fire detection systems are checked frequently and the home has a fire risk assessment in place, which the manager confirmed has been approved by the fire safety officer. Where incidents and accidents might occur, the manager ensures that records are kept. Where appropriate, the Commission for Social Care Inspection is also notified. Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 3 2 Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 21 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 OP1 Regulation 4 Requirement The registered person must review and update the Statement of Purpose and Service User Guide to ensure that the document includes accurate and up to date information as detailed in Regulation 4 and Schedule 1 of the Care Homes Regulations. (Previous timescale of 31/07/06 not met). The registered person must maintain and further develop the system for reviewing and improving the quality of care at the home. The registered person must ensure that the matters of concern, identified in the electrical system inspection report are attended to and an up to date electrical safety certificate is obtained. Timescale for action 31/01/07 2. OP33 24 31/03/07 3. OP38 23(2)(b) (4)(a) 31/01/07 Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 22 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 OP10 Good Practice Recommendations It is recommended that the registered person reviews the storage arrangements for continence equipment in communal bathrooms and toilets. This will help ensure that the privacy and dignity of people living at the home is further enhanced. It is recommended that the registered person reviews the staff application form to ensure that it fully complies with Equal Opportunities and Employment legislation. 2. OP29 Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Inglewood Residential Care Home DS0000022693.V314749.R01.S.doc Version 5.2 Page 24 - 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. 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