Inspection on 09/07/07 for Inglewood Rest Home

This inspection was carried out on 9th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

Other inspections for this house

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Heathlands

Aston Court Nursing Home

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Ravenhurst

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Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Inglewood Rest Home 11 Banks Street Willenhall West Midlands WV13 1SP Lead Inspector Mrs Wendy Grainger Key Unannounced Inspection 9th July 2007 09:00 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 Rest Home DS0000069477.V338677.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 Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inglewood Rest Home Address 11 Banks Street Willenhall West Midlands WV13 1SP 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) 01902 631099 01902 631099 Inglewood Residential Home Ltd Mr Jamie Lee Lewis Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category (OP) 20 The maximum number of service users to be accommodated is 20. 2. Date of last inspection Brief Description of the Service: Inglewood is a care home providing personal care and accommodation for 20 older people. It is situated in close proximity to Willenhall Town Centre, a bus route, and the local park. Recently purchased by Mrs D Kaur and her husband and their first venture into this profession. The home has a small garden to the front and rear of the property. The home was opened in 1985 and consists of a twostorey building which has been adapted for use as a Care Home. The home has 14 single bedrooms and 3 double bedrooms, and 1 of the double bedrooms has en-suite facilities. There is a passenger lift, which is regularly maintained. The home has two lounges, one overlooking the rear of the home. The dining room is central to the building. From the information provided at the time of the inspection the current fees were £350 / £340, additional top ups to the fees were not required. Other additional cost would include hairdressing, private chiropody, newspapers, and personal toiletries. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs W D Grainger Regulation Inspector completed this unannounced inspection on the 9 July 2007. The inspection of the home included evidence seen in records, reports, and documents also while touring of the home. At the time staff, people who use the service, management and providers were spoken with. Any issues of concern were discussed during the inspection and at the feed back at the completion of the inspection. Comments from the people who use the service, staff; and information recorded in the annual quality assurance assessment sent to the Commission will be included in the report. The new providers told the inspector that they visit daily. Staff during the day confirmed that the new owners were at the home on a regular basis. This was the first visit by this inspector to Inglewood, the home had recently been purchased by new owners; the registered care manager remained in post and in daily control of the home. On the day of the inspection there were eighteen people who use the service in the home two people were in hospital. From the information gathered from the care manager the current fees were £350 for a single and £340 for a shared bedroom, the home did not request a financial top up to the current fees. Additional extras would include hairdressing, personal toiletries, newspapers and private chiropody. What the service does well: A number of the people who use the service were in the lounge at the commencement of the inspection. The night staff told the inspector that this was their choice; the people who use the service spoken with prior to breakfast confirmed this. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 6 People who use the service were spoken with during the inspection they confirmed that they were very satisfied with the care they receive and the staff who worked at the home “like a family here” “very good here” “ the “girls” are good they help if I need it” The staffs on two shifts were observed to interact and demonstrated their commitment and sensitivity to the people who use the service, respecting their dignity. The care manager was committed to providing a good service to older people, he was conscious of the training requirements for all his staff to assist in moving the service forward. What has improved since the last inspection? What they could do better: While the home is a credit to the housekeeping staff, there is an assortment of issues that require some attention. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 7 The fridge freezer was in a poor state of repair, the seal on this equipment was extremely dirty and the fridge inner plastic had two holes in it. The chest freezer seal was brown with grime and required attention, while the cook told the inspector that she cleans the equipment she confirmed that she did not go into the seal. Both of the seals were dealt with during the inspection. Following the inspection the care manager has contacted the inspector to inform the Commission that new equipment has been ordered. Wardrobes were not secured to the walls and could be a hazard to the person in the bedroom and the staff. An old television from the previous providers had been left in the large lounge, it was an eyesore and potential hazard and needed to be disposed of, which was done by the present owner on the day. A loose call system that had become dislodged from the wall in a bathroom could have been a potential hazard for the people who use the service. This was also identified in one of the ground floor toilets. At the start of the inspection the staff warned the inspector that the cleaner had been left between the lounge and dining room because they were unable to remove the plug, they had experienced sparks when they had tried. The provider did remove the plug and was to purchase a new cleaner, he was also arranging to get the socket checked. A number of light bulbs were inoperable in the main lounge, this was addressed with the exception of one bulb during the inspection by the provider. Uncovered toilet rolls were evidenced in the toilets, and shower room. This practice is poor and could result in the toilet rolls becoming contaminated. Bedroom 8 had only one window that opened, the previous provider had screwed the fastener down, and this was not acceptable. It was discussed with the care manager and providers. The home had instigated a homes audit; a number of these issues, which were part of daily living should have been observed and addressed prior to the inspection. The home had been on the market for twelve months with very limited cosmetic or refurbishment being done. There were a number of areas including the toilets/bathrooms and bedrooms that required decorating and refurbishment, this part of the future plans for the new providers. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 8 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 Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 9 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 Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good Standards 1,3,4 were reviewed. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose was up to date and displayed the current changes and pertinent information for someone to consider a placement. No person was admitted to the home without a full initial assessment of his or her personal and health needs. EVIDENCE: The Statement of Purpose was located within the front entrance, the details included sufficient information for a prospective resident and or their family to make an informed choice of a placement. It was discussed with the care manager was that an alternative format and larger font may be useful. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 11 No person was admitted to the home unless the manager had completed an initial assessment of his or her personal and health needs. The present care manager had experience in the care of the elderly. Following the assessment and agreement of the placement, a letter of confirmation would be sent. This practice was evidenced within the care files seen on the day. One person who used the service confirmed that they had visited the home prior to coming in to stay. Evidenced on the files seen was a copy of the homes contract and terms and conditions of the placement. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is good Standards 7,8,9,10 were reviewed. This judgement has been made using available evidence including a visit to this service. Care plans were detailed and identified daily and long term needs. Arrangements were in place for the people who use the service to receive care from other professional agencies. The system used for the medication administration was vigorous with current records. People who use the service were treated with respect; the caring staff team were seen to uphold their dignity. EVIDENCE: The personal care plans for three people who use the service were reviewed on this inspection. One person was in the process of being re-assessed for an Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 13 alternative placement. The records identified that other outside agencies, families and staff were involved in the process. Following the discussions with one person it was identified to the manager and from the case tracking of the resident that the risk assessment did not cover his particular disability. The care manager agreed to review the plan and further develop the risk assessment. Daily reports were comprehensive. The senior care staff reviewed the care plans monthly, overseen by the manager. Each plan had a review, weight monitoring, medication changes where applicable, intervention from other agencies. The home operated a key worker system, staff found this satisfying although when on duty worked together to provide good care. People who use the service were spoken with, they spoke well of the staff “ they are good” “ I would not be here but for them” “ Its like a family here” “ I go out daily but always tell them first” The only comment the inspector would make was that the manager could streamline the documents used in the care plans, while continuing to access and provide information relevant to care. At the time of this inspection the need for a district nurse was minimal and for only one person. One other professional visited the home during the inspection; she spoke highly of the home, its staff and the care they provide even under difficult circumstances and during the re-assessment for one person. “The home is always clean” “staff respond to any advice given” Arrangements, storage and administration of medication were satisfactory. The morning round was observed and gave the inspector no cause for concern. Training had been provided, the general practitioner signed for any homely remedies, medication records were current. The local pharmacist completes a quarterly audit. One person chooses to selfadminister his medication; a risk assessment was in place, a lockable facility had been provided. It was discussed with the manager and provider that medication where applicable should be stored in the appropriate fridge and not the general fridge. Medication must be stored within the temperature range recommended by the manufacturer to ensure that medication does not loose potency or become contaminated. The care manager assured the inspector that within the next two weeks a fridge would be purchased and records maintained. Without exception the people who use the service spoken with expressed that they were well treated, the staff respected them and assisted when necessary. The majority of the people spoken with knew the manager and would tell him or other staff if they had a problem. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 14 Staffs including the night staff were sensitive and demonstrated their awareness of individuals needs. The people who use the service responded to the attention and light banter/interaction in a positive manner. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is adequate Standards 12,14,15 were reviewed. This judgement has been made using available evidence including a visit to this service. The people who use the service experienced a varied social life style of their choice. A balanced menu provided a selection of home cooked meals; one area of concern was identified to the providers that could be a potential hazard. EVIDENCE: At the time of this inspection there were 18 people who use the service, a number of them from the local area. One person told the inspector he walks into the town daily. Other people confirmed that they go out with families. Identified in the lounge was an old television and on suggestion the provider removed it immediately. A karaoke machine it seems from comments received gives pleasure to some residents. A game of ball was part of the activity on the day of the inspection. Spiritual needs of the people who use the service were recognised and respected by the arrangements of visiting priests and ministers. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 16 It is hoped to further develop the links with the local Christian Fellowship association. From the residents meetings records a suggestion had been made to try painting, management had followed this up. The manager and people who use the service told the inspector that families were welcome at any time; at the time of this inspection however no external families were seen. The menu covered a four-week period, fresh vegetables and frozen were prepared on a daily basis. People who use the service were served a home cooked pudding where ever possible. The inspector sampled the pudding of the day a light lemon sponge and custard. The main meal of the day was Cottage Pie and three vegetables. An option of a hot meal was also served at teatime. Staff maintained a full complement of fridge temperatures. The fridge and freezer were unacceptable and required replacing and cleaning. Since this inspection the care manager telephone to inform the Commission that new equipment for the kitchen has been ordered. Meals were served in the dining room, people who use the service had the option to remain in the lounge of their choice for any meal. The inspector evidenced from the records of the residents meeting and previous inspection report, the home had considered the residents comments and changed the provision of bread to the home and the time tea was served. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good Standards 16 18 were reviewed. This judgement has been made using available evidence including a visit to this service. The complaints process was made freely available to people who use the service and their families. The safeguarding of vulnerable peoples policy and via the homes training programme protected people who use the service. EVIDENCE: The home maintained a record of any internal complaint. The process was evidenced and the issues that had been raised addressed appropriately by the manager. The Commission had not received any formal complaints about the home or service provided. The complaints process was displayed in the home. The inspector was told that 50 of the staff had recently undertaken training in a course for safe guarding of vulnerable people; further formal training was planned , however records evidenced that this was also included in a new staff induction programme. Staff spoken with confirmed that what ever the circumstance they were aware Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 18 of the whistle blowing and policy to refer concerns and would not hesitate to follow procedures. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is, adequate Standards 19,20 23 24 25 26 were reviewed. This judgement has been made using available evidence including a visit to this service. The home was maintained to a good hygienic standard. A number of areas were not providing a comfortable and well decorated home. EVIDENCE: Located on the periphery of the town of Willenhall, Inglewood stands in a quiet road within walking distance to the town. The home has limited garden space at the rear; the front area off the road had been made colourful with pots of flowers to compensate for the lack of any garden. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 20 Inglewood had recently been purchased, there were a number of areas that were already being addressed, other concerns were identified in this inspection. The inspector was assured by the manager and provider that the issues would be dealt with. The home was a credit to the housekeeping staff; the decoration in some areas was aged, not providing a bright comfortable environment. The smaller lounge area had a view of the small rear of the home. The small patio would benefit from having the slabs re-laid and making the area more accessible for the visually impaired people who use the service. Within the larger lounge the karaoke machine had been left out, on old television was identified in the fireplace area. Management should have removed this prior to the inspection, as it could have been a potential hazard. During the inspection this item was removed. This lounge had a number of light bulbs out of order; this did not promote a homely environment. The ground floor toilets and shower room were in need of decoration, they were dingy, one had a loose call system, toilet rolls were left on the cistern, this is a poor practice; where cross contamination or infection control had not been considered; this could be an area for a potential outbreak of infection. A loose call system was also identified within one of the bathrooms; these issues should have been identified by the manager and providers and dealt with as a potential hazard. The first floor bathroom remained without the benefit of a hoist, people who require bathing could have their dignity compromised by having to use an alternative bathing facility on the lower floor. Previous inspection reports have highlighted this concern as a requirement. Bedrooms in general were not satisfactory to the new providers who had begun a decorating programme and refurbishment of the rooms. A number of wardrobes were not secured to the wall. This was discussed at the time of the inspection. Bedroom 8 at the front of the home was a concern, the previous provider had screwed down the handle of the window, and this window and the central window would not open leaving only one window operable. This is not acceptable and should be addressed following the inspection and feedback. The new providers had a programme for the refurbishment of the home in general, its furnishings and fittings. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good Standards 27,28,29,30, were reviewed This judgement has been made using available evidence including a visit to this service. The staffing levels appeared satisfactory to support the requirements of the people who use the service. The home had robust recruitment procedures and induction training to protect the people who use the service. EVIDENCE: From the evidence provided at the time of the inspection and from the annual quality assurance assessment sent to the Commission it was identified that the dependency needs of the people who use the service were at this time low. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 22 The rotas and from discussions with the staff showed that there were sufficient staff on duty to meet the individuals needs. The inspector was present during the handover. Information was given clearly of the experiences during the morning shift, the care required and the absences from the home. The records showed that the home employed 20 staff; at the time of the inspection there were no staff vacancies. Training for the National Vocational Qualification Level II is on going, six staff were to sign up for level III and three staff for level II later in the year. The care manager was completing the Registered Managers Award and was planning to commence a 12-month diploma to be an instructor in leadership and management. The staff training programme had re-commenced under the new providers; from the records evidenced mandatory staff training was on going. Staff meetings were recorded and made available to the inspector. From the evidence located in the staff files there was the appropriate relevant documents were in place to ensure the safety of the people who use the service prior to employment. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good Standards 31,33,35,38 were reviewed. This judgement has been made using available evidence including a visit to this service. The staff worked together to provide a pleasant ambience for people who use the service. The health and safety for the people who use the service was a priority for all the staff. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered care manager had a relaxed style of management, this approach is cascaded down to the staff who responded to the needs of the people on the day of the inspection. The staff and manager were committed to providing a relaxed comfortable home where residents are consulted. Records evidenced in respect of the fire protection and practices were current. It was suggested that the manager enters the time of day or night of a fire drill and the time the practice takes from start to finish. Contingency plans and risk assessments were in place in the event of an emergency. Evidence of the equipment being serviced was made available. PAT testing of electrical equipment 2006 Lift 2007 Hoists April 2007 Pest control March 2007 Legionella Gas 2007 The home maintains a water temperature on a monthly basis, from the records available there was a recurring problem of water over the above the recommended temperature in bedroom 12 this needs to be addressed to protect the resident. A sample of the finances maintained by the manager on behalf of individuals were checked and found to be accurate. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 25 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 3 X 3 3 X 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 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 26 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 OP22 Regulation 23 Requirement The responsible person should provide the appropriate hoist/chair in bathroom near to bedroom 17 outstanding 31/08/05 30/04/07 previous providers not complied with timescale The responsible person shall ensure that unnecessary risks to a persons health or safety are identified and eliminated where possible. Wardrobes were not secured, two call systems were detached from the wall, windows must not be secured and remain opening at all times. Timescale for action 01/09/07 2 OP19 13 (c) 20/08/07 Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP9 OP15 OP26 OP25 OP24 Good Practice Recommendations To purchase a medical fridge and maintain records on a daily basis. To ensure that people who use the service are protected from infection by cleaning and replacing the fridge and freezer. To review the practice of leaving uncovered toilet rolls in toilets and or bathrooms, thus preventing cross contamination and promoting infection control. To monitor and audit the lighting in the home, providing adequate lighting at all times. To continue with the decoration programme as part of the homes improvement plan. Inglewood Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-56 Stephenson Street BIRMINGHAM B2 4UZ 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 Rest Home DS0000069477.V338677.R01.S.doc Version 5.2 Page 29 - 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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