Inspection on 06/06/06 for Jubilee House

This inspection was carried out on 6th June 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 but made no statutory requirements on the home.

Other inspections for this house

Jubilee House 21/05/08

Jubilee House 06/08/07

Jubilee House 25/10/05

Jubilee House 19/04/05

Jubilee House 20/10/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Jubilee House Jubilee House Bronshill Road Torquay Devon TQ1 3HA Lead Inspector Stella Lindsay Key Inspection 6th June 2006 10:00 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 Jubilee House DS0000061444.V298540.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. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee House Address Jubilee House Bronshill Road Torquay Devon TQ1 3HA 01803 311002 01803 311525 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) ADL Plc Mrs Eileen Grace Pope Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: Jubilee House provides care for up to 28 people over the age of 65. It is a detached property, set in an accessible garden, with mature trees, close to Torquay town centre. All accommodation is in single rooms, 15 of which have an en suite toilet. There are two bathrooms and an accessible shower. There are some small steps and a slope on the upper floor, but the shaft lift is one side of the building, and the stair lift the other end, to give access to all parts of the building. There is a lounge, a dining room and a bright sun lounge. The current range of fees is £293.97 - £345.00. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two days in June 2006, with a follow-up visit two weeks later. It involved a tour of the premises, case tracking of six residents, discussion with eight other residents, the Registered Manager, eight staff on duty, and two visiting relatives. Care records, staff files, and the medication system were examined. Surveys were received from representatives of residents. What the service does well: What has improved since the last inspection? Two Senior Care workers had been recruited, and agency staff were no longer needed. Woodland bank staff were available to cover for absence of regular carers. A new toilet had been built in the hallway, close to the lounge and dining room, and no queues were seen after lunch. The cook posted the menu of the day on the dining room door for all to see. While serving lunch, staff brought a fresh consignment of vegetables halfway through, in order that everybody received their lunch hot. Jubilee House DS0000061444.V298540.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. Jubilee House DS0000061444.V298540.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 Jubilee House DS0000061444.V298540.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is adequate. Information from social workers is received before offering a service, and full assessment carried out on admission. The information provided about the home is not in language or a format suitable for prospective residents. EVIDENCE: A full and detailed Statement of Purpose and Service User Guide have been produced by ADL. The Service User Guide is not written in plain English or presented in a form suitable for prospective residents. None of the new residents who spoke to the inspector had visited the home or met the Manager before moving in, but had in most cases trusted family or other representatives to make this decision. Residents had been given contracts, and these were seen on file, signed by the resident and their representative. Care plans had been received from Care Managers. The Home has a comprehensive assessment format. All those seen had been completed on the day of the admission. There is a space on the assessment form for a Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 9 summary, showing reasons for the judgement about whether Jubilee House is able to meet the person’s needs, but this was not completed. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area was adequate, with evidence of good health and personal care, but none of consultation with residents, or of social and emotional assessment and provision. EVIDENCE: All residents had care plans, well structured so that information could be found easily. Risk assessments had been carried out and up dated by senior care staff. There was good evidence of health care and of joint working with District Nurses, and access to other health professionals as necessary. A visiting relative was keen to tell the inspector how a resident had been helped to a speedy recovery from a particular health problem. There was no evidence that residents had been involved in the care planning process. The only resident’s signature seen was on their property list. Assessment had been carried out with regard to residents’ continence, their vulnerability to pressure areas, falls, and nutritional needs. Observations of residents’ care and well being were recorded at least twice daily, by the night staff at the end of their shift, and by day care staff between 10 and 11am. These record the residents’ health and wellbeing, GP visits, change of medication, and any problems that arise. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 11 ADL has provided the home with a format, called the ‘Support Worker Assessment’, to record the residents’ emotional and spiritual needs, including how they might retain some control over their life, and there is a space on this form for the residents’ signature, and instructions to staff to complete these within 14 days of the person’s admission. The inspector examined six residents’ files, and found these to be empty on each one. In spite of this, the Senior Manager who carried out the Quality Assurance visit on 30th March 2006 checked the care plans and recorded that they were up to date, except for some areas, eg weight checked but not recorded. The home’s Service User Guide (10.2) undertakes to discuss, with additional information from relatives if necessary, individual needs and interests. The Manager admitted that she does not have time for this element of the residents’ well being. A new medication policy had been produced by ADL. It needs to be amended with regards to residents self-medicating. One recently admitted resident had been assessed by the Manager as being able to manage some of her own medication. This assessment had not been recorded. The Medication Administration Records were kept with care, and there was a sound procedure for dealing with Controlled Drugs. There was not enough secure storage to accommodate the new delivery of medications in the medicines cupboard, but the Manager undertook to store new deliveries securely elsewhere until the new system involving a secure medicine trolley is introduced. Staff training in dealing with medication had been provided and up-dated. All residents have their own room, and staff were seen to treat them with respect at all times. The pay phone is in a public area, but if residents need to make a private call, the handset of the office phone can be taken to their room. The hairdresser visits residents in their own rooms. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate, as residents enjoy their tasty and wholesome meals, but there are serious shortfalls in the ability of staff to provide individual attention to residents. EVIDENCE: Staff try to be flexible and attend to residents according to their preference, and residents said that their call bells are answered promptly. However, all staff agreed that they are extremely busy, and that increased time is spent attending to residents’ personal needs, as they become gradually more dependent over time. Much of the care staffs’ day is spent helping people with personal care, and they do not have time to talk or listen. There is a programme of social events, which is popular. Library tapes – audio stories – had been obtained, and had particularly pleased a resident whose sight is poor. Bingo remains very popular on Friday afternoons, and new large bingo boards have been provided. However, personal histories, hobbies, and former skills and associations of residents were not seen recorded in their files, and remained largely unknown. All that was seen to be recorded was what was apparent to staff at the time, for example – ‘she likes to keep herself to herself’, and ‘she likes to wander around and watch television’. This inspection was carried out over two days in June. The weather was beautiful, and had been for over a week. Some residents, who were able to Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 13 walk out, sat on benches outside the front entrance. No one went into the garden. There is a large patio, and shade provided by mature trees. There were two piles of white plastic garden chairs, which were stacked up, and it was evident that they had not been used yet this year. One resident said she had been out into the garden last week, when her son had taken her. Another said she would like help to get into the garden, and a visiting relative considered that the garden was not used due to lack of staff. No trips out had been provided so far this year. Residents can all receive guests in their private room, there is no restriction, and visitors were seen coming and going throughout this inspection. Visiting relatives have said that they are contacted promptly if there are any concerns. Residents are helped to continue handling their own financial affairs if they wish, as long as they are able. A member of staff was able to take one resident per week to the bank or shop, so those that would like to go take their turn. All residents who spoke to the inspector said they enjoy their meals – some said they had improved recently; one said, ‘I love my roast meals’. There is a regular menu, but if they do not like the main course they will be offered an alternative. The cook posts the menu of the day on the dining room door, for all to see. Staff served everybody with their vegetables, asking exactly what they want. The residents like this, but it takes a long time. Half the vegetables were brought out halfway through serving, to ensure that everybody’s dinner was served hot. It has been agreed that a hot trolley will be purchased. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good, with appropriate policies and staff training in place. EVIDENCE: The complaints procedure was posted on every resident’s bedroom door, and by the front entrance. Residents have found that when they bring problems to the Manager’s attention she acts upon them if is within her power. Written records of any action taken were seen on the home’s Quality file, and any compliments written are included with the Service User Guide. The Adult Protection policy had been amended and now instructs the Manager to consult the local reporting arrangements if any allegation is made, and consult the Social Services Vulnerable Adult team as well as the Commission for Social Care Inspection. Staff had received training in awareness of abuse, and all were aware of their duty to inform the Manager of any concerns. The home’s Whistle-blowing policy includes a public service phone number, for staff to contact – Public Concern at Work. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,26 Quality in this outcome area is adequate, as the house is bright and well furnished, but there are shortfalls remaining. EVIDENCE: Jubilee House is a bright and welcoming house. The lounge is comfortable, with good upright easy chairs. It is well lit, with tall windows looking on to the garden, a central set of five lights, and an archway through to the Sun Lounge, which is a light and airy space. This leads through to the dining room, which has sturdy and comfortable dining chairs with arms. The dining room was looking smart, having been redecorated, and new curtains fitted. It is possible to walk round the house. There is seating beside the front door. There is a garden with considerable potential. There is a large paved patio. There is no edge to protect people from walking off the edge by mistake. A risk assessment should be done with regard to the safety of this feature. There were no flowerbeds or patio pots. There was no garden furniture under the shade of the mature trees. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 16 The ground floor has level surfaces and easy is to get around. The first floor is not entirely flat. The shaft lift accesses one end of the top floor, close to the new bedrooms, and the stair lift takes you to the older part of the building. There are two slight ramps in the upstairs corridor, which must be marked or highlighted, to avoid the risk of trips. There is low-level lighting beside two steps in the same part of the building, which is effective. The Social Services department provides Occupational Therapy assessments for individuals to ensure that they have suitable equipment to aid their mobility and independence, but there has not been a survey of the premises by an Occupational Therapist to advise on environmental adaptations which could improve residents’ access around the house and garden. The new and refurbished bedrooms meet the standard fully, but some of those awaiting refurbishment are below the minimum standard size. Fifteen bedrooms, including all those on the new wing, have an en suite toilet. There are two bathrooms and an accessible shower room. The upstairs bathroom had been redecorated, and new flooring was due to be laid the following day. An electric powered bath seat had been obtained, and the bathroom was about to be fit for use by residents, but it was still being used by staff for washing commode pots. The plans for installing a machine for cleaning the commode pots had been abandoned. Management must provide a suitable and hygienic system for the cleaning of commode pots. This will continue to be necessary until all bedrooms have their own private toilet. Currently 13 bedrooms do not have an en suite toilet. The Home was bright and sweet smelling throughout. Visitors confirmed that this is always the case. Liquid soap and paper towels are in dispensers by communal hand basins. There is a toilet on the first floor with no hand basin. The laundry has readily cleanable walls and floor. A laundry system using soluble red bags is used, to assure no contamination between clean and soiled laundry, and bed linen is sent out to a commercial laundry. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate, with trained and dedicated staff, and a sound system of recruitment, but insufficient staff to assess and meet all residents’ needs. EVIDENCE: A written rota is kept, which shows that although four carers are provided each morning, which has been found to be an effective level of staffing, this had included the Registered Manager on most days. This is a busy home, and she is necessarily called away for essential managerial duties, leaving a shortfall in care provision. Staff returning surveys, residents and their relatives returning comment cards all spoke of their experience of understaffing, including residents having to wait, sometimes, to go to the toilet. The Manager organises her team effectively, to ensure that residents’ health and personal care needs are met properly. However, they do not have time to assess or provide for residents’ emotional and social care needs. The Manager likes to work alongside her care staff until 10am, to ensure that good care is delivered. She needs to be available for management duties at other times of day. The rota also shows that staff frequently work 12-hour shifts. Staff who returned surveys to the CSCI as well as staff on duty said that twelve-hour shifts are too long to be worked on a regular basis, and towards the end of a shift they are unable to give of their best. Residents’ dependency levels are gradually increasing, more residents now have regular needs to be taken to Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 18 the toilet, and the staff work hard to ensure that residents do not have to wait if at all possible. Two domestic staff and a cook were also on duty. A maintenance worker had been appointed, who was very busy around the house. Two staff are employed through the night. They have a list of cleaning duties to perform, but confirmed that if residents need their attention and they are unable to complete these, it is acceptable to the Manager as long as they inform her. Two new Senior Care staff had been appointed, and the Manager did no longer have to call on agency staff to cover for absence. This is good progress in providing continuity of care for the residents, and support for the staff. With the two established Senior Care staff, there is good continuity of care supervision in any absence of the Manager. Of the 15 care staff currently employed, the seventh had just achieved her NVQ2. Good progress has been made and the 50 to meet this standard is almost met. Four staff files were examined, including two recently recruited carers. All had CRB clearances and proof of identity, and written references received or applied for, in order to protect residents from potential harm. New staff considered that they had been given good support by the team and particularly by the Manager. ADL provides training regularly, in fire safety, abuse awareness, health & safety, and COSSH. An ADL worker is to train as a trainer in Moving and Handling, in order to accomplish all up-dates promptly. The Manager has produced a training matrix, showing training needed and achieved. This shows that updating of all mandatory training occurs. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. A very effective Registered Manager is in post, but not all management tasks are completed. EVIDENCE: The Manager is qualified in the management of care, health and safety, and had two more units to complete the Registered Managers’ Award, and will then return to complete her NVQ4. Mrs Pope is skilled in organising her staff team, and works alongside them to ensure that standards are maintained. However, despite her hard work, she finds that time is not available for assessment of emotional and social care needs of residents, or for carrying out regular staff supervision sessions. A quality file is kept, which includes the ADL objectives for 2006/7. This includes the training of Senior Care staff in supervision skills so that they can share this responsibility with the Manager, and must therefore have time made available to achieve this. It also includes care plan training for staff, and the Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 20 aim to involve residents in care planning, and obtain their signature. The plan for the next 1 – 3 years included the intention of providing the en suite toilets to the remaining bedrooms. Some questionnaires have been gathered, and letters of thanks retained. This standard cannot be seen to be met while staff do not have time to listen to residents on a regular basis. ADL state as one of their objectives is to improve their self-audit. This should be continuous self-monitoring, consistently obtained and involving residents. Sixteen residents choose to keep cash in the safe, although they have lockable storage in their bedrooms. A good record is kept, showing a running balance and two signatures for each transaction. Receipts are kept. One resident is helped to go to the bank to collect money for fees and her personal allowance. The Manager was in the process of holding annual appraisals with all staff, encouraging them to consider their own strengths and training needs. Supervision of care tasks was also being recorded. Staff had not received regular supervision sessions. The Manager stated that there were plans to provide training in supervision skills to the Senior Care staff so that they could supervise care staff. ADL’s policy is to provide training in Moving and Handling for staff every two years. The training matrix showed that this had been achieved, and the Manager stated that ADL were in the process of training one of their Managers to be a Moving and Handling trainer, in order to facilitate the prompt training of new staff as well as all up-dates. More first aid training was planned. This is necessary, as there were six qualified first Aiders at the time of this inspection, but not sufficient trained staff to enable a first abider to be on duty at all times. Accidents were recorded, and the Manager continues to make a summary of accidents each month, to see if any patterns emerge. This is good practice. The home had been assessed for potential risk from legionella, and measures were in place to deal with any risk. Food hygiene training had been provided, but updates were needed. Fire safety training had been provided in-house. The fire precaution system was serviced by SDFA on 10/02/06. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 21 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 2 X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 3 Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 22 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 OP7 OP12 OP27 Regulation 12 18(1)a Requirement Care planning must include emotional and social needs, and the Manager must ensure that staff are enabled to meet assessed individual needs. The Home’s policy on medication must include the way in which residents will be enabled to selfmedicate within a risk management framework. The ramps on the upstairs corridor must be made safer. A hand basin must be fitted in the upstairs communal toilet. Previous timescale 31/12/05. A suitable place for cleaning commode pots must be provided. Previous time scale 30/11/04. Quality monitoring must be developed, involving residents. Care staff must receive formal supervision at least six times per year. Timescale for action 30/09/06 2. OP9 13(2) 30/09/06 3. 4. OP22 OP26 13(4) 23(2)j 30/09/06 30/09/06 5. OP26 23(2k) 30/09/06 6. 7. OP33 OP36 24 18(2) 30/06/07 30/06/07 Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP1 OP20 OP21 Good Practice Recommendations The Home should produce a Service User Guide in a form that is suitable for prospective residents to use and understand. The garden should be developed for the enjoyment of the residents, within a risk management framework. The Registered Provider should arrange for an assessment of the premises and facilities to be made by a suitably qualified person in respect of disability equipment and environmental adaptations. Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Jubilee House DS0000061444.V298540.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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