Inspection on 27/11/07 for Jubilee Villa

This inspection was carried out on 27th November 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Jubilee Villa 01/02/07

Jubilee Villa 05/12/05

Jubilee Villa 19/08/05

Jubilee Villa 24/08/04

Jubilee Villa 06/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

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 Jubilee Villa Astley Shrewsbury Shropshire SY4 4BU Lead Inspector Joy Hoelzel Draft Unannounced Inspection 27th November 2007 09:30 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 Villa DS0000020708.V344694.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 Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Villa Address Astley Shrewsbury Shropshire SY4 4BU 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) 01939 210461 NONE Mrs Susan Mary Hartley Ms Margaret Lesley Read Mrs Susan Mary Hartley Ms Margaret Lesley Read Care Home 17 Category(ies) of Dementia (10), Mental disorder, excluding registration, with number learning disability or dementia (3), Old age, not of places falling within any other category (4) Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2007 Brief Description of the Service: Jubilee Villa is a home providing accommodation and personal care for seventeen people. It is registered for the care of older people with dementia and mental illness. It is situated on a rural site near to the village of Astley just to the north of Shrewsbury and is privately owned. The house itself is a large converted and extended property and has pleasant views across the adjacent fields. There are a mixture of single and double occupancy bedrooms, together with communal sitting and dining areas. The gardens are well maintained and provide a secure and safe area for people to enjoy. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents are readily available. The service user guide does not include information on the current level of fees for the service. The reader may wish to obtain up to date information from the care service. Commission for Social Care Inspection reports for this service are available from the provider or can be obtained from www.csci.org.uk Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours on Tuesday 27th November 2007. It was conducted by one Commission for Social Care Inspection regulation inspector with assistance from an expert by experience. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. Twenty three of the thirty eight National Minimum Standards for Care Homes for Older People were inspected as they are viewed as key standards for services. Seventeen people are currently living at the home and during the inspection were observed to be accessing all areas of the home. The registered manager was on the premises supported by three care staff, and ancillary personnel. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of a number of people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and staffing records. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with the CSCI areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The registered manager completed this document and returned it the commission. Comments from the AQAA are included within this inspection report. Surveys were distributed to a selection of people living and working at the home prior to this inspection. Eight completed surveys were returned from people living at the home and from four staff members. The comments received are included in this report. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The whole home would benefit from the development of a programme of routine maintenance and renewal of the fabric and fittings, to upgrade and improve the environment and living standards for people. The provision of a wider range of activities/occupational therapies specifically aimed at providing the mental (verbal) and physical stimulus proven to be beneficial for people with dementia would be valuable for some people. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 7 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. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 1,3 6. Quality in this outcome area is good. Prospective service users have their care needs assessed before moving into the home and whenever possible have the opportunity to visit the home to assess its quality, facilities and ability to meet their needs prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Details of the service provision are available in the statement of purpose and service user guide; both documents are available on request at the home. These documents were not inspected in depth on this occasion but on general observation the service user guide does not include information on the current level of fees for the service. To comply with the regulations the service user Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 10 guide must include information about the fee levels and what are and are not included in the fees. The case files of four people living at the home were selected for inspection and indicated that pre admission assessments and personal details had been sought prior to offering a placement at the home. The Manager explained the admission procedure and confirmed that a visit is made to the persons place of residence prior to offering a placement and introductory visits to the home are arranged whenever possible. The home does not offer an intermediate care service. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 11 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): OP 7,8,9,10 Quality in this outcome area is good. The care plan is a working document that is reviewed and updated on a regular basis this ensures that all care needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All people living at the home have a plan of care that is based on an assessment of daily living activities, the care needs are identified and then information is recorded on how the care is to be implemented. There was no evidence, in the plans looked at, of the involvement of the person or their representative but on discussion with one person it was confirmed that discussions are held in relation to the plan of care. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 12 The care plans cover all areas of healthcare including mobility, pressure area care, maintaining a safe environment, continence, and nutrition. Where a risk has been identified, following assessment, a specific plan of care has been formulated offering full details for the action to be taken by staff to reduce the risk. A comment included in the ‘Have your say’ survey completed by a member of staff indicated that – ‘All the care plans fit specifically for each individual needs to give the best possible care’. The care plans of two people who have dementia were looked at. All evidence points to the specialised care needs of these people are being satisfactorily met. Whilst it was not possible to engage them fully in conversation both were well dressed, clean, tidy and appeared quite happy in their surroundings. The people living and working at the home appear to have developed good relationships with each other there was lots of chatter and discussions occurring. Staff were observed to be offering many choices and carrying out interventions in a calm, efficient and competent manner. All people looked well-groomed, care for and nourished. Inspection of medicine storage and administration records, demonstrated that generally the home’s practices meet the guidelines of the Royal Pharmaceutical Society. Some people are prescribed medication to be given on an ‘as required’ basis, there are currently no protocols of when the medication should be given or how often the medication can be repeated in a given time frame. The manager stated that fourteen staff members have had recent training in the safe handling of medication. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 13 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): OP 12,13,14,15 Quality in this outcome area is adequate. The home tries to be flexible and attempts to provide a service that is as individual as possible. People using the service are given the opportunity to take part in a variety of activities both within the home and in the community. The food is of satisfactory quality, well presented and meets the dietary needs of people who use the service. Staff are trained to help those individuals who need support when eating and are sensitive in their approach. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the inspection in February 2007 the person employed for arranging the social and leisure activities has left the home the manager stated at present there are no plans to find a replacement. In house and community based activities continue to be arranged by the care staff in addition to their care duties within time and work load constraints. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 14 Staff said they had no set time for the activities but ‘fitted them in when they could’ A comment received in the ‘ Have your say’ survey – ‘The activities person has left and not been replaced- so not so many activities now but all staff try their best’. The expert by experience was asked to observe the activities of the day and the type and frequency of the activities and to get the views of the people living at the home. The comments of her report are detailed below‘ Six people were spoken with and were asked how they liked living in the home, about the staff and the quality of the food. Most gave very positive comments, especially about the staff and the way they and other residents were treated. The activity during the morning in one of the lounge areas was throwing a ball to residents, who were sitting around and a game of hoopla with rings. Although this was a very simple and repetitive game, the residents who were sitting all joined in and most appeared to enjoy the activity. The member of staff providing the activity encouraged individuals in a positive way and the atmosphere was relaxed and friendly. Staff stated that other activities arranged were reminiscence, bingo, jigsaws, dancing to music, some craft work with salt dough and present making. One of the residents invited me to see her room, which although quite small and with only a hand-basin for washing, was homely and packed with the resident’s own possessions. The addition of the home’s cat, snuggled up in a basket, gave the impression of a personal and private space. My overall impression was that this is a friendly, reassuring, and caring home, with dedicated staff. The provision of a wider range of activities/occupational therapies specifically aimed at providing the mental (verbal) and physical stimulus proven to be beneficial for people with dementia, would be a welcome addition’. A visitor at the home stated he visits every Tuesday and takes his relative to Attingham Park where they walk and then have a picnic lunch. The resident was unable to fully comment about this arrangement but appeared to be quite happy and was laughing and smiling. He stated ‘ staff are very good, the residents are very well cared for, nice and warm and a jolly good crew’. The dining areas were prepared for the midday meal with most people encouraged to sit at the table for their meals. The cook demonstrated a good knowledge of providing a well balanced diet and the meal at the time of the inspection looked well balanced, nutritious and Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 15 appetising. People appeared to be enjoying the meal and staff were observed to be quietly encouraging and supporting the people who required help. A comment received in the ‘ Have your say’ survey – ‘ Staff are particularly good in providing meals, the meals look appetising and well presented’ Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 16 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): OP 16,18 Quality in this outcome area is good. The service has a complaints procedure that is clearly written and easy to understand, people say they are happy with the service provision and feel well supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is included in the statement of purpose and service user guide and is displayed by the front door. The manager stated no complaints have been made since the last inspection. The multi-agency safeguarding procedures are available in the office for staff reference if needed and some staff have received training in protection of vulnerable adults. The AQAA completed by the manager includes comments in the complaints and protection section – ‘ Staff and management liaise with families and visitors on a regular basis answering queries quickly and efficiently’. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 17 People living and working at the home stated they would have no hesitation but to see the manager or senior staff if they had any concerns. One visitor stated that if they were unhappy about the care of their relative they would speak with the manager. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. A new fully lockable safe has been purchased recently to ensure the security of the money held at the home. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 18 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): OP 19,26 Quality in this outcome area is adequate. The home does not have an on-going maintenance programme in place. Routine maintenance, redecoration and refurbishment are only done when a problem has already arisen. Some areas of the home have benefited from refurbishment but other areas require upgrading. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the tour of the premises there were areas of variable standards of décor, with some areas looking worn and tired and in need of refurbishment. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 19 The whole home would benefit from the development of a programme of routine maintenance and renewal of the fabric and fittings, to upgrade and improve the environment and living standards for people. The manager stated that work is carried out on an ‘as required’ basis but discussed the improvements planned for the near future with the replacement of all the carpets in the communal areas (January 2008) and a complete refit of the kitchen (March 2008). Since the inspection in February 2007 the two bathrooms have been upgraded and decorated, the main lounge has been painted and some bedrooms have benefited from redecoration. Other areas are in need of attention. Additional comments made in the ‘ Have your say’ survey – ‘Excellent care home, but the property is in need of a complete redecoration and carpeting. ‘Facilities for mobility are limited during the bad weather- due to lack of sheltered outside walk /recreational area’ Another person made a general observation of – ‘That the same lounge that residents sit in all day also serves as the dining area and presumably for any activities requiring a surface to work on. Although I understand there is restricted space, a separate dining area would provide a welcome change of location’. The manager confirmed that safety valves have been fitted on all hot water outlets accessible to people living at the home on checking the temperature of the hot water in the wash hand basin in the bathroom the water exceeded 50 degrees Celsius. This was discussed with the manager and immediate action was taken to ensure that the temperature was at a safe level. It was recommended that random routine regular checks are made and records are kept. During the tour of the premises the bedrails in use appeared to be fitted correctly, maintenance checks are routinely made with records kept to ensure that any risks to the person are minimised. Hand wash facilities have been provided in all communal areas and at the point of the delivery of care to reduce the risk of any cross infections. For the safe disposal of bodily waste and to improve the working conditions for staff it is still recommended that consideration be given to the installation of automatic sluice disinfectors. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 20 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): OP 27,28,29,30 Quality in this outcome area is good. There appear to be enough staff available to meet the needs of the people using the service, with the staffing structure based around delivering outcomes for the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: General observations and discussion with staff confirmed that staffing numbers and skill mix enable a service provision which meets the care needs of the people living at the home. Staff were observed to carry out their duties in an enthusiastic and professional manner. All service users looked well groomed and it was obvious that the staff assisted people with maintaining high standards of personal care. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 21 Comments received in the ‘ Have your say’ survey – ‘On occasions appear to be short staffed’ ‘Happy with my relative being here, she thinks she is lucky to live in a nice place like this as everyone is very kind’. The Annual Quality Assurance Assessment completed by the manager documents that of the 20 permanent care staff 17 have been accredited with National Vocational Qualification in Care, Level 2 or above. This level of training ensures that staff have the baseline skills to provide quality outcomes for the people in residence. Two staff personnel files were looked at; the records examined showed they contained all the necessary information, which demonstrates potential staff are well screened before they are deemed suitable to start work at the home. Certificates and accreditations of training are included in the files and staff have received training opportunities in induction, dementia care, moving and handling, fire drills and safety, health and safety, food hygiene, and adult protection. The manager stated that dementia awareness is included in the induction programme for all staff and the Alzheimer’s Disease Society have been contacted with a training programme arranged for January 2008. One staff member stated that she hadn’t received any dementia care awareness training for a period of time but she was observed to be competent and knowledgeable in caring for people with cognitive difficulties. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 22 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): OP 31,33,35,38 Quality in this outcome area is good. The manager has a clear understanding of the key principles and focus of the service, is person centred in their approach, and leads and supports a strong staff team who have been recruited and trained to a satisfactory standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lesley Read and Susan Hartley are the registered providers for the home, both meet on a weekly basis to discuss the issues relating to the management. There are clear lines of accountability with Mrs Read managing the home on a Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 23 day-to-day basis with Mrs Hartley having financial and administrative responsibilities. Lesley Read has been the registered manager of the home for a considerable period of time and demonstrated a sound knowledge of the individual care needs of the people living at the home. People living, visiting and working at the home offered positive comments of the style of leadership and stated that the manager was ‘ very supportive, and approachable, and would have no hesitation but to ask to see her if there were any concerns’. Quality assurance and monitoring of the service continues with weekly, monthly and annual audits conducted with the findings actioned. Satisfaction surveys are distributed to staff service users, visitors and contractors on a regular basis to obtain an overview on how the service is operating. There are regular staff and service users meetings and numerous of opportunities for informal discussions. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. Weekly, monthly and annual testing of the equipment and premises are conducted with records kept. It is recommended that the temperature of the hot water outlets accessible to residents be routinely checked to ensure that the temperature of the water is at a safe level. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 24 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 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP26 Regulation 23(2)(d) Requirement All areas of the home must be kept clean and reasonably decorated. Timescale for action 31/01/08 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 OP7 OP9 Good Practice Recommendations To comply with the regulations the service user guide should include information about the fee levels and what are and are not included in the fees. The care plans should be drawn up with the involvement of the person and or representative, agreed and signed. Protocols should be developed for the use of ‘as required’ prescribed medications and should detail the circumstances of when the medication can be given and how often the medication can be repeated in a given time frame. It is recommended that the home provides of a wider range of activities/occupational therapies specifically aimed at providing the mental (verbal) and physical stimulus proven to be beneficial for people with dementia DS0000020708.V344694.R01.S.doc Version 5.2 Page 26 4 OP12 Jubilee Villa 5 6 7 OP19 OP26 OP38 It is recommended the home develop and maintain an ongoing redecoration/refurbishment plan for the whole premises and without delay. It is strongly recommended that consideration be given to the installation of automatic sluicing disinfectors, on each floor, for the safe disposal of bodily waste. It is recommended that the temperatures of the hot water outlets accessible to residents be routinely checked to ensure that the temperature of the water is at a safe level. Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Jubilee Villa DS0000020708.V344694.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!