Inspection on 12/12/06 for Lime Court

This inspection was carried out on 12th December 2006.

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

The inspector 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

Lime Court 26/11/08

Lime Court 01/11/05

Lime Court 05/05/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Lime Court Lime Avenue Dovercourt Essex CO12 4DE Lead Inspector Jane Offord Key Unannounced Inspection 12th December 2006 08:45 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 Lime Court DS0000063091.V314757.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. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lime Court Address Lime Avenue Dovercourt Essex CO12 4DE 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) 01255 506340 Dovercourt Healthcare Ltd Mrs Catherine Stronach Care Home 38 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (38) of places Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 38 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 24 persons) The total number of service users accommodated in the home must not exceed 38 persons) Twenty-one service user bedrooms with an area of less than 10 sq.m. will be used only following a written assessment. The assessment should include consideration of whether the facilities in the room are suitable for, and acceptable to, the service user, taking into account their mobility needs. The service user plan should reflect the assessment findings 1st November 2005 Date of last inspection Brief Description of the Service: Lime Court is a large purpose built home situated in a quiet residential area at Dovercourt. The home is within easy reach of the sea front and local amenities. Accommodation is provided on the ground and first floor, which is accessed by a passenger lift. There are 30 single bedrooms and 4 shared rooms. The home has a secure central courtyard and garden with patio area that is accessible to service users. The home provides 24-hour care to older people with a wide range of dependency levels, who are generally physically and/or mentally frail. There is a large dining room on the ground floor and several lounges and small seating areas around the home on both floors. There is a visitors’ room for meeting relatives in private. The room can be used for an overnight stay if required by a visitor coming from a distance away. The fees for accommodation range between £345.31 and £404.04 per week. They do not include hairdressing, chiropody, optician care, toiletries, newspapers, dentistry or clothing. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 8.45 and 15.15. This report has been compiled using accumulated information including evidence from this visit. The registered manager was present through out the inspection and contributed to the process. During the day a tour of the home was made and a number of residents and staff were spoken with. Three new residents’ files and care plans, three new staff files and the policy folder were seen. Several other documents including the duty rotas, maintenance records, minutes of meetings and medication administration records (MAR sheets) were inspected. The serving of the lunchtime meal was observed and a medication administration round was followed. On the day the home looked clean and tidy and with the exception of one bedroom was free of unpleasant odours. Everywhere looked festive with Christmas decorations and cards up. Residents were using all the lounges and looked comfortable and well dressed. Interactions between staff and residents were friendly and respectful. The tables in the dining room had table decorations in red and gold. The lunch was attractively served and clearly enjoyed by residents. What the service does well: The service collects information on the residents well. The residents’ files seen contained a lot of detail about the residents’ life style and social needs, as well as health needs. The activities co-ordinator, who unfortunately has recently left the post, had done a detailed survey of individual likes and dislikes for pastimes and activities. This information remains on file and will be available to the new activities co-ordinator when they take up the post. Daily records are well written and give information about the mood of the resident and what they have been doing during the day. The menus offer a wide choice of food with two hot meals a day. The food is freshly cooked and residents said they enjoyed their meals. The service consults with residents, relatives and staff regularly about the care offered, the environment and anything else that is raised. Minutes of the meetings are available for those unable to attend. A quality assurance survey was done for residents, relatives and other stakeholders in July 2006 and the results were collated into a booklet format. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 6 Staff recruitment is correctly undertaken with all the specified checks done. New staff have a thorough induction covering all aspects of their work and are then encouraged to continue to achieve an NVQ in their work. What has improved since the last inspection? 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. Lime Court DS0000063091.V314757.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 Lime Court DS0000063091.V314757.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): 3, 6. The quality for this outcome area is good. People who use this service can expect to have their needs assessed and an assurance that the service can meet them prior to moving into the home. The service does not offer intermediate care. This judgement has been made using information available including a visit to the home. EVIDENCE: The Statement of Purpose and Service Users Guide were both seen and contained all the information required under standard 1 of the National Minimum Standards (NMS). In residents’ files there was a document signed by the resident to indicate they had received a copy of each booklet. Three new residents files were seen and each one contained a pre-admission assessment and information from family, friends or the potential resident about their life, contacts and memories. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 9 There was a record of family members and important friends together with birthdays and anniversaries. There was information about past occupations and what part they took in World War II, memories of favourite holidays, their hobbies and likes and dislikes. The pre-admission assessment covered areas of need such as personal hygiene, dressing and undressing, nutritional needs, mobility, continence, night needs, communication and medication regime. There were details of the resident’s preferred daily routine and abilities to manage it. Lime Court DS0000063091.V314757.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 for this outcome area is good. People who use this service can expect to be treated with respect and have their health needs met. They can also expect to have a plan of care to help staff meet their needs but they cannot be assured that the medication administration policy gives guidance on all aspects of medication management. This judgement has been made using information available including a visit to the home. EVIDENCE: The care plans of three new residents were seen and showed that assessed needs had interventions for staff to support residents in their choices. Areas that were covered included mobility, personal hygiene, continence, nutrition, communication, night needs and pressure area care. The files had risk assessments for moving and handling, falls and Waterlow scores for tissue viability. In addition there were care plans for the residents’ mental state/mood/emotions and their social care and interests. All the care plans were regularly evaluated and signed by the resident or their representative. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 11 One care plan for activities noted that the resident, ‘likes to read the bible, do word search books and visit the Methodist Hall with their friend’. Another one noted that the resident was a life long supporter of a particular national football team. Each file had a record of the residents’ final wishes and the contact to carry them out. The files included some life history work and a photograph of the resident. There were records of visits from and to GPs and community nurses and contact details of other health professionals involved in the care of the resident. One resident said they were waiting for an appointment from the local hospital to have a plaster of Paris renewed. The accident and incident records showed that medical advice had been sought appropriately after some falls. Care practice was observed during the day and it was noted that staff knocked on doors and waited to be invited in. Residents were addressed respectfully and offered choices about where they wanted to sit. Shared bedrooms all had ceiling track curtains for privacy when delivering personal care. The medication policy was looked at and offers guidance on ordering, storing, administering and disposal of medication. There was no guidance about managing the covert administration of medicines or altering them from the format licensed by the manufacturers i.e. crushing tablets. The controlled drugs (CD) register was seen and was correctly completed. A check was made on the CDs held in the cupboard and they all tallied with the record. The medication administration round at lunchtime was followed. The home uses a monitored dose system (MDS), which means tablets are put into blister packs for individual residents by the local pharmacist. The shift leader dispenses the medicines. On the day of inspection the shift leader said they had had recognised training and a competency check before they were allowed to administer medication. The MAR sheets all had an identification photograph of the resident attached to them. Administration practice was safe and hygienic. Residents were helped sensitively with their tablets and asked if they needed analgesia at that time. There were no signature gaps noted on the MAR sheets. One prescription for a Movicol sachet to be given daily was being signed for on alternate days. The shift leader said the GP had agreed the change but the prescription had not been altered. ‘As required’ (PRN) prescriptions that gave a choice of dose i.e. one tablet or two, 5-10mls did not always have the amount given recorded. Lime Court DS0000063091.V314757.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 for this outcome area is good. People who use this service can expect to be encouraged to maintain contact with family and friends, to be offered meaningful activities and receive a balanced and varied diet. This judgement has been made using information available including a visit to the home. EVIDENCE: The residents’ files seen all contained contact details of family members and friends that were important to the resident. Significant birthdays and anniversaries were also recorded. Visitors were seen to come and go during the day and were greeted by staff members. The level of activities has dipped slightly as a result of the recent loss of the activities co-ordinator. There was evidence they had improved the pastimes offered to the residents and included a daily armchair exercise session that was well attended. Regular entertainers were booked and there is a Christmas party organised with entertainment for later in December. Other activities include nail painting sessions, cake decorating, knitting and painting. Halloween had been celebrated by making spiders and ghosts. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 13 In the residents records there was a note of any religious persuasion. The home has visits from the Salvation Army and the Methodist congregation. They will be attending in December for the carol service. The manager said there had been a Church of England service in the home the previous Sunday. The policy folder contained details of special requirements of a wide variety of religions such as Sikh, Quaker, Jehovah’s Witness and Hindu. The manager said they did not have anyone who followed any of those religions in the home at the present time. The menus were seen and showed there were two choices of main meal each day, a hot snack or salad for tea, roast lunch twice a week and a cooked breakfast each Sunday. Cakes, yoghurts and fresh fruit were always available. The lunch on the day of inspection was a choice between potato bake or hot pot. The vegetables were cabbage and swede and were served in tureens on the tables so residents could help themselves. The tables were decorated with vases of red and gold flowers. One resident with poor sight had their meal served with a plate guard to help them manage independently. The carers indicated their glass of drink using the clock face method of direction. People that needed help with their meal were supported sensitively by the carers who sat beside them and told them what they were offering. Residents spoken with said they enjoyed the food and added, ‘there is always plenty of it’. The kitchen was visited and the food stores inspected. There were two wellstocked cupboards with produce from a national catering company. The refrigerators and freezers were also well-stocked with a wide variety of food. Fresh fruit and vegetables are stored in a cold cupboard outside the kitchen. A small number of items in the refrigerator and one of the freezers had not been correctly labelled with date and identity of the food. One store cupboard has a jug of chocolate icing that was not covered and still had a spoon in it. The kitchen was clean and tidy. Temperatures of refrigerators and freezers were recorded daily and within safe limits for the storage of food. The record of temperatures taken by food probe of hot meals was also safe. Lime Court DS0000063091.V314757.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 for this outcome area is good. People who use this service can expect to have any complaints taken seriously and investigated and to be protected from abuse. This judgement was made using information available including a visit to the home. EVIDENCE: The home has not had a complaint about the service they offer since the last inspection. CSCI have been aware of some issues raised by the media about the change of ownership but have not received any complaints. The complaints policy is robust and offers full investigation and response within a time limit. The protection of vulnerable adults (POVA) policy was seen and crossreferences with the up to date guidance for Essex. There was evidence in the staff induction records seen that abuse is covered during induction and further sessions are given to keep staff updated. Staff spoken with said they had had training and were clear about their duty of care when questioned. The home has a whistle blowing policy to protect staff if they report any concerns. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 15 Although there have been no complaints the home has received a number of compliments about the care offered. One said, ‘Thank you for the care and kindness shown to Mum and Dad prior to the recent death and the consideration and compassion shown to Dad since Mother’s death. The professionalism of the whole team shows through at such times’. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 16 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, 26. Quality for this outcome area is good. People who use this service can expect to live in a clean, comfortable home that, with the exception of one room, has no unpleasant odours. This judgement was made using information available including a visit to the home. EVIDENCE: On arrival a tour of the home was undertaken with the manager and later in the day all parts of the home were visited again at different times. The room of one resident who has a continence problem smelled of urine. The manager said there is new carpet on order to replace the existing one, as it could no longer be satisfactorily cleaned. There were no unpleasant odours in any other parts of the home at any time they were visited on that day. Individual bedrooms that were seen were tidy and had personal belongings such as photographs, ornaments and pictures on display. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 17 The manager said there are plans for redecorating throughout the building. Some empty bedrooms have already been done and one lounge downstairs has been repainted and looks airy and fresh. The laundry was visited and the dedicated laundry worker explained how the infection control policy was implemented for managing soiled linen. The home uses red alginate bags that are put directly into the washing machine to limit staff contact with soiled linen. Protective gloves and aprons are readily available. The machine has a sluicing programme and an automatic product dispenser that is activated according to the programme chosen. All hand washing facilities seen had liquid soap and paper towels available. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 18 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 for this outcome area was good. People who use this service can expect to be supported by adequate numbers of correctly recruited and trained staff. This judgement has been made using information available including a visit to the home. EVIDENCE: The files of three newly recruited staff were inspected and showed evidence that checks had been made on identity and criminal record bureau (CRB) checks had been completed before people commenced work. The job applications had full work history completed and each file had two references for the member of staff and a recent photograph. There was evidence that each member of staff had an initial induction over the first six weeks followed by a fuller training based on Skills for Care. The duty rotas were seen and showed that on an early shift there was a shift leader supported by five carers with a shift leader and four carers on a late shift. Three carers covered night duty and the whole team was supported by domestics, a laundry worker, a cook and kitchen assistant, an administrator and maintenance person. The manager was supernumerary and worked five days a week and was on call at other times. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 19 The home employs nineteen care staff and at present only seven hold an NVQ level 2 certificate. A number of staff who achieved NVQ level 2 have recently left following the change of ownership. Twelve staff have applied to commence an NVQ 2 and eight staff have applied to do an NVQ 3. Training records showed staff had received updated mandatory training in areas such as moving and handling, health and safety, fire awareness, first aid and POVA. Talking to staff confirmed they had also had training in caring for people with dementia, control of substances hazardous to health (COSHH), medication administration and food hygiene. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 20 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 for this outcome area is good. People who use this service can expect to have their opinions sought and their finances and health and safety protected. This judgement has been made using information available including a visit to the home. EVIDENCE: The registered manager has been in the post a number of years and has wide experience in the management of residential care homes. Staff spoken with said the manager was approachable and fair. Residents spoken with were able to identify the manager and said they would talk to them if they had any concerns. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 21 The home has a commitment to quality assurance and the most recent survey was carried out in July 2006. Some residents, relatives and visiting health professionals such as community nurses completed questionnaires. The areas covered included the environment, cleanliness of the home, quality of food, staff attitudes and the level of care offered. The results were collated into Pie charts and booklet form and were available on request. The overall percentage of results showed satisfaction with the areas in question. Minutes of meetings held with senior staff, residents and relatives, care staff and ancillary staff were seen. The staff meetings showed a wide range of subjects were discussed from care practice to the environment and accident reporting to the role of CSCI. Residents and relatives discussed the entertainment offered, the new activities co-ordinator and the quality of food. The administrator and manager explained that the system for managing residents’ personal monies was in the process of being changed. It was proposed that each resident kept their own money in a locked drawer in their room. Residents would be offered their own key if they wished or the home would keep a key in a locked key cupboard in the office. The key to the key cupboard was to be kept on the key ring held by the shift leader. The individual wallets had not yet been distributed so a check was made on two and the contents tallied with the running total recorded. The manager had prepared individual risk assessments for the new process. Some maintenance records were seen and showed that mobile hoists have had a Loler test for weight safety every six months. The passenger lift has been serviced every two months and the water tanks and system was tested for Legionella in November 2006. There was evidence of regular checks on portable electrical equipment and weekly fire alarm testing. The home had displayed a certificate of employers liability insurance that was valid until May 2007. Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 3 X 3 X 3 X X 3 Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 (2) Requirement The registered persons must expand the medication administration policy to include guidance on covert administration of medicines and altering medicines from the form licensed by the manufacturers. The registered persons must ensure that the number of tablets administered is recorded each time when there is a choice of dose in the prescription. The registered persons must ensure that prescriptions are correct and any changes to frequency of dose are recorded on the MAR sheets. The registered persons must ensure that food is correctly stored, covered and labelled. The registered persons must ensure offensive odours are eradicated from the identified resident’s bedroom. Timescale for action 31/01/07 2. OP9 13 (2) 12/12/06 3. OP9 13 (2) 12/12/06 4. 5. OP15 OP26 13 (3) 13 (4) (c) 16 (2) (k) 12/12/06 31/01/07 Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Lime Court DS0000063091.V314757.R01.S.doc Version 5.2 Page 26 - 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!