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Inspection on 31/08/06 for Linthorpe Nursing Home

Also see our care home review for Linthorpe Nursing Home for more information

This inspection was carried out on 31st August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

Residents and relatives spoken to and survey questionnaires returned said they are satisfied with the overall care provided by the home. The inspector on numerous occasions observed staff mixing with residents and relatives in a relaxed and supportive manner. As a resident stated,` staff are very concerned when there is something wrong with you, I like it here `. A relative commented in the survey, ` Staff very friendly and quite concerned about residents`. The resident`s benefit from a comfortable home that is clean and bedrooms also showed many personal items belonging to residents.

What has improved since the last inspection?

Since the last inspection the home has acted on the recommendations to make things better for residents living at Linthorpe. For example, the manager and staff have worked hard to refurbish and upgrade bedrooms and bathrooms in the home. The external back wall of the home has been re-painted and windows that were broken repaired and fixed so that residents can choose to have them open. The old laundry walls have been made good and the garden to the rear of the property has been cleared of potential hazards. The home`s medication policy has been updated to reflect the home`s new method for disposal of medication. Residents also benefit from staff receiving increased training to help them deliver safe and competent care.

What the care home could do better:

A tour of the home identified other areas that require attention to improve the environment for residents. The downstairs shower next to room 7 requires new flooring, the ceiling at the top of the stairs next to room 32 and room 14 requires plastering and painting due to damage caused by a leak. The laundry room requires flooring that is permeable and the garden to the rear of the property an even patio area that is more accessible for residents. Whilst the home is good at training staff to offer residents safe and competent care this could be better if the home provided regular supervision for staff that is recorded at least 6 times a year. Health and safety of residents should be promoted with regard to the use of bed rails by the practice of risk assessments that are made available in care records. At the time of the inspection the kitchen had no lock and this must be reviewed to ensure there are no risks to residents. Also the cooker in the kitchen had broken knobs and these should be replaced. A Combi-boiler in the staff room must be made safe as pipes and wires are exposed due to the broken box cover.A recent fire inspection by the fire service recommended the home provide smoke seals to all bedroom and cross-corridor doors to prevent the spread of smoke in case of evacuation.

CARE HOMES FOR OLDER PEOPLE Linthorpe Nursing Home 36 Eastbourne Road Linthorpe Middlesbrough TS5 6QW Lead Inspector Neil Mackenzie Key Unannounced Inspection 31st August 2006 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 Linthorpe Nursing Home DS0000000184.V299240.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. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linthorpe Nursing Home Address 36 Eastbourne Road Linthorpe Middlesbrough TS5 6QW 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) 01642 850032 01642 824092 Linthorpe Private Nursing Home Mrs Carol Breeze Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum number of 5 service users aged 55 years and above can be accommodated within the home. 18th January 2006 Date of last inspection Brief Description of the Service: Linthorpe Nursing Home is registered to provide personal and nursing care to thirty people aged sixty-five and above. The home is situated on Eastbourne Road, Middlesbrough, and is close to Linthorpe Village and other local amenities. The home is set in its own grounds with gardens to the front and rear of the building. Internally, there are three lounge areas on the ground floor, one lounge on the first floor and two dining areas. There are twenty-two single bedrooms and four double bedrooms. Nine of the bedrooms have ensuite facilities, which comprises of a sink and a toilet. All bedrooms meet with size requirements of National Minimum Standards. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspection lasted for 7 hours and this included 2 visits to the home. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards set by the government for Care Homes. During the visits the inspector spoke to 3 residents, 4 staff and 1 relative to find out what their views were about living and working at Linthorpe Nursing Home. The inspector also spent time speaking to the Manager and the owner of the home. The inspector spent some more time watching how staff and residents are with each other. A tour of the home took place and records looked at included staff recruitment and training, resident care plans and how the home handles money and medication. There was also questionnaire’s sent to the home, residents and relatives and these were looked at to help decide how good a job the home does in meeting the National Minimum Standards. At the time of the inspection the minimum cost for a bed was £328.00 per week and the maximum cost for a bed £408.00 per week. There are additional costs for hairdressing, private chiropody and personal items What the service does well: What has improved since the last inspection? Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 6 Since the last inspection the home has acted on the recommendations to make things better for residents living at Linthorpe. For example, the manager and staff have worked hard to refurbish and upgrade bedrooms and bathrooms in the home. The external back wall of the home has been re-painted and windows that were broken repaired and fixed so that residents can choose to have them open. The old laundry walls have been made good and the garden to the rear of the property has been cleared of potential hazards. The home’s medication policy has been updated to reflect the home’s new method for disposal of medication. Residents also benefit from staff receiving increased training to help them deliver safe and competent care. What they could do better: A tour of the home identified other areas that require attention to improve the environment for residents. The downstairs shower next to room 7 requires new flooring, the ceiling at the top of the stairs next to room 32 and room 14 requires plastering and painting due to damage caused by a leak. The laundry room requires flooring that is permeable and the garden to the rear of the property an even patio area that is more accessible for residents. Whilst the home is good at training staff to offer residents safe and competent care this could be better if the home provided regular supervision for staff that is recorded at least 6 times a year. Health and safety of residents should be promoted with regard to the use of bed rails by the practice of risk assessments that are made available in care records. At the time of the inspection the kitchen had no lock and this must be reviewed to ensure there are no risks to residents. Also the cooker in the kitchen had broken knobs and these should be replaced. A Combi-boiler in the staff room must be made safe as pipes and wires are exposed due to the broken box cover. A recent fire inspection by the fire service recommended the home provide smoke seals to all bedroom and cross-corridor doors to prevent the spread of smoke in case of evacuation. Linthorpe Nursing Home DS0000000184.V299240.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. Linthorpe Nursing Home DS0000000184.V299240.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 Linthorpe Nursing Home DS0000000184.V299240.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3. The quality in this outcome area is good as residents’ benefit from a range of information about the home and a comprehensive assessment of needs. This judgement has been made using available evidence from resident plans of care and care records and interviews with staff and residents. EVIDENCE: Each resident file sampled had a summary of the Statement of Purpose and on admission to the home a resident guide is made available to residents. The guide is a small document and may benefit residents more if written in a larger print so it is easier to read. A resident interviewed during the inspection was able to describe how his daughter supported him in choosing Linthorpe by visiting various other homes. A relative also confirmed that she had been supported by a social worker in visiting homes and met with the manager before helping her relative to choose Linthorpe. All the resident records examined contained written contracts describing the conditions of the home but they had yet to be signed by a relative and or Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 10 resident at the time of the first inspection visit. The manager ensured this was done by the second inspection visit. Resident records sampled by the inspector had detailed assessments of the residents’ original needs completed by qualified professionals and these assessments contained evidence of updating as the residents’ needs change. Linthorpe Nursing Home DS0000000184.V299240.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 The quality in this outcome area is good. This judgement has been made using available evidence from resident files, the pre-inspection questionnaire, relative survey and interview with resident, staff and manager. EVIDENCE: In the files sampled by the inspector each resident had a personal care plan that is reviewed on a regular basis and supported by daily records documented in their file. The daily records also demonstrated evidence of observations noted and responses to the delivery of care to residents. Where appropriate care plans contain risk management plans with regard to, for example, pressure sore damage and lifting and handling. However, the home must also introduce risk assessments with regard to the use of bed rails and or cot-sides as these can be a potential hazard. These assessments should also include consent by the resident and or relative. The outcome of these plans is that residents interviewed were able to say how they are cared for. As one resident stated, ‘ I have my bed changed every Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 12 day, they wash me every day and I take lots of medication that the staff help me to take every day’. Another resident stated, ‘The staff keep an eye on me but always let me try to do as much as I can’. Care plans also demonstrated regular involvement of local General Practitioners (GP) and other health specialists in ensuring resident needs are fully met. For example, District Nurse care plans available in resident bedrooms. As one resident stated, ‘My GP is only around the corner’ During the inspection the home’s policy and procedures and arrangements for receiving, storing, administering, recording and disposing resident’s medication were observed, examined and discussed in depth with the manager. At the time of the inspection visit, medication was seen to be correctly stored with accurate records for the medication held. This includes separate records for controlled drugs counter signed when administered by 2 qualified members of staff. The manager was also able to show and describe how medication is disposed of and since the last inspection the home’s medication policy has been updated to reflect the home’s new method for disposal of medication. At the time of the inspection a lockable fridge purchased by the home to store some of the medication is located separately from the rest of the stored medication in the kitchen. The kitchen is not locked when not in use by staff. The appropriateness of this location for the medication fridge was discussed with the manager who agreed to review this practice by completing a risk assessment. Individual residents’ medication record sheets contain photographs of the person to help ensure that residents receive the correct medication. The residents’ who spoke to the inspector stated that staff treated them with respect and dignity and care plans showed evidence of consultation with residents with regard to how they like things to be done. Other comments made by residents included: ‘Staff are very concerned when there is something wrong with you, I like it’ ‘Staff are very good, very good’ ‘I am glad I came here’. The inspector on numerous occasions observed staff behaving in a courteous and relaxed manner with residents and relatives. Linthorpe Nursing Home DS0000000184.V299240.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 The quality in this outcome area is good. This judgement has been made using evidence from a tour of the home, observation, resident care plans and interview with resident, staff and relative. Family members are made to feel welcome when visiting the home. Residents and family are consulted about opportunity to take part in activities inside and outside of the home. EVIDENCE: All relatives who returned survey questionnaires said they were made to feel welcome in the home at any time. As one relative stated, ‘The staff are very friendly and quite concerned about residents’. A relative also stated, ‘I visit every day’. The inspector observed a number of relatives visiting the home who were welcomed and able to meet family in private. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 14 Residents who spoke to the inspector stated there were things to do in the home and the inspector observed different residents doing different activity such as reading and watching the television or having their hair done by a visiting hair dresser. During the inspection there was also evidence of planned activity recorded in a diary and photographs that included trips out and planned theatre shows. This diary also keeps a record of residents who participate in the activities. In addition the home has a motivation tutor that visits the home to involve residents in planned exercises. Residents who spoke to the inspector said they were encouraged to make their own decisions about their daily lives. As one resident stated, ‘They keep an eye on me but they try to let me do as much as I can’. Care plans also recorded consultation with residents with regard to choice and control of their care. For example, a resident reluctant to be washed and dressed ‘should only happen when the resident is ready to allow this to happen’. On the whole residents were observed to receive a wholesome and balanced diet with choice for a more personal menu for example, salad and or alternatives to solid food. Residents comments included, ‘food is alright but I have a choice’, ‘food is good but if I don’t want it need not eat it or have something else’. It was also observed that residents kept snacks and other personal preferences for drinks in their own room. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 15 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 and 18 The quality in this outcome area is good. This judgement has been made using evidence from the pre-inspection questionnaire and documentation of complaints and investigations, interview with staff and the relative survey. Residents are protected by a complaints procedure that is available in the home’s Statement of Purpose and a policy and procedure on adult protection and prevention of abuse. EVIDENCE: The home has a complaints procedure that is displayed and available in the home’s Statement of Purpose. All the surveys returned by relatives said they were aware of the homes complaints procedure. One resident interviewed stated, ‘ I know I can complain if I had any worries’. The residents are protected by an Adult Protection and Prevention of Abuse policy that was reviewed in September 2005. Staff spoken to confirmed they had training on the protection of vulnerable adults and this was evidenced by certificates kept in their files. Linthorpe Nursing Home DS0000000184.V299240.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 and 26 The quality in this outcome area is adequate. This judgement has been made using evidence from a tour of the premises, the pre-inspection questionnaire and interview with staff. The residents live in a home that requires continued maintenance and refurbishment. EVIDENCE: Since the last inspection the home has acted on most of the recommendations to improve the environment for residents living in Linthorpe. For example, the manager and staff have worked hard to refurbish and upgrade bedrooms and bathrooms in the home. The external back wall of the home has been re-painted and windows that were broken repaired and fixed so that residents can choose to have them open. There was also evidence of an ongoing programme to decorate and refurbish all the bedrooms in the home and provide new carpets to the upstairs hallway. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 17 However, a tour of the home identified other areas that require attention to improve the environment. The downstairs shower next to room 7 requires new flooring, the ceiling at the top of the stairs next to room 32 and room 14 requires plastering and painting due to damage caused by a leak. The laundry room requires continued refurbishment with flooring that is permeable and the garden to the rear of the property must provide an even patio area that is access able for residents. The home presented as free from unpleasant odours. Linthorpe Nursing Home DS0000000184.V299240.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 and 30 The quality in this outcome area is good. This judgement has been made using evidence from, the pre-inspection questionnaire, rota, staff files and interviews. Evidence indicates that resident needs are met by the number of staff on duty with mixed skills and by a compliment of trained staff. On the whole staff personnel files contained the required information to ensure residents are protected by the home’s recruitment procedure. EVIDENCE: An audit of the duty rota was carried out. At the time of the inspection there were 24 residents living at the home. There was 1 trained nurse and 3 care assistants during the morning shift. This included 2 kitchen staff and 1 domestic, a maintenance worker, an administrator, a laundry worker and the manager and owner of the home. There was 1 trained nurse and 4 care assistants for the afternoon and evening shift and 1 trained nurse and 2 care assistants for the night shift. The weekend provides the same levels of staff cover. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 19 The recruitment files of 4 staff were looked at. All files contained application forms and were backed up by two written references. Evidence was in place to show that Criminal Records Bureau disclosures at Enhanced level had been received for staff members working in the home. The number of staff completed and undergoing training with regard to the National Vocational Qualification Level 2 in Care (NVQ) has improved since the last inspection. One more additional staff member had completed the NVQ, although the certificate was not available at the time of inspection, and the manager stated that a further 8 staff had started the training. Linthorpe Nursing Home DS0000000184.V299240.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): 31,33,35,36 and 38 The quality in this outcome area is adequate. This judgement has been made using evidence from, the pre-inspection questionnaire, interview with the manager, staff files, and the sampling of resident finances. The home is run and managed by a person who is fit to be in charge. Financial procedures were up to date, but the inspection identified some potential risks to resident’s safety. EVIDENCE: The manager is a qualified nurse and manager with additional qualifications in training practice and advanced fire training. The manager presented as clear about her role and responsibilities, and handled the inspection in a knowledgeable and professional manner. Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 21 The 4 staff files examined demonstrated that supervision was happening twice a year instead of the required 6 times a year. Residents must benefit from a staff team supported by more regular supervision on the work they do by the manager. The home has completed annual resident and relative surveys to ensure the home is run in the best interests of residents. There is currently no business development plan that includes the findings of these surveys. A random sample of resident’s personal allowances and records were examined and there were no discrepancies with the balance stated on the transaction sheet and the actual amount contained in the individual money envelope. The transaction is made more robust by ensuring that there are two signatures recorded on the transaction sheet. Details of health and safety were made available through the pre-inspection questionnaire and tour of the premises. Health and safety of residents should be promoted with regard to the use of bed rails by the practice of risk assessments that are made available in care records. At the time of the inspection the kitchen was not locked when not in use and this must be reviewed to ensure there are no risks to residents. Also the cooker in the kitchen had broken knobs and these should be replaced. A Combi-boiler in the staff room must be made safe as pipes and wires are exposed due to the broken box cover. A recent fire inspection by the fire service recommended the home provide smoke seals to all bedroom and cross-corridor doors to prevent the spread of smoke in case of evacuation. Linthorpe Nursing Home DS0000000184.V299240.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 3 2 3 X X X 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 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Linthorpe Nursing Home DS0000000184.V299240.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 OP36 Regulation 18 (2) Requirement The registered manager must ensure that persons working in the care home are appropriately supervised. The Registered Person must continue with the plan of refurbishment in the home with particular regard to downstairs bathroom flooring, the damaged ceilings in the hallways and the patio area at the rear of the property. The registered person must provide a risk assessment with regard to the potential hazards in the kitchen. The laundry room requires continued refurbishment to ensure that floor finishes are impermeable. Timescale for action 06/09/06 2. OP24 16, 23 31/12/06 3. OP9 13 (2) (4) 06/09/06 4. OP26 13 31/12/06 5. OP38 13 6. OP38 13 The registered person must 06/09/06 ensure that the health and safety of residents are promoted by the provision of risk assessment with regard to the use of bed rails. The registered person must 06/09/06 ensure that the combi boiler in DS0000000184.V299240.R01.S.doc Version 5.2 Page 24 Linthorpe Nursing Home 7. OP38 13 the staff room is made safe. The registered person must ensure that the damaged gas cooker knobs are replaced. 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP38 Good Practice Recommendations The registered person should respond to a recent fire inspection by the fire service that recommended the home provide smoke seals to all bedroom and cross-corridor doors to prevent the spread of smoke in case of evacuation. The registered person should introduce a new resident guide. The current guide is a small document and may benefit residents more if written in a larger print so it is easier to read. 2. OP1 Linthorpe Nursing Home DS0000000184.V299240.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Linthorpe Nursing Home DS0000000184.V299240.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. 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