Inspection on 13/10/08 for Little Oaks Residential Home

This inspection was carried out on 13th October 2008.

CSCI found this care home to be providing an Good service.

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

Little Oaks Residential Home 25/06/09

Little Oaks Residential Home 21/04/08

Little Oaks Residential Home 04/10/07

Little Oaks Residential Home 25/07/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Little Oaks Residential Home 22 Bridgwater Road Taunton Somerset TA1 2DS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: kathy McCluskey     Date: 1 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Little Oaks Residential Home 22 Bridgwater Road Taunton Somerset TA1 2DS 01823322427 Telephone number: Fax number: Email address: Provider web address: pam.degun@tiscali.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Dawn Olive Berry Type of registration: Number of places registered: Mrs Parminder Kaur Degun care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 5. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability- Code LD Date of last inspection Brief description of the care home Little Oaks Residential home is a two storey detached bungalow dating back to the 1930s. The home is situated in a residential area of the town and is a short walk from local shops. There is adequate parking and good sized gardens. The home is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for up to five people with learning disability between the age of 18 and 65 years. The home is not registered to provide nursing care. The registered provider is Mrs Parminder Degun and the Registered Manager is Dawn Berry. Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 5 Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We were informed that the homes current fee range is between 300 pounds to 1100 pounds per week. Fees are determined by an individuals assessed needs. Additional costs include personal items, hairdressing and transport. This unannounced key inspection was conducted over one day 5.5 hrs by CSCI regulation inspectors Kathy McCluskey and Gail Richardson. The inspection was started at 0730 hrs by Kathy McCluskey so that we could meet the night staff and observe the morning routines. A second inspector arrived at the home at 0930 hrs. Care Homes for Adults (18-65 years) Page 6 of 31 The registered manager, Dawn Berry was available throughout the inspection. We were able to meet with the people living at the home and all staff on duty. All records requested were made available to us and we were able to view three bedrooms and all communal areas. We sent comment cards to people living at the home, staff and care managers so that their views about the service could be sought. Comment cards were not received in time for this report. The Commission have been monitoring the home since the last key inspection conducted in April 2008 and the Commission were involved in the investigation into a number of anonymous concerns which were referred through the safeguarding adults procedures. We carried out an additional random inspection in July 2008 where improvements were noted. We would like to thank all involved for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the care home does well: What has improved since the last inspection? What they could do better: This was a positive inspection and no requirements were raised. Care Homes for Adults (18-65 years) Page 8 of 31 We have made some good practise recommendations which will further improve the service offered by the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has produced information about the home and services offered so that people thinking about using the service can make an informed decision. Evidence: The home has produced a Statement of Purpose and Service User Guide which provides people living at the home or people thinking about moving to the home, with information about the home and services offered. The Statement of Purpose has been updated to reflect staff changes. The Service User Guide is in the process of being updated to provide information in a more accessible format. There have been no admissions to the home since the last key inspection so Standards 2 and 4 could not be assessed. The registered manager informed us that she would carry out all pre-admission assessments for any referrals. Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: We were also informed that anybody thinking about moving to the home would be offered several visits and a trial period so that all parties can be sure that the home is right for them. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning procedures have improved and people are now involved in the care planning process. People are supported to make decisions about how they spend their day. People are supported to manage their finances and robust systems are in place to protect people who require the homes assistance. Evidence: At the last key inspection it was required that the home consults with individual about their plan of care. It was also required that a plan of care was in place to assist people in developing and mainataining daily living skills. We were able to see evidence that appropriate action had been taken to address these requirements at the additional random inspection conducted in July 2008. Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: At this key inspection we looked at the care plans for all five people using the service. We were able to see that care plans had been raised for each assessed need. There were clear instructions for staff and the preferences of the individual had been recorded where appropriate. We were able to see evidence that the home had involved specialist health care professionals where required. The home had developed a behaviour support plan for one person with the input of a behaviour support team. Training has been arranged for staff in Intervention planning and communication in challenging behaviour. Up to date risk assessments were in place where there was an assessed need. The home reviews care plans on a monthly basis and we were able to see evidence of regular reviews with each persons care manager. Each person had signed their plan of care. We spoke to three people living at the home and they were able to tell us that they were supported to make decisions about how they spent their day. They told us that they were able to participate in local activities of their choice. One person spoken with told us that they enjoyed attending a local day centre. Another was off to a work placement. During the inspection we observed people moving freely around the home and helping themselves to drinks and snacks. People appeared relaxed in their surroundings and in the presence of all staff. We were able to speak with all staff on duty, including the night staff and all were clear about peoples rights and choices. Staff confirmed that they had access to, and were involved in, the care planning process. Care records contained evidence that people are supported to manage their personal finances where possible. The home currently assists three people in managing their finances. Records and balances were checked and were found to be well maintained. The home carries out checks on all balances three times a day. We were also provided with evidence of a full audit of peoples finances that had been conducted by external accountants. The home has policies and procedures in place for staff regarding confidentiality. All records pertaining to people using the service were seen to be appropriately stored. Care Homes for Adults (18-65 years) Page 14 of 31 Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported in employment and are given the opportunity for social inclusion. The home supports people to maintain contact with their family and friends in line with their preferences. Routines within the home are flexible and the rights of individuals are respected. Evidence: We were informed that two of the people using the service were employed by a local supermarket. We were able to speak to both of them during this inspection and they told us that they really enjoyed their jobs. People told us that there were lots of activities going on. They told us that they Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: regularly went into town, for walks, to the cinema and for trips out. Care plans evidenced peoples involvement in social activities. This summer the home supported all of the people living there on a holiday to Bodmin. People told us that they had really enjoyed it and were keen to show us the photographs. Staff members told us that the holiday had been a great success and that everybody had really enjoyed it. We were informed that this would be an annual event. Care plans examined contained evidence that, in line with their wishes, people are supported to maintain contact with their family and friends. Each person has their own bedroom which they can personalise. Staff were very clear about respecting peoples privacy and of not entering their bedrooms without the individuals permission. Bedrooms are fitted with a lock which can be accessed by staff in the event of an emergency. Two people had locked their bedrooms when they had gone out. During observations we were able to see that people could move freely around the home without restrictions. People living at the home told us that they could choose how and where to spend their day. they also told us that they could choose when to go to bed and when to get up in the morning. People were positive about the meals at the home. They told us that they had plently to eat and that snacks were available. They also told us that they were involved in shopping for food and that they could choose things they liked. Peoples preferences regarding food and drink are recorded in the individuals plan of care. People living at the home and staff shop for food twice a week. We were informed that the home make good use of fresh vegetables and fruit and that meals are freshly prepared. We were informed that there were no set menus and that choices are determined by the individuals living at the home. During this inspection we observed one person making their packed lunch and another making their breakfast. Both appeared relaxed and it was apparent that they had free access to provisions. Care Homes for Adults (18-65 years) Page 17 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are offered appropriate support to meet their personal care needs. People are supported to access appropriate healthcare professionals. The home follows the correct procedures for the management and administration of peoples medication. Evidence: The majority of the people living at the home require minimal staff assistance to meet their personal care needs. On the morning of this inspection, staff were assisting one person to have a bath. Each plan of care identifies the amount of staff support people require. People choose what they wear and, as previously mentioned in this report, they told us that they made choices about what time they go to bed or get up in the morning. We examined the care plans for each person living at the home and these contained Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: good evidence that people had access to appropriate health care professionals. Records are maintained for each persons contact with a health care professional. We examined the homes procedures for the management and administration of peoples medication. The home currently assists three people with their medication. Medicines were found to be securely stored and there were no controlled medicines in use or stored at the home. The home uses the monitored dosage system MDS with pre printed medication administration records MAR. All available MAR charts were examined and were found to be appropriately completed. Protocals were in place for the use of as required medication. Appropriate records are maintained for medicines received into the home and returned to the pharmacy. As required at the last inspection, all staff have received training in the management of medicines from the dispensing pharmacy. Appropriate procedures were being followed for one person who manages their own medicines. Care Homes for Adults (18-65 years) Page 19 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home have ensured that people have access to an appropriate complaints procedure. The home have taken steps to ensure that people are protected from the risk of harm or abuse. Evidence: As required at the last key inspection, the home have taken appropriate steps to ensure that the complaints procedure is accessable to the people living there. The complaints procedure is clearly displayed within the home in easy read symbol format. The contact details of the Commission have also been included. We were advised by the registered manager no complaints had been raised directly with the home since the last key inspection. Six concerns have been raised directly with the Commission and these were fully investigated in line with local safeguarding procedures. The concerns related to food provisions, staffing, staff training, care planning and unprofessional behaviour of some Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: staff. All staff have received training on the protection of vulnerable adults. The registered manager and the registered provider are also completing more indepth training. We have recommended that the home obtains a copy of Somersets revised (May 2007) policy on Safeguarding Adults and that that staff are made aware of this policy at the forthcoming staff meeting. We spoke to all staff on duty, including a night carer. All confirmed that they were aware of the whistle blowing policy and of how to raise concerns with external agencies. Staff told us that they would feel confident in raising concerns if they had any. We were also told that they felt confident that the registered manager would action any concerns brought to her attention. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment has improved and the home now provides well maintained and comfortable accommodation for the people living there. The home is clean and procedures are in place to reduce the risk of the spread of infection. Evidence: At the homes last key inspection, several requirements were raised regarding the standard of the environment. All requirements had been addressed at the additional random inspection conducted in July 2008. During this inspection we were able to see all communal areas and two bedrooms. All areas were found to be clean and well maintained. Bedrooms were comfortably furnished and it was evident that people had been able to personalised their rooms. People told us that they were very happy with their bedrooms. Improvements had been made to the communal bathroom since the last inspection which is positive. To reduce the risk of the spread of infection, sealant should be Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: applied to the identified area behind the lavatory. Appropriate staff hand washing facilities are available and foot operated bins are appropriately sited. Care Homes for Adults (18-65 years) Page 23 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home have taken steps to ensure that staff have the skills necessary to meet the needs of the people living there. Staff recruitment procedures now offer better protection for the people living at the home. Staff are appropriately supervised. Evidence: We examined recruitment and training files relating to the three most recently employed staff. Records contained job descriptions which had been signed by each staff member. Staff spoken with were very positive about the training opportunities at the home. All confirmed that they had received up to date mandatory training and that later this week they were receiving training in Autism, which is being delivered by an external training organisation. Training in challenging behaviour and communication is also planned to take place this Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: year. All staff confirmed that they felt able to meet the needs of people currently living at the home and that they were never asked to carry out a task that they had not been trained to do. We were informed by the registered manager that out of the six staff employed, one was currently working towards an NVQ level 2 in care and that the remaining five were registered to complete this award. Progress will be followed up at the next inspection. Staff did not raise any concerns about the staffing levels at the home. No concerns were raised by the people living at the home. The home is currently staffed with two carers throughout the day and one waking night staff. The registered manager works in addition to the care hours. Regular meetings are held for staff with minutes maintained. The last meeting took place on 5th August 2008 and a further meeting is planned for the next few weeks. Staff recruitment files examined contained all required information including evidence of an enhanced criminal record check (CRB) and protection of vulnerable adults check (POVA). We were able to see evidence that staff had not commenced employment until all required information had been received. We were able to see that staff had undertaken a period of induction on commencement of employment and we were informed that all newly appointed staff follow an induction programme which follows the Skills for Care Common Induction standards. One recently appointed staff member told us that they had received a satisfactory induction and that they were still being supported by a senior member of staff. We were able to see evidence that staff received regular formal supervision and twice yearly appraisals. Staff confirmed that they felt well supported. Care Homes for Adults (18-65 years) Page 25 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is effectively managed. Quality assurance procedures are in place which enable staff, relatives and people using the service to express their views. This could be further improved if the home sought feedback from other stakeholders. The home takes appropriate steps to ensure the health and safety of persons at the home. Evidence: The registered manager, Dawn Berry has been in post since December 2007. She has acheived an NVQ level 2 in Care and a registered managers award. Staff and people spoken with were positive about the registered manager and of the support she offered. The registered manager was available throughout this inspection and both staff and the people living at the home appeared relaxed in her presence. Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: Improvements noted at this key inspection and the additional random inspection demonstrate the registered managers commitment to improving the standards of care at the home. Improvements have been made to the homes quality assurance systems. We were able to see the results of recent surveys which had been sent to staff and people using the service. An analyses of the questionniares received showed that responses to questions were either excellent or good. It has been recommended that the home also seek the views of other stakeholders such as health care professionals and care managers. The registered provider conducts monthly visits to the home in accordance with the requirements of the Care Home Regulations 2001. Detailed reports are currently forwarded to the Commission. All records pertaining to people using the service were found to be well maintained, up to date and stored in accordance with the Data Protection Act 1998. At the time of this inspection, the home is taking appropriate steps to ensure the health and safety of persons at the home. We were able to see that fire safety checks were up to date and that regular fire drills were taking place which involved all persons at the home. Detailed records were available. Weekly checks are made on all hot water outlets to ensure that temperatures remain within safe upper limits. Annual checks on portable electrical appliances were last conducted by an external company in May 2008. Following the last inspection, an up to date electrical hardwiring certificate was forwarded to the Commission which is valid until 19/05/2011. Appropriate records are maintained for any accident in the home and the home informs the Commission of any significant events in accordance with Regulation 37 of the Care Homes Regulations 2001. Three of the six staff have a first aid certificate and training records indicated that this training was to be arranged for three more staff. Staff training records made available to us indicated that all staff had received up to Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: date mandatory training. Staff spoken with during this inspection confirmed that they had received this training. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 23 It is strongly recommended that the home obtain a copy of Somersets revised policy (May 2007) on Safeguarding Adults and that staff are made aware of this policy. The registered person should ensure that the identified area in the communal bathroom is appropriately sealed to reduce any risk of the spread of infection. As part of the homes quality assurance programme, feedback should also be sought from other stakeholders such as health care professionals and care managers. 2 30 3 39 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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!