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Inspection on 20/03/08 for Lympstone House

Also see our care home review for Lympstone House for more information

This inspection was carried out on 20th March 2008.

CSCI found this care home to be providing an Adequate 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.

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

People who think about coming to live here undergo an assessment to ensure the home can meet their needs. Each assessment forms the basis of a plan of care that is regularly reviewed and revised to ensure that people`s needs are met in a consistent way. People say their needs are well met and there is clear evidence that people see their own GP and nurse when needed. People are also helped to stay healthy through preventative measures such as seeing the optician, chiropodist and dentist. We observed and heard that people living here are treated with respect and have their privacy promoted. Activities offered at Lympstone House are fairly low key. Twice a week people are invited to watch a DVD and to join in a quiz. People say this is the way they like it. Many people prefer their own company, watching TV and walking in the gardens. Visitors can come and go as they please and they say they are always made welcome and kept up to date with developments and changes. People enjoy the food served here. The only complaint being `there is too much`. The majority of food is freshly prepared and can be eaten in the pleasant dining room or in people`s own bedrooms. People are kept safe from harm by caring staff who have received training in protecting vulnerable adults. Staff also receive mandatory training and the majority hold a National Vocational Qualification (NVQ) in care. Staff are described as `kind` and `caring` and there are enough on duty to meet people`s needs. People say they do not have any complaints but know who to go to if they do. They say any requests are dealt with easily and efficiently. People say they choose how to spend their days and time in the home. The home is clean and fresh throughout and people say it is always like this. The home is currently being co-managed by the owner and a senior carer. The senior carer is soon to be promoted to the role of manager, and plans to apply to the commission for registration in the near future.

What has improved since the last inspection?

At the last inspection no requirements for improvement were made. The owners continue with a programme of redecoration that has included some bedrooms and the outside of the home.

What the care home could do better:

People living here would benefit from the following improvements. Medication procedures need to be reviewed so that these are always kept and administered safely and to ensure that all records are up to date. The owner should have contacted the commission and local authority in relation to an allegation that a member of staff put someone at risk. This is now being dealt with. Procedures relating to how used linen is dealt with should be reviewed to ensure that all staff deal with this safely. Fire checks should be recommenced and all fire doors should close shut (the owners were required to deal with this immediately and have done so). Before any member of staff comes to work at the home robust recruitment checks must be undertaken. All records should be kept in accordance with the Data Protection Act. The manager had already identified this and had planned to make changes.

CARE HOMES FOR OLDER PEOPLE Lympstone House Strawberry Hill Lympstone Exmouth Devon EX8 5JZ Lead Inspector Teresa Anderson Unannounced Inspection 20th March 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lympstone House DS0000021972.V358698.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. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lympstone House Address Strawberry Hill Lympstone Exmouth Devon EX8 5JZ 01395 270004 01395 264504 lympstonehouse@hotmail.com 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) Mrs Elizabeth Sylvester Mr Leonard Roland Sylvester Position Vacant Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (25) of places Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2006 Brief Description of the Service: Lympstone House is a privately owned detached period property that has been adapted and extended to provide accommodation and personal care to up to 25 older people. It is situated within walking distance of the small village of Lympstone, which benefits from a frequent train service which links Exmouth with Exeter. The house is set in a large plot with extensive gardens and ample parking. Inside the home there are two lounges, a dining room, conservatory and central courtyards. Two purpose built wings on the ground floor provide bedroom accommodation, and the bedrooms on the first floor of the main building are reached by a passenger lift or staircase. Assisted bathing facilities are provided. All the people who come to live here on a long term basis are admitted for an initial one-month trial period. During this time either party may give the other, without reason, 24 hours notice of intention to terminate the contract. This is clearly stated in the homes contract of residence. Some people are admitted for short periods of time for convalescence or respite. Fees are charged at between £70.00 and £97.50 (for a double room, single occupancy) per day. Fees do not include dry cleaning, personal toiletries, newspapers, telephone line rental or calls, transport. Fees relating to transport and escorts are given to people together with information about the home. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection took place as part of the normal programme of inspection. The site visit was undertaken by one inspector over two days. During that time we (the commission) spent time talking with people who live here, with the soon to be appointed manager, care staff, and one of the owners. We looked closely at the care and accommodation offered to three people living at the home as a way of judging the services overall. We looked at how staff interact with these people, we looked at people’s care plans and we spoke with staff about how they meet the care and individual needs of these people. We looked at the communal and bedroom space from the perspective of people who live here. This ‘case tracking’ system helps to provide a general understanding of the quality of services delivered, and the quality of life experienced by the people living here. Prior to this site visit surveys, asking for comments and feedback, were sent to 15 of the 18 people who currently live here and 2 were returned; to 12 relatives and 5 were returned; to health and social care professionals and 3 were returned. Comments and feedback are included in the main body of this report. In addition the owner of this home completed and sent to the commission an Annual Quality Assurance Assessment which provides information about how the home is managed and some numerical data. What the service does well: People who think about coming to live here undergo an assessment to ensure the home can meet their needs. Each assessment forms the basis of a plan of care that is regularly reviewed and revised to ensure that people’s needs are met in a consistent way. People say their needs are well met and there is clear evidence that people see their own GP and nurse when needed. People are also helped to stay healthy through preventative measures such as seeing the optician, chiropodist and dentist. We observed and heard that people living here are treated with respect and have their privacy promoted. Activities offered at Lympstone House are fairly low key. Twice a week people are invited to watch a DVD and to join in a quiz. People say this is the way they like it. Many people prefer their own company, watching TV and walking in the gardens. Visitors can come and go as they please and they say they are always made welcome and kept up to date with developments and changes. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 6 People enjoy the food served here. The only complaint being ‘there is too much’. The majority of food is freshly prepared and can be eaten in the pleasant dining room or in people’s own bedrooms. People are kept safe from harm by caring staff who have received training in protecting vulnerable adults. Staff also receive mandatory training and the majority hold a National Vocational Qualification (NVQ) in care. Staff are described as ‘kind’ and ‘caring’ and there are enough on duty to meet people’s needs. People say they do not have any complaints but know who to go to if they do. They say any requests are dealt with easily and efficiently. People say they choose how to spend their days and time in the home. The home is clean and fresh throughout and people say it is always like this. The home is currently being co-managed by the owner and a senior carer. The senior carer is soon to be promoted to the role of manager, and plans to apply to the commission for registration in the near future. What has improved since the last inspection? What they could do better: People living here would benefit from the following improvements. Medication procedures need to be reviewed so that these are always kept and administered safely and to ensure that all records are up to date. The owner should have contacted the commission and local authority in relation to an allegation that a member of staff put someone at risk. This is now being dealt with. Procedures relating to how used linen is dealt with should be reviewed to ensure that all staff deal with this safely. Fire checks should be recommenced and all fire doors should close shut (the owners were required to deal with this immediately and have done so). Before any member of staff comes to work at the home robust recruitment checks must be undertaken. All records should be kept in accordance with the Data Protection Act. The manager had already identified this and had planned to make changes. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lympstone House DS0000021972.V358698.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 Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 was not inspected as this home does not provide intermediate care. Quality in this outcome area is good. People who think about coming to live here have their needs assessed to ensure the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People we spoke with told us that they had their needs assessed and that this home is meeting them well. We looked in care plans and saw that assessments of needs are undertaken, which forms the basis of a plan as to how these needs will be met. We looked at the assessment of one person who had recently been admitted. We found that the assessment was appropriate to this persons needs identifying their health needs, their medication and their social and communication needs. Lympstone House DS0000021972.V358698.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. The people who live here have their care and health needs met through good planning and appropriate delivery of care. Some improvements are needed to how medicines are managed. People are treated with respect and have their privacy protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at three care plans. We saw that each person who lives here has all their needs assessed and that a plan of care as to how their needs will be met is devised. The care plans seen were appropriate to the people they belong to. They are reviewed regularly and updated as needed. There is clear evidence that health care professionals are contacted when needed and that people are helped to remain healthy through preventative measures such as visits to the dentist, chiropodist and optician. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 11 We could also see from care plans that when the home recognises that they can no longer meet someone’s needs that they contact appropriate healthcare professionals and support people to find a more appropriate place to live. In surveys people told us that their (or their relative’s) needs are well met. Health care professionals report that they believe that the home manages peoples health needs well. People say they are treated with respect and that staff respect their privacy. We saw staff knocking on bedroom doors before entering and staff told us what they do to help people maintain their privacy when living in a communal environment. We looked at how peoples’ medicines are managed and found that they are stored safely and securely. Staff demonstrate a good knowledge of the medicines in use and the importance of managing them safely. The home uses a monitored dosage system (which reduces the margin for error) and an inspection of the store cupboard shows they keep stock drugs to a minimum. We looked at records relating to medicines for individuals and found these to be generally up to date. We noticed that staff do not sign to say they have applied a prescribed cream as they should. We carried out an audit of some medicines and found that the number of medicines recorded in the home was different from those counted. This is because staff are not recording all medicines received into the home. We also found that some controlled drugs had been stored safely but had not been signed into the home as being received. We noted that hand written entries on medicine charts are not always signed as being checked by two people. There is an efficient system in place for ordering, receiving and returning medications. Staff report that each stage of this procedure is carried out by different people to increase the number of checks in place and to reduce the margin for error, which is good practice. Lympstone House DS0000021972.V358698.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. People who live here have their social needs met, have easy access to their visitors and are helped to make decisions about their daily lives. People enjoy the food served which is varied and nutritious. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys people and their relatives told us that social needs are generally met. One person thought that less able people might benefit from planned ‘one to one chats’ and more mental stimulation. The people we spoke with say they enjoy the activities offered which include watching videos and quizzes which tend to take place twice a week. Some people talked of enjoying their own company, TV and reading. Some people are particularly keen on the garden, which is large and offers a variety of areas and plants. There are many bird feeders in the garden and people say how much they enjoy watching the antics of the birds and listening to their songs. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 13 The owner, in the information provided prior to this inspection, describes the home as ‘peaceful and comfortable’ and does not provide lots of activities. This is how we found it during this inspection. All the food served here is cooked on the premises. There are three cooks and the majority of food is freshly prepared. People say they really enjoy the food and that there is a variety. They say they never get hungry and can choose where they eat their meals. The dining room is well laid out and well dressed. People also say they make other choices, such as what to wear, what time to get up and go to bed and how they spend their days. Visitors to the home say they can visit when they like and that they are generally kept up to date with events and any changes. Lympstone House DS0000021972.V358698.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. People living here are listened to and are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Neither the home nor the commission have received any complaints about this service. People say they have no complaints and that if they have any niggles they tell the staff and they are quickly sorted out. People say they feel safe and well cared for. Staff say they have received training in protecting people from abuse and demonstrate a good understanding of this and of what to do if they suspected an abusive situation. A recent incident relating to the administration of one persons medicines was dealt with appropriately. However, although the owners acted promptly relating to another incident relating to someone’s medicine, we would have expected them to contact the safeguarding team and the commission to take advice and they did not. This matter is now being dealt with. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. People live in a pleasant, clean and comfortable environment. Some improvements are required to make it safer. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People say they home is always kept clean and fresh. They say it is very homely and comfortably furnished. We looked around the home and saw this to be the case. We saw one carer handling used linen in a way that did not help to prevent the spread of infection. We looked at the records relating to training in infection control and saw that this is included in induction training. However, when we read the procedure relating to infection control we found that the information Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 16 relating to when to wear protective clothing was missing. We asked staff where this might be and they did not know. The owner told us where to find this information. She says that staff do normally follow procedure and what was seen was a mistake made by one person. When we walked around the home we noticed that a number of fire doors did not close properly. When we checked the fire log we saw that the usual fire checks had not been undertaken regularly since the manager had left. We required the owners to deal with this immediately and they did so. We also saw that the home had undergone a fire maintenance check recently, and that this was satisfactory. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. People’s needs are met by staff who are employed in sufficient numbers and who have the skills needed. People are being put at potential risk by the inadequate recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This is a home that tends to care for people with low to medium needs. In the morning there are three carers on duty, in the afternoon and evening two carers and at night there are two waking night staff. In addition to this the owner sometimes works in the home, and is always on call, and there is a cook and a cleaner. Staff say they enjoy working here and are well supported by the owners. People living here say the staff meet their needs and that they help them to get the medical attention they need. People say the staff are ‘lovely’ and ‘kind’. The owner reports that the home currently employs a total of 18 staff, of whom 10 hold the National Vocational Qualification (NVQ) in care. This is above the 50 national target. In addition staff receive induction training. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 18 We looked at three staff recruitment files. We found that all the checks necessary to keep people safe from being cared for by unsuitable staff had not been carried out. Two members of staff are working prior to their police check being returned and are not working under supervision. One member of staff has no written references (a verbal reference had been obtained) at the time of employment, although the owner reports that written references were obtained at a later date. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38. Quality in this outcome area is adequate. People live in a home that is generally well managed and where they are safe. However, some important administrative processes are not being undertaken and this is placing people at potential risk of harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lympstone House does not have a Registered Manager. However, one of the senior carers who has worked at the home for a number of years is about to be promoted to this position. This person has almost completed NVQ training to level 3 and plans to study at level 4 and to obtain the Registered Manager’s Award. This person provided all the information asked for during this Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 20 inspection. They demonstrate that they are receptive to feedback and demonstrate a strong desire to provide leadership within the home. In order to help ensure the home is run in the best interests of the people who live here, the owner carries out annual satisfaction surveys and holds residents meetings. People we spoke with say they enjoy living here and would not change anything. All monies held on behalf of the people who live here are kept safely and securely and the owners ensure there is limited access to this. Records and receipts are kept for audit purposes. Staff receive mandatory training including moving and handling, fire safety, food hygiene and infection control. There are few falls experienced by the people living here. These are all recorded as they should be and there is evidence that action is taken to avoid falls. Systems are in place to ensure that the maintenance of the home is ongoing. Whilst many aspects of the management of this home are satisfactory, some are not. Shortfalls in recruitment and fire safety, as identified under the sections ‘staffing’ and ‘environment’, are putting people at risk of harm. In addition, the home did not notify the commission or take advice from the safeguarding team regarding an incident relating to the administration of medication that resulting in a person living here becoming very unwell. When we looked in the diary we found that this is being used as part of the care planning and recording system. This means that information held about people is not all being kept as it should be under the Data Protection Act. The prospective manager had already noted this and plans to change it. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 4 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x 2 1 Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 22 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 Timescale for action 30/04/08 2. OP18 13 (6) 3. OP19 23 (4) In order to ensure that medicines are handling safely the home must keep accurate records relating to medicines kept in the home, including control medicines; staff, when they have given a prescribed medicine, including creams, should sign to say they have done so; any hand written entries on medicine charts must be checked and signed by two people and must be dated. Where abusive practice is 30/04/08 suspected appropriate action must be taken. This includes informing the commission and taking advice from the safeguarding team. 25/03/08 Fire checks must be undertaken to ensure that in the event of an outbreak of fire people will be kept as safe as possible. This includes checking that fire doors close and that fire alarm testing takes place. We required the home to do this within five days and they did this. DS0000021972.V358698.R01.S.doc Version 5.2 Lympstone House Page 23 4. OP26 13(3) 5. OP29 19 People must be kept safe from infection. Procedures on how to do this must be clear and staff must follow them. In order to help ensure that vulnerable people are only cared for by suitable staff robust recruitment checks must be carried out. This includes obtaining two written references and a police check. 31/05/08 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP37 Good Practice Recommendations Records relating to people living at the home should not be written into a shared diary as this contravenes the Data Protection Act. Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lympstone House DS0000021972.V358698.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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