Inspection on 09/08/05 for Manor Cottage Hotel

This inspection was carried out on 9th August 2005.

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

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

Other inspections for this house

Manor Cottage Hotel 09/03/07

Manor Cottage Hotel 07/03/06

Manor Cottage Hotel 16/02/05

Manor Cottage Hotel 05/05/04

Manor Cottage Hotel 23/09/03

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Manor Cottage Hotel Manor Cottage Hotel 1-3 Manor Crescent Preston Paignton Devon TQ3 2TN Lead Inspector Susan Samways Announced Inspection 9th August 2005 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 Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 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. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Manor Cottage Hotel Address Manor Cottage Hotel 1-3 Manor Crescent Preston Paignton Devon TQ3 2TN 01803 557292 01803 664922 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) Mr Kenneth Peek Mrs Hazel Susan Weaver Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User (named elsewhere) in the category `Dementia` Date of last inspection 16th February 2005 Brief Description of the Service: Manor Cottage provides care for up to eighteen service users who fall within the category of old age. It is a large, detached property situated on the level, close to all local amenities. The home benefits from a level garden. The accommodation is arranged over two floors with some bedrooms on the ground floor. There is a stair lift to assist service users to access the upper floor, however, it is still necessary for service users to manage a few steps at the top of the staircase. The owner has made improvements to the accommodation and work continues to ensure that the home complies with the environmental standards of the Care Standards Act. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which lasted for 6.75 hours. Mr Peek, the registered provider, was not available but Mrs Weaver, the registered manager, was present throughout the day. Comment cards were received from five residents, two relatives, a visitor and a visiting health care professional. During the inspection four residents, including one who had recently been admitted, were spoken to as a group while they were having coffee, others were spoken to in passing. Two new members of staff were interviewed. What the service does well: The residents spoken to and the comment cards received from residents indicated that they were happy living at Manor Cottage. One resident described it as “home from home” while others said that the staff were caring, sensitive, supportive and treated them with respect. They said that the manager is very approachable, listens to their views and endeavours to sort out any problems. They also appreciated the fact that their visitors were made welcome by the staff. They praised the standard of the meals saying that their personal preferences were taken into consideration and that portion sizes could be varied according to their appetites. They were also pleased with the laundry service which usually returns their clothes within 24 hours. Comment cards received from relatives and visitors were also positive saying that they were happy with the care provided and that they would recommend the home to others. The manager is committed to staff training and accesses courses and study days from a variety of sources as well as providing in-house training. As a result the staff are well trained and have a good understanding of the residents’ needs and how they should be met. This includes the care of those coming to the end of their lives which is approached by the manager and staff in a particularly caring and sensitive way. The assessment, care planning and review processes involve the residents and where appropriate their relatives. These records are detailed and informative. Of particular note are the information sheets residents write about themselves which include the elements about their care which are most important to them. These are especially helpful to new staff. A range of activities is provided both in the home and in the community. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 6 All aspects of the running of the home are regularly monitored by the manager who submits a report to the registered provider with any changes which need to be made clearly identified. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 Prospective residents have a comprehensive assessment made which provides all those concerned with sufficient information to make the decision whether Manor Cottage is an appropriate home for them. EVIDENCE: The registered manager has devised a comprehensive assessment which is used with all potential residents regardless of whether they are self-funding or being placed by Social Services. This assessment is used, in conjunction with the Social Services care manager’s assessment when available, to compile the resident’s care plan. The registered manager visits prospective residents at home or in hospital in order to complete the assessment and to determine whether Manor Cottage can meet that person’s needs. The file of a newly admitted resident was seen to have a detailed assessment completed by the registered manager. On commencing employment all new staff, including those experienced in care, are expected to complete a detailed training programme. The programme Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 9 focuses on all aspects of personal care and the specific needs of the residents. This enables the manager to be sure that all staff are aware of the standard of care she expects the staff to provide. This was confirmed by the two new members of staff who were interviewed. In discussion the manager was very clear about the categories of resident the home is able to care for and the skills the staff require to be able to do so. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11, Residents’ health and social care needs, including end of life care, are well met and regularly reviewed with staff, resident and, where relevant, their relatives. Adherence to medication policies and procedures safeguards residents. EVIDENCE: Comprehensive care plans were seen to be in place for all residents which had been signed by them. The daily records were found to be complete. In addition to the care plans the home has a file for all new or temporary staff containing photographs of each resident with information provided by each resident about themselves, their likes and dislikes and how they like to be cared for. Key telephone numbers e.g. next of kin, G.P. are also included. The home has a key worker system. Each resident is asked who they would like their key worker to be. It is the key worker’s responsibility to organise and chair the monthly care plan reviews and record and, where appropriate, action the decisions made. It is the resident’s responsibility to invite their relatives to the review if they wish them to be present. The manager provides support and supervision for staff carrying out reviews as required. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 11 The health care needs of the residents were seen to be met and were documented in the care plans. An optician visits the home and sees new residents if appropriate. On-going visits are also made. A chiropodist attends residents every six weeks and also makes ad hoc visits. The home also has a visiting dental service. Nutritional screening is undertaken for each new resident and residents’ weights are regularly monitored and were seen to be recorded in the care plans. The manager stated that the dietician is involved when required and the cook is invited to care plan meetings. The home has good relationships with the district nursing service especially with regard to pressure care. This was demonstrated by the care being provided to a resident admitted with pressure sores which included the provision of a pressure relieving mattress. There is a good medication policy and procedure in place. Residents were seen to have given signed consent to medication. All medication records, including receipts and returns of medication, were seen to have been signed. The registered manager stated that when medication is received from the pharmacy it is checked immediately and any discrepancies reported to the pharmacist. Patient information leaflets for each form of medication used are kept for reference. Only named staff who have received basic training from a pharmacist may take responsibility for administering medication. The registered manager and the deputy manager are awaiting places on an advanced medication course. Comment cards received from residents and those spoken to all said that their privacy and dignity are respected. This was also commented on positively by relatives who said that could always visit their relative in private if they wished. Residents said that if their doctor or another health care professional came to see them it was in the privacy of their own rooms. Staff were observed to treat residents with respect. They knocked on residents’ bedroom doors and waited to be invited in. The name by which each resident prefers to be known was seen to be recorded and used. Some residents have their own telephone lines to their rooms, for others a telephone handset can be taken to them. Residents were particularly appreciative of the laundry service as their clean clothes are often returned within 24 hours ensuring that they always have sufficient in their wardrobes. The home has a policy on dealing with the death of a resident. The manager, while recognising that not everyone wishes to discuss the subject, has been able to ask all residents how they would like to be cared for if terminally ill and what arrangements should be made following death. Their comments have been included in their care plans. Where appropriate relatives have also been included in this. The manager stated that the home’s intention is to care for residents who are coming to the end of their lives for as long as they are able to provide adequate care and this is included in the home’s training programme. The manager has recently been involved in discussions regarding Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 12 the use of the Liverpool Care Pathway for people coming to the end of their lives. This provides a co-ordinated approach to care by all those involved with a particular resident which should further enhance the care already provided. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 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): 12,13,14,15 Residents’ contact with friends and relatives is positively encouraged. The home enables residents to maintain control over their day to day lives by promoting choice. The dietary needs and preferences of the residents are met with the provision of nutritious and varied meals. EVIDENCE: Residents spoken to stated that the routines of daily living were flexible and that this was appreciated. Also there is a good range of activities which they can participate in or not as they choose. Information about forthcoming events is displayed on the notice board. The home has an activities organiser twice a week from Brixham O.T. Service and staff endeavour to provide activities at other times of the week. Visits are made to the home by donkeys and PAT dogs. The Bridge-a-gap group, which is associated with the local GP surgery, hold regular coffee morning at the home. Residents said that they looked forward to these occasions as they enjoy having visits from members of the local community as well as participating in the activities. Members of the group spoken to on previous inspections have said that they enjoy their visits to Manor Cottage as they are always made welcome and the staff join in with Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 14 the activities. The home has a party once a month, sometimes with a special theme, and has purchased some wheelchairs to make it easier to take residents out. One resident mentioned in particular how much she enjoyed the trips out. Consideration is given to those with a visual impairment including the provision of talking books and the planting of appropriate flowers and shrubs in the garden. One resident with a hearing impairment said that she appreciated the staff taking time to talk to her. The manager has also developed links with some of the local churches who visit to hold services or maintain contact with members now living in the home. Residents said that if they do not wish to participate in any of the activities or social gatherings there is another room that they can use or they retire to their own rooms. Relatives and visitors who returned comment cards all said that they are made welcome by the staff and this was also commented on by the residents spoken to. Residents said that they liked the fact that visiting times are not restricted which meant that their visitors could come when they are able. There is a room available for visitors to stay overnight which they felt was particularly important if one of the residents was very unwell. Relatives also said that they are kept informed about important issues and are involved in decision making when appropriate. Residents are encouraged to personalise their rooms and records were seen to be kept of all furniture and other items the residents bring to the home. Information regarding advocacy services was seen to be on the notice board. Residents, or their relatives, manage their financial affairs for as long as they are able or is practicable. Meticulous records are kept by the manager of any financial transactions undertaken on behalf of a resident. All residents spoken to praised the standard of the meals provided. They said that they could have breakfast in their rooms, that they could request an alternative if they didn’t like the main course at lunch time and they said that the choice at tea time was excellent. They also liked the fact that they could have small portions if their appetite was poor. All of them had been asked about their dietary preferences by the cook who was observed serving lunch for named residents with comments like ‘no gravy for…’, ‘only one potato for…’ ensuring that the staff delivered the right meal to each resident. A board in the dining room displays not only the menu for the day but also for the whole month. The manager stated that the residents are involved in planning the menus on a monthly basis. Meals are cooked using primarily fresh ingredients with some frozen vegetables available as a standby. Residents said that they can have a drink at any time including during the night if they can’t sleep. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 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): 16,17,18 Residents’ rights are protected and they are safeguarded from abuse by staff being made aware of adult protection procedures. EVIDENCE: All Service Users are registered to vote either in person or by post. Details of advocacy services are on the notice board. An Adult Protection policy, including Whistle Blowing, is in place. The manager has set up an in-house training programme regarding the protection of vulnerable adults which all staff, including the cook and the housekeeper, have undertaken. The home’s policy on accepting gifts and legacies has been given to all staff and a copy is included with every resident’s contract as is a copy of the home’s complaints procedure. The complaints procedure is included in the Statement of Purpose and the Service Users’ Guide and a copy is on the notice board. No complaints have been received by the Commission for Social Care Inspection about Manor Cottage during the last two years. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 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): 19,20,25,26 Manor Cottage provides a homely and comfortably furnished environment which is clean and hygienic with well laid out communal space. In some areas of the home residents’ safety is compromised by the lack of radiator guards. EVIDENCE: The home is suitable for its stated purpose. It was seen to be well maintained, providing a homely and comfortable environment. Since the last inspection a gardener has been employed which has resulted in improvements in the outside space including a new seating area. Residents were appreciative of the changes and said that they enjoyed sitting in the garden when the weather permitted. Changes in the communal space have also been made. The changes to the room now used as the dining room have been completed. These included widening the doorway to make it easier for residents using wheelchairs and Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 17 walking aids to enter and leave the room, attractive new furniture which is sturdy so provides support to residents particularly when sitting down or getting up from the chair, improvements to the lighting and a new carpet. Residents commented that they liked the new arrangement. The L-shaped lounge is now arranged so that there is a quiet area and a television area. This has also met with residents’ approval. Water temperature control valves have now been installed but some radiator guards still need to be fitted. The premises were seen to be clean, hygienic and free from offensive odours. The home employs a housekeeper who has responsibility for ensuring that the home is clean and hygienic. The laundry room is used for residents’ personal items only. All other laundry is contracted out which includes special bags for foul laundry. Mops and buckets were seen to be colour coded according to use. Information obtained from the Health Protection Agency was seen to be available for staff and has been incorporated into the home’s infection control policy. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staff recruitment procedures and training programmes safeguard residents and provide consistent good levels of care. EVIDENCE: Adequate staffing was seen to be on duty at the time of the inspection for the number of residents and staffing rotas showed that this was the usual situation. The manager stated that the staff are very loyal and have provided cover, when required, for staff absence. However, this has meant that some staff have worked long hours which could compromise residents safety. The manager was able to describe a thorough recruitment process and this was supported by the staff records examined and confirmed by the two new staff interviewed. CRB checks were seen to have been done for all staff and the manager confirmed that POVA checks were also being requested for all new appointments. All staff have been given a copy of the GSCC code of conduct and practice and have signed to that effect. Copies are also available in audio and large print formats for residents information. The manager now has an established induction programme in place which all new staff are expected to complete. There is also a comprehensive on-going training plan for all staff, some of which is in-house and some arranged through external agencies. Examples of recent training include management of continence, diabetes and skin care. There is always a member of staff trained in first aid on duty. Three staff have NVQ Level 2 in Care or above with others working towards it. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 19 Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 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): 31,32,33,38 The management style is open and receptive to the views of the residents and others involved with the home. Safe working practices provide protection for both residents and staff. EVIDENCE: Since the last inspection the manager has been registered with the Commission for Social Care Inspection. The manager is well qualified and experienced and the home is well run. In discussion the manager was able to demonstrate a detailed knowledge of the running of the home and of all the residents, their needs and how they should be met. During the inspection it was observed that staff and residents approached the manager with confidence and those spoken to said that they could raise any concerns with her or make suggestions and know that they would be well received. Staff interviewed said that they felt well supported by the manager. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 21 Meetings for residents are held to which relatives are also invited. The meetings are used to inform residents of any changes and forthcoming events, to seek residents views regarding the running of the home and as an opportunity for residents to bring up any issues, concerns or ideas. The manager has developed a good system of quality assurance and quality monitoring. Satisfaction surveys have been done with both residents and visitors, a summary of the results of which is available in the reception area. There is a book for anyone to make suggestions at reception where survey forms for visiting professionals and relatives are also available. In addition to this there is a rolling plan for reviewing other aspects of the running of the home. These reviews are done during staff meetings. Examples of these reviews are medication policy and procedure every two months, social activities every six months, staff training annually and a health and safety checklist completed monthly. The manager writes an annual report for the owner covering topics such as policies and procedures, meals and menus, support services, activities, maintenance and refurbishment and complaints and incidents. The manager requests a response from the owner to the issues raised in the report so that a development plan can be devised. Records showed that the majority of the staff have had training in manual handling, infection control, first aid and food hygiene. All staff have had fire safety training, the last training session being held 21st July 2005. A fire safety inspection had been held 3rd February 2005 which was satisfactory with no requirements being made. Fire safety checks were seen to have been carried out at the required intervals. As already recorded under standard 25, some radiators have been covered, the rest need to be completed as a matter of urgency. The gas central heating system was checked 13th July 2005. The premises are locked at night when the night staff come on duty. Information on all relevant Health and Safety legislation is available in the home. Required risk assessments are in place. Accidents were seen to have been recorded. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 x x x x 2 3 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 3 3 x x x x 2 Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? 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 OP38OP25 Regulation 13 Requirement The registered person must ensure that all parts of the home to which Service Users have access are, so far as is reasonably practicable, free from hazards to their safety. The registered person must guard hot surfaces such as radiators. Timescale for action 31/08/05 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 OP27 Good Practice Recommendations The registered provider should ensure that cover for staff absences does not result in staff working additional long hours which could compromise residents’ safety. Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Manor Cottage Hotel DS0000034029.V252932.R01.S.doc Version 5.0 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. 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. 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