Inspection on 14/08/07 for Marling Court

This inspection was carried out on 14th August 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Marling Court 02/06/06

Marling Court 15/12/05

Marling Court 09/06/05

Marling Court 21/10/04

Marling Court 20/05/04

Marling Court 01/07/03

Similar services:

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Henry Nihill House

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

CARE HOMES FOR OLDER PEOPLE Marling Court 2 Bramble Lane Off The Avenue Hampton Middlesex TW12 3XB Lead Inspector Sharon Newman Unannounced Inspection 14th August 2007 10:00 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 Marling Court DS0000017382.V346764.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. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Marling Court Address 2 Bramble Lane Off The Avenue Hampton Middlesex TW12 3XB 020 8783 0157 020 8783 0078 MHogg@RUTCHT.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) Richmond upon Thames Churches Housing Trust Maria Hogg Care Home 37 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (20), Physical disability over 65 of places years of age (20) Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit one named female service user aged 63 years. The Registered Person must ensure that all staff are appropriately trained in dementia care. 7th March 2007 Date of last inspection Brief Description of the Service: Marling Court is a purpose built residential care home in Hampton providing personal care and accommodation for up to thirty-seven people. Up to twentyfive of whom may have dementia. The number of places registered for service users with dementia was increased from seventeen in November 2004, when the home applied for a variation to the categories of registration. A condition of this variation was that all staff must be appropriately trained in dementia care. Marling Court is situated close to local facilities and amenities and is set within a residential area. The home’s internal décor is pleasing with a large homely lounge. There are four interconnecting units, each with its own kitchenette, sitting and dining area. The lobby area is welcoming and off this are the Manager’s office, the duty office, the kitchen and laundry. The home has attractive gardens accessible to service users. CCTV cameras monitor the entrance and nearby designated parking spaces. The home is owned and managed by Richmond upon Thames Churches Housing Trust. The Registered Persons have produced a Service User Guide, which includes information on the aims and objectives of the service. The charges for Marling Court are between £547 - 577 per week. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this service included an unannounced visit to the home on 14th August 2007 by one regulation inspector. The manager was present throughout this visit and was available throughout the day for discussions about the service. Two relatives, some staff members and a number of residents were also spoken to. The area manager was visiting the home on the day of inspection and introduced herself. The manager and staff were welcoming and helpful throughout the inspection. Documentation looked at included medication records, staff recruitment information, residents care plans and health and safety documentation. A tour was also taken of the premises. The manager has also completed and returned an Annual Quality Assurance Assessment (AQAA) which is a self assessment survey of the home. Surveys were left at the home for residents, staff, relatives and health professionals to complete. One was returned from a relative, three from staff and one from a health professional before this report was completed. Residents spoken to commented positively about life at the home. One said ‘it is like a family here.’ What the service does well: What has improved since the last inspection? Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 6 The home has met many of the requirements set at the previous inspection visit. The care plans have improved and contain a lot of information to help staff to meet the needs of residents. A system is now in place to make sure that all medication received is recorded. The activities on offer have improved and residents spoke highly of the activities on offer. Some residents also reported that they did not like to take part in organised activities and that staff at the home respected this. Residents were observed to be offered appropriate support at lunchtimes and to be offered snacks and drinks throughout the day. A new conservatory has been built and residents use this as an attractive dining area. A programme of redecoration has taken place throughout the home and the home looks more attractive and homely as a consequence of this. A new shower room has been provided for residents. Staff have received training in the area of dementia care, challenging behaviours and person centred care planning to help them carry out their roles more effectively. 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. The summary of this inspection report can be made available in other formats on request. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to coming to live at the home. This helps to make sure that the home can meet their needs. EVIDENCE: Senior staff assess residents before they move to the home to help ensure that the home will meet their needs. Assessments of need were seen at the time of inspection. Prospective residents are invited to visit the home before making a decision about whether they wish to move to the home. As stated in the previous inspection report residents move to the house for a six week trial stay and this forms part of the assessment process and allows residents to see if they like living at the home. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 9 Residents spoken to at the time of inspection reported that they were happy living at the home. One resident said ‘it is wonderful here – nothing is too much.’ Another said ‘I am very happy here and there is lots to do.’ A relative said that they were ‘very pleased’ with the care given and another said ‘this is a smashing place.’ Both commented positively about the staff. A health professional wrote that the staff are ‘committed and caring and very skilled. Everyone who works there is welcoming and helpful. There is a lovely atmosphere ……. The building is always clean and tidy but yet has a homely and informal feel. I feel all the staff should be applauded for their dedication and commitment. It is a pleasure to visit.’ Marling Court DS0000017382.V346764.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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have access to a range of health and social care services. Staff notice when residents are not feeling well or need a medical assessment and act upon this. Residents were seen to be treated with respect by staff. Staff have a good rapport with residents. The recording of the receipt of medication has improved and no issues were seen regarding the storage or administration of medication. However, the allergies sections in the medication administration records are not always fully completed to help ensure that residents are not placed at risk. EVIDENCE: The information in the care plans has improved and those looked at were observed to have been well completed and contain comprehensive information. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 11 Many care plans now contain life histories of the residents and this is a nice touch and helps ensure staff know about their past and their interests. Records of bathing were seen, however they indicated that residents have a bath every four to six days. A staff member reported that they offer everyone a bath at least every once every five days. It was discussed with the manager that residents should be able to choose to have a bath as often as they wish and not have to wait to be offered a bath. She reported that she would look at this and stated that residents should have a choice as to when they wished to have a bath or shower. It was discussed with the manager that although the format used for recording risk assessments highlights that there is a risk in a certain area it does not allow for a full risk assessment and does not contain adequate information. Risk assessments for different, unrelated activities are recorded on the same sheet. These would benefit from being on separate sheets and in more detail. For example risk assessments for moving and handling issues or falls need to be on separate sheets. Also any challenging behaviour issues identified need to have a separate risk assessment which includes the intervention needed. There was evidence of input from a wide range of health and social care professionals in the resident’s care plans. The manager reported that district nurses regularly visit the home. A health professional was seen to be visiting the home on the day of inspection. One health professional wrote ‘ any concern I have ever had regarding a clients health status has always been taken on board and acted on.’ They also commented that clients they had visited ‘have always had their privacy and dignity respected.’ Relatives commented that the home would call them immediately if there are any issues or concerns about their family member. Staff were heard discussing a resident’s health issues and were seen to take appropriate action. All medication cabinets were locked securely at the time of inspection. The medication administration records (MAR) were seen to be fully completed in terms of administration of medication. However, not all of the allergies sections were observed to be completed. All allergies sections on the MAR sheets need to be complete to ensure that residents are not placed at risk. Where there are no allergies known then this needs to be documented. There is now a system in place to ensure that all medication received into the home is fully recorded. Medication audits are carried out as part of the quality assurance process. A pharmacist was seen to be visiting the home during the inspection visit. Marling Court DS0000017382.V346764.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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy the activities on offer and the wishes of those that do not wish to participate are respected. Relatives are encouraged to visit and to participate in life at the home. Residents are offered nutritious food in pleasant surroundings. EVIDENCE: The manager reported that the home has recently held a fete that relatives participated in and that a barbeque was being arranged for residents and their relatives. This was advertised in the foyer of the home. Two relatives spoken to said that they would be attending this. One relative reported that they had enjoyed taking part in the recent fete. The home can use the Richmond Trust minibus to take residents out to activities in the community. The manager reported that they went for a trip to Brighton in July. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 13 Residents were observed to be taking part in a music and movement class with an instructor who visits the home weekly to provide this activity. Those residents spoken to after this class reported that they had enjoyed themselves. A relative reported that their family member regularly goes out of the home shopping and for walks on their own to help to maintain their independence and that they like to go out to buy their newspaper each day. The activities section in the residents care plans (of those looked at) was completed well with good details about the activities that residents have participated in. Residents were seen to be asked if they wish to take part in activities and if they did not wish to then this was respected. Staff have undertaken person centred care planning training to help them to meet the social needs of the residents. Residents meetings are held monthly for each unit and the minutes are fully recorded and displayed on the units. The self assessment survey (AQAA) completed by the manager states that residents are provided with information through use of ‘orientation boards, activity notices, monthly newsletters, minutes of meetings and staff training charts.’ The hairdresser visits the home weekly and will also come in on other occasions and the home has a specific room for this purpose. An aromatherapist visits weekly. It was discussed with the manager that on some units fruit and snacks were put out for residents to help themselves whenever they wished to. However on the other units this was not the case. The manager reported that she would ensure that fruit is available in the communal areas on all the units. Residents were seen to eat their lunch in a calm and pleasant atmosphere with quiet music playing. Those residents that required assistance were supported to eat their lunch in a caring manner by staff members. The food looked appetising and nutritious and many residents commented favourably about it. Quarterly catering meetings are held with the residents to gain their opinions on the food. Many residents commented positively about the food. One said it was ‘very good’ another said ‘there is a good choice of food. Marling Court DS0000017382.V346764.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, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are appropriate procedures for complaints and protection of vulnerable adults. EVIDENCE: The home follows the London Borough of Richmonds’ Adult Protection Procedures (POVA) and a copy of these procedures is available at the home. Richmond Upon Thames Churches Housing Trust have their own procedures on abuse and whistle blowing. A complaints log is kept at the home to monitor any issues raised and the action taken and outcome. The manager reported that the organisation has introduced a Safeguarding Adults Champion project along with the other local homes owned by the Richmond upon Thames Housing Trust. A staff member will undertake this responsibility and will receive training for this role. There is a staff training programme in place at the home and the training log indicates that staff are receiving training in this area. Marling Court DS0000017382.V346764.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, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment at the home is attractive and homely. It is well decorated and presents as a pleasant place for people to live. Residents can personalise their bedrooms to their own taste. The home is clean and hygienic. There is an effective maintenance and decorating programme. EVIDENCE: This home is divided into four units over two levels. Each unit has it’s own lounge and kitchenette areas. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 16 There has been an ongoing programme of decoration since the previous inspection visit. Many of the areas throughout the home have been redecorated. A conservatory has been added to one of the units and this is used as a dining area. The self assessment survey (AQAA) states that a new shower/wet room has been added to the building for those residents who prefer to have a shower. This was seen at the time of inspection and it has been well decorated. The home is well-furnished throughout with attractive sturdy furniture and the pictures, photographs and paintings add to the homely feel. There is a pleasant atmosphere at the home and residents were observed to chat freely with each other and to help with preparation of food and drinks in the kitchenette areas if they wished. The courtyard garden is well-maintained and the manager reported that a potting shed is going to be installed so that those residents who wish to grow plants can do so. There is also a sensory area in the garden that features plants with different scents and textures for the residents to enjoy. All bedrooms are ensuite and those seen were observed to be wellpersonalised to individual taste with photographs, personal belongings, pictures and ornaments. A new loop system has been installed at the home to help those with hearing difficulties. The home was clean and free from any offensive odours. Marling Court DS0000017382.V346764.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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good rapport with residents. An effective recruitment procedure is in place to help ensure that residents are not placed at risk. There is a good training programme in place to help staff to carry out their roles more effectively. Staffing levels at night need to be reviewed. EVIDENCE: The issue of staffing levels was raised again at this inspection and was discussed with the manager and area manager. Some staff reported that staffing levels at night did not meet the needs of the residents. There are currently two waking staff on duty at night and a staff member reported that when two members of staff are with a resident or giving out medication then there is no member of staff available on the other floor. The home is registered to care for up to twenty-five residents who have dementia. There are times during the night when residents require attention and if staff are occupied with one resident then they are not always aware of the needs of other residents. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 18 The area manager pointed out that there is a ‘sleep-in’ member of staff on duty at night who can be disturbed if they are needed. She also reported that the home does not have a history of residents falling or of incidents at night. She stressed that if she believed that the staffing levels needed to be increased at night she would do so. A resident commented that if they need help at night ‘someone always comes.’ There are regular staff meetings and these are fully recorded. This enables staff to put forward their views about the running of the home and ensures information is passed on to staff. There is a clear training log that indicates all the training that staff have undertaken such as moving and handling and health and safety. Staff have also received training in dementia care, challenging behaviours and person centred care planning to help them carry out their roles more effectively. Staff spoken to said that they felt they received good training at this home. Staff were observed to have a good rapport with residents and to support them in a respectful manner and with dignity. Residents spoke highly of the staff one said ‘they are friendly and kind’ another said ‘if you need them they will always come.’ Another reported ‘the carers are patient and nothing is too much trouble for them.’ Staff recruitment information was looked at for three new staff members. These contained evidence of all required recruitment checks including Criminal Record Bureau checks and two references. This helps to ensure that residents are not placed at risk. Only three survey forms were returned from staff, two were positive about the agency and these stated that support from management was good. However one survey was negative in tone. However as only three surveys were returned it was difficult to draw any conclusions from this information. A relative wrote that ‘staff are excellent and caring.’ Marling Court DS0000017382.V346764.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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience to run the home. One-to-one staff supervision takes place to help ensure that staff receive the support they require to carry out their duties. Quality assurance systems are in place so that residents and relatives views are taken into consideration regarding the running of the home. EVIDENCE: The manager has now been working at the home for a year and is very experienced in the provision of care for people. She reported that she really ‘enjoys working at the home’ and is well supported by her management. Staff Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 20 and residents were complimentary about her. However, one relative commented that they would like the manager to have a higher profile for staff and relatives. One resident said ‘she is lovely.’ A relative reported that they would feel able to approach her if they had a problem or issue. As stated in the previous inspection report the organisation arranges for an external advocacy service to visit the home annually and to meet with all residents. They ask residents about their experiences and the report of their findings includes recommendations for improvements. This forms part of the homes quality assurance process. Additionally the organisation conducts monthly quality inspections of the home and reports of these are sent to the Commission for Social Care Inspection (CSCI). A quarterly independent financial audit takes place to review the resident’s accounts. The manager reported that residents or their relatives are usually responsible for their own money or the Local Authority takes responsibility for this area. A relative reported that they had Power of Attorney for their family members finances. There was evidence to demonstrate that staff one-to-one supervision is taking place. This helps to ensure that staff training needs are identified and that they have the support that they need to carry out their roles. Checks relating to safety including: gas safety, legionella and electrical installations were up-to-date. An up-to-date portable appliance check could not be found and this need to be obtained. The Annual Quality Assessment (AQAA) states that ‘the organisation promotes equality and diversity policies through mandatory training for it’s staffing groups. It also states that cultural and religious needs are respected and a number of different denominations visit the home to carry out religious services. There are assisted bath and toilet facilities throughout the home and residents can ask for own gender care staff. A loop system has been installed at the home for these with hearing difficulties. A relative reported that they were ‘very pleased’ with the home. Marling Court DS0000017382.V346764.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 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 2 Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 13 (4) Requirement Timescale for action 01/10/07 2 OP7 12 Clear and detailed assessments of risk must be in place wherever there is an identified risk or restriction. Risk assessments must give information on actions to minimise risks. Residents must be offered 01/09/07 regular baths and this must be documented in their care plan. Previous timescale of 15/07/06 not met. The allergy section on records 01/09/07 must be completed and accurate. Evidence that an up-to-date 01/10/07 portable appliance inspection has taken place must be available at the home. 3 4 OP9 OP38 13 (2) 13 (4) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000017382.V346764.R01.S.doc Version 5.2 Page 23 Marling Court 1 2 Standard OP15 OP27 Fruit and snacks should be available for residents on all the units. It is recommended that staffing levels at the home are kept under review to ensure that the needs of residents can be safely met. Marling Court DS0000017382.V346764.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 - 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!