Inspection on 16/05/05 for Mayfield House

This inspection was carried out on 16th May 2005.

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

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

Other inspections for this house

Mayfield House 04/09/08

Mayfield House 03/09/07

Mayfield House 23/05/06

Mayfield House 16/11/05

Mayfield House 19/10/04

Mayfield House 11/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Mayfield House 29 Mayfield Road Walton on Thames Surrey KT12 5PL Lead Inspector Mrs Pauline Long Announced 16 May 2005 th 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 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. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Mayfield House Address 29 Mayfield Road Walton on Thames Surrey KT12 5PL 01932 229390 Telephone number Fax number Email 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 Colin Catton Mrs Elizabeth Patricia Prior Care Home 34 Category(ies) of DE(E) - Dementia over 65 (3) registration, with number of places OP - Old Age (34) Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 5. It is a condition of registration that of the 34 people accommodated, UP TO 3 MAY FALL WITHIN THE CATEGORY DE(E) 6. The age/age range of the persons to be accommodated will be : OVER 65 YEARS OF AGE Date of last inspection 19th October 2004 Brief Description of the Service: Mayfield House is a long estabilished, privately owned care home situated in Walton-On-Thames. The home provides care and accommodation for up to 34 older people who need personal care and assistance. Accommodation is provided on two floors, there is access to the first floor via a lift and stairs. The home offers accommodation in single and double rooms. There are two large sitting rooms, a large dining room and a conservatory. There is a small well-maintained garden. There is limited parking on site, however parking is available in the adjacent pay and display car park. The home is close to the mainline railway station of Walton-On-Thames and the local bus route. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Inspection of the CSCI year April 2005- March 2006 and was announced. The inspection was carried out by one inspector and lasted for five hours. The service had a homely and welcoming atmosphere. On the day 12 residents wished to remain in their bedrooms. The resident’s appearance and obvious wellbeing indicated that their personal care needs were being met. Some of the resident’s and all of staff on duty were involved in the inspection process and were keen to talk about life in the home. During the inspection process, evidence was gathered in the following ways: • • • • • • • • • Discussions with the Manager and deputy manager. Discussions with the residents. Discussions with the staff. Discussions with visitors to the home. Direct observation of interactions between the residents, deputy manager and staff. Examination of resident’s, staff records. Feedback from the last inspection reports. Information gathered from the Pre Inspection Questionnaire. A tour of the home. What the service does well: This home presents a very homely environment and atmosphere for the residents. The deputy manager’s approach was very open, she demonstrated an in-depth knowledge of the residents care needs and this was reflected in the wellbeing of the residents who live there, one resident said “I am very happy living here” another said, “ I like everything about it here”. Some of the resident’s spoken to were keen to discuss their lives and living at the home. One resident stated, “the staff were kind, they are all very nice people”. The home is committed to ensuring that the residents maintain contact with family/friends and the local community. There are various activities offered both in and outside the home. On the day residents were enjoying a music and movement session. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Although some of the previously made requirements had been met, the home still has to address some areas which now must be a priority for attention. Failure to comply with these may result in CSCI seeking legal advice, if these continue to remain unmet. 1. Particular attention must be paid to the safe storage and disposal of hazardous substances (COSHH ). An immediate requirement was made. 2. The regulation of hot water/ hot surfaces needs to be a priority. The radiator in room 113 was very hot. An immediate requirement was made. 3. Fire safety procedures must be followed. Fire doors must not be propped open. An immediate requirement was made. A fire drill must be carried out. Fire extinguishers and equipment have not been checked since March 2004. 4. Water temperatures must be checked regularly and records kept. 5. Risk assessments must be completed and documented in respect of all potential trip hazards. 6. The home has yet to provide an action plan outlining plans to meet the government training targets and in particular targets relating to NVQ2 qualifications. 7. A business and financial plan must be in place and open for inspection. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 7 Requirements have been made in these areas. Please refer to pages 24 and 25 of this report. 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. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, Arrangements are in place to ensure a full needs assessment takes place before any new admission. The home does not provide for intermediate care. EVIDENCE: Each resident had a comprehensive assessment of needs, which is carried out by the deputy manager at the home. All aspects of daily living needs were assessed, indicating that the deputy manager and care staff would be fully aware of individual residents care needs. The residents files inspected on the day had a detailed contract in place. This was presented in a clear and easily read format. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 standard(s) 7,8,9,10, The deputy manager and staff have a good understanding of the residents. health and personal care needs, which were well met. This was evident from the positive interactions and relationships observed. EVIDENCE: The residents care plans were comprehensive, and included needs assessments, communication assessments, risk assessments with regard to manual handling, falls and potential risks to pressure areas. There was documentation regarding changes in healthcare needs. There were records with regard to the activities and care given being kept, documented on each individual on a daily basis. All of the resident’s care plans are reviewed on a monthly basis. One member of senior staff was observed administering the resident’s lunch time medication. The medication round was carried out in an unhurried and Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 11 respectful manner. Care staff who have had medication training and are competent are allowed to administer the medication. All medication record sheets were in good order and signed by staff. Through out the inspection process, staff were observed carrying out various aspects of personal care for the residents. This was carried out in a respectful manner, bedroom and bathroom doors were not left open, staff were observed knocking on doors and waiting to be invited in, before entering rooms. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The Manager and staff enable the residents to maintain fulfilling lifestyles in and outside the home. The meals in the home are good, offering choice and catering for special dietary needs. The home promotes contact with family, friends and the local community. EVIDENCE: During the inspection process, residents received visitors, who were able to come and go as they pleased. Some met with their visitors in their bedrooms and some met with them in the sitting rooms. Other residents were observed going out with family and friends. The Community Nurse was in the home on the day of inspection. She stated that the home had a” very welcoming atmosphere” and, that “the community nursing service and the home have a very good working relationship”. There were no restrictions observed at the home. Care staff were observed offering residents their own choices with regard to clothes. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 13 All of the residents were invited for pre-lunch drinks on the day of inspection. Staff and residents stated, that, “we have drinks every day before lunch”. The lunch time period in the home was very quiet. A member of staff stated that, “it was not usually this quiet and could be due to the fact that twelve of the residents were having their meal in their bedroom” The care staff were courteous and respectful, there was spontaneous interaction between the staff and residents, which indicated positive relationships. The food was plated up in the kitchen before it was brought to the table. Staff were observed offering the residents a choice of meal and a drinks. There were no restrictions on where residents sat in the dining room. The senior carer stated that “on occasions some of the residents sit at the same tables”. Residents were observed chatting to each other about what they had chosen for lunch. One resident was heard to say “thank you dear the food is very nice today”. After lunch, residents were observed making their way to the sitting room. The manager explained that there were various activities offered in the home. On the day the “activity lady” was providing a music and movement session. There was singing and laughter, which indicated that the residents taking part in the activity were enjoying the session. One resident stated that “I have lived here for five years, I enjoy the keep fit on a Friday, the food is good and I go out with my family”. A visitor to the home stated that he was “happy with the care his mother was given”. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home has satisfactory policies and procedures and training in place for dealing with the protection of the residents, and for addressing concerns and complaints. EVIDENCE: CSCI have received no complaints about this home since the last inspection. The home has a complaints/compliments folder. There were no records of written complaints being received at the home. The manager and deputy respond to complaints on an individual basis. It was pleasing to note the many thank-you cards and compliment letters. Some of the negative comments were: • • My clothes sometimes don’t always come back. I miss going out with and visiting my family and friends. The responses were discussed with the managers, who indicated that they had discussed the latter two comments with the residents who had concerns. The manager is aware of and has attended the Surrey Multi Agency Abuse training. Most of the staff group have attended abuse training. The manager said that she is making arrangements for the rest of the staff group to attend this training. A requirement has been made in respect of Surrey Multi Agency Abuse training. Please refer to pages 24 and 25 of this report. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 15 Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 standard(s) 19,20,21,23,24,26 The standard of the environment within this home is good, most of the areas in the home, currently meets the collective and individual needs of the residents, providing an attractive and homely place to live. However the quality of some of the bedroom furniture is poor. EVIDENCE: The home is fairly spacious, comfortable clean and mostly free from odours. There is malodour in one of the bedrooms, which appears to have been an ongoing problem. The manager stated, that, “the carpet has been cleaned on several occasions however this has not solved the problem”. The resident’s bedrooms were personalised. There were photographs of family members and other personal items. Some of the bedrooms had a television and music centres. Some of the furniture in the bedrooms was quite old and will need to be replaced in due course. One of the vanity units was in a very Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 17 poor state of repair and needs to be replaced as it may pose a risk to hygiene and the control of infection. The main sitting rooms had ample comfortable armchairs, coffee and occasional tables. One of the sitting rooms is a quiet room and one of the resident’s returned questionnaires stated” I really appreciate the quiet sitting room”. The home provides care for residents who suffer from dementia. It was noted that there were several mirrors situated around the home. One resident was seen to be a little distressed. The distress was generated by his reflection in the mirror. This was discussed with the managers and it was suggested that the home may wish to review the siting of the mirrors. All of the carpets in the communal areas have been renewed. A programme of renewing the bedroom carpets was underway. There were no hand towels in the toilets. An immediate requirement was made. Water temperatures were checked in various rooms through out the home. These varied from room to room, there were no thermometers evident and there was no recording of temperatures. An immediate requirement was made in this respect. A radiator in one of the bedrooms was extremely hot. An immediate requirement was made in this respect. Requirements and a recommendation have been made in these areas. Please refer to pages 24 and 25 of this report. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The staffing arrangements in place on the day of inspection were sufficient to meet the needs of the service users. EVIDENCE: The home has policies for staff recruitment. No new members of staff have been recruited since the last inspection. Staff files seen on the day indicated that thorough recruitment and selection procedures were not followed. One of the files did not have two references. This was discussed with the manager, who stated that this was a clerical error and that two reference requests were sent to the same referee. Staffing levels in the home have increased since the last inspection. The dependency levels of the residents on the day indicated that the present staffing ratio was adequate. Staff talked about their job roles, there was clarity and awareness of the different roles and responsibilities within the home. Staff also discussed the training opportunities in the home. One member of staff has completed NVQ2 and 3 and is about to undertake an NVQ Assessor award. Training in the home is now given a higher priority. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 19 It was disappointing however to note that a member of the domestic staff team had received no training. The homes training records indicated that the following training has taken place in 2005: • • • • • • • Dementia. Infection control. Challenging behaviour First Aid. Health and Safety. NVQ2,3 NVQ Assessor Award. A requirement has been made. Please refer to pages 24 and 25 of this report. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36, 38 The home has clear Policies and Procedures and the standard of record keeping in the home is satisfactory. The Manager is experienced and qualified to run the home. EVIDENCE: The manager has worked at the home for over 10 years, and has achieved, The Registered Manager Award. She stated that her overall responsibilities were, Co-ordination of the running of the home, Staff Employment/ Staff issues, Marketing/Introduction of New Residents, and Financial responsibility/ Preparation of Accounts. The manager was observed as having a very open approach and from observation of her interactions with residents and staff it was clear that there was an atmosphere of openness and respect. The deputy manager has overall responsibility for resident’s health and well-being, however the manager stated, that, she works closely with the deputy manager. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 21 The home has developed and introduced a service user questionnaire. Many have been returned. Many of the comments were positive, for example: • Everyone is welcome at the home. • My Mother says she always enjoys the food. • My mother is always well dressed and made up. • Staff are very caring. • The fresh flowers are appreciated. • It is warm and cosy here. • Couldn’t wish for better. • I feel quite at home in my room. • Mayfield is a very happy home. There were records, which indicated that some of the staff had received one to one formal supervision. Not all staff had received a formal one to one supervision meeting. There were some concerns with regard to health and safety issues in the home: • Water temperatures were checked in various rooms through out the home. These varied from room to room, the were no thermometers evident and there was no recording of temperatures. An immediate requirement has been made. Cleaning materials were left unattended at various times during the inspection. An immediate requirement has been made. A radiator in one of the bedrooms was extremely hot. An immediate requirement has been made. One of the kitchen fire doors was propped open. An immediate requirement has been made. The Fire extinguishers were last serviced in March 2004. The most recent fire drill was March 2004. • • • • • Requirements have been made in these areas. Please refer to pages 24 and 25 of this report. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 2 3 x 3 2 1 2 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x 3 x x 2 x 1 Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 23 Yes 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 OP 24 Regulation 16(1)(2)( c) 23(2)(e)(f ) Requirement The Registered Person(s) must ensure that risk assessments are carried out on all potential trip hazards and that a report is sent the CSCI Surrey Local Office. Timescale of 1/12/2004 not met. The Registered Person(s) must investigate alternative floor coverings. Timescale of 1/12/2004 not met Timescale for action 16/6/2005 2. OP 26 3. OP 28 4. OP 34 5. OP 37 6. OP 38 13(3) 16(2)(e)(j )(k) 23(2)(d)( 5) 18(1)(a)(c The Registerd Person(s) must ) provide the CSCI with an action plan, outlining how the service plans to meet the Governement training targets. Timescale of 1/12/04 25(2)(3) The Registered Person(s) must Schedule ensure that a buisness and 4.3 financial plan for the service is open to inspection by the CSCI. Timescale of 1/12/2004 not met 19(1) (c ) The Registered Person(s) must Schedule ensure that staff records contain 2 all of the information required by the Care Homes Regulations 2001 schedule 2 and 4. Timescale of 11/06/2004 not met. 13(4)(a,c) The Registered Person(s) must ensure that water temperatures H58_s13713_Mayfield House_v216990_160505_stage4.doc 16/6/2005 16/6/2005 16/6/2005 16/6/2005 Immediate 16/5/2005 Page 24 Mayfield House Version 1.30 in the home are safe. 7. OP 38 8. OP 38 13(4)(a) 13(4)(a,c) The Registered Person(s) must ensure that all hazardous substances are stored safely. The Registered Person(s) must ensure that all areas of the home are free from hazards to health and safety. Hazardous substances must not be left unattended. The Registered Person(s) must ensure that all staff receive one to one formal supervisions six times a year and that these are documented. The Registered Person(s) must ensure that the radiators in the home do not exceed a safe temperature. The Registered Person(s) must ensure that the vanity unit in a bedroom is repaired or replaced. The Registered Person(s) must ensure that all staff receive protection of Vulernable Adults training. The Registered Person(s) must ensure that all fire fighting equipment is properly maintained. The Registered Person(s) must ensure that fire drills and practices are carried out at suitable intervals. The Registered Person(s) must ensure that the home is free from offensive odours. Immediate 16/5/2005 16/6/2005 9. OP 36 18 (2) 16/8/2005 10. OP 38 13(4)(a) Immediate 16/5/2005 16/8/2005 16/7/2005 11. 12. OP 24 OP 18 13(a) (c ) 23(2) (d) 13(6) 13. OP 38 23(4)(a) (c )(iv)(v) 23(4)(e) 16/7/2005 14. OP 38 16/7/2005 15. OP 26 16(2)(k) 16/6/2005 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 Standard Good Practice Recommendations Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 25 1. OP 22 2. OP 4 The Registered Person(s) should undertake a risk assessment of the ramps in the corridors to ensure they pose no risk to the residents. . The Registered Person(s) should consider, whether or not the mirrors in the home could be moved around, so as to be less of distraction to a resident who has dementia. Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 26 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Mayfield House H58_s13713_Mayfield House_v216990_160505_stage4.doc Version 1.30 Page 27 - 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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