Inspection on 13/09/05 for McGillicuddy House

This inspection was carried out on 13th September 2005.

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 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

McGillicuddy House 14/09/07

McGillicuddy House 02/08/06

McGillicuddy House 20/02/06

McGillicuddy House 08/02/05

McGillicuddy House 02/11/04

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

CARE HOME ADULTS 18-65 McGillicuddy House 18 Vicarage Road Stood Rochester Kent ME2 4DG Lead Inspector Anne Butts Announced 13 September 2005 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service McGillicuddy House Address 18 Vicarage Road Strood Rochester Kent ME2 4DG 01843 580812 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 Dennis Gover Payne Care Home 8 Category(ies) of Learning disability over 65 (8) registration, with number of places McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home to continue to monitor the 2 service users whos dates of birth are 03/05/1938 and 27/06/1938 to ensure their good health is maintained. Date of last inspection 02 February 2005 Brief Description of the Service: McGillicuddy House is an eight bedded home providing 24 hour care to adults who have a learning disability. The home is a large semi-detached Victorian property situated in a quiet residential road close to Strood Town centre and a short journey from Rochester and Chatham. It has easy access to a variety of amenities and shops. The accommodation is situated over four floors and consists of six single rooms and one double room. There is a large open plan communal room that provides living, dining and kitchen facilities and there is a further quiet lounge on the first floor. There is a small garden to the rear of the home with limited parking. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place on 13th September and was carried out by Anne Butts. Both Owners, the acting manager and two members of staff supported the inspector during the day. There were four service users present during part of the inspection and the inspector spent some time talking to them. A tour of the environment was undertaken, and the inspector was shown bedrooms by the service users. Documentation was viewed and discussed. One of the owners is the registered manager, but is training the acting manager, who has worked at the home for a considerable amount of time, to take over the role. The acting manager is currently undertaking her NVQ Level 4 Registered Managers Award. There is a small stable staff base who support the owners and management. Overall the staff and management have a positive approach in supporting service users in accessing their chosen lifestyles and in meeting their support needs. The inspection was aimed at looking for positive outcomes for service users and the home demonstrated overall good practices, and any requirements and recommendations that have been made do not detract from this. What the service does well: The registered providers, manager and staff actively promote the independence of all service users and support them with accessing college, day centres and a work placement. There was a good understanding of the support needs of the service users and the overall quality of care and support is very good. Service users have an active input into the running of the home and participate in general tasks – so promoting their daily living skills. Staff and service users interacted well together and observations made indirectly throughout the inspection showed that interaction between staff and service users was carried out in a positive and respectful manner with clear affection and genuine regard from both parties. Overall record keeping is good and the home has good policies and procedures in place. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 6 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. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 and 5 Prospective service users benefit from an assessment process that ensures needs can be fully met. They have the opportunity to visit the home prior to admission in order to ensure that it will meet their needs. Service users are protected by individual contracts with full terms and conditions. EVIDENCE: The home actively promotes individual needs for service users and a full needs assessment is undertaken as service users move into the home. This is supported by the Care managers care plan. The needs assessment takes into account personal support, assessed health needs and medical history, emotional support, cultural and religious needs, communication needs and family support and involvement. Service users are able to visit the home prior to admission, where practicably possible and are encouraged to visit for the weekend and meet the current service users. On the day prior to inspection the home had admitted a service user on an emergency placement, and evidence was viewed they had worked closely with the Care Manager in supporting the individual’s needs. Records also contained individual contracts and terms and conditions. A threemonth trial period is also in place. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10. Service users benefit from good care plans which are aimed at supporting them in meeting individual needs. However their safety may be compromised, as the care plans are not supported by risk assessments that address how to fully support service users in meeting their needs. EVIDENCE: Care plans were viewed and discussed with the registered providers and manager. There are clear guidelines in respect of the care and support provided to the service users. However, the inspector felt that the plans could be expanded to contain more detail and it was recommended that as reviews are carried out areas of the care plans could be more comprehensive. The home does not record full daily notes for individual service users (except for recording of meals consumed), but has adopted a system whereby significant events are recorded and these are used to support the care plans. This appears to be currently appropriate for the home, but if there are changes in the staff base or new service users are admitted – the home may want to consider a more robust daily recording programme in the future. This will be something that will be monitored through the inspection process. The care McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 10 plans evidenced any restrictions that had been agreed with the individual service user. Service users are able to participate in the daily running of the home through regular meetings and also in the daily running of the home including carrying out their preferences of daily chores such as general housework, keeping own rooms tidy, planning the menu and going shopping. Several service users were spoken to during the inspection and comments about the overall care and support that they felt they received were very positive including “They are nice people, I like them very much” “The food is very nice” “I can speak to anyone if I have a problem and they are very helpful” A requirement made from the previous inspection with regards to independent appointees to manage service users finances has been more or less fully addressed and separate bank accounts have been set up for all but one service user and the registered providers are awaiting for Kent County Council to allocates monies appropriately – meanwhile they are ensuring that any financial transactions are fully recorded. The inspector is confident that this will be fully actioned before the next inspection. Risk assessments are in place for all key areas of care and support – the inspector has recommended that these are expanded to include all known risks and actions for outcomes to be taken either by staff or the service users in order to reduce the risk even further with regards to known hazards. There is a confidentiality policy and procedure in place and records are kept securely. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17. Service users can be confident that they are able to make positive choices with regards to maintaining independent lifestyles. Service users benefit from having an active role within the home so that their rights and choices are respected. Service users benefit from well balanced meals that are properly discussed with them. EVIDENCE: Care plans support service users in maintaining their own self care needs and service users are also actively encouraged to participate in daily chores around the home so promoting and developing independent living skills. Some Service users attend college where they learn reading and writing skills as well as attending drawing and painting classes. Others attend local day centres and one service user has also gained employment with a local organisation. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 12 Service users are free to come and go from the home as they please. On the day of inspection the service users were observed organising an outing for lunch with the staff, and choosing where they wanted to go. Service users spoken to confirmed that they went out and about as they chose and described the various places they visited including church, the local football ground and shops. There was no evidence of organised activities on a regular basis within the home, but service users are supported in being as independent as possible and were all active during the day and preferred to make their own choices with regards to leisure activities within the home. Staff and service users did talk, however, about ‘theme nights’ that had been organised including Chinese meals, which all service users stated how much they enjoyed. Staff and service users also described outings they had been on including local events and festivals. Service users had unrestricted access around the home, and although all service users are offered a key – they had declined and this was recorded onto their care plans. Service users are actively encouraged to vote and all had their own voting cards. Meals are flexible, and service users help out with menu planning and cooking – as well as going shopping with the staff. They confirmed that they enjoyed doing this. Special diets are catered for and recorded onto care plans and in a daily menu book. Weight is recorded on a regular basis. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 20 and 21. Health needs are met and service users benefit from having full access to all professional health care services as required. The service users’ welfare was protected by the home’s policy and procedures with regard to the handling and administration of medication; however, improved storage and record keeping would further protect service users safety. Service users can be confident that their wishes with regards to end of life issues is handled with respect and sensitivity. EVIDENCE: Service users are fairly independent and are supported with their needs as identified within the care plans. Full reviews are carried out with the Care Manager and changing needs are identified and acted upon. Personal choice with regards to getting up and going to bed is accommodated for individual service users – but this is based around their daily activities i.e. going to college or work. Care plans contained full health care information – including medical history, evidence of contact with chiropodist, dentist, opticians, GP’s and community McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 14 nurse. Where appropriate the speech and language therapist had input into service users needs. Currently no service users administer and control their own medication and none had expressed a wish to do so at the current time. All staff had undergone appropriate medication training and the medication is stored in a locked cabinet in a locked room and the key is appropriately safeguarded. There are still some outstanding issues that need addressing with regards to actual storage and record keeping of medication. The home has purchased a lockable metal storage cabinet for medication, but creams etc are being stored alongside oral medication such as tablets. The inspector recommended that these are separated and it was agreed that the creams etc would be stored in a second cabinet that would also be locked. The temperature of the medication storage area should also be monitored and a recommendation was made to this effect. Service users individual records would benefit from having service users photos added and dividers between different records so as to ensure that no errors are made with regards to administration or recording onto the MAR sheets. The home has consulted with service users about end of life wishes and this is fully recorded in the care plans. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 There is a clear and effective complaints procedure in place that protects service users. Robust Adult protection protocols and trained staff further protect service users. EVIDENCE: The registered owners stated that there had been no complaints made since the last inspection. Service users are consulted with through regular meetings and surveys and felt confident about putting their views across. Service users spoken to also confirmed that they were quite happy to speak to any members of staff and the owners on an individual basis if they felt that they had any problems. There is a full complaints procedure in place with relevant timescales and how the home has also adopted the Kent & Medway Adult Protection protocols and staff demonstrated an awareness of both. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28 and 30. Service users benefit from living in a reasonably safe and largely well maintained, clean, homely environment that suits their needs. Their safety would be further protected by some environmental health and safety issues being addressed. EVIDENCE: The home is a fairly large semi-detached property set over four floors, one of which is at basement level – but all bedrooms in this area had plenty of natural light. The home is overall clean, reasonably well decorated and suitable for it’s purpose. Furniture and decoration gave the property a ‘homely’ feel. New stair treads had been fitted on the flight of stairs to the first floor, but the stair carpet to the lower level is loose in places and noted to be unsafe and this needs addressing in the same manner – a requirement has been made to this effect. As the property is central to the town centre, local transport and amenities are all easily accessible. Bedrooms are all of a reasonable size and very evident of service users individuality with own possessions and choice of soft furnishings. Most of the furniture in the bedrooms was seen to be of good quality but a small percentage of the bedroom storage furniture was in need of repair due to McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 17 drawer fronts and wardrobe doors being loose and not fitting. The owner did state that this was reasonably new furniture but the quality had not been to the standard they had expected when they purchased the items, and they would not be purchasing any more. A recommendation was made that bedroom furniture was made good. The top of the wardrobe in one room was seen to have a large number of items stored on top, which could pose a risk if the service user decided to try to reach for any of the items, and although the registered provider stated that the service user would not try to access the top of the wardrobe it was recommended that a more appropriate storage space be found. One service user has a shower unit within his room, and this was seen to be in need of either a thorough clean or re-sealing around the edges, as condensation had caused the sealant to become mouldy. There was also an odour around this area and in the hallway outside the room that could be a result of inadequate ventilation – but the owner advised that he would look into this following the inspection. There are sufficient bathroom and toilet facilities within the home, and although there are no toilet facilities located near to the main communal areas, all service users are easily able to access any as required. Service users use the shower room, and there is another bathroom, which is currently not in general use. It was discussed that before this is used it would need to be renovated. The home has a large kitchen, dining and living area, which was comfortable and of a ‘homely’ environment. There are separate laundry facilities situated away from the kitchen and systems are in place to control the spread of infection. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 Service users can be confident that their care and support needs are met by trained and competent staff who respect their preferences and choices. EVIDENCE: The acting manager is currently being supported by the current registered manager through her NVQ level 4 registered managers award, so that she will eventually take over the role of manager. Other members of staff spoken to during the course of the inspection confirmed that they received training including medication, movement and handling, 1st aid, fire awareness, food hygiene and adult protection. Some members of staff have completed their NVQ level 2 and another is looking at funding so as to enable her to finish her course. There have been no new members of staff since the last inspection. Staff demonstrated a knowledge and awareness of individual service user needs and the policies and procedures that are in place for the home. They were confident in working with both the acting manager and registered providers, and also all members of staff were observed indirectly throughout the inspection relating well with service users and working with them as they made their choices about their daily living activities throughout the day. Supervision is held on a regular basis, as are regular meetings McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 19 McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40 and 42 Service users can be confident that their opinions are taken into account and acted upon, where appropriate. Policies, procedures and risk assessments safeguard service users rights and best interests. EVIDENCE: Records evidenced, and service users confirmed, that the home includes service users in achieving the aims and objectives of the home. A quality assurance monitoring process is in place and outcomes are recorded and acted upon. Regular meetings are held with service users and they also confirmed that they take an active role within the home and are able to participate with regards to decision-making and this included menu planning, organising outings and having a say with regards to colour schemes when redecorating. The registered provider also now carries out monthly checks to monitor the performance of the home. The home does not have a set format for these checks but information was sent following inspection. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 21 A sample of policies and procedures were viewed and those inspected were appropriate for the needs of the home and had been reviewed in accordance with relevant timescales. There was a requirement made at the last inspection for some health and safety checks to be carried out – the home had contacted the environmental health authority and taken professional advice with regards to these issues and they had been addressed as directed. Environmental risk assessments are in place to protect the health and safety of service users and are reviewed on a monthly basis and these are fairly comprehensive, but it would be good practice to add any new areas or issues as they arise or are identified. Records also showed that all relevant maintenance checks had been carried out. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 McGillicuddy House Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score x x 3 3 x 3 x H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? All requirements have either been met in full or are in the process of being completed. 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 24 Regulation 13 {4(a)} Requirement The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety - in that the stair carpet to the lowel level is made safe and secure. Timescale for action 31 October 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. 1. Refer to Standard 9 Good Practice Recommendations All risks and hazards to service users personal safety are fully assessed - in that the written risk assessments contain more detail for outcomes for actions to be taken, and are recorded fully within the care plan and reviewed regularly. It is recommended that medication is appropriately stored in that creams and ointments should be kept apart from tablets and liquids for oral consumption. It is recommended that the temperature of the medication cabinet is monitored and recorded. It is recommended that service users medication records are revamped in order to reduce the risk of any H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 24 2. 3. 4. 20 20 20 McGillicuddy House 5. 6. 7. 25 25 30 medication errors. It is recommended that any bedroom furniture which is broken be made good or replaced if appropriate. It is strongly recommended that personal items are not stored on top of wardobes and a more appropriate location is found. It is recommended that the sealant around the shower unit in an individual bedroom is either replaced or thoroughly cleaned. McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 McGillicuddy House H56-H06 S28900 McGillicuddy House V239779 130905 Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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