Inspection on 30/11/06 for Mendip House

This inspection was carried out on 30th November 2006.

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 no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mendip House 10/09/07

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Mendip House Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ Lead Inspector Jane Poole Key Unannounced Inspection 30th November 2006 13:30 Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mendip House DS0000067302.V320737.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 Adults 18-65. 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. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mendip House Address 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) Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ 01278 760555 01278 760747 Vanessahalfacre@nas.org.uk National Autistic Society Ms Janet Smith Care Home 9 Category(ies) of Learning disability (9), Physical disability (9) registration, with number of places Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: Mendip House is a large detached bungalow situated in the extensive grounds of Somerset Court, which is owned by the National Autistic Society who remain the registered provider. As part of Somerset Courts Modernisation Programme each previous accommodation area that formed Somerset Court, has now become a separate registered service. The home was registered with the CSCI on 16/06/06 and is registered to accommodate nine services users. The fees at the home range from £58,141 to £84,288 per annum. Additional charges are made for personal items and services such as hairdressing, aromatherapy, toiletries and holidays. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over a 5.25 hour period. All nine service users were at home during the inspection. As part of the planning for this inspection comment cards were sent out to visitors/relatives, healthcare & social care professionals and service users. Some of the findings have been incorporated into this report. Many of the service users were unable to express their views on the service either on comment cards or in person but the inspector was able to observe care practices within the home. Neither the manager or the deputy was available at the time of this inspection but all care staff on duty were professional in their approach and fully assisted in the inspection process. What the service does well: The inspector was impressed by the level of social interaction between staff and service users which created a very warm and homely environment. There was evidence that service users were given choices about how they wished to spend their time. There are regular service user meetings, which enables service users to express opinions about the running of the home. Service users are fully involved in the compiling of menus and grocery shopping. Staff eat meals with service users which makes them a relaxed social occasion and enables staff to observe food intakes and promote good table manners. All service users have one day a week at home where they are able to learn and develop practical life skills and take part in activities of their choosing. There is a clear staffing structure and all staff are aware of individual roles and responsibilities. Staff demonstrated an excellent knowledge of individual service users and the home. Staff spoken to felt that the home was now adequately staffed to meet the needs of service users. On the day of the inspection all areas of the home were clean and fresh. Individual bedrooms had been personalised to reflect the personalities and needs of service users. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 6 7 of the 8 visitors/relatives who completed comment cards stated that they were satisfied with the overall care provided. 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. The summary of this inspection report can be made available in other formats on request. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There is no evidence that service users receive information about the home or what is included in the fee. EVIDENCE: No new service users have moved to the home since it was registered as a care home in June of this year. All service users were living at the home when it was registered as part of Somerset Court. On the day of the inspection the statement of purpose and service user guide were not available and staff were unclear as to whether service users had received a copy of the guide. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all personal information is appropriately stored. Service users have opportunities to make choices about the home and their day to day lives. EVIDENCE: All service users living at the home have a care plan. The inspector looked at two care plans in detail. The plans set out the needs and preferences of the service user, including their goals for the future. Each service user also has a behaviour support plan and risk assessments are in place in respect of certain activities and situations. The inspector noted that the behaviour displayed by one person was not described in the behaviour support plan and therefore there were no guidelines Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 10 for staff in the dealing with this specific behaviour. Whilst it is acknowledged that the situation was handled extremely professionally by the staff on duty, a behaviour support plan would lead to greater consistency of approach for the service user. All care plans are fully reviewed every six months by staff and service user and at least once a year professionals outside the home are involved in a full review. All service users also have a ‘link book’ which they take with them to day services each day. All daily occurrences and significant events are recorded in this book. Each month key workers write a monthly summary in the care plan. Currently the link books are stored in a wall rack and can be accessed by anyone working, living or visiting the home. This does not promote confidentiality. Throughout the inspection the inspector noted that staff offered choices to service users including how they wished to spend their evening. There are regular service user meetings and minutes of these showed that service users are involved in decisions about the home including setting menus. The inspector also noted that staff were communicating with service users about social events being arranged in the run up to Christmas. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are fully involved in choosing menus for the home. There are ample opportunities for service users to take part in leisure activities. EVIDENCE: There is a wide range of day service provision on site that all service users attend four days a week. The fifth weekday is spent within the home. This is an opportunity for service users to learn and develop practical life skills such as household chores and shopping. Staff stated that these days are also a chance for service users to spend time on a one to one basis with staff and access leisure facilities of their choosing. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 12 The majority of staff spoken to felt that ‘in house’ days gave people more choice about their activities and daily routine than the attendance of day services. If attending day services people are expected to get up at a certain time although it was apparent that there is some flexibility in this. For example staff were able to name service users who liked to get up early and those who preferred to lay in as long as possible. Times for going to bed are dependant on the service users wishes. Service users are able to have keys to their personal rooms. On the day of the inspection it was noted that people were able to choose to spend time in the communal lounge or in their private rooms No one at the home takes part in paid or voluntary work but one person attends a college course one evening a week. The home is not on a public transport route but a vehicle is available to enable people to access nearby facilities and amenities. Staff felt that they were sufficiently staffed to enable people to access leisure facilities in the evenings and at weekends. During the inspection there was constant interaction between staff and service users. Two people were assisted to attend a club in a nearby town. Many of the service users are able to stay with relatives for weekends and holidays and staff keep records of how service users maintain contact with family members. When service users are attending day services they eat lunch in the main dining room, which is used by service users across Somerset Court. This is a refectory style service with all service users making choices about their meal. Breakfasts and the evening meal are eaten in Mendip House. The home has a weekly budget and service users are involved in choosing items for the menu and shopping for groceries. Menus are always discussed at service user meetings. Service users asked stated that they liked the food in the home. Staff eat with service users in the evening which makes it a sociable occasion. Staff spoken to felt that this was a very important part of the day as it gave them an opportunity to speak with service users in a group, to monitor food intake and to encourage good table manners. Drinks were seen to be available throughout the day. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users privacy and dignity is respected when being assisted with personal care. Service users have access to appropriate healthcare professionals. Staff assist service users to attend appointments. EVIDENCE: Service user care plans give details of the amount of assistance people require with personal care. This ranges from prompting to full assistance. The home employs both male and female carers to ensure that service users have a choice about the gender of the person who assists with intimate tasks. All bedrooms have wash hand basins and there are four communal bath/ shower rooms. All bathrooms are lockable to provide privacy to service users. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 14 There is one assisted bath in the home for service users who have mobility difficulties. Service users are able to choose their own clothing each day and key workers assist service users with clothes shopping. All service users are registered with GP’s and other relevant healthcare professionals in line with their individual needs. All contacts with healthcare professionals are recorded. Records of visits give details of the appointment and any outcome. Staff stated that they assisted people to attend appointments outside the home and service users confirmed this. There is evidence that the health of service users is monitored; for example epilepsy charts are maintained where appropriate. Nobody living at the home administers or controls their medication. There is a policy in respect of all medication that gives guidelines for the safe storage, recording and administration by staff. Medication is given out by two staff, one person administers and the other witnesses. There are also two sets of Medication Administration Records (MARS.) The inspector viewed the MARS in the home and found them to be correctly signed when received into the home and when administered or refused. Medication is stored in a secure cupboard in the small office/cupboard where there is limited space for two people to check and administer medication. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Reasonable steps have been taken to protect service users from abuse and enable people to make complaints or raise concerns. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. All staff have received training in the protection of vulnerable adults. Staff spoken to stated that they received a copy of the whistle blowing policy when they began work at the home. All service users have a copy of the complaints procedure, which is written in total communication. Many of the service users living at the home have limited verbal communication but staff were able to demonstrate that they monitored changes in behaviour and mood that may indicate that a service user was unhappy with any aspect of their care. Service users were observed to move freely around the home and grounds. All service users have unrestricted access to the communal areas and to their personal rooms. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 16 All staff are checked against the Protection Of Vulnerable Adults register and undergo an enhanced Criminal Records Bureau check when they begin work at the home. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is maintained to a reasonable standard. There is limited space for the storage of confidential material or staff belongings. EVIDENCE: Mendip House is a single storey building that is set in its own garden but within the extensive grounds of Somerset Court. There are no shops or facilities within walking distance and the home is not on a public transport route. The communal areas consist of a lounge/diner and a small quiet room, which is not well utilized. All bedrooms are for single occupancy. The inspector viewed a selection of bedrooms and noted that they had been personalised in line with the needs and wishes of service users. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 18 No bedrooms have en suite facilities but all have wash hand basins. There are three bathrooms, one of which has been adapted to meet the needs of a person with physical disabilities. There is also a shower room. Bathrooms and the shower room are not homely in appearance there are no blinds at the window (glass is frosted.) The inspector noted that the last time the water temperature had been taken in the shower (01/11/06) it registered 47 degrees centigrade. The inspector took the temperature and it remained at 47, which is above the recommended 41 degrees. Assurances were given at the inspection that this would be rectified without delay. There is a large kitchen, which is pleasantly decorated and well maintained. There is a washing machine in the kitchen but the majority of laundry is sent to the large on site laundry. Currently there is no office and no appropriate facilities for staff to store belongings. In the entrance hall there is a cupboard area that is used to store documentation, medication and staff personal belongings. There is nowhere comfortable for staff or service users to use the phone in private. The inspector observed that when all service users were at home the noise level was quite loud and appeared to be disturbing for some service users. One relative/visitor who completed a comment card wrote that they felt that the home was “too noisy and too crowded.” Many of the staff spoken to echoed this view. All areas seen by the inspector were clean and fresh. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff demonstrated an excellent knowledge of the needs of individual service users. There is a robust recruitment procedure in place which minimises the risks to service users. EVIDENCE: The home employs 14 care staff, 7 have a National Vocational Qualification in care at level 2 or above. (Figures taken from pre inspection questionnaire) 5 of the 8 visitors/relatives who completed comment cards answered NO to the question “In your opinion are there always sufficient numbers of staff on duty?” Duty rotas sent to the inspector prior to the inspection show a lack of consistency in the staffing numbers. For example the number of staff on duty in the afternoon ranges 3 to 5 and in the morning ranges from 1 staff member Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 20 to 3. The care staff team in the morning is complimented by staff from the day services department who assist service users to get up and attend to personal care. There is a clear staffing structure in the home with all staff aware of their roles and responsibilities. Staff spoken to during the inspection felt that although there had been times when they were not well staffed the situation had now improved. Staffing on the day of inspection appeared adequate to meet the needs of the service users. There is now a dedicated night staff team for the home. Staff spoken to were very professional in their manner and talked enthusiastically about their jobs. Interaction between staff and service users was friendly and respectful. All staff spoken to demonstrated an excellent knowledge of the service users living in the home. The inspector was particularly impressed by the way the care staff assisted in the inspection process in the absence of any members of the management team. All staff stated that they received adequate training. Records are kept of all training undertaken and show a wide range of training opportunities. All staff receive regular recorded supervision. Records of these sessions show that they are an opportunity to discuss a variety of issues and to identify individual training needs. There is a mixture of male and female staff which enables service users to have a choice in the gender of the person who assists them. Three recruitment files were viewed and these gave evidence of a robust recruitment procedure. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 39, 40 & 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management is the home is open and approachable. There are systems in place to enable people to express their views and make suggestions about the running of the home. There was no certificate of registration in the home which led to confusion over the number of beds registered. EVIDENCE: The registered manager of the home is Janet Smith who is currently away from the home for an extended period of time. During Janet’s absence the home is being managed by the deputy. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 22 At the time of this inspection no members of the management team were at the home but care staff on duty were able to assist the inspection process in a professional and knowledgeable manner. Staff stated that the management of the home was open and approachable. People felt well supported and able to express their opinions and views. There are regular staff and service user meetings. Minutes of these meetings show that these are an opportunity to share ideas and make suggestions about the running of the home. All staff have access to the company’s policies and procedures via the National Autistic Society intranet. Documentation in respect of health and safety was viewed. A fire log shows that alarms, emergency lighting, extinguishers and emergency torches are tested weekly. Staff receive training in fire safety 4 times a year and there are regular fire drills in the home. All portable electrical appliances were tested on the 11th November 2006. The assisted bath is serviced every six months by an outside contractor. A landlords’ gas safety certificate was issued on the 27th July 2006. The temperatures of communal hot water outlets should be tested weekly but at the time of this inspection they had not been tested for 4 weeks. At the last recorded test the shower was running at 47 degrees centigrade, which exceeds the recommended 41 degrees. The inspector retested this outlet and it remained at almost 47 degrees. At the time of this inspection the certificate of registration was not displayed and did not appear to be on the premises. There was some confusion as to how many service users the home was registered for which was concerning. An immediate requirement was issued in respect of this. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 23 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 1 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 2 28 2 29 3 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X x 3 3 3 x 2 x Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4(1)(2) 5(1)(2) Requirement The registered person must compile a written statement of purpose and service user guide for the home. Copies of these documents must be forwarded to the Commission for Social Care Inspection. The registered person must ensure that service user plans are fully reflective of current needs and behaviours and give clear guidelines for staff. The registered person must ensure that documentation relating to service users is not stored in communal areas. The registered person must ensure that there are suitable storage facilities for staff belongings. There must be facilities for service users to make and receive telephone calls in private. The certificate of registration must be displayed in the home. (immediate requirement issued) The registered person must ensure that the temperature of hot water in communal areas DS0000067302.V320737.R01.S.doc Timescale for action 31/03/07 2 YA6 15(2) 31/12/06 3 YA10 17 (1) [a][b] 23 (3)[a] 31/12/06 4 YA24 31/03/07 16 (2)[a] [b] 5 6 YA37 YA42 YA27 Mendip House CSA Part II (28) 13 (4) [a][c] 07/12/06 07/12/06 Version 5.2 Page 25 does not exceed the recommended temperature of 44degrees centigrade for baths and 41 degrees for showers. 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 YA28 Good Practice Recommendations The home should refurbish the small lounge to provide a comfortable alternative room for people who prefer a quite area. Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Mendip House DS0000067302.V320737.R01.S.doc Version 5.2 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. 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