Inspection on 03/08/06 for Moorgate Hollow Residential EMI Home

This inspection was carried out on 3rd August 2006.

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

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

Other inspections for this house

Moorgate Hollow Residential EMI... 24/02/06

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

CARE HOMES FOR OLDER PEOPLE Moorgate Hollow Residential EMI Home Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB Lead Inspector Ms Rosemary Reid Key Unannounced Inspection 3rd August 2006 07:50 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorgate Hollow Residential EMI Home Address Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB 01287 624968 NONE NONE 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) PARK LANE HEALTHCARE (MOORGATE) LIMITED Janet Elizabeth Walton Care Home 24 Category(ies) of Dementia - over 65 years of age (24) registration, with number of places Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 24 beds in the categories - Mental Disorder and Dementia from 60 years of age. 24th February 2006 Date of last inspection Brief Description of the Service: Moorgate Hollow is a purpose built residential care home for older people with dementia. The home is situated in the Moorgate area of Rotherham. Moorgate Hollow is located on the same site as Moorgate Croft is a care home for older people and Moorgate Lodge, which is a care home with nursing. Moorgate Hollow and the other two homes on the same site are owned by the same company Park Lane H Moorgate Hollow provides a secure environment to its service users with an enclosed garden to the front and rear of the home and service users have also access both garden areas. The “Responsible Individual” is Mr Christopher Mitchell. Mrs Walton is the registered manager. The home provides accommodation for service users in single bedrooms at ground level. All bedrooms have en-suite facilities. The communal area consists of lounges and dining areas with kitchenettes facilities are also located on the ground floor. The home is on a bus route and within walking distance of the town centre. The home has a car park to the front of the building. Fees for Dementia Care are £380 as at 1st April 2005 and “top up” charges are made with additional charges made for hairdressing from £5:50, Chiropody from £15:00, Optical, Dental services, specialised toiletries and magazines etc. The registered person makes information about the service available to residents and their families via the home’s Statement of Purpose and the Service User Guide. A copy of the inspection report is made available at the home. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 3rd August 2006 from 7:50am to 6:30pm to assess National Minimum Standards for Older People, observe residents and speak with visitors to the home. The inspection focused on the key standards of the National Minimum Standards for Older People and two residents’ files were case tracked. There were no requirements from the previous inspection. This is the first key inspection of the home since being purchased by Park Lane Healthcare (Moorgate) Ltd in February 2006. Two residents files were cased tracked. Each file examined had a care plan with assessments, pressure care, daily recording and monthly monitoring. Supporting documents were also seen for example home’s desk diary, medication records, staff files and Health & Safety records. Two staff files were also assessed. The home has an activities organiser who works 20 hours per week. Relatives Support Group have meetings four times per year. All residents were observed and many were spoken with. However, the residents in the dementia unit, due to their diagnosis of dementia they could not always give their personal views of the delivery of service. One visitor to the home was interviewed who spoke about the home in positive terms. The inspector spoke with four staff members, along with the manager. A tour of the premises/environment and gardens showed that on going maintenance work has been undertaken. Feedback of the inspection was given to the manager, Mrs Walton. Twenty-four survey satisfaction feedback cards and pre-paid envelopes were left at the home for the relatives to make their comments were left at the home. Three feedback cards had been returned to the Doncaster office, which confirmed that these people were overall satisfied with the delivery of service however they did have issues about the home’s odour control What the service does well: The manager has good relations with psycho-geriatrician consultant and community psychiatric nurses. Care plans have been developed from comprehensive assessments and reviews are undertaken. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 6 The manager has a background in training and each staff member has a training profile. Induction complies with TOPPS and training has taken place for example Moving & Handling, Infection Control, First Aid, Adult Protection Dementia, Safe Handling of Medications, Food Hygiene, and Health & Safety. There is a rolling programme of mandatory training. New staff will be enrolled in the next phase of NVQ (National Vocational Qualification) level 2 in care. Ten of the fifteen staff members have NVQ level 2 in care qualification. Six staff have first aid certificates. Bedrooms were clean and tidy. Residents and their families said that they were satisfied with the delivery of care that is given to their relatives. One complaint had been recorded with action taken and no Adult Protection investigations or meetings have been undertaken. What has improved since the last inspection? What they could do better: Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 7 The new provider or a representative of their company has visited the home however, they have not undertaken monthly monitoring visits to the home and written a report of their visit. There were toiletries and hairbrushes left in the bathroom and not locked away. 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. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 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 the following standard(s): 3, 6 Quality in this outcome area is good, and this judgement has been made using the evidence available. Service users and prospective service users have up to date information regarding the registered provider. An assessment of need is undertaken and all service users have a contract/statement of terms and conditions of residency, which safeguards their legal rights. Intermediate care is not provided in Moorgate Hollow however, the service offers short stays and respite care. EVIDENCE: The service has updated their Statement of Purpose and the Service User Guide with the new providers details. In discussions with service users, family and staff confirmed that the Service User Guide had been given to prospective service users and/or relatives. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 10 The two service users’ files that were case tracked had copies of contract/statement of terms and conditions of their residency and delivery of care. Records show that Pre-admission assessment is undertaken and this was recorded within the individual service user’s care file to ensure that the home can meet their needs. Records show and in past discussions with service users and families confirmed that the home welcome visits before admission to assess the quality, facilities and suitability of the home. The home does not offer intermediate care. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good, and this judgement has been made using the evidence available. Arrangements for dealing with residents’ health issues are met by staff at the home, with support from health professionals, and care planning systems are sufficiently detailed to enable staff to deliver the care to residents who have specific identified needs and promoting good health. The senior staff have had undertaken training for the safe handling of medications and are working to the organisations policies and procedures for administration of medication. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 12 EVIDENCE: Care plans were case tracked and two care plans were examined. At a previous meeting the provider stated that they were looking at changing the care plan format and this has not taken place at this time. Care plans were reviewed monthly are reviewed monthly. There is evidence within individual residents’ care plans that consideration is given by staff to the areas of race, ethnicity, sexuality, gender, disability and belief. There have been improvements to the direction given to staff within the care plan to care for residents. The daily recording records have more information about the residents’ daily events and information with regard to all areas of the delivery care. Senior care staff administers medicines to the residents and have undertaken training on the Safe Handling of Medications. Records for the administration of medications were assessed and found to be correct and working to the company’s policies and procedures. Records were examined and discussion with the staff confirmed resident’s healthcare needs are met. District nurses attend the home to carry out injections, take bloods and attend to dressings for residents. The unit diaries were assessed which showed that appointments are kept, reviews are recorded and there is a good system in place to remind residents and staff to ensure appointments are not missed. There were many examples of good practise observed on the day, good interactions between staff, residents and a visitor. Most residents were referred to by their first name and this was with the approval of residents and recorded in their care plan. Staff were observed to actively promote independence but residents were given respect and dignity when staff were giving any aspect of care. The manager/staff will contact the spiritual advisor of the individual resident’s choice and the wishes of the individual resident with regard to their arrangements they/relatives want after death are discussed and recorded. It is also recorded if the resident/relative does not want to discuss this matter. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, 15 Quality in this outcome area is good, and this judgement has been made using the evidence available. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets resident’s tastes and choices. Social interaction and the activities programme provided stimulation and interest for residents. EVIDENCE: The inspector observed the serving of meals at breakfast, lunch and tea to residents and one visitor who discussed the quality of food at the home. The visitor said that meals had improved and there was very little waste left. A four weekly menu is offered, which provides a balanced and varied diet. Records show that all residents have nutritional assessment completed and dietician is used when needed. Improvements have taken place at meal times to streamline the way that meals are served. Meals are transported by a hot box system and then placed into a hot trolley to ensure food is hot for residents to eat. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 14 The home has an activities co-ordinator with activities available in and out of the home. Activities that take place meet the needs of the residents. A relative wrote about activities, “ seems to be on a regular basis and I feel the staff make a great effort to involve as many residents as possible”. Visitors are welcomed at all reasonable times and residents can choose to entertain their visitors in the lounges or their bedrooms. The inspector spoke with one visitor to the home they confirmed they could visit at any time, and could see their family member in either the lounge areas or the resident’s own bedroom. They said that they could only praise the commitment of the staff at the home but was sorry that the new owner said that he would meet with relatives about the “top up” fees but did not have a meeting with the relative group. Service users and/or relatives are asked with regard to the resident’s religious/spiritual needs as part of the admission process so that the staff can contact the local religious representative to visit. Where possible families are involved in care planning and have been asked about the residents interests and likes and dislikes. Records show that residents/relatives meetings have taken place with minutes taken which also is a support group for relatives who need this service. Staff were openly and indirectly observed throughout the inspection, good interactions between staff and residents the staff members encouraged residents to make choices whenever possible, for example options at meal times. Tour of bedrooms found that most had been made very homely and residents had some personal possessions in their rooms which give a sense of ownership and belonging. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Quality in this outcome area is good, and this judgement has been made using the evidence available. Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. Staff had knowledge and understanding of adult protection issues, which promotes protection of residents from abuse and training, has taken place on this matter. EVIDENCE: The home’s complaints policy and procedure is clear and accessible to all residents and visitors. Records show one complaint had been made with regard to the laundry service and action had been taken to resolve the matter by the manager. The three questionnaires that were returned by relatives (who completed the questionnaire on behalf of the resident) were overall satisfied with the service and knew how to use the complaints procedure but had concerns about the odour control within the home, the price of chiropody services which they felt that chiropody services should be part of the fee and “top up” fees. A relative wrote “My mother is very well cared for and is happier in this home than she had previously been for many years”. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 16 In the minutes of the Relatives Meeting stated, “The meeting was unanimous in offering the Management and all staff their support and many thanks for the tireless care, patience and understanding they bestow on the residents and family members alike.” The home has policies and procedures for adult protection staff spoken with confirm they are aware of these polices and procedures and training sessions have taken place. Staff induction records show that residents’ welfare/rights are discussed, which includes Adult Protection matters. The company have adult protection procedures and the home had a copy of Rotherham Metropolitan Borough Council Social Service Adult Protection Procedures, all of which promotes the residents rights to complain and uphold their protection while at Moorgate Hollow. No Adult Protection investigations have taken place at this service. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good, and this judgement has been made using the evidence available. Service users live in a safe well-maintained environment, which was clean and tidy. The manager and her staff are working to ensure an environment free from offensive odours. EVIDENCE: Moorgate Hollow is a purpose built care home. The home meets the requirements of the Disability Act and the layout is suitable to meet the needs of the all the residents of Moorgate Hollow. All bedrooms are single occupancy and there was evidence that many of the residents had personalised their bedrooms. There is a selection of communal areas throughout the home. The corridors were redecorated last year and this year the lounges and reception area has been decorated this year. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 18 New armchairs have been placed in the lounge and reception area along with new cushions along with new curtains to the lounge area and blinds in the kitchen. The domestics were observed working extremely hard to ensure a clean and hygienic environment throughout the visit to the home. However, the top of the corridor on the right hand side of the home had offensive odours. The manager explained that there had been an increase to the domestic hours by fifteen hours, cleaning rota had been changed to control odours and that carpet shampooing machine had been obtained, which had improved the cleanliness of carpets and odour control. There is a choice of bathing facilities for example, assisted baths and showers with a number of toilets placed around the home. In one of the bathrooms there was a number of bottles of toiletries and hairbrushes, which is contrary to good practice. Given the client group of Moorgate Hollow who would be unaware of the contents of the bottles and may drink the contents. All toiletries must be kept safely and hairbrushes must be in the individual resident’s bedroom. Enclosed gardens are front and rear of the home. At the front of the home fencing and decking has been fitted to form a patio area for the use of residents in good weather. Having the enclosed area has the effect of being able to have the main doors open for residents to come and go within this area. Having the doors open has some effect for the ventilation of the home and to minimise the odour control. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29,30 Quality in this outcome area is good, and this judgement has been made using the evidence available. Staff seen on the visits to the home and at inspection were enthusiastic and are working positively to meet residents care needs and improve their quality of life. There is a training and development plan that shows the staff receive regular training on different aspects of care to meet the changing needs of residents. EVIDENCE: Rotas were examined which showed that there was sufficient staff on duty. Records show that staff had induction and training courses had been taken place for example Health and Safety, Food Hygiene, First Aid, Moving and Handling , Safe Handling of Medications, and further training is booked for example Fire Prevention in July and October ensuring that service users are in safe hands at all times. Medication training for staff that administers drugs has taken place by an accredited body There is a training plan to show that the staff had received 3 days paid training per year so that they can keep up to date with care practices. There is also a rolling programme for mandatory training. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 20 Ten out of the fifteen care staff members have NVQ level 2, with three having NVQ level 3 and one working toward the award. Four new staff have enrolled for the TOPPS and four enrolled for Skills for Care. The organisation has recruitment policies and procedures, which include equality and diversity for residents who live and for staff who work at Moorgate Hollow. Two staff files show that these policies and procedures were completed in a correct manner for example two references are obtained and CRB/POVA checks are undertaken. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33,35,36,38 Quality in this outcome area is good, and this judgement has been made using the evidence available. The manager works to ensure leadership; guidance and direction is given to staff to ensure residents receive consistent quality care. This results in the health, safety and welfare of residents and staff being promoted and protected. Staff members have had informal supervision. Staff supervision session and annual appraisal is on schedule to have six in a year, which supports and develops staff and benefits the care given to residents and the development of the staff group. EVIDENCE: The registered manager is Mrs Walton, has a background in training and has completed The Registered Manager Award last year. She is aware of her responsibilities and aims to run the home in the best interest of service users. Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 22 Residents/Relatives and staff meetings have taken place with minutes taken. . Supervision sessions and appraisal of staff have taken place. The organisation has policies on all areas of care and employment matters. The manager has undertaken audits to ensure adherence to policies and procedures day-to-day practice. However, a representative of the new company has not undertaken a monitoring visit on a monthly monitoring visit hence no reports were available, which does not comply with Regulation 26 of The Care Homes Act. The manager has taken action to ensure health & safety measures are undertaken and are up to date. For example: Fire prevention testing measures and testing of water temperatures are undertaken. Temperatures of fridges that are in the snack kitchens in the home, are recorded. Hoists have been serviced and routine hygiene in the home’s water tanks has taken place. Accident records were examined and records show that staff complete appropriate documentation. Records show that families take responsibility for their relative’s financial matters the service provides receipts and receipts are obtained for any financial transactions. All necessary insurance cover is in place to enable it to fulfil any loss or legal liability. Moorgate Hollow Residential EMI Home DS0000066110.V301788.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 Standard No Score 16 3 17 3 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 3 X 2 Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP26 OP37 Regulation Reg 16(2)(k) Requirement The registered must ensure that all parts of the home are clean and odour free. The registered person must ensure that monitoring visits are undertaken at Moorgate Hollow on a monthly basis with a record Timescale for action 01/10/06 01/10/06 Reg 26 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 Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Moorgate Hollow Residential EMI Home DS0000066110.V301788.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!