Inspection on 15/01/08 for Moreton

This inspection was carried out on 15th January 2008.

CSCI found this care home to be providing an Good service.

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

Moreton 13/12/06

Moreton 21/10/05

Moreton 05/06/05

Moreton 12/01/05

Moreton 28/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Moreton 13 Drakes Avenue Exmouth Devon EX8 4AA Lead Inspector Teresa Anderson Unannounced Inspection 10:00 15 January 2008 th 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 Moreton DS0000021984.V350855.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. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moreton Address 13 Drakes Avenue Exmouth Devon EX8 4AA 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) 01395 272897 01395 223718 Home.EXM@mha.org.uk home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Tracy Nenadic Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (35), Physical disability of places over 65 years of age (35) Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2006 Brief Description of the Service: Moreton is a two-storey care home in a residential area of Exmouth, East Devon. It is owned by the Methodist Housing Association (a not-for-profit organisation) although people do not have to be a Methodist to live here. The home provides care and accommodation for up to 35 older people who may have a physical disability. Communal space in the home is made up of large lounge on the ground floor and a dining room with a large conservatory attached. On the first floor there is another smaller lounge/craft area. The home also provides communal kitchenettes and laundry facilities. Floors are linked by a passenger lift. There are large gardens to the front and side of the home with some level access. Ample parking is available. Fees (as at January 2008) range from £212.00 to £285.00 per week. Fees do not include hairdressing, chiropody, taxis, papers or shopping. Additional information about this service is available direct from the home or from the Methodist Housing Association. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place as part of the normal programme of inspection. One inspector carried out the site visit starting at 10.00am and finished at 4.00pm. During the time spent at the home we looked closely at the care and services offered to three people as a way of judging people’s experiences and the standard of care and accommodation generally. Where possible we spoke with these people in depth. We looked at their care assessments and care plans closely, and spoke with staff about their knowledge and understanding of the plans. We looked at people’s bedrooms and we looked at the overall environment from their perspective. We also spoke with or observed some of the other people living at the home, with the manager, carers and ancillary staff. We looked around the building at all communal areas and saw some of the bedrooms. We looked at records relating to medication, care planning, staffing, accident and incident reports, training, fire safety and recruitment. Prior to the visit to the home we sent surveys to people living here and 7 were returned; to relatives and 4 were returned; to staff working at the home and 9 were returned. We also received feedback from health and social care staff. Feedback and comments are included in the report. In addition, and before we visited the home, the manager provided information about the management of the home and an assessment of what the home does well and what they plan to improve upon. What the service does well: People are assessed before they move into this home to be sure that the home can meet their needs. They are helped to settle in and to make the transition from living independently to communal living by staff who understand that this can be a difficult time. Comments about moving into the home include ‘staying in Moreton is a comfort and a blessing’ and Moreton is ‘a blessing when one cannot take care of oneself any more’. People have their health, medication and care needs met through a good system of planning and management, and by staff who understand how to deliver care that is individualised. People told us they had put on weight and that their health had improved since coming to live here. People receive this Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 6 care in private and are helped to maintain their privacy, dignity and independence. People are helped to remain mentally and physically active and are helped to have a fulfilling social life through a variety of arranged activities. Some people prefer not to join in and are free to make this choice. People also make choices about their daily lives, such as what to wear and when to get up and go to bed. People living here are supported to influence how the home is run by having their views and complaints heard through meetings, feedback and complaints. Recently this has resulted in a planned change to one of the communal rooms being overturned. The commission have not received any complaints about this service. People living here are cared for by a staff group who are well trained, committed and know how to keep people safe from harm. Staff understand what abuse is and know what to do if they suspect or see this. Any monies kept on people’s behalf are well managed and safe. The majority of staff have a National Vocational Qualification (NVQ) in care and receive additional mandatory and specialist training. This home is well maintained, homely and clean throughout. There are good laundry and sluicing systems in place. The kitchen is well equipped, although due to be updated, and is run by a very experienced and competent cook. People really enjoy the food served here. They are offered a cooked breakfast three times weekly, have three choices of main course at lunch time (including a vegetarian option) and have a choice of hot or cold food for supper. The cook has had training in providing special diets such as for people with diabetes. The home is managed by an experienced and qualified manager. Staff feel well supported and have a good working relationship with the manager, each other and with the people who live here. What has improved since the last inspection? No recommendations or requirements were made at the last inspection. However, the home continues to strive to maintain and improve standards of care and services. The manager has completed a Diploma in caring for people with dementia and one of the activity co-ordinators has completed a course in reflexology and will be offering this service to the people who live here. Care plans have been redesigned and implemented and are based on good practice of planning, implementing and reviewing. The programme of redecoration continues. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 7 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. Moreton DS0000021984.V350855.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 Moreton DS0000021984.V350855.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. (Standard 6 was not inspected because this home does not provide intermediate care). Quality in this outcome area is good. The people who come to live here can be assured that their needs will be assessed and that they will be helped to settle in. Contracts detailing terms and conditions of occupancy are clear. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at three care plans and saw that each person had been assessed by a senior carer prior to coming to live here. The information collected helps the home to determine if and how this service can meet each person’s needs. People spoken with say that moving to a new home is daunting but that the manager and staff really helped them to settle in easily. They say that staff took time to get to know them and their ways and work really hard to treat them as individuasl. One person commented they were ‘invited to stay for a Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 10 week and then decide whether to stay or not’ and another that ‘my first impression that I would be happy here was right’. One person had experienced some difficulties with being helped to settle in and the manager takes responsibility for this and says that the home has learnt from it. Staff say they have enough information about people before they move in so that they can help to meet their needs when they first move in. People living here say they have a contract. We looked at three and found that these detail the terms and conditions of occupancy and the bedroom to be occupied. Moreton DS0000021984.V350855.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. People’s care and health needs are well planned, providing staff with the information they need to meet people’s individual needs. Peoples’ medicines are managed safely. People’s privacy and dignity are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at three care plans and found that each person had undergone a comprehensive assessment which is recorded and which forms the basis of the care plan. Each person is assessed to determine for example if they are vulnerable to developing pressure sores, to developing malnutrition or have moving and handling needs. From this a comprehensive plan of care is developed. Each plan of care takes into account people’s preferences. Staff spoken with understand the care plans and know about each persons needs. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 12 They also demonstrate a good understanding that care needs to be delivered in a way that treats each person as an individual. We saw evidence in the care plans that referrals are made to healthcare professionals such as doctors, district nurses, chiropodist, dentist and community psychiatric nurse as needed. We also saw evidence that their advice is put into action. In surveys people say they get the care they need. Although some people are disappointed that the doctor has stopped the in-house monthly surgery, people comment that they do not think they would be as well as they are if they did not get the care they get. Care plans also show that staff monitor if people are falling and that this results in changes to the care plan being made and a referral to the local falls clinic. We saw that people are helped to remain well groomed, for example staff help people to keep their glasses, teeth and clothes clean, and to dress as they wish to. The home provides staff with equipment and with training in moving and handling. We saw that when people’s moving and handling needs change that staff review and record these needs and provide alternative means for helping people to move if necessary. We looked at how peoples’ medicines are managed. We found they are stored safely and that records are up to date. We found that when people are prescribed to have medicines ‘when needed’ that staff record why they gave these as part of the care planning arrangements. We found that medicines requiring refrigeration are stored in a dedicated fridge and that staff record the temperature of this to make sure it is appropriate. Although the minimum and maximum temperatures at which the fridge runs are not yet being recorded, the manager plans to start this as soon as the appropriate thermometer has been delivered. We found that Controlled Drugs are stored safely and securely. We checked the records relating to one persons stock and found these to be in order. We spoke with people living here about privacy and dignity. They told us that staff knock on bedroom and bathroom doors before coming in and that all personal care is given in private. We saw that each bedroom has a ‘Do Not Disturb’ sign which people or staff can use if the person wants privacy. Healthcare staff told us that they always see people in private and that staff are very good at helping people to move somewhere private. Moreton DS0000021984.V350855.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. People are supported to have easy contact with their family and friends and benefit from having flexible routines. Social activities and engagement is available for those who wish to participate. People enjoy a balanced diet which takes into account the likes and dislikes of individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys people say they enjoy the activities provided by the home, or choose not to join in because they are ‘private people’ or because they like their own company. The home employs two activities co-ordinators who arrange and provide activities for the people living here. The manager told us that activities are based on people’s assessed preferences or interests. We looked in care plans and found that people’s interests are recorded and we spoke with people about these. They told us that they are supported to, for example, go out on short Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 14 walks, grow plants from seeds, to knit and to join in with quizzes and to generally ‘keep the brain going’. In addition the home has a parrot called Mango and a budgerigar called Jackie, which belongs to someone living here but who lives in the lounge. The Methodist Housing Association recently held a competition asking people living in their homes to submit a pudding recipe. These were cooked in the homes, tasted and judged by the people living in homes. On the day of this site visit the activities co-ordinator was leading a name game, which some people were joining in with and enjoying. Other people were reading the paper or magazines in the lounge. Other people told us they like to stay in their bedroom watching TV and go to the dining room for lunch. A game of scrabble had been arranged for the afternoon but not many people wanted to join in. The activities co-ordinator was discussing with people what else they might like to do. One of the activity co-ordinators has been supported to train as a reflexologist and will be offering this service in the near future. People say they can see their visitors when they like and that they are always offered refreshments. They also say that they can make drinks for their visitors as there are facilities to do so. Visitors to the home say they are made welcome, and where appropriate, are kept up to date with events and changes. Relatives and people who live here say that there has to be some routine, but that this is kept to a minimum. People can for example, follow their own routines with regard to what time they go to bed and get up, what they wear, what and where they eat and what they do with their days generally. People say they enjoy the food served here. Many say they enjoy not having to cook for themselves and that they have put weight on since coming to live here. We saw that people have a free choice regarding what they eat for breakfast (a cooked breakfast is served three times weekly), there are three choices for main course at lunch time and sandwiches, soups and ‘something on toast’ are usually served at supper time. People think the ‘cook is wonderful’ and say she ensures there is a variety of foods. Other people say the food is ‘excellent’ and ‘can’t be faulted’. The cook has received training in how to prepare special diets, for example for people who have diabetes. She is also informed and keeps a record of other special food requirements, for example relating to medication. Care plans demonstrate that she is also informed if people would benefit from having ‘finger foods’ so that they can continue to feed themselves. Moreton DS0000021984.V350855.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. People living here have their complaints heard and acted upon and are kept safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The commission have not received any complaints about this service. The manager reports that the home has received 9 complaints, 8 of which were upheld. The majority of these related to the a plan by the Methodist Housing Association to close the room currently used for crafts. This resulted in this plan being changed. People living here say that staff listen to them and act upon their wishes. They say that if they had a request, they would make it to anyone and they would deal with it. People know they can make more formal complaints but say they have not had the need to. People say they feel safe living here and that the staff are always helpful and kind. Staff receive training in Safeguarding Adults and demonstrate a good understanding of what abuse is and what to do if they suspect or see abusive practice. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. People live in a home which is suited to their individual needs and which is safe, clean and well cared for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys people say that the home is always clean and well maintained. We looked at the duty rota and saw that there are two cleaners and two maintenance people who help to maintain the home to a high standard. Equipment to help prevent the spread of infection, for example hand washing liquid and paper towels are available throughout the home. We looked around the home and saw that there are aids and equipment to help people get around. All areas are homely with pictures, books and plants and flowers. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 17 The home has two sluicing areas which are clean and well organised, as is the ‘commercial’ laundry. The home also has two domestic laundries (one on each floor) with small domestic appliances which people living here can use. In addition there are two kitchenettes for people to use. These facilities help people to remain independent. When we walked around the home we saw that fire equipment is available and that the fire doors close. We were told by the manager that the Fire Service had recently visited and required that some changes be made. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. People living here benefit from receiving support from a staff group who are committed, have the skills needed and are employed in sufficient numbers to meet people’s needs. Staff recruitment is robust meaning that people are cared for by appropriate carers. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys and during conversations people told us that the staff who work here are ‘the best’. They say they are ‘kind’, ‘thoughtful’, ‘lovely’ and ‘very able’. The information provided by the manager shows that 54 of staff have a National Vocational Qualification (NVQ) in care. This is more than the national recommendation of 50 . Records show that all staff receive a comprehensive induction. Staff told us that they feel well equipped and able to carry out their role when this has been completed. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 19 The duty rota shows that the manager is supernumerary to care staff, and works office hours during the week. In addition, she fills in for some care staff holidays and sickness, and feels this gives her the opportunity to assess and monitor staff competence. In the morning there is a deputy manager and four carers on duty. In the afternoon there is a deputy manager and 3 carers on duty and at night there are two carers on duty. In addition there are maintenance, activities, administration, cleaning, kitchen and laundry staff on duty. People also told us that staff are busy and we saw this on the day of the site visit. However, we saw that everyone was well cared for, comfortable and that call bells were answered promptly. Staff told us that they enjoy working here and feel well supported and trained. They say they are never asked to care for someone outside their area of expertise. We looked at three staff recruitment files and found these to be well organised and easy to understand. All the necessary checks to help ensure that people are cared for by suitable staff are in place. In addition, we saw that the manager always gets a third reference if one does not give sufficient information. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. People benefit from living in a home that is well managed, run in their best interests and which ensures their health and safety are promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of this home has extensive experience of working with older people and of working in residential home settings. She has successfully completed the Registered Managers Award and additional training. Most recently, she has completed a Diploma in caring for people with dementia. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 21 In surveys staff told us that the home is well managed and that they feel well supported and supervised. We observed excellent relationships between management and staff and between management and the people who live here. Records show that staff receive mandatory training including fire safety, food and hygiene, infection control and moving and handling. Staff are also helped to obtain specialist knowledge relating to the medical conditions or needs of the people living here. This includes caring for people with mild dementia, diabetes and Parkinson’s disease. The manager has held regular residents meetings for some time. She recently organised the first relatives meeting, which people describe as ‘good’ and ‘informative’. Minutes of residents meetings show that over time people have become more vocal and confident about speaking about their views. In addition to this, the Methodist Housing Association ensures that the home is visited monthly and that this person speaks to the people who live here to get their views. Annual quality assurance surveys and audits are undertaken, the results of which we have seen and do not show there are areas for concern. The information provided by the manager prior to this visit demonstrates that she has a good understanding of what the homes aims and objectives are, what the people who live here want (both collectively and as individuals) and also knows what needs to improve and has a plan to achieve this. The home does not manage monies on the behalf of people who live here. However, they do help people to manage small amounts of personal allowance. We checked two of these and found that good records are kept and that the accounts were in order. We looked at the fire log and found that all checks are undertaken. The manager reports that work is needed to bring the home in line with current fire legislation and that this work has started. Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23 Requirement In order to keep the people living here safe from fire, you must continue with the work you have started to comply with the requirements made by the Devon and Somerset Fire Service. Timescale for action 08/06/08 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 Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Moreton DS0000021984.V350855.R01.S.doc Version 5.2 Page 25 - 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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