Inspection on 15/05/08 for Morven House

This inspection was carried out on 15th May 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Morven House 25/08/09

Morven House 29/05/07

Morven House 31/08/06

Morven House 01/11/05

Morven House 20/06/05

Morven House 16/09/04

Morven House 06/04/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Morven House The Causeway Potters Bar Hertfordshire EN6 5HA Lead Inspector Jeffrey Orange Unannounced Inspection 15th May 2008 08:10 Morven House DS0000019475.V364512.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 Morven House DS0000019475.V364512.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. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morven House Address The Causeway Potters Bar Hertfordshire EN6 5HA 01707 662755 01707 663634 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) www.caretech-uk.com CareTech Community Services Ltd Manager post vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are none Date of last inspection 29th May 2007 Brief Description of the Service: Morven House is part of Care Tech Community Services. The building is owned by the National Trust and leased to Care Tech. It is located within several acres of parkland and gardens, which are accessible to residents. It is within walking distance of Potters Bar shops and town centre and is convenient for public transport links. Morven House provides residential services to 12 young adults with learning disabilities. The house has been divided into two units, one eight bedded unit for residents requiring higher staff input and a four-bedded unit for more independent residents. All bedrooms are for single occupancy and each unit has access to its own communal areas. The layout of the building makes it unsuitable to residents with reduced mobility. There is a service folder, which includes a copy of the latest Commission for Social Care Inspection report, the complaints procedure and other information concerning the service, readily available in the home. Fees vary according to the unit concerned, ranging on average from just over £1000 per week to £1500 per week. Personal toiletries, newspapers, dentistry and chiropody services where these are not free are all charged at additional cost, as are some day care services. Morven House DS0000019475.V364512.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 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection visit began early in the morning and was carried out by two inspectors. It provided an opportunity to see the routine in the home as the people who live there were getting ready for the day, helped by the staff on duty as required. Throughout the inspection we spoke to and observed people who live in the home, members of the staff team and the acting management team. This helps make sure we are aware of the views of those people who either live or work in Morven House. We also looked at some key records, including care plans, staff recruitment and training records, financial records where money is held by the home for people who live there and medication. This helps us assess how well the processes of the home support and protect people who live there. Since the last key inspection in May 2007 we have received several communications from families and carers of people who live in Morven House and these have been taken into account in this report along with any surveys already received from or on behalf of people living in the home. Any surveys received after this report has been completed will be assessed and recorded and used to determine the future regulation of Morven House. The home has also completed their Annual Quality Assurance Assessment or AQAA (The AQAA is a self-assessment that focuses on how well care outcomes are being achieved for people living in Morven House and also includes some useful statistical information). This helps us understand how the management of the home assess how they are doing, what they think they are doing well and what they recognise needs changing and how they intend to do this. In compiling this report we have also taken account of comments made or information received from health and social care professionals associated with Morven House including those received through any meetings held under Hertfordshire County Council’s safeguarding processes. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The recruitment of a new manager and additional care staff will assist in providing people living in the home with a more stable and settled staff team, and people working in Morven House with improved supervision and more consistent management. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 7 Staff have told us that this has been a difficult time for them and whilst they have tried to maintain the standard of care for people living in the home, they have struggled sometimes to maintain their morale. If the home builds on its strengths and past successes, there is a realistic expectation that people currently living in the home and those who may move there in the future can receive a high standard of care tailored to their individual needs and in line with their individual wishes. 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. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 8 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 Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 9 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): 1,2 & 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People considering Morven House as a home for themselves or someone they are responsible are provided with ‘user friendly’ information to help them in making an informed decision to use the service. People who use the service can be assured that the assessment procedure, if followed, is sufficiently thorough and robust to ensure that only those people whose needs can be met are admitted to Morven House. EVIDENCE: The home’s AQAA indicates that the Statement of Purpose and Service User Guide have been revised and are now in a format that means that people living in the home or considering it as their home can understand them better. The basic pre-admission process is thorough and includes the information needed to make a realistic assessment as to whether a persons needs can be met by the home and provides staff with the details they need to help them provide care in the way they want as individuals. The home’s AQAA states as one of the things they do well is to evaluate compatibility of service users. However, we found from information in the Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 10 assessment file of one person who had been assessed as potentially suitable to move to Morven House that there were significant potential areas for conflict with people already living in the home that had been identified but not acted upon at that stage. We were also informed that in this instance no visits were likely before the trial admission began. During the inspection process Caretech informed the inspector that the placement would not go ahead and this was a positive outcome for the people who might have been adversely affected had it done so. The home have taken steps to move people on from Morven House when their changing needs make it clear they can no longer be appropriately met at the home. This is important for the well being of both the people whose needs have changed and also for those who live in the home with them, who might otherwise be adversely affected. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 11 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, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Morven House can be assured that they will be involved in the planning of their care, that they will be encouraged to make their own decisions about their lifestyle and that they will be supported by a staff team committed to help them achieve the optimum quality of life possible for them in line with their individual needs and aspirations. EVIDENCE: Staff were seen to be involving the people living in the home in a meaningful way by using communication techniques in line with their individual capacity and choice, for example a ‘personalised’ form of a recognised communication tool for people with learning disabilities. Care plan documentation included comprehensive details of how communication could best be achieved in each individual case and throughout the inspection people living in the home were seen to be asked about what they wanted to do and how it should be done. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 12 When we looked in detail at care plan documentation it was noticeable that the same details had to be entered by staff in several places, which is time consuming for them and can lead to some duplication of information. A number of risk assessments were seen, these had been regularly reviewed and kept up to date so as to enable people living in the home to take reasonable risks in the course of their daily lives. Regular meetings of the people living in the home enable them to influence the way the home is run and the routines of the home that affect them, for example in menu planning. To make this more realistic, the AQAA indicates that it is planned to develop a picture recipe book for any people who may have difficulty remembering what a particular meal looks like. Each person living in the home has their own daily activity plan and social diary, drawn up with their involvement with any specific cultural, religious or other diverse interests taken into account in doing so. Staff informed us that they support the individuality of service users by encouraging them to choose their own clothes and hairstyles and by making sure their individual wishes and choices are respected. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 13 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): 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. People living in Morven House can be certain that they will be offered varied opportunities to develop and maintain interests and social contacts within the home and in the community. They can be assured that they will be able to exercise their rights as individuals in deciding the daily routines of Morven House as they affect them, including meals and leisure activities within the home. EVIDENCE: During the early part of the morning we saw one individual in the home being assisted to get the CD player to work so that they could listen to the music of their choice whilst having breakfast. Another person living in the home was seen making them self a cup of coffee. During the morning people living in the home were being encouraged to get ready for their day care activities and a member of staff took three of them to Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 14 their different venues in the community. “I do cooking at college” was the comment of one person living in the home. Plans for individual or small group holidays later this year were seen to be well under way and care plan documentation included details of a range of activities undertaken, although some activity records had not been completed recently. The home indicated in the AQAA that menu planning is now undertaken with people living in Morven House on a weekly basis which gives individuals a realistic chance to influence what they eat, pictorial menus are to be developed to help this process further. One family member spoken to during the inspection process indicated that they felt communication with the home had improved recently which helped all round to maintain good relationships between themselves, their relative and the home’s management and staff. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 15 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. People living in Morven House can be assured that they will receive personal and healthcare support in a way that takes full account of their individual needs, preferences and rights and that they will have ready access to the specialist community healthcare services they need in order to maintain their physical and mental well-being. Those who rely on staff to help them with their medication can be assured that it will be done effectively to ensure their safety. EVIDENCE: We checked a series of medication records to see if they were accurate and found that they were. Staff told us that they had medication training to give them the skills they need to help people living in the home with their medication safely. The medication records seen provide staff with very good information about individual medication, what it is for, and what side effects it might cause. This Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 16 enables staff to care effectively for those people in the home who require help with their medication. One person living in the home has been helped in the past to partly selfmedicate with a view to building their individual life skills. As they found the process very stressful, it was decided with the persons’ agreement to let staff do medication for them until they felt ready again to have a further attempt to self-medicate. Some medication was being stored at too high a temperature and the storage and recording of medication for return to the pharmacy once it was no longer needed was not being done in line with the home’s own policies and procedures for the return of medication. This could compromise the security and effectiveness of some medication if it continued. This was brought to the attention of the home’s management, who indicated they would deal with it immediately. Care plan documentation that we saw included a lot of details about appointments with doctors and specialist health services. This shows that the health and well-being of people living in the home is promoted by making sure they get the attention they need to deal with any health problems they may have. When we spoke to staff they had a good knowledge of the individual people living in Morven House, including their particular personal care needs and how they liked them to be met. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that they will be listened to and complaints will be taken seriously. However, staff have an inconsistent approach to whistle blowing which may leave delay appropriate action being taken to the detriment of the people living in the home. EVIDENCE: People living in Morven House have access to a clear and effective complaints policy, which is available for example in widget formats to help them understand and access it. Most members of the staff team spoken to told us that they had received safeguarding training and when asked questions about it had a good understanding of different kinds of abuse and how they might be recognised. Some staff that we spoke to were unsure about what to do if they had a concern that should be raised outside of the home and its management structure (‘whistle-blowing’) as they had not yet received the appropriate training even though they were already working with people living in the home. This could delay appropriate action being taken to address their concerns, which would not be in the best interests of people living in Morven House. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 18 Training records seen included details of training given and planned for the future which should keep staff up to date with good practice and this, in turn, will offer additional protection from abuse to people living in Morven House. Some relatives of people living in Morven House had experienced problems in the recent past with communication with the home’s management, they acknowledged that recently however they “felt things have improved”. Caretech have co-operated fully in a series of recent meetings held under Hertfordshire County Council’s Safeguarding process and have taken appropriate action to address any concerns confirmed. This should provide those associated with people living in Morven House with increased confidence in the standard of protection available. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 19 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, 27 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in Morven House can be assured that generally the home will be kept clean, tidy and provides them a safe environment to live in. EVIDENCE: The unique character of the environment provides a particular challenge to those responsible for it and this challenge is largely met within the constraints of the building. The home was found to be basically clean and tidy during this inspection and provides those people living there with areas where they can sit and relax either on their own or with other people who live with them in Morven House. The temperature in the home on the day of the inspection was very hot and required windows to be opened in order to make some rooms bearable. There are prominent scorch marks on the front lounge floor, which detract from the appearance of the room for people using it. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 20 There was an uncovered radiator, which could pose some risk of scalding to any person who touched it unawares when the heating is on. There was one uncovered electric socket in the hall, which could also poses a risk to a person inserting something into it. A cupboard in one of the home’s communal areas had a door missing and one person living in the home had a bedroom where the hot tap was not working on their hand basin, records seen showed that this has been raised at resident’s meetings. The Garden View Apartment bathroom is now in need of refurbishment to make the experience of anyone using it more pleasant. The kitchen has been refitted and is now a far more pleasant and attractive room for all those who use it. Service user meeting records indicate that people living in the home can raise any concerns they may have about the premises in an open way, which should make sure that those responsible for the building are aware of problems. At the outset of the inspection there was no toilet paper in the Garden View toilet and not all toilets in the home had towels or soap available, this does not help maintain the dignity of people living in Morven House or promote good personal hygiene. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 21 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 adequate. This judgement has been made using available evidence including a visit to this service. People who live in Morven House can be confident that they will be provided with personal care and support by a well trained and robustly recruited staff team. However, the lack of regular supervision and recent changes in the management structure could have negatively affected people living in the home. EVIDENCE: The previous registered manager has left Morven House and there are currently interim arrangements in place with shared local responsibility supported by senior Caretech managers on a temporary basis. In talking to staff on the day of this visit it was found that there was some confusion as to who was in charge overall, although it is understood that these arrangements are now thought to be working adequately. Staff spoken too gave details of the training they have received or are booked on and this, together with the standard of personal care seen suggests that staff have the necessary skills and experience required to provide people living Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 22 in Morven House with a good standard of care, based upon their individual needs. Staff supervision is still not at the required frequency to adequately support staff although plans seen will improve this over the next three months if adhered to. This will provide additional support and direction to the staff team, which will in turn have a positive effect on the morale of staff. The area management of Caretech have committed themselves to appoint a new manager as soon as that is possible, providing that a suitable candidate can be found. This will provide Morven House with the stability and continuity it needs to help it come through the current difficult period, and this will benefit both staff and the people who live in the home. When we looked at recent recruitment records we found that these were robust and thorough and this should provide people living in Morven House with confidence that they are protected from having their care provided by unsuitable people. Concerns have been raised with the CSCI about staffing numbers at certain periods. These concerns were the subsequently investigated by Caretech. We found on the day of this visit that we were alone with a number of people living in the home without any staff present for some time. This could suggest that at key times, for example early in the day, staff are under pressure to cope. It is recognised that on the day of this visit one member of staff had recently gone sick and it is understood that staffing will be reviewed to ensure it is adequate at all times. This should provide people living in the home and those that care for them with confidence that staffing is being kept under review and will be adjusted if that is necessary in order to continue to provide the standard of care people living in the home require. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 23 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): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that the temporary management structure once it has bedded down, should support the staff team with the supervision and direction they need to effectively operate to the best interests of people living in the home. EVIDENCE: There is currently no registered manager in post, the management of the home is being undertaken by acting or temporary managers with support from the home’s Deputy Manager and area management personnel. Staff told us that this has proved to be a difficult time but they also told us that they felt things were improving and that in their view the effect on people living in the home, if any, had been minimal. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 24 There is a well-developed system of consultation with people living in the home to ensure that their views and interests are known. We were told by senior managers that a meeting with relatives and carers is to be held in the near future to make sure they are aware of developments in the home affecting people who live there. It was indicated to us by one relative that communication had improved over recent weeks. On the day of the inspection we discovered some minor issues to do with health, safety and hygiene which could be attributed to the pressure on the interim management team as they get to grips with running Morven House. These should be addressed in order to assure the continued health, safety and welfare of people living in the home. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 2 3 3 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 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 2 32 3 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 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 2 X 3 X X 2 X Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 26 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 YA23 Regulation 13(6) Requirement In order to make sure people living in the home are safeguarded from abuse all staff must be given appropriate safeguarding training, including whistle blowing and must be familiar with the home’s safeguarding policies and procedures. Timescale for action 31/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations In order to maintain a homely, comfortable, safe and pleasant environment for people living in the home: a) the temperature should be monitored and controlled; b) the scorch marks to carpets should be attended to; c) the communal bathrooms should be reviewed to see if redecoration or refurbishment is due; d) an adequate supply of hot water, towels and toilet paper should be provided for the use of people living and working in the home at all times; e) any risks to people living in the home posed by DS0000019475.V364512.R01.S.doc Version 5.2 Page 27 Morven House uncovered radiators should be assessed and action taken where indicated; f) all electrical sockets should be provided with covers where that is assessed as necessary in order to safeguard people living in the home from potential harm. Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Morven House DS0000019475.V364512.R01.S.doc Version 5.2 Page 29 - 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!