CARE HOMES FOR OLDER PEOPLE
Norfolk Villa 45 Alma Road Pennycomequick Plymouth Devon PL3 4HE Lead Inspector
Megan Walker Unannounced Inspection 12th January 2006 13:00 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 Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 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. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Norfolk Villa Address 45 Alma Road Pennycomequick Plymouth Devon PL3 4HE 01752 661979 01752 668072 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) Mr Robert Timothy Teasdale Mr Robert Timothy Teasdale Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No more than 19 residents are accommodated in the home at anyone time 1 named Service User over 65 with a learning disability Date of last inspection 12th July 2005 Brief Description of the Service: The home is a large detached building 160 years of age. Over time the home has been extended to the rear of the property. The home is located in the Pennycomequick area of central Plymouth. A full range of amenities and facilities are within walking distance of the home. The home provides accommodation for up to nineteen residents over two floors. There are nineteen single bedrooms, eleven of which have en-suite toilet facilities and two have en-suite bathroom/shower facilities. There are two communal bathrooms in the home, one of which has Parker Bath for those residents requiring assistance with bathing. The main lounge is in the extension on the ground floor at the rear of the building. There are two dining areas one in the older part of the building and the other at the rear of the sitting room. There are small gardens to the front of the building and to the side of the extension. The bedrooms are both on the ground and first floors of the building. Stair lifts provides access to the first floor although some mobility using stairs is required by residents due to small flights of stairs between corridors. The home has a “No Smoking” policy inside. A “Smoking Area” has been provided outside in the back garden. The home is registered to provide care and accommodation for older people. The home does not provide intermediate care and it is not registered to provide nursing care. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on Thursday 12th January 2006 between 13h30 and 18h45, followed up with an Additional Visit on Friday 27th January 2006 at 11h30. The inspector toured the premises, and looked at files and other documents. Some documents are kept on the premises but in the Registered Provider’s office; therefore it was not possible to see these until the Additional Visit. Seven residents offered opinions about living at Norfolk Villa. Three members of staff were on duty during the inspection and spoke to the inspector. The Registered Provider/Manager was not present during the inspection, however he was present for the Additional Visit. Ten requirements and three “Good Practice” recommendations have been made as a consequence of this inspection. What the service does well: What has improved since the last inspection? What they could do better:
Discrepancies were found between information recorded in Individual Service User Files and other recording documents such as the Accident Book. Some recording on Individual Residents’ Files was inappropriate and subjective. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 6 The practice of secondary potting of medicines continues to be in place contrary to the Royal Pharmaceutical Society’s Guidelines and Regulations. Also there has been no provision of external accredited training in “Handling and Administration of Medicines” as recommended in the previous inspection report. Most residents’ bedrooms were individually in style and reflected the individual’s choice and style including personal furnishings, pictures, etc. Some bedrooms had pictures and furnishings of previous residents. It was not clear either from those residents in these rooms or staff, whether these items were there by choice or convenience. Some areas of the home need redecoration, particularly Bedroom 15 and its en-suite shower room which has a cracked washbasin and damp/mould patches on the ceiling and external wall. The carpet on the landing between rooms 00 and 18 needs to be repaired one or replaced where it has started to fray. Also the carpet on the threshold of Room 18 is threadbare and needs to be replaced to prevent it becoming a trip hazard to residents and/or staff. Knives are kept on a vertical magnetic strip to the inside of the kitchen window. This is extremely dangerous to both staff and residents because: 1. Residents and visitors can easily access the kitchen. 2. The knives are kept above head height of some care staff (and presumably some residents). 3. If a knife is not properly dried it is at risk of falling off the magnetic strip. 4. In the event of a break-in, these knives are readily accessible to the intruder(s), thereby putting all persons in the care home at risk. The home has only one domestic washing machine and one domestic tumble drier for all the personal laundry of residents as well as bedding, towels and other items, (clean towels and flannels are provided by the home daily, and clean bedding as often as is required and at least once a week to all residents). Staff reported that the washing machine regularly breaks down thereby creating a backlog of washing. There is no staffroom or separate facility for staff to take proper breaks or to change. Staff do not use small lockers provided for them because “one key fits all”. All staff are required to use residents’ facilities such as the dining room or the lounge for their breaks because there is nowhere else available. They are therefore constantly at hand to respond to needs of residents, including someone wanting to chat. Due to the staff rota and staff cover, staff cannot leave the building during their break to ensure “time out” although they are entitled to this time because it is unpaid even when not taken. The home must ensure that at all times there is adequate staff cover for both personal care needs of residents, and domestic tasks around the home. It is
Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 7 inappropriate that care staff take their breaks with the residents because this does not allow staff a proper break to which they are entitled under Working Conditions’ legislation. Also it is inappropriate that staff use residents’ facilities because these rooms should be available to residents at any time they may choose to use them, and again it contravenes Working Conditions legislation as well as the Care Standards Act 2000. The new staff Induction Training needs to ensure that it meets the National Training Organisation specifications as recommended in the previous inspection report. 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. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 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 Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 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): 2 Every resident has a written contract with the home, including terms and conditions of residency. EVIDENCE: Contracts and Terms and Conditions of Residence at Norfolk Villa were seen on a random selection of residents’ files. Those residents who are funded by Plymouth City Council Social Services Department also had a Plymouth City Council contract on their files. All these files are kept in the Registered Manager’s office hence were seen on the Additional Visit, a consequence of a telephone conversation with the Registered Manager after the Unannounced Inspection. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 10 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, 9, 11 The home has a specific and detailed care plan format ready for implementation by staff. Medication is adequately managed in the home. EVIDENCE: Since the last inspection a new format for individual residents’ care plans has been devised. A copy of this was seen however none has yet been completed. The current Individual Care Files of the most recent admissions to the home were inspected. One file contained poor Overview-Assessment information from the Local Authority Social Services’ Assessor, and all the pre-assessment details and Care Plan completed by other statutory agencies were at least one month prior to the actual moving in date. Another file had comprehensive information from the referring agency including details of a history of falls. The home’s Daily Log showed recording of several falls by this resident since moving into Norfolk Villa, however on a number of occasions these were not also recorded on an Accident Form or in the Accident Book with a record of any follow up action. Also inappropriate,
Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 11 subjective comments were written in the Daily Log. These included: “ very demanding and stubborn”; “very rude and sarcastic but I told X I was only doing my job”; “X has been very naughty today”; “X had to be told”. At the time of the inspection it was explained to the senior staff member on duty that this style of writing is neither suitable nor appropriate when describing actions and behaviour of a resident. It was also explained the need to ensure that all accidents whether they are considered to be “deliberate” and “attention seeking” or not, must be recorded particularly when a resident has come to the home with a previous history of falls. This was considered to be a matter for staff training in recording and to be raised during individual staff supervision. On the current Individual Care Plans, personal wishes regarding preferences after death are recorded. This includes cremation or burial, and where relevant, specific undertaker. The home also has its own non-legally binding “Resuscitation” form. Residents are offered the opportunity to sign this should they so wish, and it is held on their Individual File. If it is feasible and in the interests of an individual, all efforts are made to ensure that a resident remains in the home until they die if this is their personal preference. At the time of this inspection all the residents were white British and from a Christian background or faith. During the inspection the senior staff was made aware of forthcoming changes to the category of “Palliative Care”, and the implications this could have for a care home. The home continues to use a system of secondary dispensing for medication. This method does not comply with the Royal Pharmaceutical Society’s Guidelines. Senior staff dispense all medication and may give it to residents. However other members of day staff, and always night staff, also administer the medication and sign as given, or refused reason if required. No staff have received accredited external training in “Handling and Administration of Medicines”. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 12 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): 13 Residents are encouraged to maintain active social lives. EVIDENCE: At the time of the inspection there were visitors to residents in the home. A couple of residents spoke of their friends and family whom they see at the home and go out with on daytrips. One resident explained her contact with her family who live both locally and abroad. As well as visits to the home by her local family, she has had her own telephone line installed in her room and has been teaching herself how to use a laptop, access “the web”, and sending and receiving emails, to maintain daily contact with her family further away. During the recent Christmas Holiday period 40 of residents went to their families for varying periods of time. Most residents have regular trips out with their families. Residents spoken to gave details of their personal preferences regarding activities and contact with the local community. These included a season ticket holder at Plymouth Argyle hence attendance at all “home” matches; walks to Mutley Plain (a local commercial facility offering shops, cafes, pubs/bars,
Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 13 Bookmakers, etc), and into the City Centre. Some residents have retained contact with their local pubs and betting offices. The home’s policy positively encourages any interaction between residents and their family, friends and the local community. Visiting is only restricted at mealtimes to ensure that residents do eat regularly and are not distracted from their food. Should it be necessary and/or if requested by an individual resident, the home would impose restrictions on visits. These would be clearly documented on the individual resident’s file. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 14 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 The home has a comprehensive Complaints Procedure of which both staff and residents are aware. EVIDENCE: At the time of this inspection neither the home nor The Commission had received any formal complaints. Staff stated that in the event of any concern it would be first reported to a senior member of staff. If necessary it would then be passed on to Mrs Mann (Head of Care), and if required and in the final instance, to Mr Teasdale, the Registered Provider/Manager. Everything would be recorded with dates and any action taken, and everyone involved would sign these records. Residents who were asked during the inspection how and to whom they would raise any concerns or complaints gave informative responses. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 15 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 Areas within the home require urgent attention to ensure safety of residents and a well maintained home. EVIDENCE: The tap needs a new washer in the en-suite facilities of Room 8. The carpet is fraying and coming away from the wall on the landing between rooms 00 and 18. Also on the threshold of room 18 the carpet is fraying and becoming threadbare. This could cause a trip hazard for anyone entering or leaving this room. The ground floor toilet has a poorly fitting seat. Room 15 is in need of redecoration. The washbasin was cracked and the ceiling and walls had signs of damp/mould in the en-suite shower room. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 16 Most of the residents stated that they had brought their own personal belongings in with them, however, at least one resident pointed out that pictures and other furniture in her room were from a previous occupant. It was inferred by the resident that these items had to be in the room. Staff present explained that until the time of the inspection this resident had not requested that anything being removed to personalise the room. Also opportunities to bring in her belongings including pictures and other items of personal value had been offered to this resident. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 17 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): These standards were looked at on the previous inspection. EVIDENCE: Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 18 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): 33, 35, 38 The Registered Provider/Manager compromises the health, safety and welfare of residents by inequalities of staff employment practices and by some work practices. Financial interests of residents are safeguarded. EVIDENCE: At the time of the inspection three members of staff were on duty including one senior staff. From the duty rota it was seen that all care staff are employed to cover a twelve-hour shift. There are three senior staff that rotate their shifts to ensure that there are no discrepancies between Care Teams, i.e. all staff work one in three shifts with each senior staff member. In addition there are domestic staff and the Registered Provider/Manager is responsible for cooking the midday meal most days. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 19 During the inspection staff explained their terms and conditions of employment which showed that although they are employed to cover a twelve hour period, they are expected to take an hour’s break during this time. This hour is not paid for some staff however senior staff are paid whether or not they take a break. On the day of this inspection the two junior staff members were unable to take a proper break and did not achieve an hour even if any short breaks were totalled together. All their attempts to take a short break were interrupted either by residents or other issues requiring their attention. To ensure that they had a proper break to which they are entitled, staff on duty queried whether they are allowed to leave the building during their shift. It was explained that as long as by the required numbers of staff are on duty at all times to provide for residents’ care needs, then it would be acceptable but given the rota system in place at the time of this inspection, it was not feasible. The staff do not have a separate staff room and so are required to take their breaks with the residents. Although lockable storage facilities are provided for staff personal belongings, these are located in the hairdressing room also used for storing the rubbish bins and other equipment when not in use by the hairdresser. Staff stated that they do not use these lockers because they are too small and “one key fits all”. Staff do not have a separate changing area so arrive and leave work in their uniforms. Senior staff have a windowless office next to the lounge. This does afford them some privacy and a place to work uninterrupted if required. At the time of the inspection the lighting was poor so only one side of the room was serviceable for reading and writing, etc. The home’s Smoking Policy has been changed so all residents, staff and visitors to the home are required to smoke outside the building in a designated area. On the day of the inspection it was very cold, wet and windy. Residents outside smoking were observed as being without adequate protection from the elements. Staff stated that this policy is for both daytime and nighttime although evidence seen by them would imply that night staff smoke inside the home. They also stated that they would not be happy to smoke outside if working a night shift from a safety vantage. Knives are kept on a vertical magnetic strip to the inside of the kitchen window. This is extremely dangerous to both staff and residents because: 5. Residents and visitors can easily access the kitchen. 6. The knives are kept above head height of some care staff (and presumably some residents). 7. If a knife is not properly dried it is at risk of falling off the magnetic strip and staff stated that this has happened when they have taken knives off this strip. 8. In the event of a break-in, these knives are readily accessible to the intruder(s), thereby putting all persons in the care home at risk.
Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 20 The Registered Manager stated during the Additional Visit that he would move the magnetic strip to a more suitable place in the kitchen as soon as he has the correct drill bit for drill through tiles. The home has not produced any sort of formal Quality Assurance document to show it is consulting with its residents and any visitors to the home (including statutory agencies). The staff and the Registered Provider encourage informal feedback about the running of the home from residents and visitors. At the time of this inspection only two residents had requested that their monies be held by the home. This was checked against all the Incoming and Outgoing records and was all found to be correct and in order. Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 21 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X 2 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 2 Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 22 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 Standard OP7 Regulation 15 Sch3(1) Requirement Timescale for action 2 OP7 17 Sch33jo Sch4 12abc 3 OP7 17 18(c1) 13(2,4c) 4 OP9 All the residents must have a comprehensive and detailed care plan and individual risk assessment. 31/03/06 A record of regular reviews and the extent of any contribution to the process must be kept and residents (or where required family/representative) informed of any changes to their care plans. This is from the previous inspection report. Any accident including slips and falls by a resident must be appropriately recorded including time, place, incident that occurred, any injury and follow 12/01/06 up action taken, and any one present to witness this incident. All records must be signed and dated by the person recording the information. Staff must be trained and supervised to ensure all recorded 28/02/06 information is specific, actual and objective. The home must put in place a medication administration
DS0000003485.V264118.R01.S.doc Version 5.1 Page 23 Norfolk Villa 4 OP9 18© 5 OP19 23(d) 13(4ac) 16(2c) 16(k) 6 OP19OP26 7 OP30 18(1) 8 OP33 12 Sch1(10) 9 OP30OP38 18(1) 21(1) 23(3) system that complies with the Royal Pharmaceutical Society Guidance and Regulations. This is from the previous inspection report. All care staff who administer medication must be appropriately trained in externally accredited “Handling and Administration of Medicines” This is from the previous inspection report. All carpets identified during the inspection and in this report must be repaired or replaced to prevent trips or falls. The home, particularly those bedrooms identified during the inspection, must be kept free of offensive smells. The induction training structure must be redeveloped to the level of the National Training Organisation specification. This is from the previous inspection report. An effective quality assurance system must be developed to establish the residents’ level of satisfaction with the care services they receive in the home. This must also be extended to all visitors to the home including health and social care professionals, to establish their level of satisfaction with the care services being provided in the home. The results of all the surveys undertaken must be published and available to prospective service users and the Commission. This is outstanding from the previous inspection report. The Registered Provider must provide suitable facilities for staff to ensure that they have proper
DS0000003485.V264118.R01.S.doc 30/05/06 30/05/06 31/03/06 31/01/06 30/05/06 31/03/06 Norfolk Villa Version 5.1 Page 24 10 OP38 12(1a) 13(4) 16(1) breaks during their working periods as required by legislation governing employment and working conditions. Also staff must be provided with accommodation that is separate from residents’ accommodation. The Registered Provider must ensure that the residents and staff are safe whilst in the home and when using the kitchen. The Registered Provider has verbally confirmed since the inspection that the knives in the kitchen will be moved to a safer place where no one will be at risk or injury. 30/05/06 31/01/06 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 OP25 Good Practice Recommendations All radiators in the home should eventually be covered or replaced with a low surface temperature type. This is an outstanding recommendation from the previous inspection report The Registered Provider should consider the provision of a commercial washing machine and tumble drier to meet the laundry needs of its residents more appropriately. The Registered Provider should consider provision of some form of fireproof shelter or adequate fireproof protection against wind and rain, for those residents who choose to smoke and use the current “Smoking Area”. NB: This recommendation applies only to residents who moved into the home prior to the change in the Smoking Policy (i.e. that smoking is no longer permitted inside the building). New residents should be made aware prior to moving into the home that there is a No Smoking policy now in place. 2 3 OP19OP38 OP38 Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Norfolk Villa DS0000003485.V264118.R01.S.doc Version 5.1 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!
