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Inspection on 06/07/06 for Orme House Residential Home

Also see our care home review for Orme House Residential Home for more information

This inspection was carried out on 6th July 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Strength of Orme House is that staff are clearly designated care tasks on each shift and the care given to residents is appropriately recorded in their daily statements. Staff know what is expected of them in terms of the daily routine. In terms of the management of the home there is evidence of good assessment before people move into the home. This includes residents and their family visiting the home and spending time at the home. This is then followed up with contracts and terms and conditions in place so that all concerned are clear about what to expect. One relative said that `the home is clean, staff work hard and their relative is well cared for and given good food`. They also stated that they are `as happy as they could be with a care home`. Orme House is comfortable and friendly.

What has improved since the last inspection?

Since the last inspection there has been progress made on requirements. At this inspection four care plans were examined and these had appropriate information on care and health needs documented. There are currently no residents with medication that is `as and when required`; therefore no individual protocols were in place. There has been steady progress made on the environment in terms of redecoration. A new call bell system has been installed and was found to be a useful support for residents and staff.

CARE HOMES FOR OLDER PEOPLE Orme House Residential Home 59 Kirkley Cliff Lowestoft Suffolk NR33 0DF Lead Inspector Claire Hutton Unannounced Inspection 6th July 2006 09:30 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 Orme House Residential Home DS0000049444.V303074.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. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orme House Residential Home Address 59 Kirkley Cliff Lowestoft Suffolk NR33 0DF 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) 01502 574068 01502 574068 None available Anglia Care Homes Ltd Mr Shriraj Sahadew Care Home 19 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (19) of places Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 The home may accommodate one person, whose name was made known to the commission in June 2005, who is over 65 years and requires care by reason of dementia. 4th October 2005 Date of last inspection Brief Description of the Service: Orme House is registered as a care home providing personal care for 19 older people aged over 65 years. One of whom has dementia. Care assistants staff Orme House on a 24-hour basis. One of the registered proprietors, Mr Sahdew is also the registered manager. The layout of the home is on 3 floors with level access provided in most areas by means of a shaft lift. Rooms 5, 6 and 11 are not accessible by the shaft lift. A stair lift can be used to access rooms 5 and 6, but to access room 11 the occupant needs to use stairs. Single bedrooms and shared accommodation are available. The home looks out to Kirkley Cliff, a busy one-way thoroughfare. Kensington Gardens, with its many attractions and sea front. Parking is on the road. Fees for this home currently range from £331 to £336. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that focused upon the core standards relating to Older People. It took place on a weekday between the hours of 9.30am and 3.00pm. The process included a tour of most of the building, discussions with residents, staff and the manager who was present all day, observations of staff and service user interaction, and the examination of a number of documents including residents care plans, medication records, the staff rota, and records relating to maintenance and health and safety. Recruitment and training records were unable to be examined as they were unavailable as they had been removed from the premises. The report has been written using accumulated evidence gathered before and during the inspection. Six completed comment cards were received back from relatives/visitors and six completed surveys were received back from the current resident group. The home had three resident vacancies. What the service does well: What has improved since the last inspection? Since the last inspection there has been progress made on requirements. At this inspection four care plans were examined and these had appropriate information on care and health needs documented. There are currently no residents with medication that is ‘as and when required’; therefore no individual protocols were in place. There has been steady progress made on the environment in terms of redecoration. A new call bell system has been installed and was found to be a useful support for residents and staff. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 6 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. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 7 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 Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 8 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): 1, 2 and 3. 6 does not apply. Quality in this outcome area is good. Residents can expect all their needs to be properly assessed before they move into the home, with information about the home available. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the entrance hall of Orme House there is the certificate of registration displayed along with a notice that states that anyone can access the Statement of Purpose, Service Users Guide and the complaints procedure. This information along with an old inspection report from 4th August 2004 was found in the draw of the dresser where visitors sign in. Staff were aware of the information and were able to guide those that enquired as to its whereabouts. The information was helpful. The next time the Statement of Purpose and Service Users Guide are revised it must include the information about the condition that the home currently has to accommodate one named individual with dementia. Four sets of resident records were examined. Three of these had a copy of contracts in place with terms and conditions. The manager was positive that Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 9 the fourth person had a contract and terms and conditions in place, but it was not available to inspect. Four of the six residents surveys stated that they had received a contract. In relation to having an assessment before a resident moves into Orme House, these were found to be in place for each of the records examined. An assessment had been completed by the manager and information had also been obtained where possible and relevant form Social Workers or the hospital. When relatives or prospective residents had visited the home before moving in then staff had also completed information about the support they required whilst visiting. All this information was available to care staff to read and formed part of the care plan. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 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, 8, 9, and 10 Quality in this outcome area is good. People who use this service can expect to have an individual plan of care in place, however these may not be guaranteed to be completely up to date, as recent reviews had not taken place. Residents can expect to have their health and medication needs attended to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and associated documents were examined in detail for three residents. Two other care plans and documents were examined in part. Plans contained photographs of each resident and were accessible for care staff to read and make notes daily on the care given. Daily notes were an account of the personal care given, the dietary and fluid intake of each resident as well as how mobile and how well they were that day. Care plans contained dependency assessments, pressure area risk assessments, and falls assessment where needed. Instructions on each element of care for individuals varied from resident to resident and depended upon the assessed need. Staff were observed throughout the day to offer personal care support to individual residents, this was done with dignity, kindness and respect. All Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 11 five staff spoken with spoke about residents in a knowledgeable and respectful way. In relation to one individual who had been diagnosed with a medical condition, the plan of care was detailed in relevant areas around mobility, dietary intake and their mental health. There was however, a need to regularly monitor the weight of this individual resident due to a low admission weight and their continuing poor appetite. Care plans were regularly reviewed up until April 2006, but had not been reviewed for the last few months. There was a record of all professional visits such as Social Workers and those from medical professionals. These included GP, District Nurses, Chiropody, Dieticians and appointments at hospital. Referrals, appointments and outcome of visits were all documented in care plans. Evidence from the diary showed that staff supported residents when going to hospital appointments if needed. A District Nurse was visiting the home and had come to dress a wound for one of the residents. She believed that the home used the District Nursing service appropriately for residents. Upon arrival at the home the senior on duty was administering the morning medication. A monitored dosage system dispensed from a local chemist was on a trolley along with drug sheets and a jug of water and several cups. The senior was following a set process of dispensing, administering and then signing for each individual residents medication. She had occasion to leave the medication trolley, but was clear to instruct another member of staff to remain with the trolley until her return. Medication administration records (MAR) were examined and found to be appropriately completed. The storage of medication was appropriate and only the senior on duty held the key. Staff confirmed that senior staff have undertaken a sixteen week medication training course at the local college. Care staff said they had completed the one day course. No resident was on ‘as and when required medication’ (PRN). Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 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): 12, 13, 14, and 15 Quality in this outcome area is good. Residents independent enough to develop their own pastimes can expect to be satisfied, but those who wish to have activities supplied may be dissatisfied. Contact with family and friends can be maintained, as is a degree of control over ones life. Catering at the home is of a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From the six surveys returned from residents three residents stated that there were usually activities arranged by the home for them to take part in. Three other residents said this only sometimes happened. No one responded that there was always activities arranged at the home. One relative surveyed felt there was not enough activities organised for their relative to take part in. The daily diary at the home is used as a shift planner for the day to ensure all jobs are done and allocated to staff members. Upon examination to see what social opportunities had occurred, there was activities such as bingo and a sing-along. Care plans for residents also recorded social activities undertaken by individuals. Some of these were rather sparse in activities. Staff spoken to stated that not all residents wanted to partake and that bingo was a favourite, nails were done for the lady’s and a quiz was held the previous week. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 13 Several visitors were seen to be calling upon residents at the home. They were made welcome by care staff. All six surveys received back from relatives/visitors stated that they were welcome any time and could visit in private if they wished. The cook was met and spoken with, she explained that today’s choice of meal had been either Shepard’s pie or chicken pie, each resident had been asked that morning and they had all chosen the Shepard’s pie, seasonal vegetables and rice pudding for afters. The next day was to be fish and chips followed by homemade trifle that the cook had started to prepare. On the cooker were some freshly made scones, jam tart and cocoanut tarts for residents to have with tea. Four residents stated that they always liked the food and two said they usually liked the food. The cook explained that she liked to meet with individual residents when they were new to the home to get to know their preferences. She explained residents with a poor appetite were residents she met to tempt them with ‘something tasty’. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 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 and 18 Quality in this outcome area is adequate. Residents and others can expect complaints to be listened to but may not be recorded. The home has in place strategies to protect residents from abuse as far as is possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an appropriate complaints procedure in place and this can be found in both the Service Users Guide and the Statement of Purpose. Reference to this is displayed at the home on the entrance wall. A copy is also on the lounge wall. Only two of the six relatives/visitors surveyed were aware of the complaints procedure for the home should they need to use it. All six residents knew who to speak to if they were unhappy. The record of complaints did not include a recent complaint made by a relative. The manager agreed to log the concern, how it was investigated and the subsequent action taken. The home have a copy of the Protection Of Vulnerable Adults (POVA) policy (June 2004). The manager is aware of the national POVA listing. Training for staff on protection of vulnerable adults was provided on 10th May 2006. One certificate was available as evidence. Other records were unavailable for inspection. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 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, 21, 22 and 26 Quality in this outcome area is adequate. The residents who use this service can be assured that there is a programme of redecoration and improvement taking place, but some areas require improvement to offer a more pleasant and safer place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All communal areas were visited along with the kitchen and laundry room and several bedrooms. Redecoration has continued through the home and a new call bell system has been installed. Communal space comprises of a large lounge and conservatory/dining room. Both areas have a television and music provided. There was sufficient comfortable seating for the residents. Upon entering the lounge area there had been a burst pipe that has caused water damage to the ceiling (there is a visible hole) and to the carpet at the entrance to the lounge. The manager had taken action to tape the carpet down to prevent a tripping hazard and had paper work to show that a claim was currently being made through the insurance on the home. Therefore this damage from the burst pipe will be made good in due course. Staff stated that Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 16 there had been a hole in the ceiling for a very long time, but had been made worse by the burst pipe. There are bathing/shower facilities at the home. On the top floor there is a large shower. The hot water was recorded at 42°c and therefore did not pose a risk to residents and staff. The home has a normal bath on the first floor that is not used by residents and an assisted bath on the ground floor. A complaint had been received stating that this assisted bath had been out of action for some months. The manager stated it had been out of action for eight weeks. Upon inspection the hoist on the bath was not working and the hot water temperatures were recorded at over 50°c. The homes thermometer only went up to 50°c. The servicing records for the mobile hoist were examined and found to be out of date. An immediate requirement was left with the manager to repair the assisted bath, service the mobile hoist and to restrict hot water to around 43°c to prevent the risk of scalding. The commission received a satisfactory response on 17th July 2006 of action taken. The laundry room was looking much more organised, with each resident having an individual basket for clean clothes to be returned. The home has installed a new industrial washing machine that will deal with soiled linen. Alginate bags were seen to be available for use. Liquid soap was available for staff use, but there were no paper towels and a terry towel was in use. This is a potential for cross infection. The butler sink for hand washing had evidence of staff hand soaking garments, along with a scrubbing brush. Again this is a high-risk activity for cross infection and should not be practiced as the home has an industrial type washing machine that has a sluice program. The home employs two cleaners and one was met and spoken with on the day. The home was clean throughout and no unpleasant odours were detected. The layout of the home is on 3 floors with level access provided in most areas by means of a shaft lift. Rooms 5, 6 and 11 are not accessible by the shaft lift. A stair lift can be used to access rooms 5 and 6, but to access room 11 the occupant needs to use stairs. Single bedrooms and shared accommodation are available. The home looks out to Kirkley Cliff, a busy one-way thoroughfare. Kensington Gardens, with its many attractions and sea front, is just across the road from the home and easily accessible. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 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): 27, 28, 29 and 30. Quality in this outcome area is believed to be adequate. Residents can expect to be supported by appropriate ratios of care staff that are generally well recruited and have reasonable access to training with more training planned. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The lack of records held at the home made it difficult to assess the key standards for staffing. The current weeks roster was available for inspection as were the coming weeks. These were adequately staffed. However the previous weeks had been removed by the manager to ensure staff were paid. Feedback from residents and relatives was that on occasion there was only two staff available in an afternoon. The manager stated this was correct as the numbers of residents was currently fifteen. On occasion he had replaced the third person with a twilight shift to help residents to bed. Other records that were unavailable were the recruitment records and training records. These had been removed by the manager to update them as there had been several training sessions held. One file was available for inspection and this contained all the relevant checks for recruitment and had copies of certificates of training attended. Staff spoken to confirm that they had recently completed training in health and safety through Otley college and several staff were completing a course on dementia. Two staff also spoke of recently having appraisals. The notice Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 18 board for staff had information about manual handling training and Food hygiene training in July. One staff member said that is was helpful that these courses tended to be repeated on two separate days then all staff could attend. The manager stated that staff had recently undertaken training in first aid, infection control, health and safety and food hygiene. The manager stated that four staff had obtained NVQ 2 and four staff were currently doing NVQ 2. This means that the home meets the 50 target set out in the standards. No evidence was available for inspection. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 37 and 38 Quality in this outcome area is adequate. People who use this service can expect to find a manager who has responded to concerns raised in relation to health and safety, residents best interests may not be safeguarded as the homes record keeping is currently not appropriate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of the home is Mr Sahdew, he and his wife are joint owners and have another home in Essex. Mr Sahdew is a qualified nurse and he is currently undertaking the care management award NVQ 4. Both Mr and Mrs Sahdew are trainers in first aid and manual handling. In relation to quality assurance staff were aware of a process introduced at the home of satisfaction questionnaires. Care staff knew they could hand these out to residents and relatives. The questionnaire covered all aspects of the running of the care home. The manager confirmed that he had received five of Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 20 these lately that allowed him to monitor how the home and the service it offered was performing. The manager explained that they also have occasional residents meetings. There were no minutes of these available. In relation to the management and records kept within the home, reference has been made through out this report of records that should have been available for inspection that were not able to be produced. Five different types of records were requested and not able to be produced. These included. Previous rosters, recruitment records, training and supervision records, contracts with terms and conditions and an accident record for one resident. In relation to health and safety matters, mention has been made to the appropriate training received and planned for staff. Infection control procedures within the laundry need tightening up and have been noted already in this report. In relation to servicing of gas and electrical supply, safety certificates were in place. Servicing of fire systems were in place as was the shaft lift and chair lift. Mention has already been made to the servicing of the mobile hoist, restriction of hot water temperatures and repair of the assisted bath that has taken place as a result of the immediate requirement made. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X 3 3 X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 1 2 Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15(1) Requirement Individual care planning approach must be further developed: - each plan must be reviewed at least once a month or when needs change. - The weight of residents must be monitored. 2. OP12 16.(2)m Residents must be consulted and a suitable programme of activities must be provided based on the outcome. A record must be kept of all complaints made and include details of investigation and any action taken. Residents must live in a safe and well maintained environment therefore: - The damage caused by the burst pipe in the lounge ceiling must be promptly repaired. The carpet must be replaced and made permanently secure. The home must be hygienic and control the spread of infection DS0000049444.V303074.R01.S.doc Timescale for action 21/08/06 21/08/06 3. OP16 4. OP19 17 (2) schedule 4 point 11. 13 (3) 23 (2) b d 21/08/06 21/08/06 5. OP26 OP38 13 (3) 23(2)( K) 21/08/06 Orme House Residential Home Version 5.2 Page 23 6. OP37 17 (2)(3)(4) therefore: - Paper towels must be provided in the laundry room. - Soiled clothes must not be soaked and handled by staff. Records required by regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up to date and available for inspection. 21/08/06 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 OP1 Good Practice Recommendations The Statement of Purpose and Service Users Guide should be updated to reflect the condition of registration granted. Orme House Residential Home DS0000049444.V303074.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Orme House Residential Home DS0000049444.V303074.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. 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. 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