Inspection on 07/11/05 for Osborne House

This inspection was carried out on 7th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Osborne House 28/09/07

Osborne House 20/09/06

Osborne House 12/07/05

Osborne House 07/12/04

Osborne House 27/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Oscars Hotel (Osborne House) 65 Vansittart Road Windsor Berkshire SL4 5BN Lead Inspector Susan Burton Unannounced Inspection 8th November 2005 10:00 Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 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 Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 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. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oscars Hotel (Osborne House) Address 65 Vansittart Road Windsor Berkshire SL4 5BN 01753 857610 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) Advance Housing and Support Limited Post Vacant Care Home 10 Category(ies) of Learning disability over 65 years of age (10) registration, with number of places Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. On admission service users are under the age of 65. Service users who attain the age of 65 years and over can continue to remain resident as long as the service meets their individual needs. That Oscars Hotel is to be used for a period of up to eighteen months from 30 January 2004 to allow for the refurbishment of Osborne House. 12th July 2005 Date of last inspection Brief Description of the Service: Osborne House in Windsor is registered to provide accommodation for 10 adults with a range of learning disabilities age between 18 and 65 of both sexes. The home was an old Victorian building badly in need of renovation. Advance Housing which own the property are investing in a complete renovation of the building that has resulted in its temporary closure. The building is now expected to be occupied in late November 2005. The organisation managed to find temporary accommodation nearby in Windsor that has enabled the group to stay together, the majority of whom have lived together since 1984. The accommodation known as Oscars Hotel is rented temporarily while the refurbishment takes place, (the hotel is closed to paying guests and has been taken over in its entirety by the organisation). Changes have been made by the organisation for the comfort and safety of the residents. The home has three floors, which now provides a small dining room, lounge and eight bedrooms for the 9 service users. All rooms except the shared one have an ensuite shower room. The location of the building is a short walk away from the original home and is closer to some of the amenities and facilities enjoyed by the residents. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was announced inspection which took place on Tuesday 7th November 2005 which was part of a joint visit with the Fire Officer, the Providers representatives and builders which focused on the premises of the newly refurbished Osborne House. The first part of the inspection looked at the environmental and health and safety standards in the refurbished home, which was not yet occupied. There were a number of issues found that were of concern and an immediate requirement was issued to the organisation to address before the residents move back to Osborne House later this month The remainder of the inspection took place at Oscars Hotel and followed up requirements from the last inspection and some key standards for one of the residents who was at home during the inspection. The new manager had addressed the requirements in a satisfactory manner. What the service does well: What has improved since the last inspection? The monitoring of a residents nutritional state had significantly improved and the inspector was able to see the physical improvements the individual had made with support from staff. The organisation has finished the major part of the refurbishment of Osborne House. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 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. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 7 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 Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 With the impending move back to Osborne House later this month the organisation will need to review its existing Statement of Purpose and Service User Guide to ensure that it is reflective of the new facilities provided and that the new document meets the National Minimum Standards schedule, regulation and standard. There have been no new admissions to the home. EVIDENCE: The home will require a new updated Statement of Purpose and Service User Guide once occupancy of Osborne House has been completed which will accurately reflect the services and facilities available and the homes aims and objectives. A copy of the new updated Statement of Purpose and Service User Guide is to be sent to CSCI. There have been no admissions or changes to the group since the move to Oscars Hotel.The manager of the home will assess each individual resident to ensure that when the move takes place back to Osborne House each will have a bedroom appropriate to their needs. The manager advised the inspector that assessment will be ongoing to ensure that the services are also appropriate for each individual. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 The residents in the home have made individual choices about the decor in their new bedrooms at Osborne House. The manager and staff have fully involved the residents in as many aspects of the refurbishment as possible. EVIDENCE: The inspector was able to see in the refurbishment of Osborne House the choices made by the residents. Some rooms had already been decorated with a colour scheme chosen by the group or the individual. The kitchen furnishings had all been chosen by the residents, the door handles had been selected and chosen for style and ease-of-use by the group. The manager and staff constantly update the residents in regard to the progress of the move. All individuals are anxious to return to their home and the manager and staff have spent time reassuring them that their stay in temporary accommodation will soon be at an end. The manager advised the inspector that a notice board is going to be put up in the home and one of the residents has volunteered to manage what information is put on the board. Evidence seen of a recent residents meeting Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 10 confirmed that the group discuss and decide amongst themselves who does what chores in the house, a rota is then agreed between a group. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,17 Osborne House has been designed with small individual kitchen units on the first two floors with the main kitchen on the ground floor. These have been specifically built to encourage and enable the residents to develop their skills in regard to cooking and to maintain their independence. The inspector reviewed the records of one individual resident who was seen at the last inspection to require nutritional support. The records and monitoring of the individuals dietary needs had improved. EVIDENCE: The refurbishment programme at Osborne House considered the needs of the residents and the use of the kitchen facilities. The main kitchen on the ground floor is large and roomy to allow staff to assist residents to develop their cooking skills. The two floors above have small kitchens, which will enable those residents who can cook and make drinks to maintain their independence which is seen as good practice and is commendable. The inspector met the individual resident who at the last inspection appeared to be in poor health and was losing weight. The inspector was able to see a significant improvement in the individuals appearance and well-being. The Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 12 individual was able to confirm to the inspector that he was well apart from a bad cough. The inspector examined the menu plans and records of the individual and was able to see documentary evidence of his improved diet and support. The records also evidenced that the individual had managed to gain over seven pounds in weight in the last few months. The inspector was pleased to see the efforts made by the staff to support this individual. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,21 From discussion with staff and the observation of practice the inspector saw that the staff provide sensitive and appropriate support to the residents. The manager ensures that the health care needs of residents are assessed and that appropriate support and treatment is provided. Ageing and illness are discussed where appropriate with individuals. EVIDENCE: The home has a group of residents with a wide range of ages and differing needs. The inspector focused on the support given to one individual during this inspection. Observation of the staff working and supporting the individual and from the records the inspector saw sensitive and supportive care being given. The refurbishment programme at Osborne House will provide ensuite bathrooms to every bedroom to ensure that individual’s privacy, dignity and independence are maintained. Every bedroom door will have a lock and key provided to the individual if wished. The inspector discussed with the manager about the appropriate need for aids and adaptions being fitted in bathrooms. The manager advised inspector that each bedroom will be risk assessed to ensure that appropriate equipment and adaptions are fitted. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 14 The manager was able to advise the inspector that community dieticians had been involved in the care of the individual who needed nutritional support. The home had printed guidelines in place to assist staff to support the individual. Fortified drinks and additives were seen in use. Staff were also encouraging the individual when shopping to make appropriate choices and selections for his meals. The staff had also consulted a chiropodist in regard to the individual’s feet, staff had discussed with him the need for treatment and encouraged him with their support to visit the chiropodist. Since the visit an improvement had been seen in the mobility and comfort of the individual. Residents had been offered the opportunity to have a flu jab. The home has one individual in his early 70s and at the last inspection there was some concern that staff were not fully aware of the needs of ageing residents with a learning disability. The manager was able to advise the inspector that staff had been provided with information in regard to ageing issues. A member of the local CTPLD team is visiting next week to do a health assessment on this individual. She will also talk to the staff about ageing an age related issues. Staff had discussed with sensitivity with an individual what his wishes would be if he developed a life threatening illness. His spiritual needs were also explored. From discussion with the manager the inspector was of the opinion that the manager had knowledge and experience to enable her to support the individual and the staff team in understanding age related issues. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were inspected at the previous inspection in July 2005. EVIDENCE: Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. The inspector took the opportunity to do a joint visit with an officer from the Berkshire Fire and Rescue Service, a member of the proprietors housing department, the builders representative and the homes manager. Osborne House had been handed over a few days previously from the builders to the organisation. The building was not yet ready for occupation and minor works were taking place. The inspector raised a number of concerns along with the fire service to the organisations representatives. An immediate requirement was issued for the organisation to respond to CSCI within 10 working days on how these concerns were to be addressed. EVIDENCE: The organisation has invested a considerable sum in the refurbishment of the Victorian building. The inspector was advised by the builders representative that bedroom sizes and door widths were suitable for wheelchair users. The premises appeared to be bright, cheerful and airy. Furnishings, fittings and adaptions were not yet fully installed. The Fire Officer discussed with the proprietors representative and builder the need to improve the homes fire safety systems. The home is required to ensure that it meets the requirements, advice and guidelines issued from the Fire Service and Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 17 Environmental Health Service. The organisation should also ensure that the home conforms to the Disability Discrimination Act. All residents will be accommodated in single rooms and all the rooms appeared to have appropriate floor space. The manager advised the inspector that each individual will be offered a bedroom appropriate to their needs and that furniture and fittings will be appropriate for the individual. Residents have been consulted in regard to the choice of bedroom furniture which will be provided by the organisation. Each room has a TV aerial point and telephone point and an appropriate number of electrical sockets. All bedroom doors are lockable. Each room will be decorated to a colour of the individuals choice. All bedrooms are fitted with nurse call points. As none of the bedrooms had any furnishings in place at the time of this visit this will be followed up at the next inspection. Each bedroom has an ensuite bathroom, three rooms have a bath while the others have walk-in showers. The manager advised the inspector that residents who prefer a bath will be offered those particular bedrooms. There is a communal toilet on the ground floor which appeared appropriate for those with mobility needs. None of the bedrooms will be shared. The inspector discussed with the manager and proprietors representative the need for having appropriate adaptions and equipment. The inspector was advised that individual risk assessments will take place to ensure that all equipment is fitted and the proprietors representative was seen to facilitate the ordering of any necessary equipment or adaptions. This standard will be further followed up once the building is occupied. It is recommended that the risk assessments are to be available for the next inspection. The inspector was concerned to see that no sluicing facilities had been installed in the building. There did not appear to have been any consideration given to the need for this facility. Lengthy discussion took place with all parties in regard to what should be provided to ensure that any potential risk to the spread of infection is minimised. The actual laundry is cited at the side of the building and staff have to leave through the backdoor to gain entry to the laundry. The laundry was not yet installed with any equipment. The inspector discussed with the manager the need for appropriate equipment and suggested the manager contact the Local Public Health team for further advice. The home is required to review its sluicing provision to ensure that it meets this standard. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 The residents in the home are supported by competent staff. Residents’ needs are met by appropriately trained staff. EVIDENCE: The inspector has spent some time in conversation with the manager in regard to the process of moving residents from temporary accommodation and back into Osborne House. The manager appears to be competent and knowledgeable and understanding of the residents needs. She was observed to be accessible and approachable by the residents. The manager appeared fully committed to ensuring that the move takes place as smoothly as possible with as minimal disruption to the residents as is possible. The staff in the home always appear to be friendly and co-operative and understanding of the needs of the residents. The home is currently using agency staff on an occasional basis . Inspector was advised that the deputy manager had recently undertaken training in managing risk and in health and safety. Other staff have received training in food hygiene and first aid. The manager has completed training in managing people, assertiveness and return to work interviews. The deputy manager is currently considering commencing NVQ 4 training in 2006. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The manager of the home is required to be registered with CSCI. The home is to ensure that an effective quality assurance audit takes place which seeks the views of the residents and measures success in how the home achieves the aims and objectives of its Statement of Purpose. The safe working practices and health and safety standards of Osborne House were inspected on this occasion. EVIDENCE: Discussion took place with the organisations service manager and acting manager in regard to the manager applying for registration with CSCI. There had been some delay due to health reasons but the organisation was made aware that the home should have a Registered Manager. The service manager and acting manager were very responsive and agreed to progress the application without any further delay. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 20 The manager advised the inspector that she will be commencing the Registered Managers award in January 2006. The inspector was able to see evidence of a residents meeting which discussed the progress of refurbishment at Osborne House. Evidence was seen on consultation with the residents about choices for décor and furnishings. The records also evidenced the residents deciding for themselves what chores they would do to help in keeping the home clean and tidy, and one resident volunteering to organise a notice board which will provide information on activities, who is on duty and any photographs of recent events. The home is recommended to ensure that an effective quality assurance and monitoring audit takes place, which seeks the views of the residents and measures the success of the home in achieving the aims and objectives of its Statement of Purpose. The results of this survey are to be available for inspection. The health, safety and welfare of residents was considered in regard to the refurbishment of Osborne House. The inspector observed that the kitchen doors on the first and second floor did not have fire release mechanisms. The fire officer also observed that none of the doors in the home were fitted with intumescent strips. The Fire Authority will be writing separately to the organisation detailing their concerns and any requirements. The inspector advised the manager to seek advice from the Environmental Health department in regard to the main kitchen and any other areas of the home, there was no separate sink provided for hand washing/food preparation. The lack of appropriate sluicing facilities was also of concern. A number of windows in the home did not have appropriate window restrictors fitted which could be potentially hazardous. The home has on the first and second floor two balconies at the side of the home which could be used by residents for smoking, one of the rails was seen to be in need of securing. The newly installed lift had not yet been commissioned. The upper floor bedrooms at the rear of Osborne House had been fitted with floor-to-ceiling French doors and Juliet style balconies, the inspector expressed her concern to the proprietors representative, manager and building representative for the safety of the resident group with this type of window. The home has on the ground floor and office and staff sleep-in room, the office has a sliding glass window fitted to enable staff to see who is coming into the home. The inspector discussed with the manager the need for the organisation to consider this glass to be of an appropriate safety standards to protect staff from any potential hazard should an object be thrown ay this glass. The lower floor of Osborne House has a sloping pathway to the side entrance which gives access to the home and the lift for any disabled users. This side entrance door is not connected to any security system and staff on the upper levels of the Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 21 home would not be aware if the door was opened either by a resident leaving or persons attempting to gain access. An immediate requirement was issued to the organisations Responsible Person to respond within 10 working days confirming to CSCI that Osborne House will be safe, suitable and appropriate to meet the needs of the residents and that the issues of concern have been addressed. Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 3 3 2 1 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 2 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oscars Hotel (Osborne House) Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 1 X DS0000011278.V264296.R01.S.doc Version 5.0 Page 23 No Are there any outstanding requirements from the last inspection? 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 YA1 Regulation 4 (1) (c) schedule 1 Requirement Copies of the updated Statement of Purpose and Service User Guide which sets out the new facilities and services provided at Osborne House are to be sent to CSCI. Confirmation is to be sent to CSCI that the home meets advice, guidance and any requirements from the Berkshire Fire and Rescue Service and local Environmental Health service before occupation. immediate requirement issued. Necessary and appropriate sluicing facilities are provided which ensures no risk to the spread of infection. The manager of the home is registered with CSCI The responsible individual formally confirms in writing to CSCI that the home will be safe, suitable and appropriate to meet the needs of the occupying residents and that any areas of concern identified are addressed. immediate requirement issued. Timescale for action 08/02/06 2 YA24 23 (4) (5) 22/11/05 3 YA30 23 (2) (k)& 13 (3) 8,9,10 13(4) & 23(1)(2) (4) 05/12/05 4 5 YA37 YA42 16/01/06 22/11/05 Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 24 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. 2 Refer to Standard YA29 YA39 Good Practice Recommendations Risk assessments which evidence that individuals have the necessary adaptions, equipment and aids to meet their needs are available for inspection. An effective quality assurance audit takes place which seeks the views of the residents and measures success in how the home achieves the aims and objectives of its Statement of Purpose. Copies of the audit are to be available for inspection Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Oscars Hotel (Osborne House) DS0000011278.V264296.R01.S.doc Version 5.0 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. 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