Inspection on 11/05/06 for Oxclose Lane Care Home

This inspection was carried out on 11th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oxclose Lane Care Home 15/04/08

Oxclose Lane Care Home 15/05/07

Oxclose Lane Care Home 23/02/06

Oxclose Lane Care Home 23/08/05

Oxclose Lane Care Home 09/12/04

Oxclose Lane Care Home 19/05/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Oxclose Lane Care Home 154-156 Oxclose Lane Arnold Nottingham NG5 6FF Lead Inspector Rehana Rashid KeyUnannounced Inspection 11th May 2006 11:50a Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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 Oxclose Lane Care Home DS0000008731.V293702.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 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. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oxclose Lane Care Home Address 154-156 Oxclose Lane Arnold Nottingham NG5 6FF 0115 967 0657 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) H2057@MENCAP.ORG.UK H4037@mencap.org.uk Royal Mencap Society Ms Catherine Kimbley Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 Brief Description of the Service: Oxclose Lane Care Home provides support including personal care and accommodation for seven people. It is located within close proximity to all community amenities. There are two lounge areas and a large kitchen/diner. All service users are accommodated in single bedrooms. The ground floor bathroom offers assisted bathing facilities. The ground floor is accessible to wheelchair users and three of the bedrooms are on this floor. There is no lift to the other four bedrooms. The care provider is Mencap Homes Foundation, but the premises are owned by Metropolitan Housing Association. The Registered Manager stated that the current weekly fee range is approximately between £335 to £450. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulation Inspector Rehana Rashid carried out the unannounced key inspection, which lasted for just under five hours. This was the homes first inspection for this financial/inspection year. The main method of inspection was case tracking; this involved the random selection of three residents and examining care records for these individuals. The method of case tracking is used to ascertain whether the needs of the residents are catered for. Interaction between staff and residents was observed indirectly. A part tour of the building including the dining area, kitchen, lounges and bathroom/toilets and the garden was provided by the Registered Manager. Two residents showed the inspector their rooms. The management of medication was partly assessed and the systems in place for health and safety, food and nutrition. Unfortunately on the day of the inspection no visitors were present at the home, two residents were interviewed at this inspection. Five staff members were spoken with at the inspection. Two residents spoken with spoke positively about the level of support provided by the home and how their independence is promoted. The focus of this inspection was to concentrate on the key standards, which need to be assessed once a year. These standards were assessed under the new methodology of Inspecting for Better Lives (IBL). Requirements and recommendations made at the previous inspection were also explored with the registered manager. What the service does well: Oxclose Lane Care Home provides its residents with a homely environment. The staffs at the home is competent in their job. They clearly know the individual needs of the residents at the home and are enthusiastic. One of the support workers volunteers her time to help maintain the garden area’s. On the day of the inspection one of the residents informed the Inspector he had been assisting the Support Worker in the garden the previous day, which he enjoyed. The home is managed well and staff are clear about whom they are accountable to. Staff support residents to be as independent as possible. Staff are committed to promoting the quality of the life of residents, with activities within the home and the community. Residents assist to carry out domestic tasks around the home, which helps them to maintain independence and be involved in the running of their home. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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 Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 2,4 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. EVIDENCE: The home has not had any new admissions for a while. Three residents files were viewed these contained community care assessments from the placing local authority. The registered manager confirmed she obtains these assessments prior to an admission, to ensure the home can meet the needs. The home encourages perspective residents trail visits. One of the residents spoken with confirmed, prior to moving to the home she had the opportunity to visit the home. She stated she had a couple of overnight stays, following this she moved to the home. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 6,7,9 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Individual care plans reflect resident’s needs and how needs will be met. Staff encourage residents to make own decisions about their lives with assistance as needed and to take acceptable risks as part of promoting independence. EVIDENCE: Three residents support plans were examined. Each resident has one file, which contains personal details including a photograph and personal preferences. Files were organised. The files do not contain formal daily communication sheets. If there have been any significant events regarding a resident these are reflected in sheets, which are signed and dated by the author and placed on individual files. The support plans were comprehensive identifying residents individuals needs and action staff need to take to meet the needs. Review dates were recorded in the three support plans sampled together with review outcomes. However following risk assessment reviews It is recommended that outcomes be clearly documented. This information should be reflected in the risk assessments in situation were resident needs have remained the same or Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 10 changed ensuring the home are continuing to meet residents changing needs. Resident’s files contained detailed risk assessments, identifying the area of risks within the home and outside together with action to minimise risk. Residents spoken with stated they had been involved in the care planning process. Two of the support plans viewed were person centred suggesting that residents had been involved and these were mainly written in the first person. Support plans confirmed residents are assisted to make their own decisions regarding daily routines. Discussions with both staff and residents confirmed residents are involved in planning meals and activities. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 12,13,15,16,17 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. The Residents are given opportunities for personal development and are able to participate in appropriate activities. Residents at Oxclose Lane Care Home are encouraged to maintain appropriate relationships with family and friends. The home is committed to respecting resident’s rights. Residents are provided with a healthy and varied diet. EVIDENCE: On the day of the inspection residents were out either to day care or had been out to voluntary work. Two residents confirmed they had been out to work on the day of the inspection. The files of the resident’s case tracked confirmed residents are involved in daytime activities including day care services, voluntary work or college. Other activities carried out by residents include shopping, theatre, day trips and holidays. Around the home there was photographic displays which evidence that residents participate in social activities. Residents are able to access local shops and have been able to shop in Nottingham City centre with support where necessary. Two residents Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 12 spoken with stated staff assist them to pursue activities of their choice. These residents stated they are able to go and stay with family and staff are welcoming of visitors at the home. The rights of residents are respected by staff. Residents stated staff Knocked on their bedroom doors prior to entering and spoke to them in a respectful manner. There are no restricted areas around the home. During the inspection the inspector noticed mail is left unopened for residents to open. One of the resident returned from day care and opened his mail. He approached a member of staff to go through the correspondence. Residents spoken with confirmed they are able to receive and make telephone calls from the home. During the inspection the inspector observed staff interacted with residents, they spoke to the residents in a respectful manner. Resident spoken with indicated that meals are varied and wholesome and that daily choice is given. The residents commented ‘Meals are very good’. The home has a four weekly menu, which the inspector examined, and it indicated a wholesome diet. The food storage was clean and there was a selection of foods including fresh vegetables and fruit. The Registered Manager confirmed the home does not bulk buy fresh vegetables and fruit. Food with a short shelf is dated on the day it is opened, evidence of this was seen. Food in the fridge has labels attached to them confirming the date they were used. Records book was seen which documented fridge temperature, which are taken on a daily basis. The Registered Manager stated the menu is planned a few days ahead in consultation with the residents. The residents spoken with confirmed they are involved in the planning of meals stating they are able to decide what they wish to eat. Records are maintained of meals taken. The home has devised a pictorial guide regarding healthy food and there is a choice of low fat menus. Residents spoken with stated the food is very healthy and good. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 18,19,20 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Personal support is provided in the way that is preferred and required. Resident’s health and emotional care needs are met at the home. The arrangements for the administration, storage and recording of medicines in the home is appropriate, ensuring residents safety. EVIDENCE: The files indicated that the residents health needs and personal care need are well documented. Resident’s personal care needs are clear within the care plans. Residents spoken with were satisfied with the support they receive. One residents care plans and risk assessment contain detailed information about the residents health needs and actions to take when the resident is having a seizures. When appropriate or necessary the home seeks input from local health care professionals such as the General Practitioner. Visits to health professionals including Chiropodist, GP and Dentist are recorded and kept in the residents care plan file. There was evidence on the file of an example of good practice. The home are working closely with a multi disciplinary regarding on the residents at the including the speech and language therapist. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 14 Medication was partially assessed it was observed to be stored securely in a locked cupboard. The home uses a monitored dosage system for the majority of the medicines. Upon inspection medication for that day had been given. There were no gaps on the medicines administration record sheet. The homes medicines policy and procedure was viewed which contained a sample of staff signatures and contained instructions what to do in an event of an error. The Registered Manager confirmed that staff had completed care of medicines training course, but as yet staff had not received any accredited training in medication. Evidence was shown to the inspector that the manager has been looking for a suitable date, as yet there is nothing planned. Out of the three residents case tracked two residents self medicate. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 22,23 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Residents feel their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The complaints folder was viewed which contained no complaints. The Registered Manager stated the home have not received any complaints. Throughout the home a complaints procedure was displayed, using signs and symbols, which is very user friendly. Residents spoken to advise if they were unhappy about anything they would speak to the manager. As part of the Mencap Induction staff have received training regarding awareness of abuse. The Nottinghamshire Committee for the Protection of Vulnerable Adults Policy and Procedure is available in the home. Staff were aware of the issues of abuse when asked by the inspector. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 24,27,30 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. Oxclose Lane care home is clean and hygienic. However some maintenance is required. EVIDENCE: The premises comprised of two adapted houses. There were two lounge areas and a large kitchen/diner. Bedrooms are located on the ground and first floor. Access to the first floor rooms is via two separate flights of steps. The home does not have a lift. There are bathroom and toilet facilities on the ground floor, which are wheelchair accessible. Bathroom and toilets are also located on the first floor at both ends of the home. Three residents bedrooms were viewed which were personalised and clean. The rear garden area has seating area for the residents. The window blind in the kitchen is unsightly covered in stains. The manager stated this was due to a leak in the bathroom. The laundry room was viewed which contains a new industrial dryer, which the manager advised was a recent purchase. On the day of the inspection the laundry floor was not thoroughly cleaned. It was noted at the last inspection that one sofa was worn and needed replacing. Following a requirement at the previous inspection there is now a Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 17 new sofa in the lounge and three mattresses have been replaced. The old sofa and the mattresses were placed near the garden shed, which the manager advised the council would be collecting. Staff members spoken with stated funding is a problem for instance they stated holiday budgets are not allocated until August, which is holiday peak times. The delay in agreeing expenditure continues to be a difficulty. This restriction continues to have a serious impact on providing items to meet needs. A requirement set at the previous inspection to replace one of the baths with a hole and to redecorate the bathrooms has not been met and is now outstanding. The manager confirmed the Area Services Manager has been able to secure funding to replace the bath and redecorate. The inspector viewed an action planned, which contained a provisional date of completing this work by 30th June 2006, however the manager stated this was not a definite. Residents together with the staff are responsible for domestic tasks. The communal areas of the premises were otherwise found clean. On the day of the inspection the home was free from offensive odours. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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): 32,34,35 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff. The homes recruitment policy and procedure protects residents. Staff are given training opportunities. EVIDENCE: The staffing rota was seen; there are two staff on duty during the day. Staff spoken with stated staffing levels are adequate. Residents spoken with during the inspection stated they felt staff at the home are competent in their jobs. Five staff were spoken with as part of the inspection they stated they receive suitable training, which is appropriate to their roles. They also stated as part of the Mencap induction they have attended adult protection awareness training. Staff training records were viewed on the day of the inspection. One member of staff has completed NVQ 2, another is working towards it. Three staff files were viewed at the time of the inspection, which were stored in a lockable cabinet, the files were organised and information was easily located. These files contained two references, satisfactory Criminal Records Bureau (CRB) check and employment application forms. There was evidence on the most recently appointed staff member confirming the CRB was completed prior to the commencement of employment. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 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 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home. Residents are confident their views underpin all selfmonitoring, review and development by the home. The health, safety and welfare of residents are promoted and protected through regular health and safety checks. EVIDENCE: The manager is registered with the Commission for Social Care inspection. Both staff and residents stated the manager is support and approachable. Quality assurance system is in place, in the form of questionnaires, which are given to the residents. They are able to complete these with the assistance of the staff or family. The residents care files case tracked contained the questionnaires. Generally the feedback was positive. Signs and symbols are used in the questionnaires, which are very user friendly. Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 20 The inspector viewed a range of records relating to health and safety. During the inspection the Employers Liability Insurance Certificate was displayed in the managers office, which is due for renewal June 2006. Portable electrical appliances had a safety inspection on 16th January 2006. The electrical system has not been tested. Gas servicing was completed 22nd February 2005, the manager showed the Inspector which confirmed gas servicing has been arranged for 19th May 2006. Fire test records were adequate, door closure tests, emergency lighting tests, fire alarm tests are recorded to take place weekly. Fire drill takes place quarterly. Fire system maintenance certificate was viewed which took place 2nd May 2006. The registered manager was advised to contact the Environmental Health officer to seek information on legionella control measures. However she advised the inspector that she would be able to devise a plan herself. Oxclose Lane Care Home DS0000008731.V293702.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 22 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 YA30 Regulation 23(2)(d) Requirement Ensure bathrooms are thoroughly cleaned and redecorated. Outstanding from last inspection. Ensure that the risk assessment is kept under review and to record the risk assessment outcome and revised as needs change. Replace the damaged bath. . Outstanding from last inspection. Timescale for action 30/06/06 2. YA9 14(2) 30/06/06 3. YA27 23(2)(j) 30/06/06 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. 2. Refer to Standard YA6 YA24 Good Practice Recommendations Review all individual support plans every six months and ensure revisions are dated and signed. Review systems for approving expenditure so that required DS0000008731.V293702.R01.S.doc Version 5.1 Page 23 Oxclose Lane Care Home items are provided in a timely fashion. 3. 4. YA20 YA42 Ensure staff receive medication training, which is accredited. The registered manager ensures the health and safety of residents and staff including the maintenance of electrical systems. The Health and Safety Executive recommends that fixed electrical installations should be inspected and tested at regular intervals; every five years for care homes. Seek advice from the Environmental Health Officer regarding preventive measures for Legionella. 5. l YA42 Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Oxclose Lane Care Home DS0000008731.V293702.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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