Inspection on 20/03/06 for Peat Lane House

This inspection was carried out on 20th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 24 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peat Lane House 06/09/07

Peat Lane House 07/02/07

Peat Lane House 26/06/06

Peat Lane House 06/09/05

Peat Lane House 16/03/05

Peat Lane House 29/09/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Peat Lane House Sandylands Kendal Cumbria LA9 64A Lead Inspector Liz Kelley Unannounced Inspection 20 March 2006 10:00 th Peat Lane House DS0000036525.V277144.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 Peat Lane House DS0000036525.V277144.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. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Peat Lane House Address Sandylands Kendal Cumbria LA9 64A 01539 773073 01539 773073 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.cumbriacare.org.uk Cumbria Care Care Home 19 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (1), Physical disability (5) of places Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. An application in respect of a registered manager for this home must be received by the National Care Standards Commission within 28 days of the date of this notice. The matters detailed in the attached schedule of requirements must be completed in the specified timescales. The staffing levels for the home must meet the Residential Forum Care Staffing formula for Younger Adults by 1st April 2004. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. The statement of purpose should clearly set out the physical environmental standards met/not met by the home in relation to standards met/not met by the home in relation to standards 24.2;24.9;25.3;27.2;27.4;28.2, and a summary of this information should appear in the service user`s guide. Eighteen people with a learning disability (18LD); one person with a learning disability over 65 years of age (1LD(E)) of whom five may have a physical disability (5PD). 6th September 2005 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Peat Lane House is registered as a Care Home for 19 people with learning disabilities of whom five may also have a physical disability. The registered provider is Cumbria Care, who from the 1st April 2006 will come under the jurstriction of Cumbria Social Services. The living accommodation is arranged into five separate flats accommodating between two and five people. Each flat had its own sitting room, fully fitted kitchen, bedrooms and bathroom facilities. The larger flats also have a separate dining room. A central laundry is available for some flats that do not have their own laundry facilities. The flats are linked by communal corridors and accessed via a shared entrance door and entrance hall, off which are staff offices. The Home also had a large separate communal lounge and a sensory room. One flat is a respite facility, which accommodates up to three people. The home has its own large car park. Each flat has its own dedicated staff team who offer support, supervision and personal care. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by Liz Kelley, Regulatory Inspector, and Elaine Brayton, Regulation Manager from 10.00 am until 3.30 pm. The Home had recently withdrawn its application to deregister the home to become Supported Living. The home remains a registered care home and now has a new landlord, Impact Housing. The main focus of this inspection was on the building and assessing whether each flat was fit for the purpose of adequately accommodating those living at Peat Lane House. Only the standards not covered at the last inspection will be inspected, and for a full picture of the home the last two reports need to be read in conjunction. What the service does well: What has improved since the last inspection? What they could do better: The Pharmacy Inspector carried out a separate inspection and made a number of requirements and recommendations. These were discussed with the relief supervisor on duty, however these will be examined in more detail on the next full inspection with the manager. It is becoming increasingly obvious that the home has had no major investment and the building both externally and internally was looking run down and neglected. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 6 As mentioned in previous inspections two long established flats that accommodate highly dependent residents were having difficulties in meeting individual needs. This is due to the different approaches required for each person and the fact that not all these residents are compatible. The size and layout of these flats also adds to the difficulties in providing care. Staff time in these flats is rightly taken up by care of residents, but staff have no additional support for cleaning and household duties. Consequently these flats were not as clean as they should be. To address these shortfalls the manager must determine with the new landlord, Impact Housing, who is responsible for maintaining which areas of the home, and then draw up a plan of improvements for the home. The Home has recently taken residents who have not been compatible with others living there, and this has had a negative effect on all those residents and staff involved. 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. Peat Lane House DS0000036525.V277144.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 Peat Lane House DS0000036525.V277144.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): 3 The placement of new residents has not been well managed recently and existing residents have suffered. EVIDENCE: The Home has recently taken residents who have not been compatible with others living there, and this has had a negative effect on all those residents and staff involved. The manager has been put under pressure to accept residents who’s needs she knows the home cannot meet. As a compromise with social services she has agreed to take people on a trial or emergency basis, with the agreement of regular reviews to assess if the placement is working out. Once the person has been placed it has then become almost impossible to move them to more suitable accommodation. There is a shortage of housing and accommodation in the area which puts pressures on the Home and the referring social workers. Peat Lane House has a track record of responding to emergency’s and attempting to accommodate people who other services have refused to take, and while this is laudable it can have a negative impact on those already living there. One example is placing a 21 year old with challenging behaviours in a small flat with two very established, quiet, elderly residents. This is the second unsuccessful placement in this flat, the first resulted in an incident which required this persons immediate removal from the flat, in order to protect others living there. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 9 Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 10 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 Resident’s choice, rights and freedoms to make decisions has been negatively affected by inappropriate placements of service users whose needs cannot be met by the Home. EVIDENCE: Some of these issues were discussed in the previous section. The flat in question has been stripped of all moveable objects, and is now bare and unwelcoming. This is in a flat that was previously decorated to a style that suited the older people living there, with pictures, ornaments and felt warm and homely. The residents are spending more time in their bedrooms. This then puts a strain on staff trying to manage a difficult situation and each persons care plan and therefore, needs cannot be met. Peat Lane House DS0000036525.V277144.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, 17 Residents are actively encouraged by staff to have varied leisure activities. The home has developed good relationships with relatives that are supportive and enhance resident’s quality of life. In those flats that have problems with compatibility or with the lay-out of the building, the choice and life-style of these people is compromised. Mealtimes and menus are flexible around resident’s choice and dietary needs. Residents are offered varied and good quality foods ensuring a well-balanced and healthy diet. EVIDENCE: Staff enable residents to have hobbies both within the Home, and to join in activities in the local area. All residents are individually assessed to determine the appropriate participation in day-centred activities. Residents, therefore, attended a range of different styles of day activities from day centres for individuals with high dependency needs, to more vocational styles where office, retail and horticultural skills are developed. Relatives have always said they were made to feel very welcome at the Home and were made to feel a key part of the team caring for their relative. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 12 Details of family and friends were very much in evidence in residents care plans including key information and also developmental issues, and frequency of contact. The Home had space to allow residents to see family and friends in private. Where flats have issues with compatibility this has resulted in residents spending more time in their bedrooms, and staff employing tactics to separate residents by using the large communal lounge or sensory room. While this is a good idea as a temporary measure a longer-term and more permanent solution needs to be considered. One flat had been stripped bare of moveable objects. This had been a flat with three elderly residents, which was noted for being homely, cosy with numerous pictures and ornaments of residents choosing. This was having a detrimental impact on the quality of life for these residents. The weekly menu is planned with residents and purchases for the menu carried out with residents, who take turns to help. Mealtimes are flexible and organised according to the homes activity. During the week packed lunches were taken to daytime activities, and a cooked evening meal is provided in the evening. Again residents help if this is part of an assessed care planning need. Service user also enjoyed a variety of take away meals and meals out. Specialist diets are catered for and from time to time dieticians were consulted. Details of residents being encouraged to have healthy diets was noted in care plans, and flats contain fresh fruit and vegetables. A resident spoken to was aware of foods that were good and others that she should try to avoid, and she said staff helped her to make these choices. Peat Lane House DS0000036525.V277144.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): 20 The care and recording of medicines in the home still requires to be more accurate in order to safeguard the well-being of residents. EVIDENCE: The Pharmacy Inspector, Angela Branch, carried out a separate inspection on the 20th October, 2005, and made a number or requirements and recommendations. These were checked with a relief senior who was on duty for this inspection. While some measures had been put in place there continues to be errors. Missed signatures were noted on MAR sheets and second signatures did not tally with the original dispensing persons signature. Recording of diazepam did not tally with the number of tablets signed for. The senior was not sure if some of the measures had been put in place and the requirements made at the Pharmacy Inspectors visit will remain on this report and be fully assessed at the next full inspection. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 14 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 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. EVIDENCE: The Home has a complaints procedure, with a response time of 28 days. A system was in place to record all complaints. All service users have a copy of the complaints procedure, and details of how to complain were posted in the home and were available in different formats. Up-to-date information about the Commission for Social Care Inspection was included. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 15 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): 24,28,30 The home was looking run down both externally and internally. Some flats were not as clean as they should be and these factors gave the building an air of neglect. Two flats were of an unsuitable design and were not comfortably meeting the needs of residents. The building is institutional in appearance and lay-out and does not promote independence and integration into the local community. EVIDENCE: Externally the building requires painting as many areas were badly flaking. Derwent flat has a claustrophobic feel with one long corridor and no natural light. The sitting room has one small doorway in and out, and is filled with furniture, it is too small for the number of challenging residents. The lay-out of the flat is not suitable for people with challenging behaviours. It does not follow national good practice guidelines for design of buildings for people with complex and challenging behaviours. This style of accommodation will lead to a higher number of conflicts and increased agitation of those living there. This flat is not suitable for wheelchair users, having very small doorways, corridors and no turning circles, with no opportunities for independent movement. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 16 The kitchen was looking “tatty” with worn work surfaces, broken doors and handles. The kitchen needs to be replaced. There is inadequate storage for food and equipment. The fridge is not large enough for the number of residents in the flat, and an over-spill fridge was used at the other side of the building. The bathroom is very small and is in need of up-grading, for example bath seals were old and black. A hand rail next to the toilet is badly cracked and unhygienic. Although mentioned at the last inspection, there was still evidence to suggest that toiletries were being shared. Areas of the flat were dirty and dusty, such as the kitchen bin, dining room chairs, the telephone handset, and the carpets needs a vacuum. Shared areas were in need of decoration with evidence of heavy wear and tear. Old metal windows are rusted and painted over badly and were in need of replacement. There are insufficient electric sockets with a number of exposed extension leads in use. There is inadequate storage for paperwork which results in paperwork being kept in inappropriate places, being disorganised and messy, for example on top of the bread bin and on window ledges. Care plans are held in a large plastic storage box, with no order, in the dining room. The vacuum cleaner is kept next to the dining room table, as there is nowhere else to store it. Grasmere Flat, similarly requires redecorating with areas looking chipped and walls dirty. Since the last inspection, when it was commented upon, the flat this time was being cleaned to more acceptable standards. The bathroom was also in need of up-grading with tiles and old seals that need replacing. There were also not enough tiles to cover the shower area. There are similar issues in this flat about the lay-out not meeting the needs of residents. The respite flat has had redecoration in two of the bedrooms with new furniture which made these rooms comfortable and attractive to stay in. There was inadequate furniture in this room with the television standing on the floor. The assisted seat in the bathroom is chipped and worn and requires attention to make it hygienic and safe to use. In the kitchen a unit door has been missing for some time. In the fridge raw meats were being kept next to cooked food and staff need to be aware that this is not safe practice. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 17 Around the Home were a number of single dining room chairs that are badly worn and needed to be thrown away. The sensory room, although potentially an asset, needs to be kept clean and tidy. The manager has had meetings with the new landlords, Impact Housing, and some areas have been prioritised namely the homes heating system and electrics which both require up-grading. The manager needs to determine with Impact the other areas, some identified in this report, and who is responsible and submit a plan of improvements for each flat, and Peat Lane House in general, to the Commission for Social Care Inspection. Peat Lane House DS0000036525.V277144.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): These standards were assessed and met at the last inspection. EVIDENCE: Peat Lane House DS0000036525.V277144.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 and 42 The Home has not had clear leadership for sometime and this had begun to show. The new manager has started to put quality assurance checks in place to improve the running of the Home. EVIDENCE: After a long period of uncertainty a new manager has been appointed to the Home this person will need to have a clear focus and strong leadership skills to address the shortfalls identified in this report. The manager post had seen numerous changes over the last 18 months, however, Operations Manager, Nancy Douglas, had been line managing the Home over this period. The Home has a team of experienced senior supervisors who had provided continuity over this unsettled period. The home does not have a designated deputy and for accountability and clarity of roles in the absence of the manager this should be considered. While a senior is on duty they have responsibility for the whole of the building, as well as being the senior for a designated flat. Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 20 The manager and operations manager are introducing systems to ensure that key areas are dealt with in an efficient manner, for example monthly checks to ensure care plans and staff supervision were up-to-date. The practice of using shared toiletries, which was noted in one flat, is not advised by Infection Control guidelines. Also to ensure safe handling of foods raw and cooked foods should not be stored side-by-side. Peat Lane House DS0000036525.V277144.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 X 3 1 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 2 29 X 30 1 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 1 2 X 3 X X 2 X Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 22 Yes 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 YA20 Regulation 13(2) Requirement Medicine administration records All administration of medicines must be signed for Where prescribed doses are variable the dose administered must be documented Reasons for non-administration must be documented Damage by the use of holepunchers that remove part of residents name must be avoided MARs must be accurate for the prescribed medicine MARs must list all prescribed medicines (Previous dead line 01/12/05) The manager must ensure a continuous supply of medicines at all times Previous dead line 01/12/05 Medicines must be commenced as soon as possible after initiation and administered as prescribed (Previous dead line 01/12/05) The manager must establish if Daktarin or Daktacort cream is required for a specific resident (Previous dead line 01/12/05) Medicines provided to residents DS0000036525.V277144.R01.S.doc Timescale for action 30/04/06 2. YA20 13(2) 30/04/06 3. YA20 13(2) 30/04/06 4. YA20 13(2) 30/04/06 5. YA20 13(2) 30/04/06 Page 23 Peat Lane House Version 5.1 6. YA20 13(2) 7 YA24 23 8 YA6 12 8 YA6 12 9 YA24 23 10 11 12 13 YA24 YA24 YA24 YA24 23 23 23 23 for overnight stays must be appropriately labelled (Previous dead line 01/12/05) The decision to administer medicines covertly must be reached through multidisciplinary discussions and fully documented in care plans (Previous dead line 01/12/05) The respite facility must be upgraded. To include new bedding and bedroom furniture Repair of kitchen doors Repair or replacement of assissted bath seat Repair of curtain pole to make it safe (Previous dead line 31.10.04) Compatibility issues for service users in Grasmere flat must be addressed and future actions sent into the Commission for Social Care Inspection (Previous dead line 30.11.04 and 31.10.05) Compatibility issues for service users in Derwent flat must be addressed and future actions sent into the Commission for Social Care Inspection (Previous dead line 30.11.04 and 31.10.05) The manager must develop a plan of improvements to the building (Previuos dead line 30.11.05) Flats must be kept clean and hygenic (Previuos dead line 30.09.05) The fitness for purpose of Grasmere and Derwent flats must be assessed Derwent flat kitchen must be replaced Adequate storage must be provided for Derwent Flat, for food, paperwork and items such DS0000036525.V277144.R01.S.doc 30/04/06 31/03/06 30/06/06 30/06/06 11/04/06 31/03/06 30/05/06 30/08/06 30/08/06 Peat Lane House Version 5.1 Page 24 as a vacuum cleaner. 14 15 16 17 18 19 20 21 22 23 YA24 YA24 YA24 YA24 YA24 YA24 YA24 YA42 YA3 YA3 23 23 23 23 23 23 23 16 14 12 Bath seals and cracked tiles must be replaced The hand rail in Derwent toilet must be replaced. The communal areas, corridors of Derwent and Grasmere must be redecorated Additional tiles must be put around the shower area in Grasmere Flat Fridges and freezers in flats must be large enough to meet residents needs Old dining room chairs must be thrown away or replaced The sensory room must be kept clean and tidy Raw and cooked foods must be stored appropriately Residents must not be admitted to the home if their needs cannot be met Residents must be consulted and their wishes and feelings taken into account on the placement of new residents to their Home 30/08/06 30/04/06 30/05/06 30/05/06 30/05/06 30/04/06 30/04/06 31/03/06 31/03/06 31/03/06 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 3 Refer to Standard YA20 YA24 YA37 Good Practice Recommendations Medicines that are no longer required should be disposed of appropriately Wash-hand basins should be boxed in to make them hygienic The home should review the need for a deputy manager Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Peat Lane House DS0000036525.V277144.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!