Inspection on 05/07/05 for Phylward House

This inspection was carried out on 5th July 2005.

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

Other inspections for this house

Phylward House 29/06/07

Phylward House 07/12/05

Phylward House 05/10/04

Phylward House 11/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Phylward House 9 Cavendish Avenue Harrogate North Yorkshire HG2 8HX Lead Inspector David Blackburn Unannounced 5 July 2005 09:15 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 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 Stationary 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. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Phylward House Address 9 Cavendish Avenue Harrogate North Yorkshire HG2 8HX 01423 502644 01423 522810 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Wilf Ward Family Trust Nicola Mary Spencer Care home only 9 Category(ies) of LD Learning disability (9) registration, with number of places Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 05/10/2004 Brief Description of the Service: Phylward House is a large detached building standing in its own grounds. It is situated in a residential area of the town. A former private dwelling house it has been extended and adapted to provide accommodation for a maximum of nine service users. It occupies three floors. The lower two provide the accommodation and facilities for the service users. The upper floor is used for staff accommodation and administrative purposes. A day care unit is housed within the main building. This is separately staffed and managed. Phylward House was originally used as a respite centre but in recent years has accepted long stay service users. The home caters for adults with a learning disability and associated physical health and behavioural needs, including challenging behaviour. The staff seek to provide a holistic care regime offering personal care, help, advice and guidance with daily living skills and activities, a catering service, a laundry service and domestic and cleaning services. Activities are offered both on and off site. All service users are registered with local general medical practices. The doctors arrange access to other National Health Service provision. The home has links with local Community Resource Teams (for people with learning disabilities) who provide advice, guidance and access to specialist services. Phylward House is owned and managed by the Wilf Ward Family Trust, a registered charity. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection on which this report is based was the first to be carried out in the inspection year April 2005 to March 2006. It was undertaken over eight hours including preparation time. The focus was on a number of key standards together with any subject to requirements and recommendations at the last inspection. An inspection of some parts of the premises including bedrooms was carried out. A number of policies, procedures and records were examined. Discussions were held with the registered manager, the assistant manager, three of the staff on duty and three service users. The service users were unable to enter into any meaningful discussion and generally gave one-word answers or gestures. The Director of Operations (West) and the Locality Manager for the home were also present for a short time. A survey in the form of a questionnaire had been sent to family, visiting professionals and other people with an interest in the care of the service users. The results of that survey formed part of the evidence used in this report. An anonymous telephone call was received prior to the inspection and the comments made during that conversation are also recorded within this report. What the service does well: Good assessment procedures were available should a vacancy arise in the home. These procedures would ensure any person admitted would have their personal needs and choices fully identified, understood and met. A well-defined care planning system was in operation that was easy to follow and understand. The wealth of information on each service user clearly showed in great detail their needs and how they would be met. A relative said “The overall care at the home is second to none.” A visiting professional said “The home is an excellent care provider offering individual care while maintaining the highest of standards.” Staff were pro-active in encouraging service users to make full use of the local community and the mini-bus ensured easy access to facilities and amenities. Service users enjoyed contact with family and friends. All responses from families indicated they were kept fully informed of all matters relating to the care of their relatives. The premises were clean, warm, and free from offensive odours. Proper attention was given to the maintenance of hygiene. Although there had been some recent staff appointments, the nucleus of staff was a stable group with good morale who had received relevant training. A Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 6 relative said “Staff are caring and helpful. They go beyond what is asked of them.” A good interaction was noted between service users and staff. The home was properly managed. Appropriate attention had been given to matters of health and safety to ensure the home was a safe place in which to live and work. 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. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 standard(s) 2. Service users were assured their needs and choices would be properly assessed and met. EVIDENCE: The last admission to the home had taken place over two years ago. The case file of this service user was examined. Assessments had been undertaken and completed as part of the admission process. The original care plan was seen. The criteria for admission were shown in the Statement of Purpose and within the policies and procedures of the registered provider. The expectation was that the funding authority would carry out the assessment process and produce the initial care plan using their selection criteria. The registered manager had available the home’s initial assessment pro forma. This would be used alongside the funding authority’s assessment. The registered manager expected those carrying out this assessment would make full use of and take into account the views of existing residents, family and advocates, visiting professionals and those giving either a social care or health care input to the home. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 standard(s) 6 and 9. Service users’ needs and preferences were well recorded ensuring they were properly understood and met. They were able to enjoy a full lifestyle through good risk management. EVIDENCE: Five case files were examined. Each was well organised being indexed and colour coded to aid retrieval of information and promote ease of use. The files contained a variety of information including a current care plan. Monthly summaries were being made with the care plans being updated as necessary. Comments from an anonymous caller suggested that care plans had been updated solely for the purposes of the inspection. Evidence was seen however of regular updates over the past 18 months. A new care planning format was being introduced, Personal Support Plans. They were available on some of the files seen. Risk assessments formed part of the care planning process. Full assessments covering the majority of the aspects of daily living were seen on each of the files examined. Again the suggestion of the anonymous caller that they had been reviewed solely for the purpose of the inspection was not substantiated. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 10 Service users were not denied any activity even though a risk could be attached. Staff were keen to ensure they had full access to all activities of daily living. The presence of a potential or real risk was something acknowledged and assessed with a plan of action implemented to minimise that risk, for example use of the minibus ensuring service users were safely seated either in wheelchairs (properly secured) or in a normal seat with seatbelt. A visiting professional expressed “no concerns” with the standard of care being given in the home. Another commented that “the interests of service users are paramount as far as the staff are concerned.” All the responses from families expressed their overall satisfaction with the care being provided to their individual relative. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 standard(s) 12, 13 and 15. Service users’ access to local facilities and amenities, regular contact with family and opportunities for social interaction were promoted and maintained enabling them to have a number of different life experiences. EVIDENCE: None of the service users could undertake paid or voluntary employment. None was able to take advantage of local further educational classes. Some service users had day care placements either at the centre attached to the home or at an external location. Service users were encouraged to make full use of the facilities and amenities in the local community. Staff said their disabilities were seen as no bar to any activity they might wish to choose. A full assessment of the particular facility would be undertaken together with a risk assessment on the particular service user. The current activities’ plan, completed on a weekly basis, was seen. This related to planned events for the forthcoming week. Other activities were offered and arranged on an ad hoc basis. These arrangements were confirmed by the staff. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 12 Most service users had regular contact with family and friends. This was maintained through visits and telephone calls. Some families were able to visit their relatives at the home. For those unable to visit the staff made arrangements for the particular service user to take home leave. Comment cards received from families indicated they were welcome to visit at any time and could meet with their relative in private. The manager said she was considering the use of a Befriending Service for those service users without regular family contact. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 standard(s) 18 and 20. Service users’ social and health needs were promoted through good attention to the way care was offered and proper medication procedures. EVIDENCE: Service users’ care needs and how they were to be met were detailed in their care plans. All personal care was given behind closed doors. Doors to bedrooms and bathrooms could be locked. Male and female staff were employed. The individual care plan recorded each service user’s preference for how care was to be provided and by whom. Service users were given every opportunity to organise their day within the limits of their individual abilities. Staff were heard discussing activities and outings with service users. This interaction was warm and friendly. Staff were noted to adopt a professional manner at all times. There was difference of opinion expressed in the comment cards received from visiting health and social care professionals. Some comments made suggested that the actual care was not always given in the most appropriate manner for example “Staff are not consistently following the advice given” and “It would be more appropriate if they (staff at the home) worked with the team (visiting professionals) and the advice given.” However other comments were supportive of the staff and the care regime on offer, for example “All aspects of the service on offer are excellent”, “My advice is always acted upon” and “ It Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 14 has been a positive experience for all concerned working with them (staff team).” The responses from families were very supportive of the manager, staff and the manner in which care was being offered. A medication policy and procedure produced by the registered provider was seen. Proper procedures were being followed for the receipt, storage, administration and recording of medication. Medication supplies were kept in a locked cabinet. A monitored dosage system was used though a small number of medicines were administered directly from the original packaging or bottle because they could not be stored in blister packs. Any special instructions were recorded in the medication file. The medication administration record sheets were scrutinised. They had been completed correctly. All staff had undertaken in-house medication training. Those with responsibility for medicine administration in the home had completed external accredited training. This was confirmed by staff on duty. A visiting health professional said “From my observations medication is appropriately managed in the home.” Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 standard(s) 22. Service users had the confidence their concerns and worries would be listened to and acted upon. EVIDENCE: A complaints policy and procedure was seen. Leaflets were available “How to Make a Complaint” and had been produced in pictorial form. Copies were displayed in the home. The procedure showed how to complain, to whom and gave timescales for a response. The leaflets showed the name and address of the previous regulatory authority. They must include the name and address of the current regulatory authority clearly shown. The manager had recently sent out copies of the Complaints Procedure to all families following comments received during a recent survey. She now felt that as many service users had regular visitors and others saw their family away from the home or had regular telephone contact if there were concerns about their care these would be raised without delay. A number of relatives and visitors indicated they were aware of the complaints procedure and the location of the registered provider’s headquarters. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 standard(s) 24, 26 and 30. Service users were provided with a homely, comfortable, safe and hygienic place in which to live. EVIDENCE: Phylward House was a large detached property situated in a residential area of the town. It was within easy travelling distance of the town centre. There was no external indication to suggest it was a care home. The house was a former private dwelling that had been adapted and extended to provide accommodation for a maximum of nine service users. The building covered three floors. The lower two provided the bedrooms and communal areas for the service users. The upper floor was used for staff facilities and administrative purposes. The premises were in good condition internally and externally. The house was warm, light, airy and clean. The anonymous caller had suggested that there were unpleasant odours throughout the home following a recent outbreak of diarrhoea and vomiting among service users and staff. On inspection the premises were found to be free from any offensive odours. The manager had obtained quotes for the cleaning of all floor coverings. The director of operations said money had been agreed for this work to be undertaken. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 17 Fixtures, fittings, furnishings and fabrics were all domestic in nature and in serviceable condition. They reflected the registered provider’s intention to secure a non-institutionalised setting within the home. A number of bedrooms were seen. The actual provision of furniture and equipment in each room varied according to the wishes of the individual service user, their particular needs, ability to cope within the bedroom and their agreed care regime. Each had been personalised and decorated according to individual choice. Service users had brought in a number of personal items. Rooms had suitable floor coverings, bedding and curtains. All bedrooms seen had door locks. Keys were said to be available to those service users who could use them. Where keys have not been issued a note given the reasons had been made on the care plan. Similarly if a means of safe storage was not used the reasons why had been recorded. There was a small laundry provided with industrial type machines. The laundry floor had a suitable covering and the walls could be readily cleaned. Systems were in place to ensure the regular laundry of all items, linen, towels and personal clothing and to maintain a clean hygienic environment. The laundry could be reached without the need to go through any communal area. There was an efficient and effective domestic and cleaning service in the home. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 and 35. Following attention to staffing issues, service users were being given good and consistent care by a motivated, trained and competent staff team. Service users were protected from harm through good recruitment and vetting procedures. EVIDENCE: The staff team had a good mixture of ages, skills, experience and knowledge. They had a number of formal qualifications, for example university degrees, and awards gained through actual work, for example National Vocational Qualifications (NVQ). A number of staff were working towards their NVQ in care to level 2. The staffing roster seen showed a good deployment of staff throughout the waking day. These were supported by waking and sleeping-in night staff. The manager said the 296 care hour vacancies reported at the last inspection had been reduced to 164. The shortfall was addressed by the use of relief and agency staff. Most were being used on a regular basis to ensure continuity and consistency of care. Good recruitment, selection and vetting procedures were in place to ensure that only staff with the right skills, knowledge, interest and commitment were appointed. The registered manager was fully involved in these procedures. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 19 Staff confirmed they undertook induction training. Evidence of the work undertaken was seen. Further training was identified through supervision and the introduction of staff Personal Development Plans. A variety of other specific and general courses were on offer from the registered provider and external trainers. The anonymous caller made a number of allegations relating to staff. These included reasons for staff leaving, lack of training and the non-use of specific monies for extra staff. None of these allegations could be supported. Some staff had left to pursue university courses, to gain promotion or for legitimate family reasons. Training issues were being addressed and evidence was given of the courses attended by a number of staff. Such attendance was confirmed by staff. The duty rota showed an additional 96 care hours. An extra staff member was deployed at peak times and on weekends. This gave five on duty during peak periods through the week and four on duty during weekends. Comments from relatives and visiting professionals were complimentary about the staff. “They are helpful and caring.” “Staff awareness and skills are highly tuned.” Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 41 and 42. Service users were able to live in a properly managed, safe and secure environment. EVIDENCE: The registered manager had a variety of skills, knowledge and experience together with training in areas specific to the present resident group. During discussion and observation she demonstrated a good understanding of the issues and needs relevant to the management of a care home. She had successfully completed the Registered Managers (Adults) NVQ 4 award and was seeking to gain a National Vocational Qualification in care to level 4. A number of records to be kept in the home as required by Schedules 3 and 4 to the Care Homes Regulations 2001 were requested. All were being maintained in an adequate manner. It was noted, however, that the full information on each staff member as required by Schedule 4.6 to the Care Homes Regulations 2001 was not available in the home. The registered manager was also reminded of the need to inform the Commission with regard to any notification as detailed in Regulation 37 of the Care Homes Regulations. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 21 The registered manager and the staff were conscious of good practice in relation to health and safety maintenance. They were keen that the health, welfare and safety of service users, staff and visitors were maintained by the implementation of the correct procedures. Policies existed and were seen on general health and safety matters, COSHH (storage of hazardous substances), infection control and fire safety. A number of satisfactory safety reports and certificates were seen relating to the premises. A check on hot water temperatures recorded some outlets in excess of 48 degrees Centigrade. All hot water must be regulated to around 43 degrees Centigrade. An immediate requirement notice to this effect was issued. The anonymous caller had suggested that staff had not received the appropriate training in matters such as moving and handling and food hygiene. A visiting professional also questioned staff’s ability to properly manage some service users’ needs. All staff had undergone moving and handling training in June 2004 and the manager had requested this be updated. This was confirmed by staff. Staff appointed since that date said they had undertaken moving and handling training as part of their induction process. There was evidence that first aid and fire safety training had been given to all staff. Food hygiene updates were planned for September. The letter of confirmation was seen. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 1 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 2 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Phylward House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x 1 1 x J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 23 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 22 Regulation 22(7) Requirement The complaints procedure must show the name, address and telephone number of the current regulatory authority. Staff records to be kept in the home must contain the information required by Schedule 4.6 to the Care Homes Regulations 2001. (Previous timescale of 31/03/04 not met) The registered manager must ensure that all notifications detailed in Regulation 37 of the Care Homes Regulations 2001 are immediately notified to the Commission. The hot water temperature to outlets accessed by residents must be regulated to around 43 degrees Centigrade. Timescale for action 31/08/05 2. 41 17(2) Schedule 4.6 31/08/05 3. 41 37 From the next notification 4. 42 13(4) Immediate notice to be placed and hot water regulated by 21/07/05. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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. Refer to Standard 42 Good Practice Recommendations The registered manager should continue to ensure that staff receive the necessary training updates in matters such as moving and handling and food hygiene. Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4, Triune Court Monks Cross York YO32 9GZ 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 Phylward House J53-J04 S7838 Phylward House V231859 210605 Stage 4.doc Version 1.30 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. 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