Inspection on 23/11/05 for Portland Crescent Residential Home

This inspection was carried out on 23rd November 2005.

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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Portland Crescent Residential... 19/03/09

Portland Crescent Residential... 26/02/07

Portland Crescent Residential... 22/02/06

Portland Crescent Residential... 07/03/05

Portland Crescent Residential... 03/11/04

Portland Crescent Residential... 19/02/04

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

CARE HOME ADULTS 18-65 Portland Crescent Residential Home 43 Portland Crescent Woodbridge Suffolk IP12 4DZ Lead Inspector Jane Higham Unannounced Inspection 23rd November 2005 14:03 Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Portland Crescent Residential Home Address 43 Portland Crescent Woodbridge Suffolk IP12 4DZ 01394 388011 01394 388011 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) Royal Mencap (Housing & Support Services) Mr Andrew Harvey Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2005 Brief Description of the Service: Portland Crescent was first registered in 1992 and provides care and accommodation to four adult service users with a learning disability. The home is owned and administered by Mencap and is situated on the outskirts of the town of Woodbridge, close to local shopping facilities and within walking distance of the town centre. The town of Ipswich can be accessed by train or bus and the coastal town of Felixstowe is some eight miles away. The home itself is a large, modern, purpose built, dorma style bungalow which provides very spacious accommodation for the four service users who live there and there is one very spacious bedroom on the first floor, accessible by a stair lift if required. Communal accommodation includes a large conservatory which leads out onto the rear garden, a spacious lounge, a dining room and a domestic style kitchen. The home has a large secure garden to the rear of the property. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection of Portland Crescent Residential Home, a four bedded residential resource for adults with learning disabilities, situated on the outskirts of the town of Woodbridge. The home is owned and administered by Mencap, who provide services for people with learning disabilities on a nationwide basis. This was the first scheduled inspection in the inspection year 2005/2006. The inspection took place on 23 November 2005 over a period of four hours. The home was inspected against the National Minimum Standards: Care Homes for Adults and the Care Standards Act 2000. The National Minimum Standards and Care Homes Regulations 2001 are referred to throughout this report and any non compliance identified. The inspection process was assisted by Ms. Michelle Armour, Deputy Manager, as the registered manager was on annual leave. The inspector looked at the care and accommodation provided to the four residents. This included a selection of resident care plans, risk assessments, personnel files and training plans for two staff members and required records, policies and procedures. Feedback from residents in relation to the quality of the service provided was limited due to the impaired communication skills of three residents. However, the Inspector did manage to have discussions with one resident in addition to several members of the care staff. What the service does well: The home provides a good quality of life to the residents accommodated, who are supported well by staff members and are actively encouraged to improve their daily living skills and to maximise their abilities and independence. Staff and management of the home place a strong emphasis on maintaining good relationships with family members and encourage them to play a role in the care of the service user if desired. The owning organisation has ensured that all staff have received training in the recognition and reporting of abuse and also seeks to protect service users through robust staff recruitment procedures. The service provides a very homely environment for residents and works alongside community day services to ensure that service users are provided Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 6 with appropriate cultural, leisure and learning activities. The service places a strong emphasis on communication with residents and is commended on the user-friendly terms and conditions document it has produced. The home has ensured that each resident has been provided with a very detailed plan of care which assists in ensuring that individual needs are met. 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. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Residents moving into the home can be assured that they will be provided with both a contract and terms and conditions document in a format which is appropriate to their abilities and needs. EVIDENCE: The home has a very static resident group and as such has had no new admissions to the home for several years. However, the files of two residents were examined which evidenced that they were provided with a Licence Agreement (placement contract) and a copy of the terms and conditions of placement. The home should be commended on providing a guide to the tenancy agreement which uses pictures and symbols to inform residents of what they can and can’t expect from the service. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9 Residents living at the home can expect to be provided with an individual plan of care which reflects, in detail, their assessed needs and persona aspirations. Residents can also expect to be supported to take risks on the basis of a detailed risk assessment process. EVIDENCE: As part of the inspection process, two resident’s care plans were selected and examined. Both individual resident’s care plans were found to be very detailed and identified interventions and support required over an extensive range of daily activities and personal care needs. Each element of the care plan provided a clear statement on how the identified support and interventions were to be provided. All elements of the care plan were numbered and cross referenced with a risk assessment related to that activity or assessed need. Care plans were well-presented and organised and very user-friendly. Care plans contained a wealth of information on individual preferred routines, preferences likes and dislikes. One care plan seen had a life history of the service user and included photographs provided by family members. A “log” of reviews for each element of the care plan is maintained. Whilst in general the home was able to evidence that resident care plans were reviewed regularly Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 10 there were a few elements of both residents’ care plans where no such evidence was available. However the quality of the care plans was very high and one staff member had been on a training course for “person-centred” care planning and would in turn be providing training sessions for other staff within the home. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 and 15 Residents living at the home can expect to be provided with opportunities to develop their personal skills, to take part in both leisure and educational activity and to benefit from the use of local community resources. Residents can also expect to be enabled to maintain valuable family relationships where desired. EVIDENCE: Through care plans, records and observations, the home was able to evidence that residents are given every opportunity to develop social and communication skills. The care plans for one service user identified what support was required to enable him/her to use the telephone. Indeed it was noted that on the day of the inspection, a service user was actively encouraged to answer the telephone when staff were otherwise occupied. All residents are provided with a day service which in the main is sourced at local learning disability resource units. Both in the home and at day services residents are supported to improve their daily living skills and are offered a range of both leisure and educational activities. One service user reported that on the day of the inspection they had been attending a local “packing” unit which they Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 12 enjoyed. Residents play a role in the running of the home and are supported to use local community facilities such as shops , leisure facilities, restaurants and pubs. The home was able to evidence that residents are provided with a range of leisure activities either through day services or by in-house staff. A senior member of staff advised that residents had recently enjoyed a Halloween party and that plans were well under way for a formal Christmas dinner for the residents and their families where staff will take on the role of waiters. One service user who attends a local resource unit for three days a week now receives direct payments which enables him/her to select what activities they would like to do for two days a week and buy the support he/she required to carry this out. The resident has recently used their direct payment days to go the gym and also swimming. The home was able to evidence that it enables residents to maintain important social contact with their families and friends. On the day of the inspection one resident reported that he/she was going to stay with their mother at the weekend. The resident was able to access the home’s diary and requested that the Inspector make sure that this appointment was booked in. It was evidenced through inspection that staff within the home have built good working relationships with the families of service users and welcome them to play an active role within the home. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Residents can expect to be supported with personal care in a manner of their choosing and to have both their physical and emotional health needs met. Residents can also expect to be protected by the homes policies and procedures in relation to the administration and storage of their medication. EVIDENCE: Individual service user care plans seen at the time of the inspection gave clear guidelines on how personal support was to be provided. Each care plan was supported by an outline of “preferred routines” which provided clear information on areas such as what time a person wanted to get up or go to bed and when and how they wished to be supported to have a bath. Care Plans also provided clear evidence to show that the physical and emotional needs of service users are monitored and residents are also enabled to access community health resources such as GPs, dentists and opticians. Each service user has an individual care plan on health needs which outlines the frequency and reasons for attendance at community health resources. As part of the inspection the systems used for the safe storage and administration of medication were examined. The home uses the Monitored Dosage System which enables medication to be administered from predispensed blister packs. Medication Administration Records were up to date Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 14 and evidenced that all resident medication had been administered as per the prescription. Medication was stored securely and the home was able to evidence that all staff responsible for the administration of medication had received training via Boots The Chemist and from Mencap. The home had a policy and procedure on the administration of service user medication which was stored within the medication cabinet for easy reference. A medication profile for each resident is also maintained within the care planning document. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Residents can expect that the home’s policies and procedures protect them from abuse. EVIDENCE: During the inspection, the home was able to evidence that all staff receive training on the recognition and reporting of abuse. This is a two day course run by the owning organisation and entitled “Protect and Respect”. Policies and procedures in relation to the reporting of suspected abuse comply with the local procedures produced jointly by health and social services of which the home has a copy. The home has a complaints procedure which again is made available to residents and their families in an appropriate and user friendly format. A log is maintained of all complaints received by the home, although to date this remained unused. Since the previous inspection, the Commission has received no complaints in relation to this service. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 In general, residents living at the home can expect to be provided with a good standard of accommodation which is both homely and meets their needs and reflects their personal tastes, although some health and safety issues require addressing. EVIDENCE: This residential service is sited in a purpose built four-bed roomed, dormastyle bungalow which sits in an elevated position in a residential area of Woodbridge. The home has well-maintained secure gardens and there are limited car parking spaces to the front of the property. All communal accommodation is sited on the ground floor of the property and is appropriate for use by wheelchair users. Three bedrooms are sited on the ground floor and a fourth much larger bed-sitting room is situated on the first floor of the building which is accessible by a stairway or stair lift. Whist only one of the bedrooms has the advantage of ensuite facilities, the home has one communal bathroom with bath and a walk in shower room. A new assisted bath was due to be fitted in the communal bathroom on 20 December 2005 after a long wait following the previous bath becoming broken. During the inspection, a selection of resident rooms were viewed with the permission of the occupant. In general these were very pleasantly decorated and furnished and reflected Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 17 the personal interests and tastes of individual service users. One bedroom seen was particularly attractively decorated with co-ordinated soft furnishings and lots of photographs and personal belongings. The large bedroom on the first floor of the home provides the occupant with bedsit accommodation in which they have created a lounge area with sofa and coffee tables. Whilst the occupant of this room was very satisfied to have this large space on the first floor which provided additional independence there were several issues in relation to maintenance and repair which required attention. These are as listed below: * The door to the ensuite bathroom does not shut properly and there is no lock. * The exterior glass on the Velux roof window is broken. This window is sited at waist height but has not been fitted with window restrictors. * The frame of the Velux window sited in the bedroom area is damaged and split. This damage has left an exposed large shard of wood jutting out of the frame which poses a health and safety risk to the occupant. * The cover on one of the radiators is not fixed securely and is easily removable exposing the internal wiring and workings. This poses a health and safety risk to the resident. There were several issues relating to equipment and furniture contained in this room which require risk assessing. The home provides a good standard of communal accommodation which comprises of a sitting room which is very pleasantly furnished and decorated and provides a very homely environment for service users. There is a spacious conservatory which overlooks the rear garden, a dining room and a well equipped kitchen which has ample storage facilities. It was noted that whilst staff at the home maintained a kitchen cleaning rota there was no set frequency for the cleaning of individual pieces of kitchen equipment ie fridges and microwave. A more planned approach must be adopted to the cleaning of kitchen equipment. The existing rota indicated that the microwave oven had only been cleaned once in the last month, although staff confirmed that it had been done more frequently. During the inspection it was noted that disposable aprons were not obviously available. One member of staff spoken to reported that whilst they used disposable gloves whilst providing assistance with personal care, they were not aware of any disposable aprons being available for use. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 34, 35 and 36 Residents living at the home can expect to be provided with a level of staffing which is sufficient in number to ensure that their needs are met and that their health and well-being is maintained. Residents can also be assured that staff have the competence and receive the training to enable them to carry out their roles effectively. Recruitment procedures employed assist in safeguarding residents from abuse or poor practice. EVIDENCE: On the day of the inspection, the home was staffed by two members of care staff, one being the Deputy Manager. The Registered Manager was on annual leave. A minimum staffing level of two support workers was provided throughout the day. An additional support worker was being provided in the evening to enable a resident to attend a bible study class within the community. Staffing rotas examined at the time of the inspection correctly reflected the level of staff on duty. During the night period, the home is staffed by one support worker on a “sleep-in” basis. As part of the inspection process, two staff personnel files were examined. These evidenced that enhanced disclosures via the Criminal Records Bureau were gained, as were two satisfactory written references, prior to the prospective staff members commencing their duties. Training records seen evidenced that both support workers were undertaking a structured Induction training package which complied with the Sector Skills Council training targets. Training records seen also evidenced that staff had received training in moving and handling, Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 19 epilepsy, health and safety, food hygiene and abuse awareness. It was positive to note that all staff receive accredited training in first aid. Personnel files seen at the time of the inspection, also evidenced that both newly employed staff members had received formal supervision sessions. Staff personnel files were set up in a very organised manner. Whilst it was difficult to gain detailed feedback from residents in relation to the quality of the staff provided, due to limited communication skills, one resident confirmed that they found staff very helpful and supportive. Interactions between residents and staff were observed. Staff interacted with residents in a warm but professional manner and were supportive and encouraging. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 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 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): 41 and 42 Residents living at the home can expect their right and best interests to be protected by the home record keeping. Whilst residents can generally expect their health and safety to be promoted, several health and safety issues were identified which require addressing. EVIDENCE: During the inspection the home was able to evidence that records required by regulation were maintained and available. A log was maintained in which any received complaint could be logged; although to date the home has received none. Records in relation to fire safety were examined and evidenced that fire alarm systems and the siting of fire extinguishers are tested on a weekly basis and that emergency secondary lighting is tested on a monthly basis as per guidelines issued by Suffolk Fire and Rescue Service. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 21 Accident records involving service users were examined as part of inspection. All accidents were recorded appropriately and gave a brief outline of any precipitating factors. It was noted that in the case of one resident, where an accident had occurred, the related risk assessment and care plan had not been reviewed and updated. Although in general the health and safety of service users is protected it was noted that a disposable razor had been left in the communal bathroom and posed a health and safety risk to residents. As stated earlier in this report several health and safety issues were identified in relation to the accommodation, fixtures, fitting and equipment provided to one resident. It is positive to note that the safety of staff is promoted and all staff receive training on lone working via the Suzie Lamplugh Trust. Since the previous inspection a “cut off” valve has been fitted to the hot water tap in the laundry room in order to ensure that residents can not access this water supply unless accompanied by a staff member. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score Standard No 22 23 Score x x x x 4 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 3 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 4 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Portland Crescent Residential Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 2 x DS0000024474.V264935.R01.S.doc Version 5.0 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23(2)(b) Requirement Timescale for action 28/02/06 2 YA24 3 YA42YA24 4 YA24 5 YA24 6 YA24 The Registered Persons must ensure that the door to the ensuite facility sited in the upper floor bedroom is able to shut properly and that it is fitted with a functioning privacy lock. 23(2)(b) The Registered Persons must ensure that the broken exterior glass to the velux window sited in the first floor resident bedroom is replaced. 13(4)(a)&(c) The Registered Persons must ensure that the velux window sited in the upper floor bedroom is fitted with a window restrictor. 13(4)(a)&(c) The Registered Persons must 23(2)(b) ensure that the frame to the velux window sited in the sleeping area of the upper floor bedroom is repaired. 23(2)(c) The Registered Persons must ensure that the cover to the radiator sited in the upper floor bedroom is fixed securely. 13(a)&(c) The Registered Persons must 23(2)(b) ensure that a risk assessment is carried out to ensure that all fixtures, fittings and contents of the upper floor resident DS0000024474.V264935.R01.S.doc 28/02/06 31/01/06 31/01/06 31/01/05 23/11/05 Portland Crescent Residential Home Version 5.0 Page 24 7 YA30 8 YA30 9 YA42 10 YA42 bedroom do not pose a health and safety risk. 23(2)(j) The Registered Persons must ensure that the kitchen cleaning rota is maintained and correctly reflects the frequency at which kitchen equipment is cleaned. 13(3) The Registered Persons must ensure that disposable aprons are readily available to staff members and that staff are made aware of their use in infection control procedures. 13(4) The Registered Persons must ensure that relevant elements of a resident’s risk assessment are reviewed following any accident in which they are involved. 13(4)(a)&(c) The Registered Persons must ensure that disposable razors are not left in communal bathrooms. 23/11/05 23/11/05 23/11/05 23/11/05 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 YA6 Good Practice Recommendations The Registered Persons should ensure that all elements of resident care plans are reviewed on a minimum basis of six monthly. Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Portland Crescent Residential Home DS0000024474.V264935.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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