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Inspection on 27/07/05 for Prince Michael Of Kent Court

Also see our care home review for Prince Michael Of Kent Court for more information

This inspection was carried out on 27th July 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All the residents who took part in the inspection said that they are happy in the home and that the staff provide a good quality of care. Comments included " It is a very good home", and "We are very happy here". The design of the building promotes a welcoming and inclusive atmosphere. It is designed around a central communal area where all residents enjoy social activities and entertainments, and the home has been decorated and furnished to a high standard of quality and comfort. The care plans provide detailed information on all the residents` personal care and health care needs. Residents are involved in decisions about their care, and consulted about their lives in the home. All the care staff spoken to were enthusiastic about their work, and said that they have a good level of training and support to enable them to meet the needs of the residents. Almost half the staff have NVQ qualifications. The staff were observed to have a good relationship with the residents and to treat them with courtesy and respect. A good variety of activities, including weekly entertainments and regular outings continue to be provided. The activities organisers ensure that all activities are inclusive, and one activities organiser has had specialised training and provides activities specifically for people with dementia. The home provides a varied and nutritious menu. It was notable that for the first time during this inspection all the residents spoken to praised the quality of the food, and none had any complaints.

What has improved since the last inspection?

The home has shown great improvement in the quality of care it provides during the last year, and further improvements have been seen since the last inspection. All care plans are being audited and reviewed, and the care plans on Jersey, where the audit has been completed, identify areas for improvement in a very detailed way. The home uses a new pharmacy service and regular audits of medication are carried out. The recording of medication has noticeably improved, but there were still a few errors. The home has always aimed to provide a good quality of food, but as noted above, this was the first inspection when all the residents spoken to have praised the quality of the food, and none have had any complaints!

What the care home could do better:

In terms of service delivery and quality of care, there is little that the home needs to do. The audits of care plans and medication that are currently taking place should ensure that further improvements are made, and the requirement and recommendation made in this report will be met. However attention must be given to the storage of chemical cleaning substances, to ensure that there is no risk to the residents, and appropriate hand washing facilities for staff must be made available in the residents` bedrooms.

CARE HOMES FOR OLDER PEOPLE Prince Michael of Kent Court Stratford Road Watford Hertfordshire WD17 4DH Lead Inspector Claire Farrier Unannounced 27 July 2005 10:10 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 Older People. 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. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Prince Michael of Kent Court Address Stratford Road Watford Hertfordshire WD17 4DH 01923 234780 01923 235125 princemichael@rmbi.org.uk Royal Masonic Venevolent Institution 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) Mrs Cindy Alland Care Home 46 Category(ies) of DE(E)Dementia, over 65 - 13 registration, with number OP Old Age - 46 of places Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 20 January 2005 Brief Description of the Service: Prince Michael of Kent Court is a care home providing care and accommodation for 46 older people who may also have dementia. It was opened in 1994, and it is owned by the Royal Masonic Benevolent Institution, which is a voluntary organisation. The home is situated in a residential area of Watford, within easy reach of the shops and facilities of the centre of Watford. It consists of a single storey building, with a small first floor that houses one unit. There are four units in the home: Jersey for residents with dementia, Forrester for the frailer residents, and Elgood and Haynes for those who are more independent. The units are situated around a large central lounge that is shared with residents who live in the sheltered housing unit that is attached to the home. All the home’s bedrooms are single and all have en-suite facilities. There is a passenger lift. The home has a courtyard area at the front where residents may sit outside, gardens at the side and rear and an enclosed garden for Jersey. All the garden areas are fully accessible for the residents and are shared with residents who live in the sheltered housing unit. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection of the inspection year and took place over one day. Two inspectors visited the home, and the majority of time was spent observing and talking to residents and staff. Some time was also spent looking at records and care plans, and the results of the inspection were discussed with the manager. Seven residents and three members of staff were spoken to during the inspection. This was generally a positive inspection, and the majority of the standards were met or partially met. Requirements were made concerning medication, risk assessments, hygiene control and storage of cleaning materials. What the service does well: All the residents who took part in the inspection said that they are happy in the home and that the staff provide a good quality of care. Comments included “ It is a very good home”, and “We are very happy here”. The design of the building promotes a welcoming and inclusive atmosphere. It is designed around a central communal area where all residents enjoy social activities and entertainments, and the home has been decorated and furnished to a high standard of quality and comfort. The care plans provide detailed information on all the residents’ personal care and health care needs. Residents are involved in decisions about their care, and consulted about their lives in the home. All the care staff spoken to were enthusiastic about their work, and said that they have a good level of training and support to enable them to meet the needs of the residents. Almost half the staff have NVQ qualifications. The staff were observed to have a good relationship with the residents and to treat them with courtesy and respect. A good variety of activities, including weekly entertainments and regular outings continue to be provided. The activities organisers ensure that all activities are inclusive, and one activities organiser has had specialised training and provides activities specifically for people with dementia. The home provides a varied and nutritious menu. It was notable that for the first time during this inspection all the residents spoken to praised the quality of the food, and none had any complaints. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 A comprehensive assessment of the needs of the residents was seen to be in place, and appropriate risk assessments are carried out to ensure that the residents live in a safe environment. The home has sufficient information on residents’ needs and access to appropriate services to enable the needs to be met. EVIDENCE: Care records of residents were inspected and there was evidence of a preadmission assessment of needs being carried out in each case. The assessment includes a nutritional assessment, pressure area assessment and moving and handling assessment. Each assessed need is cross-referenced to the care plan for the actions needed. The home receives a copy of the pre-admission assessment of needs of prospective residents for those who are funded by the Social Services. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 9 The assessment includes a Summary of Life, which gives a picture of the person’s family history and interests, but those seen were not in the words of the resident, and showed little evidence of the input of the resident or their family (see Standard 7). Some appropriate risk assessments were in place, including a risk assessment for a resident who smokes in her bedroom, but there was no risk assessment for the risk from falls to a resident who takes warfarin. The home has sufficient levels of staff and appropriate training to ensure that they can meet the needs of the residents. All the care staff who work on Jersey have had training in dementia care, and an activities organiser has been appointed specifically for Jersey, and has had specialised training in activities for people with dementia. All the residents spoken to said that the care they receive is good, and that the staff are kind and polite. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The individual needs of residents are clearly set out in care plans to ensure that all their needs are identified and can be met. Some errors were seen in the recording of medication, which could cause a risk to the health of the residents. Residents said that staff treat them with respect, and the policies and practice in the home also promote privacy and dignity for the residents. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 11 EVIDENCE: Detailed case tracking was carried out through the files of four residents. The care plans contain comprehensive information on all the service user’s assessed needs, with clearly written goals that are related to personal and healthcare needs, and personal development and social activities. The home is carrying out a detailed audit of all care plans, and the audit of care plans on Jersey has been completed. As a result, these care plans have been reviewed, and they identify areas for improvement in a very detailed way. The care plans seen on Forrester were not signed by the residents, and there was little evidence of the involvement of residents in their care plans. For example, the assessment includes a Summary of Life, which gives a picture of the person’s family history and interests, but those seen were not in the words of the resident, and showed little evidence of the input of the resident or their family. The care plans contain good information on the residents’ health care needs, with appropriate monitoring of specific health concerns and recording of all contacts with medical practitioners. All the residents said that the staff treat them with respect and provide a good quality of care. The home has changed its pharmacist, and the new pharmacy service provides training for the staff and carries out spot check audits of the medication in the home. Air conditioning units have been placed in all the rooms where medication is stored, to ensure that the temperature remains below 25°C. The lunchtime medication round was observed on Forrester, and the recording and storage of medication was checked on the other units. Good procedures were observed on Forrester, and all recording was appropriate and accurate. On each of the other units not all containers of medication were dated when they were opened, and there were gaps in recording on some MAR (medicines administration record) charts. It is not possible to carry out an accurate audit of medication without proper recording. On Jersey the medication cupboard was sticky with residue from medication bottles, and several bottles were also sticky. The recording of controlled medication was satisfactory in all the units. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The residents are happy with the activities and daily life in the home and maintaining contact with families and friends is promoted by staff in accordance with the residents’ wishes. Wholesome and varied meals are provided within the home presenting a well-balanced nutritious diet for the residents. Residents maintain their independence by making choices about the food and how they spend their days. EVIDENCE: Details of residents’ interests are included in their care plan. The home employs two activities organisers, one of whom concentrates on providing appropriate activities specifically for residents with dementia on Jersey. She has completed a training course in activities for dementia care. There is a range of activities available in the main lounge including exercises, bingo, coffee mornings and art and crafts. There are one or two entertainments every week and outings to places of interest. The programme of activities is available for the residents in all the units, including the sheltered housing unit, and pictures of the activities and outings are displayed throughout the home. The day before the inspection a group of residents and staff went to Southend for the day, and photographs of this outing were displayed on the large screen in the lounge and discussed by the residents over coffee. Families and friends are welcomed into the home, and family members are consulted about the resident’s care. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 13 Residents’ autonomy is promoted, and all the bedrooms seen contained evidence of the resident’s own furniture and decorations. There are regular residents meetings, and their views and wishes are seen in the choice of activities and of the meals provided. All the residents spoken to said that the food is good. A new chef-manager has been appointed. The weekly menus are written centrally by RMBI, but the chef-manager can make changes according to circumstances. For example, changing the roast dinner planned for a very hot day. The kitchen staff go to each unit after lunch and ask the residents for their comments. Each resident’s individual wishes are recorded on the daily menu, for example for breakfast one resident likes bread and butter, not toast, and a three-minute boiled egg. The option of a cooked breakfast is available every day. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 A satisfactory complaints procedure is in place, and residents and their relatives are confident that any complaints will be properly investigated. All staff have appropriate training on prevention of abuse, and robust polices and procedures are in place to ensure that the residents are protected. EVIDENCE: A satisfactory complaints procedure is in place. Residents and their relatives are encouraged to make their concerns and complaints known. Two complaints have been recorded since the last inspection, both of which were resolved to the satisfaction of the complainant. All the staff have training in the prevention of abuse, and a further course was booked for the week following this inspection. The staff spoken to are aware of the home’s procedures and of the whistle blowing policy. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home and gardens are well maintained and provide a comfortable and attractive environment for the residents. Individual and communal facilities are appropriate for the residents’ needs. This ensures that the residents are able to maximise their independence and live in a safe and comfortable environment. EVIDENCE: No changes have been made to the fabric of the home since the last inspection. It was purpose-built in a residential area of Watford. The decorations and furnishings in the home are of a high quality. The home has a courtyard area at the front, gardens at the side and rear and an enclosed garden for Jersey Unit. The home is well decorated and the fabric of the building appears to be well maintained. On Forrester the fridge seal was broken, with the result that the fridge cannot close properly, and the fridge temperatures recorded are above the recommended level. This had been reported when it was noticed, and the risk is minimal as only food and milk needed for immediate use are stored in the fridge. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 16 The home appeared to be clean throughout, and there were no offensive odours. There are procedures in place for the control of hygiene, but there is no liquid soap or hand towels for staff use in the residents’ bedrooms. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. 28, 29 and 30 Staff numbers in the home are sufficient to ensure that all the residents’ needs are met, and staff receive appropriate training. Good recruitment procedures and staff training make sure that, as far as possible, the residents are supported and protected in the home. EVIDENCE: The staffing levels in the home have been maintained. On Haynes and Elgood, where the residents are more independent, there is one care worker on each unit throughout the day. On Forrester, for residents with a higher level of need, there are three care workers in the morning and two in the afternoon. On Jersey, for residents with dementia, there are four care workers in the morning and two in the afternoon. At night there are two care workers on Jersey and three for the rest of the home, one of whom can also provide extra assistance on Jersey if required. The home has a stable permanent staff team, and there is very little need to use agency staff. An agency worker was used for only one shift during the previous week. A thorough recruitment procedure is in place, including obtaining CRB (Criminal Record Bureau) and POVA (protection of vulnerable adults) disclosures before new staff start to work in the home. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 18 The staff spoken to feel well supported in their work, with a good training programme and regular supervision. The company is introducing annual appraisals. All the staff are encouraged and supported to undertake NVQ qualifications, and almost half of the care staff have already completed NVQ2 in care, or are working towards it. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38 The views of the residents and other involved people are actively sought in order to ensure that a good quality of care is provided. Adequate records are maintained for the effective management of the home and monitoring of health and safety procedures. The practices in some areas must be tightened up to ensure that there is no risk to the health and safety of the residents. EVIDENCE: A sound quality assurance system is in place that meets the needs of the service. Annual questionnaires are sent to all the residents and their families, and feedback is given to them on the outcomes. There are regular residents meetings in the home. RMBI carries out audits on all aspects of the service provided by the home, and the proprietor makes monthly visits to the home to monitor the quality of care provided Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 20 The arrangements for management of the residents’ money were inspected and appeared to be accurate. Money is stored safely and adequate records are maintained in order to protect service users from financial abuse. Individual records are maintained for each resident’s money on computer, and each month the accounts are reconciled and sent to head office to be audited. Policies and procedures are in place to ensure that the health, safety and welfare of service users and staff are promoted and protected, and appropriate records are maintained. One health and safety concern was noticed during the inspection. On Forrester unit the COSHH (control of substances hazardous to health) cupboard in the kitchen was unlocked, with the key in the lock. In the laundry containers of laundry detergent, laundry destainer and fabric softener were on the floor by the washing machine. The laundry destainer had COSHH symbols on the label for ‘corrosive’ and ‘oxidising’. In the sluice room, on the washbasin just inside the door there was a plastic bottle of Scalematic scale inhibitor. The rubber top of the bottle pulled off very easily, and liquid spilled out. This container was not marked with a COSHH symbol, but unless there is information otherwise, a descaler should be assumed to be potentially harmful. A response was received from RMBI, that the issues have been addressed and the home’s management team will carry out spot checks to ensure that COSHH cupboards are locked at all times, and chemical substances are not accessible to the residents. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 2 Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 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 3 Regulation 13(4)(c) Requirement There was no risk assessment for the risk from falls for a resident who takes warfarin. Appropriate risk assessments must be put in place for all residents, and kept under review. A few discrepancies in the recording of medication were noted, and the medication cupboard on one unit was dirty. All medication must be administered and recorded in accordance with the Royal Pharmaceutical Society guidelines and the home’s policy and procedures. (Previous timescale of 31/03/05 not met.) There was no liquid soap or hand towels for staff use in the residents bedrooms. Appropriate hand washing facilities must be provided for staff in order to control the spread of infection. The COSHH cupboard in the kitchen of one unit was unlocked. In the laundry containers of laundry detergent, laundry destainer and fabric softener were accessible, and in Timescale for action 27 July 2005 2. 9 13(2) 31 October 2005 3. 26 13(3) 31 October 2005 4. 38 13(4)(a) & (c) 27 July 2005 Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 23 the sluice room there was a plastic bottle of scale inhibitor. All substances that may be hazardous to health must be stored securely at all times. (A response was received from RMBI that these issues have been addressed, and procedures put in place to ensure the safety of the residents in the future.) 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 7 Good Practice Recommendations Residents should be involved in drawing up their care plans, and the care plans should be signed by the service user or their representative. Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City AL7 3BQ 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 Prince Michael of Kent Court I52 s19500 prince michael of kent v233684 270705 stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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