Inspection on 25/04/06 for R Janmayur Care Home

This inspection was carried out on 25th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

R Janmayur Care Home 06/12/07

R Janmayur Care Home 06/09/05

R Janmayur Care Home 04/04/05

R Janmayur Care Home 08/11/04

R Janmayur Care Home 23/06/04

R Janmayur Care Home 24/06/02

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE R Janmayur 15, Osmond Gardens Osmond Road Hove East Sussex BN3 1TE Lead Inspector Elizabeth Dudley Key Unannounced Inspection 10:00 25th April 2006 X10015.doc Version 1.40 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 R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service R Janmayur Address 15, Osmond Gardens Osmond Road Hove East Sussex BN3 1TE 01273 777424 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) Dr Ramadas Mr Ramadas Mr Kumarasamy Ramadas Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (7) of places R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated must not exceed 7 Service users will be aged 65 years or over on admission Date of last inspection 6th September 2005 Brief Description of the Service: R Janmayur is a small family-run care home registered for up to seven older people. The detached property is situated in a residential area close to shops, transport routes and other local amenities. Paid parking is available in the street outside the home. A large lounge/dining room is available on the ground floor, and there is access either via steps or by the side of the building to the garden at the rear of the property. There is no lift to the first floor of the home where the majority of service users bedrooms are located, and therefore the home is more suitable for people who are mobile. The home provides care, including respite care, for a mixed group of service users. The home does not provide nursing care. The joint proprietors are resident at the home and provide the bulk of the overall staffing. They employ a small group of parttime staff. The fees as stated by the provider on 25th April 2006 range from £248-£403 and there are charges for extras such as hairdressing and chiropody. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 25th April 2006 over a period of 6 hours, it was facilitated by the provider/manager, Mr K Ramadas and included a tour of the premises, examination of documentation which included care plans, medication records, personnel and health and safety records. All residents living in the home at present were spoken with. As the providers are the main members of staff in the home, there are few staff employed and the member of staff on duty was spoken with. There were no visitors in the home on this day, however relatives of the residents were spoken with on the telephone and their impressions of the home and care given gained. Thanks are extended to the providers/manager, staff member and residents for their help, courtesy and hospitality during this inspection What the service does well: What has improved since the last inspection? R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 6 The manager has provided a new statement of purpose and service users guide along with a complaints procedure and quality assurance documents. All home complied with all requirements from the last inspection. A new kitchen is in the process of being completed and some new curtains have been provided. 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. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 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 the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. The home provides sufficient documentation to ensure that prospective residents can make an informed choice over whether the home will meet their needs. This process is complimented by all residents meeting and being assessed by the manager. EVIDENCE: The home produces a service user guide and statement of purpose, which meet both the requirements of the standard and the regulation. These documents accurately reflect practice within the home and the manager takes the service user guide with him when assessing residents. The format of the service user guide and statement of purpose are suitable for the residents living in the home and the manager states that individual residents will be given a copy of this new draft. Residents spoken with stated that they had received a copy of the service users guide previously and understood that this has been revised and a new copy will be given to them. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 9 All residents have received, on admission, a copy of terms and conditions. However a new copy of terms and conditions has been produced which complies with the National Minimum Standard and the manager is in the process of giving this to the residents. As previously he will keep a signed copy of this in the residents file to evidence that they have been given this. The manager assesses all prospective residents prior to their being admitted to the home, this ensures that the home is satisfied that they can meet the resident’s needs, and reassures the resident that their needs will be met. The manager has produced a comprehensive pre-admission assessment form which addresses the necessary areas of assessment required i.e. psychological, health and social care, and copies of the completed assessment were seen. These were found to be completed to a good standard, encompassing all needs requiring to be assessed and to form the basis of the care plan. All prospective residents and representatives can visit the home prior to admission and one resident confirmed that they had done so. The provider had given all residents statements of terms and conditions and contracts last year, and there was evidence to verify this. This document did not include all information as required by the standard and a new document has been produced which complies with the standard. The provider is in the process of giving these to residents and states that he will keep a signed copy of each. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. Care plans indicate that the health needs of residents are met and that their safety is ensured by the standard of medication administration within the home. EVIDENCE: All care plans within the home (six) were examined and these were found to address the residents psychological, care and social needs in some detail. All care plans had been reviewed on a monthly basis. There was evidence that all residents had been involved in any review of care taking place. A further full review takes place on a six monthly basis. Each care plan has a daily diary sheet, records of doctors or district nurse visits and the outcomes of these, and details of spectacles and hearing aids used by the resident. Adequate risk assessments are in place in each care plan, and these had been reviewed regularly. One resident had been admitted to hospital early morning and the manager was aware that he must write this in the care plan with the details leading up to it. However, he was able to show that he provides a detailed transfer letter for the hospital, keeping formatted copies ready for sending with the resident. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 11 These include details of medication; care received and required, any special requirements and condition of resident prior to transfer. Any accidents that had happened to residents were recorded in full both in the accident book and in the care plan, and there was evidence that the risk assessments had been reviewed to include this. There was evidence of visits by a Community Psychiatric nurse for one resident and of previous District nurse involvement for another. A telephone conversation held with a GP who serves many of the residents in the home was positive, and noted that he feels that he is contacted when necessary and that the residents appeared to have their health care needs met. Residents stated that their privacy is respected, they can have visitors in their own rooms and that they can make choices over how they wish to live their lives. They felt that their dignity is respected. Residents can use the home’s cordless phone to make or receive telephone calls. The home has policies relating to medication and two members of staff and the manager have attended medication training. All medication charts had been signed following administration and any changes of dosage adequately recorded. Medication is stored correctly and all medications were within their expiry dates. Evidence of a pharmacy audit was seen. The home uses the blister pack method of administering medication. A policy relating to self medication and risk assessment relating to the resident that is self medicating is required and the method of recording and checking of this on a regular basis was discussed with the manager. Cross referencing of residents care plans to the MAR chart identified that all changes in medication had been identified in both documents and that the residents were receiving medication at the correct times. The manager demonstrated knowledge of what drugs fell into the remit of ‘controlled drugs’, and should a resident be prescribed these, was aware of storage and recording requirements. There is no specific drug fridge in the home and any medication requiring being stored at these temperatures are kept in a specific box in the fridge. In order to comply with the standard, the box must be lockable. There was no medication falling into this category in the home at this time. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 12 Recent information received from the pharmacy inspector regarding the need for the accountable person to sign the MAR sheet when a care assistant applies prescribed cream, rather than just indicating this had been done as previously, was discussed with the manager, and he is addressing this. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 12,13,14 and 15 Quality in this outcome area is adequate. The approach to both activities and catering is that which would be found in a normal household, allowing residents to feel part of a family. More emphasis could be put on activities to add variety to the resident’s day. EVIDENCE: Residents living at the home said that they could choose how to spend their days and that although few formal activities were provided the manager takes one of them to the library and others to the shops. They also said that a newspaper is provided and that they can choose whether they spend their days in their room or in the lounge. One resident said ‘its nice as we feel that we are living in a family home because the providers kids are here and they talk to us and we get involved with them and the boy talks about his school with me’. There is an activities programme on the notice board in the hallway, which shows activities such as card games, library visits, and exercise. This should also be put where residents are able to see it easily, i.e. in the lounge. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 14 One resident who had neither speech nor hearing from birth, showed that she was happy in the home, she can lip read and respond to questions and staff also write things down to communicate with her. She has a television that does not have subtitles but declined to have one when it was offered to her. She confirmed this during conversation. Care plans identify the resident’s preferred activities but more emphasis could be put on introducing further activities to add interest to the resident’s day. The manager said he had the details of ministers of religion, and can access a minister to visit if residents wish to see them. Visitors can visit at any time although the service user guide asks that they do not visit at mealtimes or very early in the morning. However the manager said that if a visitor were there at mealtimes they would be made welcome. The cooking is done by the manager’s wife or the care staff, the manager doing it on occasions. The food is homely and although there is no printed menu or choices identified, the manager’s wife, stated that being a small home they talk to the residents about what is for meals, they know their likes and dislikes and cater accordingly. Residents confirmed that the manager and staff ask them about meals. Records are kept about what is served on a daily basis. One resident said he did ‘not know if I could have a cooked breakfast as I have never asked for one, but the manager said we could have what we like, so I have Weetabix’. The manager stated that residents would be able to have a cooked breakfast if they wish. The main meal served was beef burgers, potato wedges and green beans followed by a banana, with egg sandwiches and cake for supper. Menus would benefit from review and ensuring inclusion of adequate amounts of fresh food. Residents are weighed on a regular basis and the home can provide special diets if required. The manager has booked the staff on a ‘Food hygiene’ course to be attended at the end of May 2006. The kitchen is in the process of being refurbished and will be completed in the next few weeks, this entails reaffixing tiles and flooring. However it was clean and organised and the recent environmental health report showed no requirements. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 16,17 and 18 Quality in this outcome area is good. The complaints procedure and staff training in the protection of vulnerable adults ensures that residents are able to voice any concerns and are protected. EVIDENCE: The home has a complaints procedure which complies with the standard and regulations. Residents were aware of the complaints procedure. The home has had no complaints since the last inspection and the manager says that he addresses any concerns residents have immediately so that they do not need to become a complaint. Residents spoken with were aware that they could go to the manager if things were not right and they said that they felt that the manager would deal with these very fairly. One resident said that they only had to mention if something was wrong and ‘he sorts it out’. The manager and staff have attended formal training in the protection of the vulnerable adult and were aware of their responsibilities relating to this. Residents can take part in the civic process by postal votes and the manager helps residents access solicitors, financial advisors and advocates as required. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 16 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 the following standard(s): 19,20,23,24,25 and 26 Quality in this outcome area is adequate. Maintenance and infection control issues need to be improved to ensure quality of life for residents. EVIDENCE: The home is fairly well maintained although there are some areas which need attention, the provider is aware of and addressing these. One of the ground floor rooms is awaiting new curtains and these have been ordered, the kitchen is being refurbished at present and a carpet in one of the bedrooms is awaiting replacement. The garden needs some attention. The lounge/dining room is pleasantly decorated and homely and includes a piano, which the provider’s son plays to the residents. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 17 The lounge accesses the garden through a patio door and there is ramped access to the garden. It is recommended that the provider install a handle beside the patio doors to ensure residents do not trip over the ledge. Assessment by a qualified occupational therapist is awaited and this will show any areas of improvement needed within the home. No residents require bedrails or specialised mattresses at the present time. There is a walk in shower and a variable position adjustable bath in the home and bathroom and shower room were seen to be clean with raised toilet seats. All bedrooms have a washbasin. Residents’ individual rooms are personalised with their own possessions and have a lockable facility and lockable doors. Residents have their own keys to these. All rooms have radiator guards, window restrictors and water temperature is regulated. The manager checks water temperatures but has not recorded these and this must take place. Staff must use a thermometer to check the temperature of the bath and shower and records kept. All rooms are carpeted and with the exception of one room, all curtains were in a good state of repair and well hung. There were supplies of gloves and aprons and all bathrooms have paper towel and soap dispensers. Staff must wear protective clothing when going from caring duties to prepare meals. All residents’ laundry is done on site and the laundry room is outside below the house. The washing machines have a hot cycle and soiled linen is washed at high temperatures, however when the machines need replacing it would be beneficial if the replacements have a sluice cycle. It is recommended that supplies of red alginate bags be kept at the home for soiled linen. These can be put straight into the machine and will minimise staff contact with soiled linen. Sheets must not be left soaking in the laundry as this can increase the risk of infection. The home had no noxious odours and cleanliness within the home was adequate. The home has policies on cross infection, and the provider has instigated staff training in infection control. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 18 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. The home employs sufficient staff to ensure that resident’s needs can be met, whilst maintaining robust recruitment systems to fulfil their obligations in maintaining resident’s safety. EVIDENCE: The home is a family run concern with the owners living on the premises. The family provide the care overnight and early morning and evening shifts. The owner’s daughter is employed by the home and has gained her NVQ 2. Other part time care staff are also employed, one of whom is a trained nurse (but not practising as such in the home). The family and care staff undertake cleaning and cooking and a master rota is in force which is updated to reflect holiday and sick leave. The two carers who are not family have been working at the home for a number of years and initially did not undertake an induction course, but this has since been put in place and evidence of their participation was provided. The manager and one member of staff have completed medication training and most staff have undertaken moving and handling training and all staff have undertaken POVA and emergency first aid. One of the providers’ who is now working in the home, must undertake moving and handling training. All staff must have their food hygiene training and a session is now booked. One other member of staff is considering taking the NVQ 2. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 19 Other training sessions related to the care of the residents must be put in place to ensure that all staff have updated skills to meet the needs of the residents and the manager is in the process of identifying suitable training courses, although some of these can be facilitated by the provider. Discussion around the frequency of mandatory training was held with the manager/provider. A training record is in place. Examination of personnel files showed that all documentation required by Reg 18 and 19 is in place for employed staff. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 20 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is good. The manager has robust systems in place to enable the home to be run in the best interests of the residents. EVIDENCE: The home is managed by Mr K Ramadas who in conjunction with his wife, Dr Ramadas are the registered owners of the home. He attained his NVQ 4 and registered manager’s award last year and takes part in other training including adult protection, moving and handling and medication training. He has managed the home for seven years. Criminal Record Bureau checks need to be undertaken in line with current practice. The home is run as a family unit and residents stated that ‘the owners are very kind’, ‘everyone here is lovely’, ‘nothing is too much trouble’. Relatives of R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 21 residents were spoken with on the telephone and they also made positive comments relating to the home and the care received by residents. The member of staff on duty made positive comments relating to her work at the home. The home now has a quality monitoring policy and this includes regular auditing of the health and safety, cleanliness and residents view points. This should be extended to address all aspects within the home including care plans, medication, catering, staff training and the viewpoint of health care professionals attending the home. This was discussed with the manager. Notifications relating to any incidents occurring within the home (Reg 37 Notices), are sent to the CSCI when necessary and the home has a selection of policies and procedures, relating to all matters within the home, which are reviewed regularly. A business plan is in place in the home and this was seen. The insurances required by regulation were in place. The manager is appointee for one resident and accounts relating to this residents money were seen to be adequate and maintained. All staff receive supervision within the timescales detailed in the standard, and records of this were available and seen. All service users records and staff files are kept in locked cupboards and are secure and in date. All certificates relating to the servicing of utilities and equipment were in place. Most staff including the providers have first aid training. Fire training and a fire drill have taken place. It is recommended that the recommended policy for residents’ action in case of fire be put in their rooms in a prominent position. A hot water warning notice is required in the kitchen. Bleach was stored in a cupboard in the bathroom, and although not prominently on display must be locked away. Personal toiletries must also be removed from bathrooms to prevent accidental ingestion by residents. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 2 3 3 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 2 R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation Reg 13 (2) Requirement That a policy addressing the selfadministration of medication by a service user is created, along with a risk assessment, which will evidence regular review. That the maintenance issues identified in the report are completed and that the home is assessed to enable all aids required by service users to be put in place. That the maintenance issues identified in the report are completed and that the home is assessed to enable all aids required by service users to be put in place. That the records are kept of water temperatures including those of baths and showers. That a hot water notice is placed above the outlet in the kitchen. That the providers apply for their CRB through the CSCI. That bleach is kept in a locked environment and that personal toiletries are removed from the bathrooms. Timescale for action 14/05/06 2 OP19 Reg (23)(1) (2)Reg 16 2 Reg (23)(1) (2)Reg 16 2 Reg 13(4) 01/08/06 3 OP22 01/08/06 4 OP25 30/05/06 5 6 OP29 OP38 Reg 18 & 19 Reg 13(4) 30/05/06 25/04/06 R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 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 2 3 4 5 Refer to Standard OP12 OP22 OP26 OP30 OP33 Good Practice Recommendations That the activities programme is placed where all service users can see it and that the range of activities available is extended. That a handle is put beside the patio door to assist residents in accessing the garden. That red alginate bags are used in the laundering of soiled linen. That care assistants wear protective clothing in the kitchen. That sheets are not left soaking in the laundry. That the manager monitors the staff-training programme to ensure relevant training takes place. That the Quality Monitoring programme is expanded as detailed in the main body of the report. R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 R Janmayur DS0000014227.V290068.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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