Inspection on 27/07/05 for Radnor House

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Radnor House 14/08/07

Radnor House 08/11/06

Radnor House 08/02/06

Radnor House 19/01/05

Radnor House 09/08/04

Radnor House 05/02/04

Radnor House 01/10/03

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

CARE HOME ADULTS 18-65 Radnor House 29-31 Radnor House Handsworth Birmingham B2 3SP Lead Inspector Sean Devine Announced 27 July 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Radnor House Address 29-31 Radnor House, Handsworth, Birmingham B20 3SP 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) 0121 523 6935 0121 240 9051 Mr Leslie Latchman, Mr Alfonso Latchman, Mrs Kamla Devi Latchman, Mrs Silvena Latchman Mr Leslie Latchman Care Home 29 Category(ies) of Mental Disorder (29) registration, with number of places Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can care for residents over 40 years of age for reasons of mental disorder. 2.The home must ensure that the changing care needs of the older residents can be met and that these care needs remain under regular review. 3. The home can continue to care for 1 named resident who was under 40 at the time of admission. Date of last inspection 19th January 2005 Brief Description of the Service: Radnor House is a large detached house accommodating 29 residents in the Handsworth area of Birmingham. The home provides ongoing support for residents with enduring mental health needs and partly focuses on the rehabilitation of residents to be more independent. The home is close to shops, a public park, local health centre, community centres and various places of worship. There is a short walking distance to public transport links for Birmingham and West Bromwich. Whilst limited, off road parking is available. Facilities available at Radnor House include 27 single rooms and one double room. Communal facilities consist of three lounges and two dining rooms. Facilities are available to prepare hot drinks in the lounges. A passenger lift connects all floors of the home. There are three toilets on the ground floor one includes a bath. On the first floor there are two bathrooms and a shower room with toilet. The second floor has two shower rooms both with toilets. The bathroom on the first floor has provision for assisted bathing. All bedrooms have wash hand basins. The home has a large rear garden. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted on an announced basis over a period of one day by a regulation inspector. The inspector was able to meet many of the residents who live at the home and also some of the staff and management team. Records pertaining to services and care provided to residents were seen, a tour of the building looking at individual and communal accommodation was undertaken. Records and practices in respect of health and safety at the home were also assessed. The registered manager has addressed the vast majority of improvements required at the last inspection. The inspector received many comments and letters prior to the inspection and following the inspection from residents, relatives and visiting professionals. Some of the comments included “I never fail to be impressed by the atmosphere of genuine warmth and friendliness that exists among the residents and staff”, “I enjoy everything, sitting with staff and residents in the lounge, we have good staff and good food” and “Radnor House has consistently provided quality care delivered in a humanistic manner, Radnor House is a vital resource in the provision of mental health services in Birmingham” What the service does well: What has improved since the last inspection? The manager has improved information for prospective residents, this has been included within the revised residents guide. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 6 Medication practice has improved and residents who choose to self administer medicines are supported to do so through a risk assessment process. Written care plans are specific and clearly guide staff in how to meet the needs of the residents. Staff training in respect of first aid and fire safety training is now well recorded. The manager has developed risk assessment for food safety and also for the staff at the home. 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. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,5 Residents and stakeholders are generally provided with appropriate information to make an informed choice as to whether they would like to live at the home or not. EVIDENCE: The home has a statement of purpose and a residents’ guide. The guide has been further developed to describe the services, accommodation, management and staff, standards, smoking and the contract (terms and conditions of residency). The pre-admission records maintained in respect of a recent resident were limited, no assessments either by the home or from Social Care and Health were available to help guide staff as to the needs of the resident. The current needs of residents are identified through comprehensive assessments; these include all activities of daily living, physical and mental health, routines and choices, social, family and recreation and personal needs of residents. The assessments are very informative and where possible have involved the residents. The service includes providing support and care for residents from a multicultural background including ethnic minorities. These residents confirmed that they are supported where needed to take part in their cultural and Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 9 religious activities. The staff team are from varying backgrounds and have the knowledge and skills to assist these residents. Residents are provided with contracts that include such information as room to be occupied, fees to be paid, insurance and a copy of the residents’ guide. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 The individual needs and choices of residents are well planned for by the home. Residents are involved in developing plans to inform staff on how to meet their individual needs and choices. Risks to residents are not comprehensively managed to promote the health and safety of the residents. EVIDENCE: The staff and manager have developed where possible with residents detailed written care plans that describe how staff and the service will meet the needs of each individual resident. It is clear that these needs have been identified through the extensive assessment process. Sampled written care plans also included a signed agreement with the resident after consultation through the assessment process that they were satisfied with the care plan. All written care plans are regularly reviewed. Risk assessments are generally completed when a risk has been identified, these assessments also included an appropriate risk management plan, for example mental health and physical health. The mental health risk assessments include indicators of relapse and what the staff and resident must do to try and prevent further deterioration. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 11 A risk assessment for one resident following a serious incident at the home in respect of fire safety had not been completed and the registered manager was required to develop this risk assessment as a matter of urgency. Other risk assessments were seen to require developing and to include additional measures to reduce the level of risk such as damage to property, financial protection and the involvement of other healthcare professionals. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,16,17 The individual lifestyle of residents is adequately supported by the home which allows residents to feel comfortable as an individual and within a communal environment. EVIDENCE: Some residents were positive that the home would support them when they return to college studies or whilst at day centres where basic skills are developed. Residents informed the inspector that they are able to use local transport mainly by themselves to visit family and friends. Many residents also use many of the local shops and some frequent local public houses. All residents have a day and night diary where activities of daily life are recorded, these diaries record such events as shopping, cafes and other food outlets within the local community. The majority of residents have keys to their own rooms and will inform staff as they come and go from the home. Residents were observed to use bathrooms and toilets without gaining staff approval and their privacy was maintained accordingly. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 13 The staff were observed in conversation with residents, it was evident that it was the culture and ethos of the home to involve residents in day to day conversation. Mealtimes continue to be a social occasion, the two dining areas provide a friendly atmosphere, many staff and residents are engaged in conversation. Residents are offered a range of meals, which they help to plan on a weekly basis, the menu includes special diets and culturally appropriate meals, alternative meals are available with the main meal. The menu was nutritionally well balanced; the majority of food items are cooked at the home. The manager has developed food safety risk assessments; staff comply in part with the assessment by recording core food temperatures, fridge temperatures and hygienically maintaining the kitchen area and equipment. The kitchen has a separate fryer that is not in use, the manager confirmed this has been isolated, food items (crumbs) requiring cleaning, however it is recommended that the fryer be removed to create additional space within the kitchen. The fridge (Lada) has a heavily damaged seal, which requires repair or a replacement fridge. The manager must ensure that the staff fully comply with the food safety risk assessment and keep dining room chairs clean. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20 The healthcare needs of residents are met and advocated for by the home ensuring residents receive adequate and timely interventions from health and social care professionals. EVIDENCE: Sampled residents files included details of the Care Programming Approach including involvement from social workers and community mental health teams. Residents confirmed that they are able to see their GP when they need to and some residents confirmed that they also see the chiropodist. Records maintained by the staff are informative they record the outcomes of residents visits to the GP including medication reviews, hospital appointments and also for continence promotion nurses. The residents are provided with medicines from their GP dispensed by a local chemist and also medicines from community mental health teams where medicines are dispensed from hospitals. All medicines received, administered and disposed of by the home are fully recorded. Some residents are able to self-administer their medicine, they are provided with safe facilities and also have a risk assessment completed and regular compliance checks to ensure safety. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 15 The manager must ensure that medicines to be administered as required by the resident(s) have a corresponding protocol to guide staff and resident as to when and how this will be administered. The medicine policy does not at present fully describe the current practice at the home this needs to be updated. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The manager addresses concerns and complaints made by residents and their representatives positively. This assures complainants that all efforts will be made to improve the service. Residents’ money is not adequately protected to ensure its safety from possible abuse. EVIDENCE: The complaints policy is available within the residents’ guide and also upon notice boards within the home. The manager maintains a log of complaints, which was seen to record area(s) of concern, actions taken, and any follow up required, a statement as to whether the complaint has been resolved to complainant’s satisfaction or not is made. One complaint has been received in the past twelve months. The policy on adult protection reflects local multi-agency guidelines and the Department of Health document “No Secrets”. A programme of staff training in protecting vulnerable adults from abuse remains ongoing. Many residents do manage their own money, however some residents’ money is managed by the home, concerns raised at the last inspection have been resolved, records are now more informative and receipts of expenditure are maintained. However the manager must now address the practice of having residents’ money paid into a bank account in the name of the home by ensuring that their money is only paid into an account in the appropriate residents name. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) All standards. The environment is not fully adequate to meet the needs including the safety needs of residents and to ensure they live within a comfortable and pleasant setting. EVIDENCE: The residents’ accommodation in general is decorated pleasantly and is well maintained. Although there is no written programme of refurbishment for fabric and decoration it is an ongoing programme at the home. The manager does have a contracted maintenance person / team to decorate, clean and complete maintenance about the home. The size and dimensions of residents rooms vary, many residents confirmed they were happy with their rooms that they had all they needed. One resident who enjoys collected items was pleased that the room is able to cope with some of the items as well as ensure safety within the room. Many residents confirmed that they are happy with the fixtures and fitting within their rooms. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 18 Improvements are needed to ensure doorframes are repaired, bedding is adequate and not damaged, damaged flooring is repaired or replaced and that all tiling around wash hand basins is repaired and maintained in a good condition. Some residents use kettles and have sugar and tea / coffee in their rooms to make hot drinks, the manager must ensure that these are not used on the floor. The home has many toilets, three bathrooms and three shower rooms distributed across all floors of the home. Many of the bathrooms and shower rooms have facilities to assist residents such as grab bars and a bath with a hoist seat. The bathrooms and shower rooms are dull and unwelcoming for residents to use, attention to redecoration is needed within these areas. The bathroom with the hoist chair requires the lock on the door to be repaired to ensure it can open and close safely and one toilet door was damaged and requires repair or replacement. There is ample communal space, including three large lounges, two dining areas and a large rear garden. Residents do not tend to use the top floor lounge but do frequently use all other areas. The lounges have appropriate seating, television and satellite systems and also music stereos. The home has a call system fitted throughout all areas of the home including communal areas. The home has contracted the cleaning of the home, which includes all high cleaning and more industrial cleaning such as windows. Improvements have been made in the laundry to the flooring and also in transferring soiled items for washing into this area. Clinical and sanitary waste disposal and contracts are in place. All high risk areas in respect of infection control have appropriate hand washing facilities. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) all standards. Staffing levels, support and training are not fully adequate to ensure that the residents receive a service that is effective in meeting all their needs. EVIDENCE: Staff were able to describe their roles and responsibilities in line with their job descriptions and the aims and objectives of the home, which are available for all staff. Staff files seen by the inspector contained some evidence that staff are being training to achieve NVQ 2 in Care. The pre-inspection questionnaire and additional inspection information completed by the manager indicated that approximately 60 of care staff have achieved the award and all other staff are registered and or studying the award. Staffing rosters indicate there are a mixture of management and care staff on duty during the week, at night there are two waking night care staff on duty. Three care staff are on duty at the weekends (7.25 am to 10.30 pm) which at times includes bank staff. The weekend is operational on minimum staffing levels, three care staff do provide an adequate ratio of staff to meet the needs of residents and the day-to-day operations at the home. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 20 Recruitment practice at the home is in line with legislation and good practice. Application forms and all required checks including CRB disclosures are completed prior to confirming appointment. Training and development of staff is realised as an important catalyst to improving services to residents. The manager has implemented many training sessions for staff including anti-abuse awareness, report writing and counselling skills. Training records for some staff indicate that they have not received adequate training in safe working practices. The manager has addressed some of the concerns in respect of staff supervision since the last inspection. They are now focused including a performance assessment against roles and responsibilities. However they remain at a frequency that is not adequate to support staff and that does not meet with National Minimum Standards. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,39,41,42 The conduct of the management is proactive to meet the needs of residents, the approach of the management team to ensure residents receive a good service is positive. The management do not share their successes and failures through a quality assessed system. EVIDENCE: The manager has developed a trusting relationship with residents and communicates well with them. It is clear he leads from spending time with residents and will support and encourage the staff to do similar. The home in the past has had staff meetings and residents meetings to ensure staff and residents alike are involved in making decisions, these were not assessed at this inspection. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 22 The manager confirmed that the requirements from the last inspection, to develop a quality assurance system within the home had not been completed. The manager must ensure that reviews of quality of care and improving the services are undertaken and provide a copy of a report to residents and the commission. The manager ensures that all tests, services and maintenance of health and safety systems and equipment are maintained, including fire systems. Risk assessments in respect of fire, staff and food safety have been developed and are operational within the home. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 23 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 x 3 x x 3 2 Standard No 31 32 33 34 35 36 Score 3 3 2 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Radnor House Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 1 x 3 3 x E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 24 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 YA2 Regulation 14(1) Requirement Residents must only be admitted to the home following an assessment by a suitable qualified or trained person. A copy of the assessment must be available. Risk assessments in relation to smoking in bedrooms must be further developed to include all measures taken to reduce the hazard. Previous timescale of 31/5/05 not met, this requirement is carried forward. Risk assessments must be reviewed to ensure measures taken to reduce risks are effective, see standard 9 in the main body of the report. The refrigerator (Lada) with the broken seal must be repaired or replaced. Dining room chairs must be kept clean and free from old food items. All as required medicine must have a written protocol to guide 30/9/05 Timescale for action 30/9/05 and ongoing. 2. YA9 13(4)(c ) 28/7/05 3. YA17 23(1)(c )(d) 31/10/05 4. YA20 13(2) 31/10/05 Page 25 Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 staff and residents in respect of how much medicine and when it can be administered. The manager must ensure that the medicine policy is updated to reflect all elements of current practice. The manager must address the practice of having residents’ money paid into a bank account in the name of the home. 5. YA23 20(1) 30/11/05 6. YA26 7. YA26 8. YA27 Money belonging to residents must be paid into an account which in the residents name. 23(2)(b)(c An audit of the fitness of purpose 30/11/05 )(d) of fixtures and fittings in residents rooms must be undertaken, where not fit they must be replaced or repaired, this must include bedding, floors, doors (frames), decoration and tiling. 13(3)(4) Adequate provision must be 31/10/05 made for residents to safely store drink making facilities in their rooms, such items must not be kept on the floor. 23(2)(b)(c The locks on bathroom doors 31/10/05 ) must be checked and where needed repaired to ensure they open and close safely. Toilet doors where damaged must be repaired. The manager must ensure that 31/12/05 all staff have received current training in all safe working practices. All staff must have regular, 31/12/05 recorded supervision meetings at least six times a year. Previous timescale of 30/6/05 not met, this requirement is carried forward. The home must develop and E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc 9. YA35 18(1)(a) 10. YA36 18(2)) 11. YA39 24) 31/12/05 Page 26 Radnor House Version 1.30 audit a system of Quality Assurance. Previous timescale of 31/8/05 not met, this requirement has been carried forward. 12. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA3 YA17 YA27 Good Practice Recommendations The manager needs to consider the impact of ageing on the current service users and how the home will respond to the potential changes in residents needs in the future. It is recommended that the deep fryer that has been isolated in the kitchen is removed. It is strongly recommended that redecoration be undertaken to toilets, bathrooms and shower rooms to ensure they are ambient and welcoming for residents to use. 4. Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor - Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Radnor House E54 S16871 Radnor V233512 AI 270705 - Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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