Inspection on 08/10/08 for Rame Close

This inspection was carried out on 8th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rame Close 11/10/06

Rame Close 28/11/05

Rame Close 14/06/05

Rame Close 27/01/05

Rame Close 22/12/04

Rame Close 02/02/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rame Close 34 Rame Close Wandsworth London SW17 9TT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Davina McLaverty     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Rame Close 34 Rame Close Wandsworth London SW17 9TT 020-8682-0096 F/P02086820096 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Metropolitan Support Trust Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home Only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home 34 Rame Close is a care home for six adults with a learning disability. The home is located in a residential road in Tooting close to local shops and transport links. The home is run by Metropolitan Support Trust Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good outcomes. The inspection included an unannounced visit to the service on the 8th October 2008. We met three of the five tenants (the home currently has one void), the manager, and deputy manager,three support staff and a visiting care manager. We also looked at a number of records, which included three residents files, care plans, health and safety records as well as the environment. In addition, the inspection took account of information received about the service since the last inspection. Care Homes for Adults (18-65 years) Page 5 of 28 Prior to the inspection. We also contacted the tenants who live at the home, We asked them to complete surveys about their experiences, however no surveys were returned at the time of writing this report. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA), which is a self assessment of the service and is also referred to in the report and helped us to form some of the judgments made. One tenants spoken to on the day of the inspection stated that they were very happy and satisfied with the care and support provided. Comments included its nice here, staff are good and help us to do things we want to do. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home understands the importance of having sufficient information when choosing a care home and a Statement of purpose and Service User Guide is available. Admissions are not made to the home until a full needs assessment has been made. Prospective tenants are given the opportunity to spend time in the home prior to agreeing to move. Evidence: The Statement of Purpose includes information about the aims and objectives of the service, the accommodation available, staffing level, the admission process and activities both in the home and in the local community. The service user guide summarises the statement of purpose and provides more practical information about living in the home eg the key worker system and how to make a complaint. Tenants are given a copy of both documents. The manager in her AQAA has stated that the home homes to create a pictorial tenants guide in the next 12 months. Tenants are assessed by senior staff prior to moving into Rame Close. Information is first received From the persons Care manager and then the home carries out its own assessment to Care Homes for Adults (18-65 years) Page 9 of 28 Evidence: ensure that they can meet the persons assessed needs. Information is gathered on personal and social history, as well as health and religious needs. We looked at the file of the newest tenant and found satisfactory information had been obtained prior to admission. The manager stated that prospective tenants are invited to visit and spend time in the home before making a decision whether they wished to move there and that due to the newest tenants needs an extended trial had been arranged to ensure that they could manage the journey to their place of work work and would be happy making the journey daily if they moved. This arrangement was confirmed by another staff member. Care Homes for Adults (18-65 years) Page 10 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tenants are involved in the planning of the care that effects their lifestyle and quality of life. Staff understand the importance of supporting tenants to take control of their lives, and to encourage and enable them to exercise their rights and make their own decisions. Evidence: Three support plans were examined. We saw information covering assessments of what people can do and the areas they needed support and assistant from staff. Long and short term goals had been identified in various areas. Evidence of tenants involvement in their support plan was also seen. The manager in her AQAA has stated that the organisation is introducing a new live support planning system which will be completed on line, although hard copies will be available in tenants files. Person centered care is being developed further and staff are receiving training in this area of their work with tenants. Staff spoken with confirmed that they are working with tenants in a more person centered way, although some of the tenants found it difficult Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: as they liked doing things in a group. The service operates a key working system , which provides opportunities for staff to work on an individual basis with tenants who use the service. One person spoken to understood their key worker role and confirmed that they regularly met with them and that they encouraged and supported them to do the things that they wanted to do. They were written risk assessments which showed that staff had thought about what the risks people wanted to take. Both the risk assessments and support plans were seen to be regularly reviewed. Statutory reviews with tenants care managers were also seen to have taken place. One care manager was spoken to briefly during the inspection and they reported that they were happy with the support given to their client who loved living in the home. Tenants records were seen to be stored securely in a locked cabinet. The home aims over the next twelve months to make a video for the home to help the tenants understand better their rights and choices. They also have been encouraging tenants to make use of advocacy services. Tenants meetings were seen to take place monthly and records showed that a variety of things get discussed eg outings, house relationships and issues around group living. Notes of these meetings were occasionally written up by the tenants themselves. Care Homes for Adults (18-65 years) Page 12 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given opportunities to take part in a wide range of activities in the home and in the community. Tenants are supported to stay in contact with family and friends. Evidence: In discussion with one tenant they stated that they did lots of different things and made choices as to what they did all week which they liked. Staff spoken with confirmed that everyone living at the home takes part in activities and a lifestyle that they chose. People are encouraged and supported to reach their full potential and tenants are involved in a variety of different activities including working, volunteering, attending a local day center and activities in the community eg going to church. swimming Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: People are also members of social groups such as the Generate (a social club for people with Learning Disabilities) and will regularly attend special events organised there as well as accessing other functions further afield supported by staff if need be. Individual holidays are arranged by staff, or pairing tenants for holidays if they share similar interests. The AQAA states that three of the five tenants voted for the London Mayor this year. The home is wanting to expand and encourage tenants to do more individual activities. All tenants access the local community including the shops and public transport. The AQAA states that Some tenants have become more independent in collecting their medication.Tenants open their own mail and staff will provide support, if needed. Again tenants are supported to attend health care appointments. All tenants are involved in shopping and cooking for themselves with staff support as required. They plan their own menu and eat when they choose. Staff encourage tenants to have healthy meals. Tenants are responsible for tidying up their bedrooms, although if needed staff will offer support. Again tenants all have household chores to do as part of communal living and the rosta was seen, as well as a tenant seen during the inspection actively carrying out their chores. People are supported to maintain important family relationships. Family are encouraged to visit the home if the tenant wants this. Cultural needs are acknowledged and supported. Two people regularly attend church and make their own way there weekly. The AQAA states that over the next twelve months the home hopes to support tenants who wish to attend more evening clubs and musical entertainments. As stated earlier two tenants reported that they enjoyed living at Rame close. One tenant said that staff supported them to prepare meals of their choice. The kitchen was well stocked with fresh food, including fruit. Healthy eating is encouraged. Care Homes for Adults (18-65 years) Page 14 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home supports people to maintain good health, with any changes in peoples needs being addressed. Medication is appropriately managed although the current system is being reviewed. Residents attend to their own personal care needs with little support from staff. Evidence: Support plans make sure that individual health care needs are addressed with support being given as required to visit GP, dentist, optician and other health appointments as necessary. A record was seen of tenants appointments in the files examined. Staff are aware of privacy and dignity issues and will speak to individuals in private if need be. A tenant confirmed this and also stated that staff would knock on their bedroom door and wait to be invited in before entering. Appropriate medication policies and procedures are in place, although we were informed that the home is moving to a Nomad system of receiving medication and Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: were in the process of liaising with the local chemist. We were informed that policies and procedures would be amended and training given to staff when the new system came into place. The medication administration record was looked at for two residents and both were seen to be in order. Medication was also seen to be appropriately stored. Care Homes for Adults (18-65 years) Page 16 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an open culture, which enables tenants to express their views and concerns. The complaints policy is accessible and explained to tenants. Policies are in place to protect tenants from abuse, however, not all staff members have received training in this area of their work. Evidence: Tenants are protected from harm by clear policies and procedures on adult protection. At the time of the inspection there was one on-gong safeguarding investigation. From discussion with senior staff the home had taken appropriate steps to ensure the safety and well being of the tenants involved. All staff must receive training in safeguarding vulnerable adults as training records did not evidence that Safeguarding training had taken place for all staff within the last year. Tenants receive a copy of the complaints procedure when they move in. There is also a confidential number displayed in the dining room that tenants can call if they have any concerns. The tenant spoken with was clear as to what they would do if they were unhappy. Staff actively encourage tenants to state what they are not happy with and will always endeavour to resolve it. The complaints book was examined and we saw several letters from residents to the manager where tenants had clashed with each other. The manager stated that there had been lengthly discussions with the complainants who often did not want to pursue their concerns formally. However, Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: there were no notes to evidence that any discussion had taken place. The manager was advised to record discussion and outcome. The CSCI has not received any concerns about the service since the last key inspection. Care Homes for Adults (18-65 years) Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tenants are able to personalise their rooms. The shared areas of communal space were homely and provide adequate areas for tenants to relax. Evidence: 34 Rame Close provides a comfortable environment for tenants. Communal areas were reasonably tidy with a homely feel to them Since the last key inspection the ground floor bathroom has been updated and the office now include the sleep in area. Staff views varied as regards this being an improvement as one staff member stated that the pull down bed was not that comfortable and in view of the office being below a lounge area where tenants used late into the night meant that they got little sleep. There is also little storage space for staff belongings. Communal areas consisted on two lounges one on the ground floor and another upstairs. Both lounges were reasonable in regards to decoration but plans must be put in place for redecoration of both rooms and the replacing/cleaning of the upstairs lounge carpet as it is quite badly stained in places. The furniture in the ground floor lounge is also beginning to look worn and again will need replacing. In discussion with Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: the manager she said that she is aware of this but this year tenants will be getting new beds and next year new furniture will be requested for the ground floor lounge. The kitchen is also in need of redecorating. Tenants are able to personalise their rooms and staff will support them to choose accessories, such as light shades, lamps and bed covers. One tenants room was seen during the inspection. The room had an awful lot of their personal effects in it. This person said that they liked their room and were able to spend time in it when they wanted. In discussion with staff through one to one key working sessions they are supporting this resident to re -organise his belonging so that he will have more easier access to his wash-hand basin and his wardrobe. Appropriate toilet and bathing facilities are available, however communal towels should be replaced with paper towels to prevent the risk of cross infection. A large garden is available to the rear of the home and outdoor furniture is available. We were informed that good use is made of the garden when it is warm. The manager has stated that she hopes to get a volunteer whose good at gardening to help tenants keep it tidy. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing levels are sufficient to meet the needs of tenants Recruitment practices continues to protect the welfare of tenants Evidence: Staff have regular 1 to 1 Supervision with their manager. Appropriate training is given to ensure that staff have the skills they need for their job. We were informed that there are a minimum of two staff on duty which meets the needs of the tenants. One tenant due to their current needs receives one to one support three evenings a week These staff levels were seen to be sufficient to meet peoples needs.Staff spoken to confirmed that there were sufficient staff on duty each shift. people who used the service did not raise any issues about staffing levels. The tenant spoken to said I like the staff and I think staff always treat me well. We saw staff being very encouraging and patient with tenants. We saw people who use the service to be comfortable and relaxed with staff. Staff spoken with demonstrated a good knowledge of the tenants and their individual needs. Minutes of staff meetings were seen which take place regularly. Supervision was also seen to be taking place Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: regularly. The organisation has an appropriate recruitment policy. No new staff have been recruited since the previous inspection when the recruitment procedure was found to be satisfactory. The manager stated that where agency staff are used written details obtained from the agency confirming what checks they have carried out and details of the persons CRB check reference number. Copies of these were seen. The home is actively trying to recruit two permanent staff to the home but currently the same agency staff work in the home to ensure consistency to the tenants. The AQAA states that 3 staff have completed their NVQ level 2. The manager stated that she was updating staff training profiles to ensure that they all receive mandatory training. Evidence of this was seen in the 3 staff files looked at. Annual staff appraisals were seen to be taking place. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed , although the current manager must submit an application to become the registered manager now that she has been appointed. People are supported to contribute their their ideas to the running of the home. Attention is given to making sure that the health, safety and welfare of the tenants is promoted and maintained. Evidence: The Manager was confirmed into post in July, prior to that she was in an acting position. An application must be submitted to the Commission for Social care for approval as the Registered Manager. The manager reported that she is intending to do this and start her managers award and NVQ level 4. Staff spoken with were positive about the managers style describing it as proactive and open. There is a commitment to running the home in peoples best interest and to seeking their views how the home is run. As stated earlier monthly tenants meetings Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: take place which seeks the views of the people living in the home. They are also encouraged to raise any concerns they have. One tenant said that they found the manager to be very nice and helpful and said she listens to you. The manager reported that monthly visits are carried out by the organisation but written reports following these visits were not available in the home. Staff reported that due to a recent merger with Metropolitan Housing there has been a number of changes taking place which are impacting on the home and tenants.e.g. length of time maintenance issues can take to be completed. Also due to changes in operating, new forms are being introduced which have impacted on staff time whilst they familiarize themselves with them. Staff reported that tenants have found things frustrating e.g. getting premises items addressed but staff endeavour to keep them updated. One staff member stated that communication with stakeholders could improve as at times tenants get very agitated to changes in their routine which then impacts on the tenant who they support which they feel can be unfair. It was suggested that regular meetings at appropriate times for all parties could be agreed, to avoid tenants having to change their routine. There are a number of regular health and safety checks on health and safety checks which take place. These include fire equipment, water temperatures and fridge and freezer. Checks are recorded and we saw evidence of this. Hot water checks in both bathroom areas were periodically above the suggested 43 degrees. The manager had called maintenance to get the thermostatic valves adjusted and evidence of this was seen, but the job was still outstanding.The manager stated that all tenants carry out their own personal care and are fully aware of the fluctuating water temperature. We suggested a risk assessment be put in place to evidence this. The landlords gas record was seen, as well as the Portable Appliance test both of which were in order. The homes certificate of chlorination/ legionella was not available although the manager stated that a test had been carried. out and that she was chasing up a copy of their report. A copy of the report must be available in the home. A copy of the homes employers Liability Insurance was seen during the inspection. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 Risk assessments must in in place in respect of tenants and hot water. To ensure that tenants do not scald themselves when using hot water. 28/11/2008 2 22 22 All complaints /concerns 30/11/2010 raised by tenants must have a written outcome. A record of the outcome is maintained of all concerns raised by tenants. 3 24 24 The second floor lounge carpet must be replaced or cleaned. To enhance the room 19/12/2008 4 28 23 The registered persons must 30/01/2009 provide suitable facilities for the storage of staff personal belongings whilst on shift. For safe storage of staff personal belongings. Care Homes for Adults (18-65 years) Page 26 of 28 5 37 8 The manager must submit her application to the Commission for Social Care for approval. The home must have a registered manager approved by the Commission in charge. 19/12/2008 6 39 26 Copies of all monthly visit reports must be available in the home. To evidence that these visits required under regulation are being carried out. 10/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 Consideration should be given to decorating the kitchen and downstairs lounge area to enhance the environment that tenants live in. Paper towels and liquid soap should be provided in the communal bathrooms. 2 24 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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