Inspection on 09/08/06 for Rathmore House

This inspection was carried out on 9th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Rathmore House 07/09/07

Rathmore House 29/11/05

Rathmore House 16/12/04

Rathmore House 09/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Rathmore House 31 Eton Avenue London NW3 3EL Lead Inspector Ms Pippa Canter Unannounced Inspection 9th August 2006 10:00 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 Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 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. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rathmore House Address 31 Eton Avenue London NW3 3EL 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) 020 7794 3039 Central & Cecil Housing Trust Mr Michael McKeon – no longer in post Care Home 20 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2006 Brief Description of the Service: Rathmore House is a listed building that has been adapted to become accommodation for older people. It is situated in a residential area of Swiss Cottage bordering Belsize Park. The home is owned by Central and Cecil Housing Trust. The aim of the service is to provide care to elderly people of both sexes, aged 65 years and over, who require a high level of support because of having dementia. The current scale of charges is recorded as £761.53. Permanent care will be provided for service users assessed as having dementia and who may need some nursing care. Accommodation for service users is over three floors. There is a shaft lift, which gives access to all floors. There are a total of 20 bedrooms. Thirteen of which have ensuite facilities comprising a toilet and a hand basin. All floors have assisted bathrooms/showers and additional communal toilets. Since the last inspection there has a re-organising of the communal accommodation. There are now two lounge-cum-dining rooms on the ground floor. All rooms are linked via a call bell system. Service users have access to landscape grounds and a secure garden. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the course of one day by one inspector. The visit lasted a total of six and a half hours. Since the last inspection, the registered manager has resigned and the interim management arrangements have included joint responsibility between a general management and a nurse-in-charge. Both were available and assisted the inspection along with additional support from the staff on duty, service users and visitors. Records such as care plans, daily logs as well as accident and incident logs were examined. A tour of the building was made with attention to the rooms of the service users being case tracked. This was done with their knowledge and agreement. Some service users were asked for their views of the running of the home and talked about their experiences of living there. Relatives also contributed their comments. Staff were observed carrying out their duties and were involved in general discussion with the inspector. Prior to the inspection the general manager returned a pre-inspection questionnaire. Two relatives and a health care professional have returned comment cards giving their views about the home. At the end of the visit feedback was given to the general manager. A comment card about the inspection process has been left with the manager and return to the Commission for Social care Inspection (CSCI). What the service does well: The staff work hard to help service users settle down in the home. The support is extended to the relatives and they are provided with a warm welcome. One relative wrote” I visit this home twice weekly; and could not be more satisfied than I am. The staff are a credit to the home”. Service users are supported to have regular access to health care services. The philosophy of the home reinforces the importance of treating service users with respect and dignity. The home has an experienced catering section who offer a varied menu and take into consideration service users’ individual likes and dislikes. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 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 Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 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): 3 The quality of this outcome area is considered to be good. This judgement has been made using available evidence, including visits to the service. Service users have their needs assessed and they are admitted if the assessment identifies that staff can meet their needs and aspirations. EVIDENCE: The care records of four service users were looked at; one of whom had been admitted since the last inspection. Community care assessments were available and there was clear evidence that the home has undertaken their own assessment. The home’s assessment is designed to show the service user’s strengths and highlight areas where assistance is required. The assessment includes areas of choice and independence. In some instances the assessment has not been signed by either the service user or the relative however these signatures are on care plans showing the level of involvement. Discussion with the general manager highlighted that the home needs to develop their admission process to reflect that they offer a service for people with special needs. When offering a place, it is useful to inform any carers and Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 9 relatives that the home encourages their support and involvement in the home. This may be bringing familiar objects that have real meaning to the person with dementia, labelling clothes and providing information or pictures for life history books. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 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 & 10 The quality in this outcome area is considered to be good. This judgement is made using available evidence including visits to the home. The outcome of the assessments is translated into care plans but further development of the care planning process is required. This will enable care staff to procedure person centred planning. The arrangements to meet the health care needs of the service users are well established and contribute to a multi disciplinary approach. Improvements are being made to the storage and management of medication, which will ensure safety for service users. EVIDENCE: In total, four care plans were looked and three service users contributed their views on the day of the inspection. Nursing and care staff were observed interacting with service users whilst carrying out their respective duties. The daily records were looked at and the inspector sat in on a staff handover. The pre-inspection questionnaire provided details on how service users access health and remedial services. A health care professional returned a completed comment card. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 11 All service users have a care plan and there are written entries to signify that monthly reviews are being carried out. Each service user is allocated a named nurse and a key worker. The provider has carried out an audit of the care plans last year and as a result a number of recommendations have been made. An examination of the care plans shows that there has a general improvement in line with the recommendations. The care plans reflected that staff offer choice, encourage independence and uphold privacy and dignity. There was discussion with the general manager about developing a more person centred approach and in particular expanding the social profiles, which contained limited information. The manager confirmed that the home is to implement life history books to supplement the care plans. This will be started through an art project called “Me, Myself & I”. Relatives have been approached to bring information on family, friends, jobs, anecdotes, hobbies, interests, photographs, favourite foods, smells etc. The CSCI would look forward to the development of this project as the book can include pictures, photographs, mementos and letters. It can be started prior to the person’s admission and can be used as an aide memoir for service users to talk about and reminisce about their lives. All the information gathered about a person from the initial assessment and the subsequent things that staff learn about a service user, contribute to enabling service users to have as much autonomy as possible. The pre-inspection information recorded how service users have access to health care professionals, including GP, district nurse, optician, dentist, chiropody, audiology, occupational therapist and speech therapist. The written care records confirm that there is access is available. The health care professional recorded that the staff in the home communicates clearly and works in partnership with nursing services. They are also satisfied with the overall care provided to the service users. Staff demonstrated that they were aware of the need to provide extra fluids and provide fans during the hot weather. Windows were open and service users are encouraged to wear lighter clothing. The home has a policy and procedure for the administration of medication, which includes the use of homely remedies. It is the nurses’ responsibility to administer medication. The provider had undertaken an audit of the management of medication in the home. This had identified a number of deficiencies in the home, which the nursing staff have been addressing. The current storage area is unsuitable because it is not possible to maintain the optimum temperature. As an interim measure, a fan has been used to help circulate cooler air but the temperature log shows that this has not been entirely successful. An alternative storage facility has been arranged and on the day of the inspection, the medication was being transferred. An inspection of the medication administration records showed that photographs of the service user had been attached. Medication profiles are available and medication action plans are introduced in the event of continuous refusal. Two profiles identified that service users should not be having grapefruit juice Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 12 because of the medication they had been prescribed. This information had not been translated into the care plan for care staff. Please see requirement one. At the time of the inspection the nurses were administering controlled drugs but separate lockable facilities are available for storage. Fridge and room temperatures continue to be monitored. Any gaps in recording have been acknowledged. The community pharmacist last visited the home on 15th June this year. There is some evidence of over ordering of medication and an assurance given that this will be looked into. The management must ensure stock control. Comments were received from service users and visitors such as “I could not be more satisfied, the staff are a credit to the home.” “I am happy here.” and “The staff look after me well”. Discussions with service users highlighted that staff respected their privacy and dignity. Care plans reflected the values of privacy, dignity, choice and independence. These values were also reinforced by the general manager during the handover. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 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 & 15 The quality in this outcome area is good. This judgement has been made using available evidence including visits to the service. Service users have access to social activities but there is room for improvement to ensure activities are based on individual needs. Family and friends are made to feel welcome in the home. Service users have a choice in well-prepared meals that reflect cultural as well as medical needs. EVIDENCE: The provider undertook an audit of service user involvement in the home in May of this year. The outcome of this was to develop an activities programme. Such a programme was supplied with the pre-inspection questionnaire. The same list was also on display in the home. Feedback from service users and staff confirmed that there are activities available and they can choose to participate if they choose to. With the advent of the art project “Me, Myself and I”, it is envisaged that activities can be more tailored made to take account of individual interests and hobbies. The general manager acknowledged that further work is required in order that individual service users access the community more often and in a more meaningful way i.e. they are supported to buy individual toiletries rather than staff purchase these products on their behalf. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 14 Comments from relatives highlighted that they are made to feel very welcome in the home. One relative, who visits twice a week, confirmed that they are very satisfied with the overall care provided in the home. They can visit their family member in private and are always kept informed of important matters. During the handover various events and service users were discussed. The general manager promoted the ethos that the routine of the home should be developed around the needs of the service users. The home has a charter of rights and a philosophy of care. Both are designed to ensure that service users have a say in decisions affecting their care. The likes and dislikes of service users are known to the staff and are reflected in the care plans. A choice of food is offered. Discussions with catering staff confirmed that the home offers a four weekly menu, which is changed every three months. A look at the menu showed that the meals are varied, freshly cooked and include choices. There has been input from the Speech and Language Therapist, as some service users require their drinks to be thickened. Care and consideration is given to how pureed or soft diets are presented to service users. Service users said that they enjoyed the food. The Environmental Health Officer last inspected the premises in April 2004. The report found that the standard of hygiene and food safety in the kitchen was very good. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 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 & 18 The quality in this outcome area is good. This judgement has been made using available evidence, including visits to the home. Service users are protected by the home’s response to complaints and potential abuse. EVIDENCE: Complaints procedures were looked at and complaints logs examined. During discussion with staff they were asked about their responsibilities in relation to suspicions or allegations of abuse. The provider carried out an audit on handling complaints in May of this year and recommendations had been made, which have been addressed by the management team of the home. Discussions with the general manager and a tour of the building showed that the service users have information about how to complain in their rooms. Copies of the complaints procedure is also available at the entrance to the home; this is combined with how to make a compliment about the service. Compliments about the service took in the standard of care, the attitude of the staff and the atmosphere in the home. The pre-inspection questionnaire confirmed that one complaint had been received by the home. The complaints’ log and this had been resolved satisfactorily and within agreed timescales. The in-house policies and procedures on adult protection and whistle blowing are contained within the home’s operational policy. Discussions with staff confirmed that they had received training in the protection of vulnerable Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 16 adults. Training records verified this. Staff showed that they understood the concepts of what constitutes abuse and were clear in their responsibility for reporting any suspicions or allegations. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 17 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 & 26 The quality in this outcome area is good. This judgement has been made using all available evidence, including a visit to the service. Service users are accommodated in comfortable surroundings. The overall appearance of the home is clean and free from offensive odours. EVIDENCE: The home was toured, including visits to the bedrooms of the service users who were being case tracked. This was done with their permission. All the bedrooms bar one are single occupancy. One room is shared at the request of the service users. The manager confirmed that work is taking place to make individual bedroom doors more identifiable to their occupant. Using pictorial signs as well as written signs is a useful way of identifying different rooms and areas. The home has both assisted toilets and bathrooms. It was observed that the bathrooms on the ground floor and first floor were acting as storage facilities for hoists and continence products. These rooms are not attractive and inviting. Please see recommendation 1. There is a lack of Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 18 storage space around hand basins in service users’ rooms and this can lead to a cluttered appearance. Please see recommendation 2. The manager confirmed that three communal rooms will be decorated. These include the main entrance, the small lounge and the sensory room; this room is to be developed and will prove to be beneficial to service users. The personalisation of rooms was found to be according to the taste of individuals. There are two dining/seating areas in the home. The visitor’s room, which had previously been an office, at the entrance to the home will become a sensory room. There is a need to create further seating area and the home would benefit from a conservatory. Staff follow cross infection policies and procedures. Service users’ care plans include prevention of cross infection e.g. MRSA and incontinence. Protective clothing such as gloves and aprons are available. COSHH training is available. Hand towels and soap dispensers were available in all communal toilets. Overall there were no offensive odours although underlying smells were noted in some rooms but there is a procedure in place to ensure that carpets are clean regularly. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 19 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 & 30 The quality in this outcome area is considered to be good. This judgement has been made using available evidence, including a visit to the service. The home is deploying staff in sufficient numbers and with appropriate skills to meet the needs of the service users. EVIDENCE: Staff were observed carrying out their duties; service users were asked for their views and training records as well rotas were looked at. In the absence of a registered manager, a clear management structure has been put in place. The care team comprises both nurses and care assistants. There are also dedicated catering and housekeeping staff. One relative who visits twice a week said, in their opinion there were sufficient staff on duty and the rotas confirmed this. The staff group is balanced to enable service users a choice of male, female and age related preferences. Training lists were submitted with the pre-inspection questionnaire. Discussions with staff highlighted that they are receiving statutory training as well as specific training to meet the specialised needs of the service users. The home has a record of having half the staff team trained with an NVQ Level 2. On this occasion the inspector had not looked at staff recruitment files as these are held centrally. The inspector is to make arrangements to view a sample of Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 20 staff personnel records at the provider’s offices. However the Commission is satisfied that the provider operates a thorough and robust recruitment and selection process. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 21 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, 33, 35 & 38 The quality in this outcome area is considered to be good. This judgement is made using all the available evidence including to the service. The home is being effectively managed. Arrangements are in place to promote the health, safety and welfare of service users. A system is in place for self-monitoring through formal as well as informal means. EVIDENCE: Since the resignation of the registered manager, there has been an interim arrangement whereby the deputy manager and a previously registered manager have shared the management of the home. The deputy manager as a nurse has been responsible for overseeing the nursing care and making clinical decisions; the general manager has been responsible for the building and social care. The general manager has received praise from a relative who has commented that the “home has been very well run” under his direction Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 22 and they have found him to be “efficient with a pleasant manner”. The providers have confirmed that an overall manager has been recruited. There has been regular reviews of the home’s performance through a programme of audits and consultations, which in clued seeking the views of the service users, staff and relatives. Monthly audits are carried out by the provider, each one focuses on a separate aspect of care and the outcomes have been incorporated into this report. Relatives’ meetings are organised and one was advertised for 18th August 2006. Minutes of these meetings are available and show that the home receives positive feedback in several areas. The general manager was asked to bring the relatives’ attention to completing the comment cards for CSCI throughout the year. There are policies and procedures on handling service users’ monies and valuables. There is a secure facility for safekeeping money and other valuables. All transactions are recorded. The policy is for two staff to witness each transaction. The records show debits, credits and balances, which offer an audit trail. Receipts are retained. The home has a health and safety policy in place and staff undertake appropriate training. Records show that equipment is serviced and there is a system in place to report repairs. During a tour of the premises there were no hazards observed. Water temperatures are regulated. A system to test alarm bells is in place and staff are aware of how to respond in the event of a fire. Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 23 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 X X 3 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 24 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 13(2) Requirement Where relevant information is contained within a service user’s medication profile, this must be transferred into the care plan. The practice of over ordering medication must cease. Timescale for action 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations It is recommended that the bathrooms on the ground floor and first floor are not used as storage facilities. Steps should be taken to make these facilities looked more attractive and inviting. It is recommended that extra shelving and/or storage is made available around the sinks in service user’s bedrooms. 2. OP19 Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Rathmore House DS0000010331.V287316.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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