Inspection on 15/06/06 for Red House Residential Home

This inspection was carried out on 15th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Red House Residential Home 04/06/08

Red House Residential Home 06/06/07

Red House Residential Home 03/02/06

Red House Residential Home 11/04/05

Red House Residential Home 15/11/04

Red House Residential Home 14/04/04

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

CARE HOMES FOR OLDER PEOPLE Red House Residential Home 236 Dunchurch Road Rugby Warwickshire CV22 6HS Lead Inspector Kevin Ward Key Unannounced Inspection 15th June 2006 08:00 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 Red House Residential Home DS0000004285.V299787.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. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Red House Residential Home Address 236 Dunchurch Road Rugby Warwickshire CV22 6HS 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) 01788 817255 01788 817255 Pinnacle Care Ltd Ms Tammy Kendell Care Home 23 Category(ies) of Dementia - over 65 years of age (23) registration, with number of places Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No wheelchair users are to be accommodated in rooms 19, 20 and 21. The Registered Manager (Tammy Kendall) must provide evidence that she has obtained the Registered Managers Award by 30th June 2006. 3rd February 2006 Date of last inspection Brief Description of the Service: The Red House Care Home is located approximately one mile from Rugby town centre. It is a converted detached domestic dwelling set back off the main Dunchurch Road. It provides long-term residential care without nursing for twenty-two frail older people and one younger adult, (under 65years of age) including dementia care. Service users who require nursing attention receive this from the Community nursing service, as they would in their own homes. Accommodation is provided on two floors and consists of seventeen single and three double rooms. En-suite facilities are available in some bedrooms there are also two assisted baths and four communal toilets. The current fees (15/6/06) are between £420-480. Service users are required to pay for extras, such as private chiropody, optician, dental treatment, personal shopping and outings. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focused on assessing the main key Standards and on reviewing progress to meet the outstanding requirements from previous inspections. Service users relatives were sent questionnaires to complete as part of the inspection process, seven of which were completed and returned. The manager has also completed a questionnaire containing information about the home, which had not been returned by the time of the inspection site visit. The manager has since agreed to complete and return the form promptly. The inspection involved talking with all the service users at the home as well as the staff and the manager of the service. The inspector also spoke to a district nurse and other visitors to the service, including a relative and visiting church members. A number of records, such as care plans, staff files and fire safety records were also sampled for information to inform this inspection. What the service does well: Before service users move into the home there needs are assessed and they are given information about the home so that they are clear about the service they may expect from the home. This is backed up with a contract, signed by the manager and service users’ representatives. Service users looked happy and relaxed in the company of staff and were seen to enjoy their company. Staff were helpful and friendly and seen to offer sensitive support where it was required. Service users are provided with a good range of activities, e.g. entertainers, keep fit, board games, Karaoke, sewing and trips to parks. Staff were seen to take time to frequently chat with service users, indicating that service users are valued by staff. There have been no complaints at the home since the last inspection. Staff are provided with training to enable them to recognise and report any suspicions of abuse should this be necessary. The home is comfortable, homely and suitably equipped to meet the needs of the current people living at the home. A lift is available for wheelchair users and people with disabilities and the bathrooms are fitted with hoists to help service users to use the baths safely. Staff are well trained and the rota indicates that the home is managing to provide sufficient numbers of staff on duty to meet the needs of the service users at the home. Red House Residential Home DS0000004285.V299787.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. Red House Residential Home DS0000004285.V299787.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 Red House Residential Home DS0000004285.V299787.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 judgement for this outcome group is good. Service users’ needs are assessed and they are provided with appropriate information about the home before they move in. EVIDENCE: An examination of service users’ care files demonstrates that suitable arrangements are in place for assessing service users prior to admitting them to the home, to ensure their needs can be met. Service users / relatives sign a form to confirm that they have received copies of relevant information, such as the home’s brochure and Statement of Purpose. This information provides a clear picture of the service provided by the home, so that service users are made aware of what they can expect from the service. The manager also confirmed that service users’ relatives have been issued with copies of terms and conditions. Signed evidence of this was seen on service users files. The assessment information details service users’ essential needs and strengths, which is then used to inform people’s care plans. Comments made by staff indicated a satisfactory understanding of the current needs of service users. Staff were seen to be very attentive and kind towards service users and to make time to talk with them. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 The judgement for this outcome group is adequate. Overall service users’ care and health needs are met. Improvements are necessary to the way in which service users skin care needs are assessed and monitored to avoid the risk of sores developing. EVIDENCE: Overall service users’ care plans were found to contain reasonable levels of information and guidance to enable staff to address service users’ needs. This information places a positive emphasis on building on service users’ strengths rather than emphasising areas of dependency. The three care plans that were examined had all been recently reviewed and dated. A sheet is in place that has been signed by some service users and their relatives as confirmation of their participation in the review process, indicating that service users are involved where appropriate. Risk assessments are in place containing strategies for reducing a reasonable range of risks that have been identified for individuals as part of the assessment process. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 10 The manager explained that a Community Psychiatric Nurse had been contacted with a view to identifying suitable strategies for addressing a service user’s behaviour and continence needs. This has resulted in staff keeping notes of incidents that can be used to identify behavioural triggers to inform the development of more suitable behavioural management guidelines for the person concerned. Discussions with a community nurse confirmed that the home works well with the local nursing services and makes appropriate use of their advice and support. One service user has recently been provided with access to the community nurses to treat a pressure sore following a stay in hospital. There is currently no system in place for assessing service users’ skin care needs, such as “waterlow scales”. Such a system would enable the home to identify service users’ skincare needs at an early stage so that early interventions can take place and so reduce the risk of sores developing. Records were seen to confirm that service users are provided with access to routine checks from the dentist, optician and chiropodist. Service users looked very relaxed and at ease when seeking advice and support from staff, indicating they are happy in their company. Staff were seen to be mindful of service users’ dignity, undertaking all personal care tasks in the privacy of service users bedrooms. Suitable screening arrangements are in place in shared bedrooms so that service users retain their privacy when getting changed. Encouragement is provided to bring personal possessions into the home and to personalise their bedrooms with furniture and photographs to help them to feel more at home. Service users were well groomed and dressed in well-laundered appropriate clothing. Suitable storage arrangements are in place for the safekeeping of medication. The medication is well ordered making it easy to locate service users’ individual medicines. A sample examination of medication records highlighted no anomalies. Systems are in place for accounting for medication arriving in the home and being returned to the chemist. Discussions with a team leader demonstrated a good understanding of safe medication procedures at the home and confirmed that staff have been provided with medication training. A recent audit report was seen which contained information to confirm that the manager had recently checked the management of medication at the home as part of the home’s quality assurance measures. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 11 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 judgement for this outcome group is good. Service users are supported with a good range stimulating activities and entertainment and are provided with a well balanced diet. EVIDENCE: As previously noted service users and their relatives are provided with good written information about the home before they make a decision to move in. Overall service users looked relaxed and at ease at the home. The seating arrangements have been planned in small groupings, which encourages conversation between service users. At breakfast time several service users were seen to read the newspapers and to take part in conversations together. During the morning some people took part in a game of dominoes and staff were seen to take time to talk with service users and to respond warmly to service users needs. Some service users also took part in a church service, held at the home and a Karaoke, sing-a-long, took place in the garden later in the afternoon. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 12 Entries in the home diary and comments made by service users and staff confirm that the home continues to provide a good level of activities, e.g. word games sewing, draughts, coffee afternoons, bingo, visiting musicians, keep fit, reminiscence therapy, garden centres, restaurants and Ryton gardens. The manager explained that plans are in place to make the perimeter of the building more accessible to service users and to increase the seating on the path close to the building. The manager stated that whilst there are currently no service users with special cultural / religious needs, provision would be made to identify suitable places of worship to support people should this become necessary. Service users are able to receive visits from relatives and friends in their bedrooms or in other quite areas of the home. Visiting times at the home are flexible and a relative commented positively about the welcome provided by the staff at the home. The manager explained that training has been planned for staff to further increase their skills of providing activities at the home. The manager explained that all the service users at the home have independent representation in place (relatives or solicitors) to help them to manage their finances. As previously noted, service users are encouraged to bring personal possessions with them to make them feel more at home and an inventory of their belongings is kept on their files. Service users / relatives sign a sheet to confirm that they have taken part in the care review process. Service users enjoyed a relaxed breakfast time and staff were seen to ask service users what they wanted to eat. Service users were offered a choice of main lunchtime meals, including a choice of starters. The meals were well presented, wholesome and plentiful. Service users likes have been recorded in the care plan files. Comments made by service users indicated a good level of satisfaction with the food provided. Staff were seen to provide kindly prompts and sensitive support and assistance to service users to eat, where this was required. Comments by a member of staff demonstrated a good knowledge of a service user’s swallowing difficulties and of the assistance required at mealtimes. A pureed diet is provided for one service user. Care is taken to puree the foods separately so that the person concerned is able to benefit from the individual tastes of the different food portions. Entries in some service users health notes confirmed that the home has made use of dietary advice from the community dietician. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 13 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 and 18 The judgement for this outcome group is good. Suitable information, procedures and training are in place for enabling service users and their relatives to complain and for protecting them from abuse. EVIDENCE: A complaints policy is in place at the home and a summary of the procedure is in pinned to the notice board advising service users and relatives how to complain. Service users and their relatives are issued with a good range of information about the home, including the complaints procedure, as part of the admission process and sign to confirm they have received it. Complaints log is in place contain records of past complaints made to the home. An examination of the log indicates that complaints are appropriately recorded and investigated. The manager confirmed that there have been no complaints at the home since the last inspection. There have been no complaints to the Commission for Social Care Inspection during the same period. Comments made by a relative confirmed that the manager is responsive and acts promptly on any concerns referred to her. An adult protection procedure is in place at the home for staff. Comments made by staff and information contained in the home’s training records confirmed that staff are provided with adult protection training as part of the organisation’s annual train in training programme. Comments made by staff demonstrated a good awareness of the procedures and to whom they would report any concerns they have about the running of the home, should this become necessary. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 14 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 and 26 The judgement for this outcome group is good. Overall the home provides service users with suitably equipped, comfortable accommodation. EVIDENCE: 10 bedrooms were examined and found to be clean and comfortably furnished. In many cases service users have brought items of furniture with them and there is ample evidence of photographs, ornaments and other items to confirm that service users have received support to personalise their bedrooms to their liking. The carpets and décor in the bedrooms inspected were in good condition and specialist equipment (e.g. hoist, hydraulic bed) has been made available where required. A lift is available in the home to enable wheelchair users and people with mobility problems to get upstairs. Overall the communal areas are comfortably furnished and seating is arranged in a way that encourages people to communicate with one another. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 15 A quite lounge and sunroom are also available for service users seeking a quieter spot in the home or people to meet in private. The home has attractive well-maintained gardens and a patio area with good quality garden furniture. The décor in the lounge is showing signs of wear and tear, particularly around the serving hatch. The manager stated that plans are in place to replace some carpets in the hallways of the home as that are worn and discoloured in places. Since the last inspection the laundry room has been painted, as required and the manager stated that plans were in place to fit new floor covering shortly. Overall the home is clean and free from unpleasant odours. The line managers monitoring reports indicate that positive efforts have taken place by staff to combat an unpleasant odour in the home and the manager explained further measures that were being taken to manage a continence issue effectively with the aid of a health professional. Protective gloves and aprons are available in the home for staff to sue and procedures relating to infection control are also available in the home’s policy file. Staff training records demonstrate that infection control training is being provided at the home. 5 staff have completed a distance learning course and two other staff have attended day courses on this subject. The manager confirmed that an additional cleaner post is being advertised to keep on top of cleaning, in keeping with the requirements of the last inspection. A suitable clinical waste contract is in place at the home. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The judgement for this outcome group is good. Staff at the home are suitably trained for their work and on duty in sufficient numbers, necessary to meet the needs of services. EVIDENCE: Comments by staff and an examination of the staff rota confirmed that there are typically 4 care staff on duty at peak times. The home also employs a deputy and two team leaders to cover the home and lead shifts in the absence of the manager. There are two waking staff on duty at nighttimes. An on call rota is also in place so that staff are able to contact managers for support and advice at nighttimes where required. There is currently a care worker vacancy at the home. The manager said that a person has been interviewed and is waiting to start shortly, as soon as the Criminal Record Bureau check has been returned. The manager stated that this should reduce the number of hours currently covered by other staff at the home. The manager also shared plans to recruit another cleaner shortly. Two staff files were examined and found to contain evidence to indicate that satisfactory recruitment procedures being followed by the home, including taking up references and Criminal Record Bureau Checks. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 17 Discussions with staff confirmed that they are provided with access to a satisfactory range of training opportunities, including health and safety related subjects and care practice courses. Information provided by the manager indicates that 66 of staff are trained to NVQ level 2/3. These courses are helpful in equipping staff to carry out their work with service users effectively. The deputy manager is also completing the Registered Managers Award and 4 people have applied to start an NVQ training course in “team leading”. A new induction programme, related to TOPSS training Standards, is in place at the home for new staff to complete and provide evidence of their learning. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 18 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 and 38 The judgement for this outcome group is good. Overall the home is managed effectively so that service users receive a good service. EVIDENCE: The manager has recently completed the Registered Managers Award and explained that her work is currently being assessed. The manager also holds the Diploma in Welfare Studies and an HNC in Care Management. The manager also explained that she has started training for a “validation in dementia care” qualification. Positive work has recently started to include service users and their relatives in meetings at the home. An examination of the notes of the first meeting indicates that these meetings will enable people to comment on the service they receive and to contribute new ideas for developing the home. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 19 The manager explained that new quality assurance questionnaires have just been devised and will be sent out to service users, their relatives and professionals very shortly as part of this year’s quality assurance programme. Monitoring visits are routinely being carried out by the line manager for the home and As previously noted, the manager stated the home does not undertake any direct management of service users finances. All service users are supported / represented by their relatives or solicitors. Hence any expenditure by service users is recorded and invoices sent to their representatives to reimburse the home. Discussions with staff and a sample examination of their supervision records indicates that they are provided with reasonable levels of planned supervision to support them to carry out their work at the home effectively. An examination of the home’s fire safety log indicates that fire alarms and lights are being tested at the required frequency. A record is being retained to demonstrate that taps in vacant rooms are being regularly flushed to reduce the potential of legionella developing. The manager explained that the handyman has been trained to carry out testing of electrical appliances but is awaiting the correct equipment to carry out this work. The hot water in a service users’ bedroom was run for several minutes before it warmed up to a satisfactory temperature. The manager explained that this problem has been reported and is being addressed. Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 20 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 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 2 Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP8 Regulation 12, (1) (a), (b) 13 (6) Requirement The manager must ensure that a system is put in place for assessing and monitoring service users skin care needs to ensure that any concerns are identified and addressed at an early stage to reduce the risk of sores developing. Proceed with plans to replace the floor covering in the laundry. This is outstanding from the previous inspection and requires urgent attention. Proceed with plans to send questionnaires to service users, relatives and professional as part of this years quality assurance programme. Make plans to improve the décor in the hall, lounge and dining area and replace the carpets in the hallways. Proceed promptly with plans to improve the availability of hot water in the home. Timescale for action 14/07/06 2 OP26 13, 16 31/08/06 3 OP33 24 30/07/06 4 YA19 23 (2) (b)(d) 23 (2) (c) (j) 30/09/06 5 YA19 20/07/06 Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 22 6 OP38 13 The registered person must 20/07/06 ensure that the fixed electrical installation in the home is inspected as recommended in order to reduce unnecessary risks to the health and safety of people in the home. (outstanding from the last inspection, timescale, 31/5/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Red House Residential Home DS0000004285.V299787.R01.S.doc Version 5.2 Page 24 - 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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