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Inspection on 03/01/06 for Resthaven Residential Retirement Home

Also see our care home review for Resthaven Residential Retirement Home for more information

This inspection was carried out on 3rd January 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Home provides service users with a relaxed and comfortable setting within which to make their home. The assistance each service user receives is provided in consultation with them and takes place within a prudent assessment of potential risks to health and safety. The Home`s catering service provides the service users with meals which they consider to be enjoyable and sufficient.

What has improved since the last inspection?

Since the last inspection visit, the Registered Provider has begun a programme of work which will see a number of overdue improvements made to the exterior and interior fabric of the property. The Registered Provider has introduced a new system which is designed to ensure that all of the care workers have the competencies they need in order to respond effectively to the service users` needs for personal care. This is an important development which once completed will constitute an important example of good management practice. In addition to this, two care workers have continued to be supported to complete a relevant National Vocational Qualification (NVQ) in health and social care. The Registered Provider also has introduced a new arrangement which is designed both to ensure that all members of staff are aware of how best to avoid the occurrence of a fire safety emergency and that they know how to respond effectively to one should the need arise.

What the care home could do better:

The Registered Provider has not yet completed the developments which are necessary to suitably manage the risks posed to older people by the heated surfaces of radiators and by some of the hot water taps.

CARE HOMES FOR OLDER PEOPLE Resthaven Residential Retirement Home 123 Grand Drive Herne Bay Kent CT6 8HS Lead Inspector Mark Hemmings Unannounced Inspection 3rd January 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 Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Resthaven Residential Retirement Home Address 123 Grand Drive Herne Bay Kent CT6 8HS 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) 01227 369607 Fairlawn Investments Limited Mr Adrian Clarke Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: The premises are a three storey detached older property which has been adapted for its present use. The accommodation for the service users is provided on each of the floors. There is a passenger lift which gives step free access to most parts of the accommodation. When full, there is provision for 14 service users to have their own bedroom, with there being two shared occupancy bedrooms. All of the bedrooms have a private wash hand basin and nine of them also have a private toilet. The Home is fitted with a call bell system which is designed to help service users summon assistance should it be required. The property is located within a quiet residential area. The nearest shops are about one half mile away. The Registered Provider is a private limited company. There are two Directors of the Company. Both of them work in the Home. One of them is the Registered Manager. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and it took about three hours to complete. During this time, the Inspector spoke with or spent time with three service users. He spoke with the Registered Manager and with the Head of Care. Also, he spoke with one of the care workers. The Inspector looked at various parts of the accommodation. This included (by invitation) three of the service users’ bedrooms. The Home continues to provide the service users in residence with the support and assistance they need within a comfortable setting. There are three Required Developments at the end of this Inspection Report. The Inspector did not examine all of the Standards on this occasion. The reader is asked to read this Inspection Report in conjunction with the previous Inspection Report in order to obtain a comprehensive account of the Inspector’s current evaluation of the facilities and services available in Resthaven. What the service does well: The Home provides service users with a relaxed and comfortable setting within which to make their home. The assistance each service user receives is provided in consultation with them and takes place within a prudent assessment of potential risks to health and safety. The Home’s catering service provides the service users with meals which they consider to be enjoyable and sufficient. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 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. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Prospective service users are given the information they need to make an informed decision about living in the Home. Each service user receives a written statement of the terms and conditions of their residency. Service users’ needs for assistance are assessed before admission. Service users are confident that their needs for personal care will be met when they enter the Home. Prospective service users and their representatives are encouraged to visit the Home before a decision is made about moving in. EVIDENCE: There is a Service Users’ Guide. This is a brochure which prospective service users are given and which outlines the facilities and services provided in the Home. In addition to this, the Registered Manager and the Head of Care speak with prospective service users in order to answer any remaining questions they may have. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 9 Each service user receives a written statement of the terms and conditions in accordance with which the Registered Provider delivers accommodation and personal care services in the Home. The document is suitably detailed and it is clearly laid out. Previously, the Registered Manager has said that all new service users and their representatives are given an opportunity to talk through the document with either himself or with the Head of Care. This is done so that any necessary clarification can be given. On this occasion, the Inspector did not speak with any service users about their experiences of moving into Resthaven. However when he last did so, they said that they were confident at the point of admission to the Home, that their individual needs for support could be met reliably and consistently. The Registered Provider is aware of the responsibility placed upon it to ensure that only people whose needs for assistance can be met reliably, are admitted to the Home. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Service users are confident that their present and future needs for personal care will be met in a reliable and consistent manner. They are suitably consulted about the assistance they receive. Service users’ health care needs are met fully. Suitable arrangements are in place with respect to the administration of service users’ medication. Service users consider that members of staff are respectful and that they appreciate their needs for privacy. EVIDENCE: There is a service user plan for each service user. These documents should reflect a clear understanding between service users and care workers about the personal care support to be provided. The Inspector sample checked several of the documents in this system. He found them to be suitably detailed. Service users say or indicate that they are consulted about the contents of the plans. Service users consider that they receive all the assistance they need. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 11 The Inspector observed examples of care workers assisting service users in a manner consistent with that described in the Registered Provider’s assessment of their individual needs. Service users say or indicate that care workers assist them to maintain their health. There is evidence which shows that service users’ doctors are called promptly when there is a concern about someone’s health. At the time of the inspection visit, one of the service users had elected to selfadminister one of her medicines. The Inspector noted there to be suitable arrangements in place to support this practice. Also noted, were the appropriate systems used by the Head of Care to administer and to dispense the other service users’ medicines. Service users say or indicate that care workers are cordial in their manner towards them, while at the same time being respectful of their individual preferences. The Inspector noted several occasions on which care workers varied their approach according to what they know to be service users’ different expectations of them. For example, some people wanted to be up and about in the Home, while others wanted to rest quietly in the lounge. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Service users have access to a suitably varied range of social activities. Service users are assisted to maintain normal contacts with family and friends. Service users are enabled to exercise suitable choice in their everyday lives. Service users are offered a suitably healthy diet. EVIDENCE: Various social activities are convened in the Home. The small number of service users who commented upon the matter, said that they are occupied suitably. Previously, service users have said that they are assisted to maintain contacts with members of their families and with friends who do not live in the Home. The Inspector has not received any expressions of concern about this matter from members of service users’ families. Service users say or indicate that the pace of daily life in the Home is relaxed and unhurried. There is evidence of service users exercising choice. For example, people observed that they decide for themselves when to get up and when to go to bed and how to spend their day. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 13 Service users say that they receive good quality meals and they always have enough to eat. On this occasion, the Inspector did not have the opportunity to join service users for a meal. However when he last did so, he noted the food to have been well prepared and that the portions were of an adequate size. Also noted previously, was the written menu which indicated that service users are offered a normally balanced diet. Care workers say that there are sufficient provisions in the Home to enable all the meals listed on the menu to be prepared. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 14 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. Service users consider that their views are listened to and that as necessary they are acted upon. Arrangements are in place which are designed to protect service users from abuse, neglect and self harm. EVIDENCE: There is a complaints procedure which explains how service users and other stakeholders can make a complaint about any aspect of the facilities and services provided in the Home. Service users say or indicate, that they are confident that any matter they raise will receive serious attention and if possible will be addressed. The care workers have a sound understanding of what constitutes good care practice. As part of this, they are aware of the need to be alert to instances which might jeopardise the well-being of a service user. Also, they are aware of the various agencies external to the Home to which reference can be made should they become concerned about a service user’s wellbeing. Service users say or indicate that they feel safe living in Resthaven. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. With a limited number of exceptions, service users are provided with a suitable physical environment. There are adequate shared use facilities. The arrangements used to facilitate service users’ mobility are sufficient. Service users’ bedrooms are generally suitably equipped. There are omissions relating to aspects of the health and safety specifications achieved by the heating and hot water supply services. The accommodation is presented to a normal domestic standard of cleanliness. EVIDENCE: Service users say that they are comfortable living in Resthaven and that they consider the accommodation to be homely and welcoming. The Inspector is pleased to note that since the last inspection some much needed repairs to the exterior of the property have been commenced. However, also noted is the fact that the refurbishment of one of the stairwells remains incomplete several Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 16 years after it was begun. Previously, the Registered Provider has assured him that this matter will be resolved within the timescale established in the relevant Required Development which is listed at the end of this Report. The Head of Care said that there is a sufficient number of toilets and bathrooms in use in the Home. However in the case of the latter, the Inspector notes that two of the Home’s four bathrooms have been out of commission for some time. The Registered Manager said that these facilities will be re-commissioned during the course of 2006. The Inspector was pleased to see that the work necessary to achieve this is underway at last. There are various items of equipment in the Home which are designed to assist care workers when helping those service users who experience a measure of reduced mobility. Previously, the care workers have said that this provision is adequate to enable them to complete safely this aspect of their work. Service users say that they like their bedrooms and that they have been invited to arrange them as they wish. The Inspector notes that all of the bedrooms have now been refurbished. The ones he visited during the course of the present inspection visit, all provide pleasant living spaces. However, most of the bedroom doors are not fitted with locks to enable them to be secured by the occupant should this be their wish. The Registered Manager said that the necessary locks have now been purchased and that they will be fitted by 1 April 2006. The Inspector noted the Home to be pleasantly warm and the service users said that this always is the case. Most of the radiators are not protected to reduce the chance that someone might be burnt in the event of a fall. Previously, the Registered Provider committed itself to installing suitable protection by 1 January 2006. The Registered Manager said that the work necessary to meet this timescale has become delayed due to the various other improvements underway in the Home. The Inspector has agreed to revise the original timescale as is indicated in the relevant Required Development listed at the end of this Report. The care worker said that there is an adequate supply of hot water in the Home. However, the Inspector notes that some of the wash hand basins in service users’ bedrooms are not fitted with a temperature-controlled hot water service, which is designed to reduce the risk of accidental scalding. Again, the Inspector has agreed to revise the timescale applying to this matter as in indicated at the end of this Report. On the days of the inspection visit, the main areas of the accommodation were clean and orderly. The kitchen was presented to a suitable standard of hygiene, although it does have to be noted that some of the storage areas here were rather disorganised. The Inspector understands that the local Department of Environmental Health has not required the completion of any improvements which remain outstanding. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 17 Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. There is an adequate number of staff on duty. Service users are protected by the Home’s recruitment policy and practices. Care workers have the competencies they need in order to respond reliably to service users’ needs for assistance. EVIDENCE: There are at least two care workers on duty from early in the morning until the mid evening period when the night care workers come on duty. During the day, there are also other people in the Home who do most of the catering. At the moment, there are no housekeepers employed in the Home. This means that the care workers have to undertake various cleaning duties in addition to their main work. The Inspector is not convinced that this is a sustainable arrangement. Consequently, he will keep the matter under careful review during the course of future visits to the Home. Service users say that they receive all the assistance they need from care workers and that this is provided in a timely manner. The Inspector observed care workers when they were assisting a number of the service users. He noted this help to be delivered in an appropriate manner, with the care workers being kind and gentle in their approach. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 19 The Registered Provider ensures that all new care workers receive introductory training. This is designed to ensure that they have the competencies necessary to enable them to support service users effectively. The Inspector understands that since the last inspection visit to the Home, the Registered Manager and the Head of Care have strengthened this arrangement. This has been done by extending the range of subjects included in this process. In addition to these introductory measures, existing care workers have undertaken a number of training courses which are designed to enhance their capacity to deliver care. The Registered Manager and the Head of Care are going to complement this system by assessing the core competencies of all the care workers currently in post. This exercise will be completed by 1 February 2006. There are five care workers employed in the Home. Two of them are registered to complete a National Vocational Qualification (NVQ) in the delivery of personal care during the course of 2006. This Award is designed to extend and to validate the range of the competencies available to care workers. The Standards prescribe that at least half of the care workers on duty at any time, should have acquired this Award. The Registered Provider completes a number of security-related checks. These are designed to ensure that all members of staff employed in the Home are suitable to be entrusted with access to service users who may be vulnerable. Previously, the Inspector has identified a limited number of administrative improvements which the Registered Provider needed to make in relation to this matter. He understands that these items have now been addressed. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. There is a suitable management system in place to support the delivery of care and accommodation services in the Home. Service users’ preferences and wishes are reflected in the operation of the Home. The work completed by members of staff is supervised. The health and safety of the service users and of members of staff is promoted and protected. EVIDENCE: There are various arrangements in place to promote effective team-work in the Home. These include handover meetings at the end of each shift and the completion of diary records in relation to each service user. These and other measures are designed to help ensure that each service user receives a consistent response to their needs for assistance. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 21 The Registered Manager and the Head of Care have a sound understanding of how the Home operates in practice. The Head of Care has begun a course of study which will enable her to acquire two National Vocational Qualifications which are specified by the Standards. These are designed to confirm that she has to hand all of the management skills required to oversee the operation of a residential care home such as Resthaven. The Registered Manager said that the Registered Provider does not routinely assist service users to administer their personal finances. He observed that the Home does retain some envelopes in which service users’ relatives deposit small amounts of money to be given to people such as the hairdresser who calls to the Home. The Registered Manager said that suitable records are maintained to detail the receipt and the disbursement of these funds. The Head of Care meets with each member of staff on a periodic basis to review their work and to resolve any difficulties. Service users say or indicate that the Home is run without there being any intrusive rules or routines. This means that they can continue to experience a normal home life of their choosing. The Registered Provider operates a system by means of which service users are invited to comment about their home. Previously, the Registered Provider has said that it will develop this arrangement further. This will be done by preparing an annual Quality Report, the first of which should be available by 1 February 2006. This Report will summarise the feedback received during the previous round of consultations with service users and it will plan for the implementation of any suggested improvements. This will be an important document because it can be given to the service users who then will have more information about how developments to their home are to be undertaken. The Registered Manager said that all items of equipment in use in the Home remain in good working order. The Registered Provider continues to maintain a generally suitable system which is designed both to prevent the occurrence of a fire safety emergency and to manage one effectively should the need arise. An omission in this involves the way in which the monthly checks of the emergency lights are being recorded. The Registered Manager said that this oversight will be corrected henceforth. The Inspector understands that the Kent Fire and Rescue Service has not recommended the introduction of any fire safety equipment additional to that which already is in operation in the Home. The Registered Manager said that the Registered Provider has completed a review of the premises in order to identify any potential hazards which might compromise the health and safety of both the service users and members of staff. He said that no such hazards have been found. During the course of the Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 22 present inspection visit, the Inspector examined various parts of the premises. He did not notice any obvious hazards which required attention. Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 2 3 3 3 3 2 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 3 2 X 3 3 X 3 Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 24 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 19 Regulation 23 Requirement Timescale for action 01/02/06 2. 25 13 3. 25 13 The Registered Provider should as necessary redecorate and recarpet the stairwell which the Inspector has identified to the Registered Manager. The Registered Provider should 01/04/06 manage suitably the risk of accidental burning constituted by the heated surfaces of the radiators which are located in areas of the property occupied by service users (the previous timescale specified in relation to this matter was 01/01/06). The Registered Provider should 01/04/06 manage suitably the risk of accidental scalding constituted by the hot water supply servicing the wash hand basins located in service users’ bedrooms (the previous timescale specified in relation to this matter was 01/01/06). Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 25 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 Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Resthaven Residential Retirement Home DS0000023540.V264008.R01.S.doc Version 5.1 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!