Inspection on 19/11/07 for Robinsfield

This inspection was carried out on 19th November 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinsfield 11/11/08

Robinsfield 15/08/06

Robinsfield 23/01/06

Robinsfield 25/10/05

Robinsfield 31/08/04

Robinsfield 15/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Robinsfield Robinsfield 35 Whyteleafe Road Caterham Surrey CR3 5EJ Lead Inspector Lesley Garrett Unannounced Inspection 19th December 2007 11:30 Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 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 Robinsfield DS0000013766.V343403.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 Adults 18-65. 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. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robinsfield Address Robinsfield 35 Whyteleafe Road Caterham Surrey CR3 5EJ 01883 330070 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) Welmede Housing Association Ltd Ms Jacky Barker Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: Up to 5 persons 21-55 YEARS WITH ONE NAMED PERSON BEING IN THE AGE RANGE 17-21 YEARS Persons with learning disabilities accommodated at the home may also have an additional physical disability 15th August 2006 Date of last inspection Brief Description of the Service: Robinsfield is a large property located in Caterham within walking distance of local shops and bus routes. The home is located on the ground floor of the property, with the first floor being occupied by tenants of supported living flats, run separately to the home. The main entrance to the property is shared with the supported living tenants and the laundry and staff sleep-in room is located in the entrance hall. The main door to the home is kept locked at all times to ensure the safety and security of the tenants. The home is owned and managed by Welmede Housing Association and provides accommodation and care to six tenants who have a learning disability and also physical disabilities. The accommodation comprises of six single occupancy bedrooms, a large kitchen/diner, a comfortable lounge, two bathrooms and a shower room. There is a good range of adaptations and facilities fitted throughout the home to enable the home to meet the needs of the tenants. There is a well-kept garden to the rear of the property, shared with the supported living tenants, and parking for several cars to the front. The home has recently been provided with a new vehicle, which is used by tenants for various activities including days out. Tenants are picked up and dropped off by the transport of the various Day Centres they attend. The fees for the service are £1,100 per week. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced ‘Key Inspection’. The registered manager represented the service. The inspector arrived at the service at 11.30 and was in the home for three hours and a half hours. It was a look at how well the home is doing. It took into account detailed information provided by the homes manager, and any information that CSCI has received about the service since the last inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Documents sampled during the inspection included the care/person centred plans, daily records and risk assessments, medication procedures, staff recruitment folders, staff training records, and health and safety records. The home has submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, some details of which have been added to the report. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. The inspector would like to thank the residents in the home and the staff for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 6 Eight requirements were made following the inspection in August 2006 and six have now been met but two have not been fully met. The scratched enamel on the main bath has been addressed as the home is having this bath replaced in the New Year. The kitchen has been replaced and the meat probe recordings are now documented. The fluorescent light has now got a cover. Health and safety certificates are now available and an emergency plan has been drawn up to accommodate any unforeseen problems. 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. The summary of this inspection report can be made available in other formats on request. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes admission and assessment procedures ensure that resident’s needs are appropriately identified and met. EVIDENCE: The inspector was advised that there have been no admissions to the home since the last inspection. The manager demonstrated the knowledge and ability to ensure that the homes admission and assessment procedure would be implemented for a person who wanted to move to the home to determine that the care home could meet the needs of the individual. The home has policies for the admission of a new resident and also has a policy if the current resident has to move homes. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 67&9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are reflected in their individual care/person centred plans, and they are encouraged to make decisions and take risks as part of an independent lifestyle. EVIDENCE: The inspector sampled two care plans. Both of the care plans were noted to be well written and demonstrated the care needs of the individual. The care plans had been developed to include a more person centred approach and the manager explained that all plans are reviewed every three months. These reviews are kept separately from the main folders and therefore were not obvious that reviews had taken place. The inspector spoke with the manager about this and she stated that she would put the reviews with the plans to make all documentation for each resident clear and accessible. The care plans detailed the residents preferred choice of name, their relatives or advocate contact details, likes and dislikes and how the individual Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 10 communicates, their personal history’s and what support and assistance they need from the staff. On the day of inspection all the residents were out except for one. The support worker on duty at the time explained that this particular resident did not like loud noises and preferred her own company and liked staying in bed on some mornings to watch her television. All the other residents had gone to a local disco on the mini bus. The documentation for that one particular resident was clear and explained her preferences and how she communicates to staff about her needs and preferences. Residents are assisted by staff to make decisions about their daily life although the residents have communication difficulties. The staff told the inspector that they have a good understanding of their needs through body language and specific noises. The inspector observed this was clearly documented in their plans. One resident has an advocate and this again was documented in the care plans. Whilst sampling the care plans the inspector noted that there were agreed working practices and well documented risk assessments available for all staff to follow when supporting the residents their personal care, mobility, support with meals, using the wheelchair or hoists and for the use of bedrails. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents at this home have opportunities for personal development and to take part in a wide range of activities. They take part in local community activities and family and friendship links are encouraged. Residents are offered a healthy diet. EVIDENCE: The manager explained that no resident in the home is able to take up any kind of employment but that two residents attend a local college. The bedroom of one of theses residents had certificates displayed for the life skills that had been accomplished by her. Community links are maintained as the manager explained that every weekend the resident’s visit the local shops to choose and purchase toiletries for their personal use. The manager stated that the residents in the home Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 12 were unable to fully participate in the supermarket shopping for the home but enjoyed visiting the shops to buy little items for example milk or fruit. It was observed in the plans and the manager stated that the residents also visit the cinema, restaurants and enjoyed bowling. The residents had chosen holidays and photographs of these trips were displayed in their bedrooms and around the home. On the day of inspection the residents were attending a pantomime that evening and the manager said they always enjoy this activity. The manager said that two of the residents had attended a carol service at the local church and another attends church regularly with their family. The AQAA returned to the CSCI stated that Welmede has its own activity service and that the residents also joined in this. Family and friends are actively involved with the home. The care plans stated that some of the residents visit home regularly and one survey retuned to CSCI said ‘we are kept informed of everything that happens at the home’ and another said ‘our daughter comes home with us every week’. One survey form retuned to the CSCI stated ‘weekends are a problem as there is always a shortage of staff and our daughter can’t go out’. In discussion with the manager she stated that weekends were the time for the residents to have extra time in bed if they wished, as they are so busy during the week. They have the chance to go to the local shops and visit the hairdresser if they want to. The staff rotas did not indicate that the home had less staff at weekends. On the day of inspection one support worker was in the kitchen preparing the evening meal. She told the inspector that two dishes were being prepared to give the resident’s choice but also taking into account their preferences. A good choice of fresh fruit and vegetables was available and the fridge stocked with a variety of different food. The support worker stated that they have too shop for the homes Christmas party on the 21st December and then for the food for Christmas. The home can cater for special diets which included gluten free, healthy eating plan to reduce weight and a pureed food diet for one resident. The manager stated that the home has access to a dietician to support the home for those residents that require a special diet Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has consistent recording and documentation to evidence that residents attend health care appointments to ensure their wellbeing and welfare. The homes medication procedures are robust to ensure the safety and wellbeing of all resident’s in the home. EVIDENCE: The person centred plan developed by the home clearly documents the ways in which the residents prefer to have their personal care needs attended. Equipment is available in the home to help staff support the residents and this includes height adjustable beds and hoists. The health action care plan clearly documented the resident’s needs and includes information on appointments to the optician, dentist and GP appointments. The manager stated that all residents have a six month review with the GP and these reviews are all documented in their individual plans. The medication cupboard is located in a safe place within the home and is locked to ensure security and safety. The home has a medication policy and Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 14 procedure, which has recently been reviewed. The inspector sampled the medication administration charts and noted that staff administering medication initialled them and all staff have completed medication assessments. Each residents medication administration chart contained their photograph. The manager explained that the GP reviews all residents’ medication every six months and if changes were required this would be discussed with their relatives or representatives. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s complaints or concerns are listened to and they are protected from abuse. EVIDENCE: The home has a clear complaints policy and this is available to all relatives or representatives. Survey forms retuned to the CSCI stated that they were clear who to complain to if the need arose. The manager told the inspector that she had not received a complaint but should she receive one she would keep a log. The inspector sampled that the home has the local authorities multi agency procedures for safeguarding adults and the manager advised that the home follows these procedures and thus do not have a local policy. The manager stated that there had been no safeguarding referrals under the safeguarding adults procedures. The manager told the inspector that safeguarding training takes place for all staff every three years. The inspector spoke with the service manager during the inspection who said that this was now being changed and from next year all staff will receive this training every year. The inspector spoke to members of the staff team who demonstrated that they had clear knowledge of what abuse was and how to report any incidents. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The layout of the home enables residents to live in a safe environment. The home is clean, pleasant and hygienic throughout but there is an offensive odour on entering the home. EVIDENCE: The home had scaffolding erected around the front of the house. The manager stated that the chimney is being repaired and risk assessments were in place to protect the residents from harm during the work. The inspector entered the building and the entrance hall was found to have an offensive odour. The support worker said that she thought this was an ongoing problem with the drains. There will be a requirement at the end of the report for the home to eliminate the offensive odour in the entrance hall. A requirement was made at the last inspection to repair or replace the kitchen. This has now been completed and the home now has a new kitchen installed. There is a large eating area in the kitchen that leads to the lounge with a Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 17 television. The support worker said that the residents can all sit around the table for meals and it is a very social area. Doors lead into an accessible garden and the support worker stated this is very well used in the better weather. Resident’s bedrooms were well decorated, clean and comfortable and it was observed that aids for mobility were available for residents to use to help them move freely around their home. The home has one bathroom, one shower room and a bathroom that only one of the residents can access. The manager stated that the assisted bathroom is to be refurbished in the New Year and a new bath is on order so that all of the residents will now be able to access this bath in comfort and safety. The assisted shower room is in need of refurbishment. The lighting is dull and mould was apparent on the tiles. Three pairs of Wellington boots were placed inside the door. The support worker said this was so that staff did not get their feet wet whilst showering the residents. It is strongly recommended that the shower room be refurbished for the comfort of the residents and the staff. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff in the home are skilled and in sufficient numbers to provide 24-hour care to the resident’s living at the home. The systems for recruitment and training need to be assessed further in order to protect the service users. EVIDENCE: On the day of the inspection there one support worker on duty with the manager. More staff came on duty in the afternoon when the residents returned from their outing. All staff was observed as skilled in supporting the residents in their care and were knowledgeable regarding the specific needs of individuals to ensure their safety and well-being. The manager told the inspector that 80 of the staff now have their National Vocational Qualification (NVQ) at level 2 and one member of staff has their level 3 qualification. On the day of inspection the NVQ assessor was in the home to see one member of staff who is currently under going her training. The manager also stated that she always looks at the skill mix of the staff when looking at the rota. A survey form commented that there was less staff on duty at the weekends but this was not evidenced on the rotas that were Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 19 observed by the inspector. The manager stated that bank staff employed by Welmede called floating support were often put on the rota during the morning shift to assist with the morning routine of getting the residents ready to attend their various activities. The inspector sampled two recruitment folders and found that one did not have an application form and both did not contain information on gaps in their employment. A requirement will be made at the end of the report. Welmede offers plenty of opportunities for the staff to attend training sessions. A discussion took place with the service manager who stated that although safeguarding adult training only takes place every three years in the New Year this is being changed to yearly. The home caters for residents with physical disabilities and manual handling training only takes place every three years. Consideration should be given to train the staff more frequently in the techniques used for manually handling their residents. The home should consult with the appropriate authority on the safety of only one member of staff hoisting residents. A support worker stated that is was usual practice to move the residents in the hoist with only one member of staff. On the day of inspection the member of staff was on her own in the home getting the one resident up and dressed. Induction training takes place for all new members of staff and this was documented and records kept in their recruitment folders. The recruitment folders also evidenced regular supervision sessions with the manager. These sessions also enable staff to identify training needs and this is also well documented. Staff confirmed with the inspector that regular supervision sessions take place and that they have the opportunity to undertake regular training sessions. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home and can be confident their views are taken into account. Management within the company need to update their knowledge on the inspection process. The health, safety and welfare of residents are promoted and there are appropriate risk assessments in place. EVIDENCE: During the course of the inspection the inspector noted that the pace of the home was designed to meet the needs of the residents living in the home. It was evident through observation and talking the manager that she had a good knowledge about managing the care home and had the skills and experience to ensure the safety and well being of all persons in the home. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 21 The inspector spoke with the manager about CSCI’s inspecting for better lives and the key lines of regulatory activity (KLORA) which the manager stated she had no knowledge of. During the inspection the inspector also spoke with a Welmede service manager responsible for the management of a number of homes stated that he had no knowledge of what the inspector was speaking about and stated the inspector was talking in terms that he did not understand. It will therefore be a requirement at the end of the report that managers within the company are kept updated in their knowledge of the CSCI regulations and inspection processes. Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 23 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 YA24 Regulation 16(2)(k) Requirement The care home should be kept free from offensive odours and should therefore consult with the appropriate authority to address the problems with the drains. The home should ensure that all members of staff have an application form and that gaps in employment are explained. The home should consult with the appropriate body to ensure that manual handling training takes place regularly and that the practice of handling and moving residents by staff on their own when using a hoist is reviewed. The people responsible for the management of the home should make sure that they have sufficient knowledge of the inspection process and ensure that all staff receives training. Timescale for action 19/01/08 2. YA34 19 & schedule 2 13(5) 19/01/08 3. YA35 19/01/08 4. YA38 10 19/01/08 Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 24 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 YA27 Good Practice Recommendations It is recommended that the shower room is refurbished so that mould is no longer visible on the walls, staff no longer need to wear Wellington boots to shower residents and the room is made brighter for the enjoyment of the residents living at the home. It is recommended that the home consult with the appropriate authority to discuss the use of paper hand towels in the home to help with the prevention of cross infection. 2. YA30 Robinsfield DS0000013766.V343403.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidastone Kent, ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Robinsfield DS0000013766.V343403.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. 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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