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Inspection on 06/11/07 for Rocklee

Also see our care home review for Rocklee for more information

This inspection was carried out on 6th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

People living in the home appeared contented and general observations during the process of the inspection, identified staff interacting and communicating with people in a respectful and professional manner. There was a positive emphasis focused on promoting normal daily living, enabling people to access services within their local community. Care plans provided detailed information, relating to the individuals care needs and the necessary intervention, from relevant healthcare professionals, to promote the individuals physical and mental health. Discussions with people that use the service confirmed their satisfactory with the level of support provided to them.

What has improved since the last inspection?

There was a marked improvement with regards to assessment and information contained within care plans. The home is currently subject to major restructure/refurbishment of which on completion will provide far better environment for people to live in.

What the care home could do better:

There was no evidence of the undertaking of a Criminal Record Bureau check or the receipt of two written references, relating to a new member of staff, to ensure the protection of people living in the home. Information maintained at the Commission for Social Care Inspection, relating to the homes certificate of registration, does not reflect the current service provided within the home. The homes certificate of registration was not available within the home. The Registered Manager should ensure that the homes certificate is displayed; the certificate and Statement of Purpose should be reviewed to ensure that they reflect the current service and provisions provided at Rocklee. There were evidently some disruptions with regards to the service delivery, due to the current building works taking place. It is however, of concern that a number of bedrooms and communal areas were without heating. There were no risk assessments or contingency plans in place to ensure the safety of people accessing the service during this period. The Registered Manager did not inform the Commission for Social Care Inspection regarding the lost of heating supplies within the home. A number of new doors had been fitted to bedrooms and communal areas of which were not fitted with a closure or a handle, this not only compromised the safety of people in the event of a fire but there was also a possibility of people being trapped within their bedrooms. The Inspector has contacted the Fire Safety Officer with regards to this area of concern.

CARE HOMES FOR OLDER PEOPLE Rocklee 341 & 343 Stone Road Stafford Staffordshire ST16 1LB Lead Inspector Dawn Dillion Key Unannounced Inspection 09:45 06th November 2007 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 Rocklee DS0000004995.V339506.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. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rocklee Address 341 & 343 Stone Road Stafford Staffordshire ST16 1LB 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) 01785 602347 F/P baugha1@aol.com Ms Jacqueline Downes Ms Jacqueline Downes Care Home 11 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (7), Mental disorder, excluding learning of places disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (4) Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 7 Dementia (DE) - Minimum age 60 years on admission 4 Mental Disorder (MD) - Minimum age 40 years on admission Date of last inspection Brief Description of the Service: Rocklee is a residential home that provides a service for older people. The home is also registered to provide a service for individuals who suffer with dementia and other mental health problems. The home is located on the Stone Road (A34 leading to Stafford Town), having easy access to local transport and amenities. The property consists of two semi-detached houses, the interior structure of which has been altered to allow access throughout. The exterior of the property had been maintained as two semi-detached houses in keeping with the local community. Rocklee provides accommodation for eleven people, having seven single occupancy and two shared bedrooms. En suite facilities were not provided. Bathrooms are located on the first floor and toilets are situated throughout the home and are in close proximity to bedrooms and communal areas. The home also consists of two lounge areas, which are equipped with essential furnishings and fitments to provide a comfortable area. There are two kitchens, one of which is equipped with a large dining table. There is also a compact laundry area at the rear of the property. A garden is located at the rear of the property; limited car parking is also available. The current scale of charges is £297.40p - £358.00p. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced Key Inspection of Rocklee was undertaken within seven hours. The inspection methodologies that were used, to establish the quality of care provided and the effectiveness of the management of the home, to promote equality, diversity and best practices entailed the examination of records, relating to the homes policies and procedures. People using the service were interviewed during the process of the inspection, to ascertain their views in relation to the service delivery. A tour of the property was undertaken, to ensure that the environment and systems in operation were safe and suitable in meeting the needs of the people using the service. The Registered Manager was present during the process of the inspection. The home is currently going through a major restructure programme of which has had a negative impact on the service delivery during this process. What the service does well: What has improved since the last inspection? There was a marked improvement with regards to assessment and information contained within care plans. The home is currently subject to major restructure/refurbishment of which on completion will provide far better environment for people to live in. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 6 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. Rocklee DS0000004995.V339506.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 Rocklee DS0000004995.V339506.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wishing to access the service were provided with sufficient information, to enable them, to establish whether the home would be able to meet their assessed needs. EVIDENCE: The homes Statement of Purpose provided information relating to the service and provisions available, the Registered Manager informed the Inspector that the Statement of Purpose was currently under review. The examination of records identified that a Care Management Assessment (Pre admission assessment) was undertaken prior to admission, to ensure that the home would have the capacity to meet the needs of the individual, before offering a placement. The assessment also identified the necessary Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 9 intervention of other healthcare agencies, to maintain the individual’s health and welfare. The homes admission procedure incorporated a trial visit, to enable the individual to visit the home prior to admission, having the opportunity to view the premises, meet the other people living in the home and the staff team. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people received was based on their individual needs. Due to major refurbishment taking place, people’s privacy was compromised. EVIDENCE: Information obtained from the Care Management Assessment (Pre Admission Assessment), provided the framework for the development of the care plan. Three care plans were randomly selected for examination, information contained within these plans provided detailed guidance of the care needs of the individual and the level of support, assistance and relevant healthcare professional intervention, required to meet the persons needs, to enable them to live a fulfilled lifestyle. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 11 It was pleasing to see that people living in the home were encouraged to participate in the development of their care plan and was involved in the reviews. There was a positive emphasis focused on providing the necessary support, to enable people to regain lost skills and to have a meaningful role within their local community. Care plans provided sufficient evidence that people living in the home had relevant access to healthcare services to promote the individual’s physical and mental health. Care plans were reviewed on a regular basis to reflect the changing needs of the individual. The home operated the Boots monitored dosage system, records relating to the storage, administration and the recording of medicines were examined, of which were satisfactory. With reference to systems in place to promote the privacy and dignity of people living in the home, general observations during the process of the inspection, identified that staff interacted and communicated with people in a respectful and professional manner. Due to current building works taking place, a number of new bedroom doors had been fitted; locking devices had not yet been fitted, to ensure the privacy of people. The Inspector raised concerns that these doors had not been fitted with a handle and could result with people being trapped within their rooms. Discussions with people living in the home confirmed that staff did respect their privacy and that all their mail correspondence were distributed to them unopened. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service were able to make a choice relating to their lifestyle and were provided with the necessary support to access local facilities and to have a positive presence within their community. EVIDENCE: The general routine within the home was relaxed, with people having freedom of movement throughout. People living at Rocklee had access to a variety of social activities outside the home. The examination of one file pertaining to a person living in the home identified that they had access to the local college, to learn new skills; they had also obtained a certificate in first aid and home crafts. One person living in the home informed the Inspector of her holidays to Blackpool and Wales. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 13 Discussions with people, who reside at Rocklee and the examination of records, evidenced that they were provided with the necessary support, to enable them to maintain contact with their family and friends. During the process of the inspection, it was identified that one person was currently staying with her father for short break. There were no people in residence from the ethnic minority group or any individuals with specific religious or cultural needs. The home operated a menu book of which evidenced that meals provided were varied and well balanced, an alternative choice was not identified. The Registered Manager informed the Inspector that people were provided with a choice. Two people required a special diet, information of which was incorporated within their care plan. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service had access to the complaint policy; the homes recruitment procedure was not entirely robust to ensure that people living in the home were protected from abuse. EVIDENCE: People living in the home had access to the complaints procedure of which was located in each bedroom. The Commission for Social Care Inspection have received one complaint about the service within the last twelve months, which was referred to Social Services under adult protection; Police investigations confirmed that the allegation was false. Discussions with the Registered Manager identified that the home had recently appointed a member of staff on a voluntary basis. The examination of records pertaining to this individual, evidenced that there was no Criminal Record Bureau clearance or references on file. The Registered Manager informed the Inspector that these documents were maintained at her home address. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Due to major restructure/refurbishment of the property, the environment was not safe or suitable to meet the needs of people accessing the service. The lack of contingency planning, failed to ensure the safety and welfare of people during this period. EVIDENCE: Rocklee is located in Stafford, Staffordshire having easy access to public transport and all local amenities. As previously identified within the contents of this report, major restructure/refurbishment works were being carried out of which, consisted of the foundation of the property being made safe, the installation of two Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 16 kitchens, new doors fitted throughout the home, installation of new windows and the redecorating of all communal and bedroom areas. There were no contingency plans or risk assessments in place with reference to the works being carried out. The Inspector raised concerns that door handles had not been fitted to the new doors, which could result with people being trapped in their bedrooms. This would also pose a high risk in the event of a fire. The Inspector has raised these concerns with the Fire Safety Officer. A number of bedrooms and communal areas were without heating, small portable heaters were provided in bedrooms. Discussions with one person living in the home confirmed that their bedroom was cold. Albeit that portable heaters were provided within the affected areas, the home was extremely cold. The Registered Manager informed the Inspector that the gas supply would be connected in five weeks. An immediate requirement was issued on the day of the inspection, to ensure that adequate heating was provided throughout the home. Discussions with people who live at the home confirmed that they were actively involved in choosing the colour scheme for their bedrooms. Due to the work carried out on the foundation of the property, the grounds were uneven and posed a tripping hazard. The home provided seven single-occupancy and two shared bedrooms of which were located on both the ground and first floor. En-suite facilities were not provided; bathrooms were located on the first floor and toilets were situated on both floors. During a tour of the property it was noted that a restrictor on a bedroom window had been removed. An immediate requirement was issued on the day of the inspection, to ensure that a restrictor was fitted to this window, to ensure the safety of the person occupying this bedroom. The design and layout of the home would not be suitable for individuals who have limited mobility. There was no passenger lift in place or appliances to assist with moving and handling. Two lounges were provided, one of which had recently been decorated to provide a comfortable area for relaxation. The other lounge area was in the process of being refurbished and there was no heating within this room. One of two kitchens had recently been refurbished providing a modern domestic style kitchen, equipped with a large dining table and chairs. Works on the second kitchen had not been completed and this area was out of use. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 17 A compact laundry area was provided at the rear of the property. The cleanliness and hygiene of the home was of a good standard. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, and 29 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were adequate staffing levels provided throughout the day to meet the needs of people accessing the service. A positive emphasis focused on staff training ensured that people living in the home benefited from the skilled work force. EVIDENCE: The home was registered to provide a service for eleven people; discussions with the Registered Manager confirmed that there were nine people in residence. The examination of the staff working rotas identified that sufficient staffing levels were provided throughout the day to meet the needs of people living in the home. One night staff was provided, due to the current state of the building of which compromised fire safety, and also having one person living in the home who had reduced mobility, this raised concerns of the safety of people during the night. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 19 The examination of staff training records confirmed that staff had received the following training within the last twelve months: dementia and dealing with challenging behaviours, medication handling and health and safety. Discussions with the Deputy Manager confirmed that she had recently completed the National Vocational Qualification Level 4 in Management. As previously identified within the contents of this report, discussions with the Registered Manager and the examination of staff files, identified that there was no evidence of a Criminal Record Bureau clearance or references in place for a staff who had recently been appointed. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Albeit there has been a marked improvement with assessment and care planning, the service delivery was compromised by the lack of emphasis focused on health and safety during the construction work on the property. EVIDENCE: The Registered Manager had number of years experience within social care and demonstrated a sound knowledge of the care needs of people living at Rocklee. Discussions with the Registered Manager confirmed that she had obtained relevant qualifications pertaining to her roles and responsibilities. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 21 There was very little evidence of the undertaking or periodical training relating to social care or mental health. On the completion of the building works, it is evident that this will provide a far more appropriate environment for people accessing the service; it is however, of concern that contingency plans or risk assessments were not in place to ensure that people do not suffer unduly during this period. There was no identified date for the completion of the works being carried out. The Commission for Social Care Inspection has not received any notification about the heating in some areas of the home being affected. The homes registration certificate was not available for examination on the day of the inspection, the Inspector raised concerns that information maintained on record at the Commission for Social Care Inspection did not reflect the service provided at the home. The homes registration was primarily for older people, dementia care and mental disorder. Discussions with the Registered Manager confirmed that the majority of people accessing the service were under the age of sixty-five, having one person with a diagnoses of dementia and one with a learning disability. The Registered Manager informed the Inspector that all the people living in the home were able to manager their financial affairs independently. With reference to systems and practices that promote the health, safety and welfare of people accessing the service, there were a number of short fallings of which have been identified within the contents of this report. Rocklee DS0000004995.V339506.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 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 2 1 X X X X X 1 3 STAFFING Standard No Score 27 2 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X X X 3 X X 1 Rocklee DS0000004995.V339506.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 OP29 Regulation 19 and Schedule 2(5)(7) Requirement The examination of a file pertaining to a staff member, who had recently been appointed, identified that there was no evidence of a Criminal Record Bureau clearance or the receipt of two written references. The registered person should take the appropriate actions to ensure that people living in the home are protected from abuse. Appropriate actions should be taken to ensure that the identified bedroom doors are able to close properly. (Outstanding from 30/06/06 and 01/12/06) With reference to the inspection undertaken on 06/11/07, as part of the refurbishment, new doors had been fitted to bedrooms. There were no handles fitted to doors and they did not close properly to provide a seal in the event of a fire, there was also a possibility of people being trapped in their bedrooms. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 24 Timescale for action 24/12/07 2. OP19 13(4)(a) 24/12/07 3. OP19 23 & 13 4. OP25 23(2)(p) The registered person should take the appropriate actions to ensure that doors comply to fire safety regulations. The uneven paving within the garden area should be made safe. (Outstanding from 20/10/06). Some bedrooms and communal areas were not provided with adequate heating. The registered person should address this as a matter of urgency to ensure the welfare of people living in the home. (An immediate requirement was issued on the day of the inspection). A restrictor had been removed from a bedroom window. The registered person should ensure that the appropriate measures are taken to ensure the safety of the person occupying this bedroom. (An immediate requirement was issued on the day of the inspection). Due to the lack of fire safety during the process of building works and the allocation of one night staff. The registered person should review the staffing levels during the night and the fire risk assessment, to ensure the safety of people living in the home. Information on record maintained at the Commission for Social Care Inspection, relating to the homes certificate of registration does not reflect the current service provided within the home. DS0000004995.V339506.R01.S.doc 01/03/08 21/11/07 5. OP19 13(4)(a) 07/11/07 6. OP19 OP27 13(4)(a) and 18(1)(a) 24/12/07 7. OP31 7 10/01/08 Rocklee Version 5.2 Page 25 The homes certificate of registration was not available within the home. The registered person should ensure that the certificate of registration reflects the service provided and where necessary should liaise with the Central Registration Team. The Commission for Social Care Inspection have not received any notification relating to lack of supply of heating within the home or contingency plans relating to the construction work being carried out. 8. OP25 OP19 23(2)(p) and 37 24/12/07 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. 2. 3. 4. Refer to Standard OP33 OP15 OP19 OP31 Good Practice Recommendations Information collated from the quality assurance questionnaire should be fed back to the service user group. With reference to the homes menus, an alternative choice should be identified, to reflect the likes and dislikes of the individual. The exterior of the property needs to be maintained to a suitable standard. The woodwork requires to be painted. The Registered Manager should ensure that she undertakes periodical training relevant to her roles and responsibilities to keep abreast of issues relating to social care. Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Rocklee DS0000004995.V339506.R01.S.doc Version 5.2 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!