CARE HOMES FOR OLDER PEOPLE
Roxburgh House 29 Roxburgh Road Westgate-On-Sea Kent CT8 8RX Lead Inspector
Brenda Pears Key Unannounced Inspection 3rd January 2007 09:30 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 Roxburgh House DS0000062994.V306893.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. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Roxburgh House Address 29 Roxburgh Road Westgate-On-Sea Kent CT8 8RX 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) 01843 832022 Discovery Care Ltd t/a Roxburgh House Post Vacant Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (16), Physical disability (6) of places Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The residents with physical disabilities shall be aged 35 years and over. 18th August 2005 Date of last inspection Brief Description of the Service: The Home provides care and support for 22 older people including some people with physical disabilities. The Home is a large property that is situated in a small, slightly privately sectioned area, close to local shops and is within walking distance of the sea front. The frontage of the Home is on level ground and gives access for wheelchair users. This paved frontage area has seating arranged for service users to enjoy during good weather. There is also ample on street parking available. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. The proprietors stated that the average fee levels at this time are roughly between £300.00 and £500.00. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the process consisted of speaking with the acting manager, staff members, service users, visitors and also included a review of records, documents and undertaking a tour of the premises. Questionnaires were received from service users, family members and one GP, providing valuable information that also helps with this report. There is currently an acting manager in post who is being supported by the two proprietors. All three were in the home on the day of this inspection and the home was found to be clean and with a relaxed atmosphere. Service users appeared relaxed and were happy to speak to the inspector about routines in the home. One visitor confirmed that there are no restrictions on visiting times and staff are always welcoming. Service users spoken to at this time stated their needs are met and the staff are caring. The staff team is now more stable and those spoken to at this time stated they feel supported by the acting manager and both proprietors. The staff team, as a whole, always support each other. What the service does well: What has improved since the last inspection? Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 6 Recording on care plans has improved a great deal since the last inspection, with clear entries, appropriate language and orderly files. Externally the building has been painted and the front gardens are well maintained. Many rooms have been redecorated and some areas have new carpets. Rooms, communal areas, bedding and bathroom areas were all found to be clean and odour free at this time. Independence and mobility are encouraged and hobbies or activities that are enjoyed are fully supported. The home continues to provide support and care in a safe, relaxed and well maintained environment. Service users seen at this time appeared confident and comfortable when interacting with staff and were fully informed throughout this inspection. Healthcare professionals had no areas of concern and stated that staff do work in partnership and ensure the privacy of service users. All questionnaires received from healthcare professionals contained no negative replies. What they could do better:
While terms and conditions are set out in contracts that are retained on care plans, these must also contain full details of charges agreed and the number of the specific room to be occupied that has been agreed between staff and the service user. Healthcare observations are recorded, but outcomes and any new routines developed to support service users has not been recorded on files. Staff are considering the health of service users, but records are not providing the appropriate information required to ensure the well being of service users at all times. However, general recording on care plans has improved a great deal since the last inspection, with clear entries, appropriate language and orderly files. Incidents are recorded and this information is then stored in each service user file. The record sheets being used have been developed by the home to fully record all information on files. The home must check with health and safety executive to ensure this paperwork fully meets requirements. Records are kept on service user files about any complaints that are handled but a formal complaints book must be developed to evidence all issues raised, no matter how small, that are dealt with by the staff. This was discussed and an appropriate recording method is to be developed by the proprietors. The laundry area has no pump soap or paper towels to support the control of infection. The flooring in this area needs assessing as some cracks and edging
Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 7 may pose a risk to infection control. The corridor directly outside the laundry contained clutter that included full black sacks and a few hoovers. This corridor leads directly to the fire exit and must be kept clear at all times. Staff must remain vigilant when moving about the home and identify areas that need attention. The corridor areas around the home contained more clutter and objects that have obviously been placed there for some time. This was discussed with the acting manager and the proprietors who stated these areas will be reviewed and cleared. The proprietor explained that radiators have restrictors and temperatures are controlled and maintained at an acceptable level. However, radiators are not covered in any area and risk assessments must also be undertaken to ensure the safety and well being of service users in all areas. Radiators must be covered or have low heat surfaces. All staff files must contain photographic identification in line with national minimum standards. While this identification has been obtained for all CRB checks that are in place, a copy is also required to be on staff files in the home. The proprietors stated that checks and audits are undertaken throughout the home, but regulation 26 audits are not currently formally recorded. Discussions were undertaken about appropriate forms of recording these regular checks that will ensure acceptable standards are maintained in all areas. 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. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 8 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 Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 9 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): 3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are pre admission assessments on record that support the needs of new service users entering the home. All service users are appropriately supported with access to healthcare services. Any equipment needed is in place prior to admission. EVIDENCE: All new admissions are undertaken following a pre admission assessment to ensure the placement is appropriate. Files seen at this time contained pre admission assessments. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 10 All respite care and rehabilitation is undertaken using appropriate equipment and support from care staff and healthcare professionals. All care is to enable a full recovery to enable the service user to be healthy enough to return to their home. Records evidenced access to GP, district nurse and healthcare services such as speech therapist and occupational therapist. Discussions with one service user who is currently receiving rehabilitation support, does confirm that staff in the home are encouraging routines that promote independence. While terms and conditions are set out in contracts that are retained on care plans, these must contain full details of charges agreed and the number of the specific room to be occupied that has been agreed between staff and the service user. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All the appropriate information is recorded and reviewed within the service user plans. However, the outcome of reviews must be fully recorded on care plans to ensure health care needs are met. Medication practices and storage are currently satisfactory. Service users are treated with respect and the right to privacy is upheld. EVIDENCE: A sampling of care plans was carried out and files were presented in an orderly way, with recordings clearly made and well organised. Records evidenced access to appropriate healthcare professionals and case tracking was also undertaken. Records clearly show that staff are reviewing care plans regularly, but reviews do not contain all appropriate information to support service users.
Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 12 Healthcare observations are recorded, but outcomes and any new routines to support service users have not been recorded on files. Staff are considering the health of service users, but records are not providing the appropriate information required to ensure the well being of service users at all times. This was discussed with the acting manager and the proprietors, who stated they are to undertake training with all staff who review care plans. This will ensure staff fully understand the reason for this documentation and how to record changes appropriately. Medical records evidence that appropriate healthcare professionals are contacted and deliver care where assessed as necessary. District nurse, GP, optician and dental records are maintained and up to date, as were all medication administration records (MAR sheets). Staff were seen to be demonstrating good attitudes towards the service users and have clearly established a good rapport. Service users stated that staff are caring and always ready to help and assist when needed. Observations at this time confirmed that the atmosphere in the home is relaxed, staff were speaking to service users in an appropriate way and people were approaching staff in a confident and comfortable manner. Incidents are recorded and this information is then stored in each service user file. The record sheets have been developed by the home to fully record all information on files. The home must check with the health and safety executive to ensure this paperwork fully meets requirements. Systems must also support regular review of falls and incidents at all times and if records are filed in care plans, this monitoring cannot easily be undertaken. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Choice and autonomy are supported and encouraged, ensuring individuals have control over their own routines and life. All aspects of service user needs are met by the home and family, friends or advocates are encouraged to maintain contact. Service users stated they enjoy their food and that choices are readily available. EVIDENCE: Observations, discussions with service users and questionnaires received confirm that service user needs are met, choices are given and all visitors are made welcome in the home.
Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 14 Information is passed to members of the family and healthcare professionals to ensure they are fully aware of current events. Any matters needing attention are brought to the staff directly and service users stated they are confident with approaching staff with any matters that need their attention. All relationships that are important to service users are encouraged and constant contact supported. Events in the home are undertaken with involvement and support from friends and family wherever possible. Meals are decided on a daily basis and diets are monitored and healthy eating is encouraged and supported with choices being available in the home. The local library van visits the home on a regular basis as many of the service users enjoy reading and have chosen this facility to be provided in the home. This is paid for by the home and provides a service that is enjoyed by many service users. Outings are planned and daily routines include regular bingo sessions, hairdressing and a pamper day is on a Monday, arts and crafts on Wednesday, discussions and memories of the past being undertaken on Thursday and sing a long sessions on Saturdays. One person who has been encouraged to participate in crafts has discovered that she enjoys this past time and has made articles that are displayed in her room. Many Christmas decorations have been made and were displayed on the Christmas tree to be enjoyed. While regular meetings and discussions are undertaken with service users, a formal recording of these sessions must be carried out to evidence choice and autonomy are supported at all times. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A new policy has been developed on protection from abuse and approved training has been undertaken by all staff to fully protect and support service users. Service users and family members are confident their complaints will be listened to and acted on. Service users stated they feel safe and cared for in their home. A comments/complaints book must be provided to ensure all complaints, actions and outcomes are fully recorded. EVIDENCE: Service users spoken to at this time stated they are confident and comfortable to discuss any matters with care staff or management. They stated they were also confident that any matter would be addressed and that appropriate action would be undertaken. Questionnaires received at this time also confirmed this. Small amounts of money are retained in a secure area at the request of service users. Service users sign for all money transactions and where this is not
Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 16 possible, two members of staff sign. Most family members deal directly with money for service users. Lists are in place to describe regular activities and trips out where service users will need money. A review of records and receipts showed orderly records and double signatures at each transaction. There is a complaints policy in place and on display in the entrance hall. Records are kept on service user files about any complaints that are handled but a formal complaints book must be developed to evidence all issues raised, no matter how small, that are dealt with by the staff. This was discussed and a formal procedure is to be developed by the proprietors. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was found to be clean and pleasant at the time of the inspection, providing service users with an attractive and comfortable environment. Radiators are maintained at a set temperature but these are currently not covered, posing a risk in some areas. EVIDENCE: Externally the building has been painted and the front gardens are well maintained.
Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 18 The atmosphere in the home was calm and welcoming, with service users appearing relaxed, dressed appropriately and generally chatting and smiling. Rooms, bedding and communal areas were found to be clean, orderly and tidy. Rooms are personalised and very individual, providing an independent and private area for each person to enjoy. Service user rooms are regularly maintained in a good state of repair and rooms are individual and comfortably furnished with bedside lights available. The laundry area has no pump soap or paper towels to support the control of infection. The flooring in this area needs assessing as some cracks and edging may pose a risk to infection control. The corridor directly outside the laundry contained clutter that included full black sacks and a few hoovers. This corridor leads directly to the fire exit and must be kept clear at all times. Staff must remain vigilant when moving about the home and identify areas that need attention. The corridor areas around the home contained more clutter and objects that have obviously been placed there for some time. This was discussed with the acting manager and the proprietor who stated these areas will be reviewed and cleared. The proprietor explained that radiators have restrictors and are controlled and maintained at an acceptable level. However, radiators are not covered in any area and risk assessments must be undertaken to ensure the safety and well being of service users in all areas at all times. There is a large communal lounge area with a small sun lounge off to the side. This small room is currently being used as a smoking area and comments from visitors and service users have prompted a rethink of this room. The proprietors have some ideas about altering this area to accommodate the choice to smoke while ensuring this does not impact in any way on others living in the home. Radiators are not covered in any room occupied by service users. This is posing a risk, particularly in the rooms where beds are in close proximity to the radiator, one room has a bed that is positioned against the radiator. One radiator was out of action on the day of this inspection at the top of the building. Alternative heating was being used to warm the room prior to bed time and a plumber had been booked. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users do benefit from a supported and supervised staff team, providing a secure and safe environment. EVIDENCE: Training is accredited and includes refresher courses for all core training needs. Training has recently been booked in basic food hygiene, manual handling and infection control. In house refresher training has been undertaken in dispensing medication and individual supervision with each member of staff. The proprietor has carried out this training as some staff practices were not fully complying with set procedures. NVQ level 2 has been attained by all staff except one new member of staff. Three members of staff are undertaking their NVQ level 3 and the acting manager is currently doing the registered manager award with a care component. Supervision is carried out regularly to fully support staff and a full induction programme is in place and is provided by the proprietor. Training goals are set
Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 20 at supervision and personal development plans are also on staff files. However, all staff files are to contain photographic identification in line with national minimum standards. While this identification has been obtained for all CRB checks that are in place, a copy is also required to be on staff files in the home. Staff at the time of this inspection consisted of the acting manager, both proprietors, one carer/domestic and one cook. The proprietor explained that extra staff put onto the rota if appointments are booked, or in an emergency, additional staff are brought in. Training is now monitored throughout the year and training needs are being identified and booked. Training regarding awareness of abuse is to be booked and training that has been undertaken this year includes first aid, fire awareness, COSHH, health and safety and infection control. All staffing levels are set after an assessment of daily needs is undertaken. Depending on the daily activities, the rota then reflects the service user support that is required. One proprietor is on the premises at most times of the day to provide additional support should this be needed. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does, in the main, protect and promote the safety and well being of service users and is run by an experienced team of staff. The acting manager, staff and proprietors have addressed previous areas needing attention and do ensure the best interests of service users are met. Record keeping is greatly improved with appropriate terminology and neat, accessible records. All records are appropriately stored and staff now undertake all recording in the main lounge area to ensure full support is provided for service users at all times. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 22 EVIDENCE: Service users are at the centre of all decisions made in the home, the safety, welfare and health of service users are ensured at all times. Staff confirm they feel supported by the manager and the organisation itself, with regular supervision being undertaken. Observations and discussions with both staff and service users confirm that everyone is fully included in all matters undertaken and planned in the home. The manager operates an open management style and observations and discussions undertaken evidence that service users and staff are confident and comfortable to speak to the manager. Discussions with service users and one visitor plus questionnaires received, confirm that staff do support service users in an appropriate manner with due consideration for choice and dignity. The health and well being of service users is, in the main, considered at all times and staff expressed a thorough knowledge of service user needs. While regulation 26 audits are carried out by the proprietors but are not currently formally recorded. Discussions were undertaken about appropriate forms of recording these regular checks of the and how to comply with requirements. Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 X X x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 17 3 18 3 2 2 X X X X 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 28/02/07 1. OP7 14 All care plans to contain full information of any changes in support for each service use at every review. All contracts to contain agreed fees and the number of the room agreed between staff and service user. An appropriate recording system to be developed to support regular monitoring of incidents and falls in the home. There is a formal record of all service user meetings, to evidence choice and involvement in the running of the home. All complaints to be fully recorded in an appropriately bound book. Hand washing facilities to be prominently sited in areas where clinical waste are handled. (To be provided in the laundry area
DS0000062994.V306893.R01.S.doc 2. OP2 4&5 28/02/07 3. OP8 12 & 13 28/02/07 4. OP14 OP12 12 & 17 31/03/07 5. OP16 17 & 22 28/02/07 6. OP26.3 16 & 23 31/03/07 Roxburgh House Version 5.2 Page 25 to comply with guidelines set for the control of infection). 7. OP26.4 16 & 23 The laundry floor finishes to be impermeable and finishes are readily cleanable (To comply with requirements for the control of infection). A plan of action to be with CSCI by the stated date. 8. OP38.2 12 & 13 Corridors and fire exits to be kept clear at all times to comply with fire regulations and fully support the health and well being of service users. Pipe work and radiators are guarded or have low temperature surfaces. Risk assessments to be completed for all service users to ensure safety at all times. A plan of action of how this requirement is to be met to be with CSCO by 10. OP29 18 28/02/07 28/02/07 28/02/07 9. OP25.5 16 & 23 There is a robust recruitment 31/03/07 process that protects service users. (That a copy of photographic ID is retained on all staff files) That regulation 26 audits be regularly carried out by the proprietors. (To ensure acceptable standards are maintained in all areas of the home). 28/02/07 11. OP36 26 Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 26 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 Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 Roxburgh House DS0000062994.V306893.R01.S.doc Version 5.2 Page 28 - 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!
