Inspection on 24/01/06 for Shaldon House

This inspection was carried out on 24th January 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shaldon House 10/07/07

Shaldon House 27/01/07

Shaldon House 27/06/06

Shaldon House 10/10/05

Shaldon House 07/12/04

Shaldon House 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Shaldon House 77 Shaldon Road Horfield Bristol BS7 9NN Lead Inspector Wendy Kirby Unannounced Inspection 24th January 2006 10:00 Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shaldon House Address 77 Shaldon Road Horfield Bristol BS7 9NN 0117 9518884 0117 9521492 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) www.craegmoor.co.uk Parkcare Homes (No. 2) Limited Mrs Lisa Marie Cole Care Home 9 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1) of places Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate one named person with Physical Disability (PD). Will revert to 9 LD when named person leaves. 10th October 2005 Date of last inspection Brief Description of the Service: Shaldon House is operated by Parkcare No 2 Ltd, a subsidiary of Craegmoor Healthcare. The home is situated in a residential area close to amenities and bus routes. A rear garden, which is reached by steps, has a grassed area and patio with seating. The home provides single bedroom accommodation, two of which are on the ground floor. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process. During the eight-hour inspection the inspector spent time with the manager and deputy manager to examine a number of records, including residents care plans, and records relating to the day-to-day running and management of the home. The inspector spent time with all nine residents throughout the course of the visit and spoke with four at length. Five members of staff were observed on duty and three were consulted individually. The inspector also spent time with the maintenance man to discuss his role and the jobs in hand. What the service does well: What has improved since the last inspection? The manager and her team have worked hard to ensure that environmental requirements from the previous inspection have been resolved. They have spent time invested in developing resident’s care plans and efforts are being made to ensure that resident’s wishes in the event of their death are supported, respected and upheld. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 6 An annual training programme has been initiated and all staff are also now either NVQ trained or enrolled on such courses. Various recommendations have also been resolved following the previous inspection, these include, additional drivers, developing care plans with the residents, and replacing all wash hand basins and vanity units in the residents bedrooms. 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. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Resident’s needs are assessed to ensure the home is suitable to meet individual requirements. EVIDENCE: The home has a full occupancy and has an established group of residents. There have not been any admissions to the home since the new manager commenced in May 2005. The manager has considered procedures for future admissions, including trial visits, and pre-admission assessments. Care files examined showed that needs had been assessed pre-admission to the home and contained information to determine the suitability of the placement and that needs could be met. Due to management changes within the organisation all residents’ contracts and statement of terms and condition were under review and will therefore be examined at the next inspection. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Staff have a good awareness of individuals needs and treat the residents in a warm a respectful manner, which means that they can expect to receive care and support in a sensitive way. Residents are supported to take risks in their daily lives within their home and out in the community. EVIDENCE: Each resident has a comprehensive personal portfolio and person centred assessments, which means that staff put the views, wishes, likes and dislikes of each resident at the centre of all care provided. The information for each resident was very informative and useful enabling staff members to instantly provide the appropriate care to support their health and social needs. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 10 From the assessments staff had identified needs enabling them to form written care plans. These were written clearly and concisely and in a sense that the residents had contributed in the implementation of each plan. Unfortunately there was no written evidence to confirm this, as signatures for consent to the plans had not been obtained. The plans had been reviewed regularly on a monthly basis, however the assessments had not been updated and during the inspection new needs were identified for example: one resident had been diagnosed with depression and another with vascular dementia. The manager stated that she was developing a programme whereby each resident, their family members and any significant health/social professionals were going to meet and conduct re-assessments and revised plans of care annually. Family and residents responses have been very positive to this and the manager is making arrangements to commence the programme. The portfolios demonstrated a great knowledge and understanding of all residents’ emotional and psychological needs, and information was available entitled ‘What makes me sad’, What I am good at’, ‘What makes me angry’ and ‘What can you do for me’ to name but a few. Information was available about previous personal experiences for example, where they went to school, a family tree, and important family dates to remember like birthdays. All visits to the General Practitioner and any other professionals are recorded to provide a history and quick reference guide. Risk assessments were examined and demonstrated that staff were ensuring that residents were safe within their home and out in the community. All residents had individual risk assessments detailing for example, how much supervision was required when outside of the home, and how long should be allocated for a walk with one resident who walks particularly slow. Residents are supported to take risks as part of living an independent lifestyle this was evidenced by a conversation the inspector had with one resident who talked about a relationship she had with a gentleman who lived locally and that she enjoyed his company and going out for walks. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Residents enjoy a range of activities and are supported to live a fulfilling life in and out of the home. Personal relationships are encouraged and supported. Residents take an active role in promoting and maintaining a healthy well balanced diet. EVIDENCE: All nine residents were spoken to during the inspection. Daily routines were discussed which included attending college and various day centres on weekdays. All residents regularly go out and enjoy the local community amenities by visiting local pubs, restaurants, shops, cinemas, Tenpin Bowling and churches. Residents were able to enjoy hobbies such as football, music and films. An activities record is maintained and special sessions are arranged for the residents, for example a “pampering night” Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 12 Some residents have a very busy week and expressed that they often enjoy just ‘relaxing on the weekend’. Family and friend contact is encouraged and supported whereby the residents invite people for tea and some resident’s stay with their families for weekend visits and holidays. Each resident has a list to remind them of important family dates and they send cards to mark these special occasions. As mentioned previously, residents are supported by the staff to be able to experience personal relationships and to be able to express their sexuality. One resident on inspection talked excitedly about what she was going to wear when she hoped to meet her boyfriend later that day. The manager told the inspector that the resident’s previous relationship lasted three years. On the previous inspection it was noted that the home has a people carrier to enable residents to enjoy going out further a field, however due to the young age of some staff they are not able to be insured to drive it. Due to these circumstances the staff have taken out business insurance on their own cars so that there is greater flexibility for the residents to access amenities through travel. All residents meet every Sunday to discuss their chosen menu plan for the week ahead. This system enables the residents to make their own choices and with the support of the staff it was evident from the menus that they have produced a varied healthy diet plan. Alternatives were also made available and flexibility in meals was evident. One resident explained that although he loved bolognaise he didn’t enjoy spaghetti so he would have his preferred choice of Jacket potato with it instead. Several residents said that they enjoyed the food and never felt hungry. Staff in the home were vigilant in assisting the residents in ensuring a healthy diet and monitored the residents weight monthly. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Residents are well supported to meet their physical and emotional health needs, they are monitored effectively and action is taken promptly when concerns arise so that residents may be confident that their needs will be met. There are safe systems of practice in receiving, storing, administering, and disposing of drugs. Progress needs to continue to seek the wishes of each resident in the event of end of life. EVIDENCE: The future programme to re-assess all residents physical, emotional and health needs with the residents and their families will reinforce that they are receiving personal support in the way that they would prefer. Current care plans examined, residents comments and their demeanour throughout the inspection showed that needs were being met and that the they were all of a happy disposition. Care plans were personalised with photographs and information about each resident as an individual. The plans stated how best to support each resident to meet their physical, mental, social, and spiritual needs. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 14 Policies and procedures for receiving, storing, administering and disposing of medications was examined and correct, however it was requested that documentation evidenced that the policy and procedure had been reviewed on an annual basis. There were photographs of each resident on their medication charts to help ensure that medication was dispensed to the correct person. The administration charts were legible and continuity of administration was shown with a signature from the person dispensing. Up to date records evidenced that medication received in the home and medication being returned to the local pharmacy was being followed correctly. Medication stocks for drugs prescribed as required were examined and the amounts are checked and recorded weekly. A recommendation was made for the manager to send excess stock back to pharmacy. Staff training records evidenced that staff had received competency training from the local pharmacist, which is updated annually. The manager and staff had been concentrating on care plans to support the residents wishes for end of life. Some residents had enjoyed thinking about the future and plans examined showed very specific and personal information, for example, song requests, where they would be buried or where they would like their ashes scattered. One resident had stated clearly that he wanted ‘people to be happy at his funeral’. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Training is provided to help protect residents from harm or abuse. Resident’s views and concerns are listened to and acted upon. EVIDENCE: Residents and families have information provided in the Service Users Guide on how to make a complaint and voice concerns, this information is also on display in the reception area. The new contact details for the Commission for Social Care Inspection and the manager at the home had been amended on the policy but had been misplaced and therefore the information displayed was not up to date. One resident talked about the residents meetings where they are able to discuss any issues and concerns they may have. The manager could not find the policies and procedures on complaints and whistle blowing and a request has been made for this to be forwarded to the commission for inspection. No complaints had been made or received by residents or families in the last year. Policies and procedures are in place for the protection of vulnerable adults, staff have received training and updates have been arranged with dates to be confirmed. Staff had also attended training on ‘Non violent crisis intervention’ which is also updated annually. Staff spoken to were aware of the whistle blowing policy, what it stood for and how to contact relevant people with any concerns they may have. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 The home provides a warm, comfortable and homely environment ensuring individual needs are met. The manager and maintenance man work promptly to rectify any maintenance issues, however the manager needs to risk assess regularly to ensure such issues are not missed. EVIDENCE: The living room was spacious and personalised with portraits of the residents on the walls. Adequate seating was available for all residents to sit comfortably in the lounge together and visually everyone could see the television. The residents had a video recorder and DVD player and various videos and DVD’s were viewed offering a varied choice to meet individual tastes. The dining room could accommodate all residents comfortably at the same sitting and was clean and tidy. All nine residents bedrooms were looked at and expressed individual choices in colours, fabrics and layout. Residents had accessorised their rooms with football memorabilia, soft toys, photographs and ornaments. Residents have televisions, stereos and such like to enable them to spend quality time alone. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 17 Following a requirement from the previous inspection all bedrooms were in the process of receiving new wash hand basins and vanity units, these were fitted and finished well by the maintenance man and were a vast improvement. Following a recent visit from a plumber many of the radiator covers and been unattached from the walls to gain access, however following his departure they were not fixed back to the walls which was a potential danger to all residents and visitors to the home. The maintenance man was notified of this and all covers were secured immediately. The kitchen was well equipped, and cupboards, fridges and freezers showed a variety of food. Food opened in the fridge had been labelled the date of opening which indicated that staff and residents make every effort to ensure safe handling of food. There was a separate sink to wash hands prior to preparing food with soap and hand towels. A request was made at the time of inspection for domestic items to be stored out of the kitchen area; this included a mop and bucket used for cleaning bathrooms, to ensure safe practice in minimising cross infection. All bathrooms, toilets and shower rooms were clean and tidy with the exception of one. One bathroom required new flooring and the removal of two unused radiator pipes subsequently a requirement was made. The manager and maintenance man acted immediately on this and the inspector witnessed that the pipes were removed and new flooring put down the very next day. It was noted that there were two drink stains on the lounge carpet, which was addressed with the manager who informed the inspector that they regularly hire equipment locally to clean the carpet. Staff were keeping the home clean and tidy, residents are also involved with domestic tasks and were witnessed doing their own laundry and vacuuming the lounge. Evidence was seen of new rendering to the front wall following a previous requirement. Although it is not finished the inspector did not consider the wall unsafe for the residents and following discussions with the maintenance man it was evident that the wall would be completed when the season permitted. Bricks had originally become loose due to local youths sitting on it and the manager has since addressed this with the local police. The police have suggested that the manager contact them when they witness the youths sitting on the wall, which tends to be in warmer months. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 The relationships between staff and residents are good and create a warm positive environment to live in. Future training arrangements will enhance a greater skill mix of staff to provide the residents in the home with good standards and quality of care. EVIDENCE: All staff on duty throughout the day were observed as having a good humoured, warm mannered rapport with the residents. Staffing rotas were looked at and correct levels of staffing had been maintained. Levels of staffing are reflected in the daily routines of the residents and numbers are increased and decreased at different times of the day. The home has not had the need to use agency as all staff try to cover each other’s shifts to promote continuity for the residents. Three staff records and the recruitment process was examined, all staff records showed that the home follows a robust recruitment procedure. Records contained application forms, references, POVA first check and a CRB (Criminal Records Bureau) disclosure. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 19 Induction was not fully inspected, however new recruits are allocated a mentor and staff training records showed that staff receive mandatory training on food hygiene, POVA, fire, first aid, health and safety and manual handling. Other training is also accessed and is targeted around the residents needs for example one resident had had a brain injury and attends Headway House and staff had attended a study day organised by Headway on ‘Caring for residents with brain injury’. The manager produced a training plan, which included mandatory updates and also courses in Dementia Awareness and Caring for People with Confusion, which will particularly benefit one resident in the home who has been recently diagnosed with vascular dementia. All staff are either receiving NVQ training or have just completed it. The manager has applied for training in gaining her Registered Managers Award, three staff have just completed NVQ2, three have just commenced NVQ2, one has just completed NVQ3 and one has just started. One member has commenced her NVQ assessor’s course. The manager and her deputy are currently receiving training on a new system for staff supervision within the organisation and this will be examined on the next inspection. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 The home is well run and systems are in place that safeguard and protect the health and safety of the residents, staff and visitors. EVIDENCE: Five staff members spoken to expressed that they were happy at work. One member stated that she felt “well supported by the manager, who was approachable and quick to sort out any problems.” Another member of staff had also mentioned that she had gone to the manager about a problem and felt that it was dealt with appropriately. Company audits are carried out on annual basis, which include a questionnaire for residents, relatives and staff, Health and Safety, Home audit and Medication. The company compile the results and feedback to the home. These were not inspected at this time. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 21 Some of the Health and safety records in the home were examined. Documentation showed that all relevant checks were maintained correctly and at the required intervals including all fire alarms and equipment, emergency lighting and the water temperatures. Fire safety training for staff is given on induction and fire drills were carried out weekly. The Area Manager visits the home monthly and carries out an inspection (Regulation 26), which are then forwarded on to the Commission. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 2 3 X X X X 3 X Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 23 No Are there any outstanding requirements from the last inspection? 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 YA6 Regulation 15.2(b) Requirement Develop all personal portfolios and care plans with the resident and their families, wherever possible. Care plans to be developed for one resident who has depression and for the resident diagnosed with dementia. All residents care plans must be reviewed and updated regularly. The Complaints policy and procedure must be forwarded to the Commission for Social Care Inspection. (This was received prior to publication of the report) Policies and procedures for Whistle Blowing and the Protection of Vulnerable Adults to be forwarded to The Commission for Social Care Inspection. Replace bathroom flooring to remove unpleasant odour. Make safe or remove two jutting pipes protruding up from the bathroom floor. Timescale for action 21/03/06 2 YA6 15.2(b) 21/03/06 3 4 YA6 YA22 15.2(b) 22.1 21/03/06 03/02/06 5 YA23 23.2 03/02/06 6 7 YA24 YA24 16.2(k) 2.32(b) 25/01/06 25/01/06 Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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. 2. 3. 4. Refer to Standard YA32 YA20 YA24 YA24 Good Practice Recommendations Support and encourage staff to complete their NVQ Level 2 and 3 qualifications. Review excess stock of drugs and return to pharmacy Continue with repairs to the front wall when the season permits. Find alternative suitable accommodation for domestic equipment to minimise risk of cross infection. Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shaldon House DS0000026554.V279265.R01.S.doc Version 5.1 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. 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!