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Inspection on 07/07/05 for Shamu

Also see our care home review for Shamu for more information

This inspection was carried out on 7th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

All the residents liked living at the home. They felt that they were provided with choice over such areas as meals, activities and over how they spent their time. Residents liked the staff and felt that they supported them. The home had developed comprehensive care plans that showed the needs of the people living in the home and therefore provided the information that staff needed to meet the needs of the residents. The residents were involved in reviews and in discussing with their key worker their needs and the progress they had made. All the residents had the opportunity to attend college and could choose from a range of courses. Residents were supported to undertake a range of domestic tasks around the home including helping with meal preparation, cleaning their bedrooms and gardening. The home operated a suitable recruitment process and completed the preemployment checks that protected the residents. The home had systems in place that looked at the service provided and identified areas that needed to be looked at to improve the service. The manager of the home had completed a qualification in managing a care home.

What has improved since the last inspection?

Since the last inspection the home has completed risk assessments on the residents` ability to manage the hot surfaces of radiators. The water temperature of the downstairs shower had been addressed. The staff had received the necessary training updates in lifting and handling. The carpet identified at the last inspection as needing cleaning or replacement had been cleaned. The home had put into practice its Quality Assurance systems that included meeting with residents to gain their views and monthly audits of care plans and aspects of the environment.

What the care home could do better:

The home did need to address some issues to meet the necessary standards. The home needed to ensure that all health appointments were recorded on file. Although the medication systems were suitable there was one occasion when medication although provided had not been signed for and the home needs to ensure that all medication is signed for at the time it is given to the resident. Other issues related to the decoration and fabric of the home. There were some areas particularly the corridors that needed to be decorated. Radiators particularly those in the bathroom and shower room need to be covered, as they could be a hazard to the residents. This has been outstanding for some time. Also the access to the shower was very high making it difficult for at least one resident to get into. The home therefore needs to consider having a more suitable shower fitted. There were some handles that needed to be attached in one bedroom and a chair in another residents` room needed mending or replacing. The home also needed to confirm that the nurse call system was being serviced. Whilst the staff had undertaken most of the required training infection control and adult protection training was outstanding.

CARE HOME ADULTS 18-65 Shamu 126 Regent Road Hanley Stoke Staffordshire, ST1 3AY Lead Inspector Jane Capron Announced 07 July 2005 09:15 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 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 Stationary 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. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Jane Capron Address 126 Regent Road Hanley Stoke on Trent Staffordshire ST1 3PF 01782 208590 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Delam Care Ltd Care Home Care Home 6 6 6 Category(ies) of LD registration, with number MD of places Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4.1.2005 Brief Description of the Service: Shamu residential care home provides care for 6 service users who have a learning disability. Some of the service users also experience mental ill health. It is owned by Delam care, a company that owns five similar care homes in the vicinity. Accommodation is provided in single bedrooms, four of which are located on the ground floor. The communal areas included a lounge and separate dining room, a domestic kitchen and a laundry shared with the adjacent care home. The home had a small garden area at the front and a larger area at the rear with a grassed area and trees and flower borders. This has facilities for service users to sit in the garden. The home had a shower room downstairs and a bathroom upstairs. The home is located in an area of Hanley with access to some local shops and a twenty-minute walk to the main shopping area. The service users can attend a local college and have the opportunity to undertake activities. The home had the support of a part time activity staff member. The staff employed the home also undertake activities and trips out with the service users. The aim of the home is to promote the independence of the service users and to support and encourage them to develop their life skills. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over a period of around four and a half hours. The inspection included discussions with the manager, the staff member on duty and all of the residents. The communal and private areas of the home were inspected as well as a range of documentation relating to the environment and the care provided. The arrangements for the administration of medication were examined as well as the system for monitoring and safeguarding residents’ finances. Comments were also sought from a Social Worker involved with one of the residents. The home had received no complaints since the last inspection and no additional visits had taken place. What the service does well: All the residents liked living at the home. They felt that they were provided with choice over such areas as meals, activities and over how they spent their time. Residents liked the staff and felt that they supported them. The home had developed comprehensive care plans that showed the needs of the people living in the home and therefore provided the information that staff needed to meet the needs of the residents. The residents were involved in reviews and in discussing with their key worker their needs and the progress they had made. All the residents had the opportunity to attend college and could choose from a range of courses. Residents were supported to undertake a range of domestic tasks around the home including helping with meal preparation, cleaning their bedrooms and gardening. The home operated a suitable recruitment process and completed the preemployment checks that protected the residents. The home had systems in place that looked at the service provided and identified areas that needed to be looked at to improve the service. The manager of the home had completed a qualification in managing a care home. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 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 standard(s) 2,3.4 Although there had been no recent admissions it was the policy to undertake assessments prior to a placement to ensure that the home was able to meet the needs of residents. The staff had the necessary knowledge and had developed links with a range of health care services to be able to meet the needs of the residents. The home provided residents with a contract so that they or their representative were aware of the terms and conditions of occupancy and were aware of the services that were included in the fees. EVIDENCE: Whilst all of the residents have lived at the home for a number of years it was the home’s policy to undertake an assessment prior to offering a placement. The home also updated the assessments. The assessments provided the basis for the development of the individual care plans. The staff working at the home were aware of the individual needs of the residents and were aware of the support each resident needed. The home had links with health specialists and residents were supported to attend for health appointments. The staff were alert to changes in the residents as possible indicators to health concerns. Observation showed staff and residents positively interacting and staff were able to communicate effectively with Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 9 residents. Residents said that the staff were helpful and helped them when they needed it. They said that they went to the doctor when they were ill and attended other health care services. All residents were provided with a contract by the home as well as by the sponsoring authority. These outlined the terms and conditions of occupancy and identified what the fees covered. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6,7,8,9 The care plans in place provided the necessary information for staff to support the residents to have their needs met. Decision-making and participation were encouraged at the home providing residents with a range of choices and giving them control over their lives and the opportunity to develop. The home had developed risk assessments that enabled the residents to be appropriately supported to take reasonable risks without any unnecessary restrictions. EVIDENCE: The home had a care planning system in place and all residents had a comprehensive care plan in place. The plan covered the areas of health, personal care, and occupational and domestic tasks. The plans identified the needs of the residents and actions needed to support them to maintain and develop skills and to have their health and personal care needs met. Care plans were evaluated and reviewed with the resident on a six monthly basis. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 11 Decision-making was encouraged and supported. Residents chose where and how to spend their time. They chose whether to attend college and the courses they wanted to attend. They chose whether to join in with activities, whether to spend time in the communal rooms or their private rooms and chose when to undertake personal care tasks. Residents were encouraged to participate in a range of tasks around the home including domestic tasks such as meal preparation, laying the table and washing up. Residents assisted in cleaning their bedrooms. The home had resident meetings were their views over aspects over living at the home could be voiced. They were consulted over the menus and over what activities they wanted to undertake. The home had developed a range of individual risk assessments covering such areas as accessing the community, use of keys, managing hot water and radiators and using the kitchen. These assessments were being reviewed. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12,13,14,17. The home provided the opportunities for residents to engage in independent living skills and to participate in a range of activities both in and out of the home providing them with the opportunity to develop and to have a varied lifestyle. The home provided meals that gave the residents choice and variety. EVIDENCE: Residents had the opportunity to undertake a range of independent living tasks including making drinks, cleaning, food preparation, shopping and going to the bank. Support was provided to residents that wished to go to church. All the residents could attend college if they wished. Courses taken included needlecraft, horticulture, art and drama and painting and decorating. Residents regularly went shopping for personal items as well as going with staff to do the weekly food shop. Social activities within the home included video evenings, baking, beauty evenings and arts and crafts as well as watching TV. One resident spent time on their play station. Activities out of the home included going on picnics, trips out, going to the pub, going shopping and going to a local club. A holiday to Wales was planned for October. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 13 Residents pay for their own holiday. The home had access to a people carrier and the residents contributed to the running of this. All the residents stated that they liked the meals and that they were involved in choosing the menus. Residents went with staff to do the weekly food shopping and went on a regular basis to buy goods like milk and bread. The home had its main meal at teatime and had a snack type lunch. Breakfast consisted of toast and a range of cereals. Snacks were available between meals and for supper. There was evidence of home baking and the residents undertook some baking with staff. Residents’ individual preferences were taken into account. Records showed a varied menu was provided. Residents weight was monitored. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18,19,20 Personal support was offered in a manner that was discreet and promoted the residents’ privacy and dignity. The health care needs of the residents appeared to be being met but the absence of some records meant this could not be confirmed and therefore there was the possibility that residents could miss necessary treatments, which could adversely affect their welfare. The system for the administration of medication was generally good but an error in recording could have a detrimental effect on residents. EVIDENCE: Health and personal care needs were identified in the care plans. Resident’s health and personal care needs appeared to be being met. Residents stated that they attended the dentist, the optician and the chiropodist although this was not always recorded accurately in the file. Residents said that the staff supported them when necessary over personal care tasks although the main need was for encouragement and monitoring. Staff supported residents to attend health appointments. Residents had ample clothing that was age and weather appropriate. Staff went with residents to buy clothes when needed. The home’s routines were flexible and residents could decide when to get up and go to bed and when to have showers and baths. Most had baths/ showers Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 15 on a daily basis. Residents received nail care and had beauty evenings where nail care was one of the areas attended to. Records showed that residents accessed any specialist health care needed such as psychiatry. Staff spoken to were aware of the personal care and health care needs of the residents and were alert to any changes in residents’ mental health. Residents received specialist screening as necessary. The home operated a monitored dosage system for the administration of medication. Staff had received training in the administration of medication and were aware of the individual medication needs of the residents. The administration records were being completed but there was one occasion when medication had been administered but not recorded. One resident self medicated and she had been provided with a lockable facility in which to keep her medication. Staff monitored that she took the medication appropriately. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 22,23 The home’s complaint procedure was satisfactory with residents feeling that concerns were listened to and acted upon. Whilst the home had an adult protection procedure, care staff had not received training and therefore residents could not be fully assured that any incidents would be picked up and acted upon correctly. EVIDENCE: The home had a complaints procedure that was displayed and copies provided to all residents. Residents were aware of how to complain and felt that any concerns they had raised had been responded to by staff. A record was being kept of any complaints received and this showed complaints were responded to in a timely manner. The home had an adult protection policy in place and staff spoken to stated that they would bring any concerns to the attention of the manager. None of the staff had received training in adult protection but did have access to the procedures. The home had a suitable procedure for the management of residents’ finances with records being kept and being regularly checked and monitored. Plans were in place identifying the support each resident needed with budgeting. Staff were aware of issues of aggression and violence were understanding of the reasons for incidents. Training had been provided in this area. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 17 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 standard(s) 24,26,27,30 There has been no change to the decoration since the last inspection and although the home was safe some redecoration would provide the residents with a more pleasant environment. The home had adequate toilet and bathing facilities but the residents would benefit from an updated shower facility that was easier to access. The residents benefited from private accommodation that they were encouraged to make their own and that afforded them privacy. The home had suitable cleaning regimes in place that provided residents with a clean and hygienic environment. EVIDENCE: The home was of a suitable design to meet the needs of the residents. Local shops were nearby and the main shopping centre of Hanley was a fifteen to twenty minute walk away. The home was generally satisfactorily maintained but there were certain communal areas, particularly the corridors, that needed decorating and a bedroom chair was broken and handles were not on some drawers. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 18 The home had all single bedroom accommodation and these were suitable decorated. Two residents had funded built in furniture for their bedrooms. All bedrooms had seating provided and had the necessary furniture. Bedrooms were well personalised with residents’ belongings. The home had a bathroom upstairs and a shower room downstairs. The shower cubicle showed wear and tear and the access to the shower was high which could cause some access difficulties. There were also two separate toilets. The home had procedures in place for the control of infection. There were adequate supplies of gloves and aprons. Cleaning schedules were in place. The laundry was suitable to meet the laundry needs of the home. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,36 The current level of staffing was adequate to meet the personal care and health care needs of the residents and to provide some opportunities to engage in leisure and social activities. The recruitment procedures were robust ensuring pre-employment checks were undertaken providing protection for the residents. Staff received support and supervision to enable them to develop and to provide a consistent service to the residents. EVIDENCE: The home’s staffing levels provide for one staff member to be on duty throughout the day and one staff member sleeping in at night. There were plans in place for a small increase in staff to provide for two staff to be on duty at times during the week. This level of staffing would greater aid the home to provide support to residents to have more opportunities to access the community and to have support to undertake activities within the home. The current staffing levels do enable the residents’ health and personal care needs to be met and provide some opportunity to support residents to access activities. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 20 The home had suitable recruitment procedures in place and the necessary pre –employment checks had been completed. Staff were supported by the Care Manager and individual supervision was provided. Staff meetings were held. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,42 The manager had the necessary knowledge and skills to effectively manage the home to provide the residents with a service that met their needs. The home’s Quality Assurance systems assessed the service provided and provided the information to enable the home to be improved and developed. The Health and Safety procedures were generally providing a safe environment but the absence of infection control training for staff and the presence of uncovered radiators could adversely affect the residents’ welfare. EVIDENCE: The registered manager had the skills, knowledge and experience to effectively manage the home. She had achieved NVQ 4 and the necessary management qualification. She operated an open management style and was supportive to staff and residents. She worked in a care role for one shift a week at the home. Residents and staff were consulted over the running of the home and Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 22 over any proposed changes. The manager was readily available to staff and residents. The home had some quality systems in place. These included monthly audits of care plans and residents’ files, assessment of environmental issues and resident meetings and on going individual discussions with residents. The home had Health and Safety procedures in place. Staff had received training in fire prevention, lifting and handling, food hygiene and first aid. Staff had not received training in infection control. Procedures were in place for the control of the legionella bacteria, and for the safe storage and use of hazardous substances. Fire safety procedures were being undertaken and the necessary servicing had taken place. Valid gas and electrical certificates were in place. A range of risk assessments was in place for safe working practices. Not all hot surfaces were covered but there were risk assessments in place for residents. The absence of covers in the shower room and bathroom could be a hazard to residents. Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shamu Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 24 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. 2. 3. 4. Standard 19 20 23 24 Regulation 13(b) 13(2) 13(6) 23(2) (c )&(d) Requirement That accurate health care records be kept. To ensure that accurate records are kept of the adminstration of medication To provide trainnig in adult protection for all staff (previous timescale not met) To ensure that the home is suitably decorated i.specifically the corridors and ii. that the minor repairs to furniture are undertaken To provide training in infection control To ensure that hot surfaces do not cause a hazard to residents particularly those in the bathroom and shower room Timescale for action 7/7/2005 7/7/2005 1/10/2005 1/11/2005 1/8/2005 5. 6. 42 42 18(1)(i) 13(4) 1/10/2005 1/10/2005 1/10/2005 7. 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. Shamu Refer to Standard 20 Good Practice Recommendations To introduce a system of assessing staffs ability to E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 25 2. 27 administer medication To provide suitable shower facilities Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Shamu E51-E09 S64026 Shamu V232681 070705 Stage 4.doc Version 1.40 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!