Inspection on 10/04/07 for Silverwood Care Centre

This inspection was carried out on 10th April 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Silverwood Care Centre 29/05/06

Silverwood Care Centre 01/10/05

Silverwood Care Centre 06/06/05

Silverwood Care Centre 07/02/05

Silverwood Care Centre 30/09/04

Silverwood Care Centre 25/03/04

Silverwood Care Centre 01/07/03

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

CARE HOMES FOR OLDER PEOPLE Silverwood Care Centre Flanderwell Lane Sunnyside Rotherham South Yorkshire S66 0QT Lead Inspector Ivan Barker Key Unannounced Inspection 10th April 2007 10:20 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 DS0000003088.V332030.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. DS0000003088.V332030.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverwood Care Centre Address Flanderwell Lane Sunnyside Rotherham South Yorkshire S66 0QT 01709 532022 01709 532044 silverwood@asbournehomes.co.uk 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) Modelfuture Limited, Post Vacant Care Home 64 Category(ies) of Dementia - over 65 years of age (49), Old age, registration, with number not falling within any other category (15) of places DS0000003088.V332030.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The three units must have dedicated staff teams. Date of last inspection 29th May 2006 Brief Description of the Service: Silverwood Care Centre is a purpose built home providing personal care for up to 64 older people. It has accommodation over 2 floors connected by staircases and 2 lifts. All the rooms are single and have en-suite toilets. The home has 3 units with provision for providing dementia care and personal care. A central kitchen and laundry serves all 3 units of the home. Silverwood Care Centre is located in the residential area of Sunnyside, a suburb of Rotherham. The home is located behind the shops on Flanderwell Lane and out of view from the road. A sign on the side of the shops indicates where the home is located. The home has a car park to the front of the building. Information about the service available to residents and their families is via the home’s Statement of Purpose and the Service User Guide. A copy of the inspection report is made available at the home. Fees range from £370 - £390. DS0000003088.V332030.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: Mrs Alison Nichols, manager. Within this site visit, which occurred over a four hour, fifty five minute period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 3 service users (Case tracked means looking at the care and service provided to specific service users living at the home; checking records relating to their health and welfare (care plans and other records); by talking to the service users themselves; viewing their personal accommodation as well as communal living areas) and spoke with other service users, and relatives and also 3 staff and examined assessments, care plans, risk assessments, activity records, menus, complaint files, staff files and quality audit information. The history of the service was examined prior to the site visit. This included the telephone contacts, letters, notifications etc. What the service does well: Service users and relatives were generally satisfied with the care and service provided. The comments were; ‘Care is good, things have improved over the past 4 weeks’. ‘ The relatives had a meeting with the new manager and things have improved’. ‘I’m looked after Ok, although I would like to go home’. ‘They like to do things, (activities) but some (service users) are not capable’. ‘Its nice to be busy’. ‘The food is ‘good’ and ‘plenty of it’.’ ‘Whenever I visit I have a meal with mum, its very nice’. ‘The place is clean and nicely decorated’. DS0000003088.V332030.R01.S.doc Version 5.2 Page 6 ‘Things has improved over the past 4 weeks, before that the cleaning was poor’. ‘They always keep my room clean and tidy’. Comprehensive assessments were obtained prior to the service user’s admission to the home. Comprehensive care plan documentation was in place. These will assist in planning and delivering the care. Extensive quality assurance systems were in place that should assist the manager and company to measure the service against expected outcomes. An experienced manager is in post, and promptly acting upon shortfalls identified by herself, the company and the Commission. What has improved since the last inspection? What they could do better: The service had improved over the past 4 weeks, and this was supported by the comments received from the relatives, however the area of housekeeping that included domestic services and laundry need to be improved. The manager agreed to review both areas. The service needs to be more proactive in identifying training, particularly moving and handling needs and acting upon these before being identified at an inspection by CSCI (Commission for Social Care Inspection). The service needs to achieve 50 of care staff be qualified to National Vocational Qualification level 2. An application should be submit for a registered manager. DS0000003088.V332030.R01.S.doc Version 5.2 Page 7 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. DS0000003088.V332030.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 DS0000003088.V332030.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): Standards 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate comprehensive assessments were in place from the care management team and from the staff of the service. This ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. DS0000003088.V332030.R01.S.doc Version 5.2 Page 10 EVIDENCE: On examination of three service users’ care management assessments, all the service users had care assessments from the care management team. All assessments documents were signed and dated prior to the admission date. Documentation regarding the assessment undertaken by the staff of the service, was examined and found to be very comprehensive, and detailed the service users needs which would assist in providing sufficient information for care plans to be drawn up. The manager advised that no intermediate care, only respite care was provided within the service. DS0000003088.V332030.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): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate care plans and care reviews will contribute to the delivery of care, however service users or relatives should be aware of the content of the care plans. Service users were satisfied with the care they received. The good practices within the administration of medications should provide protection for the service users. DS0000003088.V332030.R01.S.doc Version 5.2 Page 12 EVIDENCE: On examination of the care plans, from three service users, it was established that all three care plans were up to date, and had been evaluated on a monthly basis. However there was no evidence that the service user or family had been consulted on the content of the care plans, as the documentation had not been signed, despite a section being available for the signatures. On discussing this fact with the relatives, they advised that they were always kept informed of the care being delivered, but had not seen the care plans. There were daily entries within the care plans, these recorded the care delivered on a daily basis. Comprehensive risk assessments were included within the documentation and included moving and handling, nutrition, skin integrity, and other risk factors. Service users and relatives expressed their views, during the inspection. Their opinions were; ‘Care is good, things have improved over the past 4 weeks’. ‘ The relatives had a meeting with the new manager and things have improved’. ‘I’m looked after Ok, although I would like to go home’. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. The poor administration of medication records had been a requirement at the last inspection. Since the inspection the company had been proactive on this matter and a monitoring system had been operating to ensure that record keeping improved, which it had. DS0000003088.V332030.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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were organised within the service, which would provide stimulation to service users and enhance their quality of life. Service users were given the opportunity to exercise their right of choice regarding the activities and provision of meals. EVIDENCE: The manager advised that two staff were employed as activities co-ordinators. One was employed to work 20hrs per week and the other member of staff for 16 hours per week. There was a programme of planned social events displayed at the entrance to the home. Within each care plan, there was an activities record, which had been completed on a daily basis to indicate which activity the person participated in, whether a group activity or one to one. DS0000003088.V332030.R01.S.doc Version 5.2 Page 14 A ‘coffee morning’ with both activity co-ordinators was taking place during this visit. This was scheduled on the programme. On discussing the activities with the service users, and relatives their opinions were that; ‘They like to do things, but some (service users) are not capable’. ‘Its nice to be busy’. Regarding the meals, the manager advised that, as service users were often unable to remember what choice they had made, because of their medical condition, the service did not currently provide a menu. However two choices were available at dinner and each service user was asked their choice, before providing a meal. It was observed that each service user was asked if they wanted curry or shepherds pie. The majority of service users chose the pie. It was observed that one service user who had requested the curry decided not to eat the meal. A carer spoke with the service user and he requested that the meal was changed to shepherds pie. There was sufficient food prepared for an additional portion of pie to be served to the gentleman. Copies of four weekly menus were seen, within the kitchen, and the food on the date of the visit was being prepared according to this menu. Positive comments were received from the service users and relatives regarding the food provision. The general comments were that; ‘The food is ‘good’ and ‘plenty of it’.’ ‘Whenever I visit I have a meal with mum, its very nice’. DS0000003088.V332030.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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure in place, it was operating according to the company policy and complaints were resolved within the expected timescales, this would provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. The service was able to evidence that the staff had received Safeguarding Adults training. Therefore staff would be aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The complaints procedure was displayed and available to the service users and relatives. On discussing complaints with the service users, and relative they stated that things had improved over the past month, but there had been problems before the new manager took over. However they were satisfied that things were now improving. During the discussions with the manager, she produced the complaints book that showed that there had been 5 complaints since the last inspection in May 2006. The record indicated that each complaint had been acted upon and letters sent to the complainant. The complaints were regarding the need for DS0000003088.V332030.R01.S.doc Version 5.2 Page 16 better housekeeper, which included cleanliness within the home and the loss of items sent to the laundry. Regarding safeguarding adults, the service had policies and procedures which were available to staff. Staff had undertaken safeguarding adults training, and the manager was able to evidence this by showing training records and certificates. DS0000003088.V332030.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): Standards 19 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment, monitored at the site visit, had been maintained to a good standard to provide a safe, well-maintained environment for services users, except for the odour and the poor quality of television picture, which would impact on service users who choose to sit a watch television for most of the day. EVIDENCE: On touring the building, the home was found to decorated to a good standard and well maintained. The ground floor had been decorated, according to the guidance on dementia care relating to colour co-ordination. This guidance advises different colours for bedroom doors, lounges etc, and these colours assist people with dementia, to locate the various areas. DS0000003088.V332030.R01.S.doc Version 5.2 Page 18 However several areas were in need of general cleaning and vacuuming. The manager advised that the domestic staff were ‘working there way round the home’ and everywhere would be cleaned. On discussing the cleanliness of the home with the domestic staff it was established that they were struggling with one vacuum cleaner, as one had broken. Both members of staff working on two floors of a very large home used this machine. It was accepted that the home would be cleaned, but with the shortage of equipment this would take longer than normal. The shortage of equipment was discussed with the manager and a purchase order for a new vacuum cleaner was obtained at the time of the visit. At the previous inspection it had been identified that there was an odour throughout the home. At this visit there was an odour within the entrance of the home, and adjacent corridor. The manager advised that since this was raised at the last inspection visit, the causes of the problem had been identified and several areas had been addressed and they were in the process of cleaning certain areas and replacing the floor coverings in others. She provided evidence of purchase orders for the new floor coverings. The odour was raised at the last inspection, the service is moving forward on the issue, however as the odour still remains the requirement has been repeated, with a different timescale. On visiting the laundry, all machines were operating and small baskets were available for storing clothes. The name of each service user was written on the basket. It could not be established at this visit why clothing was going missing or going to other service users. Items seen in the laundry did have the service users name within the garment. The manager agreed to investigate this matter further as it was still a problem to the service users and relatives. Whilst touring the building it was noted that many televisions were operating in the lounges and service users room. The picture quality was poor and consisted of many interference lines across the screen on the televisions. On discussing this with service users, all who expressed an opinion stated that it was an appalling picture. The manager advised that the reception was poor and an aerial repair company was to visit the home tomorrow. Positive comments were received from the service users and relatives regarding the home. The general comments were that; ‘Things has improved over the past 4 weeks, before that the cleaning was poor’. ‘The place is clean and nicely decorated’ DS0000003088.V332030.R01.S.doc Version 5.2 Page 19 ‘They always keep my room clean and tidy’. The service users’ rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. These rooms were mainly on the residential / personal care unit. DS0000003088.V332030.R01.S.doc Version 5.2 Page 20 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): Standards 27, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was not able to provide evidence that all staff had received training, which could reflect on the quality of care being delivered to the service users. However the staff recruitment process should provide protection for the service users. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established: Am. shift – Pm. shift– Night shift – 1 senior carer plus 6 carers 1 senior carer plus 6 carers 1 senior carer plus 3 carers Plus A manager A deputy manager Ancillary staff included. 2 domestics and catering staff. DS0000003088.V332030.R01.S.doc Version 5.2 Page 21 Caring for a present occupancy of 55 service users. A full assessment of the dependency levels of the service users was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable adults) checks. On examination of the staff training records there were records and certificates that indicated the staff had received moving and handling and fire. However it was established that some staff had not attended moving and handling or fire training for more than the last 12 months. The importance of updated training to protect the service users, the staff, and the company was discussed with the manager. The manager advised that it was an area she had yet to address as she had only been in post a month, but she gave an assurance that training would be delivered to the staff, within the next week. The operations director of the company contacted the Commission on the 13th April and gave assurances that all staff had now received the necessary training, and she would confirm this in a letter. The service users and relatives commended the staff as being ‘kind’, and ‘good’. There was a previous requirement that 50 of the staff to be qualified to NVQ 2 (National Vocational Qualification) level. It was established that 3 staff had attained NVQ 2 and 1 staff had attained NVQ 3, and that the remaining 19 staff were now signed up to the course and were to commence NVQ 2 course. It was accepted that there had been some progress on this requirement, but 50 was still to be achieved. Therefore the requirement was repeated with a new timescale. DS0000003088.V332030.R01.S.doc Version 5.2 Page 22 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): Standards 31, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced manager is in post. This will contributed to the effective organisation and operation of the service. However there needs to be a registered manager in post. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. DS0000003088.V332030.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager was no longer in post. The person, who had replaced the registered manager, had been in post as manager since the 12th March 2007. The commission had been informed of this change. The manager advised that she had been a registered manager for other similar services for 16 years and she had attained the NVQ 5 (National Vocational Qualification). She identified that since she had been in post she had identified issues that needed to be addressed and was acting upon these. Examples given were the medication systems , which she had been involved with prior to the change of manager, and the supervision, which was a previous requirement. On examination of the staff supervision records it was established that supervision had commenced and was planned to be ongoing for the year. Regarding Quality Assurance, the manager and operations manager undertake the quality monitoring of the service. The system was robust and included analysis of the care and service provision, a scoring system / standard achieved was also included within the documentation. The information from these documents was forwarded to the head office of the company for analysis. Regulation 26 documentations, which are a record of the registered person’s monthly visits, was complied on a monthly basis, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; had been received by CSCI (Commission for Social Care Inspection). The pre inspection questionnaire, which should have been returned to the Commission by the 22nd March 2007, had not been returned, prior to this visit. However on discussing the matter, with the manager she was able to produce the document, which confirmed that the necessary maintenance and servicing had occurred. The change of manager may have contributed to the delay in the document being returned. It was emphasised to the manager the important of returning documentation to the Commission, as such information will, in future contribute to the decision of when to inspect the service. DS0000003088.V332030.R01.S.doc Version 5.2 Page 24 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 DS0000003088.V332030.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP28 Regulation 18 Requirement There must be 50 of care staff that are qualified to National Vocational Qualification level 2. (Previous Requirement. Timescale of 31/12/06 not met). Furniture and fabrics in the home must be free from offensive odour so that people that use the service live in a comfortable hygienic environment. (Previous Requirement. Timescale of 1/8/06 not met) Moving and handling training must be provided yearly for all staff that work with people that have been assessed as having difficulty in moving. A registered manager should be in charge of the service. Timescale for action 07/07/07 2. OP26 16 07/07/07 3 OP30 18 07/05/07 4 OP31 8 07/07/07 DS0000003088.V332030.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. 1 Refer to Standard OP19 Good Practice Recommendations The televisions reception needs attention to prove an adequate picture. DS0000003088.V332030.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. 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