Inspection on 17/06/05 for Sloane House Nursing Home

This inspection was carried out on 17th June 2005.

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

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

Other inspections for this house

Sloane House Nursing Home 05/09/07

Sloane House Nursing Home 05/09/06

Sloane House Nursing Home 09/01/06

Sloane House Nursing Home 31/01/05

Sloane House Nursing Home 28/10/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Sloane House Nursing Home 28 Southend Road Beckenham Kent BR3 5AA Lead Inspector Lorraine Pumford Unannounced 17 June 2005 10:00 th 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 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. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sloane House Nursing Home Address 28 Southend Road, Beckenham, Kent, BR3 5AA 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) 020 8650 3410 020 8650 5009 The Mills Family Limited Care Home with Nursing 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Staffing Notice issued 28 September 1988. Date of last inspection 31/01/05 Brief Description of the Service: Sloane House is a large, detached building in a residential area of Beckenham. It has been converted for use as a care home providing nursing care for up to thirty-three older people of either sex. The home has a team of qualified nurses, supported by care and ancillary staff. There are single and shared bedrooms, most of which have ensuite facilities. Accommodation for service users is on different floors, with access by passenger lift. The home has some off-street parking at the front and a back garden with patio. There are bus and rail services nearby, with links to the public tram service. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by two inspectors who were in the home for approximately 5.5 hours. During this time the manager, some members of staff and service users were spoken with, a number of records examined and parts of the premises inspected. All Registered Care Homes receive a minimum of two inspections within a 12 months period. As this inspection may not have covered all the “National Minimum Standard” on this occasion if further information is required it is recommended that a copy of the last inspection report also be obtained. What the service does well: What has improved since the last inspection? Since the last inspection the home has improved its documenting of medication returned to the pharmacy for safe disposal. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4, The present contract and terms and conditions of residency mean that it is unclear as to both parties’ rights and responsibilities. All service users should receive a letter stating that following an initial assessment the home is able to meet their needs. EVIDENCE: A sample of pre-assessment records was examined. The manager stated that either she or one of the registered nurses visit prospective service users in their own home or hospital prior to admission. The format used by the company is very basic and alone would not collate sufficient information to establish a persons needs or formulate a care plan. However comprehensive assessments had been undertaken by service users’ care managers and had been forwarded to the home. These clearly identified service users’ needs. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 9 Discussion took place around the need for the care plan to be developed prior to the service user being admitted to the home, rather than using the initial few weeks of the placement as a period of assessment. It is also a requirement that the manager confirms in writing to the service user that following the assessment, the care home is suitable for the purpose of meeting the service users’ needs in respect of their health and welfare. Service users and their representatives are provided with a contract and terms and conditions of residency. Some issues arose in relation to these documents. The period of notice varied between the reasons a service user may wish to leave or be asked to leave. Neither documents included information regarding the fees to be paid or the bedroom to be occupied. The contract had only space for the service user to sign but not for a representative of the company, making the arrangements appear very one-sided. The record indicated that visiting was unrestricted, then made reference to visitors being welcome between 10 a.m. and 6 p.m. The print on the document was generally very small. Whilst there was a statement indicating that the document could be requested in larger print, it would be more user friendly to increase the size of print routinely on all documents service users have a right to see. These documents needed to be reviewed with both parties’ terms, conditions and responsibilities made clear. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 Comprehensive care plans ensure staff are provided with information on how to meet service users’ needs. Whenever possible service users and their representatives should be involved in the process. Service users’ medication must be appropriately stored to ensure maximum effectiveness. Service users can be confident that staff will treat them with respect, dignity and uphold their privacy. EVIDENCE: Care plans examined were comprehensive and provided the staff with guidance on how to meet the assessed needs. Where a service user had been identified as having additional needs relevant healthcare professionals had been contacted and their recommendations and guidance were incorporated into the individual’s care plan. For example, service users who had been admitted with pressure areas had been visited and assessed by a member of the Primary Healthcare Trust’s Nursing Home Liaison Team who provided advice for nursing staff in relation to appropriate dressings and treatment etc. Likewise care staff had recently referred a service user to the community dietician to enable them to ensure that the service user was receiving appropriate suitable nutrition. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 11 A GP holds a weekly surgery in the nursing home and in addition attends service users when required. The manager stated that a chiropodist and, when necessary, a dentist also attend the home. Service users are able to retain their own GP if they wish. A service user spoken with stated that the hairdresser visits the home frequently. Care plans included a risk assessment and provided guidance for staff in relation to moving and handling. A risk assessment had been completed in relation to those service users requiring safety rails to their beds and there was evidence to indicate that relatives had been involved in these decisions. There was evidence that the care plans were being regularly reviewed by nursing staff, however, the process does not always include the service user or their relative or representative. Without this involvement individual preferences which can improve the quality of life for service users can be easily overlooked e.g. one service user spoken with stated that she would like a bath more than once a week, however, staff had never asked her preference in relation to this. The manager stated that care managers have been asked to attend reviews although generally they do not attend on a regular basis. Service users wishes in respect of action to be taking following death had been recorded in the care plans. Whilst the home had improved its recording in relation to medication being returned to the pharmacist for safe disposal, some issues continue to need attention in relation to recording and storage of medication. The room used for storing medication was very hot which could adversely affect medication. The room it is also too small with limited space for checking and preparing medicine. The fridge used for storing medication has been removed from the medication room to a corridor in an attempt to regulate the temperature more consistently, although locked the fridge should still be housed in a secure room. Staff are routinely recording the temperature of the fridge and whilst it remains a concern, the temperature of the room housing medication should also be recorded. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 12 Good practice was seen in relation to ordering of medication which is recorded monthly on MAR sheets. The home keeps a copy and sends a copy to the pharmacy which obtains the prescription from the GP. The home keeps a record of all medication received, this includes medication for service users admitted on a short-term basis. The GP re-assesses service users’ medication every three months. The MAR sheets inspected indicate the home to be using its own code rather than that included on the MAR sheet format. It is recommended the same codes be used to reduce the risk of error. Hand transcriptions should also have two signatures to ensure accuracy. There was also conflicting practice in relation to recording PRN medication, with some staff leaving the document blank when a service user has declined the medication and others recording not required. Where medication is carried forward from one month to the next the home should ensure this medication is accounted for by carrying forward the balance each month allowing for full auditing of the medication. It is recommended that information regarding allergies is always completed; either stating there is an allergy or “none”. Appropriate procedures were in place for the administration of control drugs. Eye drops were kept in the fridge as required by the storage information and all had the date that the medication had first been opened in order that they could be disposed of within the four weeks. The medication room contains a sharps bin and hand washing facilities in working order. Staff are now keeping a record of medication returned to the pharmacy. The pharmacist should sign to indicate the medication has been received for safe disposal. “Ensure” was available in bulk with no individual prescription label for named service users. External medication was being kept appropriately separate from oral medication. Photos of the service users were in place although these were quite loose and could easily be misplaced. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14 Service users are provided with a range of activities. Service users lives could be enhanced further by enabling them to have more of a say in the day-to-day life and activities of the home. EVIDENCE: The home employs an activities co-ordinator. Notices were seen around the home providing service users and relatives with information on forthcoming social events. A small display is arranged in the hallway providing information about annual events e.g. on this occasion the display featured tennis. A service user stated she had been out to the theatre and to the London Eye, although she stated this kind of activity doesn’t happen often. Some entertainment is brought into the home such as a pianist and violinist. Service users spoken with stated they thought activities could be improved, as they would like to go out more often. Service users spoken with stated that whilst they were happy with the food provided, they had not been asked their likes and dislikes in relation to food and were not involved in any discussion regarding menu planning. However, records indicate that service users are asked about their preferences on admission. This is another issue which could be simply resolved by the Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 14 inclusion of service users in reviewing of care plans, e.g. service users spoken with said they would like the opportunity to have a hot cooked breakfast occasionally. The majority of service users spoken with felt there were sufficient hot and cold refreshments provided throughout the day. Personal anniversaries are celebrated and one service user recalled having had a birthday party recently and that cook had made a birthday cake for the occasion. Service users stated they were able to get up and go to bed when they wish and choose the clothes they wanted to wear. Service users stated that staff were supportive and provided assistance when required. The manager stated that she and representatives of the company meet with service users and their representatives both formally and informally throughout the year to enable all parties to air their views. Records are kept of formal meetings and minutes distributed to all parties. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, The manager needs to reassess the way she responds to service users’ complaints, to ensure residents are confident that their concerns are listened to, taken seriously and acted upon. EVIDENCE: There is a complaints procedure, which is displayed in the home, this includes details on how to contact the CSCI. The manager stated that service users and their advocates have also been provided with copies of this information. The manager keeps a record of any complaints she receives. This document was examined and there were two instances of service users raising issues regarding poor care practice. The manager had responded to this by asking the relevant staff to write a statement regarding the incident. There was no evidence to indicate the manager had discussed the issue with the staff member concerned as soon as possible. The need for the manager to address the matter with the care staff concerned immediately was discussed, to ensure service users feel confident and secure the incident would not occur again. Since the last inspection the CSCI has received one complaint regarding this home, which is currently being investigated. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,23,24,26 Service users are provided with a safe environment. Service users’ bedrooms and beds could be made more comfortable with improved ventilation and good quality bed linen. Staff encroach on service user space, as they are not provided with their own appropriate facilities. Service users should have a room available to enable them to meet with guests in private. Staff are provided with appropriate protective clothing and are aware of procedures to prevent the spread of infection. EVIDENCE: On the day of the inspection all communal areas were clean, bright and free from unpleasant odours. There is a large conservatory to the rear of the building, which looks out onto a well-maintained garden, which is accessible for wheelchairs and from discussion with service users provides a lot of enjoyment. The manager stated that the home had recently been inspected by the Environmental Health Department and their findings were satisfactory. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 17 The dining room is too small to accommodate all the service users at one time; therefore meals take place over two sittings. The manager stated that there is a rota to enable service users a change between first and second sittings. It was a particularly hot day and safety restrictors on service users’ bedroom windows whilst necessary, prevented ventilation of the rooms, these restrictors should be adjusted for the maximum safe ventilation. The kitchen was not inspected on this occasion as the manager had stated that no action had been taken to address the issues raised at the time of the last inspection, when it was established the area was due for refurbishment. The home does not have a room for service users to meet with guests in private, this needs to be addressed particularly as some service users are accommodated in shared bedrooms and therefore have nowhere to meet and talk to people in private. Whilst staff have been provided with lockers in a small room adjacent to the external laundry, there is no designated space for staff to take breaks. This has resulted in staff using the service users dining room for the purpose. This is an intrusion into service users’ space and gives a negative impression to visitors. All staff should have the opportunity to have a break away from their tasks and appropriate designated rest facilities should be provided for all staff working in the home. The majority of service users benefit from having bedrooms with ensuite facilities. Generally bedrooms were individually personalised with service users personal effects. Privacy screening is provided in all shared bedrooms. A smell of urine pervaded two of the bedrooms seen and this issue needs to be addressed. During the inspection bed linen was examined in the laundry area, linen cupboard and on service users’ beds. A large number of pillow cases and sheets were found to have holes in them and all bedding seen was very worn. There is an emergency call system throughout the home. Some points in the WCs and service users’ bedrooms were seen to be inappropriately sited in that a service user would have to over reach to activate the alarm which could result in a fall. Not all bedroom doors are provided with appropriate locks, discussion took place around installing locks as part of the homes ongoing redecoration and refurbishing programme. Each service user has a lockable drawer in their bedroom to enable personal and private information medication etc to be stored securely. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 18 The laundry area would benefit from reorganisation and a thorough clean. Washing machines are provided with a sluice facility. Biodegradable washing bags are used to transport soiled linen and minimise the risk of spreading any infection. Appropriate protective equipment, including gloves, aprons, hibiscrub and waste bags are available to staff. Members of cleaning staff spoken with had a good understanding of infection control procedures and were using appropriate equipment. Some cleaning materials were found in unlocked cupboards and unsupervised in the sluice room. Further there were instances of cleaning fluid being decanted into spray containers and labels did not indicate their content. These bottles should be labelled. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30 Suitably qualified and competent staff are employed to meet the needs of service users. Staff are provided with appropriate training opportunities. EVIDENCE: The home continues to operate with staffing levels above the minimum stipulated in the homes “staffing notice”. In addition to nursing and care staff, staff are employed to undertake administration, catering, laundry and domestic duties. Care staff were seen to relate to service users in a calm and professional manner. Staff were observed to be seated whilst assisting service users with refreshments and were providing assistance without rushing service users. Staff assisting with personal care respected service users privacy and dignity by ensuring they knocked on doors before entering and providing personal care in service users rooms with doors closed. A service users spoken with stated she found staff to be kind and helpful. A copy of the homes staff training matrix was seen. This enables the manager to monitor staff members’ training needs. Discussion took place around the need for nursing staff to be included on first aid training courses. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 The manager is suitably qualified to fulfil the role of registered manager. EVIDENCE: The manager is a qualified nurse and has completed the registered manager’s award. The manager stated that although she is responsible for the day-to-day running of the home, her role is primarily to supervise staff practice and care of service users. Discussion took place in relation for the need for the manager to develop an internal review of the quality of care and nursing provided to meet the requirements of Regulation 24 of the Care Homes Regulations 2002. A copy of these findings should be made available to the CSCI. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 2 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 2 15 x COMPLAINTS AND PROTECTION 3 2 3 x 3 2 x 2 STAFFING Standard No Score 27 4 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x 2 x x x x x x x Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 22 yes 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 3 Regulation 14(1)(d) Requirement Timescale for action 30.07.05 2. 7 15(2)( c ) 3. 9 13(2) The registered person shall not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so, the registered person has confirmed in writing to the service user that having regard to the assessment the care home is suitable for the purpose of meeting the service users needs in respect of his health and welfare. Unless it is impracticable to carry 30.07.05 out such consultation, the registered person shall, after consultation with the service user, or a representative of his, reviser the service users plan as to how the service users needs in respect if his health and welfare are to be met. The register person shall make Action plan arrangements for the recording 30.08.05 handling and safekeeping of medication in particular regard to the temperature of the room where medicines are stored which should not exceed 25 degrees centigrade. Previous timescale of 28.02.05 not met. Version 1.30 Page 23 Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc 4. 19 23(2)(b) (d) 5. 6. 24 25 16(2)( c) 23(P) 7. 13 23(2)i) 8. 19 23(1)(a) 9. 26 13(4)(c) 10. 30 13(4)( c) The registered person must ensure the premises are kept in a good state of repair. The action plan regarding the kitchen refurbishment must be provided to the commission. The previous timescale 31.03.05 not met. Ensure service users are provided with good quality bed linen appropriate to their needs. Ensure that service users bedrooms are appropriately ventilated and maintained at a comfortable temperature. There is a room available for service users to meet with visitors in private and make and receive telephone calls. Provide staff with appropriate accommodation to take rest periods which is not part of the service users space. The registered person shall ensure that unnecessary risks to health or safety of service users are identified and as far as possible eliminated particularly with regard to the safe storage of hazardous substances. Sufficient numbers of staff are qualified in first aid to ensure that at least one appropriately qualified person is on duty each shift. 30.08.05 30.07.05 30.07.05 Action plan 30.08.05 Action plan 30.08.05 30.07.05 30.10.05 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. Refer to Standard 2 16 Good Practice Recommendations Each service user is provided with a written contract/statement of terms and conditions with the home. The manager should respond promptly regarding concerns and complaints brought to her attention by service users. G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 24 Sloane House Nursing Home 3. 24 Doors to service users private accommodation are fitted with locks suited to service users capabilities and accessible to staff in emergencies. Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection River House 1 Maidstone Road Sidcup DA14 5RH 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 Sloane House Nursing Home G01-G51 s10141 Sloane House UI v232003 170605 Stage 4.doc Version 1.30 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. 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