Inspection on 10/05/07 for Sloe Hill Residential Care Home Limited

This inspection was carried out on 10th May 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

Sloe Hill Residential Care Home... 18/10/06

Sloe Hill Residential Care Home... 26/10/05

Sloe Hill Residential Care Home... 07/02/05

Sloe Hill Residential Care Home... 22/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Sloe Hill Residential Care Home Limited Mill Lane St Ippollitts Nr Hitchin Hertfordshire SG4 7NN Lead Inspector Pat House Key Unannounced Inspection 10th May 2007 12:00 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 Sloe Hill Residential Care Home Limited DS0000037036.V339338.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. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sloe Hill Residential Care Home Limited Address Mill Lane St Ippollitts Nr Hitchin Hertfordshire SG4 7NN 01462 459978 01462 437497 sloehill@hotmail.com www.sloehill@hotmail.com Lazyday Investments Limited 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) Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability over 65 years of age of places (28) Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Bedroom 11, which measures less than 9.3 square metres, must not be used to accommodate any resident after the date of registration. Bedroom 10 on the ground floor measures less than 9.3 square metres. When the resident accommodated at the date of registration vacates this bedroom it must not be subsequently re-occupied. The maximum number of residents to be accommodated in the home will then reduce from 28 to 27. The NCSC Hertfordshire Area Office must be notified when this bedroom becomes vacant. All bedrooms will be occupied by one person apart from bedrooms 2 (23.9 square metres), 4 (19.3 square metres) and 6 (18.8 square metres), which may be shared by a maximum of two persons. These bedrooms may only be shared by residents who have made a positive choice and mutual agreement to do so and this must be recorded. Bedrooms 6 and 7 on the first floor, which are accessible via some steps, may only be used to accommodate ambulant residents. Non-ambulant residents must not be accommodated in these rooms unless ramps have been provided to make them accessible to nonambulant residents. The home must have three assisted bathrooms. To achieve this, one of the two existing bathrooms must be upgraded and one additional assisted bathroom installed by 1st June 2003. 18th October 2006 3. 4. 5. Date of last inspection Brief Description of the Service: Sloe Hill is an independently run home owned by Lazydays Investments Ltd. The home transferred ownership to the current proprietors in 2002. It is situated down a narrow lane about mile from Hitchin town centre. It is a large attractive Edwardian house set in two acres of grounds overlooking a rural setting of villages, farms and fields. The home has been extensively converted and an annexe has been added. The annexe blends in with the existing premises. The home is registered to provide personal care to 28 elderly persons. It has a total of 25 bedrooms, 3 of which may be shared by 2 people. Accommodation is on 2 floors served by a passenger lift. There is no level access from the lift to two rooms on the first floor. The ground floor comprises an entrance lobby, lounge, lounge/diner, conservatory, dining room, main kitchen, kitchenette, laundry, 19 bedrooms, 1 assisted bathroom and 4 WC’s. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 5 The first floor comprises of 6 bedrooms, 1 non-assisted bathroom and a WC. 14 bedrooms are en-suite with a toilet and a wash-hand basin. There is parking around the front and side of the home. There is a table in the entrance hall of the home where a wide range of information is displayed, including the home’s Statement of Purpose, Service User’s Guide and current CSCI inspection report. Current fees for the home range from £450 to £595 per week. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one afternoon with one inspector. A new manager has been appointed since the last CSCI inspection and he was present during the visit. All areas of the home were seen and the mid-day meal was served soon after the inspection started. Staff and residents were spoken with and observed, and time was also spent with both the deputy and the manager. The new plans for the home’s development were seen and a selection of records was examined during the visit. Copies of the Business Plan and Annual Development Plan for 2007 were also provided. The manager is already anticipating how to ensure the least disruption for residents when the proposed building works start and is therefore limiting the numbers of new people entering the home. Currently there are 20 permanent residents, but places for temporary respite care are still being offered. What the service does well: What has improved since the last inspection? The home has a new manager who is running the home well and who has already updated most of the policies and procedures in the home. Local permanent and bank staff have been appointed and this has eliminated the need for agency staff. This means that there is a dedicated and committed staff team working with the residents. A care assistant has been appointed to organise activity provision with the manager and a wide range of events are now provided, including trips out. A high score has been awarded in this report for activity provision in the home. New lighting has been installed in several areas of the home and fire risk assessments have now been completed. Evidence of completed gas and fire safety checks has been sent to the CSCI. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Sloe Hill Residential Care Home Limited DS0000037036.V339338.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 Sloe Hill Residential Care Home Limited DS0000037036.V339338.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 1 and 3. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective residents are given appropriate information about the home and have full assessments completed, so that all parties can be sure that individual needs can be met. EVIDENCE: The manager has updated the home’s Statement of Purpose and Service User’s Guide and accurate information is provided for all residents, prospective residents and families. The care plans checked contained care summaries from referring agencies and detailed assessments completed by senior staff in the home. The initial care plans had been drawn up using this information. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough recording procedures ensure that care staff are aware of how to meet all individual needs. Residents are satisfied with the respect they are given and are protected by thorough procedures for handling medication in the home. EVIDENCE: The care plans of two residents already spoken with were checked during the visit. All appropriate information was included in the plans and the key workers for the individuals concerned had provided regular written updates and reviews. Evidence was seen that the residents had been involved in the plans and there were risk assessments in place for a wide range of situations. Details of health checks and monitoring were also recorded. Currently none of the residents have pressure sores and none need the use of a hoist for transfers. Moving and Handling and Falls risk assessments were, however, in place in the plans examined. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 11 All residents spoken with said that assistance with personal care was provided as they wished and that all staff respected their dignity and treated them with respect. Most residents spoken with had their own telephones in their rooms and none of the bedrooms are shared at this time. The procedures for administering medication were checked and records had been thoroughly documented in all cases. Most medication is provided in blister packs and any not pre-packed is dated on opening, and totals are carried forward on the record sheets. One error was found when sport checks were made, but this had already been noted during the last weekly audit completed by senior staff. Staff were also reminded during the inspection that two signatures should be in place to verify any handwritten information about medication. The controlled drugs were being appropriately stored and recording was thorough. Three residents administer their own creams and inhalers and care staff monitor this procedure using recording sheets in each bedroom. The senior staff are also going to complete risk assessments to document this practice – this should be undertaken as soon as possible. Care staff confirmed that only seniors administer medication in the home. The deputy is currently reviewing the procedures with all staff involved and will then verify individual competencies for this year. Although medication storage was all in order, it is a Recommendation in this report that a larger storage trolley should be provided, as the trolley was very full and this storage could lead to mistakes being made. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 12 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Procedures followed in the home enable residents to make choices about their daily lives, provide stimulation and promote regular contact with the wider community. Residents look forward to mealtimes and the food provided is wholesome and helps maintain individual well-being. EVIDENCE: Since the last inspection, a care worker has been appointed to the home as an activities co-ordinator. This care worker has been planning a range of new activities with the manager and there are now events provided on every day during the week. Other care workers assist with activity provision and the staff team are clearly committed to providing the residents with interesting ways to spend their days. Local specialised transport is used for trips out and there had been a recent trip to a bluebell wood and garden centre, residents will soon also be going to Woburn. There is a book of photographs in the entrance hall showing recent trips and activities. Weekly events include cookery, painting and drawing and external visitors provide art and craft and gentle exercise classes. All residents have “pen-pictures” completed of their histories and preferences and the activities co-ordinator will soon be completing records of Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 13 the participation in each event. Details of the different events are displayed around the home and in the entrance hall there is a diary listing the activities for the week. The home has an open day planned and visitors are clearly welcomed to join in such occasions. Residents spoken with said that relatives were welcomed at all times in the home and that newspapers were delivered on request. A group of ladies in one lounge discussed some current national news and were very aware of events outside the home. Sloe Hill also has a resident cat, which is clearly loved by its many “owners”. The co-ordinator was aware of activity courses, which are currently available and the manager said there were plans to access this training. The resident’s bedrooms visited had all been personalised with a variety of their own furniture and pictures. Details of advocacy services were displayed in the entrance hall. Some residents have solicitors who handle their affairs but most have family involvement to some degree. There are regular residents meetings held in the home where the subjects of activities and food are always on the agenda. It was good to see, from the minutes of the last meeting, that every resident in the home had attended. The mid-day meal, served during the inspection looked appetising and nutritious, and all those asked said they enjoyed all the meals provided. The day’s menu choices were displayed in the dining rooms and residents said they chose their meals for the day each morning. There is always a choice of two main meals and residents can also decide to have fish at the last minute, which one lady was having. Some residents described the tea provided as “enormous” and said they could have soup, a cooked dish, cheese and biscuits and fruit every day. There were jugs of drinks and glasses provided in each bedroom and served with the meal and there was fruit and snacks available at all times during the day. The cook keeps records of individual food eaten and appropriate temperature checks are recorded daily. All staff working in the kitchen has completed food hygiene training. There had been a visit from the Environmental Health Officer at the beginning of the year and there were no requirements made from the resulting report. An issue about the frequency of having a cooked breakfast had been raised at a recent residents’ meeting and it had been agreed that this provision was only wanted monthly. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures followed in the home help to protect residents from abuse and service users can be sure any concerns they might have will be listened to and acted on. EVIDENCE: There are written policies on Adult Protection, Whistle Blowing and Complaints in place, which staff were aware of. Details are also provided in information given to residents and relatives. The residents spoken with said that they would not hesitate to voice a concern if they had one. One resident said the new manager was available for comments at any time and always acted on issues raised. The manager is currently contacting the Local Authority to request an update of their Adult Protection guidelines, which are no longer in the home and will request further training for staff. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 15 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, 21 and 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Good standards of cleanliness and maintenance mean that residents live in a pleasant and hygienic home but extensive building works are needed to provide adequate bathroom facilities necessary to meet the needs of service users at Sloe Hill. EVIDENCE: On the day of the visit the home was clean and bright throughout and all individual bedrooms looked homely and pleasant. The ground floor bathroom has been refitted and a specialised assisted bath has been installed. All lighting in hallways has been replaced and the fire sensor equipment has been renewed. Some furniture and carpets have also been replaced since the last inspection. To uphold individuals’ privacy all residents have lockable space in their bedrooms, door keys are offered subject to risk assessments. The grounds were beautifully kept and residents said they were looking forward to Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 16 going outside in the warmer weather. A ramp has been fitted, leading from the new extension to the garden so enabling easier access. Residents spoken with said they always had their laundry returned in good condition and the laundry itself was clean and well equipped. The laundry assistant said there were always plenty of disposable gloves available and that care staff used red alginate bags for any soiled laundry. Some of the toilets needed wall holders for paper towels, but the manager said this equipment was all included in plans for the upgrade of the building. As noted in many previous reports, the bathroom provision is inadequate at the home. There is one appropriate bathroom on the ground floor and one bathroom on the first floor. This first floor bathroom is only accessible for one or two residents as it is situated at the top of some awkward stairs, and is not assisted. The plans for alterations to the home have now been approved by the local planning department. These plans include new bathroom provision and some major rebuilding of the home. Quotes have been received for the work and starting dates need to be agreed. This report has set a time scale for work to commence, and failure to do so would result in enforcement action being taken, as the lack of facilities has already covered some years. A previous statutory requirement was also made that all radiators in the home should be covered or have valves fitted to prevent them being dangerously hot to the touch. Plans to meet this requirement are also included in the proposed up grade. However, care plans seen did have individual risk assessments in place for each resident regarding risks from radiators. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 17 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents of the home are protected by thorough staff recruitment practices and have their needs met by a competent and committed staff team. EVIDENCE: Residents spoken with praised the staff at the home and said that everyone, including the new manager and all care and ancillary staff, provided care as they wanted and did everything possible to let them enjoy their daily lives. Many of the care workers have been at the home for a number of years and the new manager has managed to eliminate the need for agency staff and has recruited local people for all permanent and bank staff positions. Residents spoken with also said that there were generally enough care workers on duty and that call alarms were answered in good time. Currently four of the care staff are undertaking NVQ 2 training and one is doing NVQ 3. Care staff spoken with said that they were encouraged to do NVQ training and the manager hopes that all care workers will have started or completed this training by the end of the year. Since being appointed, the manager has completed a review of all staff training and a training overview was seen displayed in the office. Recent staff training Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 18 has included Fire Safety and an update of Moving and Handling training is planned. The manager is also planning an update of Safeguarding Adults (Adult Protection) training for all staff and is aware that an overview of this issue must be included in any staff induction training. One new care worker spoken with confirmed that her induction training had taken the first week of work at the home to complete. The manager is aware that not all present care workers have completed mandatory training and is planning to rectify this. A requirement has been made that such training must be completed but the time scale given in this report acknowledges that the manager cannot provide all this training at once. The recruitment files of two of the newer care workers were examined. Evidence of appropriate checks were seen and both members of staff had POVA and CRB clearances in place before they commenced work ensuring all possible precautions have been taken to protect vulnerable people. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 19 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are satisfied with the management of the home, which is run for the benefit of the residents, and where procedures followed ensure that the welfare of both staff and residents is safeguarded. EVIDENCE: The new manager is a qualified nurse and is about to apply for the Registered Manager’s Award training. The manager has already updated almost all of the home’s written Policies and Procedures and is about to link with the Hertfordshire Health Protection Unit prior to reviewing the home’s Infection Control Policy. Without exception, the residents and staff members spoken with praised the manager and said the home was being well run by someone who listened and acted and “got things done”. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 20 The home has procedures for Quality Assurance and some questionnaires completed at the time of the previous manager were seen. The new manager is planning to review the whole system. However, staff and residents spoken with confirmed that their views were listened to and minutes of recent staff and residents’ meetings were seen. Domestic staff confirmed that they were included in all staff meetings and training. Procedures for the handling of service users’ money was seen and the records and cash held for one resident was tracked and was all in order. Since his appointment the manager has notified the CSCI of all appropriate events at the home and reports of regular audits on the running of the home were seen completed by the home’s Proprietors. The home has two Health and Safety Officers and regular reviews of the general risk assessments for the building and grounds are completed. The manager arranged for PAT electrical tests to be completed in February and all recommendations made in the last Fire Officer’s report have been actioned. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 1 x x x x 3 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 3 x 3 x 3 x x 3 Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 22 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 OP19 OP21 Regulation 23(2)(j) Requirement Timescale for action 01/06/07 2 OP30 18(1)(c) The Registered Provider must submit evidence that work to provide additional bathrooms to the home, together with any additional improvements, including a safe heating system, has an agreed start date with the builder concerned. All current staff at the home 01/11/07 must have updated mandatory training provided and future staff members must receive this training within the first six months of employment. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 23 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 OP9 Good Practice Recommendations A larger medication trolley should be provided for the home to ensure that amounts of medication are not confused and that drugs are safely administered. Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sloe Hill Residential Care Home Limited DS0000037036.V339338.R01.S.doc Version 5.2 Page 25 - 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!