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Inspection on 13/06/06 for Solway House Residential Care Home

Also see our care home review for Solway House Residential Care Home for more information

This inspection was carried out on 13th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents who made comments stated that they were comfortable living in the home. They said the staff team were very good and attended to their needs in a kind and friendly manner. Two residents said they could not be in a better place. One questionnaire stated ` I am very happy here and would recommend it to anyone`. Another stated `no complaints at all`. The staff team work hard to provide various activities for the residents. There is a pleasant atmosphere in the home and good relationships exist between the staff and the residents. The staff members who were spoken to said the manager was supportive and always available to give advice. They are keen to improve their training to enable them to provide a good service to the residents.

What has improved since the last inspection?

The staff team have continued to work hard to up date the care plans, although further work is necessary. Several bedrooms have been redecorated and provided with new carpets, curtains and bed linen. The proprietor intends to continue with redecoration throughout the premises. A specialist bathing facility and toilet has been provided on the first floor of the home. The gardens have been tidied up and hanging baskets and there is now a bird table.

What the care home could do better:

The care plans should be expanded and provide clear guidelines for staff. Reviews should be held for all residents on an annual basis. Lockable facilities must be provided in all bedrooms. The menus should be reviewed and contain appropriate choices for all residents. A number of repairs were identified during the inspection. Repairs should be addressed on a regular basis. Odours in the home should be removed and cleaning routines should be reviewed. At the last two inspections the proprietor was required to review the management structure in the home to ensure there are appropriate staff members to take charge in the absence of the manager. This has not been fully implemented. Plans to improve the layout of the rooms in the south wing have not been forwarded to the CSCI as requested. At the last inspection the proprietor was requested to produce a renewal and maintenance programme for the home and carry out health and safety risk assessments. These have not been produced and health and safety issues and routine repairs have not been carried out. Lockable facilities have not been provided in all bedrooms. Staffing levels are not adequate to meet the needs of the residents.

CARE HOMES FOR OLDER PEOPLE Solway House Residential Care Home 5 Station Road Benton Newcastle Upon Tyne NE12 8AN Lead Inspector Anne Brown Key Unannounced Inspection 10:00 13 June and 23rd June 2006 th 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 Solway House Residential Care Home DS0000000295.V290842.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. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Solway House Residential Care Home Address 5 Station Road Benton Newcastle Upon Tyne NE12 8AN 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) 0191 2660138 0191 2660138 Mr Davinder Vij Mrs Mary Ann Gray Care Home 27 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (22) of places Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Bedrooms 1,2,3,4,5,6,7,8,9 in the south wing of the premises must only be occupied by service users who do not require staff assistance for moving and handling or are confined to bed. 20th October 2005 Date of last inspection Brief Description of the Service: Solway House offers residential care to male and female residents over the age of 65 who are suffering from problems relating to general old age and/or dementia. The accommodation is provided on two floors and a passenger lift has been installed. There are two main lounges, a dining room and a sun lounge overlooking the gardens. The home is situated in Benton close to the metro network and local shops are nearby. The home is surrounded by gardens and seating is provided. The fees range from £356 - £360 per week. Information about the home is available. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 8 hours and two visits were made to the home. Progress made towards meeting the requirements and recommendations from previous inspections was checked, as well as the service being assessed against the National Minimum Standards. One additional visit has been made since the last inspection. Letters sent to the registered person following this visit can be obtained from the CSCI office on request. A tour of the premises was carried out and staff files, care plans, fire logbook, accident and complaints records were inspected. Six staff members and the majority of residents were spoken to. Eight questionnaires were returned by residents and six were returned by relatives. What the service does well: What has improved since the last inspection? The staff team have continued to work hard to up date the care plans, although further work is necessary. Several bedrooms have been redecorated and provided with new carpets, curtains and bed linen. The proprietor intends to continue with redecoration throughout the premises. A specialist bathing facility and toilet has been provided on the first floor of the home. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 6 The gardens have been tidied up and hanging baskets and there is now a bird table. 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. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 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 the following standard(s): 1, 2 and 3. The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Written information is available for prospective residents to help them assess if the home can meet their needs. The residents are aware of the terms and conditions within the home. Residents are fully assessed prior to moving into the home to ensure their needs will be met. EVIDENCE: Copies of the statement of purpose and service user guide are placed behind each bedroom door. A prospective resident was visiting the home during the inspection and was given a copy of these documents. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 9 Eight residents who returned a questionnaire confirmed that they had received a contract to ensure they know what is included in their fees. Residents are assessed by care managers and/or senior staff prior to moving into the home. Copies of assessments were available on the case files. Solway House Residential Care Home DS0000000295.V290842.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The individual personal and health care needs are monitored in their care plans but this information is sometimes limited. Therefore staff may not always have enough information to meet the needs of the residents. The system for administering medications is suitable. Some residents do not have a lockable facility if they wish to administer their own medications. The staff ensure that residents’ privacy and dignity is respected. EVIDENCE: A sample of care plans were examined. The staff have worked hard to improve the care plans since the last inspection. They are well organised and evaluated on a monthly basis. However some care plans did not give clear instructions to the staff. The files contain a separate section to record appointments with health care professionals. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 11 Reviews are not being carried out on an annual basis. The system for administering medications was examined and was in accordance with the pharmacy guidelines. The senior staff administer medications and have completed appropriate training. At present there are no controlled drugs in the home. Should these be required in the future a separate storage cabinet is not available as recommended in the pharmacy guidelines. Lockable facilities are not provided in all bedrooms so residents are capable of retaining their own medications, may note have a safe place to keep them. An internal audit of the medication system is not carried out on a regular basis. The staff on duty were observed to respect residents’ privacy and dignity during the inspection. On the first visit to the home, the deputy manager stated that the upstairs bathroom had not been used as a privacy blind had not been fitted at the window. This had been fitted when the second visit was made. The questionnaires returned by relatives confirmed that they were able to visit their relatives in private. Solway House Residential Care Home DS0000000295.V290842.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. A range of activities are provided in the home and friends and family are encouraged to visit and participate in any events taking place. Residents are able to make personal choices and the staff encourage them to retain their independence. The residents are offered a choice of food and mealtimes are flexible to meet their needs and preferences. EVIDENCE: A member of staff takes responsibility for arranging the activities in the home. These include bingo, crafts, armchair exercises, knitting, board games, sing a longs etc. Each month a theme is chosen to decorate the dining room and the residents enjoy participating in this. Short trips sometimes take place to the local shopping centre and staff escort one resident to the local pub. The majority of residents said they usually enjoyed the activities taking place. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 13 Activities taking place in the home are displayed in the dining room and are recorded in the activities book. The names of those residents participating in activities is not recorded. The relatives’ questionnaires confirmed they were always made welcome in the home. Menus are displayed in the dining room. These do not list a choice but alternatives are available on request. The inspectors had lunch with the residents. Two residents, who were diabetic, were not aware of why they could not have the same desert as the other residents. All other residents who were consulted stated they enjoyed the food served to them. One questionnaire stated that more green vegetables should be used. Solway House Residential Care Home DS0000000295.V290842.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home has a satisfactory complaints system in place. Residents are protected from abuse. EVIDENCE: A complaints procedure is in place and forms part of the service user guide. No complaints have been received since the last inspection. All questionnaires returned by residents and relatives confirmed they were aware of the home’s complaints procedure and they had not had to make a complaint. One resident commented that it was never necessary to complain. Policies and procedures are in place to protect the residents from various forms of abuse. All members of staff have been booked to attend a training course at North Tyneside Council on the protection of vulnerable adults. Solway House Residential Care Home DS0000000295.V290842.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 23 and 26. The quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. A programme is in place to redecorate all areas of the home. Not all bedrooms are provided with adequate facilities. Issues were identified regarding hygiene, the general cleanliness within the home and infection control, which could affect health and safety for residents. EVIDENCE: A number of bedrooms have been redecorated and provided with new carpets, curtains and bedding. These rooms are pleasant and attractive. The proprietor confirmed a programme is in place to refurbish all areas in the home. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 16 On the first visit to the home the radiators were extremely hot and a temperature of 86 degrees Fahrenheit was recorded in the upstairs corridor. The proprietor has now fitted thermostats to all radiators so temperatures can be adjusted. The window in the back lounge is now fitted with a restrictor to ensure the safety of residents suffering from dementia. Five bedrooms had unpleasant odours. New carpets have been ordered for these rooms. Air fresheners are fitted throughout the home. However these were not working as refills were unavailable. The hot water tap was not working in bedroom 27. The grouting around the washbasin in bedroom 29 was discoloured. Bedroom furniture in a number of bedrooms was broken and shabby. The washbasin tap in bedroom 23 was constantly dripping. The proprietor has not submitted an application and plans to alter the bedrooms in the south wing that are extremely small and narrow. This means it is not possible for carers to assist residents who may require help getting in and out of bed. The Commission has not received an application and plans to alter these rooms, which has been a requirement from the last five inspections. A condition of registration has been made to ensure that only residents who are mobile occupy the rooms. The hand washbasin in bedroom 10 is not accessible to the resident due to their disability. Lockable facilities are not provided in all bedrooms so residents cannot keep their own valuables safely. The flooring in the laundry is not hygienic as the tiles are broken and lifting from the floor. The staff team have not undergone formal infection control training but one member of staff has been identified as the link person with the infection control nurse and will cascade the information received to the staff team. Paper towels were not available in the downstairs toilet and a dirty urine bottle was on the toilet cistern. A sluicing facility is not provided and commodes are cleaned in the bath. This does not meet infection control recommendations. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 17 The two downstairs toilets located near the back lounge are showing signs of wear and tear. Their location does not respect the residents’ privacy as the doors can be seen from the front entrance. When the second visit was made to the home two new toilet pans and cisterns had been fitted. The flooring is damaged and décor is poor. The toilet pan in the north wing is very discoloured. The flooring in the shower room is damaged and shabby. A number of wall tiles are missing. The door on the upstairs bathroom is very heavy and stiff making it difficult for residents to open. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The staff are committed to providing a good standard of care but they have not received appropriate training in some specialist areas. Residents are protected by the home’s recruitment policy and procedure. EVIDENCE: The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. On the day of the inspection the acting deputy manager, four care assistants, two domestic assistants, kitchen assistant and chef were on duty. There are adequate policies and procedures for the recruitment and selection of staff. Staff files examined showed that Criminal Records Bureau checks are received prior to staff being employed by the agency. One file contained references which had been handed to the home by the member of staff. The manager had not requested these by writing to the referees. The staff files did not contain information on induction, foundation training and supervision notes. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 19 Training has not been provided on dietary and nutritional needs, challenging behaviour and restraint. Some staff members have not undergone training on infection control and the protection of vulnerable adults. Nine members of staff have completed NVQ, Level 2 or above. Good relationships were observed between the staff and the residents. The residents confirmed that the staff team were very kind and caring. One resident’s questionnaire said ‘nothing is any trouble to the staff, during the day or night’. One relative stated ‘the staff are excellent’. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The management structure in the home is not adequate, as it does not formally recognise senior care staff to be in charge in the absence of the manager. Safeguards are in place to protect residents who require assistance in controlling their finances. The health and safety of residents and staff are not safeguarded at all times, which could place them at risk. EVIDENCE: Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 21 The manager has been employed in the home for a considerable number of years. At the last inspection the manager stated she has informed the proprietor on a number of occasions that she wishes to retire in the near future. If she is to remain in post she does not have the appropriate management qualification to meet the standards. The management structure is inadequate. A senior member of staff acts as deputy manager when the manager is absent from the home. This post is not recognised when the manager is present. Although some care assistants act in a senior capacity their roles have not been formalised. The deputy manager stated that residents’ meetings are held in the home but the minutes are not recorded. Appropriate records are maintained for dealing with residents’ money. However individual bank accounts have not been opened. The records showed that a resident had sustained a fracture. This had not been reported to the Commission as required in Regulation 37 to monitor whether residents’ safety is being safeguarded. Regular tests of the fire extinguishers had not been carried out. Risk assessments for health and safety issues were not available for inspection. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 22 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X 2 X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 23 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. 2 3 Standard OP7 OP9 OP15 Regulation 15 13(2) 16(2)(i) Requirement Care plans must be expanded and reviews must be held. Lockable facilities must be provided in bedrooms. Menus must be reviewed to include choice for all residents. Green vegetables must be introduced. Application and plans to alter bedrooms in south wing must be submitted to CSCI. Hand washbasin in bedroom 10 must be made accessible to resident. (Previous timescale of 31/10/05 not met). Restrictor must be fitted to lounge window. Repairs and redecoration must be carried out in downstairs toilets and shower room. Upstairs bathroom door must be adjusted for ease of use by residents. (Previous timescale of 8/5/06 not met) Bedroom furniture in a number of bedrooms must be replaced or repaired. (Previous timescale of 31/5/06 not met) Timescale for action 31/08/06 31/07/06 31/07/06 4. OP19 16(2)(c) 23(2)(f) 31/10/06 5. 6. 7. OP19 OP21 OP21 13(4)(c) 23(2)(b) 23(2)(a) 21/07/06 31/08/06 21/07/06 9. OP23 16(2)(c) 31/07/06 Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 24 10. 11. OP23 OP26 23(2)(b) 16(2)(j) Repairs must be carried out in bedrooms. Flooring in laundry must be made hygienic. (Previous timescale of 18/11/05 not met) Cleaning routines in the home must be reviewed. References must be requested in writing by the home. Staff must undergo formal training in the protection of vulnerable adults, challenging behaviour, restraint and nutrition. (Previous timescale of 31/5/06 not met) Manager must enrol to undergo appropriate management training. Separate bank accounts must be opened for individual residents. Regulation 37 notices must be forwarded to the Commission. Fire extinguishers must be tested on a monthly basis. Health and safety risk assessments must be carried out on the premises. 21/07/06 31/07/06 12. 14. 15. OP26 OP29 OP30 13(3) 18(1)(a) 18(1)(a) and (c) 21/07/06 21/07/06 31/08/06 16. 17. 18. 19. 20. OP31 OP35 OP38 OP38 OP38 9(2)(b) 16(2)(l) 37 23(4)(c) 13(4) 31/07/06 31/07/06 21/07/06 21/07/06 21/07/06 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 OP26 OP33 Good Practice Recommendations Refills to be made available for air freshener units. Minutes of residents’ meetings to be recorded. Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Solway House Residential Care Home DS0000000295.V290842.R01.S.doc Version 5.2 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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