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Inspection on 20/10/05 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 20th October 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.

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 visitors stated they found the staff to be friendly and very caring. The residents said they enjoyed their food and the menus were varied and alternatives are offered at each mealtime. The staff team arrange various activities for the residents and work hard to ensure there is a pleasant atmosphere in the home and the premises are homely and comfortable. 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. One member of staff said they had thoroughly enjoyed the training courses they have attended.

What has improved since the last inspection?

The staff team continue to work hard to provide new activities for the residents to enjoy. Some improvement has been made to the care planning system and the senior care assistant is currently discussing these with the residents and their representatives so they can be signed to confirm they agree with the plans. Since the last inspection two members of staff have attended a training course held by North Tyneside Council on the protection of vulnerable adults. All staff have been booked a place on this training. The manager remains committed to providing appropriate training for the staff team to ensure the staff team are competent to deal with any specialist needs.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Solway House Residential Care Home 5 Station Road Benton Newcastle Upon Tyne NE12 8AN Lead Inspector Anne Brown Unannounced Inspection 20th October 2005 11:00 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 Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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.V253732.R01.S.doc Version 5.0 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 28 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (23) of places Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2005 Brief Description of the Service: Solway House offers residential care to male and female residents who are 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, dining room and sun lounge overlooking the gardens. The home is situated in Benton close to the metro network and shops are nearby. The home is surrounded by gardens. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6.5 hours and was carried out to check on the progress made towards meeting the requirements and recommendations from previous inspections and to assess the service against the National Minimum Standards. One additional visit has been made since the last announced 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 log book, accident and complaints records were inspected. Four staff members, the majority of residents and four visitors were spoken to. What the service does well: What has improved since the last inspection? Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 6 The staff team continue to work hard to provide new activities for the residents to enjoy. Some improvement has been made to the care planning system and the senior care assistant is currently discussing these with the residents and their representatives so they can be signed to confirm they agree with the plans. Since the last inspection two members of staff have attended a training course held by North Tyneside Council on the protection of vulnerable adults. All staff have been booked a place on this training. The manager remains committed to providing appropriate training for the staff team to ensure the staff team are competent to deal with any specialist needs. What they could do better: 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. The proprietor has failed to meet this requirement. Plans to improve the layout of the rooms in the south wing have not been forwarded to the CSCI as requested and the proprietor has failed to provide adequate bathing facilities on the first floor. The décor in the home is showing signs of wear and tear and a number of safety issues were observed. 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. The provision of lockable facilities in all bedrooms remains outstanding. Some carpets should be replaced. The proprietor has purchased some new carpets but these have not been laid. Plans have not been submitted to make alterations in the south wing to ensure bedrooms are adequate for the residents. An adequate bathing facility is not available in the upstairs bathroom. Staffing levels are not adequate to meet the needs of the residents. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 7 The proprietor must produce a monthly report in accordance with Regulation 26 and introduce a quality assurance system to monitor the quality of the service being provided to the residents. These issues remain outstanding. The statement of purpose and service user guide has been produced in draft form but not issued to the residents. Written contracts and a statement of terms and conditions have been produced but are still not issued to the residents. 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.V253732.R01.S.doc Version 5.0 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 Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Verbal information regarding the services available in the home is given to residents and prospective residents but no written information is available. Residents are therefore not able to assess whether the home can fully meet their needs. A written contract/statement of terms and conditions has not been issued to ensure residents know what will be included in their fees. EVIDENCE: The manager has produced a statement of purpose and service user guide in draft form. It was a requirement from the last inspection that these documents should be finalised and issued to the residents. This has not been done. Prospective residents do not have any written information to decide whether the home is able to meet their individual needs. Written contracts/statement of terms and conditions have been produced but the proprietor has failed to issue these to the residents. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 10 Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9. The individual personal and health care needs are monitored in their care plans but this information is limited. Therefore staff may not have comprehensive information to meet the needs of the residents. The system for storing medications is not secure and does not meet the pharmacy guidelines. EVIDENCE: Since the last inspection some progress has been made in updating the care plans. They are divided into appropriate sections making them easier to use. However the information is limited and does not contain detailed information to ensure all care needs are met. The senior care assistant is currently discussing the plans with the residents and/or their representatives so they can be signed to confirm they agree with the contents. Suitable weighing scales have been purchased to ensure residents are weighed on a regular basis and their weights monitored. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 12 Random sample of medications and records were examined. The medications for one resident did not match the information on the medication administration record. One medication did not contain a name or dosage instructions. The medication trolley is not stored in accordance with the pharmacy guidelines and the lock was broken. Residents are encouraged to retain their own medications if they are assessed as being able. However not all bedrooms are provided with a lockable facility to ensure they can keep medications securely. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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 the following standard(s): 14 and 15. 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: Some residents confirmed that they are able to choose how they spend their time. They were observed to be accessing all communal areas in the home and were spending time in their own rooms. The menus are varied and are displayed in the dining room. Alternatives are always available. Four residents confirmed that they enjoyed their meals and one resident stated they were offered a choice. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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): 18 Policies and procedures ensure the residents are protected from abuse. EVIDENCE: Policies and procedures are in place to protect the residents from various forms of abuse. Two members of staff have completed a two day training programme at North Tyneside Council on the protection of vulnerable adults. The manager confirmed that all members of staff have been booked to attend a similar course. The staff on duty were aware of the appropriate action to take if abuse or bad practice were observed. Suitable recording systems are in place for dealing with residents’ finances. Receipts and signatures are retained for monies held on behalf of the residents and these are stored in a secure location. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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, 20, 21, 23, and 26. The first floor is not provided with a suitable bathing facility to meet the needs of the residents. A programme of maintenance and renewal of the fabric and decoration has not been produced. The décor throughout the premises is showing signs of wear and tear. The grounds of the premises are unsafe and untidy. Not all bedrooms are provided with adequate facilities. Some health and safety issues were identified. Issues were identified regarding hygiene and the general cleanliness within the home. Commodes are currently cleaned in a bathroom which is not good practice for infection control. The manager stated that the proprietor is currently obtaining estimates for the provision of a sluicing facility. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 16 EVIDENCE: Many areas of the home were showing signs of wear and tear. A maintenance and renewal programme has not been produced which was a requirement from the last inspection. New doors have been provided to some upstairs bedrooms but they had not been gloss painted. The radiator cover in room 29 had not been painted. Grouting around the washbasin was discoloured. Bedroom furniture in a number of bedrooms was broken and shabby. There was no hanging rail in the wardrobe in room 30/31 and it was being used to store items that do not belong to the resident occupying the room. Some carpets were stained, smelly and unattractive. Two new carpets have been purchased but have not been fitted. Four light bulbs were not working on the first floor landing. The fluorescent tube was not working beside the upstairs fire exit. The light bulbs provided in the bedrooms in the south wing were dull and inadequate. A washbasin, toilet and domestic style bath has been provided on the first floor. However the bath does not meet the needs of the residents as overhead tracking and a hoist have not been provided. The bath is inappropriately positioned against a window so residents privacy will not be respected. This was discussed with the proprietor at the last inspection who agreed to consider other options. No further progress has been made for the provision of a suitable bath. The radiator cover is this bathroom was jagged and a potential safety issue. The door on the bathroom is very heavy and stiff making it difficult for residents to open. The grounds were untidy and unsafe. Broken furniture, bricks and an old oil container were lying around. The washing lines were low and clothing was billowing on the ground. The garage was filled with many unused items, such as mattresses, commodes, TVs, tools, wood and garden shears. This poses a safety hazard if staff or residents enter this area. Some items stored in this area could also encourage vermin. The lock on the garage door was broken. The drain outside the laundry was smelly and uncovered. 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 was a requirement from the last four inspections. A Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 17 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. A number of light switches and pull cords were dirty and could spread infection. Lockable facilities are not provided in all bedrooms so residents cannot keep their own valuables safely. Some valances were too long for the beds and could cause residents to trip. A spindle was missing from the staircase. This could pose a safety hazard. 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. A sluicing facility is not provided and commodes are cleaned in the bath. This does not meet infection control recommendations. The two downstairs toilets located near the back lounge are showing signs of wear and tear. There location does not respect the residents’ privacy as the doors can be seen from the front entrance. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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 and 30. The staff are committed to providing a good standard of care but they have not received appropriate training in some specialist areas. The number of staff on duty at certain times do not meet the needs of the residents which could place them at risk. EVIDENCE: The residents who made comments said the staff were very caring, cheerful and pleasant. Three visitors present in the home said the staff were friendly and provided very good care for their relatives. Four residents commented that the food was good and several stated they enjoyed entertainment provided in the home. The manager stated that she is in the process of filling two vacancies for care assistants. She intends to increase the staffing levels each morning to meet the needs of the residents. The staffing levels during the night are not adequate as one resident requires one to one supervision. There is a vacancy for the part-time domestic assistant and the manager stated she is seeking to fill this as soon as possible. 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. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 19 Eight members of staff have completed NVQ, Level 2 and three have enrolled to achieve NVQ, Level 3. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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): 33, 35, 37 and 38. 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. There is no quality assurance and quality monitoring system in place to assess whether standards are being met and where improvements can be made. 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.V253732.R01.S.doc Version 5.0 Page 21 The manager has been employed in the home for a considerable number of years. The manager has informed the proprietor on a number of occasions that she wishes to retire in the near future. The proprietor has made no plans to ensure a competent person is available to take over the home in her absence. The management structure is inadequate in that there is no deputy manager post identified. Although some care assistants act in a senior capacity their roles have not been formalised. There is no system in place for monitoring the quality of facilities and care provided in the home. The proprietor does not produce a report on the home on a monthly basis in accordance with Regulation 26 to monitor whether standards are being met. This is an outstanding requirement from the last inspection. The records showed that a resident had been missing from the home on a number of occasions. These events were not reported to the Commission as required in Regulation 37(1)(e) to monitor whether residents’ safety is being safeguarded. Health and safety risk assessments could not be produced at the time of the inspection so there is no evidence that these are carried out and updated. Vegetables are stored on the floor in a cupboard. The walls and flooring are dirty and not covered with a surface that is easy to clean. Ant powder and various other items are stored in this cupboard. A test has been carried out on the water storage temperatures to safeguard against Legionella but the results were not available. Test certificates for the safety of the gas installation and gas appliances were not available. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 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 1 1 X 1 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 1 1 2 X 1 X X 2 STAFFING Standard No Score 27 2 28 1 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X 3 X 1 1 Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 23 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 OP1 Regulation 4 and 5 Requirement Statement of purpose must be produced and service user guide must be issued to the service users. (Previous timescale of 31/5/05 not met). Terms and conditions must be issued to residents. Care plans must be reviewed to ensure they contain up to date and comprehensive information on the needs of the residents. Discrepancies between medications and records must be rectified and appropriate storage provided. Maintenance and renewal programme must be produced and submitted to the Commission. (Previous timescale of 31/5/05 not met). Light bulbs and florescent strip must be replaced on upstairs landing. Jagged edging must be made safe on radiator cover, spindle must be replaced on staircase and wardrobe space must be made available in room 30/31. Painting must be carried out to DS0000000295.V253732.R01.S.doc Timescale for action 10/11/05 2 3 OP2 OP7 5(1) 15(1) 10/11/05 31/12/05 4 OP9 13(2) 20/10/05 5 OP19 23(2) 30/11/05 6 OP19 12(1)(a) 20/10/05 7 OP19 23(2) c 18/11/05 Page 24 Solway House Residential Care Home Version 5.0 and d 8 9 OP20 OP21 13(4) 23(2)(j) 10 OP23 16(2)(c) 23(2)(f) 11 12 13 14 OP26 OP27 OP27 OP30 23(2)(d) 18(1)(a) 18(1)(a) 18(1)(C) 15 OP33 18(1) and 26 16 OP37 37 upstairs bedroom doors and radiator cover in bedroom 29 and grouting must be replaced in bedroom 29. Bedroom furniture in a number of bedrooms must be repaired or replaced. Flooring in laundry must be made hygienic. Carpets must be cleaned and new carpets fitted. Hazards must be removed from the grounds and garage. An appropriate bathing facility must be provided in upstairs bathroom. (Previous timescale of 30/6/04 not met). Door must be adjusted for ease of use by residents. Application and plans to alter bedrooms in south wing must be submitted to Commission. Hand washbasin in bedroom 10 must be made accessible to resident. Lockable facilities must be provided in all bedrooms. (Previous timescales of 30/6/04 not met). All parts of the premises must be kept clean and hygienic. Staffing levels must be increased to meet the needs of the residents. An extra carer must be on duty overnight to meet the needs of the residents. Staff team must be provided with training on challenging behaviour, restraint, infection control and nutrition. Staffing structure must be reviewed and formalised to ensure there is a competent person in charge in the absence of the manager. Proprietor must produce a monthly report and introduce a quality monitoring system. (Previous timescale of 30/6/05 not met). Notifications must be submitted DS0000000295.V253732.R01.S.doc 20/10/05 30/11/05 30/11/05 28/10/05 30/11/05 20/10/05 31/12/05 30/11/05 20/11/05 Page 25 Solway House Residential Care Home Version 5.0 17 OP38 13(4) to the Commission regarding events that affect the safety and well being of the residents. Health and safety risk assessments must be produced. Food storage area must be hygienic and surfaces renewed. Safety test certificates for water storage, gas installation and gas appliances must be in place and copies forwarded to the Commission. 11/11/05 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 OP21 OP26 Good Practice Recommendations Consideration should be given to relocating two downstairs toilets to ensure privacy of the residents. Consideration should be given to providing sluicing facilities. Solway House Residential Care Home DS0000000295.V253732.R01.S.doc Version 5.0 Page 26 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.V253732.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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