Inspection on 06/01/06 for St Catherines Residential Care Home

This inspection was carried out on 6th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Catherines Residential Care... 17/09/07

St Catherines Residential Care... 25/09/06

St Catherines Residential Care... 28/06/05

St Catherines Residential Care... 29/09/04

St Catherines Residential Care... 05/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE St Catherines Residential Care Home 61 St Catherines Lincoln Lincs LN5 8LR Lead Inspector Jill Clifton Unannounced Inspection 6th January 2006 09:30 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 St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 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. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Catherines Residential Care Home Address 61 St Catherines Lincoln Lincs LN5 8LR 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) 01522 520643 m.brown.43@ntlworld.com Mr Mark James Browne Mr Mark James Browne Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (14) of places St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) - 14 Dementia - Over 65 years of age DE (E) - 1 The category DE(E) applies to one named person aged 65 years of age who is named in the Notice of Proposal to register dated 29 November 2004. The maximum number of beds registered is 14 2. 3. Date of last inspection 28th June 2005 Brief Description of the Service: St Catherines cares for older people in a non-smoking environment in two detached properties situated on the main Lincoln to Newark road, the town centre of Lincoln is a short bus ride away. The main house provides accommodation for ten residents; the smaller property provides accommodation for four. There is a third property within the grounds, this is not registered with the Commission and is only used for private meetings, staff training and hairdressing. There are two small gardens and a car parking area. Both houses have two floors and there is a stair lift to the bedrooms on the first floor in the main house. There are a variety of aids and adaptations in the main building to allow residents to move around the home more independently. Eight of the bedrooms are single; one double room has ensuite facilities. There are five communal toilets, four communal bathrooms and three shower rooms. Mr Mark Browne is the Company Director of St Catherine’s and also the Registered Manager. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours and was carried out by two inspectors. The main method of inspection used was called ‘case tracking’. This involves selecting three service users and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. It also included discussion with four of the fourteen service users living in the home, two members of staff, a visitor of a relative, and a visiting district nurse. All parts of the home were viewed and a selection of records inspected. Feedback was given through out the inspection to the Registered Manager and the Care Manager. What the service does well: What has improved since the last inspection? There have been a number of bedrooms that have benefited from being redecorated and having a new carpets and curtains. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 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 St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 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): 5 People who would like to view the home are made to feel welcome. EVIDENCE: A service user had been admitted the night before this inspection. The relative of the service user had an opportunity to visit the home and talk to the Care Manager and staff prior to admission. The relative said that the Care Manager visited the service user in hospital to undertake a pre admission assessment. The relative also confirmed that he had been given details of the home and services provided. ‘I was made to feel welcome, it is a friendly and homely place, my relative warmed to the Care Manager during the assessment process.’ St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 9 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 and 9 Care plans contain sufficient information to ensure that service users needs have been identified and met. However, there is lack of detail in the recording of evaluations of both care plans and risk assessments, therefore, it is uncertain if and how the current care is still appropriate and if service users have been consulted about their review of care. Staff are undertaking serious unsafe practices in the administration of medication, which means that service users are at risk from receiving the wrong medication. EVIDENCE: Care plans contain sufficient information to ensure that all aspects of health, personal and social needs are identified and planned for. Evaluations of both care plans and risk assessments must be improved to include details of any changes required to the current care given. Even if the care identified in the care plan or risk assessment is found to remain appropriate then this must be documented rather than just putting a review date and signature. Where possible the service user should sign to agree the evaluation, to show that they St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 10 have been consulted about any changes made and that they agree with the care that they receive. A British National Formulary (BNF) was in the home; this is a reference guide, produced every 6 months for medication. Staff can use this book as an aid to understand what medication and dosage has been prescribed and what side effects the medication may cause, however, the issue was from 1999, which is out of date and therefore potentially dangerous to refer to. Medication sheets showed that when medication has not been administered there was no code recorded to identify ‘why’ the service user had not accepted this medication. There was a medicine pot with a service users name on which contained an unidentified tablet which had been dispensed from its packaging, cut or broken in half and left unsecured on an open shelf but the medication sheet had been signed to indicate that that the service user had received all prescribed medication. On discussion with staff members it seems that the some staff are not following a safe practice of dispensing medication. Some staff are using a secondary dispensing or ‘potting up’ method, which is a very unsafe practice and must cease immediately. On discussion with a service user it was noted that medication is ‘potted up’ for her to dispense to a fellow service user. Staff had decided to alter the dosage of medication to a service user (that is why the tablet had been broken or cut in half) but the Doctor had not agreed this. Both these are illegal practices and must cease with immediate effect. An immediate requirement notice was left with the Manager at the end of the inspection. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 11 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 and 14 The social preferences of service users are recorded and there is some provision to access activities within the home and within the local community. Service users are encouraged to maintain family contact and visitors are made to feel welcome. Choice and preferences are offered to service users, as is encouragement to retain independency where possible. EVIDENCE: There is evidence that individual social preferences are recorded within care plans. The home had a diary of activities and trips out which had taken place but reference should be made in individual care plans. Recent events have included entertainers, clothes show and a trip to Asda so that a service user could choose his own clothing. Two service users go shopping independently, and attend church on Sundays and fellowship meetings via walking or taking a taxi in bad weather. Comments from service users include: ‘I can entertain visitors if I wish’; ‘there are no restrictions here; I can come and go as I please as long as I let staff know when I can be expected back’. Service users were asked if they would like more opportunities for social activities within the home and the following comments were made: ‘I’m happy with my life the way it is’; I enjoy the company that I have in the home, so am quiet happy’. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 12 A visitor commented ‘ I am made to feel welcome, the staff are helpful and friendly’. Service users all had some form of support from either relatives or friends and that is why the advocacy service had not been accessed at present. Within the small house a service user makes her own drinks. There are facilities to cook if required. Service user (resident) meetings are held every quarter and a survey was completed in April 2005.An action plan should be recorded as to the suggestions received from this satisfaction survey, this will show that service users comments are valued and that actioning of same would demonstrate that choice and opportunities are made available. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 13 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 New staff have not received training in the protection of vulnerable adults. Staff did not have a full awareness of the policies and procedures, which are there to protect service users; this means that service users could be placed at risk. EVIDENCE: The Registered Manager, Care Manager and other staff spoken to could not demonstrate that they were fully aware of the policies and procedures, which help, keep service users safe. The Manager and Care Manager need to be aware of the policies and procedures relating to the protection of vulnerable adults, in particularly the local social services ‘POVA’ policy and procedure. Once the Manager is sure of these procedures he should cascade the information to all staff again until formal training can be accessed. The Manager and Care Manager should also attend formal training again. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 14 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): 24 and 26 Service users were able to personalise their bedrooms however, three service users had not been consulted regarding privacy issues in their bedrooms. The home was clean and non odorous however, there are insufficient measures to ensure service users are protected from cross infection within the home. EVIDENCE: Locks were fitted to bedrooms for those service users who would like the option of having their own key to their personal space. A number of bedrooms have been redecorated and enhanced by new carpets and curtains. There is evidence of bedrooms being personalised by service users. One bedroom is of shared occupancy and a freestanding privacy screen is provided, there should be clear documentation to demonstrate that both service users in this room have been consulted and are happy with the privacy arrangements in place. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 15 One occupied bedroom contained two ‘built in’ large wall storage cupboards in which the home stored linen. In promoting service users privacy, the Manager agreed to relocate these items to a communal store and allow the service user privacy and the option of extra personal storage space. In the small house it was noted that equipment, which was not in use, was stored next to the shower room. The Registered Manager was asked to consider alternative storage of the equipment, so that this would not infringe on the quality of service users surroundings. The accommodation throughout the home was noted to be clean and comfortable. The toilet seat to an upstairs toilet, which was identified to the Care Manager, is in need of replacement as the varnish was worn exposing the wood beneath, a replacement new seat will help prevent any possible cross infection. The upper bathroom had a number of toiletries left these should be returned to individual service users or stored appropriately. Communal soaps and ‘washing scrunches’ should be removed in the shower room of the small house to prevent cross infection; service users must be encouraged to use their own designated toiletries. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 16 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, 29 and 30 Dependency levels of service users had not been formally assessed; therefore the home could not demonstrate that there are enough staff on duty to meet the needs of service users. There are shortfalls in the procedures for the recruitment of staff, which therefore does not offer protection to the people living in the home. EVIDENCE: The home has no system in place to monitor dependency levels of service users living in the home. This means that the home cannot demonstrate that there is enough staff on duty to meet the needs of service users. This was discussed with the Manager who agreed to use a dependency tool such as the one provided by the Residents Forum Guidance. It is important that this is undertaken because there are two staff on duty throughout the day who cook, clean and attend to the needs of up to fourteen service users on two floors, four of who live in a separate building. It was acknowledged that the Care Manager has several days per week for ‘office time’ and in this instance there are three staff in the building. The Registered Manager hours are not identified on the staff rota. There is an expectation that the Registered Manager will be in the home for at least 35 hours per week, which could not be evidenced from documentation kept. At present the home is looking to recruit night staff for a 3 night per week vacancy, which in the interim period, staff are doing extra shifts to cover the shortfall. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 17 On checking staff recruitment files it was noted that a staff member had commenced work in the home without having the results of a POVAFirst check. The staff member has not received confirmation of a satisfactory Criminal Records Bureau (CRB) check being received but is working in the home unsupervised. This practice of recruitment is unsafe. The CRB check will help the Registered Manager to recruit appropriate staff who will not compromise the safety of service users. Induction training for new staff was not competency based and was not detailed, the Registered Manager and Care Manager agreed that there are improvements to be made in this area. TOPPS training was ongoing, new staff had yet to undertake this and that is why it is important to have a comprehensive, competency based induction overseen by the Registered Manager. There was evidence that mandatory training had taken place; most of the training needed to be renewing for 2006 and the Care Manager had commenced a review. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 18 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): 38 Aspects of health and safety and protection of service users are unsatisfactory. EVIDENCE: The manager should liaise with fire officer to confirm as: • to whether the kitchen door, which was wedged open in the small house, was a fire door. Discuss alternatives to the wedging of this door in order to prevent the unnecessary spread of fire. • Confirm whether doors in this building meet fire regulations because there were some gaps in the intumiscent strips where the door hinge had been repositioned. • Confirm that the lack of break glass points to the upper floor meets fire regulations. The manager said that the outstanding requirements from the last fire report, which, asked for fire exit signage to be displayed, had not yet been completed. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 19 The dates of last service on fire extinguishers were unclear, however the fire records in the home showed the last service to be November 2000. Servicing should be on a yearly basis. The manager stated that these were under contract and would be serviced. The front door is kept locked by means of a key. A risk assessment must be undertaken and the Fire Officer consulted. Although the Care Manager stated that this was not a fire exit door, it is one that most people could assume would aid their exit in the event of a fire. It was noted that staff had to look for the key to let in visitors and also to allow the inspectors to exit at the end of the inspection. A bedroom, which was identified to the Care Manager at the time of inspection, was noted to have low sills. On checking one of the windows in this bedroom for restrictors it was noted that the whole window was able to be removed from its surround which could put a service user at risk and also compromise security in the home; the manager was unable to confirm whether the glass to these windows conformed to safety regulations, which could put any person at risk if they fell against it. A service user had a freestanding electric heater plugged into a socket within her bedroom, with an item of clothing laid across it. There was no risk assessment in place or evidence that the equipment had been PAT tested. Heaters which are free standing are an unnecessary fire risk and if used should be of an approved type, wall mounted and subject to any necessary health and safety checks. The reason that the heater had been used was due to the heating failing for a short period of time the week previous. The manager had not informed the Commission under Regulation 37(which is any reportable incident which effects directly or indirectly health, safety or care of service users or staff) of this event. Portable Appliance Testing (PAT) labels were dated November 2004 and there was no evidence that more recent testing had taken place. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 1 x x x x x 2 x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 2 St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? no 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 OP7 Regulation 15(1) and (2) b Requirement The manager must keep the service users plan including risk assessments under review including a record of outcomes. Unless impracticable to do so, the manager must show that the service user has been consulted about any changes to the care that they will be receiving and ask the service user to sign the record of review. The manager, with immediate effect must ensure that staff work to safe practices and procedures when administering medication. The practice of secondary dispensing (potting up) of medicines must cease immediately; this includes giving a service user another person’s medicine to administer. The manager must ensure that he and his staff are aware of current policies and procedures to prevent service users being harmed or being placed at risk from harm or abuse; this will be done by ensuring that all staff attend training in the protection of vulnerable adults. In interim DS0000002420.V274325.R01.S.doc Timescale for action 01/03/06 2 OP9 13 (2) 06/01/06 3 OP18 13 (6) 01/03/06 St Catherines Residential Care Home Version 5.1 Page 22 4 OP24 12 (4) (a) 5 OP26 13 (3) 6 OP27 18 (1) (a) 7 OP27 17 (2) (7) 8 OP29 19 (7) 9 OP30 18 (c) 10 OP37 37 (1) period of formal training being accessed the manager must raise staff awareness of this issue. The manager must demonstrate that service users in the shared bedroom are happy with the privacy arrangements, which is at present a portable privacy screen. To prevent cross infection in the home the manager must replace the wooden toilet seat to upper floor bathroom and remove toiletries from bathroom areas to prevent these being used communally. The manager must demonstrate that the dependency levels of service users have been formally assessed by using an identified dependency tool; to ensure that the number of staff on duty are sufficient in number to meet the needs of the service users. The Registered Manager must record on the duty rota the times and days when he is on duty within the care home With immediate effect, the staff member who has had a POVAFirst check but has not had CRB clearance must be supervised at all times. The Manager must ensure compliance with safe recruitment procedures. Induction training records must demonstrate that the training received by new staff is competency based. The manager must ensure that all incidents including death, illness, burglary, issues of misconduct, matters which may affect the health, safety of service users and staff are reported within 24 hours to the DS0000002420.V274325.R01.S.doc 01/02/06 01/02/06 01/02/06 01/02/06 06/01/06 01/03/06 30/01/06 St Catherines Residential Care Home Version 5.1 Page 23 11 OP38 23 (4) 12 OP38 13 (4) (a) 13 OP38 13 (4) 14 OP38 23 (2) (P) (4) 23 (2) (c) Commission The Manager should liaise with the fire officer to ensure that the small house conforms to fire regulations in terms of the doors being classed as fire doors, the lack of break glass points on the upper floor and the front door being reliant on a key for opening even though this is not an identified fire exit The windows to an upper floor bedroom (which has been identified to the Manager) must be made safe and the Manager must establish that the glass meets health and safety guidelines. Where radiators are uncovered or not of low surface temperature a risk assessment must be undertaken to establish whether service users are at risk from injury and therefore the radiators need to be guarded. The freestanding portable heater in a service users bedroom must be removed. Portable appliance testing must be undertaken yearly and as equipment enters the home 01/03/06 01/03/06 01/03/06 06/01/06 15 OP38 01/03/06 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 OP24 OP24 Good Practice Recommendations Relocate the unused washer and tumble dryer from the small house to a storage area that does not affect the quality of environment for service users. Remove linen and equipment stored in a service users DS0000002420.V274325.R01.S.doc Version 5.1 Page 24 St Catherines Residential Care Home 3 OP32 bedroom and locate in a suitable communal storage area. It is recommended that management document action taken to address issues raised during residents meetings or from quality assurance questionnaires. St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 St Catherines Residential Care Home DS0000002420.V274325.R01.S.doc Version 5.1 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. 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!