CARE HOMES FOR OLDER PEOPLE
St Denis Lodge Salisbury Road Shaftesbury Dorset SP7 8BS Lead Inspector
Rosie Brown Unannounced 13 July 2005 11:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service St Denis Lodge Address Salisbury Road, Shaftesbury, Dorset, SP7 8BS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01747 854596 St Denis Lodge Ltd Miss Patricia Butler Care Home only 21 Category(ies) of OP - 21 registration, with number of places St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: none Date of last inspection 14 February 2005 Brief Description of the Service: St Denis Lodge is well-established care home situated on the outskirts of Shaftesbury town centre close to the Royal Chase roundabout. The home is registered to accommodate a maximum of 21 people aged 65 years and over in the category of Old Age (OP). The owner and registered individual is Ms Beverley Martin, she is assisted in the day-to- day management of the home by the registered manager Mrs Patricia Butler. St Denis Lodge residential home is a large Georgian property set in its own landscaped gardens. Accommodation for service users is arranged over the ground and first floors and all of the bedrooms bar one have en-suite WC facilities. The accommodation is of a very high standard and provides a comfortable and attractive environment. The home aims to provide a service to people who have low to moderate care needs, and is well-suited to people who retain a degree of independence. However, the homes environment is such that physically frail elderly people can access all parts of the house: there are two passenger lifts available for use. Service users are encouraged to remain at the home for as long as they wish with support from health care professionals.In addition, St Denis Lodge offers a range of social activities and services and community contact is maintained.There is a large off road car park to the side of the home for visitor’s convenience.
St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 13th July 2005 and was undertaken by inspector Rosie Brown: it was the first of two statutory unannounced inspections planned to take place this year. The inspection commenced at 11am and was concluded by approximately 5pm. This was the second time the inspector had visited the home and a favourable impression was gained. The inspector assessed 20 of the National Minimum Standards and the requirements and recommendations set out in the report of the previous inspection. The communal areas and a selection of bedrooms were viewed: residents’ care and medication records, staff recruitment records and certain policies and procedures were examined. The inspector used observation skills to assess certain findings, spoke with the manager, a senior member of staff and two other staff who were on duty, a visitor and seven service users. A CSCI leaflet entitled ‘Is the care you get the care you need?’ with the contact details of the inspector was also left in the home for service users information. What the service does well:
The home is extremely well maintained and attractively decorated. Communal areas are comfortably furnished and appropriate for the needs of the service users accommodated in the home. Individual bedrooms are highly personalised and reflect service users personalities. The gardens are well tended and planted with a wide variety of trees shrubs and seasonal plants that attract a variety of wild birds. The gardens are easily accessible to service users: garden furniture is plentiful and gazebos provide shade as appropriate. One resident said, “there is a lovely garden”. Two passenger lifts at either end of the house provide level access throughout for those service users who cannot manage the stairs. Specialist equipment specific to the needs of service users is accessed via the community health service while other equipment is provided by the home while some service users purchase individual items of their choice. The home promotes service users independence and choice regarding their daily lives and routines. One resident said, “there isn’t a nicer place to live, I’m very happy here”.
St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 6 The social care provision is central to service users lives and includes their choices one resident said “we have a good time here”. Service users said they are treated with respect at all times and their privacy is respected. The standard of food supplied to service users is high, offering alternative options at each meal, includes residents choices and preferences and caters for special diets. One resident said ‘I like the afternoon cup of tea and home made cake’. What has improved since the last inspection? What they could do better:
There are 8 requirements and one recommendation set out in this report following the inspection. The homes statement of purpose and brochure/ guide must be updated to provide accurate information about the home’s management arrangements and relevant legislation: details of the Commission must be correct. Care plans although detailed do not include sufficient information concerned with each service user’s wishes/needs regarding their care when dying and upon death. It is important that the home continues to review the mental health care needs of all residents but in particular one identified person to be clear that the placement is appropriate. Although the manager has drawn up care related risk assessments these must contain more detailed information regarding the specific arrangements in place and the actions to be taken by staff, e.g. in relation to the self administration of medication. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 7 When staff make written alterations to the administration of medication record (MAR) chart, these entries must be countersigned by a second person to ensure that the information is correct and as prescribed by the GP. Staff training is being developed but all staff must be supplied with adult protection training to ensure that service users are safe at all times. The home’s management have taken action regarding the hot weather and keeping service users cool. However, risk assessments must be drawn up in connection with where free-standing cooling fans are used and positioned and their safety. A new electrical certificate has been obtained since the previous inspection but the home must be able to demonstrate that the recommended actions in the report have been addressed. Now that the home is a registered company the RI must document reports concerning her monthly appraisal visit of the home, this will demonstrate she has regular contact with service users, staff and the home and the actions taken to ensure good quality care. 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 Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 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 standard(s) 1, 3 and 6 The home’s statement of purpose and guide although adequate because it clearly describes the services available, is out of date and does not provide accurate information about the business and management arrangements for the home. Each prospective service user is subject to a pre admission assessment, which is undertaken by the manager to ensure that the home can meet assessed needs. The home does not provide intermediate care. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 10 EVIDENCE: The home has a statement of purpose and this has been updated to reflect that the home is a registered company, that Mrs Butler is the homes’ registered manager and Mrs Martin the owner of the home is the Registered Individual (RI). The home’s brochure is available in the hallway but this needs updating: it states ‘the home is personally managed by Mrs Martin’ and that it is registered with Dorset County Council: the home is registered with the Commission for Social Care Inspection. Other information supplied in the statement of purpose must be amended to reflect the change in title of the Commission to the Commission for Social Care Inspection (CSCI) and that the manager is in day to day control of the home: service users must be supplied with correct information. Care records for two recently accommodated service users demonstrated that pre-admission assessments are undertaken by the manager before residents move into the home to ensure that identified needs can be met: assessments had been signed by the service user and manager. One resident said they decided to stay permanently in the home following a trial stay and feels very happy about the decision. Terms and conditions of residence agreements are provided and also signed by service users but again the information is incorrect: the home is registered in accordance with The Care Homes Regulations 2001 this legislation superseded the Registered Homes Act of 1984. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 and 10 Each service user has a care plan that identifies the care being provided to meet identified needs. Service users’ health needs are monitored and responded to appropriately with support from community services. Service users confirmed their privacy is protected and that their known wishes are respected. The home’s medication storage and administration arrangements are satisfactory and some service users continue to take care of their own medicines. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 12 EVIDENCE: Care plans for three residents were examined and included details of personal hygiene, elimination, nutrition, mobility, sleeping, communications, safety, social activities, health, foot care and oral hygiene. Care plans must include more information concerning the care and wishes of service users when they become critically ill or are dying. The home arranged for a mental health assessment to be undertaken for one service user in order to demonstrate they can meet this service user needs and to confirm that the person concerned is suitably placed in the home: this placement is being reviewed each week with professional guidance and support. Care related risk-assessments were documented, but some need to be developed to include more specific information, for example where medicines are safely stored in a bedroom and the arrangements regarding the use of an angina spray. Records evidenced that care reviews are undertaken regularly and involve the service users and/or their representative. Three service users confirmed they are include when decisions are made about their care and staff were observed consulting with residents about their care and preferences during the visit. The manager has updated the medication policies to include information about the covert administration of medicines as a result of requirements made during the previous inspection. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Visitors are welcomed by the home and social activities are creatively organised to provide additional interest for the residents living in the home. Individual care records indicate social care needs and are regularly reviewed with each service user to ensure their individual expectations and preferences are fulfilled. The meals and food supplied by the home are very good offering both choice and variety and catering for special dietary need. EVIDENCE: There was abundant evidence that the home provides regular and varied activities and these are noted in the home’s diary, which is displayed for service user information in the inner hallway near to the dining room. At least three residents said how much they enjoyed a fund raising annual fete that was held in the home’s back garden at the weekend. One resident said she had bought some birthday cards and a ‘lovely china plate’. Another recalled ‘sitting in the Gazebo out of the sun’ the previous day and ‘having fun eating lunch in the garden’. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 14 The home’s visitors book and service users daily records indicated that visitors call into the home regularly: one resident said ‘our visitors can have lunch with us as long as we give notice they are coming’. Two residents said they enjoy the residents meeting that are held approximately once a month as this gives them a chance to grumble if they wish and offer ideas for afternoon activities and outings. The inspector was invited to eat lunch with a group of five residents and this was a leisurely occasion in the pleasantly furnished dining room. One resident commented ‘it’s a very good place here, like an extremely good hotel’. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The complaints procedure is supplied to service users and they were confident that their concerns would be taken seriously and acted upon. The home has a policy concerned with adult protection to ensure that allegations of abuse would be properly responded to. EVIDENCE: The home’s complaints procedure must make clear that a complainant may approach the Commission in the first instance if they should so wish. The CSCI has received one complaint over the past year alleging poor medication practice but this was not upheld and no other complaints have been received in the home. One service user said, ‘ I feel I can approach them with a concern, without a doubt ‘. The home’s adult protection policy has been shared with staff and the manager is currently arranging for all staff to undertake the local training concerned with ‘No Secrets’ and the referral process and the recognition of abuse. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 24 and 26. The home is very clean and maintained to a high standard; it provides a well equipped and comfortable environment for the residents who choose to live there. Service users rooms are furnished in a manner that is suitable to their individual needs. EVIDENCE: St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 17 A selection of bedrooms and all communal areas were viewed. The home is well maintained and in excellent decorative order: a record of the routine maintenance and fabric of the home is kept. The home has exceeded this Standard at a previous inspection. However, evidence to demonstrate that four minor matters requiring attention identified in a recent electrical certificate was not available on this occasion. The entrance hall and all corridors are wide thereby allowing residents with walking frames to pass by each other easily. There is a communal lounge with separate dining room and conservatory thus providing a variety of comfortable sitting areas indoors. Two passenger lifts in the home ensure wheelchair access to all the communal facilities and the first floor for physically challenged residents. Alternative access to the first floor is via the main staircase, which has handrails on either side of the stairs. There is a ground floor cloakroom, with a disabled showering facility, three assisted bathrooms: all the bathrooms have non-slip floors and one has a shower facility. The home has an Oxford mini hoist with a variety of slings and a Stand aid hoist for the manual handling of service users when necessary. All bedrooms are single and all bar one have en-suite facilities. Individual residents bedrooms are highly personalised with furniture and possessions brought in from their former homes. One resident said she was pleased to have moved into a bigger room now that she had decided to stay because this meant she had been able to have more of her own furniture. A bed in one room has been fitted with bedrails and a risk assessment has been drawn up regarding this practice. A service user in another bedroom uses oxygen and a notice identifying that it is in use in the room is affixed to the door: a humidifier has also been supplied in this room. Some resident’s bedrooms have free standing cooling fans and these are also situated in the communal areas: risk assessments concerning the use of cooling fans and where they are situated have yet to be drawn up. Since the previous inspection a risk-assessment has been drawn up regarding the need to fit an alarm to the front and other exit doors so that staff become alerted when service users leave the home unattended. At this point in time a decision has been made not to fit an alarm. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 18 The home’s gardens are very attractive and colourful with many interesting features for the service users such as pathways, seating under gazebos, a rose border, raised gardens and arbours: one resident likes to water the flower tubs and potted plants. The gardens are well used by residents and are easily accessible for wheelchair users and those with walking frames. The home is situated close to a very busy dual carriageway but is set in its own grounds with a large car park to the side of the house for visitors’ convenience. The most reports from Dorset Fire Rescue Service (DFRS) and the local Environmental Health Office (EHO) demonstrate the home met their requirements at the time of their last inspection visits. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 and 30 Appropriately staffed 24hrs each day by management, care and domestic workers to ensure that service users needs are met at all times. The process of staff recruitment has improved since the previous inspection thereby ensuring the protection of residents living in the home. A training programme has been set up in the home to ensure that staff are appropriately trained to meet service users needs. EVIDENCE: There were three care staff on duty with the manager on the day of the inspection and additional staff included the laundry assistant, cook and cleaner. The home also employs a gardener, maintenance worker and administrator. The recruitment records for two new members of staff were examined and these detailed that all necessary checks and information was obtained before these persons commenced working in the home. Records showed that new staff are subject to induction training. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 20 One member of staff said that training opportunities are more flexible since the training co-ordinator has been in post and she was enjoying her NVQ level 3 training course. A programme of NVQ training has been set up to ensure that 50 of the staff working in the home are NVQ trained: this target has yet to be fully achieved. Records demonstrated that staff are supplied with training in manual handling, food hygiene, first aid, infection control and fire safety. Some, but not all staff have undertaken training in medicine administration, risk-assessment, counselling and challenging behaviour. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 All service users are encouraged to maintain control over their finances or with assistance by a representative. When the home becomes involved in minor expenses records are kept thus safeguarding any expenditure. The management of this home strive to ensure that service users health and safety is promoted. EVIDENCE: The home has a registered manager who is in day- to-day charge of the home. The RI visits the home each week to support the manager and undertake some management tasks but does not document monthly reports about the home as required: a form was supplied to assist with this process. The majority of service users in the home manager their own finances and personal affairs or are assisted by relatives or solicitors.
St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 22 Records of financial transactions for one service user were kept in good order with receipts and signatures including that of the service user. The manager explained that most financial transactions are achieved through the bank and by invoices being sent to the service user concerned. Records of equipment maintenance and checks are held in the home. The manager was unable to evidence that the recommendations set out in the home’s recent electrical certificate have been addressed. The homes fire records demonstrated that regular tests and checks of the fire precautionary system are undertaken: servicing of fire fighting equipment and of the fire system are routinely carried out by a contractor at the required intervals. The homes fire risk-assessment was updated in March 2005 to note the areas where extractor fans are situated and on the day of the visit to indicate that oxygen is used and stored in a particular bedroom in the home. Some additional information was supplied to assist the further development of the home’s risk-assessment. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 2 3 x 3 x 2 x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x 3 x x 2 St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation Schedule 1& Regulation 4&5 Requirement The home’s updated statement of purpose and guide must both detail that the manager is registered and that the home is a registered company. It must clearly state that the home is registered with the CSCI.(previous timescale of 30/4/05 not met). Care plans must include more detail regarding each service users wishes/needs for their care when dying and in the event of death. The risk-assessments concerned with service users self medication must include more detailed information regarding the arrangements in place. When alterations are made to the adminstration of medicines on service users MAR charts, changes must be signed and dated by two staff. All staff must be supplied with adult protection training related to the localNo Secrets guidance and procedures. The registered persons must draw up risk assessments inconnection with the use of free Timescale for action 31/8/05 2. OP7 15 (1) 31/8/05 3. OP9 13 (2) 31/8/05 4. OP9 13 (2) 31/8/05 5. OP18 18 (1) (c) 30/9/05 6. OP19 13 (4) 31/8/05 St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 25 7. OP38 13 (4) 8. OP38 26 standing cooling fans. These assessments must be both for individual service users who use this facility in their room and for use of fans in communal areas of the home. All remedial actions identified must be actioned. The home must provide written confirmation that the recommended improvements to the electrical system have been rectified as detailed in the homes inspection report dated 10/6/05. The Registered Individual (RI), must document and send reports to the Commission for Social Care Inspection (CSCI) of her monthly visits to the home. 31/8/05 1/9/05 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. Refer to Standard OP7 Good Practice Recommendations The regular review of one service users placement in the home continues to ensure it is suitable. St Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole BH17 0NF 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 Denis Lodge D55 S61609 St Denis Lodge V229942 130705 Stage 4.doc Version 1.30 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. 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!
