Inspection on 11/09/06 for St Marks Care Home Limited

This inspection was carried out on 11th September 2006.

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 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 Marks Care Home Limited 16/09/09

St Marks Care Home Limited 17/09/08

St Marks Care Home Limited 04/09/07

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE St Marks Care Home Limited 38-40 Wellesley Road Clacton on Sea Essex CO15 3PW Lead Inspector Francesca Halliday Unannounced Inspection 11th September 2006 09:00 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 St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Marks Care Home Limited Address 38-40 Wellesley Road Clacton on Sea Essex CO15 3PW 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) 01255 421750 01255 435282 St Marks Care Home Limited Manager post vacant Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (17) of places St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 17 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 17 persons) The total number of service users accommodated in the home must not exceed 17 persons This is the first inspection since the home changed ownership. Date of last inspection Brief Description of the Service: St Marks Care Home can provide personal care and dementia care for up to 17 people over the age of 65 years. The home has been converted from two private residences. It is on a residential street in Clacton-on-Sea close to the town centre and sea front. Accommodation is provided on two floors, with the upper floor being accessed by a passenger lift. Thirteen rooms are single occupancy and two rooms are shared. Residents have a dining area and two sitting rooms available to them. There is a small garden to the rear of the property and limited off road parking in front of the home. The home had a range of information for prospective residents and their representatives. At the time of inspection, in September 2006, the range of fees was £367 - £425. Additional charges were made for toiletries, hairdressing, private chiropody and privately arranged activities. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection visit took place on 11th September 2006. The inspection process included: discussions with 7 residents and 4 members of staff including the proprietor and the deputy manager of the home. 1 relative was spoken with during the visit, and 1 relative was contacted following the inspection. Parts of the premises and a sample of records were inspected. St Marks Care Home was registered to new owners on 1st June 2006. This was the first inspection since the change of ownership. The registered manager had resigned on 30th June 2006 and the deputy manager was covering the post with support from the new proprietor until a replacement could be found. 22 standards were inspected: 10 met the standards, 8 standards had minor shortfalls and 4 standards were not met. What the service does well: What has improved since the last inspection? A relative considered that communication between staff and relatives had improved considerably and said “I have faith in the standards of care under the new owners”. Residents considered that the standard of cleaning in the home was now very good. One resident said “the cleaner gets the place spotless”. Residents appreciated the fact that the garden had looked very colourful over the summer and said that more choices were now being offered on the menu. In the short time since the new proprietors took over the home a number of very positive improvements to the premises and to the care documentation were in the process of being made. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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 Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 not applicable) The overall quality outcome for this group of standards is adequate. The proprietor is aware of the need to develop a more detailed assessment process for potential residents with dementia. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The proprietor had carried out the preadmission assessments since the resignation of the registered manager at the end of June 2006. The home’s previous preadmission documentation had been used. This covered most of the aspects of standard 3.3, but the tick box system did not encourage the recording of potential residents’ personal preferences, interests and expectations. The proprietor said that she would be introducing a more comprehensive assessment form for potential residents with dementia. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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, 8, 9, 10 The overall quality outcome for this group of standards is adequate. The care documentation is being improved. Residents consider that their care needs are met. Some improvements to medicines management are needed. Residents consider that staff treat them with respect and uphold their right to privacy but one considers that other residents occasionally invade their privacy. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents and relatives spoken with were very happy with the standards of care in the home. One relative was particularly appreciative of the care given to a terminally ill resident with the support of the community nurses. The care documentation was not fully inspected as the home was in the process of changing all the documentation. Some good examples of the new care plans were seen; they were detailed and more person centred than in the past. A discussion was held about the need to provide more evidence that care and care needs had been regularly evaluated, and that daily progress records were St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 10 linked with the care plans. Residents spoken with were not aware of their care records. The proprietor said that she was introducing a key worker system. Day care was being provided on one day a week to a resident who had recently been discharged from the home. Staff were reminded that they would need to maintain care records for this resident, and ensure that the additional care being provided did not have a negative impact on other residents in the home. A new set of chair scales had been purchased so that the more dependent residents’ weight could be monitored. A new hoist had also been ordered. Some residents and staff did not consider that they had good support from all the local surgeries. However, there was evidence that specialist medical and nursing advice was being obtained when necessary. The medicine administration records (MAR) were generally well completed. However, when the prescription was for a variable dose staff were not recording what dose was actually given. In some instances staff needed to obtain clearer instructions from GPs on when and how often to give “as required” medicines. Staff needed to have a discussion with the dispensing pharmacist to get the MAR amended to remove the times printed by the “as required” medicines, so that staff were encouraged to respond to residents’ individual need and not administer medicines at set times. One resident did not have one of their prescribed medicines available for five days and another was not available for 11 days. The temperature of the storage area was being monitored daily and was generally below 25c. Staff said that they placed a large ice pack in the medicines trolley if the temperature exceeded 25c. A discussion was held about the possible future need for an air conditioning unit if the temperature in the medicines storage unit was regularly elevated. The proprietor said that she would ensure that all residents had an up to date photograph attached to their MAR sheet for identification purposes. She said that the medicine information sheets would be organised so that staff could easily access information for individual residents. All senior care assistants had recently received a training session on the administration of medicines. Residents spoken with said that staff respected their privacy. Staff considered that they were better at maintaining residents’ privacy and confidentiality than in the past. One resident was concerned that other residents sometimes invaded their privacy and that they were occasionally disturbed by the behaviour of some residents with dementia. There was evidence that staff were looking at different ways of meeting residents’ diverse needs, and discussions were held about other possible options for the future. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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, 14, 15 The overall quality outcome for this group of standards is adequate. Staff are aware of the need to develop activities. Staff plan the routines of the home in a way that offers more choices to residents than in the past. Residents’ view of the food was very variable. Access to the kitchen needs to be restricted. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: A number of residents said that there were no regular activities in the home. Only one resident mentioned that they occasionally had an exercise session with balls. However, residents said that staff did spend time chatting to them. Staff confirmed that they were now encouraged to sit and chat with residents whenever possible, although this had been discouraged in the past. Some staff considered that they would benefit from training in the range of activities for older people and older people with dementia. A number of residents went to a privately funded family support centre once a week. The proprietor said that residents were asked whether they wanted a visit from any of the local clergy. Residents appreciated the barbecue held in the summer. One resident said, “They gave us a lovely barbecue, relatives came and it was very enjoyable”. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 12 Relatives said that they were made to feel welcome in the home. Staff considered that they were able to offer more genuine choices to residents than they had in the past. They said that they now encouraged residents to eat meals wherever they liked in the home and go to bed and get up at a time that suited them. Some residents were satisfied with the quality of food and the increased choices now being offered. Others considered that the quality needed to be improved. One resident said “It’s not like at home”, another said “The food is no better”. The stock cupboards and freezers had a high proportion of convenience food. The proprietor said that this was because the shopping for fresh produce was due, and also because some of the convenience food could be used to provide alternatives at short notice if residents did not like what was on the menu. She also said that residents were being more involved in decisions about the menu and that more emphasis on home cooked food was being made. A new cooker and additional equipment had been purchased for the kitchen. The kitchen was very clean, apart from a dusty fan. On the day of inspection the kitchen door to the garden was open for some time while the kitchen was unattended. The door had with no fly screen in place and staff were entering the kitchen without protective clothing. The open door also gave access to an unlocked cupboard with hazardous cleaning fluids. The proprietor said that a lock would be put on the cupboard immediately following the inspection and staff would be reminded that the door must be kept locked. The proprietor said that they were in the process of reviewing the layout of the kitchen. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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): 16, 18 The overall quality outcome for this group of standards is good. Residents and relatives are confident that concerns and complaints are addressed promptly and they are protected from abuse. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents said that staff addressed concerns promptly. Staff said that they dealt with verbal concerns and complaints, but did not usually document the issues and how they had been resolved. This might result in other staff not being aware if this was a recurrent concern or complaint. The proprietor said that she would introduce the appropriate documentation. A relative said that the new owners encouraged an open culture and handled any concerns or complaints in a very positive manner. Residents considered that the standards of care were good and they felt safe from abuse. The majority of staff had received training in the protection of vulnerable adults and training was being arranged for the new staff. Staff spoken with were aware of the actions to take if abuse was suspected. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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): 19, 26 The overall quality outcome for this group of standards is adequate. A number of very positive improvements to the premises are in the process of being made. The home is clean and action is being taken to address odour control in one room. Prompt action is taken to address safety issues highlighted during the inspection. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: A number of changes had been made to the premises since the new owners took over the home on 1st June 2006. One shared room had been divided up into two single rooms and an en-suite facility had been installed in an additional room. Some new bedroom furniture had been bought, which made the rooms look more homely and attractive. The proprietor said that new carpets were due to be fitted in the hall and on the stairs. One of the bathrooms was in the process of being upgraded and an assisted shower was being installed. The appearance of the quiet sitting room had been improved St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 15 since the last inspection and new dining room furniture had been ordered. The proprietor said that the small area of uneven flooring in the dining room would be addressed. The home employed a cleaner for 2 hours on 5 days a week. Residents all said that the home was kept very clean and considered that the standard of cleaning had improved since the last inspection. A discussion was held about odour control in one shared room and it was agreed that the carpet would be replaced by suitable vinyl flooring. The proprietor confirmed that this would be kept under review depending on the future needs of residents in this room. The laundry is situated in the garden and the door is kept open. At the time of inspection this gave access to an unlocked cupboard containing corrosive chemicals. The proprietor said that the cupboard was fitted with a lock following the inspection. Residents spoken with were all happy with the laundry service. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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, 28, 29, 30 The overall quality outcome for this group of standards is good. Residents consider that their needs are met with the current staffing levels. Recruitment practices are generally sound but a few improvements are needed. Additional support is to be given staff to assist them in applying their training to the current client group. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Staffing levels for fifteen residents (the number at the time of inspection) were 3 care staff from 07.00 – 21.00, with 1 member of staff awake and one sleeping in at night. A cleaner was employed for two hours on five days a week and a cook for four hours daily. A discussion was held about the need to ensure that a member of staff was present in the lounge at all times to supervise residents. One member of staff was working between 60 and 75 hours each week on the rotas sampled. The proprietor said that this was the member of staff’s choice and that their performance was monitored. The standard of recruitment practices had improved since the last inspection. All staff had received a criminal records bureau check. The required information was on file for the majority of staff, but a few files did not contain all the identification required and references had not always been obtained from the previous employer. There was no interview record to provide St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 17 evidence that gaps in employment or issues raised by the application had been explored. The proprietor said that she would carry out an audit of all the personnel files and ensure that all the required information was obtained. The majority of staff had attended a dementia care course and received training in the management of challenging behaviour. However, a number of the staff felt that they lacked the skills and experience to apply this knowledge to the new client group, particularly the residents with more challenging behaviour. The proprietor, who is a registered nurse, said that she would give some training sessions to support staff and help them apply the training so that they could meet residents’ individual needs. Training was being given priority in the home. The proprietor confirmed that the home met the standard of 50 of care staff having completed the National Vocational Qualification at level 2. Two senior staff said that they were starting NVQ at level 3 in the near future. Staff said that they had received training in safe working practices and senior staff had received training in the administration of medicines. The proprietor confirmed that the majority of staff were up to date with their training and said that training for newly appointed staff was being arranged. The proprietor was in the process of organising the training files and assessing any additional training needs. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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): 31, 33, 35, 36, 38 The overall quality outcome for this group of standards is adequate. Management cover is being provided until a registered manager is recruited. The systems for quality assurance and formal supervision need to be developed. Staff need to be more aware of the potential risks in the home for residents with dementia. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: The deputy manager was covering the post of manager until the appointment of a new registered manager. The home has regular support and input from the new proprietor. Staff said that the proprietor was supportive and approachable. The proprietor said that she would send the Commission a quality report once the new proprietors had carried out a range of audits and St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 19 surveys. Staff confirmed that informal supervision took place but there was no formal supervision at the time of inspection. The home did not hold any money for the majority of residents, and that any extras were billed directly to the residents’ representatives. The proprietor said that the home held some personal money for one resident and confirmed that appropriate systems were in place to monitor any transactions. The following potential hazards were noted during the inspection. Some of the concrete paths in the back garden were cracked and uneven and there was a pile of concrete and bricks round the base of the rotary dryer. There was direct access to open cupboards in the laundry and kitchen, which contained some corrosive chemicals (see standards 15 and 26). Locks were fitted immediately following the inspection. The proprietor said that she would carry out a risk assessment of the premises including residents’ access to the stairs, and keep it under review as residents’ needs and dependencies changed. The majority of staff had received health and safety training. There were good systems in place for maintenance and servicing of equipment. The proprietor said that she would confirm when the lift and gas maintenance certificates had arrived. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 1 St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? This is the first inspection since the home changed ownership. 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)(2) Requirement The person registered must ensure that: 1. Residents and relatives where appropriate are directly involved in developing the care plans. 2. Residents’ care and care needs are regularly evaluated in consultation with residents. 3. Daily records demonstrate monitoring of the care needs and care plans. The person registered must ensure that: 1. Prompt action is taken to prevent interruptions to the supply of prescribed medicines. 2. Staff document the actual dose administered when a variable dose is prescribed. 3. Staff are given clear instructions on how to give “as required” medicines and are encouraged to give the medicines when needed and not at set times. The person registered must ensure that staff receive training in the range of activities and social stimulation for older DS0000066522.V302279.R01.S.doc Timescale for action 01/10/06 2 OP9 13(2) 01/10/06 3 OP12 18(1)(c) 01/12/06 St Marks Care Home Limited Version 5.2 Page 22 4 OP15 13(3) 5 OP15 OP19 OP26 OP38 13(3)(4) 6 OP29 19(1) 7 OP33 24(2) 8 9 OP36 OP38 18(2) 13(4) people and people with dementia. The person registered must ensure that fly screens are fitted to all outside windows or doors in the kitchen. The person registered must ensure that: 1. Residents do not have access to any potential hazards in the kitchen or laundry. 2. Staff wear protective clothing when entering the kitchen. The person registered must confirm that an audit of personnel files has been carried out and all required information obtained. The person registered must send a quality assurance report to the Commission when audits and surveys have been carried out. The person registered must ensure that staff receive regular formal supervision. The person registered must ensure that regular environmental risk assessments are carried out, with particular reference to the client group in the home at the time, and potential risks such as the uneven paving are addressed promptly. 01/12/06 11/09/06 01/12/06 01/03/07 01/11/06 01/11/06 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 Refer to Standard OP3 Good Practice Recommendations The registered provider should ensure that the preadmission assessments collect information on potential DS0000066522.V302279.R01.S.doc Version 5.2 Page 23 St Marks Care Home Limited 2 3 OP16 OP38 residents’ preferences, interests and expectations so that this can be fully explored prior to admission. The registered provider should ensure that verbal complaints are documented along with the actions taken to address the concerns raised. The registered provider should confirm that the gas and lift maintenance certificates have been received. St Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Marks Care Home Limited DS0000066522.V302279.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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