Inspection on 27/01/09 for St Marys View

This inspection was carried out on 27th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Marys View 31/01/07

St Marys View 10/01/06

St Marys View 24/11/05

St Marys View 12/01/05

St Marys View 14/07/04

St Marys View 20/02/04

Similar services:

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Craigmore House

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Marys View Brook Street Whitley Bay Tyne & Wear NE26 1AF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Allan Helmrich     Date: 2 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: St Marys View Brook Street Whitley Bay Tyne & Wear NE26 1AF 01912513630 F/P01912513630 greynewbiggen@ic24.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Lifestyles - Care & Support Ltd care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 10 St Marys View was originally a large terrace house and is converted to provide a home for up to ten people who have a learning disability. The Home is a short walk away from the sea front in Whitley Bay, and is convenient for the town centre with its range of shops and leisure facilities, as well as good transport services. There is a communal lounge, a dining room and another small lounge on the ground floor. The kitchen is a good size and there is a separate laundry. A bathroom, walk in shower and toilet has recently been created on the ground floor and there are two other bathrooms, a shower and two toilets. There are ten bedrooms with wash hand basins fitted and one on the ground floor has an en-suite shower and toilet. Currently one bedroom is converted to provide a small office/meeting room. The home does not have a passenger lift to assist anyone with a physical disability. St Marys is part of the Lifestyles - Care and Support organisation. Inspection reports and information about the home are readily available. The homes fees are in the range 355 - 629 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The Visit: Care Homes for Adults (18-65 years) Page 6 of 29 The inspection was unannounced and was undertaken by the link inspector for the service and an Expert by Experience supported by a project worker from the Darlington Association on Disability. The inspection started at 9:45am and lasted 5.5hrs. During the visit we: Talked with people who use the service. Talked with the temporary home manager, two other support managers and staff on duty. Looked at information about the people who use the service and how well their needs are met. Looked at case records for three residents and other records that must be kept, including medication. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to assess if it was clean, safe and comfortable. Checked what improvements had been made since the last visit. Also surveys were sent to residents and staff. Responses were received from six residents supported by relatives or staff and two staff members. Information from these sources is used in this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has sufficient information on the needs of the people who live there and access to appropriate services to enable their needs to be met. Evidence: Two people have been admitted into the home since the last inspection. The manager ensures the home can meet the needs of any referral before a placement is made. Full information is obtained about the person and relevant professionals are involved in the process.We looked at the care plans and information for three of the nine people who live in the home. An evaluation of each persons care needs has been completed since our last visit to the home, which provides comprehensive information on their history and up to date information on their interests and needs. The evaluation of needs provides the basis of each persons care plan and provides good information for the staff so that they know how to support each person appropriately. Everyone who responded to a survey was positive about their move into the home. People said;It was a planned move done in stages that all found beneficial. I looked Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: at a few homes and decided this one was the best. I like the people here and the staff. I asked if I could come and live at St Marys. The people who spoke to the Expert told him they liked living here and wouldnt change anything. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People now have good plans in place for daily living, they are involved in making lifestyle decisions and are encouraged to be independent. Evidence: Some of the care plans have recently been brought up to date. Two care plans seen have been reviewed and revised since the last inspection by the temporary manager. An agreement to share and store the information was obtained and detailed in the plans. The care plans are clearly written with good details of each persons needs and procedures and guidelines for meeting those needs. One person has a care plan for promoting their independence that is clearly written and was agreed by the person concerned. The plan describes the need to be met the persons goal for meeting the need and the route and actions for the staff to follow to support them to achieve their goals. The plan describes specifically how to communicate using short sentences and the method of response with its probable meaning. This file also contained many pictures to use to assist the person in making choices. The risk assessments seen Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: included; use of the kitchen, outings, personal space and bathing. A management plan was in place for supporting the person to achieve the activity and manage any risk involved. People spoken to during the inspection made it very clear that they decide what to do. Staff were seen throughout the inspection asking residents to choose what to do and where to go. From the six surveys returned, everyone stated Yes to the question, can you do what you want to do during the day, in the evening and at the weekend. Comments included; I go to a day centre 4 days a week which I enjoy. I go out for meals and shopping and I go to the seafront with staff, Lynn (the manager) or Colin (a proprietor). I decide when I want to go out. I can go out shopping in the car when I ask. The staff help and support me whenever I need it. I have been given a lot of choices to help me lead a normal way of living. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are encouraged to make choices for their activities, and the staff support them to develop their skills for independence. Evidence: Staff support people with individual lifestyles. One person does voluntary work in a local charity shop, another person attends college and three others visit a day service regularly. One person has a goal plan for accessing outside activities and an occupational therapist has been involved with another resident to enable then to leave the home unsupported. The home has two rabbits and a parrot that people living in the home help to care for. The manager stated there is some flexibility in the staff team to enable people who request or require support when outside. One person who has a friend in another Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: home nearby regularly meets with them supported by a staff member. Details of family and friends is recorded in the individual care plans and the manager stated that most people see friends or family regularly and this is encouraged. Three people chose to holiday in Scarborough with staff last year. The Expert commented; I did not see many activities to do apart from watch television and I saw some jigsaw stacked next to the television. I asked the manager to have a look at the activity plan. This was a weekly plan which listed the days and had sections for morning afternoon and evening. From this I found out that residents went to day services played bingo watched DVDs did cooking took part in sing songs and had a weekly takeaway night. I spoke to two of the residents about what they did. One said she slept during the day and listened to the radio. After I spoke to her she went to the shop. The other resident I spoke to said he goes out after dinner and he watches television and reads books on an evening. He also said the residents told me they go shopping with staff when I asked if the residents chose what went in the shopping one said that they did and the other said that the staff choose. I asked to have a look at the menu it was on the notice board which was written out. It only gave once choice so I think there should be another choice and that there should be pictures so the service users can understand it more easily. The manager said that the service users could use the kitchen when they liked to help themselves to snacks and drinks. When I was there they had their lunch which was either a sandwich or soup. They had a choice of fillings and white or brown bread for the sandwiches. The homes menu demonstrated that healthy eating is promoted with vegetables and fruit regularly available. The temporary manager also stated that peoples choice of meal is respected and alternatives to the menu are made available. One person has a goal to lose weight and this is recorded in an agreed plan. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff support people to maintain their health needs and to consult other medical professionals. However the medication system and staff training could be improved to ensure peoples welfare is promoted. Evidence: A walk in shower has been installed on the ground floor and additional handrails provided on the staircase to better support people in the home and aid their movement. The care plans contain good details of each persons care needs. The health care records seen included references to hospital visits and contact with GPs and other health professionals. Professional support was recently requested to support one person whose mental health has deteriorated. The home has systems in place to manage peoples medication. However staff have not received accredited training in safe handling of medicines and there is no record of their competency having been assessed. Also the temporary manager is currently Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: catching up on 1-1 supervisions that were not done in the recent past. The medication records were checked for the people who were being case tracking. A gap was found on the MAR (medication administration record) charts that had not been followed up by staff providing the next medication and the prescribed dosage was not detailed for another medication. These elements compromise the safety of people receiving medication. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are safe in the home supported by a caring well trained staff team. However the complaints procedure is not written in a format that the people who live in the home can understand and follow. This means that they may not be confident that their concerns will listened to. Evidence: The home has received four complaints since the last inspection and these are well recorded with how they were resolved in a log kept for this purpose. The complaints procedure is not written in a format that the people who live in the home can understand and follow. Also three of the five residents who responded to a survey stated they do not know how to make a complaint, although they all stated they would speak to staff if they were unhappy. The Expert said The residents looked well cared for and we were asked to sign in and out so they know who has been in the house. When I asked the service users what they would do if they did not feel safe they said that they would tell a member of staff they also knew what to do if they wanted to complain. Two staff spoke confidently about how they ensure residents are kept safe. Four members of the staff team have received training related to the protection of vulnerable adults and courses have been arranged for the others. The proprietors have Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: experience of dealing with this type of issue and have provided the staff team with appropriate supporting information. Training in reducing the effects of challenging behavior has been provided for staff by the local authority learning disability team and management strategies are in place where a risk is identified. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being improved to provide better accommodation for the people who live there. It is clean but some maintenance tasks are required to promote safety and comfort. Evidence: A new bathroom with a bath and walk in shower has recently been provided on the ground floor. However the water to this bathroom was slow and cold. The bathroom on the first floor has not yet been refurbished, the water was checked here and found to be only warm. Light pulls have not been replaced with easily cleanable ones to promote infection control. The temporary manager stated she is aware of the problems with water temperature and a plumber is to visit the home to address the problem. Additional handrails have been provided to help people get around the home and the kitchen is being improved. During the inspection existing kitchen cupboard doors were being repainted to enable them too be cleaned more easily. The homes electric insect deterrent is fitted above a work surface and should be moved to a more suitable place. The bedrooms seen were individual in character and communal lounges were comfortable and homely. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: The laundry has equipment suitable for meeting disinfection standards but is also domestic in character enabling it to be used by people living in the home if they choose. The expert said The downstairs area was a good size which had a dining room a living room and a kitchen. There was a separate lounge where they were painting the cupboard doors from the kitchen. There was a small back yard which had 2 rabbits in hutches. There was also a parrot in a cage in the living room. There was a downstairs bathroom and shower room which the manager told us it had recently been put in. There were 10 bedrooms over 3 floors. I was not shown inside the bedrooms. There was a box on one of the chairs which I think should have not been there because people might have wanted to sit on the chair. There were photos of the service users on the walls which I liked because it made it feel more homely. I thought the pets also did this too. All five residents who responded to a survey stated the home is always fresh and clean. One person said; Its always nice and tidy here which is good because I am partially sighted. Visitors felt it was usually fresh and clean but the decoration and refurbishment can cause limited disruption. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported by a staff team with sufficient skills to understand and meet their needs. Evidence: This is what people in the home said about staff. Excellent staff. The staff are very nice and helpful. The staff are caring and friendly. When Im sad staff listen to me. This is what the Expert said about staff. The staff were friendly welcoming and they seemed to get on well with the service users. When I asked the service users about the staff in their home one said they were champion. They also had their own key worker and thought that there were enough staff. There was a staff board which had the day of the week day time, evening and night and photos of which staff would be in at what times. I liked this because the service users knew who was going to be working and it was easy for them to understand. The rota showed that people are supported by two or three care staff during the day. The temporary manager stated there is some flexibility to meet individual needs. During the night there is one waking night carer. Care staff are involved in most aspects of care but are supported by domestic and maintenance staff. Three staff have Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: been employed since the last inspection and there are currently no staff vacancies. Of the eight care staff employed, six have a National Vocational Qualification (NVQ) in care at level 2 or 3. Also all staff have received the following training since the last inspection; health and safety, first aid, fire awareness, manual handling and food hygiene. Training is currently being arranged for some staff to undertake a learning disability award. The files of two people employed since the last inspection were reviewed. They contained all the information that is required to confirm that the person is suited to work in the home and that employment checks are done to help keep people who live in the home safe. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed for the benefit of the people who live there. Company manager are fully involved in the home but a system to monitor quality for the benefit of all have not been fully developed. The home is reasonably safe and maintained but some systems need improving to ensure the well being of all. Evidence: Although there is not a registered manager in charge, the home is temporarily managed by a caring person of good character. Currently she is supported by managers of other homes in the group and the company directors who visit the home regularly. Throughout the inspection the temporary manager demonstrated her awareness of the needs of people who live in the home and of the systems she is improving, that had fallen into disrepair. Under her direction the care plans have been brought up to date and the 1-1 supervisions with staff are being addressed. But staff meetings have not taken place recently. Some systems are in place to manage the quality of care provided but this is generally Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: done informally by the company directors as they are regularly in the home. Surveys and residents meetings have been used to obtain the opinions of people who live in the home. Also there is ongoing improvements being made to the home. The record of periodic fire checks was up to date and staff have received regular instruction to promote safety in the home but the fire risk assessment of the home to demonstrate areas of concern was not in place. The homes certificate to demonstrate the gas heating system has been serviced is valid and an electrician was in the home testing the internal wiring for quality but regular portable electrical appliance tests have not been done to ensure they are safe to use. All staff have received health and safety training and the temporary manager does regular house safety checks. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 20 13(2) The manager must comply 28/02/2007 with pharmacy guidance; Produce procedures to ensure Medical Device Agency alerts are appropriately dealt. Ensure a medical reference book is available in the home for staff use. Handwritten entries in the Medical Administration Records (MAR) should be checked and signed. The homes recruitment 31/03/2007 process must be in accordance with the regulations and take account of the need for inspectors to review this information as part of the inspection process. An application must be made 31/03/2007 to The Commission to register a manager for the home. 2 34 17(2) and 19 3 37 8 and 9 Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 18 The manager must ensure 31/03/2009 staff are suitably trained and assessed as competent to provide support to people who require medicines. Also staff must be made aware that any errors or omissions in MAR recording should be addressed as soon as possible. People who require support with medication to promote their welfare should have it from trained staff. 2 24 23 The manager must ensure that an adequate supply of bath water is available at a temperature close to 43 degrees centigrade. People should be able to bathe at times of their choosing in water delivered at a safe comfortable temperature. 31/03/2009 Care Homes for Adults (18-65 years) Page 27 of 29 3 30 12 The manager must move the 31/03/2009 electric insect deterrent away from surfaces where food is prepared. This will ensure food prepared in the home is not contaminated. 4 42 23 The manager must produce a fire risk assessment of the building. Electrical items must be checked regularly to ensure they are safe to use. This is to ensure potential dangerous areas are identified and mitigated to promote safety for people living and working in the home. 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 3 4 5 17 22 30 37 39 Consider providing a picture board to make people aware of menu choices. Produce the complaints procedure in a format that can be understood by the people who live in the home. The light pulls in communal areas should be replaced with readily cleanable ones to promote good infection control. An application should be made within the next three months to register a manager for the home. Continue with the improvements to care and develop a quality monitoring system to promote and improve good practices in the home. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!