Inspection on 30/05/06 for Stanley Burn Care Centre

This inspection was carried out on 30th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stanley Burn Care Centre 03/05/07

Stanley Burn Care Centre 18/10/06

Stanley Burn Care Centre 25/08/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Stanley Burn Care Centre Station Road Wylam Northumberland NE41 8JA Lead Inspector Mary Blake Key Unannounced Inspection 09:00 30 and 31st May 2006 th 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 Stanley Burn Care Centre DS0000063750.V290439.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. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanley Burn Care Centre Address Station Road Wylam Northumberland NE41 8JA 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) 01661 - 853298 01661 - 854293 European Care (England) Ltd Ms Andrea Selby Care Home 40 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (18) of places Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: Stanley Burn Care Centre accommodates 40 people in a two storey detached property. It is set in a quiet residential area on the outskirts of the village of Wylam. The home is on two floors with a passenger lift to all levels. There are a variety of aids and adaptations to allow service users to move freely around their part of the home. All of the bedrooms are single, with twenty one having en-suite facilities and communal bathing and toilet facilities are situated around the home. There is sufficient communal lounge and dining space. The home is close to local amenities and transport networks. Stanley Burn Care Centre is registered to provide residential care for frail older people and older people with dementia. The fees range from £360 to £500 per week. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection and took place over two days. Residents care records, staff rota plus additional statutory records were examined. The manager, deputy, six staff, three ancillary staff and twenty residents and one relative were spoken to. 10 resident questionnaires and 4 relative questionnaires were received prior to the inspection. What the service does well: What has improved since the last inspection? Residents commented that there has been improvement to the number and consistency of staffing available to them ensuring that residents have assistance when needed. Staff recruitment records were clear and concise and contained all relevant information. The vetting process helps protect residents. Hygiene practices were now satisfactory protecting the health of residents and staff. Individual care plans have continued to improve. Staff were more involved in planning and evaluating care and the plans this helps staff give residents the care they need. The management overviews these plans and this helps to provide a consistent staff approach. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of the residents spoken to were pleased with the improvements to the quality and choice available. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 6 There is overview by the proprietor who completes statutory visits, supervisions and appraisal of the Registered Manager. What they could do better: Residents and their families could be more involved with their care plans. Medication systems and staff awareness must be reviewed to ensure that confusion over administration of medications does not occur. The Registered Manager, Andrea Selby, must review the differences in the quality of provision between the residential and dementia units and to make sure that all residents receive quality care. There remain insufficient social and leisure activities for residents. The cleaning and records of cleaning in the kitchen must be completed at the timescales detailed, to confirm that the kitchen is adequately cleaned to protect the health of residents. Staff must be supervised within the recommended timescales of six times per year as this provides the management overview of staffs ability to provide satisfactory care for residents. A staff training programme must be available; this must include dates of completion for mandatory, NVQ and other training, this will confirm that the staff team have the skills and training to meet the needs of residents. Individual staff training records/evidence of training/qualification must be available; this will confirm that individuals have the skills and training to meet the needs of residents. The quality assurance system must be reviewed and improved to ensure that satisfactory standards are being provided. Satisfactory maintenance arrangements must be in place to maintain the health and safety of residents, this includes making sure electrical wiring system and portable electrical appliances are tested and are safe, that water temperature do not exceed the safe level of 43’c in the downstairs bathroom (residential), that the damaged carpet in the lounge is replaced to reduce risks of trips to residents. Satisfactory fire testing, maintenance and staff training must be in place, staff must undertake fire drills at the timescales of three monthly for night staff and six monthly all others. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 7 Providing dining chairs with arm and skids would give more independence to residents. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Stanleyburn does not provide intermediate care Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes a detailed pre admission assessment and liaises with the residents and family prior to admission. EVIDENCE: Care plans had good information to ensure that the home can meet the needs of the prospective resident. The Manager is involved in the decisions and in the majority of instances visits the residents herself prior to their admission. The service user guide was not examined but had previously met the standards, the Registered Manager, feels that it provides information to relatives although it is of limited use to the many of the residents due to their particular needs. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 10 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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are having their needs met by the staff in the home and the staff are skilled in providing the care in a sensitive and dignified manner. This is shown in the documentation and care plans in place. The residents do not always receive their prescribed medication in line with safe working practices. EVIDENCE: Four care plans were examined; they were of a satisfactory standard, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, continence promotion and mental health status. The plans are regularly reviewed and updated. The plans are being changed to the organisations new documentation. This will make the necessary improvements. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 11 The care plans showed that the residents have access to all NHS services and facilities. A number of assessment tools are in use, and they were reviewed monthly, and were dated and signed by the author. Daily reporting of residents care was generally satisfactory, and the changing health care and mental health care of residents was reviewed and up dated. Staff were treating residents with respect and dignity. Personal care was given in privacy. Staff used residents preferred name at all times. Residents were complimentary about the staff in the home and felt that they were able to have privacy in their own rooms. Ten residents returned inspection questionnaires and their responses raised the following issues, nine stated that there were insufficient activities; seven stated that staff didn’t always listen or were not always available. All knew how and who to raise there concerns with. At the inspection residents said that there had been an improvement to staff availability and attitude. Many residents remained unhappy with the lack of activities. Four relatives’ comments cards were returned. They all answered positively to the majority of the questions. The responses contained written comments of the following “I sometimes feel that the residents are rushed” but “never the less I feel it is a good home” “the care the staff gave to Mam was above the call of the duty, they are the finest example to care we could have wished for”. The medicines in the home are generally well managed and safely disposed. The treatment room was tidy. Two residents medication was examined as part of the case tracking. One medication administration record was not dated correctly and it was unclear whether medication had been administered or not. The Registered Manager was to investigate this. There were a number of unsigned boxes within the administration record for several residents. The controlled drugs were audited and were satisfactory. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. There is no social programme in place or assessments completed for each individual resident. The food served is good and the residents are happy with the quality and the quantity. EVIDENCE: Residents within the residential unit were generally happy and enjoyed being able to move freely around the home. Residents met were concerned and boredom because of the lack of social activities “there is nothing to do” “we just end up sleeping all day” “the days are the same”. Residents who could not have a conversation with the inspector appeared to be “happy” in that they were smiling with the staff or were enjoying spending time with other residents. The Registered Manager was aware of the lack of social activities and a coordinator has recently been appointed, this will hopefully provide interesting opportunities and relieve boredom for all residents. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 13 The majority of the residents were moving around the home and were being encouraged to do so even when they were at some risk of falling. Lunch served on the second day was roast pork with fresh vegetables and fruit/ice cream pudding. The meal was good all of the residents enjoyed the food, which was well cooked. Staff support was on hand. The tables were not set with condiments and after one resident requested them, several more asked for them. Comments heard during the lunch time was “this is lovely” and “the food is always nice” Residents within the Lodge had difficulties with the dining chairs that did not have arms/slides restricting their independence. Residents in the Lodge did not have the option of tea, napkins or condiments all of which was available to residents within the Manor. These differences had been previously highlighted to the Registered Manager. The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. Residents take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. All residents, who could, said that they are able to make choices about how they spend their day. The residents’ bedrooms were personalised reflecting individual choices and preferences. Residents said they were happy with the decoration. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Visiting arrangements are detailed within the service user guide. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home ensures that the residents and relatives are made aware of the complaints policy by making it available in a variety of places. Complaints are managed satisfactorily and the necessary action taken. The records of complaints and Protection of Vulnerable Adults referrals are kept to ensure that audits can be carried out. There was insufficient information to confirm which staff had completed training in the Protection of Vulnerable adults and this is necessary to ensure that residents are protected. EVIDENCE: The complaints procedure is in the service users guide and copies are displayed in the home. The records of the complaints made to the home were examined. Two of the residents said that they knew problems were dealt with and how this would be done. A relative visiting the home was aware of the complaints procedure but had not needed to use it. The Registered Manager stated that all staff were aware of the whistle blowing policy and informing the Manager of any incidents or issues of which there are concern. Staff confirmed this. It was unclear from the training records which staff had completed Protection of Vulnerable Adults training. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The service users do not live in a safe environment. There are good communal areas. There are suitable toilets and baths although not all of these are in use. The bedroom areas are personalised and comfortable. The home is clean, pleasant and hygienic. EVIDENCE: The location and layout is suitable for the residents who live here. There are lounges and dining rooms on each unit. They are pleasantly decorated and furnished. Residents were able to use their unit of the home and there was a range of television and audio equipment available for their use. The Lodge corridor carpets on the ground floor are beginning to show signs of wear and the lounge carpet is split in several places. Bathrooms and bedrooms had been redecorated and refurbished. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 16 The Manor communal entrance carpet was split but this was being replaced. There are bathrooms, shower facilities and toilets near to all communal areas and residents bedrooms. One of the bathrooms (first floor Lodge) has been redecorated but is still not used by residents. The Registered Manager will be reviewing this and it will be discussed at the next inspection. The Manor ground floor bathroom water temperature taken was 51’C exceeding the safe temperature of 43’C and presenting a risk to residents. The residents have been encouraged and supported to bring personal items with them resulting in individualised rooms reflecting personal taste and previous lifestyles. Several of the bedrooms have been refurbished, and there has been recent replacement of bedroom furniture. The home was very clean with no offensive odours. The grounds and garden are well maintained and enjoyed by the residents, especially in the warmer months. The laundry was not inspected on this occasion. The kitchen refurbishment had not gone ahead and cleaning schedules were incomplete. System testing had not been undertaken and maintenance certificates relating to electrical wiring safety certificate, annual portable appliance, emergency lighting and fire alarm system testing were not available. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place protect residents. External and internal training takes place but there are insufficient records to clarify. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels. When sickness and staff holidays occur home staff usually cover, however when this is not possible agency staff are being used. There is an in house training programme in place and the Manager continues to work toward 50 of the staff having NVQ level 2. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 18 Due to the poor records the inspector and the Registered Manager were unable to clarify which staff had undertaken mandatory, NVQ and other training. Staff said that they are undertaking or had completed NVQ level 2 or over and the home has an induction and training programme for all staff working in the home. Four staff recruitment files were examined and were satisfactory. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 19 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, 37 and 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The Manager has systems in place to organise the home taking into account the needs and wishes of the residents. Quality systems are being established and developed. Resident’s financial interests are safeguarded. Staff are not appropriately supervised The health, safety and welfare of residents and staff are not always promoted or protected and the manager does not always ensure safe working practices in the home in line with the company policies and procedures. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 20 EVIDENCE: Last year regular meetings had been held for residents, relatives and staff, no residents meetings had been held this year. The records of these were seen and contained a wide selection of appropriate topics. There are always a number of resident attending. The minutes are signed and dated and resident’s requests are identified. Resident’s satisfaction surveys are being done. They include relative’s views. The outcomes of these will be seen at the next inspection. Accidents are recorded effectively with accident analyses being completed by the Manager. The system for checking resident’s monies was satisfactory. Records of staff supervision records showed that the timescales of six per year were not met. The majority of staff having only two supervisions in 2005, and one so far in 2006. Health and safety issues have not been adequately addressed. Health and safety issues had been outstanding over a period of time and present a serious risk to residents therefore an immediate requirement notice was issued. Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 21 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 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X 2 X X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 1 1 1 Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 & 17 Requirement The Registered person must review and update service users care plans to detail the action that needs to be taken to ensure that all aspects of their personal and social care needs are met. Outstanding (previous timescale of 1st June 2005 and 1st December 2005 not met but good progress being made). The Registered person must consult with service users about the program of activities and provide suitable social care and recreation on a daily basis. Outstanding (previous timescale of 1st May 2005 and 1st December2005 not met with limited progress being made). Care staff must receive formal supervision at least six times a year. Outstanding (previous timescale of 1st June 2005 not met and 1st December with limited progress being made) Night staff must attend a fire drill every three months and day staff every six months and keep suitable records. Outstanding DS0000063750.V290439.R01.S.doc Timescale for action 01/09/06 2. OP12 16(2) (m) 01/08/06 3. OP36 18(2) 01/08/06 5. OP19 23(4) (a) 14/06/06 Stanley Burn Care Centre Version 5.2 Page 23 7. OP19 13(4) (a) 8. OP33 24 9 10 OP7 OP9 15 13 (2) 11 OP26 16 (2)(j) 12 OP10 12 13 OP19 13 (4)(a) (previous timescale of April 2005 & 1st October not met) Immediate requirement notice issued The Registered person must provide evidence to CSCI of the electrical wiring certificate for the whole home and the testing of all portable electrical appliances. Outstanding (previous timescale of 1st May 2005 & 1st October 2005 not met) Immediate requirement notice issued The Registered person must review and improve the quality assurance system at the home Outstanding (previous timescale of 1st June 2005 & 1st October 005 not met but progress being made) The Registered Manager must involve residents and their families with their care plan The Registered person must address the following medication issues: The RM to investigate the drug incident highlighted during the inspection and submit conclusion/actions to CSCI. Medication administration record (MAR) must be completed for all prescribed medication administered or reasons given for none administration. The Registered person must ensure that kitchen cleaning schedules are followed and signed when complete. The Registered Manager must overview the differences in the provision between the residential and dementia units to ensure that all residents receive good quality care. The Registered person must replace damaged carpet in the DS0000063750.V290439.R01.S.doc 14/06/06 01/08/06 01/09/06 06/06/06 14/06/06 01/07/06 01/09/06 Page 24 Stanley Burn Care Centre Version 5.2 14 OP38 13 (4)(b) 15 OP22 23(2)(n) 16 OP28 18(c) 17 OP30 18 (c) 18 OP38 23 (4)(c) 19 OP38 23 (4) (c)(iv) lounge of the dementia unit The Registered person must ensure that water temperatures in the bathroom must not exceed 43’c Immediate requirement notice issued The Registered person must provide dining armchairs with arms and slides for residents within the dementia unit (previous recommendation) The Registered Manager must provide a training overview giving the dates for staff attendance at all mandatory, NVQ and other training completed. All staff must have individual training records with evidence of training completed available for inspection The Registered Manager must ensure that all fire training, testing and prevention is undertaken at the given timescales and appropriately documented and recorded The Registered person must provide evidence of annual maintenance of fire alarm and emergency lights systems Immediate requirement notice issued 14/06/06 01/10/06 01/07/06 01/08/06 14/06/06 14/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stanley Burn Care Centre DS0000063750.V290439.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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