Inspection on 08/10/07 for Sun House

This inspection was carried out on 8th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sun House 10/10/06

Sun House 17/02/06

Sun House 13/09/05

Sun House 08/02/05

Sun House 13/10/04

Sun House 29/03/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 Sun House 127 Tring Road Aylesbury Bucks HP20 1LQ Lead Inspector Ruth Burnham Unannounced Inspection 8 October 2007 09:30 DS0000023027.V345559.R01.S.doc Version 5.2 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 DS0000023027.V345559.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 Adults 18-65. 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. DS0000023027.V345559.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sun House Address 127 Tring Road Aylesbury Bucks HP20 1LQ 01296 338103 01296 338103 sunhouse@nildram.co.uk 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) Hightown Praetorian & Churches Housing Association Vacant Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places DS0000023027.V345559.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22 December 2006 Brief Description of the Service: Sun House is a care home providing personal care and accommodation for eight people with mental health problems. It is owned and managed by Hightown Praetorian and Churches Housing Association. The home is located about one mile from the centre of Aylesbury on the main road to Tring and is conveniently situated for buses, shops, education, social and recreational facilities in the town. The home is established in the area. It is a converted property and its style is in keeping with other properties in the neighbourhood. The home is on two floors and does not have a lift. All bedrooms are single. The home is a medium to long-term service and urgent or emergency admissions are not accepted. Referrals are only accepted through the mental health care programme approach (CPA). The residents are supported by an established staff team supported by the Community Mental Health Team. The established registered manager has recently left the home there is an acting manager in post. Fees for living at Sun House can be obtained on application to the provider. DS0000023027.V345559.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector on Monday 8 October 2007. The atmosphere in the house was relaxed, some residents were in the lounge, others were out or about to go out. One new resident has moved in since the last inspection. There were no vacancies. All the requirements and recommendations following the last inspection had been addressed. During the inspection 3 residents, 3 members of staff and the manager were spoken to. One resident was happy to show us their bedroom and all communal areas were seen. Records were also examined including 3 care plans and 2 staff files. Surveys were sent out to people who live in the home, their relatives or representatives, health and social care professionals. At the time of writing the report only people who live in the home had responded, these responses were all positive. This small home provides good support for residents and relates well to other elements of community mental health services in the area. There have been no complaints received by the Commission about this home since the last inspection. The inspector would like to thank the residents, manager and staff for their time and hospitality during the course of the inspection. What the service does well: People who are thinking about moving into the home are given have good information to help them decide if the home will be suitable for them. They can be confident that their needs will be met because of the thorough assessment process. The home provides a pleasant and highly supportive environment for residents. They can be confident that their needs are understood and the staff team will provide appropriate sensitive support whilst respecting their individual wishes and preferences. They are protected from harm through good risk management processes. Care planning is person centred and well developed. People who live in the home benefit from a range of training opportunities and leisure activities. They are supported to lead fulfilling lives in line with their individual abilities and choices. Their health and personal care needs are met in a way that protects them from harm, promotes their independence and respects their privacy and dignity. The home liaises closely with other specialist mental health services in providing support to residents. DS0000023027.V345559.R01.S.doc Version 5.2 Page 6 People who live in the home benefit from living in a safe environment where they are listened to and protected from abuse. They benefit from the spacious and homely accommodation. The home is well located for the amenities of Aylesbury town centre and residents are able to make use of local shops, cafes and pubs, places of entertainment, education and training establishments, and specialist services. People enjoy the support of a committed, caring and well trained staff team who understand their needs. They are protected through robust recruitment procedures. People can be confident that the home is well run and managed in their best interests. Their health and safety is promoted through safe working practices and regular safety checks. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. DS0000023027.V345559.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000023027.V345559.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1–5 Quality in this outcome area is good. People who are thinking about moving into the home are given sufficient information on which to make a judgement about the suitability of Sun House. They can be confident that their needs will be met because of the thorough assessment process which is carried out before they move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are thinking about moving into the home are given sufficient information on which to make a judgement about whether their needs will be met. Everyone has a service user guide which is a shorter version of the statement of purpose. Residents helped write the service user guide. People can be confident that their needs will be met because of the thorough assessment process which is carried out before they move in. Needs are thoroughly assessed by the service manager, home manager and senior project worker. The home requests additional information from health and social care professionals. People who have been referred to Sun House are given the chance to visit the home and meet the staff and the other residents. Wherever possible they are also offered the opportunity of a day at Sun House with over night stay to give them a feel for the home. DS0000023027.V345559.R01.S.doc Version 5.2 Page 9 People are given information about local advocacy services and are encouraged to make use of them. Everyone who moves to Sun House has a license agreement which is signed by the resident and manager of the home. People who pay rent receive a letter from Head Office about the amount of rent payable. Everyone is assigned a link worker who will offer support to understand the contents of the license agreement and any other written communication. Once a year people are asked their view of the home through a survey. An action plan is put into place following the survey and responsibilities to complete agreed actions are divided amongst the staff team. People are offered support with their cultural and religious needs if they wish. There is the option of using large printed and pictoral license agreements for people if they would like them. DS0000023027.V345559.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 – 10 Quality in this outcome area is good. People can be confident that their needs are understood and the staff team will provide appropriate sensitive support whilst respecting their individual wishes and preferences. People are protected from harm through good risk management processes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People can be confident that their needs, wishes and preferences are understood. A person centred approach is used to develop individual support plans for each person. Individual support plans link in with health care professional support plans. People can be sure that their freedom and choices will not be restricted unless this has first been agreed with them and recorded in support plans and risk assessments. They are involved in the three monthly reviews of their care plans and the six monthly risk assessment reviews. People are helped to get further support, treatment or rehabilitation where needed from appropriate outside agencies. DS0000023027.V345559.R01.S.doc Version 5.2 Page 11 People who live in the home are encouraged to make their own decisions and are involved in decision making regarding the running of the home. Staff try to reach a compromise with people where choices have to be limited in the interests of their safety. If necessary staff offer support with finances. Examples were seen where people have been supported to achieve greater independence in this area. The majority of people are now entirely financially independent. People are involved in the day to day running of the home. They are asked for their opinion regarding decoration of the home, development of the garden and items which are bought for the house. These issues are discussed in the residents meetings which are held every fortnight. People are involved in the recruitment process of new staff and two residents usually attend job interviews of prospective staff. People are also asked for feedback on staff performance by the manager on a regular basis. Risk assessments are in place to ensure that people are enabled to take responsible risk when leading an independent lifestyle and undergoing outside activities (e.g. one resident enjoys bungee jumping and a risk assessment is in place to enable him to continue to pursue this interest). People can be confident that their personal information will remain confidential, records are kept safe and locked away. DS0000023027.V345559.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11 – 17 Quality in this outcome area is good. People who live in the home benefit from a range of training opportunities and leisure activities. They are supported to lead fulfilling lives in line with their individual abilities and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are helped to lead a fulfilled life. Some people have recently been supported to undertake social skills training, assertiveness training and anger management. Staff provide support to enable people to put their new skills into practice. People are also supported with their spiritual needs. One person enjoys attending a local church. People are encouraged and helped to seek employment if they choose to do so, one person has been referred to a work skills project but has recently decided to stop working there. Another person is interested in working as a volunteer for the RSPCA and staff are in contact with the charity to get him a place there. DS0000023027.V345559.R01.S.doc Version 5.2 Page 13 People enjoy a range of leisure activities. They enjoy visiting pubs, restaurants, cinema, theatre ect. Activities are planned in residents meetings, link worker sessions or sometimes spontaniously on the day. People are encouraged to use befriending services. Everyone is on the electoral register and they are supported to vote if they choose to. People are also helped to maintain contact with family and friends, they are supported to plan visits or arrange transport. Staff are available to provide emotional support when relationships become problematic. People who live in the home are encouraged to express their wishes about their lifestyle on a daily basis. There is an open door policy and people were popping in and out of the office to talk to the manager and staff throughout the inspection. People do experience difficulties with group living, the manager and staff are aware of this and are looking at ways to encourage people to socialise with each other more through offering new activities in the home. There are plans to introduce a relaxation group and set up social evenings to improve communication between the group. It is proving difficult to organise meals to satisfy everyone’s individual wishes and preferences within a realistic budget. New menus have been tried out after consultation with residents and residents are involved in food preparation. Some people like to plan and cook their own individual meals and have fridges in their rooms. The manager said that there had been problems where weekly meetings to plan menus had nearly always resulted in arguments so a 5 week menu had been agreed for a trial period. The manager plans to set up another meeting with residents to review this and make any changes necessary. DS0000023027.V345559.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 – 21 Quality in this outcome area is good. Peoples’ health and personal care needs are met in a way which protects them from harm, promotes their independence and respects their privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are supported to access relevant information about their health care needs. Peoples’ independence is promoted with staff helping people to manage health needs such as diabetes. People are supported to book their own appointments with health professionals wherever possible. Staff monitor peoples’ health and take appropriate action if a anyone needs specialist care. Staff are available to accompany people to health appointments where necessary. People are allocated their own link worker from the staff team, they are responsible for monitoring routine health appointments. People who need support with their personal care needs are helped by staff who respect their privacy and dignity. Staff respect peoples’ privacy and do not enter rooms uninvited or without the person’s permission. Staff only enter without permission if there is concern about a person’s well being or a health DS0000023027.V345559.R01.S.doc Version 5.2 Page 15 and safety issue which would make this necessary. Everyone has their own key to the house and their room. All rooms include a unit with a lockable drawer for valuables. People are protected from harm through the safe handling of medication. There are clear policies and procedures and staff receive appropriate training. Medication is stored, administered and recorded in line with good practice guidelines. Records seen were well maintained and up to date. People are encouraged to manage their own medication wherever possible within a risk management framework. They are provided with secure storage for their medication and staff check that they are taking their medication regularly. DS0000023027.V345559.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 – 23 Quality in this outcome area is good. People who live in the home benefit from living in a safe environment where they are listened to and protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are listened to and are free to offer comment or complaint. Interaction observed between staff, the manager and people who live in the home showed that there is an atmosphere of trust where people feel comfortable to raise complaints with the manager and other staff without restriction. They can be confident that their complaints are taken seriously and investigated. The complaints log is up to date and well maintained. All the people who live in the home and their suporters or relatives are provided with a clear complaints procedure. Records show that complaints are dealt with promptly by the manager through discussion with the involved parties. People who live in the home are protected from harm through robust recruitment procedures which include checks through the criminal records bureau. Staff are well trained and understand how to protect people from abuse and deal appropriately with verbal and physical aggression. People are protected from financial abuse through policies in place which address good practice regarding residents financial affairs. Where people are helped with their finances regular audits are carried out and records kept of all transactions. DS0000023027.V345559.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30 Quality in this outcome area is adequate. People who live in the home benefit from the spacious and homely accommodation. Some improvements are needed to communal areas and external paintwork. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from it’s convenient location, the bus stop is right outside the house which is about a mile from the town centre. There is a small garden to the front and a very pleasant and colourful garden to the side which has been planted and tended by one of the residents. There is a covered pergola with seating which people were enjoying, additional garden furniture is provided on the patio. People have plenty of space and a choice of communal areas. The home has good accommodation; there are two lounges and a good sized kitchen/dining room on the ground floor. The office is also on the ground floor. Smoking is permitted in the main lounge. All areas are comfortably furnished however much of the décor, carpets and soft furnishings in communal areas shows DS0000023027.V345559.R01.S.doc Version 5.2 Page 18 signs of wear and the manager is still waiting for the much needed redecoration of the main lounge which was requested some time ago. The air filter in the smokers lounge needed cleaning. Paintwork on the outside of the home also needs attention. The manager said there have been problems with delays in responding to maintenance requests. There are sufficient bathrooms and toilets on each floor. The manager agreed to contact the Environmental Health Officer for advice about the use of communal towels and bathmats in these areas to prevent any risk of infection for the people who live in the home. There is one ground floor bedroom; the carpet in this room was being replaced during the inspection. Bedrooms are single and spacious but do not have ensuite facilities. People are supported to choose the individual touches to their bedrooms such as pictures, curtains, bedding, TV, stereo etc. People are also encouraged to choose the décor in their bedrooms and staff help them where encessary to keep their bedrooms and the communal areas clean and tidy. Some discussion took place about the need to ensure that the home remains suitable as people get older. The manager agreed to seek advice from an occupational therapist. About suitable adaptations. The laundry is adequate for the needs people who live in the home. DS0000023027.V345559.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 – 36 Quality in this outcome area is good. People benefit from the support of the committed, caring and well trained staff team who understand their needs. People are protected through robust recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the support of the committed, caring and well trained staff team. All staff are aware of their role and responsiblities. They understand when to involve other health professionals. The staff team consists of the manager, one acting senior and three project workers. The low staff turn over means that people receive consistent care and feel secure. There is a reliable pool of bank workers, the majority of whom are familiar to residents, to cover shifts where needed. Where agency staff are used occasionally, the manager trys to use the same people. People can be confident that staff will understand their needs. Permanent staff hold NVQ level 2 or 3 and are very experienced in dealing with people with mental health problems. Additional training is provided in the specific needs of people with menetal health difficulties. DS0000023027.V345559.R01.S.doc Version 5.2 Page 20 People are protected through robust recruitment policies and procedures. Staff files were examined, these contained two references, an application form and evidence of a satisfactory Criminal Records Bureau check. Residents are encouraged to take part in the staff selection process and are asked for their opinion during the six month probationary period. People benefit from the support of the well trained staff team. All staff receive induction training and periodical updates in basic training. Individual training needs are discussed in supervision and appraisal sessions. DS0000023027.V345559.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 – 43 Quality in this outcome area is good. People can be confident that the home is well run and managed in their best interests. Their health and safety is promoted through safe working practices and regular safety checks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People can be confident that the manager has the necessary qualifications and experience to run the home in their best interests. The new manager is in the procress of registering with the Commission and has a masters degree in psychology with seven years experience in working with people with mental health difiiculties. The manager has also completed NVQ level 3 in promoting independence and will be undertaking the Registered Managers Award in the near future. The manager is involved in developing the annual development DS0000023027.V345559.R01.S.doc Version 5.2 Page 22 plan for Sun House and takes a leading role in ensuring the completion of the action plan. The views of people who live in the home are taken into account when decisions are made about the way in which the home is run. A residents’ survey is carried out once a year from which an action plan is developed. A representative of the organisation visits the home each month. Feedback from outside agencies, family and friends and residents about the performance of the service is sought on a regular basis and are taken into consideration. People are protected through safe working practices by ensuring that staff are attend relevant training and updates in the following areas: manual handling, food hygiene, first aid and fire safety. Residents have also been involved in fire safety training as most of them are smokers. The manager is ensuring that regular checks on boilers, gas supplies, electrical wiring and equipement are carried out by the organisations’ maintenance department. Legionella checks on the water system are undertaken each month and staff receive training in infection control. Environmental risk assessments are reviewed yearly. DS0000023027.V345559.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 x DS0000023027.V345559.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 (2) Requirement The registered person shall having regard to the number and needs of the service users ensure that (b) the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally; External paintwork should be attended to. (d) all parts of the care home are kept clean and reasonably decorated; in that the main lounge should be re furbished and the extractor fan kept clean. Flooring, soft furnishings and décor in all communal areas should be maintained to a reasonable standard. 2. YA30 23(5) The registered person shall undertake appropriate consultation with the authority responsible for environmental health for the area in which the care home is situated about how to minimise risk of infection associated with using bathmats DS0000023027.V345559.R01.S.doc Timescale for action 31/01/08 31/10/07 Version 5.2 Page 25 and towels in communal toilet and bathroom areas. 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 YA17 Good Practice Recommendations It is recommended that the staff team continue to review the process of menu planning to ensure residents satisfaction is guaranteed as far as possible. DS0000023027.V345559.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000023027.V345559.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!