Inspection on 17/08/05 for Sundridge Court Nursing Home

This inspection was carried out on 17th August 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sundridge Court Nursing Home 09/09/08

Sundridge Court Nursing Home 13/09/07

Sundridge Court Nursing Home 17/10/06

Sundridge Court Nursing Home 12/01/06

Sundridge Court Nursing Home 04/03/05

Sundridge Court Nursing Home 05/10/04

Sundridge Court Nursing Home 04/11/03

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE Sundridge Court Nursing Home. 19 Edward Road Bromley Kent BR1 3NG Lead Inspector Lorraine Pumford Unannounced 17th August 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sundridge Park Nursing Home Address 19 Edward Road, Bromley, Kent, BR1 3NG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8466 6553 020 8466 5180 Harley Healthcare Nursing Homes Limited Mrs Norah Davey Care Home with Nursing 30 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (1) of places G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Staffing Notice issued 18 December 1998 Date of last inspection 04/03/05 Brief Description of the Service: Sundridge Court is situated in a quiet residential area of Bromley. It is a purpose-built home providing nursing care for up to thirty older people. The home has twenty-four single bedrooms and three shared bedrooms. All bedrooms have en-suite facilities. A passenger lift provides access to all floors. Communal space includes a lounge, large conservatory and a dining room. There is a laundry on-site. The home has a large back garden with patio seating and there is some off-street parking at the front of the building. A bus route and Sundridge Park rail station are within reasonable walking distance for those with full mobility. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by two inspectors who spent a morning and an afternoon in the home on two separate days. During that time the manager; some staff and service users were spoken with as well as a visitor whose comments have also been included in this report. Some records were examined and parts of the premises inspected. All Registered Care Homes receive a minimum of two inspections within a 12 month period, as this inspection may not have covered all the “National Minimum Standard” on this occasion if further information is required it is recommended that a copy of the last inspection report also be obtained. What the service does well: Service users are able to bring in small items of furniture and personal possessions to personalise their own bedrooms. Social activities and meals are both well-managed, creative and provide daily variation and interest for people living in the home. When providing assistance staff were seen to respect service users privacy and dignity at all times. Staff demonstrated good practice when providing assistance to service users with restricted mobility. The home employs sufficient numbers of suitably qualified and competent staff to meet the needs of the service uses accommodated. Staff employed are given relevant training opportunities to develop personal practice. There are sound staff recruitment procedures in place to safeguard and protect the people living in the home. The home was found to be clean, appropriately furnished, well decorated and maintained. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 6 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. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3, The current pre-admission assessment form needs to be developed to provide clear written evidence regarding the needs and ability of service users. Information regarding the homes admission process should be clearly stated in the homes Service User Guide. EVIDENCE: Service users are provided with a Statement of Purpose and a Service User Guide providing information regarding the accommodation facilities, services and care provided. Each service user is provided with a contract detailing their terms and conditions of residency and both parties rights and responsibilities. Discussion took place around the current assessment and admission process, the manager stated that she endeavoured to visit all service users either at home or in hospital prior to their admission to the home, information is also collated from relevant health and social care professionals and relatives. Whilst the manager was clearly able to verbally demonstrate each service users assessment, there was limited written evidence regarding service users G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 9 needs, i.e. the use of a tick to indicate mobility etc had been assessed, the inspectors considered this insufficient information for staff trying to develop care plans. Evidence was seen that risk assessments had been included in the care planning process. Discussion also took place regarding written confirmation given to service users that the home was able to meet their needs prior to admission. The manager felt strongly that it was frequently difficult to ascertain a clear picture of service users needs when they had spent a period of time in hospital. The manager stated that she and the other qualified nurses working in the home used the first few weeks as an assessment period. This process needs to be clearly indicated in the homes pre- admission documentation and statement of purpose as written confirmation the home could meet a service users needs should not be made until the period of assessment was completed. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10 Service users can be assured that their privacy and dignity will be respected at all times and that their health needs will be met. A thorough system of auditing medication practices needs to be developed to reduce the risk of error. EVIDENCE: All service users are registered with a GP who visits each week and can be seen as and when required. The dentist optician and chiropodist also visit service users in the home on a regular basis. Each service user has a written care plan which is regularly updated and reviewed by a qualified nurse. Care staff spoken with stated they have access to the care plans as a point of reference when required. The Registered Manager is responsible for all ordering and receipt of medication. Medication is stored on the ground floor in a medication trolley, refrigerator and controlled drugs cupboard all sited within the treatment room. The temperature of the medications fridge is recorded daily. The inspector requested that the home record the temperature of the treatment room to G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 11 ensure the medication is not stored in temperatures above 25 degrees. Such a record had commenced by the second day of the inspection. The Sharps bin must be kept closed and ideally the treatment room should me kept locked when not in use. Prescribed medication is recorded on pre-printed medication records by the pharmacist. These were completed with details of the residents, including photograph; date of birth and GP. The medication records showed that medication had been signed into the home, but not in sufficient detail such as recording actual numbers received and date of receipt. Some handwritten medications did not show any record of the medication being received into the home. There were also discrepancies regarding details on the medication record and the label on the medication. The Manager must also ensure that the GP provides clear administration guidelines for all prescribed medication and not state “as directed” giving no instructions. Discussion took place regarding the recording of temazepam to service users, the manager was informed that guidance relating to this medication indicates it is good practice for it to be stored and recorded as being administered in the same way as CD`s. Medication stored in one resident’s room had their name written on whilst the pharmacy label detailed another name, medication prescribed for one residents must not be used for another. There were discrepancies in the administration instructions on the pharmacy label and the administration detailed on the medication record. E.g.; one label stated of senna take one or two tablets when required whilst the medication record stated take two as required. Some antiseptic cream was seen with no label. This must not be administered as a communal cream due to risk of cross infection It was recommended that the manager undertake regular audit of the medication and medication procedures, records of this process could be used to demonstrate compliance with regulation 24 of the CSA Act 2000. Staff were seen to assist service users requiring help with personal care in a calm and respectful manner, service users spoken with stated that their privacy was respected, appropriate privacy screening is provided in shared bedrooms. Staff were observed knocking on doors before entering room. There are pigeonholes in the hallway for each individual’s service users mail, which they receive, unopened. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 12 Residents all felt that staff were aware and understood their needs and provided the care required. All residents felt staff interacted well and chatted with them, especially when they had some free time. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Social activities and meals are both well-managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: All the service users spoken with agreed food was of good quality and stated a choice was provided throughout the day, including a choice of cooked breakfast each morning. Residents are asked about preferences for the day and this is individually recorded for each resident in adequate detail. The Home was advised to ensure copies of these choices are kept. Regular refreshments are provided, from early morning tea to nighttime drinks and also including wine with lunch if the residents wish. Breakfast is taken in bedrooms brought on trays. At present the dining room accommodates a maximum of 17 service users. The manager stated that to date this had not presented a problem as the remaining service users receive mid day and evening meals in one of the lounges or their own bedroom. However in the event of more than 17 service users being able and wishing to use the dining room a second sitting for meals could be arranged. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 14 Dining tables were seen to be appropriately and attractively laid with napkins and condiments. Residents are able to receive visitors throughout the day, a relative stated she was always made to feel welcome by the staff, refreshments were provided. One visitor spoken to stated that she felt staff interacted well with her and other family members and were always friendly and courteous. An activities coordinator works in the home on a weekly basis; an activity schedule is produced with regular weekly activities. These included bingo, play your cards right, quizzes and Take your Pick. On the day of the inspection there was a scheduled outing for three residents, to the Whitbread Hop Farm”. Residents spoken to stated they could choose whether they participated in activities or not, some service users stated they preferred to spend time in their rooms reading the daily newspapers; magazines and books or undertaking some other personal activity such as knitting. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Service users and visitors to the home can be confident that any concerns they have will be addressed by the management of the home. EVIDENCE: The home has a clear complaints procedure, which was displayed on notice boards in the home. The book used to record any complaints made to the manager indicated that no formal complaint had been made since 2001. The manager attributed this to this to the fact she operated an open door policy to service users, staff and visitors, this was confirmed by staff spoken with during the course of the inspection. Not all staff spoken with were familiar with the term whistleblowing or the homes policy relating to the protection of service users. This issue was discussed with the manager who stated that whistelblowing is addressed as part of the induction programme for new members of staff, it was ascertained that information regarding whistleblowing formed part of a wider policy on protection of service users. The manager agreed to look at documentation in relation to this issue specifically and address the issue with care staff. Information was also located in the homes policies and procedures file which staff read as part of their induction programme and have access to an anytime. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 Service uses are provided with a clean, safe and well-maintained environment, with sufficient personal space. EVIDENCE: All areas of the home by service users were clean, well decorated and appropriately furnished. In the laundry area it was observed during the first day of inspection that dust and litter has collected behind appliances, this is a potentially fire hazard. This was cleaned by the second day of the inspection and will to be added to the cleaning monitoring form completed each month. There were two tiles missing from the bathroom on the ground floor and the plasterwork had a hole in it. This was repaired by the second day. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 17 Although each bedroom is similarly decorated, personal touches are added by residents’ with the addition of their own possessions and mementoes. Each room benefits from an en-suite bathroom. Rooms are redecorated “as and when” vacant, however, if a resident has a lengthy stay, redecoration will also take place if required. The home provides bedroom furniture, TV; pictures and a telephone. One comfy chair is provided with the second chair being a foldaway chair. All four resident spoken to were more than happy with their individual rooms and suited their needs. Private and communal areas have been fitted with an emergency call system; residents stated that when used staff responded within a reasonable time. The home does not have a visitors room. This would enable service users to meet with friends and relatives in a private in an area other than their bedroom. Storage space is limited leading to hoists and wheelchairs being kept in corridors which could be potentially hazardous. It is advisable that these issues are addressed in the event of any internal changes to the building being made at a future date. The Environmental Health Officer visited recently. Recommendations made in relation to the kitchen area and practices have been implemented. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 29 Progress has been made since the last inspection in relation to staff recruitment procedures. There are a sufficient number of suitably qualified and competent staff employed. EVIDENCE: On the day of the inspection the home staffing levels were in excess of the minimum agreed with the Health Authority who were responsible for monitoring the nursing home at the time of registration. In addition to the registered manager there were two qualified nurses supported by five care staff, additional staff are employed to undertake catering and domestic tasks, the manager also receives support from the homes administrator. A number of care staff hold or are currently undertaking NVQ qualifications in care, staff spoken with felt they had benefited from undertaking this course and that they had attained a higher degree of competence. Issues raised in the previous inspection report regarding exploration of gaps in the applicants employment history had been addressed. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 19 General discussion took place around current practice in relation to POVA and CRB checks, advice was given to contact the government website on a regular basis to maintain a knowledge of current requirements. Staff spoken with stated that they had been provided with a job description and contract detailing their terms and conditions of employment. General discussion also took place around the fact that at present staff do not receive financial recognition for qualifications they have obtained relating to the job, discussion took place in relation to this as an incentive for staff to undertake training, improve job satisfaction and assist the home with the retention of a stable suitably qualified workforce. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 20 G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34 The management of the home provide guidance and direction to staff to ensure service users receive appropriate care. Quality assurance mechanisms need to be developed to ensure services are monitored and where necessary improved. There are clear financial procedures in place relating to the operation of the business. EVIDENCE: The person in charge of the home is a Registered Nurse and has also completed the Registered Managers Award (NVQ4). Staff spoke highly of the manager and stated they were made to feel part of a team. Staff stated that they were able to express their own views and opinions. Care staff stated they received good supervision from qualified staff on a day-to-day basis. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 22 Quality assurance mechanisms were examined. Regulation 26 visits are being made by the provider each month. A record of these visits has been maintained by the home however copies have not been sent to the Commission as required. The report covers basic information related to the quality of care, records maintained and the environment. The home has also implemented a quality assurance system developed by the Registered Nursing Homes Association. The last audit had been undertaken in August 2004. A review of the service is undertaken by the manager and provider each year, which includes consultation with residents, however, there is no report compiled on the outcome of the survey or review or any record of the action the home is taking to improve the quality of care. The Manager monitors areas within the home, such as cleanliness and maintenance. Regular monitoring of the other systems and procedures must be undertaken such as care planning and medication in order to comply with regulation 24 of the CSA 2000. There is a comments box in the hallway for service users, relatives and members of staff to convey their opinions anonymously if they wish. The manager has regular meetings with the provider which include discussion regarding the management of accounts .The Manager is fully aware and has details of these accounts along with the budget for each area. The Manager stated she has the authority to make decisions on spending within the home with the exception of significant expenditure. Such expenditure would require discussions with the Provider. The Manager is involved in decision-making regarding planned expenditure for the year and the setting of the budget. When service users are unable to manage their own financial affairs the home pays on behalf of the service user for hairdressing, chiropodist and newspapers etc and submits an account to the service user or their advocate at the end of each month. Records in relation to service users finances were not examined on this occasion. Although policies and procedures in relation to health and safety and safe working practices were not examined on this occasion, the following points were discussed. Staff spoken with stated there is no shortage of protective gloves and aprons and supplies were available throughout the home. It was noted sudocream was being stored in a bathroom cabinet, which if used by more than one person could lead to spread of infection. This was removed immediately. A bar of soap was also removed for the same purpose. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 23 Discussion took place around the type of support rails being used in some bathrooms and WC`s, at present not all rails are fixed, which can lead to accidents if they service user places a disproportionate amount of weight on one side, it is recommended that a risk assessment be carried out to establish the suitability of these support rails for the people using them. On the day of the inspection water to baths (tested by hand) was found to be at a satisfactory temperature. Staff spoken with stated that they had received moving and handling training, sound practice was observed by two members of staff using a hoist to transfer a service user from chair to a wheelchair. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 2 3 x x x x G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 25 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 33 Regulation 17(1)(a) sch 31(a) Requirement Detail in the Service User Guide must include the procedure followed regarding the assessment and the period of time before written confirmation is made that the home can meet a prospective service uses needs. The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The registered provider shall supply a copy of the monthly report compiled to meet this regulation to the CSCI. The registered person shall establish and maintain a system for (a) reviewing at appropriate intervals and (b) improving the quality of care provided in the care home, including the quality of nursing when nursing is provided. The registered person shall supply to the CSCI a report in respect of any review conducted by him in relation to this regulation. The registered person shall make Timescale for action 30.11.05 2. 9 13(2) 30.11.05 3. 33 26(5)(a) 30.11.05 4. 33 24(1)(a) (b)(2) 30.11.05 5. 38 13(3) 30.10.05 Page 26 G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 suitable arrangements to prevent infection and the spread of infection in the care home, in this instance by removing cream and soap from bathrooms which may be used by more than one service user. 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. 2. 3. Refer to Standard 20.2 22.7 33.4 Good Practice Recommendations Provide service users with a room other than their bedroom in which they can meet with visitors in private. Provide adequate storage for aids and equipment, including wheelchairs. Results of service users surveys are published and made available to current and prospective users, their representatives and other interested parties, including CSCI. G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection River House 1 Maidstone Road Sidcup DA14 5RH 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 G51-G01 s10144 Sundridge Court UI v240509 100805 Stage 4.doc Version 1.40 Page 28 - 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!