Inspection on 29/11/06 for Sunhill Court

This inspection was carried out on 29th November 2006.

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

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

Other inspections for this house

Sunhill Court 10/09/08

Sunhill Court 03/03/08

Sunhill Court 02/10/07

Sunhill Court 22/11/05

Sunhill Court 04/08/05

Sunhill Court 21/10/04

Sunhill Court 07/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Sunhill Court Mill Lane High Salvington Worthing West Sussex BN13 3DF Lead Inspector Mrs D Peel Unannounced Inspection 28th November 2006 09:45 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 Sunhill Court DS0000024220.V320253.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. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunhill Court Address Mill Lane High Salvington Worthing West Sussex BN13 3DF 01903 261563 01903 261563 sunhillcourt@btinternet.com 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) Woodean Limited Mrs Linda Kilgarriff Care Home 40 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (40), of places Physical disability (3), Physical disability over 65 years of age (3) Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The total number of service users accommodated at one time should not exceed 40. To include up to thirteen (13) persons in the category Dementia Elderly (DE)(E) can be accommodated. 22nd November 2005 Date of last inspection Brief Description of the Service: Sunhill Court is a care home able to provide nursing care to forty older people. Thirteen people living at the home may have dementia and other related mental disorders and it is also registered to accommodate three service users in the category physical disability between the ages of fifty-five and sixty-five. The home is located in a very quiet residential area in the north of Worthing. The access to the main road is via a partly unmade road, which does not have street lighting. The home has thirty-two single rooms and four doubles. There are three levels all accessible by a vertical lift. The home has a sunroom built on the ground level and commands views over the Findon Valley. The current scale of fees being charged at the home is from £499 to £700 per week. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was carried out by Mrs Diane Peel the 29th November 2006. A pharmacy inspector, Mrs Jeanette Dattoo joined the inspection after lunch. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. In addition the intended outcomes for 32 standards were assessed; these included the key standards for care homes providing a service to older people. During this visit the lead inspector visited all communal areas and sixteen residents’ bedrooms, sampled at random on each of the three floors. A case tracking exercise for four residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met by the home and other outside professionals. The pharmacist inspector viewed medication storage and records of medication receipt and administration, spoke to staff about medication procedures and observed administration practice. Where possible residents were spoken with to gain some information about what it is like to live at the home either in the privacy of their rooms, in the lounge and at lunchtime. A visitor to the home was spoken with during the visit, and staff were spoken with informally about training and what it is like to work at the home. Staff recruitment records and training records were also viewed along with samples of other records required to be kept. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Some areas of medication practice need to be improved to ensure that all residents get their medication as prescribed. Staff records at the home need to be improved to make sure that all staff have Criminal Record Bureau and Protection of Vulnerable Adults checks carried out by the organisation as part of their recruitment practice. This is to protect the residents living at the home. The central heating boilers must be monitored and action taken to make sure that the surface of radiators is not excessive of 43ºC. To make sure that the home is safe for residents the management of the home must consult with the Fire Officer to discuss the practice of wedging bedroom doors open and placing residents at risk. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 7 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. Sunhill Court DS0000024220.V320253.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 Sunhill Court DS0000024220.V320253.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A variety of information is available to help prospective residents and their relatives to make an informed choice about the suitability of Sunhill Court as a place to live. All residents and their representatives have contracts so that they know what is included in the fee and what the terms and conditions of living at the home are. All new residents have a full needs assessment before they move into the home to make sure that the home can meet their needs. EVIDENCE: Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 10 Sunhill Court has a Statement of Purpose and Service User Guide. The manager told the inspector that since the last inspection in November 2005 all residents had been given a copy to keep in their room and these are usually kept in a drawer. This was observed to be true in the room of one person who was able to confirm this with the inspector. Other residents spoken with were unable to confirm what information they had received. For the majority of residents it was relatives and advocates who had visited the home on their behalf. The manager provide the inspector with an up to date copy of the Statement of Purpose and Service User Guide which was observed to be comprehensive and provided information about the service which would help residents and their relatives to make an informed choice about the suitability of the home. The home has a block contract with West Sussex Social Services but there are individual placement agreements in each persons care records and the manager was able to show the inspector letters which are received at the home and copied to relatives and advocates, informing relatives and advocates who is paying what part of the fees, on taking up occupancy and when fees change. Those residents who are not Social Services funded have individual contracts/terms and conditions of residency. Those residents who were able to speak to the inspector had other people look after their affairs. Comments made were “ my nephew looks after all that sort of thing”. “I don’t want to be worried about that sort of thing”. One resident who was able to speak with in the inspector in their room was asked about the process of moving into the home. They confirmed that they had lived at the home for three years and had moved there directly from a hospital ward. This person commented that a nurse from the home has been to the hospital to see them to see if they would be able to look after them at the home. A copy of the homes own needs assessment was on file for one out of the three residents who had most recently moved into the home and Care Management needs assessments were on file for all three. During the course of the visit the manager was heard to be making arrangements to visit a prospective resident to carry out an assessment and she confirmed that this was the usual practice. Sunhill Court does not offer intermediate care but does offer periods of respite care. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Systems for care planning give clear information to assist with all aspects of health, personal and social care needs. Records are in place to monitor the health care needs of residents and record intervention from medical professionals. Some improvements to medication procedures are needed to ensure that residents are receiving their medication as prescribed. Staff respect the privacy and dignity of residents so that residents are treated as individuals EVIDENCE: Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 12 All residents have a care plan, which has been developed from the homes assessment or a Care Management assessment carried out before residents move into the home. Four care plans were examined at this visit to the home and a case tracking exercise was undertaken to find out if the assessed needs of residents had been developed into a care plan, which staff were following to meet individual residents needs. One out of the four residents case tacked was able to speak to the inspectors and was visited in their own bedroom they confirmed that as far as they were concerned “everything is ok.” Care plans seen were comprehensive and informative and showed that relatives had been involved in the content of the plan either by a signed agreement to the care plan or by other signatures where there were identified risks. Records were observed that recorded regular visits by Doctors and there was documents within care records, which showed that residents have access to other health care facilities. Medication policy and procedures were available to staff. One resident had signed an agreement to self-administer two medicines. These were different to the medicine identified on the medication administration record (MAR), as being kept by the resident. Receipts of medicine and administration were recorded on the MAR charts and agreed with the medicines in the dispensed monitored dosage system. Photographs were available for most residents. The changes of doses of one medicine were recorded but for the ‘when required’ dose there was no written guidance for staff about when this should be administered. One medicine had not been given for nine days, with no record of the reason. Two doses of an antibiotic were given, the day after the GP visit record stated that this was to be stopped. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Residents that are able are encouraged to maintain contact with their family and friends so that they can satisfy their social and emotional needs. The social activity programme is flexible to cater for individual residents abilities and to offer variation to daily living. A varied diet is offered so that those residents who are able can make a choice about what they want to eat. EVIDENCE: The majority of residents living at Sunhill Court have high dependency needs and so the routines of the home have to be flexible. Some residents choose to remain in their own rooms whilst others use the lounge /conservatory which looks out over Findon Valley to Cissbury Ring. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 14 Information provided prior to this visit to the home reports that the following activities are provided at the home: Reminiscence, karaoke, trips out, manicures, footspar, singing and seasonal entertainment. One resident said that they were happy in their room with their radio to listen to and telephone. This person said that the staff come into see her regularly and “the girls are very kind“ “one has done my nails” This person said that their relatives visit as often as they can and that they had a regular visitor from the local area. The telephone in the bedroom was one with large numbers to assist with this person’s poor eyesight, but they said that it really was used most for receiving calls. A visitor to the home commented that they visited twice a week at all different times and always found their relative “clean and comfortable”. Staff were always friendly. They said that they had “no issues with the home.” The visitors book on display in the entrance to the dining room shows regular visitors to the home and the service users guide states “ normal visiting is encouraged between 11am and 7pm” and that “ residents can usually receive their visitors in their own room or in the lounges or, outside meal times in the dining rooms.” Quality assurance surveys retuned to the manager reported that the standard of food and choice of food was satisfactory. Two surveys had suggested that there should be more choice at breakfast time with the opportunity to have bacon and eggs occasionally. Menus displayed on the wall near to the visitor’s book showed that there is a variety of food offered. Residents who were able to speak to the inspector were generally satisfied with the choice and standard of meals and it was confirmed by the manager that out of the twenty nine residents living at the home fifteen are currently having pureed meals. An inspector joined residents for the main meal of the day, which was roast chicken, broccoli, cauliflower and roast potatoes followed by a chocolate and fruit trifle. The inspector noted that not many people had their meal in the dining room but those spoken with had already commented that they liked to stay in their rooms. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 15 The meal sampled on the day was of a good standard and nicely presented. From observing the staff throughout the mealtime it was noted that it was an unhurried process, which was staggered to make sure that those residents needing assistance to eat could be attended to. One comment by a resident after the meal was that the vegetables were cooked too much for their individual preference. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to. Staff have had adult protection training to ensure that they are fully aware of their responsibility to recognise and report abuse. EVIDENCE: There is a clear complaints procedure on display in the entrance hall and on a notice board above the visitors book and included in the Service User Guide. It assures residents, relatives and visitors that all complaints will be taken seriously and acted upon within. On the day of this visit an inspector observed the complaints records, which showed that the manager had received complaints and satisfactory outcomes were recorded. No residents spoken with about their satisfaction of the service could remember having received a copy of the complaints procedure but those able Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 17 to make some comment thought that they would speak out straight away if they were not satisfied about something. A resident visiting the home said that they had not had any reason to make a complaint. Staff records show that all staff have now had Adult Protection training and the organisation has an Adult protection policy, which is used in conjunction with the West Sussex Multi Agency Adult Protection procedures. Information received from the manager recorded that she had made one referral directly to the POVA register and she confirmed at this visit to the home that the previous inspector was aware of this. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a comfortable clean home which have picturesque views from windows, which look out over Findon to Cissbury Ring. Bedrooms are bright and homely for residents to enjoy. They are personalised so that residents feel that they have an individual area, which they can see as their own. Residents could be at risk from excessively hot radiators, which are not covered. EVIDENCE: Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 19 The home was clean and tidy on the day of this unannounced visit. Residents able to speak the inspector confirmed that their rooms were cleaned regularly and a visitor to the home commented that whenever they had visited it had always been clean and free from odour. During this visit to the home the responsible individual on behalf of the organisation confirmed with the inspector that hot water regulators had been fitted to hot water outlets. No problems with excessive hot water were found at this visit. Radiators in a number of rooms were found to be excessively hot and when the responsible individual arrived at the home the inspector spoke directly about the problem and took him and the manager to one of the offending radiators. Immediate action was then taken to reduce the temperature of the boilers, which was observed to have been running at above 43ºC. Radiators are not covered at the home and the responsible individual commented that if the system is set correctly then the surface temperature of the radiators remains at 43ºC or below. As this has been an ongoing identified problem the inspector has made a requirement that the organisation inform CSCI what action they have taken to ensure that residents are not put at risk of burning from radiators. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The staffing numbers are set at a level, which allows residents assessed needs to be met. Whilst the training and the skills of staff are satisfactory residents would benefit from more staff trained to NVQ level 2 in care. Recruitment procedures do not safeguard and protect residents at the home. There is an ongoing training plan to make sure that staff have the combined skills to meet the needs group of residents. EVIDENCE: Staff rotas were available in the home. On the day of this visit there were five care staff and a Registered Nurse looking after 29 residents. The registered manager, deputy manager, a cook, a kitchen assistant and a cleaner were also on the premises. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 21 Just under 50 of staff have an NVQ qualification and the manager has confirmed that five carers are qualified nurses aboard. The records of three staff were viewed at this inspection and were observed to be unsatisfactory. All records seen included a job description, evidence of identity and, two references but there was no evidence that the registered manager had obtained an up to date CRB and POVA clearance for any of the three sets of records seen. One person had worked at the home previously and had returned to work at Sunhill Court without further checks being carried out and the other two had CRB and POVA clearance from other employers but not Sunhill Court. A requirement has been made that all persons employed by the home have a Current CRB and POVA clearance carried out by the organisation. The home has a training programme in place, which includes dementia care training and adult protection training. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 36,38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The views of resident’s families and friends are being sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home Systems for handing residents monies ensure that residents are assured that their financial interests are being safeguarded. Some practices do not promote and safeguard the health and safety of residents living at the home EVIDENCE: Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 23 The manager has worked at the home for many years and told the inspector that she should finish the NVQ Level 4 Registered Managers Award in the early next year. She can demonstrate that she has continued to improve her own knowledge, skills and competence by undertaking training relevant to her role. A quality assurance system has now been introduced within the home and the feedback from surveys returned from residents relatives were viewed at this visit. A supervision programme has been set up but this has as yet to be used with staff. This requirement will be carried over from the last inspection report. There needs to be some improvement in recruitment practice at the home. Not all staff records sampled had sufficient evidence to show that residents are protected by the homes recruitment practices. Two residents and one visitor to the home made comments, which led the inspector to believe that it was normal practice for bedrooms doors to be wedged open. The manager was asked about this and she did not deny that doors are wedged open at the request of residents. A requirement has been made that the manager consults with the Fire Officer and assesses the risks involved. Vulnerable residents are at risk from excessively hot radiators. The registered persons must provide a plan of action as an assurance that steps have been taken to avoid residents being burnt by radiators. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 1 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x 1 1 Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 12.1(a) Requirement Medicines must be administered according to the directions of the prescriber. The reason must be recorded for withholding doses of a medicine, prescribed to be taken regularly Timescale for action 01/12/06 2. OP36 18.2 3. OP29 19 01/02/07 All care staff must receive formal supervision at least 6 times a year. (Outstanding from Inspection 22/11/06) Recruitment practices must 01/02/07 include CRB and POVA clearance carried out by the current employer. Radiators must not have surface 01/02/07 temperatures which exceed 43ºC (Amended requirement outstanding from Inspection 22/11/06) The fire officer must be 01/02/07 consulted with regard to practice of wedging doors open. 4 OP25 OP38 13 .4(c) 5 OP38 13.4 (a) Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 26 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. Refer to Standard OP9 OP9 Good Practice Recommendations Agreements for self-administration should be reviewed and risks identified, with the action to reduce the risks Written guidance should be available to staff to ensure consistency of use of ‘when required’ medicines. Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Sunhill Court DS0000024220.V320253.R01.S.doc Version 5.2 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. 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