Inspection on 16/10/07 for Sunnyside Residential Home

This inspection was carried out on 16th 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 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

Sunnyside Residential Home 25/06/08

Sunnyside Residential Home 13/11/06

Sunnyside Residential Home 21/03/06

Sunnyside Residential Home 13/12/05

Sunnyside Residential Home 02/12/04

Sunnyside Residential Home 16/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home Adelaide Street Bolton Lancashire BL3 3NY Lead Inspector John Oliver Unannounced Inspection 16th October 2007 09:00 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 Sunnyside Residential Home DS0000009306.V337345.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. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Residential Home Address Adelaide Street Bolton Lancashire BL3 3NY 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) 01204 653694 01204 61448 Parfen Limited Mrs Beverley Hardman Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered for a maximum of 27 service users to include: Up to 27 service users in the category OP (Old Age, not falling within any other category). The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 13th November 2006 2. Date of last inspection Brief Description of the Service: Sunnyside is operated as a limited company by the owner Mr A Jonas and Mr Jonas’s family. The Registered Manager Mrs B Hardman runs the home on a day-to-day basis. The home can provide 24-hour care for up to 27 older people. The property is on Adelaide Street in Bolton and is about two miles from the town centre. There is a bus stop on the main road that is fairly close to the home and there are shops nearby. The accommodation is provided on three levels with a lift giving access to all floors including the basement. The home has 27 single bedrooms; three bedrooms have an en-suite toilet and hand basin. There is a comfortable lounge, a dining room and a conservatory that can be used all year round. Toilets and bathrooms are provided on all floors. The home has a garden area with seating that can easily be reached from the conservatory. The fees for the home are from £349:93 - £354:93. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to the home prior to the site visit. This visit which the home did not know was going to happen took place over the course of 6.5 hours on Tuesday 16th October 2007. During the course of the site visit we spent time talking to residents, the manager, the owner, relatives and staff on duty to find out their view of the home. Before the site visit we sent the manager of the home an Annual Quality Assurance Assessment (AQAA) document for them to complete and return to us with information about the service they provide. This was returned to us before the visit took place and contained some information that helped us to assess the service being offered by the home. We also spent time examining various files and written information and spent some time looking around the building. What the service does well: We found the atmosphere in the home to be relaxed, comfortable and informal and residents spoken to say that they could choose for themselves how they would like to spend their day. Residents and some visiting health care professionals told us “Staff are really good – they do anything I ask”, “I would not want to live anywhere else”, “You cannot get any better care than here”, “Staff are very good with the residents”, “Good honest interaction with the residents”, “(Staff are) very quick to pick up on any problems and “I come in at least twice a day and have never had any problems”. Residents told us about the food served in the home and said, “The food here is really good”, “They do good home cooking” and “The food is nice – you get choice”. The management team and staff give good care to the residents and the staff know a lot about each resident and the care they need. Staff told us that the manager was supportive and approachable and was working hard to improve things in the home. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with limited written information regarding the service prior to admission although they do receive a full assessment of their needs. EVIDENCE: There is a Service User Guide in place. However, this is a number of years old and information is out of date e.g. it quotes the National Care Standards Commission (now the Commission for Social Care Inspection) and does not contain a full complaints procedure. This needs to be reviewed and updated so that accurate information is made available to prospective residents and/or their families. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 9 However, survey questionnaires returned to us by residents and relatives demonstrated that enough information had been made available to them to make an informed choice about coming to live in the home and comments included, “My family came to visit and the manager showed us around. I was also invited to spend a day at Sunnyside before my admission if I wished” and “The care manager and a carer visited me in hospital prior to my admission. They brought a leaflet to show me and to read. My family also viewed the home before I decided to go to the home”. All prospective residents funded by the local authority receive a pre-admission assessment carried out by a social worker. Following this the manager of Sunnyside carries out her own assessment of needs to assess if the home is a suitable place for the person to live and is able to receive the right type of care. We were told that the home does not offer intermediate care services. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were in place that detailed the needs of the individual resident and supporting policies and procedures were in place to ensure the safe handling and administration of medication in the home. EVIDENCE: The care files of three residents were looked at and each contained a comprehensive and detailed care plan. The plan describes the help that the resident needs with everyday living including health, personal and social care needs. The manager had reviewed each care plan and risk assessment at monthly intervals and had recorded any changes in the way that the resident needed to be looked after. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 11 Staff told us that the care files were always readily available to them and that they used them so that they knew what individual care each resident required. Residents and visiting health care professionals told us during our visit to the home that “Staff are really good – they do anything I ask”, “I would not want to live anywhere else”, “You cannot get any better care than here”, “Staff are very good with residents”, “Treat (me) with respect in my role” and “(Staff are) very quick to pick up on any problems”. We saw information written in the daily notes to demonstrate that residents received regular visits from other health care professionals including GP’s, district nurses and speech therapists. We also saw district nurses providing treatment to residents in their own rooms. A pharmacist inspector carried out a random inspection of the service on 7th August 2007 to look at how well medicines were managed on behalf of residents. The judgement following this visit was that medication practice was poor. At the time we visited the home the manager had addressed those issues and requirements that had been made during the random inspection visit and had also reviewed the policy and procedure to support those staff with the administration of medication. The home uses a Monitored Dosage System (MDS) supplied by Boots Chemist and medication is provided in pre-filled blister packs with pre-printed Medication Administration Records (MAR) provided on which to record the administration of any medication. Medication and records were securely stored and all unused medication was returned to the pharmacy with records being kept. Controlled Drugs were safely stored and their handling was recorded in a proper register. Each resident had an individual MAR that included a photograph for staff’s ease of identification. All stock had been recorded on the MAR at the beginning of the month and no stock had been carried over from the previous month having been returned to the pharmacy. The manager told us that those staff with the responsibility for administering medication had received training from Boots. Spot checks of a number of MAR’s (including a tablet count) were undertaken and these were found to be correct. The manager told us that she checks all boxes of painkillers on a daily basis to make sure administration and balances of this medication are correct. We watched staff assist residents and noted that they were respectful and knocked on doors before entering. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 12 Sunnyside Residential Home DS0000009306.V337345.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, were encouraged to maintain contact with the community and, are provided with a wholesome and well balanced diet. EVIDENCE: When we spoke to residents they told us that staff regularly support them to join in recreational activities that includes sing-a-longs, bingo, reminiscence sessions, armchair aerobics and occasional outings to places such as the pub. A three-week activity programme was in place to ensure that all residents had the chance to participate in something of particular interest to them and, when they did, this was recorded in their daily notes. One resident told us, “There are activities available – but I like to sit in my room and listen to the radio – I do get asked if I would like to join in”. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 14 Survey questionnaires returned to us by residents and relatives stated, “Although staff regularly encourage…. to participate in daily activities …. do not wish to get involved. However, the staff have found and implemented a strategy of ‘you can live the life you want’ or you can join in activities when they want”, “Some of the things they do I do not want to join in with”, “…enjoys watching television and sing-a-longs”. Resident’s told us that they “Can see visitors when they want” and either took their visitor(s) to their bedroom or sat with them in the main lounge”. Meals are planned using a four-weekly menu that offers a variety of good nourishing food. We took a midday meal with the residents, which consisted of cottage pie, vegetables and gravy, but various other choices were also available. Appropriate sized portions were served and residents were offered more should they want it. Residents told us that “The food here is really good”, “The food is nice”, They do good home cooking” and “My favourite is roast pork dinner and trifle”. Observation of residents and staff interacting during the meal time demonstrated that staff knew their likes and dislikes and served and assisted with meals in an unhurried and courteous fashion. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and training measures were in place for staff to support residents to raise any issues of concern and to protect residents from neglect and abuse. EVIDENCE: We saw a complaints procedure displayed on the notice board in the hallway. Information contained within this was incorrect and other information needed updating. One example being, ‘Stage Two – If the complainant is not satisfied with the outcome of stage one – the complaint shall be referred to the National Care Standards Commission (NCSC)’. The NCSC no longer exists and complaints received by the home will not be automatically dealt with by the Commission for Social Care Inspection (CSCI) should the complainant not be happy with the managers response. A book for recording complaints is kept at the home. One complaint had been made directly to the home since the last key inspection visit in November 2006. This complaint had been investigated by the manager and had been satisfactorily concluded. No complaints have been made to CSCI since the last key inspection visit. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 16 If residents had a complaint or a concern they told us that, “I would go to Bev (the manager) or one of the staff” and “I would go to the office and see the manager”. The manager told us that all staff had received training in the protection of vulnerable adults and that they had a clear understanding of the different types of abuse that could occur and what they should do in the event of an allegation being made. Speaking with a number of staff confirmed this. We saw a copy of the Bolton multi-agency adult protection policy and a copy of a policy developed by the manager of the home. However, the policy developed by the home did not clearly link to the multi-agency policy and this could confuse staff. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 17 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): 19,25 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment was clean, tidy and comfortable however, some areas of the home could place residents at risk. EVIDENCE: Since we visited the home in November 2006 a lot of work has been carried out to improve the living environment for the residents. In the lounges, on the corridors and in many of the bedrooms new carpets have been laid and a lot of areas have been redecorated. We were told that a number of new armchairs had been ordered for the lounge area and that replacement of other furnishings and redecoration around the home will take place as part of the rolling programme of decoration, maintenance and renewal. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 18 Those bedrooms seen were clean and bright and had been personalised to varying degrees to reflect the character of the individual whose room it is. We were told that a lot of new bedding had recently been purchased to further enhance the bedrooms. It was noted however that a number of bedroom doors were not closing into their rebates effectively and as these are fire doors this could place the residents health and safety at risk. Commodes were available in a number of bedrooms and these were of a metal frame style. It was seen that a number of them had started to rust and therefore placed the health of residents at risk. Toilets and bathrooms were easily accessible and were appropriate to meet the needs of the residents and toilet areas included liquid soap and paper towels. However, in two of the toilets on the first floor the hot water provision was not working. Lack of hot water for residents to wash their hands after going to the toilet could place people’s health at risk. The laundry facilities are located in the basement and the washing machines have the specified programming ability to meet disinfection standards. The home was found to be generally clean and free from any unpleasant odours on the day of our visit. Externally, the garden and parking area was well kept and the recent fitting of a new fence between these areas has further enhanced the appearance. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are employed in the home, with staff training and development helping to ensure staff are competent to carry out their jobs. A robust recruitment and selection process was in place that helps to protect residents from unsuitable people working in the home. EVIDENCE: We examined the staff rotas for the home and these indicated that enough care staff were on duty to meet the needs of the residents currently living in the home. No new staff have been employed in the home since we last carried out a key inspection visit in November 2006 and this helps residents to feel comfortable that they are being cared for by people they know and are familiar with. We received a number of questionnaires returned by relatives that stated, “The day to day care is very good. Staff always show concern for the residents”, “The care staff at Sunnyside are First Class”, “I can confirm that the care home provide excellent care to…”, “I am particularly satisfied with the care given to…” and “Always offering a cheerful, yet compassionate, friendly service”. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 20 We spoke to a number of care staff during our visit and they were able to demonstrate a good understanding and knowledge of the individual needs of the residents. More that 50 of the care staff have obtained or are working towards obtaining a National Vocational Qualification (NVQ) at Level 2 and during our visit the NVQ assessor visited the home and she said “The manager works wonders with them (the staff)”. We were told that the manager is also working towards achieving the NVQ Assessors Award. We saw training records for staff and staff spoken to said that they receive a lot of training including, Fire Awareness, Moving and Handling, First Aid, Infection Control, Basic Food Hygiene and Protection of Vulnerable Adults. As no new staff had been employed in the home since our last visit in November 2006 key Standard 29 was not assessed on this occasion but was met at the time of that visit. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 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 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 and 38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents living in the home benefit from having the support of a manager with skills to provide a good quality service. However, not all practices within the home promoted or safeguarded the health, safety and welfare of the people living and working in the home. EVIDENCE: The registered manager, Beverley Hardman, has considerable experience in caring for older people and holds the National Vocational Qualification (NVQ) level 4 in management. When we spoke with residents and staff they said that the manager and the owners were approachable and made themselves Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 22 available. Other comments included, “Can’t fault the management of the home, everything’s run smashing, no problems” and “(We) get on really well – very easy to talk to”. We saw evidence that the manager had worked hard to develop appropriate computer based systems to help her manage the home effectively such as care planning, staff rotas, and supervision and monitoring medication. In order to maintain an overview of how well the service is meeting the needs of those people living in the home the manager carries out regular audits of the service using resident/relative questionnaires. From a recent relative survey the following comments were noted, “Care is always good – individual needs dealt with sensitively”, “Staff always friendly and approachable and have a sense of humour”, “The staff have an empathy towards the residents which is beyond reproach” and “Everybody makes me feel welcome when I visit my mum”. We saw that a system was in place to support those residents who needed assistance when dealing with money. This system was checked and the details were properly written down with the correct amounts of money being kept. Secure storage is available for the safekeeping of money and of any items of value. When we spoke with staff they told us that they received one to one supervision and although this is not being done on a regular basis yet, this did not detract from the support they received from the manager. The information provided to us in the AQAA confirmed that all equipment had been appropriately maintained and conversations with staff also confirmed that they had been provided with the necessary training so that they can work safely. As stated elsewhere in this report, two water heaters were not working in two of the toilets and therefore no hot water was available for residents to wash their hands after using the toilet. This places the health of both residents and staff at risk from infections occurring. A number of fire doors were not closing into their rebates effectively and therefore pose a risk to the health and safety of both residents and staff should the fire alarm be activated. Sunnyside Residential Home DS0000009306.V337345.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 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X X X X X 2 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Sunnyside Residential Home DS0000009306.V337345.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 OP19 Regulation 13 (4)(c) & 23 (2)(c) 13 (4)(a)(b) (c) & 23 (2)(c) Requirement An audit of all commodes must be undertaken and where necessary be replaced to ensure the health & safety of the resident. Where identified in this report, the hot water heaters in the two first floor toilets must be repaired or replaced to ensure hot water is available at an appropriate and safe temperature and people are not put at risk from possible infection. An audit of all fire doors must be undertaken and adjustments made where necessary to ensure that they close into their rebates effectively should the fire alarm be activated. Timescale for action 23/11/07 2. OP38 23/11/07 3. OP38 23 (4)(c) 23/11/07 Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 25 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 OP1 OP16 OP18 Good Practice Recommendations It is strongly recommended that the Service User Guide be reviewed and updated to include the correct information about the services on offer. It is strongly recommended that the complaints procedure be reviewed and updated to include the correct information. It is strongly recommended that the homes policy regarding safeguarding adults include information that directs staff to use Bolton’s multi-agency adult protection policy when dealing with such allegations. Sunnyside Residential Home DS0000009306.V337345.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Sunnyside Residential Home DS0000009306.V337345.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. 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