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Inspection on 30/10/06 for Swallows Residential Home

Also see our care home review for Swallows Residential Home for more information

This inspection was carried out on 30th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service offers homely and attractive accommodation to a small number of people, which allows the care to be individual and matched to the residents` needs. The staff team is stable and has good knowledge of each resident. All residents spoken with were complimentary about the staff and their willingness to help them. The food has always been of a high standard and residents again said they enjoyed their meals and had plenty of choice.

What has improved since the last inspection?

The redecoration of the lounge has been completed with new curtains hung and some new prints on the walls chosen by the residents. A further three bedrooms have been repainted as well. The partially carpeted toilet that was a trip hazard has had new linoleum laid. The landscaping to the back garden has been completed and looks tidy and attractive. Cheerful pots of winter pansies have been placed in the front of the building. There have been more activities and outings arranged for residents. An amenity fund has been started to fund them and is supplemented by the sales from an in-house shop that has been started to offer residents small items such as toiletries, cards and snacks.The recording of medication administration has improved with the correct use of codes, and explanations recorded on the reverse of the MAR sheets. A new system for recording the application of topical creams and eye drops has been introduced and records are being completed and signed. Equipment was stored properly so fire doors and exits were not obstructed. Fire doors that need to remain open during the day have been fitted with selfclosure devices. A programme of staff supervision has been commenced.

What the care home could do better:

Pre-admission assessments of prospective residents` needs are not being undertaken by the home prior to admitting people. Staff files do not hold evidence that identity checks have been made prior to the person commencing employment. There is no rolling programme of staff training in place. The policy for managing potential abuse is inadequate and the home does not have a whistle blowing policy to protect staff. CSCI have not always received Regulation 37 notices for incidents that could have an impact on the safety of residents. Water from a number of taps runs considerably above the recommended safe temperature of 43 degrees centigrade. Some prescriptions do not give clear instructions on the administration of the medication. Not all `as required` (PRN) medication has the number of tablets or amount of liquid administered recorded. Some residents have missed doses of prescribed medication for up to seven days because the home was out of stock.

CARE HOMES FOR OLDER PEOPLE Swallows Residential Home Helions Bumpstead Road Haverhill Suffolk CB9 7AA Lead Inspector Jane Offord Key Unannounced Inspection 30th October 2006 09:30 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 Swallows Residential Home DS0000063929.V317536.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. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swallows Residential Home Address Helions Bumpstead Road Haverhill Suffolk CB9 7AA 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) 01440 714745 01440 761315 Burrows Care Homes Miss Annmarie Burrows, Mr Harold Burrows, Mrs Donna Burrows Mrs Megeita Barrett Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th May 2006 Brief Description of the Service: The Swallows residential home offers care and accommodation for up to sixteen older people, in single storey accommodation situated on the outskirts of the town of Haverhill in a rural position. The home was first registered in 1995 and the building adapted to provide appropriate accommodation for seven residents. In February 2000 an extension was completed, providing good quality and pleasant additional communal and bedroom accommodation and increasing the registration of the home to fifteen. In November 2000 a previous office was converted into an additional resident bedroom and the total increased to sixteen residents. All resident bedrooms are for single occupancy with one room having an en-suite toilet facility. The home came under new ownership and management in June 2005 and the new owners have already made changes to improve and upgrade the environment. The fees range between £331.00 and £375.00 per week. The cost of newspapers, chiropody, hairdressing and some transport is not included in the fees. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key, unannounced inspection was the second of the inspection year 2006/2007. It took place on a weekday between 9.30 and 13.30. The deputy manager was present and assisted with the inspection process. During the inspection the files, care plans and daily records of two newly admitted residents were seen. Two new staff files, the duty rotas, the menus, the policy folder, minutes of staff and relatives meetings and medication administration records (MAR sheets) were all inspected. A tour of the house was undertaken and a number of residents and staff were spoken with. The home was clean and tidy with no unpleasant odours. Residents were relaxing in the newly decorated lounge or in their own room. Interactions between staff and residents were friendly and appropriate. What the service does well: What has improved since the last inspection? The redecoration of the lounge has been completed with new curtains hung and some new prints on the walls chosen by the residents. A further three bedrooms have been repainted as well. The partially carpeted toilet that was a trip hazard has had new linoleum laid. The landscaping to the back garden has been completed and looks tidy and attractive. Cheerful pots of winter pansies have been placed in the front of the building. There have been more activities and outings arranged for residents. An amenity fund has been started to fund them and is supplemented by the sales from an in-house shop that has been started to offer residents small items such as toiletries, cards and snacks. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 6 The recording of medication administration has improved with the correct use of codes, and explanations recorded on the reverse of the MAR sheets. A new system for recording the application of topical creams and eye drops has been introduced and records are being completed and signed. Equipment was stored properly so fire doors and exits were not obstructed. Fire doors that need to remain open during the day have been fitted with selfclosure devices. A programme of staff supervision has been commenced. 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. Swallows Residential Home DS0000063929.V317536.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 Swallows Residential Home DS0000063929.V317536.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): 3, 6. People who use this service cannot be assured that an assessment of their needs will be made by the service prior to entering the home. The home does not offer intermediate care. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two newly admitted residents’ files were seen. Neither contained a preadmission assessment completed by the service. Both had an assessment completed by the placing social worker. The deputy manager said they did not complete their own assessments but relied on the social workers’ assessments. Residents are admitted on a six-week trial basis to ensure they like the service and fit in with the existing group of residents. The file of one resident seen had written evidence that there was to be a six-week review of their placement the following day. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 9 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. People who use this service can expect to have a care plan in place to help meet their needs and be treated with respect but they cannot be assured that all medication practice will ensure they receive their prescribed medicines. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for two new residents were seen and covered areas of care such as personal hygiene, continence, communication, night needs, diet and mobility. Independence was encouraged. One entry said, ‘now reducing the level of support as XXXX is more confident’. The files contained risk assessments for tissue viability, nutrition and moving and handling. There was evidence that interventions and assessments had been reviewed. Each file contained contact details for any health professional involved with the resident including GP, community nurse, chiropodist, optician and dentist. Residents’ final wishes were recorded in one file. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 10 A number of residents and staff had recently suffered with a gastric germ and records of the management of the illness for residents were seen. The GP had attended and residents quickly recovered. CSCI was not notified of the outbreak as required under Regulation 37 of the Care Standards Act 2000. Care practice was observed and staff were treating residents respectfully and maintaining their dignity. One member of staff was observed to find a small blanket for a resident who complained of cold legs. Staff knocked on doors prior to entering any rooms. One resident had a short term memory problem and a carer was overheard patiently explaining that the resident’s family had been to visit and were due to come again soon. The MAR sheets were seen and showed an improved level of recording with no empty signature boxes and correctly applied codes if a medication was not given for any reason. The reverse of the MAR sheets was being used to record any administration of ‘homely remedies’. Some prescriptions only had instructions of ‘as directed’. Some ‘as required’ (PRN) medication did not have the number of tablets given recorded. A number of residents had not received prescribed medication, some for up to seven days, because the home was out of stock. A new system for recording the administration of topical creams and eye drops has been devised. The recording and signatures were much more complete than they had been under the previous system. It was clear when creams and drops had been given and by whom. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 11 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. People who use this service can expect to be offered a range of activities, be encouraged to maintain contact with family and friends and receive a balanced and appetising diet. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ personal files that were seen contained details of family contacts and their relationship to the resident. There was some life history work and information about the resident’s preferred leisure activities. One entry said, ‘XXXX enjoys going to church’. In discussion with the resident and staff it was confirmed that friends come and take the resident to church regularly. Daily records had entries about visits from family and friends. The home is situated in a rural area, which makes it difficult for some residents to access shops. Staff have recently stocked a trolley with items for the residents to buy such as birthday cards, toiletries, sweets and crisps. The ‘shop’ makes a very small profit that is put into the newly established amenity fund and used to fund outings for the residents. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 12 There were posters seen round the home for events that were going to happen. One poster was for a production of ‘Sweet Charity’ by a group in Haverhill. The manager said they had had tickets for a number of residents to go to the show but it had coincided with the time the home had the gastric germ. The theatre had agreed to exchange the tickets for pantomime tickets at Christmas. On the day of inspection the home was decorated for Halloween with fake spiders web and friezes of pumpkins and ghosts. A line of carved pumpkins was on the front terrace, which had been done by the residents. They had also made Halloween cards and cakes. The home has begun to produce a well-presented newsletter for staff, residents, friends and families. It contains information about planned outings and entertainment, residents’ birthdays, information about new staff and residents and any changes happening in the home. There has recently been a clothes sale organised for residents and the supplier has agreed to visit the home every three or four months so residents can choose their own clothing. The manager also arranged for a supplier of pictures and prints to visit so the residents could choose pictures for the newly decorated lounge. They chose an attractive still life of harvest fruit and vegetables and a study of a stream and waterfall. During the day there was music played of sing a long songs and some residents joined in with the singing, one enjoyed a dance with one of the carers. One carer offered a manicure and nail painting to any resident who wanted it. The menus were seen and offered a cooked breakfast on a Monday with a choice of cereals, fruit and toast on other days. Options of salad, jacket potato, omelettes, soup or sandwiches were available every day if a resident did not like the main course. Lunch on the day of inspection was a Cornish pasty with vegetables and potatoes. Residents spoken with said they always looked forward to lunch. One said, ‘the food is beautiful’. The kitchen was visited and was clean and tidy. Food stores were seen and were correctly covered and labelled. Temperatures of refrigerators and freezers were being recorded and showed they were functioning within safe limits for food storage. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 13 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. People who use this service can expect to have complaints taken seriously but they cannot be assured that staff have adequate policies for reference to protect them from abuse. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Neither the home nor CSCI have received a complaint about the Swallows since before the last inspection. The complaints policy was inspected at the last visit and found to offer an investigation and written response of findings to the complainant with timescales for action. The home has copies of protection of vulnerable adults (POVA) guidance issued by the Inter Agency Committee of Suffolk however the policy for the home does not offer adequate guidance about recognising abuse or how to make a referral if abuse is suspected. Staff spoken with in the past were clear about their duty of care but the home does not have a whistle blowing policy to protect any member of staff who reported an incident. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 14 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, 22, 24, 25, 26. People who use this service can expect to live in a well maintained home that is clean and attractive with equipment correctly stored. They can also expect to have personal possessions around them but they cannot be assured that the water temperatures will be regulated to a safe level. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the owners takes the role of maintenance person and is in the home most days. As well as redecorating the main lounge a number of residents’ bedrooms have been painted too. Three of them were visited and looked very attractive. A carer said each resident had chosen their own colour and been consulted about the soft furnishings. A resident spoken with confirmed this and said they were very pleased with the new décor. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 15 A tour of the home was done and it was found to be clean and tidy with no unpleasant odours present. Bathrooms and toilets all had liquid soap and paper towels for hand washing purposes. The laundry was visited and was found locked when no member of staff was present. It too was clean and tidy. Residents’ bedrooms had evidence of personal possessions such as photographs, ornaments and small pieces of furniture. One picture in the lounge had been lent by a resident to the home so all the residents could enjoy it. There were no continence pads or dressings in view in any of the rooms visited. Storage cupboards containing substances that fall under the control of substances hazardous to health (COSHH) regulations were kept locked. Large pieces of equipment such as hoists were stored in cupboards to keep corridors clear. The hot water in three hand basins was tested and found to be up to forty-eight degrees centigrade. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 16 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. People who use this service can expect to be supported by adequate numbers of staff but cannot be assured that there will be evidence available that all recruitment checks have been made or that staff receive updated training. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rotas were seen and show that there are two carers on both an early and late shift supported by a manager between 8.00 and 17.00. Nights are covered by two carers, one of whom sleeps in but is available should a need arise. The home employs fourteen care staff and twelve have achieved NVQ level 2 or over. Two new staff files were inspected and found to contain the application for the post and the previous work history, a record of interview questions and responses, two references and in one case a POVA 1st check had been done prior to employment. The POVA 1st and criminal records bureau (CRB) checks are done through an umbrella organisation who see the required documents to send off the request. The home does not make their own check on the identity of potential employees or keep records in the files. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 17 In discussion with the deputy manager and the care staff it is clear that little organised training has been done since the last inspection. Updates of mandatory training such as moving and handling, POVA, infection control and food hygiene need to be arranged. The deputy manager said a community nurse is to come and talk to staff about urinary catheter care as one of the residents now has an indwelling catheter. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 18 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. People who use this service can expect to be consulted about their care and have their personal monies safely managed, however they cannot be assured that their health and safety will be protected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence in residents’ files that they are consulted about their needs at reviews however there is no formal meeting held for all residents to offer input into the running of the home. There have been staff and relatives meetings held since the last inspection. Areas that were discussed included care planning, activities, décor and recognition that there have been some improvements in the service. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 19 Previous inspections have found the system for managing residents’ personal monies was safe and left a clear audit trail. Staff spoken with said there have been no changes to the system used. Cash is kept in a locked cash box in the office and only senior staff have access to the key. The control of substances hazardous to health (COSHH) folder was seen and has been updated since the last inspection to cover all products used in the home. The health and safety folder has also been updated to reflect the needs of the service. Some certificates for routine checks on equipment were seen. They included tests done on Arjo bath hoists, 2/10/06, emergency lighting 15/8/06 and electrical testing of all appliances was done in May 2006. There was documentary evidence that the fire alarms are tested weekly. As noted earlier in this report a number of taps were tested and found to deliver water at forty-eight degrees centigrade, which is above the recommended safe limit. Communication from the service to CSCI has improved but CSCI are not always informed of incidents that could have an impact on the wellbeing of residents. No regulation 37 notices were received about the outbreak of a gastric germ recently or an incident that involved an intruder in the garden during the night. The policy folder has guidance about supervision of staff and the agreement to be made prior to supervision happening. Staff said the manager had started supervision sessions since the last inspection. Over the last eighteen months there have been some changes made in senior management to support the registered manager. There is a deputy manager who has been in post six months and is present in the home when the manager is absent. Earlier problems in the management of the home seem to be resolved and the service is making progress in improving the quality of life offered to the residents. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 1 X X N/A 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X 3 X 3 2 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 21 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 OP3 Regulation 14 (1) Requirement The registered persons must ensure that a pre-admission assessment of need is undertaken for each prospective resident to ensure the home can meet their needs. The registered persons must ensure prescriptions have clear directions about how medication is to be administered. This is a repeat requirement. The registered persons must ensure that there are adequate supplies of prescribed medication so that residents do not miss doses. The registered persons must ensure that when a prescription gives a choice of dose i.e. one tablet or two, the number given must be recorded to allow an audit trail. This is a repeat requirement. The registered persons must compile a POVA policy for staff guidance based on the guidelines set out in the Suffolk interagency procedures. Timescale for action 30/10/06 2. OP9 13 (2) 30/10/06 3. OP9 13 (2) 30/10/06 4. OP9 13 (2) 30/10/06 5. OP18 13 (6) 30/11/06 Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 22 6. OP25 13 (4) (a) (c) 7. OP29 19 (1) (b) (i) Sch 2 8. OP30 18 (1) (c) (i) 9. OP38 37 (1) (b) (e) The registered persons must ensure that hot water is delivered at a safe temperature of not more than 43 degrees centigrade. This is a repeat requirement. The registered persons must undertake, and retain evidence of, all the recruitment checks required in Schedule 2 of the Care Standards Act 2001. The registered persons must put in place a rolling programme of staff training to ensure staff are updated in the latest care practices. The registered persons must notify CSCI of any outbreak of infectious disease at the home or any incident that could impact on the safety of residents. 30/10/06 30/10/06 31/12/06 30/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP33 Good Practice Recommendations The registered persons should develop a more formal method for consulting with the residents and ascertaining their views on the service offered by the home. Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Swallows Residential Home DS0000063929.V317536.R01.S.doc Version 5.2 Page 24 - 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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