Inspection on 05/12/06 for Sydney House

This inspection was carried out on 5th December 2006.

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

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

Other inspections for this house

Sydney House 28/11/05

Sydney House 24/06/05

Sydney House 28/09/04

Sydney House 11/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Sydney House Brumstead Road Stalham Norwich Norfolk NR12 9BJ Lead Inspector Ann Catterick Unannounced Inspection 5th December 2006 09:20 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 Sydney House DS0000034885.V323069.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. Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sydney House Address Brumstead Road Stalham Norwich Norfolk NR12 9BJ 01692 580520 01692 583014 Sydneyhouse@norfolk.gov.uk www.norfolk.gov.uk Norfolk County Council-Community Care 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) Mrs Gillian Margaret Medland Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Rooms numbered 22, 23, 27, 39, 41, 52, 53, 63, 64, 70 and 71 are not suitable for use by wheelchair users at point of admission. 28th November 2005 Date of last inspection Brief Description of the Service: Sydney House is a large, detached, two-storey residential care home that was built in the late sixties and is owned and operated by Norfolk County Council. It is registered to provide personal care and accommodation for a maximum of forty older people. The home has single occupancy bedrooms on both floors that all contain a washbasin and there is a shaft lift to the first floor. There is communal use of a dining room, five lounge areas/rooms, three bathrooms one of which has a shower and ten toilets. The home is sited in its own grounds and is surrounded by pleasant walking and seated areas and has parking to the front and side of the building. It is situated on the outskirts of Stalham, but within walking distance of the shops and other facilities. The current weekly scale of charges for the home is £368.72. Sydney House DS0000034885.V323069.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 took place on the 5th of December and was over a period of eight hours. Prior to the inspection the Commission was sent a Pre Inspection Questionnaire by the manager and received comment cards from service users and relatives. Generally comments about the home were positive. On the day of inspection the inspector was able to speak with many of the service users, relatives, staff and management. Documents and files were inspected and tour of the building took place. Service users made some negative comments about the main meal of the day, lack of activities at times within the home and some aspects of the environment. A new cook has recently been appointed and it is expected that the concerns about meals will be addressed at this time. The manager is looking to appoint a person who can offer Extend, which is a physical activity programme. The person who did do this has recently left the home. Further development in the area of activity and occupation should take place. Comments about staff and management were positive and the overall quality of care provided within the home is good. Some improvements have been made to the environment but other areas remain poor. Overall the general feedback from service users was that they were satisfied with their care and believed the staff provided good quality care and support. What the service does well: Services users spoke very positively about staff. For example: “Staff try to do everything for you.” “Staff very good and do all they can for you, never any grumbles.” “Top marks for staff.” “On the whole not a bad place.” “Living here is very pleasant.” Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 6 Good practice was seen on the day of inspection and those staff spoken to were caring and competent. Staff have good support and induction when they start work and training is encouraged. The home listens to what service users say and take any complaints seriously. The home has a competent manager and stable staff group. Visitors are always made welcome. What has improved since the last inspection? What they could do better: The care plans are adequate but there is opportunity for further development in this area. Several service users informed the inspector that the main meal of the day was not good. Too may casseroles and lack of variety was the main concern. Several service users said there was little to do in the day and one suggested that if mind and body are inactive it was not good for general wellbeing. Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 7 The old metal window frames are inadequate. Some are hard or impossible to close and therefore leave a permanent draught. Several service users said that their curtains were often blowing in the night due to draughts. The draughty windows also affect the temperature in some of the communal areas. The heating system is old, with some areas of the home too hot and others not hot enough. A service user said that in at least one of the lounges, in winter, a blanket was needed over the knees. Service users are not able to adjust the temperature of the heating in their own rooms. Only two bathrooms are in use although a third should be in use within the next few weeks. 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. Sydney House DS0000034885.V323069.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 Sydney House DS0000034885.V323069.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): 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users do not move into the home without having their care needs assessed. On one occasion a service user whose needs were outside the registration of the home was admitted to the home. EVIDENCE: Prior to admission the manager of the home visits the prospective service user and makes an assessment as to whether or not the home can meet their identified needs. The manager would also receive assessments from the placing professional prior to admission. The manager had received a service user into the home who has a diagnosis of vascular dementia. The home does not have a registration for service users with dementia and this person should not have been admitted to the service Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 10 unless agreement had been made with the Commission. A requirement has been made in this area. The manager has been asked to document how the home aims to meet this service user’s needs and what additional training staff have received in this area. If it is agreed that the service users needs can be met in the home a variation to the registration will be made. Other assessments seen were of service users whose needs could be met within the home and who were within the homes registration. The home does not provide intermediate care. Sydney House DS0000034885.V323069.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 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have care plans identifying their personal, social and care needs although there is opportunity for further development. The homes policy with regard medication protects service users and promotes safe practice. The way that staff were seen caring for service users promoted their privacy and dignity. EVIDENCE: Several care plans were inspected. Care plans had a front page that was a care plan review giving details of the most up to date information about the service user. Care plans included a social history page that gave past and recent history, manual handling information, person care details and other general information about the service user. Some of the information was repeated in different parts of the care plan and there was opportunity for the Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 12 care plans to have more details included. A recommendation has been made in this area. No nutritional plans were seen and although the manager informed the inspector that training in this area is to be provided early in the new year some details in this area should be included in care plans, especially were there is evidence of low weight or poor eating patterns. The manager stated that some of the details could be found on fluid and food charts that were in some bedrooms but there was no evidence or reference to this of in care plans. Staff running records were seen in care plans and the information written was often limited. The way staff document information about service users on these records could be improved. For example staff sometimes used the record to make a statement, “was aggressive today” or “good day”. It would be helpful to include in these running records what the person was doing during the day and how their day was good or why they were being described as aggressive. A recommendation has been made in this area. Care plans seen were signed by service users, when this was possible, and were being reviewed on a regular basis. Medication procedures were inspected and staff were observed administrating medication. There were no concerns in this area. Staff who administer medication have appropriate training and the manager quality assures the process on a regular basis to ensure that the practice in this area remains sound. Staff were observed interacting with service users throughout the time of the inspection visit and at all times staff were seen to work with service users in a way that enabled choice and promoted dignity. A staff member spoke of how service users are cared for at the end of their lives and this description suggested that care, comfort and dignity is paramount at this special time. Sydney House DS0000034885.V323069.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 adequate. This judgement has been made using available evidence including a visit to this service. It was felt that more activities and occupation could be offered in the home to meet with service users preferences, expectations and capacities. Service users are encouraged to maintain contacts with family and friends and visitors are welcomed within the home. Service users receive wholesome meals but these could be more varied and appealing. Generally service users were dissatisfied with the main meal of the day. EVIDENCE: Of the seven service users that responded to the question with regard activities none stated that they were fully satisfied. Comments went from never enough activities to usually enough activities. When speaking to service users on the day of the visit to the home many said that there were not many activities taking place within the home. The person who offered extend exercise sessions has left the home and some service users said they were missing this physical activity. The manager is looking to employ another Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 14 person to offer this service. Staff said they have some time to sit with service users on a one to one basis but much of their time was spent providing personal care and completing practical tasks. The home does have outings and some formal activities within the home. Service users said that they would like to do more during the day. As one service user said if we do not use our minds and body they will stop working properly. Some board games were suggested by service users. The home aims to provide activities and occupation for service users but there is opportunity for further development in this area. A recommendation has been made in this area. The manager is encouraging the commencement of resident meetings and ways to develop activities and social interactions could be discussed at that time. All visitors spoken to said they were always made very welcome within the home. The local church offers communion on a monthly basis. One service user followed the Buddhist faith but was not practicing. If they had been the home would aim to meet their spiritual needs. Most service users have a family member or a financial advocate taking responsibility for their money, however they could choose to do this themselves if they wished. All rooms have a locked facility in which to keep valuables and/or personal belongings. Most comment cards received did not make positive comments about the food. Norfolk County Services who provide kitchen staff have appointed a new cook and the home was just waiting for all the appropriate references etc to be completed before the new cook started work. The home has a history of not have a permanent cook and the service appears to have suffered because of this. Service users said that the food was not always presented properly and that quality was more important than quantity. Several service users said that they had casseroles too often and would have preferred more variety. The menu indicated more variety but service users did not think this was the case. The main meal served on the day of inspection did not correspond completely with the menu plan and the second choice was completely different from the menu plan. . Another service users said that hot meals were served on cold plates. For whatever reasons service users were not satisfied with their lunchtime meal and this area needs to be addressed. The manager needs to monitor the meals to ensure good nutrition and variety. A requirement has been made in this area. The dining area has been recently decorated and provided a comfortable homely environment for service users to have their meals. Service users can take their meals in their bedroom if they choose to do so. Sydney House DS0000034885.V323069.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 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence was seen that complaints are listened to and acted upon. The home has a policy and procedure in place to protect service users from abuse. EVIDENCE: The home has a complaints procedure and this is included within the Service User Guide. The home had received six complaints in the last twelve months and these had all been dealt with and recorded appropriately. It was good to see that service users felt comfortable in making complaints when they were dissatisfied with the service. The home has a policy and procedures for the protection of vulnerable adults and staff receive training in this area. The manager has recently had cause to use these procedures and has a good working knowledge of local adult protection procedures. Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 25 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The environment is safe and some areas are well maintained, however the windows are inadequate and need to be replaced and the heating system does not enable service users to have choice over the level of heating in their private accommodation and is varied in efficiency throughout the building. These two areas have influenced the rating of this outcome area, as other aspects of the environment are good. EVIDENCE: Since the last inspection some decoration has taken place. Four bedrooms and a visitor’s room have been decorated and the decorators were in the home decorating corridors at the time of the inspection. The manager plans to Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 17 purchase pictures and ornaments for the walls along the corridors to make them an attractive and welcoming places to walk. The old metal windows are still in place and are draughty. In some bedrooms the windows could not be opened or closed by service users and some seemed impossible to close fully leaving a permanent draft. The inspector tried and failed to fully close two windows. Several service users made comments about the draughty windows. When asked if the windows were draughty one service user said. “Draughty! You get blown out of the bedroom!” The manager believed that the plan was for the windows to be replaced within the next five years. Due to the poor state of the windows this time scale is too long. A requirement has been made in this area. The heating system does not allow for individuals to control the heating level within their own rooms. Service users said that the amount of heating provided depended on where you were situated in the building. For example a service user said it was always very warm in the dining area but rugs were needed over knees in some of the lounges as the heating was not adequate and the windows were draughty. It appears that the amount of heating given out by the heating system is dependent on where you are in the building. This is not satisfactory. A requirement has been made in this area. The Service User Guide states that the home has five bathrooms. Two of these have not been used as bathrooms for some time, at least 12months, and another at the time of the inspection was not functional. Therefore at best there are three functional baths and at the time of the inspection only two were functional. The manager informed the inspector that the third bath should be functional within a few weeks. There are no immediate plans to make the other bathrooms functional and at the present time they are used as storage areas. A requirement has been made in this area. The lift has not been replaced but has been modernised to make it more user friendly for service users. It is now easier to use as it has a new mechanism and buttons as well as a new floor. All service users spoken to were satisfied with their private accommodation. Some of the bedrooms are of a very good size and offer very comfortable accommodation. Other bedrooms are quite small but those service users spoken to who had the smaller rooms were satisfied with them. Communal areas are varied and spacious. The home has recently created a visitors room to enable service users to meet with visitors in private but not always in their bedroom. On the day of inspection all area that were inspected were clean, well cared for and free from any offensive odours. Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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. The care at the home is provided by caring competent staff that have the skills and training to meet the needs of the service users. EVIDENCE: Staff were observed caring and working with service users on the day of inspection. Three staff, at different levels within the organisation were interviewed in more detail. The outcome was that all staff spoken to and/or observed worked with service users in a competent caring way, promoting dignity and choice and treating service users with respect. All staff complete induction and new staff are now working through the new induction standards. Staff are offered varied training in house and externally. Staff are encouraged to complete NVQ level two and care coordinators are funded to complete NVQ level 3. Fifty per cent of staff have NVQ level two. Feedback from service users about staff was positive. Overall staffing numbers appear to be adequate but there needs to be enough staff on duty to meet the social and emotional needs of service users as well as the personal and health care needs. Since the last inspection the manager has move some of the staff hours around to ensure that more staff are on duty Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 19 at busy times. The time that staff can actually spend with services offering social and emotional care will be looked at further at the next inspection. The home has a sound procedure for the recruitment and selection of staff files. Staff files were seen and all relevant information was included. Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the manager fulfils her roles and responsibilities well. The one concern that she had admitted a service user who was outside of the registration of the home was discussed with the manager and this will not happen again. EVIDENCE: The manager has significant experience in care and has completed her Registered Managers Award. The home is well run and staff and service users Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 21 spoke positively about the manager and her role within the home. The manager is planning to continue her training and further develop her skills. The home has a quality assurance system and this manager plans to continue to improve and develop this part of the service. The home looks after some money for service users in a safe keeping capacity. The records of this were inspected and were in good order. Receipts were seen and the money is kept secure. The system protected service users finances. Staff supervision takes place on a regular basis and evidence of this was seen. Staff take part in all relevant training relating to health and safety. Hazardous substances are stored safely. On the day of the inspection at least two doors that were supposed to be locked were unlocked and this could put service users at risk as these cupboards or rooms had items or equipment in that could put service users at risk. A requirement has been made in this area. All sink outlets now have valves to ensure that the temperature of the hot water is as near to 43 degrees as possible. Windows have chains on the outside to ensure that they cannot be fully open, however some of the windows were very difficult, if not impossible for service users, and the inspector to shut completely. A pipe that was unattached to the wall in a toilet has now been secured properly. The inspector does not feel qualified to inspect against standard 38.4 but believes that the home is in compliance with the legislation listed. Risk assessments are made with regard individuals and the environment and evidence of these was seen and inspected. All incidents and accidents are recorded and evidence of these was seen and regulation 37 notices are completed when appropriate. Safety posters were seen. All staff receive induction and foundation training. Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 22 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 3 1 X X X 1 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 23 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 OP1 Regulation 5 and6 Requirement The Registered Person must ensure that the information in the Statement of Purpose and Service User Guide is factually correct. This relates specifically to the inaccurate description of bathing facilities within the home. There are usually three usable bathing facilities and not five bathing facilities. The Registered Person must ensure that they do not admit anyone into the home who has a diagnosis of dementia at the time of admission. The Registered Person must ensure that the meals provided are wholesome and nutritious as well as varied and appetising. The registered person must ensure the windows in the home are replaced. Previous timescales of 31st December 2005 and 1st June 2006 have not been met. The Registered Person must ensure that the heating system within the home meets the needs of service users. This DS0000034885.V323069.R01.S.doc Timescale for action 01/02/07 2. OP3 24 of The Care Standards Act 2000 16(i) 06/12/06 3. OP15 01/02/07 4. OP19 23.2.b0 01/10/07 5 OP25 23.2(p) 01/10/07 Sydney House Version 5.2 Page 24 6. OP21 23.2(j) 7. OP38 13.4(a) relates to having adequate heating in all parts of the home and have a heating system in bedrooms that can be adjusted by the service user. The Registered Person must ensure that there are adequate bathing facilities within the home and that these are available to service users. The Registered Person must ensure that all areas that service users have access to are as much as possible free from hazards to their safety. This relates particularly to those cupboards and/or rooms that should have been locked because of content and were unlocked on the day of inspection. 01/02/07 01/02/07 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 OP7 OP7 Good Practice Recommendations It is recommended that care plans are further developed to contain as much relevant information needed to meet the service users needs. It is recommended that the manager discuss with staff what information needs to be included in service users running records and to remind them that service users can look at what has been written about them at any time. It is recommended that the manager tries to include more social time within the day for service users. 3 OP12 Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Sydney House DS0000034885.V323069.R01.S.doc Version 5.2 Page 26 - 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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