Inspection on 17/11/08 for Tansley House

This inspection was carried out on 17th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tansley House 03/12/07

Tansley House 06/12/06

Tansley House 26/01/06

Tansley House 23/08/05

Tansley House 03/03/05

Tansley House 27/09/04

Tansley House 17/09/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Tansley House Church Street Tansley Matlock Derbyshire DE4 5FE     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Bridgette Hill     Date: 1 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Tansley House Church Street Tansley Matlock Derbyshire DE4 5FE (01629)580404 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Alan Baranowski,Mr Steve Lomax,Mrs Janet Baranowski care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Plus Three (3) Day Care Places Date of last inspection Brief description of the care home Tansley House is a well established care home registered for 20 older people who need help with personal care. The home provides pleasant, homely accommodation in 18 single rooms and one shared room. In practice the home usually accommodates 19 residents with the shared room being used if required by a married couple. There is a choice of lounges, a separate dining area and use of the garden. The home is situated in the centre of Tansley village. Information about the home, including CSCI inspection reports, is available in the main entrance area of the home, or from the registered manager. The fees charged at the home were £364.31 to £494.00 Residents were responsible for paying for their newspapers, chiropody and hairdressing. Some toiletries were provided unless residents preferred particular brands. 0 Over 65 20 Care Homes for Older People Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection visit was unannounced and took place over seven and a half hours. Additionally, time was spent in preparation for the visit, looking at previous reports and other relevant documents and preparing a plan for the inspection. The Annual Quality Assurance Assessment that the home completes was returned to us before we visited and considered as part of this inspection. Surveys were sent out prior to the visit to residents, staff and relatives and where these were returned to us the information received has been included in this report. As part of the planning of the visit the Annual Quality Assurance Assessment and the survey information was considered, as was the previous inspection report and any Care Homes for Older People Page 5 of 28 other information we have received. There were 18 people living at the home on the day of the inspection. As part of the inspection a sample of service users care files and a range of documents were examined. The communal areas were viewed along with some bathrooms and bedrooms. The manager Beverley Windle was on duty during the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to ensure prospective residents needs are assessed, they are able to make trial visits if they wish and some information about the home is made available to residents. Evidence: During our visit we looked at the admission processes in place at the home and the information that was made available to prospective resident. In the entrance hallway the most recent inspection was report made available to residents and visitors. The Annual Quality Assurance Assessment completed by the manager told us that trial visits were offered and pre admission assessments were completed. All of the care files we looked at contained the assessments that had been completed by the manager. Some of these were not signed or dated but assessments of needs were recorded. In care files where residents were funded by Local Authorities there Care Homes for Older People Page 9 of 28 Evidence: were needs assessments which had been completed by Care Managers. We talked to residents and relatives about their experience of moving into the home. Residents told us that they had visited the home before deciding to move in. One relative told us that the Manager and staff had been helpful and supportive during the process of moving into the home. The Manager told us that the home does not offer intermediate care. Care Homes for Older People Page 10 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The inconsistent approach to care planning does not ensure all residents will be met. The recording of medication administrations does not always reflect the practices being used to deliver medications to the resident Evidence: We looked at 3 care files to assess how staff were recording peoples care needs and spoke to people to see if their care needs were those that were described and talked to the manager about the care planning process. Where residents were privately funded the home had developed a written care plan based on the assessment which was completed prior to admission. The care plans in place appeared to cover the needs of the residents but on occasions did use general terms such as as required to describe the staff intervention required rather than being specific. There were other examples where the instructions for staff were more definite in telling them what help the resident needed and what they were able to do independently. Care Homes for Older People Page 11 of 28 Evidence: Where residents were funded by local authorities the home was delivering care as was recorded on the needs assessments completed by the care managers. We discussed this practice with the manager who said that they had thought that in house care plans were not required when residents were funded. We were told that until recently these had been in place and some of these were seen in care files however some of these were a number of years old and not up to date. As the needs assessments did not cover the care delivery needs in detail we clarified that these were required and the manager said they would be put in place again but that there had obviously been a misunderstanding of the requirements. A system for ensuring care plans and risk assessments were reviewed monthly was in place by staff to ensure they were up to date. The logs written by staff tended to be written every few days or most days if there were significant changes. It was not easy to find the most up to date information in the care records as all information was kept in the file since the residents was admitted. It was therefore not easy to identify which was the most current information available. There appeared to be established systems in place to ensure that healthcare needs of residents were met. Whilst there were services who visited the home to provide chiropody, dental and optical care to residents there were some residents who chose to use different services of their own choosing. Within the care plans there records of GP visits which appear to be arranged in a timely manner. The home uses two GP surgeries with one of the GPs visiting the home regularly to complete medication reviews. District Nurses also visited the home to do dressings if needed and vaccinations as well as other prescribed treatments. Relatives told us they were kept informed of any changes in healthcare needs and were happy with the communication they had with the home. The personal care and health needs of the residents were recorded in care plans. Information relating to visits from health care professionals such as General Practitioners, Dentists, Podiatrists and Opticians were recorded. All the required documents had been completed; particularly assessments about areas of risk affecting the welfare and safety of the residents, for example moving and handling, nutritional requirements and tissue viability. The storage and administration of medicines was examined at this visit. The home uses the Medidose system for medication with some medicines in alternative packaging for course of medications or those not suited to putting in the Medidose. The trolleys used were clean and secure and alternative suitable storage for controlled drugs was available. The manager told us no homely Care Homes for Older People Page 12 of 28 Evidence: remedies are used although some residents purchased some over the counter remedies to take as they chose. The care files we looked at contained forms signed by residents to confirm they had agreed for staff to take care of their medicines. There did not appear be any gaps on the medication administration records which indicated that there were suitable administration systems in place. On one medication administration records paracetamol was prescribed as well as another paracetamol based painkiller. It was recorded that the paracetamol should not be given with other paracetamol based medicines but signatures for 3 dates appeared to indicate this had been. We discussed this and staff informed us that the resident was given some medication to self medicate later and staff simply signed that it had been given the records are therefore not accurately reflecting the practice in the home. In one bathroom undated and unnamed creams were found which had been partly used. As it was not possible to ascertain if these were in date or for whom they were being used they presented a cross infection risk. All appeared to have good fitting, suitable footwear which helps to protect residents against trips and falls. Residents in the home were observed to be dressed well and smart. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides activities and stimulation in line with the wishes and preferences of the residents. The meals offer both choices, variety and cater for any special dietary requirements. Evidence: In the home there was a range of well presented posters telling residents abut the activities that were planned. All the staff at the home took responsibility for the provision of activities and some staff had received training in doing chair based exercises. Throughout the home were examples of artwork and crafts that residents had made. There were some external entertainers and musicians who visited the home to provide entertainment to residents as well as some local school groups. The staff were also involved in a pantomime production of Snow White for the residents at Christmas. Some fundraising events had been organised such as a Fayre to enable there to be funds to use for outings as events. Families told us they were regularly invited into the home for events such as a recent bonfire party. Halloween had also been celebrated Care Homes for Older People Page 14 of 28 Evidence: and we were told by the manager that any excuse or opportunity for a party was taken. The home also had it own pet cat which staff told us the residents liked. Generally residents told us they liked the activities on offer. Residents were also observed in pass times of their own choosing such as reading magazines. At the beginning of our visit breakfast was in progress. This appeared to be served in a relaxed manner and residents were eating and finishing the meal at their own pace. One resident told that breakfast started at around 8.00 but they had a cup of tea in their room at 6.30am if they wanted. There was a 4 weekly menu in place which the manager told us was reviewed regularly this appeared to present a balanced diet. There were choices at each meal offered and each resident was asked in advance what they would prefer and a list provided to the kitchen. The dining room was attractive with tablecloths, cruets and sugar bowls on tables for residents to use as the wished. One resident told us they liked to have meals in their room in this was respected and arranged. Another resident told us they too much good food offered and that if you didnt like something an alternative would be offered. The only special diet accommodated at this visit was a diabetic one as most residents didnt have any special requirements. Care Homes for Older People Page 15 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst staff had received training and policies and procedures in place the Safeguarding Adults procedure did not ensure that there would be a consistent handling of allegations in accordance with locally agreed procedures. Evidence: The home has its complaints procedure in a file in the reception area giving information to both residents and families. The procedure contained the contact details and address of the Commission for Social Care Inspection although this required updating to reflect office changes. The Annual Quality Assurance Assessment and discussions with the manager during the visit confirmed that there had not been any complaints received by the home. The Commission for Social Care Inspection has also received no complaints about the service since the last inspection. All residents and relatives we spoke with said they would approach the manager or deputy if they had any worries but people stressed to us that they had not any reason to raise concerns. The home has a policy and procedures in place for the safeguarding of adults. The policy and procedure relating to Safeguarding Adults was not explicit in how Care Homes for Older People Page 16 of 28 Evidence: allegations of abuse would be handled in accordance with locally agreed Safeguarding Adults procedures. The Annual Quality Assurance Assessment and records examined confirmed staff had received Safeguarding Adults training although the Annual Quality Assurance Assessment identified more specialist staff training as an area which could be improved. There has been no reported incident of safeguarding of adults since the last inspection. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally well presented and maintained and offers a clean and comfortable environment for the people who live there. Work was in progress to ensure the home met all required fire regulations to ensure it was a safe place for residents to live. Evidence: The home was well presented and surveys we received commented to us that residents and relatives liked the homely environment offered. The home is an extended previously domestic property. There are two lounge areas and a dining room. Visitors told us the home was always clean and there were never any odours in the home. The home had a garden area with some outdoor seating. This appeared to be well maintained and had lovely views over the surrounding countryside. Staff told us there were plans to develop a vegetable patch to get residents involved in gardening. Some grab rails were situated in corridors to help residents move around the home and a suitably serviced passenger lift was available to help residents access both floors. Care Homes for Older People Page 18 of 28 Evidence: All the bedrooms were different in size and shape with some having en suite facilities. The residents are all encouraged to personalise their rooms as they wish and bring in their own possessions. In bedrooms we spoke to residents who had their own family pictures, ornaments and in some circumstances pieces of furniture such as specialised beds in their rooms. We received a few comments from residents and relatives on the size of the home as it had only 20 residents that it was a good size and had a homely feel. Some of the fire records were not available to us at the visit but were faxed to us the following day. One of the owners took responsibility for delivering fire safety training to staff and checking the systems in the home. At the fire officers last visit it was found that heat/smoke seals were required to be fitted to doors. The Manager told us some had been fitted. The timescale given by the fire officer has not yet passed. The labels on the fire extinguishers at the visit indicated they were due to be serviced in August 2008. The owner informed us after the visit that these have now been checked. The records we received after the visit told us that emergency lighting and fire system had been checked and that fire drills were held with the records indicating that staff responded appropriately. The Environmental Health Officer had visited the home and provided a report to the home in the past week. This contained some requirement and recommendations. After the inspection the owner sent us some information to tell us that some works had been completed and others planned to meeting the requirements listed in the report. There were a bath with an over bath hoist fitted and a newly refurbished bathroom with a shower. The laundry area was in the basement and was suitable for the size of the home. One resident told us that their clothes were well cared for and they were happy with the laundry service and clothes were looked after. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff group were on duty in sufficient numbrers and suitably trained to meet the needs of residents. Evidence: The home appears to have a stable team who were positively regarded by residents and relatives. They told us they were kept informed of any changes by staff and got to know staff when they visited as there were few changes. The care staff at the home undertook the cleaning of the home as well and this was reflected in the flexible number of staff on duty. In the morning this tended to range between 3 and 5 staff on duty. After 3pm there tended to be 2 staff on duty and at night time there was one waking staff member and an additional staff member sleeping in at the home to meet the residents needs. We talked to relatives and residents and everyone told us that there was staff around when they needed them. A skill-based induction was available and a completed recent copy was seen to indicate that staff were completing these. Discussions with the manager confirmed there had not been any new staff at the home since our last inspection. As employments records were assessed at this visit we Care Homes for Older People Page 20 of 28 Evidence: checked that the previous requirement had been met relating to the obtaining of a Criminal records Bureau check. This had been completed. We discussed the recruitment process in place with the manager and clarified the minimum requirements that needed to be in place prior to staff commencing in post. The manager told us they were committed to ensuring staff were well trained and a training planner was in place which indicated that a range of training had been completed and more was booked. There was a training agency who was providing regularly training to staff and were visiting the home fortnightly to see staff. The range of training they were offering to staff included medications, Health and Safety and basic food hygiene. The manger told us all staff were trained in First Aid and able to deal with emergencies. Additional training completed by staff included nutrition, dementia, incontinence, oral health, care of the dying, and infection control. The certificates we looked at indicated that some staff were in need of refresher training in Moving and handling. The Manager informed us this was booked for January 2009. With 10 out 11 of the care staff having completed at least National Vocational Qualification level in care the staff was well able to deliver care to the residents. The one staff member who had not yet completed National Vocational Qualification training was enrolled on a course and working towards their National Vocational Qualification. The manager and staff were positively regarded by all the residents and staff we spoke with. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home appears to be well managed with some consultation with residents in place to monitor the quality of the service provided. Evidence: The Manager of the home is well established in post and holds a suitable managerial qualification. Since our last visit the home had participated in a Social Services led quality assurance questionnaire instead of completing their own which they had done in the previous two years. The results were available in the home and whilst all service users had been questionnaires 7 had chosen to return them. After the inspection the owner supplied us with recorded visit logs they had made to the home. These were generally management meetings and recorded a range of aspects including staff training, ongoing maintenance, activities and Health and Safety. Care Homes for Older People Page 22 of 28 Evidence: There were not any recorded discussions however with residents or staff to ascertain their views of the home. The manager said that one of the owners was a frequent visitor to the home and had a hands on approach completing the majority of the repairs and some of the redecorating of the home. For some residents small amounts of money was held safely by the manager. This was typically used for hairdressing and chiropody. We looked at the records and did some balance checks. For one resident there was slightly more money than the record indicated. For 2 other residents the balances were accurate. Where accidents had occurred there were reports completed which detailed what actions had been taken by staff and examined if additional measures to prevent accidents could be explored or implemented. Since our last inspection risk assessments for each radiator in the home had been written. These did not identify any potential risks however the risk assessments in place did not consider the individual risks for each resident such as if residents had a pattern of falls. Some information on safety and servicing checks was not available during the visit as the owner held this outside of the home. Some additional information was faxed to us following the inspection and considered as part of this inspection. The information told us that bath hoists had been serviced, water temperatures were checked The owner told us he could not locate the electrical system check so was arranging for this to be completed. Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 The home must develop care 31/12/2008 plans for all residents which describe how all assessed needs are to be met. This is to ensure staf are aware of how to ensure the needs of the resident are met fully. 2 9 13 Medication records must reflect the actual practice whichis in place. This will ensure that the records are accurate to the administration times and procedures. 31/12/2008 3 9 13 Toplical preparations must be dated on opening, discarded within the time limit recommended for the tiem and used only for the person for whom they are prescribed. To ensure there is not a risk cross infection evident. 31/12/2008 Care Homes for Older People Page 25 of 28 4 19 23 The environmental health officers requirements must be actioned within the given timescales. This is to ensure environmental standards for the home are met. 30/01/2009 5 19 23 Heat and smoke seals must be fitted to doors as per the fire officers requirements. This is to ensure residents are as protected as possible from the spread of any fires and smoke. 28/02/2009 6 38 13 The risk assessments for 31/12/2008 radiators must include the individual potential risks for each resident to ensure they consider what the risk actually are. Where there are risks identified action must be taken to limit these. To ensure the home is as free from risk as possible for residents. 7 38 23 There msut be a valid electrical wiring certificate available to evidence the home has been checked by a suitably qualified electricitian This is to ensure the home is safe for residents to live in 31/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 28 1 18 The safeguarding adult procedure shouls be clear in informing staff how any alleagtions of abuse are to be reported and handled. The owners monthly recorded visits should include consultations with staff and residents to ascertain thier views of the home. 2 33 Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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