CARE HOMES FOR OLDER PEOPLE
Templeman House Leedam Road Bournemouth Dorset BH10 6HP Lead Inspector
Rosie Brown Unannounced Inspection 11:30 24 February 2006
th 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 DS0000003903.V284614.R01.S.doc Version 5.1 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. DS0000003903.V284614.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Templeman House Address Leedam Road Bournemouth Dorset BH10 6HP 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) 01202 537812 01202 535022 Care South Care Home 41 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (41) DS0000003903.V284614.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 41 in the Category OP (Old Age) including up to 6 in the Categories DE (E) and/or MD (E). 27th October 2005 Date of last inspection Brief Description of the Service: The local County Council originally built Templeman House as a residential home in the 1960’s. The home is part of Care South - a non-profit making organisation and registered charity formerly known as The Dorset Trust. The Registered Individual (RI) for the company is Roger Fulcher. Mr Ian Slack, whose application to the Commission to become the registered manager, is currently being processed, is temporarily managing the home. Templeman House is registered to accommodate 41 people over the age of 65 and in need of personal care and a maximum of 6 people with a mental health disorder or dementia. The home is situated in the residential area of Kinson - a suburb of Bournemouth, close to bus services, shops and local amenities. Residents’ accommodation is arranged over three floors. A passenger lift and two staircases enable easy access to all floors. All bedrooms are for single use although the home currently accommodates a married couple that have adjacent rooms close to a small communal lounge. Assisted bathing facilities are located on each floor. There home has two lounges, a spacious and comfortably furnished entrance and a large separate dining room on the ground floor with an additional small quite lounge. There are two smaller lounges and dining rooms/ kitchenette areas available on other floors. The home has off road parking for residents, visitors and staff and is set in mature enclosed grounds and gardens with a pond, raised boarders, lawns and a patio area. DS0000003903.V284614.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 24th February 2006 and was undertaken by inspector Rosie Brown: it was the second of two statutory unannounced inspections planned to take place this year. The inspection commenced at approximately 11.30am and was concluded by 3.30pm. There were 40 residents living in the home with one bedroom being held for a former resident who had moved back to their home for a trial period. On the day the tempoarary manager was on duty with twelve members of staff. The staff team comprised: the deputy manager, a Care Team manager (CTM), five care staff, a chef and kitchen assistant, two domestics and a laundry assistant. The inspector assessed 15 of the National Minimum Standards and reviewed progress made with the requirements and recommendations set out in the previous inspection report. The inspector has requested that Standard 9, which concerns the home’s medication arrangements, be assessed on a separate occasion by the CSCI pharmacy inspector. The communal areas of the home and a selection of residents’ bedrooms were viewed: residents’ care records, staff training records and some of the home’s maintenance records, including fire records were also examined. The inspector used observation skills to assess interactions between staff and residents and spoke with the temporary manager, the deputy manager, the CTM and three members of staff. Seven residents spoke with the inspector during the visit. Prior to this inspection, comment cards supplied by the Commission were returned. These included four from relatives, 12 from residents, two from care professionals and one from a GP. The views expressed were generally positive and have been used to inform this inspection report. One comment card from a resident noted, ‘ The care provided by the carers and management is exceptionally good, nothing is too much trouble, residents with dementia are guided in a tolerant and understanding manner’. In order to gain a more complete ‘picture’ of the home, please also read the report of the previous inspection. What the service does well:
The home has an informative statement of purpose and a simple residents guide and these are easily found in the homes’ entrance area. Each resident has a care plan in place that details how the home will meet their identified needs.
DS0000003903.V284614.R01.S.doc Version 5.1 Page 6 Residents and their relatives confirmed they are aware of the home’s complaints procedure: complaints/grumbles are taken seriously by staff and appropriately resolved. Residents live in a pleasantly decorated home that is comfortably furnished with a homely environment. The home has a number of communal lounges, two small dining room/ kitchens that offer residents an alternative to the large dining room. There are other quiet sitting areas created around the home that give the opportunity for privacy and relaxation and are an alternative to a resident’s bedrooms. The home is set in attractive mature grounds that are secure (new fencing has been fitted) and can be easily accessed by residents from the ground floor lounges. Residents said that managers and staff are approachable, caring, helpful and friendly and comment cards also confirmed this to be the case. Care South have a comprehensive staff training programme in place that includes NVQ training to ensure that resident are well cared for by properly trained staff. The home has a maintenance and improvement programme to promote the health & safety of staff and residents. What has improved since the last inspection?
The homes’ paperwork evidences that residents care plans and associated riskassessments are now being reviewed each month. Daily care records are now providing more factual information. The temporary manager and deputy manager have worked hard to develop a recording format that allows written information exchange concerning residents’ needs between care staff and Care Team Managers. The home has demonstrated good practice by enabling residents to be involved in managing their care needs, for example diabetic monitoring of blood sugar levels and a risk-assessment concerning this situation is now in place. A social care programme with activities is gradually being implemented and an activities organiser has been employed since the previous inspection. A number of residents’ bedrooms have been decorated and re-carpeted and a small homely style sitting room has been created from the former quiet room on the ground floor. Wooden fencing has been fitted in appropriate places of the home’s grounds and gardens in order to make them secure.
DS0000003903.V284614.R01.S.doc Version 5.1 Page 7 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. DS0000003903.V284614.R01.S.doc Version 5.1 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 DS0000003903.V284614.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The home’s statement of purpose and separate guide clearly describe the services available and the management/ staffing arrangements. This enables prospective residents’ and their representatives to make an informed choice about the home. Standard 3 was assessed as met at the previous inspection. EVIDENCE: As stated in the previous inspection report the home has a statement of purpose and simple residents’ guide that is collated into an attractive wallet: a copy of annual business review for Care South is also provided. The information is readily available in the home’s entrance area as is a copy of the homes’ most recent inspection report. Although the statement of purpose makes reference to bedrooms in the home varying in size it does not make clear those rooms that are undersized. A recommendation that this information be made available in the statement of purpose is therefore repeated in this report.
DS0000003903.V284614.R01.S.doc Version 5.1 Page 10 One resident confirmed that they were given information about the home before moving in. Four relatives comment cards noted that they have access to a copy of the homes’ inspection report. DS0000003903.V284614.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Each resident has a care plan that describes the care being provided to meet identified needs. Service users’ health needs are monitored and support from community services is accessed when identified as necessary. Residents confirmed they are well cared for by staff and treated with respect. EVIDENCE: Since the previous inspection, the temporary manager and deputy manager have set up a new system to improve recording and sharing information about resident care needs: the standard Care South paperwork continues to be used. There are now three separate files containing residents’ daily records: one for each floor of the home. The records include information concerned with daily care provided, toileting and bathing: the recording sheets enable the care staff and CTM to make entries and identify any changes to care needed thereby ensuring that important information is exchanged. Daily care records now contain more factual information. DS0000003903.V284614.R01.S.doc Version 5.1 Page 12 Care records for four residents were sampled and evidenced that care plans and risk-assessment are now being reviewed each month. However, the information noted when changes to care needs arise is not routinely being transferred into care plans when they are reviewed. For example care, assisting a resident with dressing when their fingers are swollen and painful because of an arthritic condition. Care plans do not routinely make reference to residents needs regarding terminal care and dying although the paperwork allows for this information to be recorded. The care record for a diabetic resident has been developed to include information about managing ‘hypo/hyperglycaemia. Care related risk-assessment assessments must be drawn up when residents take responsibility for their own care need, eg the resident who rests with their legs up to aid healing of pressure areas to heals or keeps a record of diabetic blood monitoring. It should be noted that it is good practice that staff encourage residents to remain independent and include them in the decisions made about their care. Comment cards from residents confirmed they are treated with respect and that privacy is promoted and this was evident during the inspection: staff were interacting in a friendly, caring way with residents. One comment card from a relative noted; ‘staff are very always ready to help’ and ‘we are very pleased with the care received’. While another comment card stated, ‘ staff are good at ensuring eat enough when residents have difficulty feeding’. Care records evidence that other care professionals are contacted for advice and guidance as appropriate, eg the community nursing service assist with residents’ pressure area care. DS0000003903.V284614.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14 The home is gradually developing a social care programme that includes residents’ preferences. Residents confirmed that their relatives and friends are always welcomed by the home. Staff encourage residents to make daily choices about their life while in the home. Standard 15 was assessed as met at the previous inspection. EVIDENCE: Since the previous inspection an activities organiser has been employed to work in the home for 15 hrs a week. However, this person is currently on maternity leave and due to return to work in March 2006. A file containing individual records of the activities participated in by each resident is being kept by the activities organiser but recording has lapsed while she has been on leave. Records evidenced that activities include, music & movement, memory cards, arts & crafts, dominoes, board games, puzzles and individual ‘talk time’.
DS0000003903.V284614.R01.S.doc Version 5.1 Page 14 The temporary manager explained that a two weekly activities programme is in place and offers bingo sessions, group quizzes, skittles and bowls. The library service calls at the home and seasonal events and birthdays are celebrated: staff run a weekly ‘shop trolley’. Twelve comment cards received from residents and eight of them noted that suitable activities are ‘sometimes’ provided while four commented that the home does provide suitable activities. One resident said, ‘I enjoy reading my magazines’. The home has a small lounge with activities area and a hairdressing room: both are in regular use. The temporary manager is keen to develop the social care provision in the home and it is recommended that residents’ individual interests be promoted. DS0000003903.V284614.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents’ confirmed that their complaints and grumbles are taken seriously by management and resolved appropriately. Standard 18 was assessed as met at the previous inspection. EVIDENCE: The home uses the Care South complaints procedure and associated paperwork. However, there have been no complaints about the home since the previous inspection. On the day of the visit it was evident that one confused resident thought she had lost some money. The deputy manager patiently and sensitively resolved the problem by going to the resident’s bedroom with them and another member of staff to find the money; some of which was found in the handbag being carried by her. Comment cards from relatives noted they were aware of the homes’ complaint procedure and had never felt they needed to make a complaint. DS0000003903.V284614.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Resident live in a comfortable, homely well maintained home but while the hot water supply to wash basins is not governed and some central heating radiators are not protected, some vulnerable residents’ may be at risk. Standard 26 was assessed as met at the previous inspection. EVIDENCE: The home has 41 single bedrooms available over three floors. A passenger lift provides level access throughout the home for those residents who are physically frail or use a wheelchair. The main staircase and back stairs also provide access to the first and second floors. Residents’ bedrooms were personalised with photographs, ornaments, furniture and other personal items brought in from their former homes. One bedroom has had a new carpet fitted and three have been redecorated. Each bedroom has a wash hand basin but the hot water to these is not controlled. The generic risk-assessment concerning the temperature of the hot
DS0000003903.V284614.R01.S.doc Version 5.1 Page 17 water and residents needs updating, e.g. to include an up to date list of all service users. Individual risk-assessments concerning each resident’s vulnerability to the hot water have been drawn up but would benefit from more detail, eg safety actions taken by staff for example running water into the washbasin for a resident. There are five communal bathrooms and one communal shower room: separate toilets and bathing facilities are situated on each floor and are close to bedrooms and communal rooms. One of the second floor bathrooms is currently being upgraded with a new assisted bath fitted. It was noted that the doors to bathrooms and toilets throughout the home have been painted yellow to aid easy recognition of these facilities. The home has six lounges and three dining rooms. The four main lounges are situated on the ground floor, as is the main dining room. Since the previous inspection one of the smaller ground floor lounges has been decorated and a feature fire place fitted: the finished effect is a cosy homely sitting room and this is very popular with residents. Small separate lounges are available on the first and second floors close to small but separate dining rooms and kitchenettes. The communal areas in the home are comfortably furnished and provide a variety of alternative places where residents can relax. As stated in the previous report the home is centrally heated and most radiators are guarded in residents’ bedrooms. Radiators in corridors, bathrooms, toilets and some communal rooms are not protected. The generic risk-assessment concerning the hot surface temperature of radiators is out of date, eg an up to date list of current residents. Individual risk-assessments concerning each resident’s vulnerability to hot surface temperatures of radiators and burns must be drawn up and remedial safety action taken where identified as necessary. For example the physically able but visually impaired resident who may inadvertently hold on to an unprotected radiator in the toilet or the resident who uses a walking aid but is prone to regular falls. The home is set in large secure grounds: new fencing has been fitted. The grounds and gardens are well tended and have level access from ground floor communal lounges. There is a large patio area with raised boarders and a pond and this creates an attractive feature where residents can sit outside in the warmer weather. DS0000003903.V284614.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 The home uses the Care South staff-training programme and this includes an induction into care practice and NVQ training opportunities to ensure that staff are properly trained to care for residents. Standards 27 and 29 were assessed as met at the previous inspection. EVIDENCE: The home employs 29 care staff and the training records showed that five staff are trained to NVQ level 2 while one is trained to NVQ level 3: four additional staff are currently registered on an NVQ 2 training course. Therefore this home does not yet meet the target of 50 trained care staff: the percentage being 27.6 . Staff training records are kept together in a large file along with a training attendance record. Records indicated that staff are always supplied with an induction to work in social care and foundation training: both meet National Training Organisation (NTO) specification. During 2005 staff have taken part in training concerned with Dementia awareness, infection control, moving & handling, food hygiene, first aid, health & safety, abuse awareness, care of the terminally ill/loss and bereavement, the ageing process, understanding diabetes and catheter and stoma care. Comment cards from professionals who visit the home confirmed that staff demonstrate a clear understanding of the care needs of service users. Two residents said that staff are always helpful and kind.
DS0000003903.V284614.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Care South has employed a temporary manager who is experienced in residential care to ensure that the home is effectively managed and that residents receive consistent care. The views of residents, their representatives and associated professionals are obtained through an annual independent quality assurance audit to gain objective information to help ensure the home is run in residents’ best interests. The home has policies and procedures in place so that residents’ financial interests are protected. The home has regular maintenance, servicing and training programmes and a comprehensive policies and procedures manual in place to promote residents and staff health & safety. DS0000003903.V284614.R01.S.doc Version 5.1 Page 20 EVIDENCE: The care South training programme ensures that staff are supplied with training in mandatory health & safety topics during their induction into care practices. Care South has commissioned annual independent quality assurance audits to be undertaken by an independent consultant. The most recent audit took place in May 2005 and involved seeking the views of residents, family, staff, visitors and professionals who visit the home. The published findings recommended that a regular programme of social and therapeutic activities be made available and that the home should develop the extent to which residents pursue their personal interests and hobbies. Although the temporary manager has not drawn up an action plan it was evident that social care provision is being developed. The senior staff team manage personal allowances for 36 residents who live in the home and the money is kept in a locked safe. Each resident has a wallet, which is used to hold their money and a record card that notes all transactions: receipts are kept and records are signed. Two allowances were sampled and found to be correct. The minority of residents manage their own finances but family and solicitors assist most. The homes’ maintenance record file and fire records book were examined. Records demonstrated that regular servicing of the homes’ portable appliances, call system, hoists and assisted baths, electrical and gas installations take place. A contractor routinely services the fire precautionary system. Records evidenced that in house tests and checks of the fire system and fire fighting equipment are undertaken by staff. It was noted that the fire service had been called to the home on 15th November 2005: the fire alarm had been set off by a smoke detector near to the kitchen. A fire evacuation drill was undertaken at the time and involved 14 staff and 37 residents. The need for the writer to sign each record of the fire drill and to inform the Commission when the fire service are called to the home was discussed with the temporary manager. The temporary manager explained that an independent fire safety riskassessment was undertaken on 16th February 2006 but the report has yet to be received. The current fire risk-assessment is out of date and must include a plan of the arrangements for residents evacuation to indicate the actions to be taken by staff, eg with wheelchair users or those who are visually impaired. It must also identify where gas cylinders are stored. Additionally, all recommendations identified in the independent fire risk-assessment should be remedied.
DS0000003903.V284614.R01.S.doc Version 5.1 Page 21 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 DS0000003903.V284614.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Care plans must be properly reviewed and updated to include significant changes in care needs. Care related risk-assessments must drawn up when a resident takes responsibility for their care, eg pressure area care or diabetic blood sugar monitoring. The social care provision in the home must continue to be developed to include individual interests and needs. The generic risk assessments concerning the homes hot water supply and unprotected radiators must be kept up to date. Individual risk-assessments must be drawn up for residents regarding their vulnerability to radiators in communal areas: remedial action must be taken where identified as necessary. The individual risk-assessment concerning the hot water supply must include the safety actions being taken by staff, eg running water into the washbasin. Timescale for action 31/03/06 1. OP7 14 & 15 2. OP8 13(4) 31/03/06 3. OP12 16(2m) 31/01/06 4. OP19 13(4)(c) 31/03/06 DS0000003903.V284614.R01.S.doc Version 5.1 Page 23 5. OP38 13 (4) (c) The homes’ current fire riskassessment must be updated to include an evacuation plan, eg that details residents’ needs and actions to be taken by staff with visually impaired, deaf or wheelchair bound. It must also identify where gas cylinders are stored. 31/03/06 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. 2. 3. 4. Refer to Standard OP1 OP12 OP19 OP33 Good Practice Recommendations The homes statement of purpose should provide information about the undersized bedrooms in the home. Residents’ daily records should include information about the social care activities they take part in. The second floor bathroom should be refurbished as planned to ensure residents specific needs are met. The temporary manager should draw up an action plan to demonstrate the actions taken to meet the recommendations identified in the homes’ quality assurance audit report dated May 2005. When the independent fire risk-assessment report is received the identified recommendations should be addressed, eg swing free closures to be fitted to residents bedroom doors. 5. OP38 DS0000003903.V284614.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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 DS0000003903.V284614.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
