Inspection on 14/10/08 for The Beeches Residential Care Home

This inspection was carried out on 14th October 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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Beeches Residential Care Home 01/10/07

The Beeches Residential Care Home 23/05/07

The Beeches Residential Care Home 10/05/06

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Beeches Residential Care Home 12 Higham Road Rushden Northamptonshire NN10 6DZ     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: Ansuya Chudasama     Date: 1 4 1 0 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 29 Information about the care home Name of care home: Address: The Beeches Residential Care Home 12 Higham Road Rushden Northamptonshire NN10 6DZ 01933318498 01933386811 beeches.care@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Nadia Leigh Meredith Type of registration: Number of places registered: Mrs Manonmany Wragg care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: No service user with dementia may be admitted to the home when there are already 24 such service users within the home No service users with a physical disability may be admitted to the home when there are already 4 such service users in the home The total numbers of service useres must not exceed 24 Date of last inspection Brief description of the care home The Beeches home is centrally located in Rushden with easy access to shops and services. The home is a converted older property with character, and has a large and pleasant garden area. One wing of the home was built after the original building and is more modern. The home cares for elderly people some of whom have a physical Care Homes for Older People Page 4 of 29 Over 65 24 24 4 0 0 0 Brief description of the care home disability and a large number who suffer from confusion, or diagnosed Dementia conditions. There are several areas where service users can spend their time during the day including a conservatory. There is mixture of single and shared room facilities (16 single rooms and 4 double rooms) 13 of which have en suite toilet and bathroom. At the time of the inspection, the fees charged at the home ranged from £375 - £415 per week with extra charges for hairdressing, chiropody and newspapers. Further information is available from the home in the form of the Statement of Purpose and Service Users Guide and the most recent key inspection report is displayed on the homes notice board. Care Homes for Older People Page 5 of 29 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: This home has 1 star rating and this means that the people using the service receive an adequate service. We visited the home on the 14th of October 2008. We spoke to the manager and staff, and some of the people who live in the home. We looked at information about policies and procedures, which tells the staff how to do things in the home. We looked at the training that they do to look after the people living in the home. We looked at information about some of the people who live in the home to find out how their needs are being met by the staff. This is called case tracking. We watched how the people living in the home and staff got a long together. Care Homes for Older People Page 6 of 29 The home had sent us their annual quality assurance assessment (AQAA) after they were sent a reminder by letter. The information from this document has been used in this report. We also looked at concerns received from social services about how the home was meeting the care needs of one of the people living in the home. 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 8 of 29 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 9 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Potential service users are provided with information and encouraged to visit the home prior to making a decision to stay Evidence: The home has a Statement of Purpose and a Service User Guide. Both documents needed reviewing to ensure all the information stated in the standards is recorded. The information recorded in the complaints procedure and in the peoples contracts about the CSCI is incorrect. Information about Social Services also needs to be recorded in the complaints procedure. This is so the people can also raise their concerns to the authority that takes the lead in safe guarding of vulnerable peoples issues. Basic information was provided for people referred by the funding authority. The home had carried out a basic needs assessment of people who are self funded. The information needs expanding and needs to include all information stated in needs the Care Homes for Older People Page 10 of 29 Evidence: assessment standard to ensure all the needs of the people are recorded. This was discussed with the manager and we were told that this assessment process would be undertaken for all the people being admitted to the home. The people spoken to stated that their families had visited and chosen the home for them to stay. It was also said that they were recommended the home by other people. Care Homes for Older People Page 11 of 29 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 care plans needed developing further to ensure all aspect of the peoples needs are met by staff Evidence: The care planning documents of three people were inspected in detail. Evidence showed that all the people had care planning documents, and risk assessments. Information read in one of the peoples files showed that there was information recorded about emergency contact. Some of the information recorded was good. However the information regarding if the person in the home should be given resuscitation needs to be discussed with the legal services. This is to insure that this practice is legal for the home to carry out on behalf of the family of the person living in the home. We were told by the manager that this information should have been taken out as they did not follow this practice. The manager must ensure that all information in any other files about this information is removed. Care Homes for Older People Page 12 of 29 Evidence: Information read in the care plans showed that these needed developing further to explain in detail how the needs of the people with personal care and health care needs were being met by staff. The plans also needed reviewing on a monthly basis or sooner when needs change. Where the plans were being reviewed it stated that there were no changes. However the information read in the daily notes and health information showed that the peoples needs had changed but this was not recorded in the care plan. Information about how the home managed one persons challenging behaviours was not recorded in the care plan. There were no guide lines set out for staff in how to deal with these behaviours. Information recorded in the daily notes about the people needs to explain information such as having problems with two people. This is so that the information can be used to help meet the peoples needs. Records of appointments with health professionals were being recorded in a different book. However some of the information recorded did not state what the out come was from the visit. The information showed that weight charts were undertaken. Health professionals were also being involved in the care of the people living at the home. The risk assessments seen needed reviewing to include the information on the five steps to assessing risks as discussed at the inspection. We spoke to some of the people in the home and they told us that the staff knock on their doors before entering and one person said that they have a wash twice a day and staff respect their privacy and dignity. Concerns were raised to the CSCI by a social worker undertaking a review of one of the people in the home. They said that the person was wearing some one elses clothes and a wheelchair was being stored in their bedroom that did not belong to them. We were told that senior staff gave out medication and they had received the accredited training in administering medication. The medication records inspected showed that there were sometimes gaps where staff had not signed the charts. We were told that this medication had been given out but staff had forgotten to sign the charts. We observed that when medication was stopped by a GP, the staff recording the information did not sign their name and the date they wrote the message. We saw temperatures of the medication fridge being undertaken regularly. The home needs a controlled drug cupboard that meets the regulation. The home did not have any controlled drugs at the time of the inspection. Care Homes for Older People Page 13 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people in the home enjoy good healthy food but they are not informed of what is on the menu until lunchtime and some of the people are not able exercise their choice of where to sit at meal times. Evidence: We spoke to some of the people in the home and asked them if they were aware what was for lunch. They had not been informed of the meals they were having until the staff informed them at lunch time. Information on menus needs to be displayed where the people can view it. The people told us that they enjoy the food and they have two choices for meals . We were told that the cook is very good at cooking. We observed the people having lunch and staff being kind and supportive to the people. The people were observed enjoying their meal and those people who needed more time to eat their food were supported by staff. The staff were observed pouring juice into peoples glasses and this was good. However there were people sitting on tables we observed were capable of pouring their own drinks from small jugs. This was agreed by them that they would be happy to do this by themselves. Some of the tables were observed not having salt and pepper on their Care Homes for Older People Page 14 of 29 Evidence: table and it would be good practice for staff to ensure all the tables are laid out properly. We spoke to two people sitting in the main lounge. They told us that they were not happy because they were told to move out of their lounge and to sit in the main lounge to eat their lunch. It was said that they found the side table over their chair uncomfortable to eat their meal. We were told that the small lounge was being used for staff training in the afternoon and the room also got used for staff meetings. This unacceptable practice was discussed with the manager and the training was held in the dining room. We were told by a social worker that they had recently visited the home to undertake a review of a person being funded by them. The home did not have a room where a meeting could be undertaken. The staff asked the people in the small lounge to go to their rooms so they could use the room for the meeting. This was refused by the social worker as it was stated that the lounge was the peoples home. Information read in the questionnaire stated that the home did not have a quiet room where families can sit with the family member unless it was their room. Concerns raised by the social worker also included when a new person admitted to the home first sat in the conservatory with other people of the same gender and enjoyed this. The person was then moved to another small lounge with no one of the same gender being in the room. The person told the social worker that they were not happy with this move. There was no information recorded in the care plan to state why the person was moved from the conservatory to the small lounge. The person was also not able to sit on a dining table to have their lunch. We were told that they struggled eating their meal sitting on a chair with a side table. But prior to coming to the home, the person had their meals sitting at the table. The activity book read showed that the home played bingo quite often, and sometimes karaoke and gentle exercises were also carried out. Evidence showed that the activities were not planned in advance and these happened when the member of staff was able to carry them out. The home needs to have an activity list displayed in advance so therefore the people in the home and their families are aware of when these activities are to be performed. There was information advertised for a sing a long session for the 18th of October 08 and a firework party was organised for the 5th of November 08. We were told that the home needs to have meetings with the people in the home and invite their families so they can find out their views of how they are meeting their needs. We spoke to a family member who stated that they are able to visit their family any time and are able to help out with their care needs. They found the staff pleasant Care Homes for Older People Page 15 of 29 Evidence: and stated that the food provided was very good. Care Homes for Older People Page 16 of 29 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 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 not reporting all notifications of accidents and incidents to the appropriate agencies to ensure the people are protected from potential abuse Evidence: The home has a complaints procedure but the information recorded about the CSCI was incorrect. The address and telephone number of social services also needs to be included in the procedure. This is so the people can also raise their concerns to the authority that takes the lead in safe guarding of vulnerable adults issues. The address and telephone number of the home needs to be recorded on the form. The complaints procedure did not state how the home will deal with a complaint made by having a telephone conversation. We were told that the home had received one complaint since the last inspection, and this was dealt with satisfactorily. The home was not recording all concerns raised by families and people living in the home. Dissuasion with the manager showed that they were going to start recording this information in the complaints book. We spoke to some of the people living in the home, and they informed us that if they were not happy, they would tell the staff or the manager The daily notes read of the people being case tracked showed that some of the people were having falls, bruises and there was evidence of people hitting each other. The CSCI and the safe guarding team of Social Services were not informed of these incidents and none had been reported by the home since the last inspection. Care Homes for Older People Page 17 of 29 Evidence: Care Homes for Older People Page 18 of 29 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 premises were clean and adequately decorated to provide comfort to the people living in the home, however there is a need to address the problem of maintaining adequate temperatures in the older part of the building for the people living in the home. Evidence: The home was clean and tidy but there were two rooms in the home that needed attention to ensure that the rooms were odour free. Discussion with the manager showed that they had a good understanding of how to get rid of the offensive smells. The home was having wiring carried out to fit a new alarm system so when the fire alarm was activated, the fire doors in the home would close automatically. This work had started a few days ago but the risk assessments were not available in the home. Two days after the key inspection, we were sent this information. The maintenance book showed that repairs and decorations in the home were happening. The television in the main lounge is of a very good size but the television in the small lounge needs to be of a size that the people in the lounge can see the picture better. New blinds had been bought for the conservatory so the room did not get too hot in the summer months. Care Homes for Older People Page 19 of 29 Evidence: The new part of the building was warm but a tour of the old side of the building showed that the temperatures were not as warm as the other side. The room of a person who was bed bound was visited. Observation showed that the room was not very warm and the manager kindly got a blanket and put it around the person. The home must undertake temperatures of the rooms on this side of the building to ensure that the temperatures are maintained at a satisfactory levels to meet the peoples needs. The television in the room was situated in a position that the person lying on the bed was not able to see the picture. This room had two people sharing the room but evidence showed that the staff would struggle using the hoist when assisting one person in bed. We were told that this person needed turning every two hours and therefore it meant that the other person in the room would be disturbed by this action. The home needs to have an assessment undertaken by an occupational therapist to ensure that the room is big enough to meet the needs of the people in the room. We were told by the manager that the bedrooms on the older side of the building were going to be decorated one at a time. Care Homes for Older People Page 20 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a robust recruitment procedure that meets the regulations,however there are some gaps in the specialist training programme and the manager recognises and plans to deal with this to meet the needs of the people in the home. Evidence: The staff recruitment files inspected showed that the home obtains all the relevant documentations, including two written references and criminal record bureau checks to ensure that the people in the home are kept safe. Evidence showed that all staff are provided with job descriptions. The staff told us that they have staff meetings and they get on well together as a team. They also enjoyed working at the home and told us that the people in the home get good care and they listened to their needs. The people living in the home said that the staff were nice and this was also confirmed by a family spoken to at the home. We observed staff working well with the people in the home. Staff spoken to confirmed that they received one day induction and shadowed an experienced member of staff. However the induction programme needs to be comprehensive and needs to reflect the common Induction Standards issued by Skills For Care. The manager confirmed that this would be done. The training information provided by the manager showed that the staff have Care Homes for Older People Page 21 of 29 Evidence: undertaken training on dementia care, first aid, infection control, manual handling, adult protection, and fire training. The manager also needs to look at other training associated with the peoples conditions such as dealing with aggression, dying and death, depression, and continence care. The home also needs to do training on the Mental capacity Act and basic food hygiene. The AQAA states that the home has 6 out of 19 staff with NVQ level 2 or 3 training in care. 7 staff in the home were doing this training. The home needs to review the staffing working rota to ensure that there are adequate number of staff on duty at peak times of the day. We were told that during these times it is very busy and the home has three people who are bed bound and have very high needs. Care Homes for Older People Page 22 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has good understanding of the areas that needs to improve to ensure the home is run in the best interest of the people living in the home Evidence: Since the last inspection the manager has worked hard to get a stable staff team and ensured that they had all received the core training on safe working practices. The staff spoken to stated that the manager was supportive and they were able to speak to them about any concerns. The responsibilities of the manager and the role of the proprietor needs to be more clear. This is to ensure that the manager is supported to perform the duties as stated for the registered manager. The manager was due to undertake their NVQ level 4 in management last year but this did not happen. We were told that they will be starting this course next month. Care Homes for Older People Page 23 of 29 Evidence: Staff spoken to and this was confirmed by the manager that supervision was not being undertaken on a regular basis. The manager confirmed that staff will receive at least 6 supervisions per year. All the radiators in the peoples bedrooms and communal areas in the home needs to be covered up to protect the people from hurting themselves. The manager informed us that they had sent out questionnaires to 25 families and had 6 questionnaires returned. The comments read were positive about the home. However the home needs to undertake a quality assurance system that takes in the views of the people people living in the home. The views of staff and other professionals visiting the service should also be sought to find out how the home is meeting the needs of the people. The accidents and incidents that occurred at the home were not always being reported to the CSCI under regulation 37 of the Care Standards Act and under safe guarding procedures (see section on concerns and complaints). The home had generic risk assessments and these were satisfactory. A New call system was being fitted in the home but the risk assessment for carrying this work was not available in the home. Information on fire drill practice was not available but we were told that the last fire drill took place in January 08. The manager stated that they will undertake these drills more regularly. The room temperatures in the older building needs to be maintained at an acceptable level to meet the peoples needs. Care Homes for Older People Page 24 of 29 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 25 of 29 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 3 14 Assessments of peoples needs must be completed in full and linked to the care plan This is to ensure that the persons needs will be met in full 30/11/2008 2 7 13 Review the risk asessments to ensure that the five steps to assess risk are recorded This is to minimise potential risk and hazzards to the people 31/12/2008 3 7 13 Care plans must have all the 31/12/2008 information as stated in the standard and reviewed at least monthly and every time there is a change in a persons well being. This is so the staff have the relevant information to meet the individual needs at all times Care Homes for Older People Page 26 of 29 4 9 13 Medication records must be signed by staff at all times when giving out medication to the people This is to ensure that the staff on duty are aware that the persons medication has been administered to meet their individual health care needs. 14/11/2008 5 9 12 The people in the home must wear their own clothes and not other peoples clothes This is to maintain their dignity 31/12/2008 6 10 12 The people must not be 13/11/2008 asked to move out of their dining room so the room can be used for meetings This does not respect the persons rights and their privacy 7 27 18 Review the staffing rota to ensure that there are sufficient staff on duty at all times This is to ensure that all the peoples needs are met 31/12/2008 8 33 24 Provide a quality assurance system that meets the regulations and is easy to understand This is so that the home and the people and their families can find out how the home is meeting the needs of the people living in the home 30/01/2009 Care Homes for Older People Page 27 of 29 9 38 13 Accidents and incidents must be reported in accordance with the homes policy, to the relevant agencies and under regulation 37 to CSCI This is to protect people from any abuse 13/11/2008 10 38 13 Undertake a risk assessment 13/11/2008 of two people sharing a double room This is to ensure that the needs of the two people are being met 11 38 13 The home must ensure that there is adequate heating in all parts of the building This is to protect people from any unnecessary risk to their health and safety 13/11/2008 12 38 13 The home must ensure all radiators in the communal areas have covers This is to ensure that the people are kept safe 30/11/2008 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 28 of 29 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 © (2008) 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. Care Homes for Older People Page 29 of 29 - 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!