Inspection on 14/02/06 for The Cottage

This inspection was carried out on 14th February 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Cottage 05/02/09

The Cottage 02/11/06

The Cottage 27/09/05

The Cottage 08/03/05

The Cottage 05/08/04

The Cottage 23/12/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 The Cottage 51/53 High Street Brightlingsea Essex CO7 0AQ Lead Inspector Kathryn Moss Unannounced Inspection 14th February 2006 10:15 The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 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 The Cottage DS0000017960.V283697.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 Adults 18-65. 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. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Cottage Address 51/53 High Street Brightlingsea Essex CO7 0AQ 01206 303676 01255 821629 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) Mr Roy Bellhouse Mr Roy Bellhouse Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: The Cottage is a registered care home based in a detached grade 2 listed period property situated close to Brightlingsea town centre. It has six single occupancy bedrooms and two double bedrooms, two communal lounges and a separate dining area, kitchen and laundry facilities, two bathrooms and a shower room, plus additional toilets. The home has front and rear access, with a side parking area and a rear garden. The Cottage provides 24-hour residential care and accommodation for up to ten adults with learning disabilities, both male and female. The home is not suitable for anyone with mobility difficulties as access to the first floor is by stairs only, there are no assisted bathing facilities, and the accommodation does not have level access throughout. The home is jointly owned and run by Mr Roy Bellhouse and Mrs Lynda Bellhouse, with Mr Bellhouse being the registered provider and registered manager. For the purpose of this report, the term ‘proprietor’ has been used to denote information provided by either proprietor during the inspection. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 14/02/06, lasting four hours. The inspection process included: discussion with the proprietors and brief discussion with several staff; discussion with three residents and contact with other residents; the viewing of communal areas, bedrooms and bathrooms; and inspection of a sample of records and policies. 13 standards were inspected, and 2 requirements and 8 recommendations have been made; a further requirement was carried over from the previous inspection, as the timescale for meeting it had not yet been reached. There were 10 people living at the home on the day of the inspection: those spoken to were very positive about their life at The Cottage. What the service does well: What has improved since the last inspection? Since the last inspection, five staff had completed their NVQ level 2; staff spoken to were very positive about having achieved this. The proprietors had also carried out some internal refurbishment work on the property, including installing a new bathroom suite, decorating two rooms, and replacing most beds and some other bedroom furniture. Action had also been taken to address some of the previous recommendations and requirements, including revising the home’s medication policy and developing a new annual development plan. The proprietor had also begun work on developing care plans in alternative formats (on video camera), which is commended. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 The home ensures that prospective residents’ needs and aspirations are assessed before admission, and has the skills and facilities to meet these. EVIDENCE: The home had not admitted any new residents to the home since the last inspection, and so evidence of the pre-admission assessment process was not inspected. The home’s admission process was discussed, and the proprietor confirmed that this would include: obtaining as much care management assessment information as possible (all referrals come through local authorities); meeting with the prospective resident; inviting the person to visit the home; further longer visits to the home, including an overnight stay; a review with the care manager to clarify what was required of the placement, and arrangements in the event of the placement not being successful; and an initial trial period and further review. This indicated that a prospective resident’s needs would be comprehensively assessed and considered to make sure that the home could meet them; the proprietor confirmed that all stages of this process would be clearly recorded. From discussion with residents, staff and proprietors during the inspection, the home continued to be innovative and flexible in the way they met residents’ needs, interests and wishes. Staff had the knowledge and skills to meet peoples’ needs, and the home demonstrated a person centred approach to meeting needs and provided residents with a good quality of life. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15 and 16 The home provided opportunities for appropriate leisure activities, and supported residents to develop and maintain relationships with family and friends. Daily routines provided choice and encouraged involvement in the day-to-day running of the home. EVIDENCE: During the inspection there was clear evidence that the home encouraged and supported individual interests. Rooms and possessions reflected peoples’ interests, and residents continued to have a varied range of weekly activities, both educational and social, meeting individual likes and abilities. Residents spoken to were excited about a forthcoming Valentines disco the home had organised: the manager explained that they had been organising a disco every few months (e.g. they had held one for Halloween and for New Year, and were planning another at Easter), held in a local hall and open to residents at other local homes. Residents were involved in organising these (e.g. making invitations and distributing these at their weekly club, making decorations for the hall, making cakes and sandwiches to sell at the disco, etc.). Residents also reported going out to the theatre, cinema and pub, attending a weekly The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 11 evening social club, etc.; staffing was provided flexibly to enable these activities to take place. The home actively supported residents to develop and maintain friendships outside of the home, including attending social clubs and arranging social events. An example was the discos referred to above, through which the proprietor hoped to encourage increased individual social contact with friends living in other local residential homes. Several residents also attended local churches and joined in with social activities at those churches. From discussion during the inspection, the home also actively facilitated contact with families, welcoming visitors to the home and providing transport to enable several residents to visit their families regularly, assisting with correspondence and helping residents to buy appropriate cards and presents to give to family members at birthdays and Christmas. Two residents in the home were married, and the staff gave them appropriate support. Daily routines in the home were flexible, with residents free to choose what to do, where they wanted to spend their time, who to be with, etc. Staff were observed to interact well with residents, spending time with them and involving them in discussions about the home and activities. Staff clearly listened to residents’ views and requests, and made appropriate arrangements to meet these (e.g. re going out to the cinema, going out to lunch, etc.). Daily routines encouraged the involvement of residents: although care plans were not viewed on this occasion, the proprietor confirmed that residents assisted with daily household tasks, subject to their abilities, and that any specific involvement in daily tasks would be recorded within individual care plans (e.g. one person helped to empty the dishwasher, another helped to hang the washing on the line in the summer, etc.). House rules on smoking and on drinking alcohol were not included in the residents’ contract: the proprietor stated that they had a clear no smoking policy in the home, and that any rules relating to alcohol would be subject to individual needs and agreement. Staff supported residents with correspondence where required, and it was confirmed that post was opened with the resident. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 At the time of this inspection, personal support was being provided in a way that met residents’ preferences and needs. Appropriate medication procedures were in place to protect residents; however, some aspects of medication recording practices were not satisfactory. EVIDENCE: The home continued to provide appropriate personal support to residents, encouraging independence and choice, and enabling flexible daily routines. Residents were appropriately dressed, with clothing and hairstyles reflecting individual choices. The home operated a key worker system: key workers and residents were appropriately matched, and residents spoken to or observed all appeared comfortable and confident with the staff around them. It had been noted on previous inspections that staff have a good understanding of residents’ needs and abilities, and the home promotes a person-centred approach to providing care and support. Medication storage was not inspected on this occasion. The home’s medication policy had been revised since the last inspection, and now covered all key aspects of the home’s practices (receipt, storage, administration, returns, selfmedication, etc.). As no resident was currently prescribed a controlled drug, the home did not have a controlled drugs cabinet; however, their policy stated The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 13 that one would be provided if required, and it was recommended that the proprietor ensure that any CD cabinet provided in future meets current guidance (i.e. with regard to the Misuse of Drugs Act 1971 and the care homes guidelines issued by the Royal Pharmaceutical Society of Great Britain). Evidence of staff training was not inspected, but the proprietor confirmed that two members of staff had attended training by Boots Pharmacist. Medication administration records (MAR) were inspected, and were generally well maintained. Medication received by the home was recorded on the MAR (with the date, quantity and signature) and a separate record was also maintained. Where no new medication had been supplied, medication carried over from the previous month was not being recorded on the MAR, and this was strongly recommended. Although records of medication administered were well recorded, with no unexplained omissions, it was noted that where administration instructions stated ‘one or two’ tablets, as required, there was no system for recording how many tablets had been given on each occasion. There were also some occasions where medication details had been entered or amended by hand, and the record had not been signed or dated by the person making the record. These issues needed to be addressed. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30 The home provided a homely, comfortable and safe environment, which was clean and hygienic on the day of the inspection. Individual and communal space suited residents’ individual needs, and bathing facilities were appropriate to the needs within the home. EVIDENCE: The Cottage provides accommodation that is suited to the purpose of the home and is in keeping with the local community. At the time of this inspection the home appeared safe, clean and well maintained, and met the needs of current residents. Bedrooms seen were well-personalised, reflecting individual interests, and were furnished in a way that was appropriate to the needs of the resident and to the size of the rooms. Several residents had lockable bedroom doors, to which they held the key. The home had a variety of communal space, including two lounges, a dining room, and a garden; residents also had access to the kitchen and laundry area. The environment was homely, and was appropriately decorated and furnished. There was evidence of ongoing maintenance, decoration and refurbishing, including new curtains being fitted throughout the building on the day of the inspection. Records were kept to show significant decoration and maintenance The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 16 carried out, and it was noted that since the last inspection two rooms had been decorated and a bathroom had been refurbished; the proprietor reported that most rooms had had new beds and one room had had other new furniture. Further bedrooms had been identified for decoration in the home’s 2006 annual development plan. The proprietor stated that the home had recently been inspected by the fire officer and the environmental health officer, and confirmed that recommendations were being addressed, including assessing and addressing any potential risks to residents arising from hot radiators. The home retains the same number of toilets and bathrooms as present in the home before the implementation of the National Minimum Standards in 2002, with two bathrooms (both with toilets) and one shower room, plus three additional toilets. One bathroom had been refurbished since the last inspection, and the range of bathing facilities in the home met the needs of current residents. Only the refurbished bathroom was viewed on this occasion: it was noted that this had a lock on the inside, but that this was not of a design that could be overridden from the outside. The proprietor stated that no residents currently chose to lock the bathroom doors, and felt that if the door were locked they would still be able to access the bathroom in the event of an emergency. It is recommended that bathroom doors be fitted with locks that can be over-ridden from the outside. The premises were clean and hygienic at the time of this inspection. Laundry facilities were sited away from areas where food was prepared or served, and contained washing machines that were capable of wash cycles that met infection control standards. There were written risk assessments covering the handling of laundry contaminated by body fluids, and a policy describing the home’s procedures for dealing with beds, toilets and incontinence pads. No commodes were in use in the home. There was other information available to staff on infection control procedures and the home provided appropriate protective clothing, with paper towels and liquid soap available in toilet areas. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were specifically inspected on this occasion. EVIDENCE: The home continued to provide a level and flexibility of staffing that met residents’ needs, as observed by the range of staff present in the home on the day of the inspection. Staff had clear roles, and the proprietor was encouraged staff to take on individual responsibilities. Since the last inspection, five staff had completed their NVQ level 2 in care, which is commended; this meant that of the nine care staff employed, six now have NVQ level 2 and a further two are currently doing the Registered Manager’s Award (NVQ level 4 in management). Supervision was not specifically inspected, but it was noted that staff are well supervised on a day-to-day basis, as both proprietors are fully involved in the home. Additionally, the two staff doing the Registered Manager’s Award were in the process of reviewing and developing the home’s formal supervision and appraisal processes. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The home operated practices and procedures that promoted the health and safety of staff and service users, although some further action was needed with regard to moving and handling issues and risk assessments. EVIDENCE: The home had a clear health and safety policy statement describing general employer and employee responsibilities. It was recommended that this should indicate the person(s) responsible for the management of Health and Safety within the home. Staff had received appropriate training in most areas of health and safety: a sample staff file viewed showed evidence of training covering food hygiene, fire safety, and first aid; a health and safety unit had also been completed by staff who had recently achieved their NVQ level 2. The home did not have a specific written moving and handling policy/ procedure, and staff had not received formal training in this subject. It was noted that all residents were weight bearing and independently mobile, and that the home had a clear ‘no lifting’ policy, shown through risk assessments The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 19 covering issues such as dealing with someone who was on the floor following an epileptic fit, handling boxes of laundry detergents, and carrying shopping in from the car. However, the proprietor was advised that the home should have a clear written policy indicating what was/was not permitted of staff in relation to the moving and handling of people and loads within the home, and that they should ensure that staff have appropriate training on safe moving and handling practices. The home maintained records of relevant checks carried out on equipment and facilities, including evidence of gas safety checks, electrical installation certificate, portable electric appliance testing, the servicing of fire alarms and equipment, and internal testing of fire alarms and hot tap water temperatures (in relation to risk of scalding). Procedures for the prevention of Legionella included monitoring the kitchen hot tap temperature to ensure that central hot water storage temperatures were over 60°C, and the regular running of shower-heads; the proprietor also stated that the water tanks had recently been cleaned for prevention of Legionella. Fire drills were carried out monthly, with records kept. The proprietor stated that emergency lighting was regularly checked as part of fire alarm testing, but this was not specifically recorded; it was recommended that this be recorded. Accident records were maintained, and the home had a range of risk assessments relating to specific tasks within the home: these needed to be signed and dated, and to be regularly reviewed. Other than those referred to, policies and procedures were not specifically inspected on this occasion. However, the proprietor advised that work was in progress to develop video formats of residents’ care plans, to make these more accessible to individual service users, where appropriate; residents were being actively involved in this. The home is commended for exploring alternative formats for these, and is encouraged to extend this to relevant policies and procedures. The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X X X X X X 2 X The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 Requirement The registered person must ensure that medication administration records (MAR) indicate the number of tablets taken on each occasion. It is required that staff sign and date any handwritten entries or changes made to medication administration instructions on the MAR forms. This is a repeat requirement for the second time (last timescale 14/10/05). It is required that the registered person supply the CSCI with a report on any review of the quality of care carried out in the home (e.g. a survey of residents’ views), and make a copy of the report available to residents. (See also recommendation 4). This is a previous repeat requirement that has been carried over from the last report as the provider is still within previous timescales set. Timescale for action 25/02/06 2. YA20 13 25/02/06 3. YA39 24 31/03/06 The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations It is recommended that, where no new supplies of a specific medication are required from the pharmacist, any remaining medication carried over from the previous month be clearly recorded on the new MAR. It is recommended that bathroom doors be fitted with suitable locks that can be over-ridden from the outside. It is recommended that individual staff training profiles (records) be maintained and kept up-to-date, and that these include details of all training attended by staff (formal and informal). It is recommended that the registered person monitor and review whether the objectives and goals of the home’s annual development plan have been achieved, and that this information is incorporated into a report on the review of the quality of care in the home (see requirement 3). The home’s Health & Safety policy should include details of person(s) responsible for health and safety within the home. It is strongly recommended that the home develop a clear written policy/procedure relating to the moving and handling of people and objects, and that staff receive moving and handling training appropriate to the work they are required to do. It is recommended that the regular testing of emergency lighting in the home be recorded. Risk assessments should all be signed, dated and regularly reviewed. 2. 3. YA2727 YA35 4. YA39 5. 6. YA42 YA42 7. 8. YA42 YA42 The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 The Cottage DS0000017960.V283697.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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