Inspection on 18/06/07 for The Grange Nursing Home

This inspection was carried out on 18th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Grange Nursing Home 03/09/09

The Grange Nursing Home 15/09/05

The Grange Nursing Home 23/05/05

The Grange Nursing Home 14/10/04

The Grange Nursing Home 12/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Grange Nursing Home 22 Grange Road New Haw Addlestone Surrey KT15 3RQ Lead Inspector Mavis Clahar Unannounced Inspection 09:30 18th June 2007 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 DS0000017612.V342138.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000017612.V342138.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Grange Nursing Home Address 22 Grange Road New Haw Addlestone Surrey KT15 3RQ 01932 344940 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) thegrange.nh@tiscali.co.uk Mr D M Baily Helena Nora Grafton Care Home 24 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (24) of places DS0000017612.V342138.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 60 years and over 15th September 2005 Date of last inspection Brief Description of the Service: The Grange Nursing Home is located in a residential road in New Haw, Addlestone. It is close to the town centre and all local amenities. The home provides nursing care for twenty-four service users who are elderly. Accommodation is provided in single and shared bedrooms. There is an open plan lounge and dining area. The lounge overlooks a well-maintained garden to the rear of the home. There is space at the front of the property for car parking. Fees in this home are within the rage of £449.17 to £500 per week. DS0000017612.V342138.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the home’s first key inspection to be undertaken by the Commission for Social Care Inspection (CSCI) was undertaken by Mrs Mavis Clahar on the 18th June 2007 and lasted for five hours and forty-five minutes; commencing at 09:30 hours and concluding at 15:15 hours. The majority of the service users spoken to were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with a number of visitors to the home, speaking with a number of service users, and speaking with care staff. Further information was gathered from records kept at the home; and from the pre inspection questionnaire sent to CSCI by the home. The first part of the visit was spent updating the manager about the improvements and changes to the inspection processes under inspecting for better lives. This was followed by discussions around training needs of the care workers and how these needs were being identified and met, and employment of new care staff were discussed. A review of residents’ files and care workers records was undertaken and all found to be in good order. . The second part of the visit was spent reviewing residents care notes, which were up to date and sampling selected policies and procedures. The third part of the inspection was spent visiting and discussing with residents and their visitors, and observing lunchtime activities. Residents and their relatives were enthusiastic about their home and the service they receive. Residents spoken to said they enjoyed their lunch, which was prepared freshly in the home’s kitchen. Time was spent observing the presentation of the meal, care workers and residents’ interactions and to obtain feedback on the meal, its suitability, taste, texture and amount. The inspector observed that portions were varied to suit the appetite of the residents and that the majority ate their meal in a very social gathering, all sitting at tables which were laid for four, with a small vase of flowers and condiments. On the day of the visit two residents were being fed in their beds and it was observed that the carer sat down so that the residents could eat in an unhurried way. Residents commented positively on their meal, and the food served at the home in general. All records sampled were mostly up to date with care plans being signed by the service users or by relatives. Requirements relating to the upgrading of the statement of complaints procedure and the storage of care workers CRB were DS0000017612.V342138.R01.S.doc Version 5.2 Page 6 made. Recommendation to display the home’s CSCI latest report in a position easily accessible to residents and visitors to the home was made. The inspector would like to thank all the residents, visitors to the home on the day of the inspection and those who completed the questionnaire, care staff and chef who made the visit so productive and pleasant on the day. What the service does well: What has improved since the last inspection? All requirements issued on the last inspection have been actioned within the given timescales The home continues to be proactive in meeting the training needs of the care workers in order that seamless care can be offered to the residents. A number of staff have undertaken the Equality and diversity course. DS0000017612.V342138.R01.S.doc Version 5.2 Page 7 The home continues to refurbish bedrooms and replace worn carpets as per their annual refurbishment plan. 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 summary of this inspection report can be made available in other formats on request. DS0000017612.V342138.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000017612.V342138.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3.6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home which will meet their needs EVIDENCE: A selection of service users files were reviewed and it was noted that residents received a needs assessment prior to moving into the home. Furthermore, the first few weeks is used as a trial period for both new resident and the older residents, to ensure the new resident is comfortable on all counts in the home. It was also noted that all residents are given a contract of residency, and this contract is signed either by the resident or their representative. The manager gave examples of times she has visited prospective residents in their home / hospital to get to know them and their families before the resident is moved into the home. This was verified by the documentation DS0000017612.V342138.R01.S.doc Version 5.2 Page 10 reviewed in the home and in discussion with the resident. The manager told us that a more comprehensive assessment as reviewed in resident’s file is obtained, once the service user has settled in the home. The manager or the deputy who are both trained in the art of assessing residents care needs usually carries out this assessment. DS0000017612.V342138.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 9 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a good and clear care plan in place for service users, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receives training to meet the assessed care needs of the service users ensuring that competent staff supports service users and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. Care workers were observed treating service users with respect and to maintain their dignity and privacy when delivering personal care. EVIDENCE: DS0000017612.V342138.R01.S.doc Version 5.2 Page 12 The randomly selected care plans were clear and easy to read, identifying potential and actual risks to residents with risk assessments completed as required. The daily work sheet along with discussion with residents demonstrated that residents’ care needs are fully met. Care Plans reviewed demonstrated that residents care needs are identified and are being met. Residents spoken to, rated the personal care they receive at the home as very good; they said they were contented, they had enough to eat and can do as they like. Some residents said they are able to go out every day for afternoon tea with their relative. We were advised and shown three care plans, which were not signed by resident or relative and was advised that this is being taken care of. All three relatives resided abroad but have given verbal consent to the planned care of their relatives. They will sign when they are in the UK. Each service user is registered with a General Practitioner at the local Health Centre and is able access the wider health care provision, as their care needs demand. We were told that the home encourages residents to keep their own GP. However if residents are from another area they are encouraged to change to the homes GP based at the local health centre. The GP visits weekly on Thursdays and more often on request as needed. No resident at the time of inspection was responsible for their medication: ,and we were told the home does not subscribe to self-medication by residents due to the nature of their illness which necessitates their admission into the home. Registered Nurses administer all medications. Good clear records are kept of medication receipts, storage, administration and returns. There is a list of staff trained and assessed as competent to administer medication. In discussion with care workers assessed as competent to administer medication it was evident they were working within the home’s policy and procedure on administration of medicines, which include using the Medication Administration Record (MAR) Sheet correctly. Residents said the staff treated them very well. One resident said, “the staff are so kind”. This was supported by a number of relatives visiting the home on the day of inspection. Care workers were observed interacting with residents in a friendly but respectful manner. In discussion with relatives visiting on the day they said they felt their relatives’ privacy and dignity were upheld and respected. DS0000017612.V342138.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is, good. This judgement has been made using available evidence including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The home does not employ an activity coordinator. Care assistants are encouraged to engage residents in their choice of activities. One care worker told us “I have been sent on the arm-chair stretching and movement course so that I can train the other carers to help the residents with their exercises”. We were also told that various activities are provided by the home for the residents such as Pat the Dog, musical workshop, poetry reading, sing-a-long DS0000017612.V342138.R01.S.doc Version 5.2 Page 14 to tapes and quizzes. The C/E Vicar comes every month and administer Holy communion to those service users who wish to participate. One resident told the inspector “I am able to dress myself with help from my carer, after she helps me with my bathing”. “Staff are kind”. Another resident said, “the food is good really good and I get enough to eat. “I go out every day to have high tea with my relatives as I do not live far from them.” In discussion with a care worker she said she has been with the home for a long time and she has completed her induction and the National Vocational Qualification (NVQ) Level 2 (L2) course, and has attended all the mandatory courses and have had yearly updates to enable her to care for the residents. Visitors told us they are able to visit their relatives any time and can also book to have a meal with them at the home. The more able service users told us they have choice over their lives, dress code, food, time for going to bed and waking up. It was not so easy to get information from the less able residents, but a number of relatives were at the home on the day of the inspection and in discussion with them on an individual basis they all said they were very happy with the care their relatives received. Care workers told us they always ask the residents what they would like even when they are unable to understand, because they have found that by holding up two garments the residents will usually indicate the one they want to wear for the day. On the day of inspection residents were observed enjoying their food. We observed that some residents had their food pureed whilst others had normal diets. We also observed that a variety of food was served during the lunchtime meal. This indicated that residents had choice in their dietary intake and this was supported during discussions with residents. The menu is four weeks rotating Summer and Winter menu. The inspector observed that residents were dressed appropriately for the warm weather. In discussion with the residents the inspector complemented one service user on how well groomed she looked. She told the inspector she has always tried to look her best at all times. Catering facilities are managed and carried out by the home’s cook, who has a good knowledge of the dietary needs of the service users. The inspector did not sample the meals, but the residents spoken to all said the food is good, the texture just right and the amount was what they ordered. DS0000017612.V342138.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that residents and relatives concerns are listened to and acted upon. Robust Safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: There are a number of thank you notes and letters of appreciation from grateful relatives to the whole staff team praising their work with their relatives. All staff as evidenced in the training record and substantiated in discussion with care staff. Review of training records indicated carers have completed the Safeguarding Adults Course, which is based on the local authority (Surrey multi-agency Policy). The Policy is up to date, dated 2005. CSCI received no complaints about the home. Two complaints were logged at the home, and the manager told us they satisfactorily concluded within the home’s complaints time scale. She also told us she is in touch with residents on a daily basis and issues raised are dealt with immediately; this prevents DS0000017612.V342138.R01.S.doc Version 5.2 Page 16 any need for residents to complain. Some residents spoken to said they have no need to complain, as they are able to discuss everything with the manager. Relatives spoken to tell us they have no need to complain as if they have a problem they usually speak directly with the (Matron) manager and their concerns are rectified. We observed good interactions between the manager and relatives on the day of the visit. The home has a complaints procedure and policy, and the care workers spoken to were aware of the homes’ policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure the manager/ Owner of the company would support them. It was evidenced that the complaints policy did not have up to date information regarding the new address and telephone number of the CSCI Oxford hub, and a requirement was made on this standard. A random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. DS0000017612.V342138.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home operates within its planned programme of refurbishment and maintenance. Bedrooms are redecorated as soon as they become vacant. One resident told us her bedroom floor has very recently been recovered and both her and her relative are pleased with the new covering. One relative told us “the management and staff encourage residents to see the home as their own home”. The home presents as a comfortable, attractive home, with good ventilation, which has all the specialist adaptations needed to DS0000017612.V342138.R01.S.doc Version 5.2 Page 18 meet the service users needs. It was observed that call bells were left within reach of each resident and they and their relatives said the bells are answered promptly. The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. It was observed that service users were able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. DS0000017612.V342138.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was adequate to meet the assessed care needs of the service users. The home has a programme of planned training in place and all members of staff have an individual training record. Staff are encouraged and enabled to undertake developmental training as well as the mandatory training. . All newly appointed staff undertakes an induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers. The manager was knowledgeable about equal opportunities and how this relates to recruitment and retention of staff. Staff spoken to told us they have completed the Equality and Diversity training. The manager told us others would be sent on the course as soon as places were available. We were told DS0000017612.V342138.R01.S.doc Version 5.2 Page 20 that the recruitment of staff are in line with Government and the homes policies and that the current staffing team mirrors the area in which the home is based. Random review of staff personal files demonstrated that CRB’s are being stored in personal files. A requirement was made to store CRB separately. It was noted that staff turn over at the home is relatively low. All staff are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and conditions of employment as evidenced in their randomly selected files. The manager informed the inspector that supervision record were up to date and this was verified during random sampling of care workers files. The manager had shown the inspector her planned programme of improvements and training and development of staff were high on her agenda. DS0000017612.V342138.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38. Quality in this outcome area is, excellent. This judgement has been made using available evidence including a visit to this service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home. The views of service users and their relatives are actively sought in the running of the home Service users financial interests are safeguarded. The service provides training on health and safety issues for all staff and service users are involved in the running of the home. DS0000017612.V342138.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. She has attained the Registered Managers Award, is a Registered General Nurse with many years experience of caring for and managing the needs of the elderly. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. The residents of the home are treated as part of a large family. The manager told us that she has one to one meetings with the residents to explore each residents care need on an individual basis. Every one is then able to contribute to the running of the home, whether it is to plan the week’s menu or to replace major items in the home. The manager explained that this approach is preferable by all concerned parties as any occurrence in the home affects us all. The home does not become involved in service user’s finance. The relatives/court manages all their finance. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature fridge and freezer recordings were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect residents’’ health, welfare and safety. In discussion with care workers they discussed their understanding and implementation of appropriate procedures to safeguard service users. Furthermore they spoke about their understanding of promoting safe working practices based on their health and safety training Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. The manager told us that some members of staff have attended training on equality and diversity, and in discussion with care workers they supported this. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers are knowledgeable about issues relating to race and equality and diversity, they are not able at the moment to put this knowledge into practice, as the current residents are all Caucasians. DS0000017612.V342138.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 DS0000017612.V342138.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 2 Standard OP16 OP29 Regulation 22 (7) (a) 17 (1) (a) Requirement Complaints policy must include the correct address and telephone number of the CSCI. CRB (records) are to be kept securely in the home away from personal files. Timescale for action 10/08/07 10/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The CSCI latest report should be made easily accessible to residents and visitors to the home. DS0000017612.V342138.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000017612.V342138.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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