Inspection on 12/07/05 for The Grove

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Grove 16/02/07

The Grove 20/12/05

The Grove 08/02/05

The Grove 01/09/04

The Grove 11/03/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

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

CARE HOME ADULTS 18-65 THE GROVE 8 Blakebrook Kidderminster Worcestershire DY11 6AP Lead Inspector Rachel McGorman Unannounced 12 July 2005 - 10:00 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 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 Stationary 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 GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Grove Address 8 Blakebrook Kidderminster Worcestershire DY11 6AP 01562 820728 01562 820728 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) TRACS Mrs Nazia Basnir CRH 12 Learning Disability Mental health Physical disability 12 12 12 Category(ies) of LD registration, with number MD of places PD THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: In addition to the categories of registration listed previously,the home may also accommodate one named resident who is over the age of 65 years. Date of last inspection 8 February 2005 Brief Description of the Service: The Grove is registered to provide residential care for up to 12 adults, who may have an acquired brain injury, who may have a learning disability or who may have physical disabilities.Registration has also been granted for one named service user who is over the age of 65 years. The Grove is a large, detached, Grade 2 listed building, situated in a pleasant residential area of Kidderminster and within walking distance of the town centre. There are 12 single bedrooms on two floors, and each floor is provided with lounge, dining room, kitchen, bathroom and toilet facilities. The house has a pleasant garden and there are plans for a conservatory. The company operating as TRACS Ltd., was established in 1983, and several homes in Wales and the West Midlands now provide care, training and rehabilitation for service users. The organisation has declared the intention in its mission statement, “to provide the highest quality comprehensive care in the United Kingdom”.The management structure at The Grove includes a Divisional Director and a Service Director who work from a regional office. The day-to-day running of the home is the responsibility of the Care Manager who is supported by a deputy, an assistant manager and two senior support workers. The stated aim of The Grove is to provide a high quality service, which offers holistic support, enabling service users to achieve a full and satisfactory life. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine, unannounced inspection, was to check on any previous requirements and recommendations, and to monitor the care provision at the home, in relation to the stated aims and objectives. The inspection took approximately four hours, during which time was spent talking with staff and service users, to ascertain their views on living and working at The Grove. Several areas of the home were seen. The care records of the service users interviewed were seen, and also the files of three members of staff. The records kept in respect of the maintenance of equipment, and safe working practices, including the fire log book, were also viewed during the course of the inspection. What the service does well: What has improved since the last inspection? More opportunities are being accessed for service user, both in-house and in the community. Information has been made more easily available for relatives and visitors to the home. Improvements have been made and upgrading undertaken to some parts of the premises. The majority of recommendations made at the last inspection have been met. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 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 GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 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 standard(s) 1,2,4 & 5 Appropriate documentation is in place to enable prospective service users, and their representative, to make an informed decision about their future care needs. The assessment procedures are very detailed, and are implemented thoroughly, over several months, both prior to and following admission, to ensure that the home is able to meet the identified needs of service users. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 9 EVIDENCE: A Statement of Purpose and a Service Users Guide is provided, in the form of a ‘Clients Handbook’. These documents combined, contain the information required by this standard, and can be provided in different formats to aid communication, when required. When a referral is made to the organisation, a trained assessor carries out an initial assessment. The manager then has an opportunity to ask for further information, and if appropriate, to offer an introductory visit. The admission procedure indicates that prospective service users are invited to visit the home as often as they wish, to enable a decision to be made regarding their future care and accommodation. All service users have a thirteen-week assessment that can be extended depending on the needs of the individual. The care and the placement continue to be regularly reviewed throughout the residency, as confirmed by the documentation. A Service Level Agreement is established with each service user, and their relative, representative or advocate, if appropriate, and also the placing authority, prior to admission. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 10 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 standard(s) 6,7,8 & 9 The service users plan of care is based on the initial and on-going assessment, which clearly records identified needs, and how these are to be met, and therefore ensures that staff are fully aware of the actions they need to take. Service users are supported in making choices in all areas of their lives, and their well-documented views are central to the delivery of the person centred care, which enables their full participation in all aspects of life in their home. The general and specific risk management strategies, completed in respect of each service user living at the home, provide a responsible approach to all the activities undertaken. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 11 EVIDENCE: A detailed plan of care is compiled for each service user, with their involvement, after admission to the home. A monthly review is arranged between the service user and their key worker and co-worker. The information contained in the care files was seen to be very extensive, and relates to the specific needs of each person, includes individual choice, and also records aspirations for the future. A formal, multi-disciplinary review is held every six months with all interested parties. Service users confirmed that they are encouraged to take decisions about the many activities of daily living, and these details are then recorded in their individual plan of care. They are consulted, and expected to participate in all aspects of life in the home. Monthly meetings are held with service users who have the opportunity, and are supported to add items to the agenda, raise them at meetings and progress discussions and ideas. Representation at staff and management meetings is also encouraged, and service users are able to participate in the amendment of policies and procedures, and they are kept informed of any changes. Some service users have received training and participate in the recruitment of new staff. Individual risk assessments are included in each service user’s plan of care. General risk areas include the use of the kitchen or smoking, while specific areas include the management of epilepsy or challenging behaviour. Risk assessments are reviewed every month, and are also in place in respect of moving and handling and the use of equipment. The arrangements for assisting service users who have poor mobility have been reviewed, and assessments undertaken by an occupational therapist. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 12 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 standard(s) 11,12,13,14 &17 The choices available to service users in the daily routines of the house, and the opportunities provided for personal development, encourage their independence and also greater community involvement. The key-worker system in place at The Grove, ensures that each service user has specific support from two members of staff, who work alongside them in establishing their individual wishes and goals A choice of food is available to service users, when they wish to eat, which is varied and balanced, and as far as possible follows ‘healthy eating’ guidelines. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 13 EVIDENCE: Part of the stated philosophy of the organisation is to provide care interventions, which positively encourage independent living and self care skills. Developmental work is undertaken with service users, as indicated by assessment, in relation to all the activities of daily living. A key worker and co-worker provide on-going support to each service user, assist them to develop a weekly activity plan, and then enable their chosen activities to be undertaken. The range of links with other agencies, and the opportunities available for service users, continues to expand gradually. The possibility of service users obtaining employment, or attending College is explored regularly. Proposals to improve computer facilities within the home for service users have been made previously, and consideration was being given to purchasing additional equipment, although this has not yet materialised. Service users are assisted to use the local shops and town centre facilities, and to access various community-based facilities, e.g. the swimming baths, the gym, the library, the cinema and the theatre. Arrangements are in place for some service users to attend local day centres, if appropriate. There is a wide range of leisure activities in which service users are involved, both in the community and in the home, and the details are recorded in their care plans. Various places of interest are visited from time to time, and holidays are also arranged for service users who wish, and who are able. A record of the food provided is maintained, and service users are weighed, and their food intake monitored, if there is cause for concern. Specialist dietary and nutritional advice is also sought, when necessary. Menus and mealtimes are flexible, as service users often choose to eat at different times, and also not to have a meal that is on the menu. Service users are assisted to prepare their own food, and this is often eaten ‘al fresco’. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 14 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 standard(s) 18,19 & 21 Suitable arrangements are in place to ensure that the personal and health care needs of service users are met. Support and encouragement is provided to each person, in order to promote independence. Ethical issues are approached in a considered and professional manner, and service users and their representatives are given the confidence to know that appropriate responses are made and relevant action taken. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 15 EVIDENCE: Service users are receiving appropriate support or assistance with their personal care depending on their individual, identified needs, and encouragement is given by staff for them to be as independent as they are able. Relevant details are recorded in the care plans. Nursing care is not provided at The Grove, although a clinical support nurse is employed by the organisation, and visits the home regularly, to offer advice and guidance. The home receives appropriate support from the Primary Healthcare Teams, and the Continence Advisor is involved with the management of some service users. A detailed procedure dealing with the possible death of a service user has been developed, and a course on death and dying forms part of the training programme for staff. An issue relating to resuscitation of a service user, by staff at the home, had been considered previously, and has now been resolved. Appropriate documentation is maintained in the records, and a copy submitted to the Commission. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 16 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 standard(s) 22 & 23 A satisfactory complaints procedure is in place at the home, and service users are positively encouraged to express their views and opinions, which are then taken into consideration, and appropriate action taken. The management and staff at the home are able to demonstrate an awareness of the issues relating to abuse, and the protection of vulnerable adults, which enables service users to be safeguarded, and appropriate responses to be made in the event of any incidents. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 17 EVIDENCE: The Company’s complaints procedure is provided to each service user, and is also available in an appropriate format. In addition a poster was displayed within the home, advising service users and their representatives, and visitors to the home, how to make a complaint. One complaint has been received recently by the service, and relevant action taken to resolve the matter. A record is maintained of all concerns and complaints received, together with the outcome of any investigation. A detailed policy has been produced relating to protection matters, and procedures regarding the Protection of Vulnerable Adults (POVA), have been implemented at The Grove. A Reactive Management Plan was provided for individual service users, where necessary, and followed The Department of Health Guidance on Restrictive Physical Interventions (for People with Learning Disability and Autistic Spectrum Disorder in Social Care Settings). A member of staff has recently been dismissed for gross misconduct, and has been referred to POVA for inclusion on the POVA list. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 18 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 standard(s) 24,28,29 & 30 The home provides a satisfactory standard of accommodation. The premises are suitable for their purpose and are safe, comfortable, and clean. Equipment is provided within the home that is appropriate to the assessed needs of service users, to enable them to maximise their independence. There is an ongoing programme of development in relation to the décor and facilities provided at the home, with the intention of continually responding to the changing needs of service users, and so improving their quality of life. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 19 EVIDENCE: The Grove is a two storey, detached, Grade 2 listed building, situated in a pleasant residential area, within walking distance of the town centre of Kidderminster. The accommodation has been arranged on two floors, each providing facilities for six service users. The building is generally well maintained, and appears to be clean and homely, and comfortable and safe. The communal areas of the house are to be redecorated soon, and new carpets fitted in the sitting areas and corridors. The requirement for a frosted glass window to be provided in a ground floor toilet has been met. Handrails have been provided in the corridors on the ground floor. The foundations have been laid for an all weather conservatory, which should be completed in the near future. Contracts are in place for the servicing and maintenance of equipment, and appropriate records are kept. Several items of equipment were currently in need of repair or replacement, including a shower, a washing machine and a cooker. The stair lift is no longer functional, therefore should be removed, which would enable easier access when using the stairs. A visit from the Fire Safety Officer, confirmed that the remedial work identified previously, has been completed to a satisfactory standard, with the exception of the proposals for the boiler room. An agreement has been reached with the Fire Safety Officer, for the requirement to be waived, owing to the listed status of the building. A fire risk assessment for the home has been completed. The home has not received a recent visit from the Environmental Health Officer. A contract is in place for the disposal of clinical waste. . THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35 & 36 The home is staffed by an adequate number of qualified and competent staff, who are able to meet the identified needs of service users. Recruitment and selection procedures are detailed and thorough, and help to ensure the protection of residents. All new staff members are given initial in-house training, to ensure a clear understanding of their roles and responsibilities, and an ongoing programme of learning is provided, to enable them to undertake their work more effectively. Supervision procedures ensure that all staff are given appropriate support. EVIDENCE: THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 21 The rotas indicate that appropriate staffing levels are maintained to provide for the identified needs of service users, and although the staff group is diverse in their knowledge and experience, this is used in a positive way to assist service users in achieving their individual objectives. Four staff are currently undertaking the NVQ Level 2 in Care. One person is studying for the NVQ Level 3, while another is taking the NVQ Level 4. A further 3 staff have achieved Level 2 in Care, one person has Level 3, and another has Level 4. The home works closely with a local training organisation and an Assessor visits the home regularly. The company has an intensive training programme for care staff, and a training needs assessment is undertaken for each member of staff. Following the initial in-house training, all staff are given induction and foundation training, which meets the TOPSS (The Sector Skills Council for Social Care) guidelines. In addition, specific care related training is provided, on a monthly basis, and since the last inspection, this has included the following: • Risk Assessment & Reactive Management Plans • Mental Health • Drug & Alcohol Abuse • Regulation & Legislation A thorough recruitment procedure is implemented at The Grove, and two male care staff have been appointed recently, to replace staff who have resigned, and to also reflect the number of male service users living at the home. New staff undergo an intensive and comprehensive induction training package, that takes place both in-house and externally. Successful applicants are also provided with a copy of The General Social Care Council’s code of conduct and practice, together with a job description, that clearly defines their role and responsibilities. The files of several staff were seen and evidence found, that recruitment procedures are appropriately followed. A detailed handover is undertaken between each shift, both verbally and in writing. During the morning planning meeting, the plans for the day are discussed, which ensures that everyone is kept up to date, and informed of past and future events. An annual appraisal with each individual member of staff is undertaken, and a supervision programme is also followed. All staff are given a copy of the Staff Handbook, and those spoken with confirmed they have access to all the policies and procedures. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 & 42 The temporary management arrangements at the home have been satisfactory, and the support received from senior management has ensured that residents and staff have continued to benefit from positive leadership. Effective quality monitoring is maintained, and the views of service users, their relatives, staff and other interested parties are sought and responded to appropriately. The health, safety and welfare of service users is promoted and protected in respect of all safe working practices, THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 23 EVIDENCE: The management structure for The Grove includes a Service Director and a Divisional Director who are located regionally, and who provide regular support to staff at the home. The Registered Manager of the home, Ms Naz Bashir is currently on maternity leave, although it is anticipated that she may resume her duties within the next 3 months. Appropriate interim management arrangements are in place. The Grove undertakes to be a ‘home’ in which service users are supported to make their own informed decisions, and where they are encouraged to contribute to the running of their home, and also the Company. This is achieved through involvement in staff and managers meetings, focus groups, (helping to formulate the annual plan for the company), completing questionnaires, or making a complaint. There are a range of meetings that take place with staff and service users, and joint discussions and the sharing of views and ideas are constantly encouraged. The organisation has its own quality assurance programme, and internal and independent audits take place to support continuous monitoring. A strategy day is held each year to which staff, service users, relatives and social workers are invited. The opinions and views of all concerned are welcomed. An analysis of service users’ questionnaires is produced. The responsible individual for the organisation visits the home each month, and service users are able to attend a meeting, if they wish, to express their views about any aspect of their care. Safe working practices are in place at the home, and staff received training in all aspects of health and safety. The Company employ an officer to advise on health and safety matters, and a member of staff at the home has the delegated responsibility to ensure that it is implemented. Risk assessments are completed for all safe working practices. THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 2 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 THE GROVE Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 27 & 30 Regulation 23 Requirement Equipment provided at the home must be maintained in good working order - repairs to the shower, washing machine & cooker must be undertaken without delay Timescale for action Immediate & ongoing RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard 12 24 24 28 29 Good Practice Recommendations Computer facilities for the use of srvice users at the home should be inproved Proposals for the redecoration of the communal areas of the home should be progressed The provision of new carpeting should be undertaken The conservatory should now be completed The stairlift should be removed THE GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 26 Commission for Social Care Inspection The Coach House John Comyn Drive Droitwich Road Worcester WR3 7NW 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 GROVE E52 S18706 The Grove V236661 120705.doc Version 1.40 Page 27 - 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!