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Inspection on 24/11/08 for The Red House

Also see our care home review for The Red House for more information

This inspection was carried out on 24th November 2008.

CSCI found this care home to be providing an Good service.

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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The ethos that is apparent when you visit the home creates a warm and friendly atmosphere. People who live there are empowered to have their say and welcomed the inspector into their home. The staff work well as a team and turn their hands to any job that needs doing, creating a cohesive, communicating and supportive group of staff. Residents have their own rooms personalised, creating a warm, homely feel. Areas are clean and fresh with no unpleasant odours. The meals provided are enjoyed by everyone and appear well balanced. The amount of food taken at meal times is recorded to ensure an adequate quantity of food is eaten.

What has improved since the last inspection?

Since the last inspection the home has a new manager in post who has started to make improvements around the home by asking opinions and using good policies and procedures. Quality monitoring systems are now in place that was previously a requirement at the last inspection. The home have now recruited a deputy manager who is starting to work with the manager in developing the quality of the service.

What the care home could do better:

The home needs to pull all the information about a resident to one central point and organise the storing and recording of them in an accessible place for staff to use as a working tool. This will enhance, and make more manageable the care service delivery for all residents. The menu available could offer a choice to ensure people can be seen to make a decision of what they would prefer to eat. Menu cards could be in the dining room to give prompts to people of the meal they have chosen. The records for recording fire alarm equipment testing and emergency lighting could be improved to ensure the procedures, with dates, are carried out in an orderly and tidy manner. Certain areas of the building need improving such as radiator covers painted, fire doors made safe and hot taps that should run correctly. The support to offer social stimulation could be improved if staff were not having to cover laundry tasks as well as care.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Red House Norwich Road Kilverstone Thetford Norfolk IP24 2RF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Hannent     Date: 2 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: The Red House Norwich Road Kilverstone Thetford Norfolk IP24 2RF 01842753122 01842760337 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Rachael Claxton Type of registration: Number of places registered: Miss Rachael Claxton care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home The home is registered to provide accommodation and personal care to up to 15 older people. It is not registered to deliver nursing care. It is situated set back from a main road out of Thetford, near to a large supermarket. There is a gravel driveway to the main door of the home, with parking to the side and rear. The grounds are extensive, but parts are not easily accessible. Service users can access the garden, lawns and patio to the front of the home. Accommodation is provided in two main areas, leased by the registered proprietor. The older part of the home is on two floors, with bedroom accommodation on the first floor. There is assisted access via a stair lift. Communal areas (lounge and dining facilities) are provided in the ground floor. An extension provides additional ground floor bedrooms. 0 Over 65 15 Care Homes for Older People Page 4 of 28 Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: To carry out this inspection we looked at the evidence completed and sent to the Commission since the last inspection. This included the Annual Quality Assurance Assessment (AQAA) completed by the Manager and returned in time for information on the service outcomes to be taken from this document and used to find evidence during the visit to this home. We also took in to consideration any notifications that have been sent to the Commission and any surveys from residents, families, professionals and staff. On the day of this visit time was spent talking to residents, staff and visitors. A tour of the building took place and records were looked at that included medication, care plans, risk assessments, fire records, personnel files and training records. Care Homes for Older People Page 6 of 28 Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 28 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does offer support and literature to ensure the person can make a choice as to the suitability of the home. The home does carry out and assessment of need prior to anyone being offered a room at the home. Evidence: The home has on display in the entrance of the home a new statement of purpose. The service users guide is in the process of being updated. The information gives a clear picture of the service offered in the home and will help people make a choice as to the suitablity of the service. On talking to the manager and reading the details written in the Annual Quality Assurance Assessment (AQAA) people can visit the home at any time, stay for a meal or for the day if they wish to help them make a decision. Residents already at the home talked of the support and understanding given to them Care Homes for Older People Page 11 of 28 Evidence: when they were making a decision. One gentleman stated it was my decision to come here and no-one elses. The manager showed an assessment form to be completed and during this visit a conversation heard over the telephone was to a potential resident where a planned visit and an assessment date was made. The home does not offere intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, personal and social care are held in a care plan but some order is required for easy access for staff. The health care support is suitable and adequately recorded. The medication administration procedures do need to be improved to ensure the whole process is safe. Residents are treated with respect and their right to privacy is upheld. Evidence: The people who live at The Red House all have a care plan that is locked in the staff office. The information is held in various plastic wallets and appeared a little disorganised and took a while to find information about the individual resident. The original assessment was held in another area and then the daily record notes, health support and nutritional notes held in another area. Although the information eventually Care Homes for Older People Page 13 of 28 Evidence: appeared to be in the home it should be in some order and held all in one area for staff to have easy access to and for the whole document to be shared with the individual resident. The dates were seen for all the monthly reviews but it was not clear how actively involved the residents are with their care All the residents spoken to all felt very well cared for and had all the support they needed. Staff were observed interacting with residents in an appropriate manner with plenty of smiling and friendly banter as tasks were carried out. The home is supported by a local GP practice and the District Nurses visit as required. One D/N was assisting a resident with their dressings during this visit. Once she had finished the resident spoken to was very pleased with the health support the home offers. The manager has had to deal with some difficult situations with the GP in the past and now the home has a good relationship for the benefit of the residents. Along side the daily record notes are the health support notes that clearly report any visit or information regarding the health care needs of the residents. A recent judgement made by the manager and her insistence in getting a person into hospital was justified and necessary. The home has the medication for residents stored in a medication trolley which is chained to the bannisters of the back stairs. The cabinet was locked and only opened on request. The contents inside were in very neat order with every resident having his or her initials on the container of any loose medication. Eye drops are discarded at the end of every four weeks and all regular medication that is suitable is held in the Boots blister pack system. The controlled drugs are stored in a locked wall mounted drugs cabinet. Three residents are prescribed controlled drugs. The log was checked and the numbers of tablets and liquid held corresponded with amount counted. The medication administration records however were not so good with some gaps found on the administration chart. The managers audit that was seen for every month did highlight the fact that this happens regularly and needs to be managed in a better way to ensure no signatures are missed. Throughout the day, during observation and on talking to residents the staff are always polite and courteous. Any support offered was carried out in the privacy of the persons room. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and recreational interests do meet the expectations of the residents. Residents do maintain contact with family and friends. Residents are helped to exercise choice and control over their lives. The meals are suitable and well balanced, but more evidence of choice need to be available. Evidence: Throughout the home there is available and on display various ways that residents can occupy themselves. The newspapers were around, various games such as scrabble and dominoes were on the table. A half completed jigsaw was on the jigsaw mat and some completed Christmas decorations were drying in the corner of the room. On display in the entrance is a list of dates when planned events are taking place. The home has a volunteer who calls once a week to do arts and crafts. On visiting residents in their rooms some occupation was taking place. One gentleman was doing a tapestry and another was reading. These people are able to make informed choices. It was noted Care Homes for Older People Page 15 of 28 Evidence: that the residents who have developed dementia were not so occupied and had little or no stimulation available. The one person was placed so that the television could not be seen and although a table was at the side of that person there was nothing of interest on it and the person was a little agitated. On asking, a photo album was found that belonged to the person and a conversation commenced. 2 visitors were spoken to during this visit and interaction between staff and the visitors was of a friendly supportive manner. Surveys carried out by the home show that all visitors are made to feel welcome and always offered a drink. The residents are encouraged to manage their own affairs with the home having to assist one person who has no family. The home has tried to find an advocate but is helping this individual in the meantime. The meals of the home are displayed on a noticeboard in the hall entrance. In the day of this visit it was noted that liver was the main meal followed by lemon meringue. There was no choice shown and although the manager said an alternative could be offered if required it was not shown on the menu. On talking to three residents, one person did know what they were having to eat but the other two did not. The tables were laid nicely and small vases for flowers were in place but menu cards on the table would have enabled residents to know and discuss the menu of the day. The residents were full of compliments of the meals and all said how good they were. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and concerns will be listened to and acted upon appropriately. Residents are in safe hands and are protected from abuse. Evidence: The home has a complaints procedure in the entrance to the home. There has been no written complaints received at the home and the manager stated that any concerns would be addressed straight away. On talking to the residents everyone spoken to felt very able to talk to the manager and staff about any concerns. One gentleman stated he would soon shout out if he had any concerns. Another person said do you like our house. We are so lucky to live here it just like home from home and I have no complaints. The staff records show that training on vulnerable adult protection is in place and reviewed regularly. Residents feel safe and well cared for. A recent staff member was asked to leave during her induction as her approach was inappropriate and dealt with as stated in the procedures. The manager reflected that she only wants staff who understand the way to support residents correctly. The home does have a whistle blowing procedure. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents would benefit from a building that was maintained to a higher standard for the safety of all. Shared facilities are comfortable and homely. Residents do have suitable and cosy rooms that identifies the room as theirs. Lighting and water supplies could be improved. The home is clean, pleasant and hygienic. Evidence: The home offers accommodation for up to 15 residents. On the day of the visit 13 residents were being accommodated and half of the rooms occupied were seen. Each bedroom is individual with lots of homely items around the room making them cosy and welcoming. One resident who had only been at the home for 4 weeks was still making her mind up about staying in the home. This bedroom was less homely and had nothing but picture hooks on the walls and basic furniture. Another room that could be used as a double was also basically furnished and had a broken vanity unit and unusable tap in the hand wash basin. The shared areas throughout the home are Care Homes for Older People Page 18 of 28 Evidence: bright and nicely furnished. One area of concern was in the newer wing where a corridor with no natural light, appeared dark and could visually be difficult for a resident coming from a bright, naturally lit bedroom into a dark corridor. The radiators are all covered with fret work type covers but none of them have been painted and many of them now have stains on them due to cup marks that will not wipe off or have bubbled due to damp items placed on them etc. This gives the otherwise nice environment a shabby look. The water taps in two bathrooms and two bedrooms were hand tested to ensure the water was not too hot. The heat appeared suitable but two hot taps were not working at all. One was cold and one had no water coming from it. Upstairs there is a door leading to the back stairs that is accessible to any resident and is unlocked. This is a fire exit but could also be a potential hazard if someone opens the door and who would then immediately fall down the stairs. The manager needs to talk to the fire officer to ensure that this can be locked and a fire release mechanism placed on the door for safety. Also noted on the fire risk assessment that was originally carried out in 2003 and reviewed in 2008, it states that the fire officer said that wedges could be used at night for residents to have their doors open. This is not so and the doors for all rooms should be kept closed unless a proper fire door closure is added to the bedroom door that will release and close the door if the fire alarm is triggered. The home is inviting, clean and has no unpleasant odors. The laundry is constantly in use as mentioned by one staff member, with only one machine that will do a sluice cycle but is used for all washing. There is no tumble dryer and washing is dried on large ceiling airers or on warm days, outside. There is a roller iron for sheets and noted in the airing cupboard were neatly ironed sheets. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff complement could be improved to offer timely social support to the residents. The home supports and aims for a high level of staff to be qualified in NVQ 2 in care. The recruitment of staff is carried out correctly and protects the residents by using safe procedures. Staff are well trained and supported by the home to build their own knowledge. Evidence: On the day of this inspection there was two carers on duty, one manager, one cook and one domestic/kitchen assistant. The residents were all up and sitting in the lounge or in their bedrooms. Everyone looked well dressed and the ladies had recently had their hair done by the hairdresser who calls weekly. The staff were busy and did not stop working. The care staff also do the laundry and there did not appear any time for social support during the morning. This was more apparent for the residents less able to occupy themselves and who spend a lot of time in their bedroom and who need support to occupy them. The home should consider a designated laundry staff member allowing more time for occupation and stimulation for the residents. Care Homes for Older People Page 20 of 28 Evidence: As mentioned in the AQAA and also witnessed throughout this visit, staff all work as a team and support each other in the tasks required. All of them know the residents well and all appear to pull together to ensure the needs are met. The home has a good complement of staff who are already NVQ 2 qualified. There is a good relationship both noted in the AQAA and also on the customer comments survey with the NVQ assessor who is working with a group of staff at the home to achieve their awards. The home is very supportive of the staff to achieve their qualifications is the quote on the survey. The home has a recruitment procedure, and on talking through this procedure and looking at two staff personnel files it was evident that no one commences work until 2 references, 2 forms of ID, the POVA first has been returned and the CRB is in process. There was some question around the way staff begin their induction prior to the return of the CRB. This was discussed in full and made clear that no staff members are to be left unsupervised until the CRB has been returned. The staff training folder showing the planned and past training was seen. Copies of certificates are held in the folders and on the day of this visit two training sessions were in place on managing challenging behaviour. Staff spoken to said how beneficial the training was and how the home support the training needs of the staff. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is a person of good character and is able to discharge her responsibilities but does need to carry out her training in management (NVQ or equivalent) to enhance the skills required. The ethos and leadership approach of the manager is open and positive. The home has gathered information on the quality of the service provided to ensure aims for residents needs are met. Staff are supervised appropriately. The procedures to ensure the health, safety and welfare of residents could be improved. Care Homes for Older People Page 22 of 28 Evidence: The manager has been in the management position since the beginning of July this year. She has been working at the home for the past three years and has gained many years experience at another local residential home. She told us of her NVQ level 2 & 3 in care and is yet to obtain a management qualification. (Documents not seen on this occasion). The application for registration is to be sent on the return of the CRB disclosure which was completed at the Commission office last month. The atmosphere noted during this visit and on talking to staff and residents gives the appearance of a very open and supportive team, working together with good communication that is managed professionally and appropriately. A recent survey sent to all residents, families, staff and professionals had a very high return and overall gave a very positive picture of the service delivered to the residents. Comments taken from the surveys included Very good history of the resident from very knowledgeable staff from a health professional, I always find the staff very caring from a family member and the home is always clean from a resident. The manager has yet to collate all the information which she intends to then put in a newsletter and give to all interested parties. The staff personnel files held a list of dates when supervision for each staff member had taken place with a note on the topics recorded (three were seen). The manager showed us some samples of the Skills for Care inductions that were taking place and as previously mentioned a training matrix is fully up and running to ensure that staff have the skills required to deliver the service appropriately. Throughout the day observation was noted on the health and safety practices that were taking place. The hoists are used for transferring residents and are serviced every six months with the next date recorded and seen as the 9th February 2009. The maintenance officer was in the building on the day of this visit carrying out repair work and dealing with items that have been highlighted by the staff and a record left for the task to be done. Fire records are in place and noted were the weekly dates with different zone alarms checked but, it was unclear how often the emergency lighting was tested as the records were a bit disorganised and held on out of date paperwork. The home does need to organise the fire records into a more orderly date order system. Servicing records were not looked at on this occasion but no concerns have been recorded on the past inspection. The hot water in the 2 baths was checked with the thermometer that is available for staff when bathing residents. Both ran at 44 degrees and is within the safe temperature levels. On display in the entrance hall is the Breckland Council Good Food Hygiene Award Care Homes for Older People Page 23 of 28 Evidence: dated 19/03/08 showing the home follows the standards expected. The manager showed the recording of any accidents within the home and although they have not had to report any major incidents the manager was able to give examples of when accidents should be reported to RIDDOR and the Commission. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 8 13(4) C The registered person must ensure that care plans and risk assessments provide clear information for staff to follow (Repeated requirement) 30/04/2007 Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 23 The home premises must be suitable and safe in all areas. The fire door must be made safe to ensure no one opens it by mistake and falls down the stairs. 01/01/2009 2 19 13 The home must not wedge 01/01/2009 open bedroom doors and the fire risk assessment must be changed. Residents throughout the home must be kept safe by a 30 minute fire door to protect them. 3 25 23 The home must have suitable lighting and adequate water supply in all areas. Residenst should all have a hot water supply and suitable lighting should be in dark areas. 01/01/2009 Care Homes for Older People Page 26 of 28 4 31 9 The manager must carry out 01/12/2009 the management training to achieve the qualifications required. To ensure the full knowledge of managing a home is evidenced. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Care plans and all other information should be in an orderly binder to ensure all relevant people have access to the information in one place. Stimulation and activities to suit everyone should include residents who have developed dementia. Choice of meals should be on display and easily seen by residents. It is recommended that recruitment of a designated staff member for the laundry be considered to ensure residents who need more social support have staff available to give that support. The home should have the health and safety records of all checks carried out on a weekly, monthly, six monthly cycle available and in order for inspection purposes. This will also help the home to ensure these checks are carried out timely and correctly. 2 3 4 12 15 27 5 38 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!