Inspection on 04/01/06 for The White House, Falmouth

This inspection was carried out on 4th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The White House, Falmouth 12/03/09

The White House, Falmouth 25/03/08

The White House, Falmouth 11/10/07

The White House, Falmouth 06/06/07

The White House, Falmouth 23/08/06

The White House, Falmouth 20/03/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The White House The White House 128 Dracaena Avenue Falmouth Cornwall TR11 2ER Lead Inspector Ian Wright Unannounced Inspection 4th January 2006 09:15 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 The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The White House Address The White House 128 Dracaena Avenue Falmouth Cornwall TR11 2ER 01326 6318318 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) Mrs Helen Judith Christopher Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26.4.05 Brief Description of the Service: The White House is a care home for 17 elderly service users situated in Falmouth. All service users have their own bedrooms, and there is a large lounge / dining room for service users. The home has small gardens at the front and rear, and suitable parking for staff and visitors. Mrs Christopher has just become the new owner on 15th December 2005. The ground floor is wheelchair accessible. There is a chairlift to the first floor. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. The ownership of the home changed on 15th December 2005. The inspector had opportunity to discuss previous requirements with Mrs Christopher, the new owner, and changes she has made since she has acquired the home. The inspector also was able to meet many of the service users, and several care staff. The inspection was based around requirements set at the last inspection on 26th April 2005. Care and staff records were also inspected. A significant number of the requirements from the previous inspection have been renotified. However the Commission understands the current owner has had limited time address these shortfalls. Service users and staff however commented that the new owner has made a number of positive changes to the service. There appears to be no immediate risk to service users, and they appear to be well cared for. What the service does well: What has improved since the last inspection? Mrs Christopher, a new registered provider (owner) purchased the home on 15.12.05. She appears to be appropriately skilled, qualified and experienced to manage the home. Staff and service users spoke very positively regarding Mrs Christopher and the initial changes she has made. For example service users have been provided with more choice of meals available to them. Mrs Christopher displayed a positive attitude to the changes, which are required to be made to the home, and to provide service users with a service, which meets their needs and wishes. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 7 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 The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, 5 The new registered provider needs to develop suitable information so service users have suitable information regarding services at the White House. There is suitable opportunity for service users to visit before admission is arranged. Appropriate links are developed with external professionals so service users social and health care needs can be met. EVIDENCE: The registered provider has supplied a statement of purpose to the Commission as part of her application to become registered provider. This has been agreed as satisfactory. The registered provider must produce a new service user guide. The service user guide must be issued to individual service users. The statement of purpose and service user guide must be available for inspection. The previous owners stated to the Commission on 9.8.06 that service users had received either (depending on funding source) a statement of terms and conditions or contract of residency. These were not available for inspection. Service users the inspector spoke to were not sure if they had received these. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 9 The registered provider needs to check these have been issued, and ensure a copy is placed on each individual service user file. Statements of terms and conditions / contacts also should also be amended to refer to the current registered provider. The registered provider has made contact with district nurses and general practitioners. Contact with social services is being established. The inspector has since had contact with a social services care manager who also felt positive regarding the attitude of the new registered provider. Service users appear to receive appropriate support from external professionals. The registered provider said some staff have received National Vocational Qualifications in care. She is however currently not aware of numbers of staff qualified, and records were not available for inspection. Links with a local college are however established. The registered provider said prospective service users and their representatives are welcome to visit before admission is arranged. A relative of a prospective service user visited on the day of the inspection. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Information regarding meeting health and personal care need improvement. However there appears to be satisfactory links with health care professionals to ensure service users health care needs are met. Management of the medication system is inadequate and must be improved. Service users appear to be treated with respect and dignity. EVIDENCE: All service users have a care plan, although these are fairly basic, and have not been reviewed since February 2005. The previous requirement that care plans contain more detailed information has only partly been met so for example there is no information regarding service users likes / dislikes, or a brief life history, in many cases. Staff and service users stated there are appropriate links with external health professionals (such as GP’s and district nurses). Recording of medical interventions in care plans should be improved. The registered provider outlined her plans to improve care planning and recording. These seem satisfactory. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 11 Arrangements for storage of medication is adequate. Recording and administration of the administration of medication is not satisfactory; for example; • There were several gaps where staff had not signed for the administration of medication on medication sheets. • Totals for Lorazepam, which has been treated as a controlled drug, did not tally with medication kept in stock. • Hydroxocobalamin and Diazepam medication was not recorded on the medication sheet, and there is no record of administration. • Diazepam medication did not have a dispensing label, and it is subsequently unclear who this medication is for, its dosage or when it was prescribed. • There is overstock of Ketoralac eye drops. It is not clear whether this is stored appropriately. • Rosuvastatin and Bisacodyl tablets needed to be disposed of. There has been ongoing problems with the medication system. The new registered provider should closely monitor the operation of the medication system to ensure it is managed effectively. The previous registered providers did arrange training regarding the administration of medication for most staff. However as records were not available for inspection it is not clear whether this has been delivered to all staff that currently administer medication. Again this needs to be assessed by the registered provider. Appropriate action may need to be taken to ensure all staff receive appropriate training (e.g. from a pharmacist). Service users stated staff treat them with privacy and dignity; for example how service users are addressed and how personal care is given. The inspector observed staff working appropriately with service users. The previous registered providers developed a death and dying policy. This however is very basic and requires expansion. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Routines, meals and visiting times are suitable for service users. Arrangements to improve activities and opportunity for religious observation require improvement. The registered provider is aware these issues need to be addressed. EVIDENCE: The registered provider stated she is currently trying to arrange activities for service users. Previous reports assessed arrangements were deficient. The registered provider has said she will be arranging religious services for service users if they wish to attend these. Service users were observed to be involved in daily routines for example laying tables. Service users and staff said routines are flexible; service users can get up and go to bed when they wish, and can plan their time according to their wishes. Service users are able to receive visits from family and friends at any time. A number of relatives visited during the inspection. Information regarding advocacy services e.g. age concern needs to be included within the service user guide. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 13 The registered provider said moneys were not held on behalf of service users. However a sum of money was maintained on behalf of a service user. If this is to continue appropriate records must be maintained. Receipts must be maintained if expenditure is made on behalf of service users. Service users are able to bring their own possessions to the home. For example some service users have their own furniture in their bedrooms. Although the inspector did not sample meals on this inspection, service users said meals had improved since the new owner took over the home. A wider variety of foods, and a choice of a main meal was noted. The registered provider said special diets are catered for. A requirement was made at the previous inspection regarding appropriate support for one service user at mealtimes (i.e. the person was soiled with food, and staff did not provide appropriate support to assist her to clean herself / change clothing afterwards). The new registered provider said she would investigate to ascertain if practices had improved, and implement any changes if they are required. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The registered provider has a complaints and adult protection policy. The registered provider must be able to demonstrate all staff have Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. Service users’ legal rights seem to be protected. EVIDENCE: The previous registered providers developed complaints and adult protection policies. A requirement at the previous inspection was made requiring new staff to have Criminal Records Bureau / Protection of Vulnerable Adults checks. The inspector was unable to assess whether these had been obtained, as staff records were not available for inspection. The requirement is therefore renotified. If staff have not received an appropriate check they must be supervised at all times by a senior member of staff. Service users will receive appropriate support to vote. The registered provider said she will ascertain which service users have appointeeship / court of protection arrangements. These should be recorded in care plans. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 The building is suitable for it’s purpose, and provides a comfortable, homely, pleasant environment. However office facilities must be developed to improve confidentiality. Decorations, and fixtures and fittings, are becoming noticeably shabby and will require replacement / refurbishment at some stage in the foreseeable future. EVIDENCE: The building was inspected. The inspector was able to look at several service users’ bedrooms. Service users said they were happy with the accommodation provided and it met their needs. Service users share a pleasant large lounge / dining room where the majority of service users spend their time. All rooms are of a suitable size to meet the needs of service users. There is one shared bedroom, which is currently let as a single bedroom. The registered provider said all bedrooms would be upgraded as they became vacant. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 16 Carpets, curtains, furniture, fixtures and fittings are becoming shabby and will need to be replaced over the next few years. The registered provider seems aware of this. The upstairs of the home is accessible via a chair lift. There are several bathrooms / toilets. A walk in shower facility is provided. The registered provider said she would be improving this. Current facilities are satisfactory although the provision of an assisted bath which would be a further improvement. Some suitable aids and adaptations are provided for example grab rails in bathrooms and toilets, two hoists, a turntable and handling belts. The registered provider said the bath hoist needs fixing and she will arrange this shortly. A bidet in one bathroom is covered over with cardboard, which looks unsightly. It should be repaired or removed. The home currently does not have an office, and the inspector was concerned to witness that staff had nowhere to conduct confidential discussion, handover, or store records securely. The previous registered providers have not addressed the previous requirement, and subsequently the requirement is renotified. The registered provider said she would address this issue. Bedrooms are decorated according to individual tastes, and service users are able bring in their personal possessions to the home. All bedrooms can be locked from the inside. Heating and lighting are suitable. The home was clean and free from offensive odours throughout on the day of the inspection. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Staffing levels appear to be satisfactory. Staff records regarding recruitment, induction and training must be available for inspection. EVIDENCE: The registered provider said two staff are always on duty at any one time. At night there is one waking night member of staff, and one member of staff sleeps in. Rotas were available for inspection. At the previous inspection there was a lack of clarity regarding some staff understanding their roles. This was discussed with the current registered provider on this inspection, who said the issue still needed to be addressed and she would do so shortly. Staff files were not available for inspection so requirements regarding Criminal Records Bureau / Protection of Vulnerable Adults checks, recruitment information, induction and training required by regulation, are renotified. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The registered provider has appropriate skills, knowledge and experience to manage the home and bring about the improvements required. Management systems inherited from the previous providers are poor and require improvement. Health and safety records must be available for inspection so the registered provider can evidence service users are not put at risk. EVIDENCE: Mrs Christopher has only owned the White House since December 2005. Her application outlines appropriate experience, knowledge and skills to manage the home. The registered provider displays a positive attitude to developing the home, and towards ensuring service users receive a good quality service. Staff and service users spoke very positively regarding the change of ownership. A resident’s meeting and staff meeting had both taken place. Effort has been made to ascertain staff and service users views regarding what changes are required. Staff and service users spoke positively about some The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 19 changes which had already taken place, for example, an increased service user focus and attempts to improve choice e.g. regarding food. The registered provider outlined her intention to improve quality assurance procedures although the previous requirement is renotified. A suitable business plan was provided to the Commission as part of Mrs Christopher’s application to become registered provider. Due to some delay in completion of the purchase, the Commission has requested a letter from the registered provider confirming there have been no changes to the initial business plan. This is still outstanding and subsequently a requirement is notified in the report. As outlined in NMS 17, if moneys are to be looked after on behalf of service users, appropriate records must be kept, and available for inspection. The registered provider said no staff act as an agent on the behalf of any service user (for example regarding pensions). The registered provider has said she will be working in the home 5 days per week. A senior member of staff will be responsible for supervising staff on the days when the provider is not working. As outlined earlier in the report, improvements are required regarding record keeping (e.g. care plans). The registered provider has an appropriate strategy to address these shortfalls. The majority of information required to ascertain whether appropriate health and safety precautions are in place, were not available for inspection. For example the registered provider was unable to produce certificates for electrical and gas appliance testing, Legionella testing, testing of moving and handling equipment, and health and safety risk assessments. This seemed due to them being mislaid due to change of ownership, rather than negligence of the current owner to complete the testing. However these records must be available for inspection. A requirement was made at the previous inspection for all gas appliances to be tested. The current registered provider was unable to evidence this has been completed. The requirement has subsequently been renotified, and the registered provider must provide the Commission with a copy of the certificate as a matter of priority. The fire book was inspected, and testing of the fire system by staff is satisfactory. The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 1 2 x 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 x 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 1 2 2 3 2 1 The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES (See Summary) 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 OP2 Regulation 5 Requirement (NB PREVIOUS NOTIFICATIONS OCCURRED DURING THE PREVIOUS OWNERS TENURE OF THIS HOME) Timescale for action 01/03/06 2 OP38OP30 OP4 3 OP7 Service users must be issued with a copy of a statement of terms and conditions of residency / contract (e.g. as part of the service user guide). This information must also be made available for inspection.(Timescale of 1.8.05 not met). 2nd Notification 13, 14, 18 Staff must receive appropriate training as required by regulation (e.g. e.g. first aid, moving and handling, infection control and food hygiene) so they can meet service users needs. (Timescale of 1.8.05 not met). 3rd Notification 15 The registered provider is required to provide care plans which are more comprehensive. These must include: • the service users likes / dislikes. DS0000065484.V274705.R01.S.doc 01/07/06 01/07/06 The White House Version 5.1 Page 22 4 OP7 15 5 OP13 9 6 OP9 18 7 OP12 16 8 OP12 16 9 OP28OP18 12, 13, 18, 19 a brief ‘pen picture’ of the service user’s life. (Timescale of 1.8.05 not met). 5th Notification The registered provider is required to review care plans regularly i.e. on a monthly basis. (Timescale of 1.8.05 not met). 4th Notification The registered provider must provide a satisfactory medication system and ensure medication is stored, administered and disposed of correctly. Appropriate documentation must be kept. (Timescale of 1.8.05 not met). 2nd Notification All staff who administer medication must receive appropriate training regarding the handling of medication e.g. from the pharmacist.Records of this must be available for inspection. (Timescale of 1.8.05 not met). 2nd Notification The registered provider must provide appropriate opportunities for stimulation suitable for service users needs, preferences and capacities. (Timescale of 1.8.05 not met). 4th Notification The registered provider must provide appropriate support and assistance to service users at mealtimes. (Timescale of 1.8.05 not met). 3rd Notification All staff must receive a Protection of Vulnerable Adults (POVA) check, and must be supervised by a senior member of staff until this is received. Records of this must be available for inspection. (Timescale of 1.6.05 not met). DS0000065484.V274705.R01.S.doc • 01/03/06 01/03/06 01/07/06 01/07/06 01/02/06 01/03/06 The White House Version 5.1 Page 23 10 OP27 18 11 OP29 18 12 OP29 18 13 OP33 24 14 OP38 13, 23 2nd Notification Staff must be clear about their roles as outlined in the home’s job description. (Timescale of 1.8.05 not met). 2nd Notification The registered provider must provide evidence that all new staff have received appropriate induction. Records of this must be available for inspection. (Timescale of 1.8.05 not met). 2nd Notification Suitable training records must be maintained and kept up to date for each individual member of staff. Records of this must be available for inspection. (Timescale of 1.8.05 not met). 2nd Notification The registered provider must: (1)Develop a quality assurance policy. (2)Set up a formal quality assurance system e.g. questionnaire for service users / relatives / staff. (Timescale of 1.8.05 not met). 5th Notification An appropriately qualified contractor must test gas appliances on an annual basis. A current gas safety certificate must be available for inspection. (Timescale of 1.8.05 not met). 2nd Notification The certificate must be sent to the Commission by the prescribed date. 01/03/06 01/07/06 01/07/06 01/07/06 01/02/06 15 OP19 17, 23 01/12/06 The registered provider must provide an office facility including a sleep in facility for staff. (Timescale of 30.9.05 not met). 2nd Notification The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 24 16 OP14 OP1 4, 5, 6 New requirements from this inspection 01/07/06 17 OP11 18 OP35OP14 19 OP34 The registered provider must produce a new service user guide. This should include information regarding advocacy services e.g. age concern. The service user guide must be issued to individual service users. The statement of purpose and service user guide must be available for inspection. 12, 37 The registered provider must 01/07/06 develop and death and dying policy in line with the national minimum standard. 12, 13, 20 Records (and receipts where 01/02/06 appropriate) must be maintained where service users monies are looked after by the registered provider. 25, 41 The registered provider must 01/02/06 provide the Commission with a letter confirming there has been no changes to the initial business plan. (Timescale of 3.1.05 not met). 2nd Notification 13, 23 Records regarding health and safety precautions must be available for inspection. 01/02/06 20 OP38 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The White House DS0000065484.V274705.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 White House DS0000065484.V274705.R01.S.doc Version 5.1 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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