Inspection on 28/02/07 for Towneley House

This inspection was carried out on 28th February 2007.

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

Towneley House 03/10/07

Towneley House 06/12/05

Towneley House 09/06/05

Towneley House 28/10/04

Towneley House 28/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Towneley House 143/145 Todmorden Road Burnley Lancashire BB11 3HA Lead Inspector Mr Graham Oldham Unannounced Inspection 28th February 2007 10:00 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 Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Towneley House Address 143/145 Todmorden Road Burnley Lancashire BB11 3HA 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) 01282 424739 Mr Stephen Alfred Shillito Mrs Barbara Karen Shillito *** Post Vacant *** Care Home 22 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (10) of places Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to provide personal care for a maximum of 22 service users Staffing levels must be maintained at the levels stated in the home’s proposals, that is, 3 care staff will be on duty at all times between the hours Of 7.30am and 10.00pm and 2 waking night staff between the hours of 10.00pm and 8.00am, giving a total 444.5 care hours. In addition there should be a manager on shift for a minimum of 105 hours per week, a minimum of 30 domestic hours and 40 cooking hours. The service is registered to provide care for 10 older people, not falling within any other category and 12 older people with dementia. 6th December 2005 4. Date of last inspection Brief Description of the Service: Towneley House is care home registered to provide personal care and accommodation for 12 elderly people and 10 elderly people with dementia. The home is of an older type building situated in close proximity to Burnley town centre and Towneley park. It comprises 3 floors, linked by a stair lift. Private accommodation consists of 11 single rooms, five of which were at least 10 sq ms, and 5 double rooms, two of which were under 16 sq ms. Nine single and four double rooms were en suite. Communal areas consisted of 2 lounges, a dining room and a smaller dining room/smoke room. Renovations and developments were underway to increase the amount of communal space, increase some bedroom sizes and the number of single rooms, and enhance the facilities. The registered person was managing the home. Training and assessment material from the Alzheimers Disease Society was in use to ensure staff can meet the needs of the residents with dementia. The home had a mini bus that enabled residents to enjoy a range of supported outings and activities to such places as the Trafford Centre, Bury market, the coast and country runs. Residents have had the opportunity of an annual holiday abroad in recent years. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Towneley House were not able to be determined on this inspection due to the registered provider being on holiday. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the service, took place on the 28th February 2007. Much of the information gained was obtained from talking to residents and staff members. Residents were not able to answer complex questions and one resident case tracked was unable to supply any information. Several residents were questioned according to their abilities. Two visitors who were visiting the same resident gave a good overall view of the home. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the resident’s case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. What the service does well: The deputy manager said, “We receive a contact. Make arrangements to go out and visit the resident. Fill in the form and bring all information back to the home. We then make a decision – can we meet their needs or not. We send a letter to confirm we can meet their needs”. The assessment of residents was thorough to ensure the needs of residents could be met at the home. Staff and residents were questioned about their care. The care plans were examined to check the accuracy of the care staff were delivering to residents. Case tracking showed care given was as planned and met each residents needs. Plans of care had been developed with residents or their families. Plans of care had been reviewed. One family member said, “They rang me on Monday to update me on his care and ask me if everything is all right. They never make him do anything he does not want to. We have no interest in his care plan”. The up to date plans of care offered staff the knowledge to help meet the needs of residents. Residents were able to attend specialists to help meet their health care needs. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 6 Medication policies, procedures and staff training helped protect the health and welfare of residents. On the day of the inspection several activities such as music, television, alcoholic drinks and a pamper session were being offered to those residents who wanted to participate. One visitor said, “He has no interest in leisure activities but he will go out now and again”. A staff member said, “Residents are given a wide range of activities to enable them to live more fulfilling lives”. “He can get up and go to bed when he wants, which is important because he was a publican and was used to odd hours”. A staff member said, “residents get choices such as trips – going on holiday – some have just been to Spain. Some residents go out for the day day. Getting up and going to bed - they can do what they want”. Staff were observed during the day of the inspection and offered residents choice to maximise their contentment. One visitor said, “He likes the food. We have watched him sit and eat it. He eats what he wants”. A resident case tracked said, ““The food is very good. I do not eat too much but what I have is good”. All other residents who were able to talk to the inspector said food was good and one resident commented, “The food is very nice. If you don’t like it we can leave it and get something else”. Food served was suitable to resident’s tastes. One visitor said, “We come anytime to visit. Staff are very pleasant and we have a cup of tea or coffee. What you want really”. A resident case tracked said, “My family are supposed to be visiting soon. There is nothing wrong with visiting here”. Visiting was encouraged for the satisfaction of residents. Residents said, ““I like it here. The girls look after me – they are grand lasses”, “I am all right here”, “Staff look after me – staff are nice”, “It’s very nice here. All the people are friendly” and “The staff are very nice”. One visitor said, “Staff are very friendly”. Both staff members commented positively about the staff team and the support they received from management. One staff member said, “ They are a great bunch of girls. I like it here – they are a good team. Management are supportive and the Deputy Manager is brilliant”. The good and effective attitude of staff provided a very pleasant environment for the residents and visitors to the home. What has improved since the last inspection? Plans of care had been significantly improved to enable staff to meet the health and social needs of residents. As required medication was sufficiently detailed to minimise mistakes and protect residents from possible medication errors. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 7 The medication administration recording sheets were correctly maintained. Fridge and medical room temperatures were recorded and eye drops correctly labelled to help protect the health and welfare of residents. Requirements relating to bedroom sizes and equipment had been corrected to improve the environment for residents. Lighting was sufficient in bedrooms to meet the needs of residents and protect them from possible accidents. Electrical and gas equipment and installation had been serviced to ensure the environment was as safe as possible for residents and staff. Resident’s weights were recorded to assist staff to monitor each individual’s nutritional needs. The stair lift seats had been upgraded to provide better facilities for residents. Formal supervision was being undertaken to ensure staff received the support they needed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were competently assessed to ensure the home could meet their needs. EVIDENCE: Two plans of care were examined during the case tracking process. Plans of care contained assessment documentation gained prior to admission. Social services had carried out an assessment and further information gained from residents or a family member. Following assessment a plan of care was developed. The assessment of residents ensured their needs could be met at the home. The home did not provide intermediate care. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP7, OP8, OP9 and OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care been reviewed and updated to ensure care given was up to date. Residents had access to specialists to meet their health care needs. Administration of medication was satisfactory and protected the health and welfare of residents. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: Two plans of care were examined during the case tracking process. Plans of care had been developed with the assistance of a resident or a family member. Plans of care had been evaluated on a monthly basis. Risk assessments were undertaken to protect residents from possible harm. One resident case tracked was satisfied with the level of care she received. The other resident case tracked was not able to inform the inspector. Other residents were happy with care. Staff spoken to during the process gave an accurate account of the care given to the two residents case tracked. Plans of care were detailed and contained specific information relevant to each individual. Plans of care had been developed for staff to deliver care that met the needs of residents. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 11 Evidence was observed during case tracking that residents attended health care specialists such as chiropodists, opticians and health care consultants. Residents also had access to mental health specialists. Falls risk assessment, pressure area and nutritional assessment was ongoing. Residents were able to access relevant professionals to ensure their health care needs were met. Medication policies and procedures had been reviewed and amended to match administration. The medication administration records were accurate and did not contain any gaps. Medication was stored in accordance with the homes policies. The reason for dispensing when required medications were clearly written and understandable to staff. Medication policies, procedures and administration protected residents from possible harm. There were some double rooms. Screens around the beds helped maintain privacy. The inspector was sat in the dining room and observed the attitude of staff towards residents. Staff had a good rapport and gave care in a nice manner consistent with preserving dignity and privacy. The privacy and dignity of residents was maintained by the good manner and care given by staff. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP12, OP13, OP14 and OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable and regular leisure activities met resident’s expectancies. Choice was available within the homes routines to assist residents to retain some independence. Food was good and met residents nutritional needs. Visiting was encouraged to allow residents social access to their relatives. EVIDENCE: On the day of the inspection residents were wandering around the home at will. There was appropriate music being played for this elderly group and many were joining in the singing. Staff were talking to residents and finishing off tasks in a jovial manner. Residents were also watching television and socialising with each other. On day of inspection a pamper session – nails and hand massage was given to those residents who wanted the treatment. Some residents were taking a sherry or having a beer. Other residents had just come back from a holiday to Spain and a member of staff said; “We are taking residents on holiday again in May”. One family member said, “The list of activities included – bingo, quizzes, music and dance, arts and crafts, shopping, board games and going out in the minibus to places of interest or for a meal. One resident was able to confirm, “I went to the pub for a meal”. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 13 Residents were offered activities and outings to provide stimulation and fulfilment. Staff described the choices residents could make to maximise their independence. The cook said, “I go around and ask what they want to eat. For those who have difficulty understanding we have a picture menu”. Residents had a choice within the routines of the home to maximise their contentment. Visitors were observed entering the building at will during the day. There were few restrictions for visitors to help residents socialise with their families. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP16 and OP18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and residents were confident their concerns would receive attention and solve any problems at the home. Policies, procedures and staff training protected then health and welfare of this vulnerable adult group. EVIDENCE: There was a satisfactory complaints procedure. The Commission had received two complaints, which had been attended to satisfactorily. There was a book for compliments and minor complaints, which had been used for both. The actions taken to correct the complaints had been recorded. One visitor said, “Our overall impression of the home is good. I have no complaints and do not have to worry about him”. The complaints procedure was available for residents or their families to voice any concerns and improve the service. There was a copy of the ‘No Secrets’ document and policies and procedures for the protection of vulnerable adults. There was a whistle blowing policy. Most members of staff had undertaken protection of adults training. Both staff members questioned were aware of adult abuse issues and one said, “I am aware of adult abuse issues (discussed). I would not let anything happen to any of the residents in here”. Staff training, policies and procedures protected residents from possible abuse. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP19 – OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment was being upgraded to provide better living facilities for residents. EVIDENCE: A tour of building was conducted on the day of the inspection with all communal areas and several bedrooms visited. The home was warm, clean and unpleasant odour free. The upstairs of the home had been updated and the décor was excellent. The deputy manager said, “All bedrooms have been decorated to the same high standard”. Rooms had been personalised to resident’s tastes. Rooms visited had sufficient furniture. All furnishing and equipment was domestic in style. Lighting was good and included new wall lights in corridors, which gave a good effect. There were further plans to upgrade the home. The carpets in the downstairs lounge needed some attention and appeared a safety risk and needed attention to protect the health and safety of residents. The deputy manager said, “we have had new Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 16 carpets in the dining room”. “The lounge carpet is being replaced before the end of March”. This will rectify the problem. There were many areas of the home, which had been upgraded. New beds are being provided to some residents. The new beds are adjustable for residents with mobility problems. There is a planned maintenance program, which was obviously being carried out and the deputy manager said, “We also have a book to complete for reactive maintenance such as for things that have broken”. There is an area to the front of the home for residents to sit and equipment was satisfactory. The windows checked had been restricted, radiators were guarded and the temperature of hot water restricted. All stair lift chairs had been replaced and the deputy manager said, “They are a better type that swivel to give staff better access”. All residents spoken to were satisfied with their rooms. The environment of the home had been improved and was suitable for the resident group accommodated at the home. There were policies and procedures for the control of infection. Hand washing facilities were observed in the laundry, which contained sufficient equipment to clean clothes. The laundry was sited away from food preparation areas. Systems to protect residents from contacting Legionnaires disease had been undertaken. Infection control systems protected the health and welfare of staff and residents. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP27 – OP30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were adequately trained and in sufficient numbers to care for the residents accommodated at the home. Recruitment procedures protected residents from possible abuse. EVIDENCE: Two staff were questioned during the inspection and involved in the case tracking process. Both staff members were very aware of the residents needs. Two staff files were examined and contained sufficient information to detail their training, which was adequate for the positions they held. Over 50 of staff had completed NVQ training. The staff roster was examined during the inspection and demonstrated there were sufficient numbers of trained and experienced staff to meet the needs of residents. Most of the staff at the home had been employed for some time and those spoken to were very happy with support from the staff team and management. One of the staff files demonstrated recruitment procedures were satisfactory and screened staff for the protection of residents. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP3!, OP33, OP35 and OP38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A suitably qualified and experienced person must be registered as manager to meet the requirements of the Commission for Social Care Inspection. The safe handling of residents money protect them from possible financial abuse. Good health and safety systems protected the health and welfare of staff and residents. Quality assurance systems needed very minor work completing to gain and react to the needs of residents and their families. EVIDENCE: The deputy manager had attained the Registered Manager award. She said, “I am undertaking the assessors qualifications to assess staff who are completing their NVQ qualifications and I want to take a mental health course”. The person who is currently on the registration certificate no longer works at the home. The registered person must ensure there is a manager who is suitably Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 19 qualified and experienced and is registered with the Commission for Social Care Inspection. There was a satisfactory system for handling resident’s finances to safeguard any monies held on their behalf. There was a business plan. There was a quality assurance system. Questionnaires for residents and families had been completed. The forms had not been dated. The deputy manager said, “Any negatives are discussed in the office and we try to find the best way to sort it out. Discuss with the key worker – get in touch with family. Every month key worker rings family to see if they have any problems (a family member confirmed this). We put things into the care plan then if we need to. We have staff meetings on a regular basis, have supervisions on a regular basis and hold residents meetings. This is sometimes difficult because we don’t know if what they are saying is correct. Try to involve them in the running of the home”. Quality assurance systems were in place to gain and act upon the views of residents and their families. Fire risk assessments were available for inspection. Fire records were observed for weekly testing of the system. There was a record of fire drills. There was a record of water temperatures to areas residents had access to. Control of substances hazardous to health documentation was examined. There was a health and safety policy. Accident records had been maintained. Portable appliances had been tested. Electrical and gas appliances and equipment had been maintained and certificates obtained. Staff were trained in aspects of health and safety. There was a certificate for the disposal of clinical waste. Health and safety policies, procedures and staff training helped protect the health and welfare of staff and residents. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP20 Regulation 23(2)(b) Requirement The registered person must ensure the premises are kept in a good state of repair and any carpets that pose a threat to the health and safety of residents are replaced. The registered person must ensure there is a suitably experienced and qualified manager registered with the Commission for Social Care Inspection. Timescale for action 30/04/07 2 OP31 8 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP33 OP33 Good Practice Recommendations The registered person should ensure the results of quality assurance surveys are summarised and made available for inspection. The registered person should ensure any documentation is dated and where possible signed to fully demonstrate when it was completed. Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Towneley House DS0000009456.V324070.R01.S.doc Version 5.2 Page 23 - 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!