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Inspection on 05/09/06 for Tracey Vale Residential Home

Also see our care home review for Tracey Vale Residential Home for more information

This inspection was carried out on 5th September 2006.

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

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 home provides a range of services including long-term care, short-term care and intermediate care. Professional needs assessments are required by the home before admissions are arranged to reduce the risk of people being inappropriately placed. The Re-enablement Unit provides a valuable service to people who need help to regain their independence. The quality of the meals is good and the residents are offer a choice of set meals and alternatives. The residents can be confident that their complaints will be taken seriously and dealt with appropriately. The residents are protected by the homes policies and procedures on abuse, although a small number of staff still need training in this area. The residents` bedrooms are small but this is compensated for by the generous provision of communal space and large gardens. A good standard of cleanliness is maintained throughout the home and the home is reasonably well maintained. Safe staff recruitment methods are used, good staffing levels are maintained and the staff are trained and encouraged to gain NVQ qualifications. The registered manager is well qualified, trained and experienced. Quality assurance programmes and residents meetings enable the residents to have a say in the running of their home. The premises are safely maintained and safe working practices are followed.

What has improved since the last inspection?

The Statement of Purpose and Service Users` Guides have been updated. The recommendations of the Fire Safety Officers report have been implemented.

What the care home could do better:

More attention needs to be given to building upon the service users initial needs assessments, carrying out individual risk assessments and developing detailed individual care plans that can be used by the staff as working documents. The medication administration records should be checked regularly to ensure that the staff are recording all of the required information. All unused medicines should be disposed of quickly and safely. Although the activities that are organised by the home are good, more attention could be focussed on ensuring that the residents have opportunities to engage in social, occupational and recreational activities both within and outside their home. The home has central heating but the radiators do need working thermostats to enable the residents to control the temperature in their rooms.

CARE HOMES FOR OLDER PEOPLE Tracey Vale Residential Home Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA Lead Inspector Judy Hill Unannounced Inspection 5th September 2006 10:15 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 Tracey Vale Residential Home DS0000032549.V291769.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. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tracey Vale Residential Home Address Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA 01626 833066 01626 833567 tony.rooks@devon.gov http/www.devon.gov.uk/adoption.htm Devon County Council 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) Anthony James Rooke Care Home 35 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (35), Physical disability (6), Physical disability over 65 years of age (6) Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users who require adaptations or equipment such as hoists or wheelchairs, or who require care from more than one care assistant, shall be accommodated in rooms 7, 10, 18, 21& 22 only. Service Users in the PD category must be over 55 years of age. 2. Date of last inspection 31st January 2006 Brief Description of the Service: Tracey Vale Residential Home is owned and managed by Devon County Council and is registered to accommodate people who fall into the registration categories of Old Age, Dementia (over 65 years of age), Mental Disorder, excluding learning disability (over 65 years of age) and Physical Disability (over 55 years of age). The home provides long-term, short term and respite and has a re-enabling unit that provides intermediate care for a maximum of six people. The home is situated in a quiet residential area in Brimley, which is on the outskirts of Bovey Tracey. Some local facilities, including a shop, are within a short walking distance and town centre is approximately half a mile away. Information about the service is available in a Statement of Purpose, which will be made available on request and a Service Users Guide, a copy of which is given to all service users. The fees for the service are currently £556.57 a week. Extra charges are made for optional extras, including professional hairdressing, newspapers and other items of a personal nature. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and was carried out by one inspector on the 5th & 6th September 2006. The information contained in this report was gained in conversation with the residents, staff and manager of Tracey Vale, from a pre-inspection questionnaire that had been completed by the registered manager and from questionnaires completed and returned by five residents. Additional information was gained from a partial inspection of the premises and an inspection of records including, services user assessments and care plans, staff records, menu plans and records of food provided and medication records. What the service does well: The home provides a range of services including long-term care, short-term care and intermediate care. Professional needs assessments are required by the home before admissions are arranged to reduce the risk of people being inappropriately placed. The Re-enablement Unit provides a valuable service to people who need help to regain their independence. The quality of the meals is good and the residents are offer a choice of set meals and alternatives. The residents can be confident that their complaints will be taken seriously and dealt with appropriately. The residents are protected by the homes policies and procedures on abuse, although a small number of staff still need training in this area. The residents’ bedrooms are small but this is compensated for by the generous provision of communal space and large gardens. A good standard of cleanliness is maintained throughout the home and the home is reasonably well maintained. Safe staff recruitment methods are used, good staffing levels are maintained and the staff are trained and encouraged to gain NVQ qualifications. The registered manager is well qualified, trained and experienced. Quality assurance programmes and residents meetings enable the residents to have a say in the running of their home. The premises are safely maintained and safe working practices are followed. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 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 Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents can be confident that the ability of the home to meet their needs will be considered before admission. The Re-enablement Unit provides a valuable service to people who need help to regain their independence. EVIDENCE: The registered manager said that all of the current service users had been admitted through Case Management arrangements and an inspection of service users case files showed that needs assessments are carried out and received by the home prior to the admission. The Service Users Guide states that the first four to six weeks following a long-term admission will be on a trial basis so this gives both the service user and the home the opportunity to ensure that the service is suitable before making a long-term commitment. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 9 In addition to offering long-term care Tracey Vale offers short-term and respite care and has a self contained ‘Enablement Unit’ which provides intermediate care for up to six people. An inspection of the service users assessments and care plans for people using the intermediate service provided evidence of input from an Occupational Therapist and a Physiotherapist. One of service users using the intermediate unit provided details of the exercises she was doing to regain her confidence and mobility. One care worker is employed on each of the two daytime shifts to work exclusively in the unit. The member of staff on duty at the time of the home visit said that she found her work in the Unit very rewarding as she was able to see the service users regain their physical abilities and confidence and return to their own homes. Tracey Vale Residential Home DS0000032549.V291769.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement is based on available evidence including a visit to this service. Although feedback from the residents indicates that they feel their needs are being met, the individual care planning and risk assessment practices are poor. The residents can be confident that the staff administering their medication are trained to do so, but improvements could be made to the storage and records. EVIDENCE: Samples of residents care plans were inspected. Although there was evidence of service user involvement, the service users initial needs assessments had not been fully developed by the home and some of the information needed to enable detailed care plans to be drawn up was missing. Individual risk assessments are routinely carried out on areas of potential risk. The format of the care plans is difficult to follow making them difficult to use by the staff as working documents. However, positive feedback was received from most of the residents who were spoken with during the inspection and from Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 11 questionnaires completed by residents prior to the inspection about the ability of the home to meet their needs. An agreement has been made with the local Health Centre for all of the residents whose regular GP’s are located outside the immediate area to be registered with them for the duration of their stay at the home. This was discussed with the Registered Manager as a high number of service users use the service for short-term respite care and only stay for a week or two, but he said that this arrangement was not instigated by the home, but by the GP services. Nothing was seen during the inspection to indicate that the residents’ health care needs are not being met through timely referrals to the primary and secondary health care services. All of the residents seen looked clean and well cared for. The current medication for long-term residents is stored on the first floor and was not inspected on this occasion. The medication for people admitted for short-term care is stored in a designated room on the ground floor. This room is kept locked. There is a medication storage trolley within the room and this is chained to the wall. A controlled medication cupboard is fixed to a wall within the room. A record of the administration of controlled medication was seen and had been double signed. The details of the prescribed medication for residents at the home for shortterm care is handwritten onto the Medication Administration Record sheets by the staff. It was observed that some information from the pharmacist labels that should have been included had not been. A small number of gaps were seen in the administration records with no explanation given to indicate why the item of medication had not been given as prescribed. It was observed that some prescribed medication was being stored on the shelves in the medication room. Some of this had been kept for some time and one item was seen that did not belong to a current resident. Unused medication should not be kept at the home and an immediate requirement has been made instructing this to be removed. The acting assistant manager on duty said that none of the current service users administer their own medication. No evidence was seen to indicate that individual risk assessments had carried out assess if the service users could safely administer their own medicine if they chose to do so. Each of the residents has a single bedroom and all of the bedroom and bathroom doors are lockable. This enables personal care and care provided by healthcare professionals to be carried out in private. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 12 A key worker system is used to ensure that each of the residents has a named member of staff to work closely with them. The interaction between the service users and the staff was seen to be warm and friendly. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been based on available evidence including a visit to the service. A limited number of excellent activities are arranged by the home but more could be done to provide further opportunities for the residents to engage in social activities. The quality of the meals is good and the residents are offer a choice set meals and alternatives. EVIDENCE: A record is kept of the in-house and outdoor activities that are arranged by the home. This shows that some excellent activities, including a day trip to Dartmoor, a bar-b-q and an outing to see the town carnival parade had been arranged during the spring and summer. However, more could be done to provide social, occupational and recreational opportunities for the residents. Television is provided in the lounges and some of the residents have their own television in their rooms. Some of the residents enjoy playing dominos and other games and quizzes. One of the residents enjoys gardening and grows vegetables in the homes greenhouse. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 14 The homes policy of visitors is included in the Service Users’ Guide. Visitors are welcome at any time and the residents may, if they choose to do so, offer them refreshments and/or a meal. A payphone is available for the residents use. This is located in a small private lounge so that the residents can make or receive calls in comfort and privacy. Most of the service users who need help to manage their personal finances are helped by their families although an employee of the County Council does act as appointee for one resident. Small sums of personal spending money are held in a joint account for some of the residents. Records of individual transactions are recorded and individual interest is calculated and accredited to individual residents. The menu plans provided with the pre-inspection questionnaire indicate that the residents are offered a choice of meals. Records seen at the home showed that each of the residents are asked what they would like to eat from a choice of two options and that alternatives are offered if the residents do not want either of the set meals. The option sheets are kept as a record of food provided. Several of the residents spoken with said that the meals provided were good. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement is based on available evidence including a visit to the service. The residents can be confident that their complaints will be taken seriously and dealt with appropriately. The residents are protected by the homes policies and procedures on abuse but some of the staff still need training in this area. EVIDENCE: The Complaints Procedure is accessible to the residents and to their representatives. Questionnaires completed by five residents indicate that they would know and feel able to make a complaint about the service provided if they felt they needed to. One complaint has been received by the Commission since the last inspection, this was about the attitude of a staff member to a service user and was referred to the registered manager to deal with. Records of other complaints, which had been dealt with appropriately, were seen at the home. The pre-inspection questionnaire that had been completed by the registered manager identified that the service has written policies and procedures on adult protection and abuse, including a ‘Whistle blowing’ policy. The registered manager is qualified to train staff on the protection of vulnerable adults. Approximately two thirds of the staff have received appropriate training and the registered manager said that arrangements had been made for the remaining staff to attend an appropriate course. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 16 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, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a partial tour of the premises. The residents’ bedrooms are small but this is compensated for by the generous provision of communal space. A good standard of cleanliness is maintained throughout the home and the home is reasonably well maintained, however, the residents would benefit from the provision of new radiators to enable them to control the temperature in their rooms. EVIDENCE: Tracey Vale is a purpose built residential home. Although the size of the bedrooms, which are all single rooms, and the number of toilet facilities would not meet the current requirements for registration they did meet the standards required in the 1960’s when the home was built. There are gardens to the front, side and back of the home. The garden area to the front of the home is popular with the current residents, although the Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 17 gardens to the back of the house have better views of Dartmoor and the surrounding countryside. The home benefits from having several sitting rooms, which enables the residents to choose where to sit and who to sit with. The choice of lounges also provides facilities for residents to entertain their visitors in private if they wish to do so. A partial tour of the premises was carried out and the home was seen to be clean and comfortably furnished. Some of the rooms have recently been redecorated. New UPVC windows and external doors have been fitted, which has improved the external appearance of the home and will help to keep the home warm in the winter. Although the central heating boilers are fairly modern, the central heating radiators are old and do not have working thermostats to enable the residents to control the temperature in their bedrooms. The laundry is well equipped with two industrial washing machines that are capable of washing soiled linen at a suitably high temperature. The dryers are also of an industrial type. The residents clothing is separated into individual named boxes to avoid mix-ups. Hand washing facilities are also situated in the laundry to ensure that delicates can be washed safely. There are three sluices. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including staff records. The residents can be confident that safe staff recruitment methods are used, that sufficient staffing levels are maintained and that the staff are trained. EVIDENCE: Copies of the staff rota were provided to the Commission with a pre-inspection questionnaire that had been completed by the Registered Manager. These showed that sufficient care and ancillary staffing levels are maintained. In addition to this an assistant or deputy manager is always on duty at the home. An inspection of staff records and the pre-inspection questionnaire showed that safe methods are used to recruit new staff and that the staff receive induction training and on-going training. Devon County Council has provided opportunities and encouraged the care staff to gain NVQ qualifications and thirteen of the twenty-two care staff hold NVQ in Care at Level 2. One member of staff spoken to had started doing an NVQ at Level 3 as part of a Modern Apprentice Scheme. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement is based on available evidence including a visit to the service. The residents can be confident that the registered manager is trained and experienced. Quality assurance programmes and residents meetings enable the residents to have a say in the running of their home. The residents can be confident that the premises are safely maintained. EVIDENCE: The registered manager is very experienced and well qualified and has a good understanding of the needs of the residents. Questionnaires have been used to provide feedback from the service users about the quality of care provided. An analysis of this information was seen and negative comments had been highlighted for attention. In addition to this Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 20 service users meetings are held and minutes recorded to enable the residents to have an input into the running of their home. The pre-inspection questionnaire identified that none of the residents maintain their own benefit books or handle their own financial affairs. This was discussed with the registered manager who said that in all but one case, where an employee of Devon County Council acts as appointee, families or legal representatives provided assistance. The home does hold small amounts of personal spending money for the residents and the homes secretary keeps details records of the amounts held. All of the appropriate health and safety policies and procedures are in place and records of training provided show that the staff are receiving training in health and safety related topics. From the information provided regular maintenance and servicing is being carried out on the gas and electrical appliances and the water temperature is monitored. Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 21 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 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 3 X 3 X 3 X X 3 Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(1) & 17(1)(3) Requirement The initial service user assessments must be built upon and individual risk assessments should be carried out to enable the home to formulate detailed care plans of how the individual residents needs should be met by the staff. An immediate requirement has been made to the registered manager stating that accurate records must be kept of the medication administered by the staff to the residents and that unused medicine must be promptly and safely disposed of. More opportunities must be provided to enable the service users to engage in social, occupational and recreational activities if they wish to do so. Previous timescale 31/3/06 – not met. Arrangements must either be made to have individual thermostatic controls fitted to the radiators or to replace the existing radiators with radiators DS0000032549.V291769.R01.S.doc Timescale for action 05/11/06 2 OP9 13(2) 06/09/06 3. OP12 16 05/12/06 4. OP25 23 05/12/06 Tracey Vale Residential Home Version 5.2 Page 23 that can be individually controlled. Previous timescale for compliance 30/4/05, 20/12/05 & 31/3/06 - not met. 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 Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Tracey Vale Residential Home DS0000032549.V291769.R01.S.doc Version 5.2 Page 25 - 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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