Inspection on 05/10/05 for Vine House

This inspection was carried out on 5th October 2005.

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

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

Other inspections for this house

Vine House 10/05/06

Vine House 17/05/05

Vine House 23/11/04

Vine House 09/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Vine House Vanzell Road Easebourne Midhurst, West Susex GU29 9AZ Lead Inspector Annie Taggart Announced Wednesday 5 October 2005, 09:30am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Vine House Address Vanzell Road, Easebourne, Midhurst, West Sussex, GU29 9AZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Alan David Michael Hill 01730 815441 Mr Alan David Michael Hill Care Home 17 Category(ies) of PC Care Home only 17 registration, with number of places Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Care Home only (PC) Date of last inspection Brief Description of the Service: Vine House is a care establishment providing personal care and accommodation for seventeen older people ( over the age of sixty five years ). The home is a large detached house situated in the village of Easebourne, approximately one mile from the town centre of Midhurst with its shops and other amenities. Accomodation is provided in nine single and four double rooms situated on the ground and first floors, all bedrooms have en-suite facilities. There is a care park to the front of the home and a garden to the rear. The double rooms are let as single accommodation unless two people request to share. On the ground floor there is a lounge and dining room and there is a lift to aid access to the first floor. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced visit was carried out at 9.30am and lasted for 5.5 hours, which covered the early and late shift. During the visit the inspector spoke to twelve of the thirteen residents currently living in the home and also to three staff members. Five care plans and five staff files were seen with any issues highlighted being tracked and discussed with the acting manager. A tour of the home was undertaken during which all rooms were seen with the exception of room two where a resident was in bed poorly. The inspector however spoke to a family member who was visiting the resident and he expressed his satisfaction with the care provided. The inspector also spoke to another visitor who was full of praise for the acting manager and the staff team. The inspector spent the lunch period with residents and observed interactions with staff members. Prior to the visit the last two reports were read along with any other correspondence or documentation relating to the service. The acting manager had completed a pre-inspection questionnaire and information from this document was also used to inform the visit. Eight service user and five relative/visitor comments cards were received by the Commission and all made positive comments about the home. The registered provider Mr. Hill was at the home during the visit and was able to receive feedback and give comment to the inspector. The acting manager Mrs. Lawson assisted with providing information during the visit. What the service does well: The home offers comfortable and homely accommodation for the people who live there and residents say they are very happy with their private bedrooms. There is a committed staff team many of whom have been at the home for many years. The people living in the home say that their lifestyle choices are supported and that they are treated with kindness and respect. Visitors to the home said that they are always made welcome and can see their relative or friend in private. The acting manager is committed to providing good care to the people she supports and residents and staff speak highly of her friendly manner. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: All resident in the home should be provided with a contract setting out fees and the terms and conditions of occupancy. Although medication procedures have improved there needs to be risk assessments and procedures in place in respect of residents who selfmedicate. The carpet in one identified bedroom needs to be made safe or replaced. All staff members should receive a job description and a contract of terms and conditions of employment. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 7 The induction process in the home should comply with the Care Training Consortium standards and all staff should have access to mandatory training and the NVQ award. Staffing levels should be reviewed to ensure the safety of all residents at busy periods and to ensure that the acting manager is given management time supernumerary to the rota. There should be documented clear lines of responsibility in place in respect of the acting manager and registered provider. There should be documented evidence in place regarding the support and supervision given to the acting manager. The registered provider should provide the Commission with monthly records of monitoring visits to the home. The large radiator on the first floor landing should be made safe or removed. Arrangements must be made for the testing of electrical systems and appliances. Arrangements should be made for a Legionella assessment to be carried out at the home. Consideration should be given to re-laying or replacing the dining room carpet before it becomes a trip hazard. To assist with infection control consideration should be given to re-painting the laundry floor. 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. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 2 3 4 5 There is sufficient information available to ensure that prospective residents and their families are enabled to make a choice but there are no contracts available to ensure that residents understand the terms and conditions of residency. Needs are assessed and visits to the home encouraged. EVIDENCE: The Statement of Purpose and Service User Guide have recently been reviewed and updated to ensure that sufficient information is available to prospective residents and their families. There were no written contracts available to inform residents of the fees, room to be occupied and terms and conditions of residency as required. This was discussed with the registered provider who said that new contracts would be issued and agreed with individual residents or their families. A new resident had recently been admitted to the home following a preadmission assessment carried out at their previous accommodation by the acting manager. The resident confirmed that he was able to visit the home prior to moving in and was given a choice of rooms. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 standard(s) 7 8 9 10 The health, personal care and social care needs of each resident is assessed, recorded and reviewed on a regular basis. Medication procedures are well managed but systems need to be improved to ensure the safety of residents who self-medicate. Residents are treated with dignity and their privacy is respected. EVIDENCE: Six care plans were seen and all contained sufficient information to inform staff members of the health and social care needs of each resident. The plans are regularly reviewed and updated by the acting manager and staff complete daily updates, which are passed on during handover periods. There is evidence of input from a variety of healthcare professionals including local doctors, district nurses and hospital specialists. Residents confirmed that their healthcare needs were well met and said that there were very good local doctors who would visit them in the home if needed. District nurses visit the home on a regular basis and offer training and advice to staff. For one resident who is bed-bound there are two-hourly records kept of all care provided. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 11 Medication is appropriately stored and medication- recording sheets were found to be in good order. To ensure the safety of residents who self-medicate risk assessments should be completed and a system implemented and agreed with the resident to monitor and record the amounts of medication received and taken by individual residents on a weekly basis. A homely remedies policy should also be discussed with the pharmacist and implemented to ensure that cough medicines bought on behalf of residents does not have an adverse effect when used with prescribed medication. Some of the staff at the home have received certificated training in the administration of medication and a further training session is booked for all staff with the local pharmacist. All of the residents spoken to said that they were treated with respect and that the staff members were very kind and caring. One person said “ It’s just like being at home here, I can stay in my room if I want to or I feel unwell or come down and join in when I feel like it”. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 standard(s) 12 13 14 15 The lifestyle choices of residents are respected and people are encouraged to make choices and maintain control over their lives. There is a variety of fresh, home cooked food available and visitors are made welcome. EVIDENCE: Residents say that they are very satisfied with service offered in the home. Most of the people living in the home are from the local area and therefore have local networks in place. Some people have moved back into the area to live in the home. There are musicians who visit the home on a two weekly basis and staff members provide stimulation by running quizzes and games and a mobile library visits every two weeks. There are books, music and videotapes available in the home and people can also receive communion in their own rooms or in the dining room. Resident’s meeting are also held to allow people to make their feeling known and to make suggestions about improvements to the service. A resident said, “I couldn’t ask for better, I am a local person and even know all the visitors who come to the home”. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 13 Another resident said” I was at another home for four years and wanted to come back as I have known this place for years. It is so much better and people here are really kind to me”. There were two people visiting the home and both said they were always made very welcome and spoke highly of the acting manager and the staff team. One person was visiting their family member at 8.30am on their way to work and said that they were always kept informed of any concerns about their relation. The inspector spent time with residents during the lunch period and the meal was freshly cooked, attractively presented and alternatives were available. Likes and dislikes are recorded and diabetic, vegetarian and other diets can be catered for if required. All of the residents in the home were very complimentary about the cook and the food provided. People can choose whether to come to the dining room for meals or to have a tray in their rooms. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 standard(s) 16 17 18 Residents and their families can be confident that their complaints will be listened to and treated seriously. Legal rights are protected and to further protect residents from abuse staff members have now received relevant training. EVIDENCE: The complaints procedure has recently been reviewed and updated and a copy is posted in the hall of the home. A copy of the revised document will also be added to the Statement of Purpose and Service User Guide. No complaints have been recorded in the last year but both the people living in the home and visitors said that any concerns they might have were listened to and acted upon immediately. To ensure legal rights are protected residents have access to an advocate service if required and are supported to vote either by postal voting or going with families to the ballot. The acting manager has now attended a course in the protection of vulnerable adults from abuse and has cascaded the training to the staff team. Staff members were aware of their responsibilities should they suspect an abuse had taken place. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 standard(s) 19 20 21 22 23 24 25 26 The home offers a comfortable and homely environment for the people who live there. Specialist equipment is available as required and private bedrooms demonstrate individual choice. There are risks associated with the environment regarding two carpets and appliance testing not having been carried out. EVIDENCE: There is a lounge and adjoining dining room available, which are decorated and furnished in a homely, comfortable manner. The garden area is attractive and well maintained and contains tables and chairs to allow people to sit outside in good weather. The carpet in the dining room area is very stretched and could be a trip hazard. There are sufficient toilet and bathing facilities available and raised toilet seats, handrails and grab rails are available to assist with mobility and independence. Specialist beds and other pressure relieving equipment is provided by the district nurse team who also provide training and advise to the staff team. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 16 The laundry room has a washing machine with a sluice facility and health and safety notices are posted. To assist infection control, consideration should be given to re-painting the floor, which is becoming worn. Private bedrooms are decorated in an attractive, homely manner and contain furniture and belongings brought to the home by the people living there. To ensure residents are protected in the event of a fire occurring, five bedroom doors have now been fitted with magnetic closures and the outstanding four are due to be completed in the near future. There are further risks to residents by the use of electrical equipment and small appliances in their rooms, which have not undergone appliance electrical testing. A requirement has been made in respect of this. The carpet in one person’s room was very stretched and was pointed out to the acting manager as a trip hazard especially as the resident in the room has poor mobility. A requirement has been made to make the carpet safe. The people living in the home expressed their satisfaction with their private rooms, which were all clean and fresh. One resident said “I really like my room, I have a lovely view over the countryside and someone vacuum’s the carpet and cleans my bathroom for me every day”. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 28 29 30 Although the staff team at the home are caring and committed there are concerns regarding the numbers of staff available at busy periods. Staff records are in good order and staff members receive training. EVIDENCE: The rota shows that two members of staff are available on both the late and early shift and also a cleaner and cook work on a daily basis. At night there is a waking night and sleeping- in person on shift. There are concerns that the acting manager works long hours on a daily basis as part of the care staff, leaving her with no management time. There are further concerns in that the care plan of one resident clearly documents that two staff members are needed to provide their morning routine which means at this time there are no staff available to monitor other people or to deal with emergencies. Staffing levels should be reviewed to providing extra staff members to cover the early shift and to allow for management time. The acting manager has carried out work on improving the staff files, six files were seen and all contained current CRB checks, two references and other required documentation. It was pointed out to the acting manager that some of the references do not have addresses of the referees on them and Mrs. Lawson said that this would be see that they were obtained. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 18 None of the staff files contained a job description or contracts of employment, this was discussed with the registered provider who confirmed that these were not in place. A requirement has been made in respect of this and Mr. Hill said that he would address the situation as soon as possible. New staff members receive an in-house induction but this is not in line with current requirements. Mrs. Lawson said that she would contact the Care Training Consortium for guidance and advise. Staff training files show that some courses are accessed including infection control, care of the dying, manual handling and in-house training but all staff members have not yet completed mandatory training. Although the acting manager is an NVQ assessor staff at the home do not have access to the training even though it is highlighted as a request in some of the staff files. This was discussed with Mr. Hill who said that further investigations would be made in accessing the award. Both the people living in the home and visitors made very positive comments about the staff team, who they say are very dedicated, friendly and hard working. One person said “The staff here are lovely and friendly and would do anything for any of us”. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 33 35 36 37 38 The acting manager runs the home in the best interests the people who live there. Staff supervisions are now in place and resident’s monies are safeguarded. There are concerns regarding the safety and welfare of residents with regards to health and safety issues. EVIDENCE: The acting manager is awaiting the interview process in respect of her application for registered manager. Residents, staff and families spoke very highly of Mrs. Lawson and said that she was dedicated, hardworking and approachable. As previously noted there are concerns that all of Mrs. Lawson’s working time is taken up with working on the care rota and that management time is not available. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 20 Mrs. Lawson now has a job description in place but there are no clear guidelines concerning her role and responsibilities or written evidence of her receiving supervision and support from the registered provider. This was discussed with Mr. Hill who said that this would be provided once Mrs. Lawson is successful in her manager’s application. Staff members are now receiving supervision and sessions are recorded and kept on file. The people living in the home either manage their own financial affairs or have support from families or solicitors. A small amount of money is kept at the service in respect of one resident, this is safely locked away and any transactions recorded. Mrs. Lawson has implemented a quality assurance system at the home based on satisfaction questionnaires, which were sent to residents and their families and friends. The replies have been collated and outcomes published and placed on the notice board of the home. Records for the running of the business were seen including fire, maintenance and health and safety. Fire checks and staff training were up to date. A fire risk assessment has now been competed. The lift and lifting equipment have recently been serviced. A current agreement is in place with a local pharmacist. The insurance document is current and is on display. Water temperatures are tested and recorded on a regular basis. The gas boiler and gas equipment check have recently run out and are due within the next week. Regulation 26 reports regarding the monitoring of the service by the registered provider are not being provided to the Commission as required. Health and safety procedures which are a cause for concern and have been made requirement are: There is still one large radiator on the narrow landing which is uncovered. Mrs. Lawson said that the radiator is not used but Mr. Hill said that it is kept in place in case there is a cold spell. It is a requirement that residents are protected from risk of harm by the radiator being made safe by either being covered or removed. Electrical appliance testing has not been completed putting both resident and staff at risk from electrical shocks or fire occurring. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 21 There is no record of a wiring check having been undertaken at the home, which further poses a risk to both residents and staff. Sleep in staff are still sleeping on a mattress on the floor of the annexe to the lounge putting them at risk should a fire occur. There is no record of a Legionella test having been carried out at the home Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 1 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 3 3 3 3 3 1 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 2 1 Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP 2.1 OP 9 Regulation 17 17 Timescale for action Each resident should be provided 1st with a statement of terms and Novemeber conditions of occupancy 2005 Risk assessments and monitoring 1st procedures should be November implemented for residents who 2005 self-medicate and a homely remedies policy shoud be implemented. The carpet in one identified 25th bedroom is made safe or October replaced 2005 There must be sufficient staff 1st available at all times to meet the November assessed needs of the current 2005 residents The radiator on the upstairs 1st landing must be covered or November removed to ensure residents 2005 safety All staff should receive induction 1st and mandatory training in line November with current guidelines and NVQ 2005 should be made available to all staff. All staff members must receive a 1st job description and a contract of November employment 2005 There needs to be documented 31st clear lines of responsibility October between the acting manager and 2005 Version 1.40 Page 24 Requirement 3. 4. OP I9 OP 27.4 16 18 5. OP 25 23 6. OP 28 and 30 !8 7. 8. OP 29 OP 31 17 9 Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc 9. OP24 26 10. OP 38 23 11. OP38 23 12. OP38 23 the responsible person Outstanding from last two reports. The registered provider should provide the Commission with copies of records of monitoring visits to the home The registered provider must make arrangements for the maintenance of electrical ststems and electricla equipment in the home. The registered provider shall provide for staff suitable sleeping in accommodation. Outstanding from last inspection The registered provider should make arrangements for a Legionella assessement to be carried out at the home. 31st October 2005 31st October 2005 31st October 2005 3!st December 2005 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 23 23 Good Practice Recommendations Consideration should be given to ensuring that the dining room carpet is re-fitted or replaced so that it does not become a trip hazard. To assist with infection control consideration should be given to re-painting the laundry room floor. Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Vine House H60-H11 S14819 Vine House V245418 051005 Stage 4.doc Version 1.40 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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