Inspection on 10/07/07 for Westerham Place

This inspection was carried out on 10th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Westerham Place 10/02/09

Westerham Place 23/01/07

Westerham Place 04/10/05

Westerham Place 31/05/05

Westerham Place 26/08/04

Westerham Place 14/04/04

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 Westerham Place Quebec Square Westerham Kent TN16 1TD Lead Inspector Debbie Sullivan Key Unannounced Inspection 10th July 2007 09:35 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 Westerham Place DS0000024042.V344806.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. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westerham Place Address Quebec Square Westerham Kent TN16 1TD 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) 01959 565805 Yewcare Limited Mr Scott Bryn Ernest Davies Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2007 Brief Description of the Service: Westerham Place is a care home providing personal care and accommodation for up to 24 older people. The home is located just outside the small town of Westerham, which has a variety of shops, pubs, a post office and churches. There is a local bus service and bus stops are nearby. The home consists of a large detached two-storey building with a newer purpose built two-storey extension. All the home’s bedrooms are single with en-suite facilities, including a WC, wash hand basin and bath. In addition there is one assisted bathroom located on the ground floor. There is a large lounge surrounded by a conservatory and a separate dining room. The garden is well kept and attractive. All areas of the home are accessible to people who have limited mobility; there is a lift to the first floor. The home employs care staff 24 hours a day, the majority of the care staff have worked there for some time and there is low staff turnover. The weekly fee range for the service is £750 to £850. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection of Westerham Place took place over six hours. During the visit time was spent with the manager, residents and care staff. A tour of the home took place and a range of records and documentation were read. Throughout the inspection residents and staff were helpful in providing information Survey forms were taken to the home for distribution to residents, relatives and outside professionals. Comments on returned forms will be collated and recorded to inform a future inspection. Some verbal comments from residents, staff and a relative are incorporated in this report. What the service does well: What has improved since the last inspection? The contact address for the Commission has been included in the Statement of Purpose. Adult Protection training has been provided for care staff and training on manual handling is booked for August 2007. Heads of care are now receiving regular supervision and staff files are being held on the premises. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Westerham Place DS0000024042.V344806.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 Westerham Place DS0000024042.V344806.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides written information on the service provided and prospective residents and their relatives are able to visit before a decision is made to move in. EVIDENCE: The home’s statement of purpose and service user guide are incorporated into one document and the address of the Commission has now been added. Prospective residents or their relatives are welcome to visit the home before they decide to move in, one resident spoken with had chosen the home as they knew someone who recommended it. The home offers respite as well as Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 9 permanent care and one resident was at the home for respite who had stayed at the home before. The manager assesses needs before a resident is admitted and visits them at home or in hospital. The home aims to meet the needs of residents as far as is possible, and if needs change they can remain at the home as long as any support required from other agencies such as health is available. The manager discussed a fairly recent decision that had been made with a family and health professionals that nursing care was required where a resident’s needs had increased. One resident was having an overnight trial stay in their own home with support, to see if they would be able to return there. Each resident has an individual contract with the home. All the residents were privately funded at the time of the key inspection. Intermediate care is not provided. Westerham Place DS0000024042.V344806.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): 7,8,9,10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans contain up to date information and health and personal care needs are well met. EVIDENCE: Each resident has a care plan; the care plans of residents case tracked and a small number of other residents were read. Each included needs assessment, evidence that needs had been reviewed, except in the case of the respite resident, contact with health professionals and daily recording. The daily recording and health contact information was very thorough and of good quality, it gave a clear picture of action taken by the home and others in respect of routine and other health input. Daily recording detailed visits from relatives and any activity the resident was involved in, as well normal daily routines and any changes that could cause concern. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 11 Care staff were joined for the afternoon handover and information passed on was thorough, staff were knowledgeable about individual needs and any dayto-day changes. A GP visits the home once a week as a matter of course, any health concerns that have not needed treatment sooner are referred to them. The home is pleased that the surgery is able to continue weekly visiting and finds it very useful. The district nurse visits regularly when required and a resident said that they had had a very recent visit for treatment to their foot. A chiropodist visits the home and where other specialist treatment is needed; again it is well documented and the outcome of consultations is clear. One resident whose needs have changed has regular appointments with dementia specialists, the home is in contact with their relative whose views are also documented, and the treatment offered is enabling the service to continue to meet needs at present. Medication is stored securely in each service user’s room; it is administered within the rooms except for at lunchtime. No service users were selfmedicating at the time of the inspection. MAR sheets were correctly filled in and staff who administer medication have received medication training. Residents said that staff treat them respectfully, residents are supported to maintain as much independence as possible with staff assisting when required. Residents spoken with said they appreciated the support that staff gave with tasks such as washing and dressing, whilst they liked to be independent if they could. One resident who had some mobility problems was being encouraged to venture out of their room a bit more as they had lost confidence in mobilising over recent months, after lunch the resident was taking a walk round the home with their walking frame very competently and was pleased they could manage this. Wishes in the event of terminal illness and death are recorded where residents have expressed their preferences. Westerham Place DS0000024042.V344806.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): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to exercise choice over their daily lives and contact with relatives and friends is supported. Meals are well cooked and varied, residents would benefit from more information on the daily choices being made available to them. EVIDENCE: The last inspection evidenced that residents were being surveyed as to their views on activities provided or that they would like, a further survey is due in November. The last survey and the views of residents spoken with during the inspection were mixed. No set activities programme is in place and some residents said they would like activities such as card games, whilst others would not be keen on anything too arranged. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 13 During the inspection residents were listening to music, watching TV in their rooms, two were doing tapestry in the conservatory and others were in the lounge. At coffee time more residents arrived in the lounge and there were various comings and goings throughout the day. Of those spoken with it was clear residents liked to choose to spend time alone and with others. More able residents can access local facilities independently or with staff support. Staff said that there is enough time to spend with residents especially as the home was not full and there are opportunities to accompany them out locally. Hairdressing is offered once a week at the home and a vicar visits regularly. The garden is accessible and pleasant for residents to sit in, but those spoken with were not keen on using it due to the current poor weather or health reasons. A staff member said they did try to encourage people to go out when there is good weather and last summer the garden was well used. There is space for residents to see relatives in private away from their rooms; a visiting relative said they were made welcome at any time. Care plans recorded visits and trips out with relatives. A resident said that they often rang friends and relatives or received calls in their room. Residents are supported to make choices about their lives; one resident had chosen to take meals in their room for health reasons. Residents are encouraged to maintain independence in managing their finances, some are completely independent, others have some support from relatives and staff. Meals are varied and well cooked and at lunchtime residents appeared to enjoy the meal. There is not a written choice of lunch on the weekly menu, only one option is shown, although residents spoken with knew they could have something else if they were not keen on the meal. There is a daily choice of evening meal on the menu. The manager and chef confirmed that choice can always be offered if a resident does not like the main option. Residents said that staff knew their likes and dislikes. Residents were mainly satisfied with the meals, where they were less so this was due to a main meal not agreeing with them, for instance being too spicy. Comments included “ Meals are great, very good, but not much choice” and “ Food a bit spicy”. The manager undertook to amend menus with a statement regarding lunchtime choice. Westerham Place DS0000024042.V344806.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): 16,17 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a complaints procedure and feel confident that they can raise any concerns with the manager or other staff. Staff have received adult protection training and the home has adult protection procedures in place. EVIDENCE: The home has a complaints procedure; no formal complaints had been recorded at the home. The manager said that if residents or relatives have any concerns these are dealt with promptly. Residents and relative spoken with said that they felt able to go to the manager or other care staff with any concerns. Since the last inspection the Commission had received some information of concern regarding the service, this had been passed onto social services and was discussed with the manager during the visit. The manager provided verbal and well documented evidence that the matters had been dealt with, or were in hand. There had been liaison with health colleagues and relatives where the Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 15 concern was in respect of residents whose needs had changed, this was mainly regarding reduction in mobility. The home has an adult protection policy and a copy of the Kent and Medway joint health and social services adult protection procedure. The home’s adult protection procedure needed some revision so that it made the process for reporting any suspected abuse clearer for staff. Staff spoken with were aware of the procedure and stated that the home had provided adult protection training recently. This had been a previous requirement. Advocacy could be arranged if required, all the current residents are able to advocate for themselves or a relative does so for them. All new staff are subject to a CRB check and the contract cleaning and catering staff employed by the home are checked by their agencies. Westerham Place DS0000024042.V344806.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a well presented and maintained environment for residents and individual rooms reflect their interests and tastes. Equipment to help residents maintain independence is available. EVIDENCE: The home continues to be maintained to a high standard, it is clean, well decorated and furnished. All rooms are en-suite and residents personalise them, rooms visited reflected individual tastes were very individual and in most cases furniture had been brought from home. Rooms contained pictures, ornaments and photos giving a homely feel, and residents spoken with liked their rooms. Those with mobility problems are accommodated on the ground Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 17 floor wherever possible and those spoken with with upstairs rooms said they used the lift. There is a small stairlift to a room situated up an additional few stairs off the landing. A bathroom equipped with a parker bath is located downstairs. At the time of the inspection the home was not fully occupied, so choice of room could be available. A new specialist carpet was to be fitted in the room of a resident where there was an odour due to their health needs. This will minimise odour and allow for easy cleaning. On moving in residents are offered the option of having locks on their doors, choices made need to be recorded on care plans. Residents can choose to spend time in their rooms, the lounge or conservatory area. There is also a pleasant small sitting area on the first floor. The dining room is spacious and looks out over the garden. During the inspection some residents were using the lounge and conservatory to listen to music, sit and chat together or do tapestry work. Those in their rooms spoken with they said they preferred to be there at certain times for health reasons or just for personal preference. Residents have equipment for personal use such as tripods, walking frames and sensory equipment. The home provides other equipment for shared use to help service users maintain independence and to assist with their care. Westerham Place DS0000024042.V344806.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-established and confident staff group supports residents. Further training due will help staff to be more equipped to meet the needs of service users and to be competent in their roles. EVIDENCE: The home was not fully occupied when the inspection took place so staffing levels had been amended accordingly. Staff had plenty of time to spend with individual residents. The home has three senior carers and day and night care staff. Senior staff undertake the regular supervision of care staff, and the manager supervises seniors. A sample of staff files were read, supervision notes are kept and annual appraisals take place. Supervision notes were brief and need to be completed in more detail. Staff meetings are currently not held; it is recommended they take place. Staff said they have time to discuss any issues of concern with each other when on duty or with the manager informally. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 19 Over 50 of the care staff have an NVQ qualification at either level two or three in care. There remains very low turnover of staff; therefore the staff team is mainly well established and very familiar with the needs and personalities of residents. Staff spoken with enjoyed working at the home, comments included “It is a nice environment, carers all get on” and “It is a nice place to work, staff are local”. Residents said that they felt staff cared for them well, that response to call bells was prompt and staff were kind. One resident especially liked it when care staff spent time chatting to them. Staff observed were attentive, respectful and confident during the visit. Since the last inspection staff have received adult protection training; manual handling training is booked for August 2007 and it remains a requirement that this takes place. The manager has undertaken to provide the Commission with evidence that the training has been completed. Staff were aware this training was due. Contract cleaners are employed by the home, although care and laundry staff undertake some day-to-day domestic tasks and need to receive COSHH training. No new staff have been recruited for over eighteen months, the staff files seen contained evidence that staff are CRB checked and suitable references are applied for. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 20 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): 31,32,33,34,35,36 and 37 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed by an experienced manager. The health, safety and welfare of residents and staff will be improved with the provision of further training for staff on safe working practices. EVIDENCE: The manager is experienced in the running of the home and has a management qualification. The home has a pleasant atmosphere and residents said staff and the manager are approachable. One resident commented that Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 21 the home was rather quiet currently as it was not full, another said “ Nothing I can grumble about, I am very happy here”. A visiting relative said, “I think it’s lovely”. The views of residents are sought in an annual survey and at residents’ meetings, the manager said that the resident group was quite vocal and they and relatives were confident in voicing any issues. The last inspection identified that the home no longer managed residents’ finances and new procedures were in place for recording day-to-day expenditure. Records are kept securely and equipment is serviced and maintained, this includes fire equipment, there are smoke detectors throughout the building. The home has a current insurance certificate on display. Policies and procedures are in place and are reviewed; the manager intended to revise the smoking policy in the light of recent legislation. Safe working practice needs to be improved upon with the provision of manual handling for all care staff, and COSHH training for all staff who undertake any cleaning and other domestic tasks. The radiator in one resident’s room was very hot; this was their choice but posed a risk, this had been identified at the last inspection. Residents are free to alter the setting on their radiators; it is recommended that a risk assessment be applied for each resident. The manager took immediate action to fit a control to the radiator that allowed for sufficient heating for the time of year, without the resident being able to change the setting. It is recommended that a radiator cover be provided in time for colder weather. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 2 Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 23 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 OP30 Regulation 18(1)(c) Requirement “The registered person shall having regard to the size of the care home, the statement of purpose and the numbers and needs of the service users ensure that persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform” In that all staff must undertake training in Manual Handling. This requirement is repeated from the previous inspection. The manager has stated that this training will take place in August 2007 and evidence of its completion will be forwarded to the Commission. 2. OP30 13 (4)(a) 18 (1)(a) 31/08/07 “The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards` to their safety” and “The registered person shall having regard to the DS0000024042.V344806.R01.S.doc Version 5.2 Page 24 Timescale for action 31/08/07 Westerham Place size of the care home, the statement of purpose and the numbers and needs of the service users ensure that persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform” In that all staff directly employed by the home undertaking domestic tasks must receive COSHH training. 3. OP38 “The registered person shall 13(4)(a)(c ensure that all parts of the home ) to which service users have access are so far as reasonably practicable free from hazards` to their safety” In that the radiator identified as being over heated on a residents’ bedroom be kept at a safe temperature at all times. This was a repeated requirement and action was taken to make the radiator safe during the inspection. Further action is recommended in that a radiator cover is purchased. 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 25 1. OP2 2. 3. OP15 It is recommended that when a service user or their representative agrees to a fee increase that the home and service user or representative hold a copy of their agreement letter. It is recommended that a daily choice of main meal be included on the menu in a format that is easy for residents to access. It is recommended that the home’s complaints procedure be clearly displayed on the premises. This is a repeated recommendation. OP16 4. OP24 It is recommended that residents’ preference to have a lock on their door is recorded. This is a repeated recommendation. 5. 6. OP36 OP38 It is recommended that staff meetings take place to involve as many staff as possible. It is recommended that a risk assessment be undertaken for each service user to identify any potential risks due to radiator temperatures. Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Westerham Place DS0000024042.V344806.R01.S.doc Version 5.2 Page 27 - 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!