Inspection on 29/11/06 for White Lodge Residential Home

This inspection was carried out on 29th November 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.

Other inspections for this house

White Lodge Residential Home 01/02/10

White Lodge Residential Home 09/06/09

White Lodge Residential Home 03/06/08

White Lodge Residential Home 25/04/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE White Lodge White Lodge Fenn Green Alveley Bridgnorth Shropshire WV15 6JA Lead Inspector Joy Hoelzel Key Unannounced Inspection 29th November 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address White Lodge DS0000067278.V319504.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. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Lodge Address White Lodge Fenn Green Alveley Bridgnorth Shropshire WV15 6JA 01299 861120 01299 862038 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) Oldfield Residential Care Ltd Mr Simon James Badland Vacant Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Maximum number of service users is 36 (thirty six) Date of last inspection 26th July 2006 Brief Description of the Service: White Lodge is a large adapted building currently providing personal care and accommodation for up to 36 older people. The home is located on the A 442 Bridgnorth to Kidderminster Road and offers both single and double bedroom accommodation. A large communal lounge and separate dining room are situated on the ground floor with a further lounge/dining area on the second floor. Mr Simon Badland has recently taken over this service and is now the responsible individual. White Lodge is now one of a number of care homes within this company. Weekly fees range from £304.00 - £ 450.00. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised, (September 2006), and are readily available. Commission for Social Care Inspection Reports for this service are available from the provider or can be obtained from www.csci.org.uk White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection is the first of key inspections for 2006/07 for the new service provider and took place over six hours on Tuesday 28th November 2006. It was conducted by one Commission for Social Care Inspection regulation inspector. Twenty four of the thirty eight National Minimum Standards for Older People were inspected. Thirty one people are currently living at the home and throughout the time of the inspection were observed to be accessing all areas of the home. The acting manager and deputy manager were on the premises supported by four care staff with additional domestic and catering staff. Five case files were selected for case tracking, relevant documents were inspected, and discussions were held with residents, visitors and members of staff. Observation was made of the various daily activities and a tour of the premises was conducted. On site surveys were distributed requesting information and comments about what people thought the home does well, what has improved in the last six months and what they thought the home could do better. Seven were completed by residents and returned later on in the day, the comments have been included in this report. What the service does well: What has improved since the last inspection? Revised procedures have been implemented for the safe administration of medication. The management of the home are endeavouring to adopt a more proactive approach to arranging appropriate social and leisure activities through the recruitment of a suitable position as coordinator. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 6 Staff are receiving an appraisal of their work performance with their training and development needs being identified, opportunities for training are then being arranged. Robust arrangements have been made for ensuring the health, safety and welfare of residents, staff and visitors are upheld. The seven bedded unit on the top floor of the building is now in use and provides people with a small, comfortable living unit. 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. White Lodge DS0000067278.V319504.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 White Lodge DS0000067278.V319504.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): OP1, 2,3, 6 Quality in this area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a statement of purpose and service user guide detailing the service provision however evidence suggests that this information is not being routinely given to assist with the decision making process of whether to move into the home or not. EVIDENCE: The statement of purpose and service user guide outlining the details of the service provision has been revised and updated in September 2006 following the registration of the home. The acting manager stated that both documents are awaiting publication. Both documents will require further revision to include all information of the service as set out in the National Minimum Standards for Older People. Three residents stated that they had not or could not remember being offered or seeing a service user guide either prior to or at the point of admission. There was no evidence on file to suggest that the residents had received either document. One resident stated that her relative may have received one but she personally had not. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 9 The statement of purpose outlines the fee structure for people who have their stay funded from the local authority and people who are self funding. Two people were unaware of the cost to stay at the home, one person stated that she prefers not to get involved with finances and ‘ leaves that sort of thing to her relative’. The statement of purpose contains a Terms and Conditions of residency and includes a financial agreement for people who are self funding. Three people spoken with were unsure if they had received a copy of the terms and conditions, there was no evidence in the individual files to suggest that they had been provided with one. The Terms and Conditions of residency contains incorrect information on the mission statement, states that nursing care is provided and details the regulating body at the National Care Standards Commission. The acting manger stated that contracts/ Terms and Conditions of residency are ‘not yet up and running as she has only just received the information on disc’. Four of the five case files selected for case tracking contained documents for assessing a persons needs prior to admission and contain information received from the local authority, primary care trust and previous placements. The deputy manager confirmed that a senior member of staff visits the prospective resident prior to offering a place at the home. There was no documentation to support this however an initial assessment had been carried out at the point of admission to the home. Two people were unable to confirm whether a member of staff had visited them prior to the admission. One person stated that her relative visited many homes in the area including White Lodge before making the decision on the residents’ behalf to accept the placement offered. She went on the say that she thought that it was a very good decision, she had settled down very well and was fully satisfied with the care offered and provided. The home does not offer an intermediate care service. White Lodge DS0000067278.V319504.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): OP 7,8,9,10 Quality in this area is adequate. This judgement has been made using available evidence including a visit to this service. Each resident has a care plan, some omissions of recording information has the potential for not fully meeting a persons needs. However staff appear sensitive to the individual needs of each resident and meet these in a professional manner. EVIDENCE: Five case files were selected for inspection and included people who had recently come to live at the home. Each resident has a plan of care initially based on the pre admission assessments and formulated at the point of admission. Some care needs had been identified but sufficient detail of the action needed to ensure that staff meet the care needs in a consistent way had not been documented. Assessments for monitoring the potential for the development of pressure areas and the risk of a person falling had not been fully completed and did not contain specific instructions on how the risk could be reduced. The care plan in one case file identified a problem with the person ‘wandering off’ and for sometimes leaving the premises alone. A specific plan of care had not been implemented to set out in detail the action to be taken by staff to White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 11 reduce the risk of this person getting ‘lost’ and what to do if he did leave the home unescorted. The plans are not being reviewed on a monthly basis. The acting manager explained the reasons for the omissions in the detail of the care plans and the lack of consistency with the reviewing process being due to the plans to have a computer based programme for this process. Difficulties have arisen to delay the installation of the package, nevertheless the care plan must contain sufficient information and detail the action which needs to be taken by staff, to ensure that all aspects of the health, personal and social care needs of the individual are fully met. This was discussed with the acting manager and deputy at the time of the inspection, the following day a revised and reviewed care plan was forwarded to the local Commission for Social Care Inspection to evidence that care plans are being reassessed to include the necessary details and instructions. Visits of other health care professionals to the home are recorded in the case file. At the time of the inspection the district nurse was visiting and stated that she felt the care was ‘very good and the home is always clean’. The acting manager stated that good relationships had been developed with the local healthcare centres and felt able to discuss any potential problems with either the GP or district nurses. The home operates a twenty eight day prescribing regime for the medication administration using bottles and boxes. The pharmacy inspector from Commission for Social Care Inspection visited the premises in July 2006 and made 19 requirements relating to the administration of medication. Action has been taken to ensure that full compliance with the requirements has been achieved. The deputy stated that the local primary care trust pharmacist had been into the home and advised on improving the procedures. Improvements have been made to the storage of surplus medications with individual named compartments being installed in the cupboards. Recordings in the controlled drugs register and the actual amount of drugs stored in the controlled drugs cabinet accurately corresponded. The lunchtime medication round was observed with staff offering the medication and assisting in an appropriate manner. The Medication Administration Record (MAR) charts were completed at the time of the administration. The care staff were observed to be very busy but were seen to be assisting residents with personal care discreetly and in a manner which promotes residents’ dignity. Lots of chatter, conversations and interactions were observed between the residents, staff and visitors during the time of the inspection. All appeared to be very well at ease with each other. Comments made on the on site survey completed by a resident were ‘ the carers are wonderful and so willing to help…. Never complain whatever we ask them to do…. So cheerful’. White Lodge DS0000067278.V319504.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12,13,14,15 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. The routines of the home are planned around the residents’ needs and wishes and endeavour to be flexible and changed to meet individual wishes, The service attempts to consider the preferences of the majority of its residents but may not always please everyone. EVIDENCE: The acting manager stated that recruitment is ongoing for a full time social activities coordinator for the home. Presently recreational and social activities in house are being arranged by the care staff. Residents spoken with stated that there is ‘nothing much to do’, ‘ the television is on most of the time’, ‘would like to be more active and do more things’. However some people stated that they were quite content to sit and ‘watch the world go by’, and others liked to watch television or listen to music in their own rooms. Religious services are arranged on a monthly basis offering the opportunity for Holy Communion for those who wish to partake. A monthly newsletter is being produced outlining the activities arranged, details are also displayed on the notice boards. The acting manager spoke of the forthcoming arrangements in hand for the Christmas celebrations. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 13 Many people were at the home visiting friends and family, and stated that they are always offered a warm welcome when visiting. During the tour of the premises many of the bedrooms were individualised with personal belongings. Staff were observed to be offering choices to residents throughout the day, the choices and options very much dependent on the capacity of the individual The inspector was invited to join residents with the midday meal; the dining room was prepared in advance, with the meal being presented well. Staff were observed to be serving and assisting in a relaxed, unhurried and discreet manner. Five of the seven on site surveys had comments about meals in the what could be done better section e.g. ‘hot dinners’ ‘ food could be warmer’, ‘ selection of food would be welcome’. The meal on the day of the inspection was at an agreeable temperature, presented well and nutritious. White Lodge DS0000067278.V319504.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 16,18 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Concerns or complaints are dealt with promptly and professionally and the arrangement for the protection of vulnerable adults is satisfactory. EVIDENCE: The complaint procedure is included in the service user guide; a copy is displayed on the notice board at the entrance to the home. Two people were unable to say if they had seen a copy of the complaints procedure and were unsure of what to do if they had cause to complain. One stated there would not be any need as she was perfectly satisfied with life at the home. One other person stated that maybe her son had received a copy of the complaints procedure but if she had any problems she would not hesitate but to see the acting manager. The acting manager stated that no complaints have been received recently. No complaints have been made to the Commission for Social Care Inspection since the inspection in July 2006. The policies and procedures for adult protection are available for staff reference and some staff have received training in the protection of vulnerable adults. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. Observation of the balance on the individual record and the amount of actual cash held corresponded. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19,26 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. The home provides a high quality, comfortable and safe environment for those in residence. EVIDENCE: The home is furnished, decorated and maintained to a high standard. Residents spoke of their satisfaction with both their private bedrooms and the communal areas. The seven bedded unit on the second floor is now in use with residents commenting that it is ‘quieter than having to be downstairs’. One person in particular spoke of her recent admission to the home and the difficulties associated with group living but stated that being in the smaller unit was more suitable for her. The acting manager discussed the plans for the further redecoration of areas and for redevelopment of the gardens. All bedrooms seen were highly personalised with the home providing good quality soft furnishings. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 16 All areas of the home were spotlessly clean; the staff responsible for the household cleaning must be commended on maintaining such high standards. Not all areas where personal care is undertaken have been supplied with suitable hand wash facilities at the point of the delivery of care for the effective control of infections. This was discussed with the acting manager who confirmed that items have been ordered and will be supplied in the near future. As commodes are in use in some rooms, to improve the working conditions for staff, to reduce the risk of contamination and for effective infection control purposes it is highly recommended that automatic sluice disinfectors are available in areas around the home. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27,28,29,30 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. There is a staff group working positively and enthusiastically to provide residents with a quality of life that meets their individual requirements and aspirations. EVIDENCE: At the time of the inspection the acting manager and deputy manager were on the premises and were supported by four care staff. Catering and domestic staff are additional. Staffing levels are decreased for the night time to three care staff. A rota is maintained to show which staff are on duty at any given time of the day or night. The service user guide details the grade and qualifications of all staff working at the home. Care staff were observed to be very busy attending to their day to day duties, two staff members spoken with stated that more staff would be beneficial to allow more quality time to be offered to people. The acting manager stated that she is currently recruiting additional care staff to then be able to increase the staffing levels in line with the dependency needs of the people living at the home. Two staff personnel files were selected for inspection, all the necessary identity checks have been carried out, with records kept. The training and development needs of staff are being identified through the appraisal process with opportunities for training being arranged. Some staff White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 18 are currently working through a dementia care programme and opportunities for staff to attend training in abuse awareness is imminent. White Lodge DS0000067278.V319504.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): OP 31,33,35,38 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. The acting manager has the experience to run the home on a day to day basis. She works to continuously improve services and provide an increased quality and stable life for residents. EVIDENCE: Since the last key inspection in June 2006, the home has been registered with new providers, the registered manager has left the employment and an existing member of staff has taken over the position of acting manger. A deputy manager has been recruited. A formal application with Commission for Social Care Inspection for the position of registered manager at the home must be submitted as soon as possible. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 20 The deputy manager has a good knowledge of the resident group and the conditions and dilemmas associated with the ageing process. Staff, residents and visitors commented positively on her management style with residents stating they would not hesitate to talk to her if they had any concerns at all. Through observation on the day it was obvious that the acting manager has developed good relationships with people living, working and visiting the home. Some quality assurance of the service is being conducted with satisfaction questionnaires being distributed in September 2006. Staff and resident meetings continue at regular intervals. Monthly visits by a person from the organisation continue with feedback given to the home of the visits. The acting manager spoke of some difficulties with a full quality assurance and monitoring programme being implemented, due to the short period of time since the new registration of the home. The home offers a facility for residents to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. Observation of balance on the individual record and the amount of actual cash held corresponded. Documentary evidence is available for promoting and protecting the health, safety and welfare of residents, staff and visitors. White Lodge DS0000067278.V319504.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 2 1 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 2 X 3 X X 3 White Lodge DS0000067278.V319504.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 OP1 Regulation 4(1) Schedule 1 Requirement The registered provider must ensure that the Statement of Purpose contains all information described the elements of Schedule 1.2, 3,5,6,7,8,11,14&15. Previous timescale of 31/08/06 not fully met The registered provider must ensure that the service user guide details all the components of NMS 2.2 Previous timescale of 31/08/06 not fully met The registered provider must ensure that all residents are supplied with a Terms and Conditions Agreement with the home, that it contains correct information, is equitable to all people and is completed as soon as practicably possible. The registered provider must ensure that a robust admission procedure is adopted and records completed and kept of all pre admission assessments. The registered provider must ensure that all care plans set out DS0000067278.V319504.R01.S.doc Timescale for action 31/03/07 2 OP1 5(1) 31/03/07 3 OP2 5(1) 31/03/07 4 OP3 14(1)(2) 31/12/06 5 OP7 15(1) 31/12/06 White Lodge Version 5.2 Page 23 5 OP30 18 (1)(c) 6 OP33 24(1) in detail the action required to be taken by staff to ensure that the health, personal and social care needs of a person are fully met The registered provider must 31/03/07 ensure that individual training needs are identified and met in order to clearly show staff fully meet the needs of all residents, including mandatory training. Previous requirement 31/08/06 not fully met. The registered provider must 31/03/07 ensure that a quality assurance and monitoring system is developed. Previous requirement 31/08/06 not fully 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. 1. Refer to Standard OP26 Good Practice Recommendations It is strongly recommended that consideration be given to the installation of automatic sluice disinfectors. White Lodge DS0000067278.V319504.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 White Lodge DS0000067278.V319504.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. 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!