Inspection on 18/04/07 for Woodcote Hall

This inspection was carried out on 18th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Woodcote Hall 11/11/09

Woodcote Hall 27/01/09

Woodcote Hall 08/05/08

Woodcote Hall 16/08/06

Woodcote Hall 01/03/06

Woodcote Hall 04/10/05

Woodcote Hall 30/03/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woodcote Hall Woodcote Newport Shropshire TF10 9BW Lead Inspector Joy Hoelzel Key Unannounced Inspection 18th April 2007 10:30 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 Woodcote Hall DS0000061781.V335174.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. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodcote Hall Address Woodcote Newport Shropshire TF10 9BW 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) 01952 691383 01952 691635 Select Healthcare Limited Mrs Susan Ann Beddows Care Home 56 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (56) of places Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate a maximum of 56 Older Persons and a maximum of 1 Younger Adult. The home may accommodate a maximum of 28 users requiring nursing care. The home must provide for 56 service users:08.00-14.00 14.00-22.00 22.00-08.00 2 RGNs 2 RGNs RGN 6 Care Assistants 6 Care Assistants Assistants One named resident as per discussion of 13.09.05 1 5 Care 4. Date of last inspection 16th August 2006 Brief Description of the Service: Woodcote Hall is a care home providing accommodation, personal and nursing care for up to fifty-six older people. It is privately owned by Select Healthcare Ltd. and is one of a number of care homes within the company. The Home is set within it’s own grounds and sited directly off the A41, south of the town of Newport. There is a good selection of communal use rooms, most bedrooms are single occupancy and some have en suite facilities. There is a passenger lift to access the first floor. Weekly fees range from £337.47 - £518.40. 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 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 Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection is the first of the statutory inspections for 2007/08 and took place over five and three quarter hours on Wednesday 18th April 2007. It was conducted by one regulation inspector. Twenty three of the thirty eight National Minimum Standards for older people were inspected on this occasion. Forty one people are currently living at the home; the registered manager, two registered nurses and five care staff were on the premises supported by a team of ancillary staff. Three case files were selected for case tracking, relevant documents and procedures were inspected, together with two randomly selected staff personnel files. Discussions were held with the manager, staff, people living at the home and visitors during the day. A full tour of the premises was conducted. Eight on site surveys were completed and returned at the end of the inspection, the comments received on these surveys are included in this report. What the service does well: The home provides a comfortable environment in which to live. People commented that ‘ the home is a lovely place in which to live, ‘ its nice and peaceful’, ‘ the grounds are lovely’ and ‘ staff look after us well’. The cleanliness of the home is maintained to a high standard. The staff demonstrated a good in-depth knowledge of the service user group and the conditions and dilemmas associated with the ageing process. The manager is highly aware of equality and diversity and its implications even when there are few people in residence with recognised diversity issues in receipt of the service. Social, leisure and recreational activities are arranged on a regular basis, based on the individual requirements and are age appropriate. Visitors and relatives commented ‘satisfied with the care provided’, ‘ my relative is looked after very well’. Service users stated that they are ‘ cared for and very well looked after’, ‘have no complaints’, ‘very happy to be here’. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodcote Hall DS0000061781.V335174.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 Woodcote Hall DS0000061781.V335174.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): OP 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken. The assessment is conducted professionally and sensitively and involves the individual, and their family or representative, where appropriate. This ensures that all care needs can be fully met. Good procedures are in place for emergency admissions. EVIDENCE: Three case files were selected for inspection including the person most recently moving into the home. Pre admission assessment forms are used to collect personal and medical information prior to a person moving in and are completed by a senior member of staff. The person most recently admitted to the home was on an emergency basis, staff did not have the opportunity to visit in hospital but all information was at Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 9 the home at the time of admission and an initial care plan was formulated based on that information. Staff offered a full explanation of the admission procedure and the course of action taken in the case of an emergency admission. The statement of purpose contains information on the admission procedure and the care arrangements. The home does not provide an intermediate care service Woodcote Hall DS0000061781.V335174.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): OP 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is responsive to the varied and individual needs and preferences of the people who use services. The delivery of personal care is individual and is flexible, consistent, reliable, and person centred. EVIDENCE: Three case files were selected for inspection, the care needs are initially assessed using the activities of daily living, risk and monitoring assessments are carried out with any identified risks then linked to a specific plan of care. One person was at risk of developing pressure areas due to general frailty, a full care plan had been developed to holistically review the care needed. The plans are developed and agreed with each person whenever possible and are reviewed on a monthly basis or more frequently if a change has been identified. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 11 One care plan had been developed following an assessment for someone exhibiting occasional challenging behaviours and gave full details of the action to be taken by staff in the case of such an incident. General practitioners and other healthcare professionals are contacted when the need arises; one person had recently had a medication review for pain relief. This was fully documented with the full instructions from the GP. The manager quality audits the care plans on a monthly basis and records the findings. The care staff were observed to be assisting people with personal care discreetly and in a manner which promotes a persons dignity. All were observed to be interacting well with lots of chatter and conversation occurring. The blister pack system is used for the administration of medications with the additional use of some bottles and boxes. Observation of the amount of controlled drugs recorded in the controlled drugs register and the amount held in the controlled drugs cabinet accurately corresponded. The Medication Administration Record appeared to be correctly completed no gaps were seen on the record and the reasons for non-administration are recorded. Phials and pens of Insulin currently in use are being stored in the fridge contrary to the manufacturers instructions, the correct storage arrangements was discussed with the nurse and manager. It was recommended that the air temperature of the treatment room be monitored on a regular basis for the safe storage of medications. The home had a recent visit (06/02/07) by the Primary Care Trust pharmacy technician who recommended the recording of the minimum/maximum temperature of the fridge on a daily basis. The local supplying pharmacist has also visited (08/03/07) who advised that a new thermometer is needed for the monitoring the temperature of the fridge. Woodcote Hall DS0000061781.V335174.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): OP 12,13,14,15 Quality in this outcome 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 individual needs and wishes. Staff listen to people and make considerable effort to provide a flexible service, which enables them to enjoy a better quality of life. EVIDENCE: In house activities are arranged throughout the month including musical evenings, movement to music etc. Two ladies stated that they most enjoyed the musical afternoons and evenings and had their own TV’s in their bedrooms should they wish to have some quiet, private time. The company employs a coordinator to visit the home to arrange and facilitate some activities, with the care staff organising the activities in between times. One person who completed the on site survey made an additional comment of ‘ could do with more entertainment and activities to occupy the time’ Many visitors were at the home during the inspection all appeared to be at ease two people commented that they could visit at times to suit their relative and generally visited during the afternoons. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 13 Many of the bedrooms were very personalised and were very different in decoration and furnishings. Breakfast is served either in the person’s bedroom or in the small dining room. Two ladies stated that they enjoyed having breakfast in their rooms and then they could get up at ‘their leisure’. The dining room was prepared well in advance of the midday meal with the meal being served from a heated trolley in the dining room. A choice of two main meals and desserts was on offer. One lady explained that an assortment of food is offered at teatime and included a hot snack in addition to an assortment of sandwiches and cakes. She said the food is sufficient and of good quality. Three people completing the on site survey commented that the food was good. Staff were observed to be assisting some people with their meal discreetly and unhurried. Woodcote Hall DS0000061781.V335174.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): OP 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home and others associated with the service state that they are very satisfied with the service provision, feel very safe and well supported by an organisation that has their protection and safety as a priority. EVIDENCE: The complaints procedure was last reviewed in September 2006, a copy is displayed in the entrance to the home and is included in the statement of purpose. All complaints and concerns received are recorded in a complaints file. Two complaints have recently been made to the manager, both have been responded within the stated timescales with further meetings arranged to discuss the issues with the complainants. A complaint was sent directly to Commission for Social Care Inspection and was responded to by the manager using the homes procedures. A recent adult protection referral reached a satisfactory conclusion following investigations by the multi agency team, members of senior staff being fully involved in this process. Staff demonstrated a good knowledge of how to deal with any concerns, complaints or allegations. A revised procedure has been adopted for the safe keeping of any personal monies or valuables, individual recording sheets show each transaction and the Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 15 balance of the cash kept on the premises. Two signatures are obtained and receipts and invoices are kept. Woodcote Hall DS0000061781.V335174.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): OP 19,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that meets the specific needs of the people who live there. The home is comfortable, and has a programme to improve the decoration, fixtures and fittings. Maintenance tends to be reactive rather than proactive. There are one or two areas that pose a potential risk to the people living and working at the home, for example, the water may be very hot coming from a tap due to a lack of a safety valve and safety may be compromised with the lack of appropriate door closures. EVIDENCE: A full tour of the home was conducted; the communal areas are homely, domestic in character and furnished to a high standard. The bedrooms are highly personalised and as individual as the person residing in the room. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 17 All areas of the home were spotlessly clean; the staff responsible for the household cleaning must be commended on maintaining such high standards. The gardens are very well maintained and accessible to service users. Many people stated that they enjoyed getting out into the garden whenever possible. The handy man stated that 85 of hot water outlets accessible to people living at the home have been fitted with fail-safe valves. He stated that the temperature of the water is not randomly tested to ensure that a safe temperature of around 43 degrees Celsius is maintained. The water thermometer in the bathroom not working. Some bedroom doors were being propped open with pieces of furniture; some wooden wedges were seen in use. Following the inspection in August 2006 it was agreed that magnetic door closures would be fitted in areas where there is a personal preference for the door to be kept open. The handyman stated that the wiring has been installed in preparation for the fitting of the magnetic catches but these have yet to be ordered. On observation of the room where one person prefers the bedroom door to be open and for whom it was identified that a magnetic closure was needed, no electrical wiring to the door was seen and the door was open with a wooden wedge. Some windows above ground floor level do not have restricted opening this being a potential risk of accidents. A window in a first floor bedroom was wide open. Hand wash facilities have been supplied in areas at the point of delivery of care, however there was no foot operated bins for the disposal of clinical waste this has the potential of an infection control risk. Not all doors are fitted with a locking facility; two ladies stated they have not been offered a key to their room. The statement of purpose states that all private rooms have been fitted with a lock and a risk assessment is completed for holding the key. One lady was in bed not feeling too well, but was able to say that she is very satisfied with her bedroom, and that it is comfortable and a ‘home from home’. Woodcote Hall DS0000061781.V335174.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): OP 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using services are generally satisfied that the care they receive to meet their needs, but there are times when they may need to wait for staff support and attention. EVIDENCE: The manager was on the premises supported by two registered nurses, five care staff, an administrator, and ancillary staff. The manager stated the required levels of two registered nurses and five care staff for the early shift reducing to two registered nurses and three care staff for late shift further reducing to one registered nurse and two care staff for night duty. A rota is maintained each day to identify the staff on the premises. Observation of the rota over a period of weeks indicated that these levels of staff are not being maintained and at times particularly over the weekend and evening periods there is a shortfall. Agency staff are not used to replace sickness and annual leave entitlements the existing staff are requested to cover the deficits. The manager discussed the ongoing difficulties with the recruitment of staff due in part to the rural location of the home and is currently in discussion with Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 19 the external management to agree recruitment and possible additional funding. There has been a recent anonymous complaint made directly to Commission for Social Care Inspection of the excessive hours worked by the overseas nurses, an explanation was offered nevertheless the recruitment of additional competent staff is urgently needed to ensure that care needs of the people living at the home are fully met. Visitors, staff and people living at the home stated that they thought staffing levels were low and that more staff are required. Two people commented ‘ we feel very sorry for the staff, there is not enough and we have to wait a long time to get help’. Five people made additional comments in the on site survey regarding the staff ‘Everyone is very helpful’, ‘The home is very well run’ ‘The care is very good’ ‘Sometimes have to wait for up to 30 mins for someone to come and help’ ‘All seem very caring’, ‘all the staff are great, friendly caring people who take an interest in the people living in the home and look after them very well’. A staffing notice has been operational as part of the conditions of registration, it appears that at times this notice is not being complied with or that the staffing levels are not determined by the dependency requirements of people living at the home. Training in the mandatory and specialist topics continue and recent courses included palliative care, use and care of syringe drivers and dementia care. Staff personnel files are being reviewed following the appointment of the new administrator to ensure that the information required is included. Woodcote Hall DS0000061781.V335174.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): OP 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has the required qualifications and experience and is competent to run the home. She has a clear understanding of the key principles and focus of the service, based on organisational values and priorities and works to continuously improve services and provide an increased quality of life for residents with a strong focus on equality and diversity issues. EVIDENCE: Sue Beddows is now the registered manager having successfully completed the formal registration process. Sue has good knowledge of the people living at the home and has good management style leading the team through good practice. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 21 Staff, service users and visitors commented positively on her management style. Service users stated they would ask to see her if they had any concerns. External management supports with regularly with visits from the area manager a full management meeting has been arranged for 19/04/07. Quality assurance and monitoring of the service is ongoing with recent distribution of satisfaction surveys to service users and/ or family/ representatives. The manager conducts monthly audits of care plans, and monthly staff meetings are arranged. A revised procedure has been adopted for the safe keeping of any personal monies or valuables, individual recording sheets show each transaction and the balance of the cash kept on the premises. Two signatures are obtained and receipts and invoices are kept. The statement of purpose has section on personal property and insurance and identifies the maximum amount of £500.00 for which the home will be responsible. The fire alarm is tested each week the handyman informs that the bells are not activated on a regular basis as ‘it upsets the residents’. The last recorded time of activation of the bells was December 2006. The local Fire Safety Officer was contacted to clarify the situation and confirmed that bells must be tested each week and appropriate records kept. Other records are maintained of the testing of the emergency lighting, portable appliance testing, gas safety certificate, hoists and lifts. The five year electrical certificate is out of date as the last certificate is dated 05/11/01. There is no record of testing for legionella the administrator stated ‘ this is in hand’. The last fire drill was recorded in November 2006 the handyman stated it is carried out every 6 weeks. A member of staff stated they couldn’t remember the last time a drill was carried out. The temperature of the hot water is not randomly tested. Woodcote Hall DS0000061781.V335174.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 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 2 Woodcote Hall DS0000061781.V335174.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 OP19 Regulation 23(4) Requirement Timescale for action 30/06/07 2 OP25 13(4) 3 OP27 18(1)(a) 4 OP38 13(4) The registered person must ensure that wooden wedges or pieces of furniture are not used for keeping communal or private area doors open. Previous timescale of 31/08/06 not met. The registered person must 30/06/07 ensure that all hot water outlets accessible to service users are fitted with a fail safe valve to maintain a temperature of around 43 degrees Celsius. The registered person must 30/06/07 ensure that the staffing numbers are appropriate to the assessed needs of the service users, the size and layout and purpose of the home, at all times. The registered person must 30/06/07 ensure that the health, safety and welfare of service users, staff and visitors are promoted and protected and that all checks and maintenance of equipment are up to date with records kept. Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 24 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 OP9 Good Practice Recommendations It is strongly recommended that thermometers are purchased and used for the monitoring of the medication fridge, the air temperature of the treatment room and the hot water. It is recommended that foot operated waste bins are available for the safe disposal of clinical waste and to reduce the risk of infections. 2 OP26 Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Woodcote Hall DS0000061781.V335174.R01.S.doc Version 5.2 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. 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