Inspection on 20/06/06 for Wrea Bank Residential Home

This inspection was carried out on 20th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wrea Bank Residential Home 12/04/07

Wrea Bank Residential Home 23/02/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wrea Bank Residential Home 20 Edge Lane Chorlton Manchester M21 9JF Lead Inspector John Oliver Key Unannounced Inspection 20th June 2006 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 Wrea Bank Residential Home DS0000064866.V301247.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. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wrea Bank Residential Home Address 20 Edge Lane Chorlton Manchester M21 9JF 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) 0161 861 8444 0161 748 0124 Lymburn Limited Anne-Marie Thompson Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 18 older people (OP) may be accommodated. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum `Care Staffing in Care Homes for Older People`. 23rd February 2006 Date of last inspection Brief Description of the Service: Wrea Bank is a residential home providing accommodation and personal care only for up to 18 older people. Accommodation is provided in 12 single and 3 double bedrooms. Two of the single rooms have en-suite facilities. The home has two lounges, a dining room and a conservatory. Wrea Bank is located South of city centre with access to public transport links into Manchester City Centre, Chorlton and Stretford shopping centres. The home is set in large well maintained gardens which are accessible to reisidents. A large car park is available to the front of the building. At the time of this visit to the service weekly fees ranged from £368.09 £390.00 per week. Additional charges are made for hairdressing, newspapers and toiletries. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written using information held on the Commission for Social Care Inspection (CSCI) records, information provided by people who use the service, staff in the home and by the provider (i.e. the owner) of the home. A site visit to Wrea Bank took place on 20 June 2006 over a period of six and a quarter hours and the home was not told about the visit beforehand. During the visit the inspector had a look around the home and looked at paperwork that must be kept by the home to show it is being run properly. Another way that was used to find out more about the home was by talking with some of the residents, staff and visitors who were in the home on the day of the visit. A number of care home survey questionnaires had been sent to the home by CSCI asking residents what they thought about the care in the home. Five residents filled in these questionnaires and returned them to CSCI before the visit took place. Also, the manager of the home had provided CSCI with a lot of information about how they deliver the service to people living in the home in the form of a care home survey questionnaire that had been completed and returned to CSCI before the visit took place. Since the last visit in February 2006 no complaints or significant incidents had been reported to or received by CSCI. All key standards were looked at during this visit. What the service does well: The management and staff of the home have worked hard to continue providing and further developing a positive, high standard service to the residents. Residents spoken to during the visit were very happy living in the home and some comments made included: * * * * “The staff know my routine and respect that” “Staff are remarkable” “Too many activities sometimes” “The management of the home is extremely good and I hope they are staying” Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 6 * * “Staff cannot do enough for me – all my needs are met” “I feel comfortable and safe living here – you cannot ask for more”. The residents in the home have their own ‘committee’ with a chairperson and secretary which meet on a regular basis to discuss issues relating to various subjects with minutes being kept. This ensures that each person living in the home has an opportunity to express their own opinions in a suitable forum. 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. Wrea Bank Residential Home DS0000064866.V301247.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 Wrea Bank Residential Home DS0000064866.V301247.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): 1,2,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service, including relatives, friends and advocates have good information provided about the home in order to make an informed decision about whether the home/service is right for the individual. The needs assessment completed by the home helps to identify that people’s diverse needs are known and planned for before they move into the home. EVIDENCE: The Statement of Purpose and Service User Guide had both been updated by the manager to reflect the changes to the management structure in the home. Copies of both documents were clearly displayed in the hallway of the home and a copy provided to all residents. One resident spoken to confirmed this. There has been one new admission to the home since the last visit took place in February 2006. The file for this resident was examined and information contained in it confirmed good practice was taking place. The deputy and assistant manager had visited the person in their own home and had Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 9 undertaken a thorough initial assessment of their care needs. A visit to the home was arranged for this person prior to admission taking place. This information was recorded in the records although the individual concerned was unable to remember the visit due to short-term memory loss. Staff spoken to were clear about the procedure used when admitting someone to the home for the first time and said that it was important to remember to ‘go at their pace’ (the residents’) and not to ‘rush’ them. Written information relating to admission was adequate and included a copy of the care management assessment. Basic information had been provided and made available to staff to ensure they could meet the identified needs of the individual. Each resident had been provided with a ‘Terms and Conditions of Residence’ that included relevant information about living in the home and costs. This has been updated since February 2006. The current fees were included and clearly laid out. This means residents have the information they need about the service and how much it will cost them. Discussion with the manager confirmed that the home does not offer intermediate care services. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning processes within the home included all aspects of health; personal and social care and provided relevant information to staff in order to meet the individual needs of residents. The administration and handling of medication was well managed. EVIDENCE: Care plans were in place for each resident and had been further developed and included much more detail about how members of the staff team should provide the actual support to the individual resident. Those care plans examined had been reviewed on a monthly basis along with risk assessments and other relevant information. No resident signatures were apparent on care plans seen and discussion with two residents confirmed that although they felt all their needs were met did not realise a care plan was in place for them. Both said that they would like to be involved in the reviewing Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 11 process each month. This would enable residents to make informed choices about the care they receive and how staff in the home supports them. The manager said that all residents had been informed about their individual care plans but would ensure that this is discussed at the next residents meeting and staff meeting. The care plan of the recently admitted resident reflected the needs identified at the pre-admission assessment and had been reviewed by a member of the management team on a regular basis. Two residents spoken to confirmed that the staff team met all their needs. Comments within the surveys returned to CSCI prior to the visit taking place clearly confirmed that people were happy and confident that their needs were met. During the visit two other health care professionals were providing treatment in the home and spoke with the inspector about the service. They said that it was one home that they came to where they know residents are well looked after and that staff are responsive and helpful during their visits. One resident said “there is not one member of staff I can think of who is not polite, caring and knows how to treat each one of us – they are wonderful”. Observation of staff during the visit indicated that they treated residents with dignity and respect and the residents’ spoken to confirm this. Staff had an overall understanding of the needs of people with dementia and was seen to be patient and kind when interacting with them. Under the guidance of the manager, staff had developed their skills in identifying how to support people with varying degrees of dementia and was able to explain this to the inspector. Medication was dealt with appropriately and evidence seen on the day of the visit confirmed that those staff with the responsibility for the administration of medication had received relevant training. No errors were found in medication records. No resident was self-administering medication. One resident spoken to said: “medication is dealt with most efficiently – always on time – you never have to wait”. Wrea Bank Residential Home DS0000064866.V301247.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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A good range of recreational opportunities is available in the home and residents are supported and enabled to fulfil their individual wishes and choices. Food was of a good standard, varied and nutritious. EVIDENCE: One member of the care staff team has the responsibility for offering a range of recreational activities to residents. These included arts and crafts and evidence of these activities were displayed throughout the home. A focal point in the hallway of the home is a large notice board displaying information relating to the social events taking place in the home. Information about what each resident likes to do and to be involved in is kept in a large file that is updated on a monthly basis. The residents in the home have their own ‘committee’ with a chairperson and secretary which meet on a regular basis to discuss issues relating to various subjects with minutes being kept. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 13 Residents spoken to confirmed that activities take place on a regular basis with one resident saying “too many activities some times”. Throughout the morning of the visit residents were occupying themselves by reading, watching TV or having ‘treatments’ such as manicures. Two residents said that they have newspapers delivered, as they like to keep their brains ‘active’. Visitors spoken with during the visit confirmed that they continued to be encouraged to visit the home to see their relative and are always made to feel welcome. The owner of the home is also the cook. Menus were varied and nutritionally balanced. The dining room was appropriate and nicely furnished. New chairs had just been purchased adding to the ambience of the room. Tables were appropriately set with cutlery and appropriate condiments for the meal. Throughout the lunch, staff were noted to be offering choices and providing assistance to those residents who needed help. This was carried out in an unhurried manner and residents were not rushed to finish their meals. Surveys received by CSCI included 3 that stated the individual ‘always’ liked the meal and 2 ‘sometimes’. It was observed that there was very little waste from the meal indicating that people had enjoyed it. Those residents spoken to confirmed that they had. Wrea Bank Residential Home DS0000064866.V301247.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): 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 feel safe and listened to and that their rights are upheld. EVIDENCE: A complaints procedure was available to all residents and this was included in the service user guide. Residents spoken to felt safe and secure and they would be comfortable speaking with staff and the manager if they were not happy about anything in the home. Minutes of meetings held with residents confirmed this to be the case. The home maintained appropriate systems for dealing with complaints although no complaints had been received in the previous twelve months. Two residents spoken to confirmed that they were given the opportunity to vote at the last election. Staff have a good understanding of residents rights as individual citizens. Staff had received training in the protection of vulnerable adults and the member of staff spoken with was able to give a clear demonstration of their understanding of the action they would take should an allegation be made. Further training was being provided to those staff currently working towards achieving the National Vocational Training Level 2. Wrea Bank Residential Home DS0000064866.V301247.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): 19 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The lack of maintenance and renewal of the kitchen facilities including none adherence to policies and procedures relating to health & safety could place residents at risk. EVIDENCE: The home was generally clean, tidy and well maintained. Residents said that the home was maintained to a high level of cleanliness at all times. Surveys received by CSCI all confirm this. This was also confirmed by visiting healthcare professionals and relatives visiting the home on the day of the site visit. No unpleasant odours were detected during a tour of the premises. Individuals spoken with like their bedrooms and considered them as ‘little flats’ and had personalised them to varying degrees to reflect their own characters. Although residents had access to the rear garden this was not generally well Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 16 used. People tended to use the patio area to the side of the building near the conservatory. However, paving stones in this area were uneven and are a potential tripping hazard to anyone using that area. A number of bedrooms had been re-decorated and painted since the last visit and had been provided with new headboards to the beds and new bedding and curtains. This is an on-going programme of maintenance and refurbishment and it is acknowledged that a requirement made at the last visit to the home regarding this was still within the timescale given. One bedroom was in need of refurbishment but the resident had refused this to be done and this needs to be recorded on the individuals’ file. One resident spoken to confirmed that she had new bedding and curtains for her bedroom. A number of doors did not close into their rebates effectively and an audit of all doors must be undertaken and doors adjusted where required. This is to ensure that should the fire alarm be activated all fire doors close properly. An audit of all carpeted areas must be undertaken and new ‘floor plates’ fitted where carpet has ‘come away’ from existing floor plates. This is to prevent potential tripping hazards to both residents and staff. Although the home had a programme of routine maintenance none was in place for the kitchen area. This area was in need of ‘deep cleaning’ and some of the fixtures and fittings needed updating. Discussion with the owner of the home confirmed that a plan of action was being developed and a copy would be supplied to CSCI. Staff were observed using the kitchen to enter and leave the premises which is not acceptable and must not happen. This is a hazard that could result in contamination during the preparation of food. All areas of concern relating to the kitchen area were fully discussed with the owner and the manager. There was evidence on the window cills/drain pipes that the home was experiencing difficulties with pigeons roosting, which is resulting in soiling. This could be detrimental to the health of both residents and staff and must be addressed. Wrea Bank Residential Home DS0000064866.V301247.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): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported and protected by the home’s recruitment and selection policies and procedures and the number of staff employed in the home was sufficient to meet the needs of the residents and had the relevant skills and training to be competent in their job role. EVIDENCE: No new staff had been employed by the home since the last inspection visit in February 2006. The manager confirmed and was able to evidence that all staff had received appropriate enhanced Criminal Record Bureau checks. The home’s rotas provided evidence that sufficient staff were being deployed to meet the assessed needs of residents. Managers hours worked were also identified on the rota. Residents’ spoken to confirmed that enough staff were on duty and, when requested to, responded to their needs quickly. Residents also confirmed that night staff were always available if needed and carried out regular checks throughout the night. Surveys received by CSCI all confirmed that residents felt that they were getting the support they needed. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 18 Discussion with a member of staff confirmed that an induction programme had been developed by the manager that was specific to the role they were now employed to carry out. It was also stated that the manager saw training as a priority and this was giving staff more confidence in using their skills and abilities in their work role. This would be beneficial to the residents. The pre-site visit questionnaire received by CSCI stated that 2 staff had achieved National Vocational Training (NVQ) at Level 2 and a further 7 had enrolled on this particular course of training. Discussion with a member of staff confirmed this and also confirmed that two members of the senior team were currently undertaking training in NVQ Level 3. Interviews had been held for staff vacancies that will be occurring later in the year and this is good pro-active planning. This had involved an ‘open day’ for those people who had shown an interest in the vacancies available. Each staff member had an individual training log on file. The manager confirmed various mandatory training that had taken place for staff. In conversation with staff it was evident that they possessed the knowledge, skills and experience to meet the assessed needs of people living in the home and comments from staff included: we are now “more a team of workers – used to be a group of workers” and, the home has a “more relaxing atmosphere to work in since the new owner/manager have taken over”. Residents spoken to during the inspection said: “staff are remarkable”, “staff cannot do enough for me – all my needs are met”, “I feel comfortable and safe living here – you cannot ask for more”. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements are meeting the needs of the service, and the quality of the service is undergoing continual improvement. EVIDENCE: The registered manager was able to demonstrate that she was providing leadership and guidance to the care staff on a day to day basis. This had noticeably improved the atmosphere in the home which was much more positive, open and inclusive. Residents’ spoken to were aware of whom the manager of the home was and felt that the manager was effective and supportive in her role. They also have Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 20 a lot of contact with the owner of the home who is also the cook. The owner asks them about the service they receive. Staff spoken with were very positive about the management style and one member of staff said that they now very much enjoyed coming into work. It was stated that staff now had more autonomy in their roles and played an active part in the development of the service in the home. This means there is a better atmosphere for the residents. Staff confirmed that supervision was happening on a regular basis and was recorded. Satisfaction surveys have been developed by the manager and will be used to review the service provided by the home. The home does not manage the residents’ personal finances. These are handled either by residents’ relatives or other advocates. If residents are admitted with cash or cash is brought in by relatives for items such as hairdressing it is recorded, signed for and receipts obtained. The pre-site visit questionnaire confirmed that appropriate servicing and maintenance of equipment was taking place. This was verified by the random selection of a number of service records during the visit. As mentioned earlier in this report (see section on Environment) some health and safety issues that could have potential hazards to health have been identified. Wrea Bank Residential Home DS0000064866.V301247.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 3 3 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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 13 & 23 Requirement The paving stones on the patio area identified to the owner must be re-laid and made even to reduce the risk of tripping. An audit of all doors must be carried out and adjustments made where necessary to ensure that they close into their rebates effectively. An audit of the furnishings in bedrooms must be undertaken and replacement furnishings provided where necessary as a matter of priority with records kept. A full audit of all carpeted areas must be carried out and new floor plates fitted where carpet joints/edges are ‘coming away’ and are a potential tripping hazard. The kitchen must not be used as a ‘usual’ means of entry/exit to the premises. The kitchen must be ‘deep cleaned’ in those areas discussed with the owner. Timescale for action 25/08/06 2. OP19 13 & 23 28/07/08 3. OP19 13 & 23 29/09/06 4. OP19 13 14/07/06 5. 6 OP19 OP26 13 13 14/07/06 14/07/06 Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 23 7 OP26 13 Effect arrangements must be made to prevent pigeons roosting on window cills and other parts of the building that could be accessible to residents. All pigeon ‘soiling’ must be removed and appropriately cleaned. 29/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP19 Good Practice Recommendations It is recommended that each resident, where possible, is involved in the development and reviewing of their individual care plan. It is recommended that the stair carpet identified to the proprietor be replaced in those parts that are showing signs of significant wear sooner rather than later to prevent a tripping hazard developing. Wrea Bank Residential Home DS0000064866.V301247.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Wrea Bank Residential Home DS0000064866.V301247.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!