Care Home: Connolly House

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What the care home does well During our inspection we were told many good things about the service offered, the staff and the food. The people living here, and their relatives, told us that they are well cared for and that they are kept up to date about matters affecting the home and their care. This home is well managed and the registered manager, and her team, encourages the people living here to be involved in the running of the home. The people living here are encouraged to make their views known, and these are acted upon. Equal opportunities are promoted. Before a person moves here, the manager makes sure that Connolly House is able to meet their needs by getting a copy of their social work assessment and also completing her own assessment before they move in. The staff also make sure that everyone who lives here is treated with dignity and respect. There are activities available everyday so people have a choice of what to do. There is good contact maintained with family and friends and relatives are able to visit anytime. Mealtimes are a pleasant and everyone we spoke to commented positively about the food on offer. Dining tables are well presented and there is always a choice of main meal and pudding. Catering staff are knowledgeable about peoples dietary preferences and particular needs, for example if they have an allergy or are diabetic. There are adapted dining chairs for people who need help to sit in at the table. The building is a purpose built care home, set within its own grounds. It has been divided into four small areas to make it more homely. It has been furnished to a good standard, is clean and well maintained. The people living here can also benefit from the enclosed garden area. There is little turnover in staff. This means that staff have time to get to know the needs of the people living here, and therefore are able to provide continuity of care. Staff training is good and they are paid to attend every training course arranged for them. The manager also keeps the home`s policies and procedures up to date to reflect current good practice. There are regular checks by the manager and her area manager to make sure the good standard is kept up. The people living here and their relatives are asked for comments and suggestions about the service they receive. Their comments are used to find out what is done well and to see what improvements are needed. The people we spoke to all knew who to speak to if they had a concern or were unhappy with any aspect of the service. They told us that they were confident any such concerns would be properly dealt with. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Connolly House Reynolds Avenue Whiteleas Estate South Shields Tyne and Wear NE34 8JP Lead Inspector Lee Bennett Key Unannounced Inspection 10:30 22 July and 20th August 2008 nd 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 Connolly House DS0000037959.V368880.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. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Connolly House Address Reynolds Avenue Whiteleas Estate South Shields Tyne and Wear NE34 8JP 0191 5361527 F/P 0191 5361527 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) South Tyneside MBC Eileen Foster Care Home 36 Category(ies) of Dementia - over 65 years of age (36) registration, with number of places Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service may from time to time admit persons between the ages of 59 and 65 years of age with Dementia. The LD service user category relates to a service user presently residing at Connolly House. 14th August 2006 Date of last inspection Brief Description of the Service: Connolly House is a purpose built home situated in the centre of a housing estate. It is close to all local amenities and forms part of the local community. Next-door is a Local Authority Day Centre where service users have the opportunity to meet people, maintain links with the local community and join in with a wide range of activities should they wish. The home, owned by South Tyneside Local Authority has undergone recent variation to service user categories. It provides 36 places for Dementia over 65 years of age. The home does not provide nursing care. The home is divided into 4 wings (living areas). Wing 1 offers permanent care for 1 older person and also includes 8 beds for short break services. Making a total of 9 beds. Wing 2 consists of 9 beds which provide permanent care for service users with a diagnosed dementia. Wings 3 & 4 offers permanent accommodation to 18 service users who have a dementia type illness. A central independent area of the home provides a day care service for a maximum of 12 persons over a 7day period and this is operated in partnership with the Alzheimers Society. All of the units are self-contained with lounges, small conservatories dining rooms, kitchenettes, bathrooms toilets and garden areas. There is a large reception area and separate smoking lounge with an activities area. Centrally are the kitchen and laundry facilities. The current fees charged per week are between £94.45 and £408.79. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is *3 stars. This means the people who use this service experience Excellent quality outcomes. Before the visit: We looked at: • Information we have received since the last visit in August 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 22nd July 2008. An announced visit was made on 20th August 2008. During the visit we: • Talked with people who use the service, staff and the manager. • Observed life in the home. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked what improvements had been made since the last visit. After the visit: We told the manager what we had found. What the service does well: During our inspection we were told many good things about the service offered, the staff and the food. The people living here, and their relatives, told us that they are well cared for and that they are kept up to date about matters affecting the home and their care. This home is well managed and the registered manager, and her team, encourages the people living here to be involved in the running of the home. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 6 The people living here are encouraged to make their views known, and these are acted upon. Equal opportunities are promoted. Before a person moves here, the manager makes sure that Connolly House is able to meet their needs by getting a copy of their social work assessment and also completing her own assessment before they move in. The staff also make sure that everyone who lives here is treated with dignity and respect. There are activities available everyday so people have a choice of what to do. There is good contact maintained with family and friends and relatives are able to visit anytime. Mealtimes are a pleasant and everyone we spoke to commented positively about the food on offer. Dining tables are well presented and there is always a choice of main meal and pudding. Catering staff are knowledgeable about peoples dietary preferences and particular needs, for example if they have an allergy or are diabetic. There are adapted dining chairs for people who need help to sit in at the table. The building is a purpose built care home, set within its own grounds. It has been divided into four small areas to make it more homely. It has been furnished to a good standard, is clean and well maintained. The people living here can also benefit from the enclosed garden area. There is little turnover in staff. This means that staff have time to get to know the needs of the people living here, and therefore are able to provide continuity of care. Staff training is good and they are paid to attend every training course arranged for them. The manager also keeps the home’s policies and procedures up to date to reflect current good practice. There are regular checks by the manager and her area manager to make sure the good standard is kept up. The people living here and their relatives are asked for comments and suggestions about the service they receive. Their comments are used to find out what is done well and to see what improvements are needed. The people we spoke to all knew who to speak to if they had a concern or were unhappy with any aspect of the service. They told us that they were confident any such concerns would be properly dealt with. What has improved since the last inspection? The manager and her team have worked to make improvements to the areas highlighted at the last inspection. This has included: • • Improving the information that is gather about people before the move here. This is so staff can be well informed about the care a person needs. Greater attention has been paid to medication arrangements, such as ensuring medicines like eye drops and ointments are dated as soon as they are opened. This will make sure they are not used after they are DS0000037959.V368880.R01.S.doc Version 5.2 Page 7 Connolly House • ‘out of date’. There is also more information about the medicines people take. This can help keep service users and staff well informed about the medicines they have. Some refurbishment has been carried out, including extensive redecoration, the installation of new efficient and brighter lighting, and the fitting of some new carpets. This has made Connolly House a more pleasant place to both live and work in. 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. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are always assessed to a good level before moving here. By obtaining information about a person’s needs, everyone concerned can be confident that Connolly House is a suitable place to live, and that everything is in place to make people comfortable. EVIDENCE: Before a person moves to a care home they are entitled to have an assessment of their needs carried out, either by social services or a health care worker, such as a nurse assessor. Even when a person pays for their own care, they are still entitled to such an assessment. Most people moving here have their care arranged by Social Services. As one relative told us: “I found out about the home from the social worker..” Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 10 The manager of a care home must also obtain information about those people who would like to come here. This will include a copy of the assessment, and a summary care plan, which explains how each person’s needs are to be addressed. This is to make sure their needs are looked at and then can be properly met. The manager has obtained a care needs assessment and a care plan for everyone whose file we looked at. Based on this information a plan of care is then developed by senior staff. Risk assessments, for areas such as falls, are also written up if needed. These assessments look at each person’s needs in a way that would highlight any cultural or religious preferences, or how the service could ensure any barriers facing a person with a disability could be overcome. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living here receive the right level of care and support to meet their health and personal care in a well-planned way. EVIDENCE: To help guide the practice of staff, after a person has been admitted here a plan of care is written up. This is so that important areas of need, such as those around personal care, diet and social interests, can be clearly identified, and the support that staff are to provide is clearly explained. Everyone living here has a care plan file in place, and for the people whose files we looked at, the care plans themselves are relevant to the needs observed and that have been assessed by the social worker. Staff keep regular notes about each person’s welfare and any care that they have provided. These records are clear, factual and relate to each person’s health and personal care needs. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 12 Where people do have medical needs, evidence is kept of appointments attended and other visits by healthcare professionals is kept. This can help ensure people’s health needs are regularly monitored and met, and proper advice and intervention sought. Furthermore, where personal care is needed this is written down in a care plan. During the inspection, there were no instances where personal care was carried out in the public areas of the home, which shows that staff are conscious of people’s privacy and dignity. The support offered by staff was carried out in a friendly, and pleasant manner. The people we spoke to told us that they are cared for in a good manner. Comments included: • • “They go the extra mile.” They call the doctor out when needed, probably more than I would … they’re very caring.” A common area where staff help people with their health care is in the way medicines are administered. The majority of people here have all of their medicines looked after for them. To keep them safe, medicines are stored in a secure way and the room where they are kept is at a safe storage temperature. Staff check the temperature of the medicine room and the medicine fridge to make sure that these are correct for the medication being stored. This will make sure the medicines concerned remain safe and effective. When staff administer medication they tell the person concerned what medication they are receiving, and also follow good hygiene practices. There are clear records kept of the medicines administered by staff. The stocks held for all medicines we checked corresponded to the stock records. Medicine records are accurate, and the reasons for medicines being missed is clearly recorded. To help ensure staff are aware of the importance of good record keeping, along with other aspects of medication management, they have attended accredited training on this topic. Further information is also available on the medicines used here, as well as good practice guidelines. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living here are offered regular opportunities to participate in a range of activities, maintain friendships and family contacts, express choice and control in their lives and receive varied, wholesome and well-presented meals. EVIDENCE: The aim here is to provide a different activity each day. This includes in house activities, trips out, and visiting entertainers. A record of activities is kept. On the morning of the visit some people were relaxing in the various sitting areas. The various entrance lobbies are also a popular places to sit, where the people living here can observes the comings and goings in the home. Activities offered include, religious visits, entertainers, baking sessions and visits from schools and voluntary projects at certain times of the year. There are events that reflect cultural events and celebration, such as Christmas, Easter, and so on. As one person remarked: Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 14 • “It was wonderful what they did at Christmas. I was nearly in tears.” The garden area has also been made more accessible and a more pleasant place in which to spend time. As it is also enclosed it provides a safe and secure area for the people living here. Visits from relatives form an important part of many people’s day. Visitors were noted to come and go freely, and to be made welcome by the staff. Those relatives we spoke to were complimentary about the staff, and told us they are kept up to date with their relatives progress and welfare. People also commented positively to us about the food on offer, and we heard many compliments about this. The comment “the food’s lovely,” was similar to many we heard. A cooked breakfast can be provided and a choice of main meal and pudding is always offered. Routines are flexible her, and if someone wants to have a lie-in they can have their breakfast later in the day, to suit them. The dining tables here are nicely presented, and condiments are provided so that people can help thesmselves. A lunchtime meal was shared with four of the people living here. Staff were courteous, encouraging people to be independent. A choice of dilute juice or water was offered followed by tea or coffee. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are suitable arrangements in place here to protect people form abuse, and this enables people to make their views heard, and to raise any concerns or complaints they have. EVIDENCE: A complaints procedure is available within the home with a copy placed in each bedroom. This informs the people here that they can contact the Commission if they wish regarding complaints. A record of complaints and suggestions is maintained. Each complaint is clearly documented. The outcome and action taken is then written up. No complaints have been referred to the Commission since the last inspection. There are numerous compliments and ‘thank you’ cards kept. These detail people’s satisfaction and gratitude at the care they and their relatives have received. Staff have received training from the local Adult Protection Co-ordinator in the past. This was to help explain the role of adult protection, and to offer guidance to staff. The care provider has adult protection procedures, which are available in the home, should staff need guidance in this area. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The accommodation here generally suits peoples physical and personal care needs, is clean throughout, well maintained and personalised to suite individual tastes. EVIDENCE: Connolly House is a purpose designed care home built in the 1980s. It is kept clean throughout and re-decoration and refurbishment has taken place to ensure the home remains clean and fresh looking. A new lighting system has been fitted to make the corridors much brighter. This can help people whose vision is poor. People can bring their own possessions and personalise their own rooms as they wish. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 17 There are no en-suite bedrooms here, but bathrooms and toilets have been located throughout the home to be near all of the living areas and bedrooms. Some of these do not work, as some of the accessible baths are old and leaking. There were no hazards observed during the inspection. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff working here are safely recruited, well trained, qualified and competent. This can help make sure the people living here are protected and receive the care they need. EVIDENCE: Before staff start working here they have to undergo a series of checks. This is to ensure they have the right skills, experience and approach for the job. There are also checks carried out to help make sure they are physically fit for the work they have to do, and do not have a criminal history that would make them unsuitable to work here. Since the last inspection was carried out here one member of staff has been employed. Suitable pre-employment checks, including the receipt of a Criminal Record Bureau Disclosure and two references have been obtained before they started duty. The standard application for does not ask for an explanation of any gaps in a persons’ employment history, which would provide further evidence of robust recruitment practices. Once employed, staff receive a detailed induction and regular training. This includes training relevant to people’s needs in the home. This is to make sure they remain up to date with the requirements of their job, and with current Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 19 good practice. The staff here initially attend induction training if they are new to care work, and will also receive staged induction training specific to this home. Following this they will also be offered periodic training opportunities, and staff development is further enhanced by areas of care practice being discussed at team meetings. All staff also receive dementia awareness training, which is a core area of need for the people living here. Furthermore, those not already qualified will be supported to attain a vocational qualification in care. Virtually all of the staff here have achieved such an award, at NVQ level 2 or higher. Many have dementia care awards as well. Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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. The people here benefit from living in a well managed home. This can help make sure their views are sought and acknowledged, and that their health and safety is promoted. EVIDENCE: The manager has many years experience at a senior level within Social Services. She is a registered and qualified social worker, and has attained a number of care and management qualifications including the NVQ level 4 qualification in Management (the Registered Managers Award), a Social Welfare and Social Work degree and the D32 and D33 NVQ assessor qualifications. Furthermore she undertakes periodic training on topics such as Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 21 equality and diversity as well as training in health and safety matters, to ensure that her knowledge is kept up-to-date. The people living here, the staff and visitors all commented positively about her and other senior staff in the team. The manager is supervised by an area manager, and supported by a deputy and team of senior carers. There are clear lines of accountability within the organisation. The area manager regularly visits the home, and was visiting at the time of the inspection. He makes himself known to the people living here and visitors and asks for their views about the service. He also completes a monthly audit of the service. To complement this several quality checks are carried out in areas such as medication, care planning and health and safety. The views of the people living here, and staff are also sought, informally and at meetings. Satisfaction questionnaires are also used to gain the views of the people living here and their relatives. The records kept at the home, were up to date, detailed, and held in a safe and secure manner. Financial records are subject to the scrutiny of the area manager. Staff in the home do not usually hold or manage service users finances, but where these are left with staff for safe keeping they are securely stored, with clear records in place. There is a computer here that can help with record keeping, but there is no access to E-mail or the Internet. The home was free of hazards to the safety of service users and staff. Connolly House DS0000037959.V368880.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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 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 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP21 Regulation 23(2)(c) Requirement The registered person must ensure that the bathing facilities are maintained in full working order. This is so service users have easy access, in their part of the home, to a bathroom and / or shower. Timescale for action 14/02/09 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 OP21 Good Practice Recommendations The registered person should review the bathing facilities provided. Consideration should be given to replacing the adapted baths and providing accessible (walk-in) showers. This is so the facilities provided here are accessible to service users, and a working bath is available in their part of the home. The registered person should provided computer facilities that allow access to the Internet and E-mail. This is so staff can readily access on-line health, social care and learning resources. 2. OP30 Connolly House DS0000037959.V368880.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Connolly House DS0000037959.V368880.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!