Care Home: Holly Bank

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What the care home does well The provider has produced good information for people interested in using this service. The planning and delivery of health and personal care is good, and is centred on people`s wishes and choices. Arrangements for accessing external healthcare services are good, and the management of medicines is safe. The home has forged good links with the local community, and welcomes visitors. People spoke well of the food served and were pleased with the menu options. The manager received complaints in a constructive manner and responded positively to concerns raised. Staff were aware of their responsibilities to safeguard people from harm. The building is well maintained and provides comfortable accommodation. People are able to furnish their own bedrooms to suit their needs. The staff team undergo thorough recruitment checks, receive a good standard of training and are well supervised. The service is well managed both by the on-site registered manager and the company representatives who visit regularly. The home operates a sound quality assurance process that includes the views of people using the service. What has improved since the last inspection? Since the last key inspection the manager and staff have made improvements in a number of areas for the benefit of people using the service. A new care planning system has been set up and is proving very successful in ensuring people have clear care plans, which help staff to provide correct and consistent care. The management of medicines has improved. Staff have attended medicines training and have strengthened their record keeping and administration practices. Menus have been reviewed and updated, and fresh fruit is being served with morning coffee. A lot of redecoration, and renewal of furniture and furnishings has taken place, and this has greatly improved the environment for people. What the care home could do better: No requirements are made as a result of this inspection. Good practice recommendations are made in relation to improving the heating in certain areas of the home and providing a sluice. Both of these items are included in the homes business plan, and we look forward to seeing the work completed. A recommendation is also made that staff receive training on the Mental Capacity Act, to help them support people to make decisions. CARE HOMES FOR OLDER PEOPLE Holly Bank Holly Bank The Promenade Arnside Carnforth Lancashire LA5 0AA Lead Inspector Jenny Donnelly Unannounced Inspection 1st February 2008 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 Holly Bank DS0000063598.V355396.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. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holly Bank Address Holly Bank The Promenade Arnside Carnforth Lancashire LA5 0AA 01524 761277 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) Aegis Residential Care Homes Ltd Miss Ann Elizabeth Mason-Day Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 31 service users to include: up to 31 service users in the category of OP (older people) The home should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th May 2006 Date of last inspection Brief Description of the Service: Holly Bank care home is situated on the promenade in the coastal village of Arnside and has views over Morecambe Bay to the Lakeland fells. The home provides personal care and support for up to 31 older people. The building comprises a pair of semi - detached Victorian villas that have been combined, adapted and extended for its current purpose. The residents are accommodated over three floors, which are served by a passenger lift. The building is well maintained and there is a small car park at the rear of the building. There are ample communal areas including two lounges, a conservatory and sunroom. There are 27 single bedrooms; many of which have en-suite facilities, and two double bedrooms. The village has a range of shops and a post office within a short walk from the home. Public transport is available in Arnside for people who wish to use the rail, bus or taxi services. The weekly fees at the date of inspection ranged from £398.00 to £580.00 according to the standard of bedroom occupied. The homes’ statement of purpose, service user guide and last inspection report, could be seen at the home, or copies requested from the manager. Holly Bank DS0000063598.V355396.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 2 star. This means the people who use this service experience good quality outcomes. This was the main or ‘key’ inspection of the service. Jenny Donnelly inspector, made an unannounced visit to the service on 1st February 2008. During the visit we (the commission) toured the building, spoke with residents, staff and the management. We looked at care, medication, staffing and management records. We saw how people were spending their day, and observed lunch and the day’s activities. Prior to this inspection the manager had completed and returned an Annual Quality Assessment Audit (AQAA) that we had requested. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We sent surveys out to half of the people who live in the home and their relatives. The findings of the surveys are included in this report. Since the last key inspection in May 2006 we made a brief ‘random’ visit to the service in November 2006, to monitor the homes’ progress. There was also a medicines inspection by our pharmacist inspector in April 2007. The report from these random visits are not available on our web site, but can be requested from the CSCI helpline. What the service does well: The provider has produced good information for people interested in using this service. The planning and delivery of health and personal care is good, and is centred on people’s wishes and choices. Arrangements for accessing external healthcare services are good, and the management of medicines is safe. The home has forged good links with the local community, and welcomes visitors. People spoke well of the food served and were pleased with the menu options. The manager received complaints in a constructive manner and responded positively to concerns raised. Staff were aware of their responsibilities to safeguard people from harm. The building is well maintained and provides comfortable accommodation. People are able to furnish their own bedrooms to suit their needs. The staff team undergo thorough recruitment checks, receive a good standard of training and are well supervised. The service is well managed both by the on-site registered manager and the company representatives who visit regularly. The home operates a sound quality assurance process that includes the views of people using the service. Holly Bank DS0000063598.V355396.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. Holly Bank DS0000063598.V355396.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 Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care home provides good information for people and undertakes detailed assessments to ensure the service can meet peoples’ needs properly before they move in. EVIDENCE: The home had produced a statement of purpose and service user guide, which served to inform prospective residents and their families about Holly Bank. These documents were on display in the entrance hall, along with the homes’ last full inspection report, and the homes’ own monthly newsletter. There was a standard pre-admission assessment form, which was completed prior to any new people being offered a place at Holly Bank. This ensured that the home would be able meet the persons’ needs, before they moved in. During our inspection, the manager visited a prospective resident in hospital to carry out a pre-admission assessment. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 9 Some of the people we spoke with had been involved with their own admission to the care home where as other people had relied on family of friends to make the arrangements. People told they had settled in well. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were receiving a good standard of personal and health care, delivered in a way that that was acceptable to them, which enhanced people’s quality of life. EVIDENCE: Since the last full inspection the homes’ care planning system has become fully embedded, with staff showing confidence and understanding in its use. We looked at the care plans of three people, with different care needs, and we spoke at length with 2 of these people. We found the care plans accurately reflected people’s health, personal and social care needs, as well as including information about any specific wishes and choices. We saw evidence that people received a good standard of personal care, including regular baths or showers, in a way that was acceptable to them. There was evidence of good health care input from the doctor and community nurse as well as other health professionals such as chiropodists and opticians. Staff demonstrated a Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 11 commitment to seeking health advice in a timely manner when they were concerned about people. The surveys we received told us that people felt well cared for, and during the inspection people told us; • “Staff are very good and give us all the help we need” • “Care is very good, I only have to ring and staff come” • “Staff are always cheerful and happy to help” • “Staff treat (my relative) cheerfully and respectfully”. Bedrooms were fitted with door locks so people could lock their room if they wished. Staff were seen to knock on peoples’ doors before entering. The atmosphere in the home was pleasant and relaxed and staff were heard to chat with people in a friendly and respectful manner. The management of medicines was inspected and found to be in good order. Medicines are received into the home each month, and the records and stock were checked and found to be accurate. Staff had undertaken medicines training and were knowledgeable about peoples medicines, especially those given in variable doses in accordance with blood test results. Short-term courses of medicines such as antibiotics were also well managed. Medicines were securely stored, and there were adequate arrangements in place for people to manage their own medicines within a risk assessment framework. Medicines with a short shelf life had mostly been marked with the opening date, so they could be discarded when out of date. The manager agreed to attend to those items that had not been dated. The home had a copy of the Royal Pharmaceutical Society guidance for administration of medicines for staff to refer to, which is good practice, and the manager agreed to obtain an updated version of this. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were able to spend their days as they wished, there were improvements in the provision of activities, and people were happy with the choice of food offered. EVIDENCE: The care home advertised activities and events, through monthly planners, which were sited around the home, and through the homes’ newsletters issued to each resident. The organised events for February included communion, music therapy, a visiting entertainer, and a church worship. There was a weekly quiz, and some flower arranging took place on the day of our visit. There were photographs on display of people enjoying past events including the Christmas party. Some of the people we spoke with, chose not to attend the homes advertised activities, saying they were content to stay in their own rooms and were pleased to be able to do so. The surveys we received said the following; • “Staff show a lot of goodwill in supporting events, coffee mornings and fetes” Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 13 • “It is a pity there does not seem to be enough staff available to organise activities”. The manager said the home had been without an activity organiser, and she had been managing the weekly quiz herself. However, an activity organiser had just been appointed for 10 hours a week, divided into 2-hour sessions. It is anticipated that this will increase opportunities for people to access a range of in-house activities and occupation. Holly Bank operated an open visiting policy, with any restrictions on visiting made only according to residents’ wishes. One person wrote, “I appreciate being able to visit at any time of day or evening”. People felt the daily routine within the home was fairly flexible, and allowed them to state their preference in relation to bed times and rising times. Those people, who wished and were able, managed their own affairs, although most received assistance with this from family and friends. The home had information available on how to access a local advocacy service for independent advice and support. We saw lunch being served in the dining room, and saw that people got the choices they had asked for. There were two choices at each meal and we saw at least one person have an alternative to those two choices. The dining tables were set nicely with linen cloths and flowers, and lunch was made a sociable occasion for the people who chose to eat in the dining room. Where people needed help with eating their food, this was done is a sensitive way. People told us the following about the meals; • “We are satisfied” • “There seems to be plenty of opportunity for drinks and snacks throughout the day” • “The food is always edible” • “Meals are very good indeed, there are two choices at each meal and we are asked in advance to choose”. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel able to complain if they wish and know they will be listened to. Adult protection is given a high priority and staff are aware of their responsibilities to safeguard the people in their care. EVIDENCE: The home had a complaints procedure instructing people how and who to make any complaint to. The surveys we received showed that people knew how to complain, if they needed to. During our inspection people confirmed they would speak to one of the senior carers, or to the manager, if they had any complaint or concern. The manager told us about the complaints she had received since the last full inspection, and we looked at the records relating to them. These showed that a number of minor complaints had been made, including a lack of bed making, and restricted choice of sandwich filling. In each case the manager had apologised, spoken with the staff concerned and monitored future performance. No complaints had been made directly to us since the last inspection. The manager was qualified as a trainer in protection of vulnerable adults (abuse), and in recent months 19 staff had undergone this training. The home had procedures in place for reporting any suspicion or allegations of abuse to the appropriate authorities. We were notified of such an allegation in November 2007. The manager correctly followed the referral process and an Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 15 investigation took place that led to a staff member being dismissed. This showed us that the manager took peoples’ concerns seriously and worked in accordance with the safeguarding procedures. Staff were aware of the homes whistle blowing procedures and had implemented them to bring concerns to attention of the manager. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a comfortable well maintained home, that provides a choice of sitting areas and has facilities to assist people with infirmities. EVIDENCE: Holly Bank is situated on the promenade in Arnside, and enjoys open views over the Kent estuary and Lakeland fells. The home is within walking distance of the local shops and public transport routes. The building is two converted and extended Victorian town houses. Accommodation for people is provided over three floors, served by a lift. Communal space comprises of two adjoined lounges, a conservatory and a sunroom. The television is sited in one lounge, so that people in the adjacent lounge do not have to see it. There is a separate dining room. Bedrooms are a mixture of single and shared rooms, some with a toilet and basin and others with a full ensuite with shower. The bedrooms are graded by Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 17 size and facilities, and charged accordingly. Married couples generally use shared rooms. The standard of decoration throughout the building is good, with only a small number of bedrooms not re-decorated over the last eighteen months. These are highlighted in the business plan for attention this year. People have been able to bring in their own possessions and small pieces of furniture to make their rooms homely. The care home has spacious toilets that people can access easily. There is a large walk / wheel in shower room and two assisted baths, one with an overhead ceiling hoist and one with a raising swivel seat. There is a hairdressing salon. On the day we visited, it was very cold and there were strong winds blowing off the estuary onto the front of the building. This was making some areas of the home draughty, and as the heating boiler was not working at full capacity, two bedrooms in particular were cold. Staff had called out the heating contractors and provided extra blankets for the people who were cold but did not wish to vacate their rooms. The manager said one of the boilers was due to replaced in the near future and this would allow for a second radiator to be fitted into one of the larger bedrooms. We confirmed with the manager, by telephone, that evening that the heating had been repaired and room temperatures restored to an acceptable level. The home does not have a proper sluice room and utilises an old bathroom for this purpose. Commode pots are emptied into the toilet and rinsed in the unused bath. The homes business plan does include the provision of a sluice room this year, and it is recommended that this work go ahead as soon as possible. Despite there being no domestic on duty, the home was clean and fresh with the exception of two bedrooms, which staff were attending to. Ten staff had completed infection control training this year. People told us; • “I have a beautiful room with a lovely view” • “The lounges are organised to provide privacy, quietness and a lovely view for those who prefer to sit by themselves, away from the TV” • “I have just moved into this bigger room and am going to re-organise the furniture to suit myself and get all my pictures put up” • “The lift is small for wheelchairs” • “The driveway is steep for wheelchair pushers and elderly visitors”. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent, trained and caring staff team look after the people living in the care home. EVIDENCE: Staffing levels generally comprise of four carers during the day, reducing to three carers at 4pm, and two during the night. In addition to this were the manager, kitchen, housekeeping and maintenance staff. The home had just appointed an activity organiser and a laundry person, and was advertising for a domestic. The homes total capacity is 31, and there were 26 people in occupancy at the time of our inspection. Care staff levels would need to be reviewed if the home were operating at full capacity. Staff files were inspected and found to be complete in respect of recruitment and training records. Recruitment procedures included written references and criminal records bureau checks. New staff undergo an induction programme. Training records showed that training had taken place recently in safe moving and handling, safeguarding adults (abuse), fire safety, infection control and medicines. The next planned training event was on dignity and diversity. The home supported care staff to obtain a National Vocational Qualification (NVQ) in care at level 2 or above, and 50 of staff had achieved this, which is good. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 19 There had been no training for staff, and no information available in the home, on the Mental Capacity Act (MCA), which came into force in 2007. It is recommended that the manager obtain a copy of the MCA code of practice and provides staff with training on this. People spoke highly of the staff team, but one person thought there should be more staff; • “I am very happy here, and find the staff always helpful at all times” • “The staff are fantastic” • “I find all the staff to be very caring and hard working” • “Staff are kind, patient and caring” • “There is not always sufficient staff to supervise the lounges and toilets and to see to visitors arriving at the door”. Holly Bank DS0000063598.V355396.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, 34, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service was being safely managed in the best interests of the people living in the care home, and the company supported the manager to do her job well. EVIDENCE: The manager was suitably qualified and competent to run the home, and was well supported by senior managers. The company undertook annual surveys of residents, as part of their quality assurance work. This survey was last conducted in January 2007, and the overall results from the survey were on display. The manager carried out other quality assurance checks and these included monthly monitoring of the medicines, care records, kitchen and maintenance records. A new audit tool was being drawn up to record these checks. There is an annual business plan in place. The company Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 21 representative visited the home monthly and sent written reports of these visits to us. The manager had completed and returned the Annual Quality Assurance Audit we had requested. The home did not manage any money on behalf of residents, but there was a safe should anyone wish to deposit an item for safekeeping. Supervision records demonstrated that staff had individual and group meetings with the manager to discuss their work and training needs. The health, safety and welfare of residents and staff were given a high priority. The homes’ maintenance man ensured all regular servicing and maintenance checks were carried out. Maintenance records were good, and staff had received instruction in fire safety and in the safe moving and handling of residents. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 3 3 X 3 3 2 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 X 3 3 3 3 X 3 Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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. 3. Refer to Standard OP25 OP26 OP30 Good Practice Recommendations It is recommended that the level of heating in the larger bedrooms be improved, so people feel warm enough. It is recommended that a proper sluice be provided for the safe effective washing of clinical utensils. It is recommended that staff receive information and training on the Mental Capacity Act to help them support people with decision making. Holly Bank DS0000063598.V355396.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Holly Bank DS0000063598.V355396.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. 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