Care Home: Liskeard Eventide Home Limited

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What the care home does well Liskeard Eventide presents as a very homely and comfortable home. The people living there tell us that they are happy with how it is run and think the staff are very kind. The Committee that run the home as a charity put any profits into continuously upgrading and redecorating the home to ensure it meets current standards. Care plans have been introduced that provide a lot of detailed information about peoples lifestyle choices and the support and care they need. What has improved since the last inspection? The requirements and recommendations made following the last inspection (August 2006) have been met. The Statement of Purpose has been updated and provides a lot of useful information about the service offered by Eventide. New care plans have been introduced that have information about peoples health and social needs. The manager has introduced systems that mean induction of new staff, ongoing supervision (one to one sessions) and relevant training is all in place. What the care home could do better: The manager should make sure that all signage relating to fire exits throughout the building is in a good condition and able to be read by people who have access to the home. CARE HOMES FOR OLDER PEOPLE Liskeard Eventide Home Limited 14 Castle Street Liskeard Cornwall PL14 3AU Lead Inspector Mandy Norton Unannounced Inspection 10:30 24th July 2008 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 Liskeard Eventide Home Limited DS0000009187.V359856.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. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Liskeard Eventide Home Limited Address 14 Castle Street Liskeard Cornwall PL14 3AU 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) 01579 342676 01579 340728 eventidehome@btconnect.com Liskeard Eventide Home Limited Helen Fuller Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2006 Brief Description of the Service: Liskeard Eventide Home is a voluntary care home run by a committee with the care being overseen by a registered manager. It is situated near the centre of Liskeard within walking distance of the town’s facilities for anyone with reasonable mobility. Accommodation comprises all single rooms, half of which have en suite facilities of a toilet or a toilet and shower. Rooms are situated on the ground and first floor that is accessed by stairs or a passenger lift. There are communal rooms on the ground floor, which comprise a large sitting room, a smaller sitting room and a dining room. There is a sun lounge on the first floor, which is next to two bedrooms that are reached via two additional steps. At the rear of the property a patio sitting area and car parking is provided. The gardens in the front of the house have rails and steps. The entrance to the home is sited at the rear of the property but is clearly signed. The fees range from £308.09 – £320 per week (correct as of July 2008). Each person is issued with a contract once a settling in period has been achieved. A copy of the last inspection report and an up to date Statement of Purpose is displayed at the front entrance. Liskeard Eventide Home Limited DS0000009187.V359856.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 unannounced inspection took place from 10.35 am until 3.30 pm on the 24th July 2008. The inspection was conducted with the manager with assistance form the Chairman of the committee that run the home. A tour of the home was carried out and many of the people living in the home were spoken to and observed during the visit. This report also contains information taken from the completed annual quality assurance assessment (a document that is completed annually detailing ongoing improvements and achievements) and discussion with staff on duty on the day of the inspection. There were 24 people living in the home at the time of the inspection. What the service does well: What has improved since the last inspection? The requirements and recommendations made following the last inspection (August 2006) have been met. The Statement of Purpose has been updated and provides a lot of useful information about the service offered by Eventide. New care plans have been introduced that have information about peoples health and social needs. The manager has introduced systems that mean induction of new staff, ongoing supervision (one to one sessions) and relevant training is all in place. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 6 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. Liskeard Eventide Home Limited DS0000009187.V359856.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 Liskeard Eventide Home Limited DS0000009187.V359856.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, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: A Statement of Purpose was clearly on display in the entrance foyer. The one examined was updated in June 2008 it included up to date information about the staff group and their qualifications, fees, facilities available, a complaints procedure and extracts of ‘Service Users views of the home’. A copy of the previous report was also clearly displayed in the entrance foyer. Each room has a Statement of Purpose and a Residents handbook. The manager said she visits people in their current setting (where possible) to assess their needs prior to them moving into the home. The information Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 9 gathered during the assessment forms the basis of the care plan when they move in. A completed pre admission form examined had relevant information about the person and their needs. One person spoken to had moved in recently and had made the decision based on the reputation of the home locally and the information she was given. The Annual Quality Assurance Assessment states that potential residents are invited to view the home at their convenience without making an appointment. A contract examined contained information about fees and terms and conditions of residency. Everybody is issued with a contract once the initial settling in period is over. Liskeard Eventide Home Limited DS0000009187.V359856.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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practice regarding the planning and delivery of care means that people can be sure that their health and personal care needs will be always be fully met. EVIDENCE: Care plans examined had a lot of relevant information about the individual and their health and personal care needs. They were up to date and had been regularly reviewed. The care staff complete daily records about a persons welfare and detail what personal care activities have been completed during each shift. The senior carer said that they are trying to complete detailed life histories of people so they can talk about things that people were, and often still are interested in. The care plans seen had information about visits made by or to health care professionals such as District Nurses, GP’s, dentists and opticians. A tour of the home showed that equipment necessary for the promotion of tissue viability and prevention and treatment of pressure sores was available and the manager said that she felt they had enough equipment to meet Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 11 people’s current needs. Most people are able to mobilise independently or with a mobility aid. There is a stand aid for use when necessary. The manager said that the District Nurse will arrange for equipment to be delivered to the home if it becomes necessary. The home uses a blister pack system for administration of medicines they are stored in a locked trolley kept in the treatment room. The controlled drugs are stored and recorded correctly and the drugs fridge has its temperature measured and recorded daily as required. Most of the creams and lotions seen in individual rooms all had prescription labels on them, those that didn’t it was thought had been bought in by relatives and were not prescription items. Medicine administration sheets had been completed properly with no gaps in the records. A list of examples of staff signatures was seen. A pharmacy inspection was carried out by Boots (who supply the blister packs) on 20/02/08. The report that was completed following the inspection had no major areas of concern. Staff were heard interacting with people living in the home appropriately and providing support and help in a discreet manner. People spoken to said that the staff are very kind and treat them very well. Doors to peoples rooms and bathrooms were shut when personal care was taking place. Liskeard Eventide Home Limited DS0000009187.V359856.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities within the home and community mean that people have regular opportunities to participate in stimulating and motivating activities. Meals and mealtimes are not rushed making them an enjoyable, social occasion for people. EVIDENCE: An activities schedule was displayed around the home (although the manager said that people are resistant to a structured activities schedule but she continues to encourage it to maintain peoples motivation and enable people to meet each other in the home). On the day of the inspection there was a cream tea afternoon open to the residents, relatives and people from the local community. This is designed to raise money for the residents fund which is used to fund additional outings and entertainment events on top of the normal ones provided by the home enabling and encouraging the residents to integrate with the local community. It was well attended. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 13 Prior to the cream teas in the lounge, the piano was being played for the residents, people spoken said this was lovely and were enjoying the tunes being played. The manager said that trips are arranged regularly (confirmed by looking at the duty rota where staff had been delegated to go out on trips) to a variety of local attractions. One lounge has a TV for people to watch if they wish, people can have their own TV’s in their room also. During a tour of the home, most people were in the main lounge talking to each other, knitting or reading newspapers or magazines, moving around the home or sitting outside. According to the Residents handbook – ‘ residents are encouraged to pursue their individual activities and interests as far as possible’. The senior carer said that the ‘life histories’ help with identifying people’s interests and staff can perhaps help and encourage them to maintain an interest. There is also a small sun lounge on the 1st floor for those that want to use it. There is easy access to the outside patio areas at the back of the house, planters and hanging baskets have been used to provide colour for people, seating is available for people to use. The manager and chairman described the recent refurbishment of the dining room, which provides a modern and practical space for people to eat their meals. Most people eat in the dining room and meals are served straight from the kitchen. As a result mealtimes are a social activity and a time to have conversations with others in the home. People spoken to said that they enjoy the meals and that there is always choice. The manager said they like to use local providers for fruit, vegetables and meat and feels that they provide good quality. Special diets are catered for when necessary and snacks and drinks are available 24 hours a day. The cook said that they use the ‘Safer Food Better Business’ system recommended by the Food Standards Agency. This allows for food choices, cleaning schedules and temperature recording to be documented and monitored. A gong is rung to announce the serving of a meal, this allows time for people to make their way (often independently) to the dining room to be seated. The resident’s handbook gives details of mealtimes and where the menus can be found for each day. Liskeard Eventide Home Limited DS0000009187.V359856.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Formal complaints and reporting of abuse policies and procedures are in place. They are available to all staff at all times. People living in the home feel their concerns are listened to and acted upon meaning that they raise concerns or make complaints when they should therefore not accepting a service if it doesn’t meet their needs. EVIDENCE: The complaints procedure was seen displayed at the front entrance and is in the Service Users Guide and the Residents Handbook. It is comprehensive and gives options of who to contact and timescales for responses to be made. There have been no complaints made to the home or to the Commission in the last 12 months. The manager said that any issues bought up on the quality assurance surveys that are given to people are picked up and any actions taken are documented on the survey and in the care plan if relevant. Staff files examined and the training matrix showed that care staff have attended adult protection (safeguarding) training. People on their induction and studying for a National Vocational Qualification level 2 or 3 also have information about safeguarding. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 15 People spoken to said they knew who to approach to make a complaint if necessary, all of them said they had had no need to make a complaint as the home provided a good service for them. Liskeard Eventide Home Limited DS0000009187.V359856.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, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ongoing refurbishment and redecoration means that people have a homely, comfortable and safe environment in which to live. EVIDENCE: The home presents as welcoming, homely and clean. There are 24 single rooms 13 of which have en suite facilities. The Residents Handbook states that ‘many residents bring in their own furniture as well as ornaments, pictures and photographs. Individuals may like to have their own curtains and matching bed linen. All furniture and furnishings are supplied if you prefer’. People’s rooms seen were very personalised with furniture, ornaments and photographs that they had bought in with them. People spoken to said they liked their rooms and felt comfortable. There is a call bell system throughout the house, it rings during the day and is on silent at night as it goes to a pager Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 17 that the care staff carry with them, this is so other people do not get disturbed at night. Communal space consists of a recently refurbished and spacious dining room, the main lounge (with no TV), a lounge with a TV and on the 1st floor a sun lounge. There is a patio area to the rear of the house where seating and tables are available, there is easy access to this area for people who are independent and those who use mobility aids. There are toilets and bathrooms, with adaptations to meet the needs of the current residents, throughout the home accessible to everybody. The home has an old style sluice and the Committee are hoping to replace it with a mechanical sluice in the near future. The laundry is suitable and has hand -washing facilities. The policies and procedures around infection control are available to staff at all times and are reviewed annually as part of the quality assurance system. The Chairman said that windows throughout the home are gradually being replaced, new carpet is being ordered for the hallway by the main lounge and 2 rooms have been refurbished and upgraded. She said the Committee are very conscious that it is an old building that they have responsibility to maintain and upgrade, they also want to ensure that the people that live at Liskeard Eventide have good quality fixtures and fittings and feel comfortable. During a tour of the home it was found to be clean, tidy and hygienic whilst maintaining its homely feel. Liskeard Eventide Home Limited DS0000009187.V359856.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The provider and manager show a responsible attitude and are implementing changes and improvements in order to keep improving quality and outcomes for people living in the home. The staffing are satisfactory therefore peoples needs are being met at all times. EVIDENCE: On the day of the inspection there were the manager a senior carer and 2 care staff on duty until 3pm, then the manager and 2 care staff until 6 30 pm when they are joined by another carer until 9.30 pm they are supported by domestic, catering, administrative and maintenance staff. Overnight there are 2 carers one of whom sleeps once people are settled for the night. Care staff spoken to said that the staffing levels are fine for the amount of people they look after, although it would always be nice to have more. People spoken to said that the staff are always very attentive and they do not have to wait long for support or help when they need it. It was noted that the photographs of the care staff on duty, displayed at the main entrance, are changed daily so people know who to expect to see. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 19 Two staff files were examined and contained all the information required including 2 written references, a CRB check and interview records. The files also included evidence of appraisals and supervision sessions. All files contain contracts of employment and training certificates for numerous courses and study days including; health and safety, fire safety and manual handling. Staff spoken to said that there were plenty of training opportunities and no problem in being given time to attend them. The duty rota showed that 3 people had attended manual handling training the week of the inspection, the previous week some people had attended food hygiene training and others Mental Capacity Act training. Liskeard Eventide Home Limited DS0000009187.V359856.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): 31,32, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The changes the manager has implemented are designed to meet the needs of the service, and to continually improve the service the home offers to meet the needs of the people that live there. The responsible attitude around health and safety shown by the Committee, manager, care and ancillary staff means that people live in a safe and well maintained environment. EVIDENCE: The manager has been in post for 2 years. She had experience of managing a care service prior to taking up the post. She has implemented a number of changes since taking up the role and is supported by the Committee and all Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 21 other levels of staff within the home. There are clear lines of accountability within the home, this was demonstrated during ongoing activity during the inspection. There is a formal quality assurance and audit system in place. Some of the results (‘Service Users views of the home’) are included in the Residents Handbook, which is given to everybody who lives at the home. Policies and procedures are available to staff at all times and are updated regularly. They were not looked at in detail during this inspection. The manager is ensuring that systems adopted by the home are in line with the laid down policies and procedures (as recommended following the last inspection). The Annual Quality Assurance Assessment states that the home actively seek the views of the residents by holding regular meetings, periodically sending out surveys and by spot checks and unplanned discussion with residents. The manager said that any major decisions are only taken once the residents have been consulted and their views and opinions have been taken into account. As a result of listening to the residents the Annual Quality Assurance Assessment states that jugs of water and glasses are provided at mealtimes, all crockery has been replaced, the dining room has been completely upgraded, mealtimes (following a unanimous vote) have reverted to 12.15 and a weekly fruit trolley is now in use. The organised quality assurance system in pace means that audits and spot checks are carried out regularly. Any updates to systems and procedures required are detailed and outcomes and improvements made as result of the audit are implemented and documented. The system was noted as good practice for ensuring regular update and review of the quality of care offered takes place as part of the routine of the home. The manager described the procedures in place for dealing with people’s money. She said that they try not to be involved in people’s personal allowances if possible. For those that they do manage records are kept of income, and outgoings and receipts are kept as well as written records for auditing purposes. The money is kept securely in the safe and is accessible to people when they want it. Staff files examined had evidence of supervision (one to one) sessions being carried out. All records seen were well constructed, up to date and stored securely. Staff files and training records seen showed that statutory training takes place as required. This includes fire safety, food hygiene, moving and handling and first aid. A selection of routine servicing and maintenance documents were seen confirming that people’s health and safety is promoted and protected. The home use a local firm on a regular basis to carry out maintenance tasks, they attend promptly when required. The gardens and patio areas are maintained by a professional gardener. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 22 A selection of general and individual risk assessments, the accident book and the fire log- book were examined and found to be up to date. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 23 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 SOCI3AL 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 3 3 3 3 3 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 4 X 3 X X 3 Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 24 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. Refer to Standard OP38 Good Practice Recommendations The manager should ensure that all signage relating to fire exits throughout the building is in a good condition and able to be read by people who have access to the home. Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Liskeard Eventide Home Limited DS0000009187.V359856.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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