Care Home: Melton House

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What the care home does well The Home provides a good standard of care to the residents. Their personal and health care needs are met by staff who receive good training and support to carry out their roles effectively. Comments were made such as: "the care is particularly good" "usually care is in excess of that expected" ".the staff are all lovely, you couldn`t find a better place." "Its lovely and enjoyable to come to work" Relatives are made to feel welcome and are able to visit at any time. Residents are encouraged to maintain contact with relatives and are able to have their own telephones or to use the Homes telephone. Residents and relatives are encouraged to attend the meetings that take place to gather their views and to provide information about changes within the Home.Residents enjoy their meals and are always offered a choice. They said that the cook knows what they like and that they are consulted about the menus. What has improved since the last inspection? The refurbishment of the Home has provided homely and attractive accommodation for the residents. The communal areas have been improved and the seating in the large lounge encourages residents to sit in small groups. The staffing situation has improved so that the use of agency staff has greatly reduced. Residents and staff said that this has been a big improvement. Residents spoke highly of the staff and said: "you couldn`t find better staff" "they are excellent" The training and supervision provided to staff has improved and residents and relatives are confident that staff have the right skills and experience to meet the residents needs. Staff appreciate the additional training and support that they receive. The Manager provides an open style of management which encourages residents, relatives and staff to share their views and to raise any issues. Improvements have been made to the medication system and the requirements that were made at the previous Inspection have all been met. What the care home could do better: There are still areas of the Home which are in need of redecoration and/or the finishing touches to be made to complete the recent work that has been carried out. The care plans need to be more detailed in some instances so that they provide clear guidance for staff about how to meet the residents needs. CARE HOMES FOR OLDER PEOPLE Melton House 47 Melton Road Wymondham Norfolk NR18 0DB Lead Inspector Lella Hudson Unannounced Inspection 21st August 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Melton House DS0000065210.V370680.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. Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Melton House Address 47 Melton Road Wymondham Norfolk NR18 0DB 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) 01953 606645 01953 857390 melton.house@fshc.co.uk www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Paul Mann Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Melton House is a care home providing personal care and accommodation for 32 older people. The home is a large detached building situated in the market town of Wymondham. Bedrooms are on the ground and first floors. There are currently two shared bedrooms. All bedrooms except for two are ensuite. The home has a variety of communal rooms, one of which is designated for service users who wish to smoke. A shaft lift is provided to aid service users to the first floor. There is a car park to the front with a small garden to the rear of the premises. The fees range from £358 to £525 per week. Copies of the Inspection reports are on display in the Home. Melton House DS0000065210.V370680.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 TWO STAR. This means that the people who use this service experience GOOD quality outcomes. This report contains information gathered about the Home since the last Inspection in April 2007. It includes information provided by staff from the Home, such as the completed Annual Quality Assurance Assessment and through notifications to the Commission. It also includes information gathered during an unannounced visit to the Home which was carried out on the 21st August 2008 between 10.30am and 5.30pm. We also received completed surveys from residents (6), relatives (7) and staff (6). These all contained positive comments about the improvements that have been made at the Home over the last few months. During the visit we looked around the accommodation, inspected records, spoke to staff and residents, observed staff supporting residents. We also spoke to the Manager and provided brief feedback to him at the end of the visit. There were 28 residents living at the Home on the day of our visit. There has been major refurbishment taking place at this Home, which has made great improvements to the accommodation. As a result of this work the Home can now only accommodate 32 residents instead of the 34 that they are register for and the Manager intends to submit an application to vary their registration accordingly. What the service does well: The Home provides a good standard of care to the residents. Their personal and health care needs are met by staff who receive good training and support to carry out their roles effectively. Comments were made such as: “the care is particularly good” “usually care is in excess of that expected” “.the staff are all lovely, you couldn’t find a better place.” “Its lovely and enjoyable to come to work” Relatives are made to feel welcome and are able to visit at any time. Residents are encouraged to maintain contact with relatives and are able to have their own telephones or to use the Homes telephone. Residents and relatives are encouraged to attend the meetings that take place to gather their views and to provide information about changes within the Home. Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 6 Residents enjoy their meals and are always offered a choice. They said that the cook knows what they like and that they are consulted about the menus. 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. Melton House DS0000065210.V370680.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 Melton House DS0000065210.V370680.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&3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents have clear information about the Home prior to making a decision to move there. Their needs are assessed and information is available to staff about how to meet their needs. EVIDENCE: We saw a copy of the revised Statement of Purpose and the ‘Welcome to Melton House’ booklet. These provide clear information to residents about the Home and the services provided there. The Manager said that these could be provided in alternative formats if requested. There is evidence of pre admission assessments being carried out prior to a resident being offered a place at the Home. These are not very detailed but the Manager said that they are going to start using a new format for these Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 9 very soon. The new format should be more relevant as the one being used at the moment has been developed for use in nursing homes. Melton House DS0000065210.V370680.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 residents health and personal care, including the safe administration of medication, are met. Residents feel that they are treated with respect. EVIDENCE: We looked at three of the care plans and these include an initial assessment on which the original care plan and risk assessments are made. These are reviewed and updated on a regular basis. The standard of the care plans is varied and the Manager explained that they are currently reviewing the care plan formats and updating them. For example, one of the care plans that we saw included very detailed risk assessments for a variety of issues affecting the resident whilst another did not have all of the risk assessments completed. The staff who spoke to us said that they are aware of the care plans and that they are involved in the review and updating of information. The completed staff surveys mainly state that they usually receive up to date information Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 11 about the needs of the residents. One comment included in a survey states “the care plans are very helpful”. Staff gave consistent responses to questions about the care that individual residents need. Five of the relatives surveys state that their relatives needs are “always” met and two state “usually”. The responses were the same with regard to the question about whether staff have the right skills and experience to meet the needs of the residents. Additional comments were made such as: “the care is particularly good” “usually care is in excess of that expected” The medication system in use was seen during our visit to the Home and evidence provided shows that all of the requirements made by the Pharmacy Inspector have been met. The Manager and senior staff have worked hard to improve the system to ensure that residents receive their medication in a timely and safe manner. Internal audits are carried out by the Manager and senior staff and records show that they are meeting their own standards for the management of medication. Staff receive training with regard to specific health needs of individual residents. For example, the District Nurses provide training for staff to be able to administer insulin to those residents who need it. Staff are only allowed to administer medication when they have received appropriate training. We observed staff providing care to the residents and this was done in a relaxed atmosphere with lots of communication between staff and residents. There was lots of humour and kindness in the staffs attitude towards the residents. One of the residents told us that “..the staff are all lovely, you couldn’t find a better place.” In general, the residents said that their privacy was respected and that staff all treat them with respect. However, one of the residents was concerned about the fact that the bedroom doors cannot be easily locked from the outside. The bedroom doors have the type of lock on that is easily locked from the inside and can be overridden from the outside but it is not easy to lock the door from outside. The Manager said that some of the bedroom doors are due to be replaced and that he will speak to the maintenance department with regard to the type of locks that the new doors will have. Melton House DS0000065210.V370680.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. Activities are provided for the residents to take part in and relatives are encouraged to visit. Residents receive a varied wholesome diet and are offered choices at all mealtimes. EVIDENCE: The Home employs an activities co-ordinator on a part time basis. Residents told us that they enjoy taking part in the activities. Staff were seen to spend time with residents during our visit to the Home. The views in the residents surveys with regard to the provision of activities were mixed with the majority stating that activities are “always” provided and one stating “sometimes” and one stating “usually”. An additional comment was made within one of the surveys which states that “the activities are very good”. Residents have the choice of three communal lounges as well as their own bedrooms in which to spend their time. The large lounge has recently been decorated and refurbished. The seating has been arranged to encourage small groups of residents to be able to sit together. There are puzzles and games around the Home for residents to use. Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 13 One of the lounges has been designated as the smoking lounge and has appropriate ventilation. At the time of our visit to the Home there were no residents living there who smoked and a couple of residents were using this as somewhere quieter to watch television. Relatives told us that they are made to feel welcome and that they are able to visit whenever they like. Some residents have a telephone in their bedroom and others are able to use the Homes phone. During our discussions with residents they told us that they really enjoy their meals and that they are always offered a choice. They said that they are able to have an alternative if they do not want what is on the menu. The responses within the residents surveys are positive about the provision of meals. Residents are able to have their meals in their room if they wish to but the majority use the newly refurbished dining room. The entrance area has also been refurbished and there are cold drinks provided in this area. However, this area is not used by residents and drinks are not freely available in the lounge areas. According to the training matrix provided by the organisation all of the catering staff have received Food Hygiene training. There are staff employed in the kitchen at times that cover all mealtimes so that the care staff do not have to be involved in the preparation of food. Melton House DS0000065210.V370680.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. Residents and relatives feel that they are listened to and that action is taken to address any concerns. Systems are in place to protect the residents from abuse. EVIDENCE: The Commission has not received any complaints about the Home since the last Inspection and the Manager confirmed that he has not received any complaints. The Home has a complaints procedure which is on display. Residents told us that they feel that they can raise any issues with the staff or Manager as they arise. They said that the staff are good at listening and that action is taken to address issues. All the responses in the relatives surveys state that they know how to complain and that the Manager has responded appropriately if they have raised any issues. The residents surveys all state that they also know how to complain if they wished to. The Manager organises a relatives and residents meeting in which people are encouraged to raise any issues as well as it being a format for providing information to the residents and relatives about any changes within the Home and for gathering the views of the residents. Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 15 The staff who spoke to us, including the catering staff, have all received training with regard to Safeguarding vulnerable adults. They were all aware of the appropriate procedure to follow if they were concerned about possible abuse. The Manager is also aware of the correct procedure for notifying other agencies about any allegations that are made. Melton House DS0000065210.V370680.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 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Recent refurbishment and redecoration means that the Home provides attractive and comfortable accommodation for the residents. EVIDENCE: There has been a major refurbishment of this Home which means that there are great improvements in the quality of the accommodation provided. Some changes have been made and the office has moved so that the entrance area is more welcoming and comfortable. The communal lounge and dining room are much more comfortable and attractive areas for the residents to spend time. Residents who spoke to us all said that they appreciate the work that has been carried out. Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 17 During our visit we looked around the Home and saw all of the communal areas and some of the bedrooms. There is still some work to be completed and the Manager said that the maintenance staff have identified this as an area of priority to complete. This includes the finishing touches to bedrooms which have had new vanity units fitted. Some of the new vanity units provide less storage than the older type and the Manager is considering how this can be addressed with the provision of shelves and cupboards. It was also noted that there are no shaving points provided in the bedrooms. This was raised as an issue to us by residents. Some of the bathrooms are bare and functional looking. The Manager is aware of the need for more homely touches to be added to these to make them more pleasant rooms to be in. According to the training matrix provided by the organisation the majority of staff have completed training with regard to infection control. The Manager said that they are currently recruiting for domestic staff as staff have recently left. During our look around the Home it was noted that there were some areas which were a bit dusty but on the whole the Home was clean and there were no unpleasant odours. Melton House DS0000065210.V370680.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 residents needs are met by a staff team who receive appropriate training and support to carry out their roles effectively. EVIDENCE: Evidence gathered during this Inspection shows that the requirements made during the last Inspection with regard to staffing have been met. The residents who spoke to us spoke highly of the staff and said that there are always enough staff to provide care when they need it. The responses within the resident’s surveys were positive about the staff with all stating that the staff “always” listen and act and that there are “always” enough staff available when they are needed. The responses within the relatives surveys are also positive about the staff with several comments about the improvements now that agency staff are only used on an occasional basis. Some additional comments are as follows: “everybody is extremely helpful and informative” “carers treat the residents with great kindness” “most staff go the extra mile” Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 19 The Manager confirmed that the use of agency staff has reduced greatly and that they are now only used on an occasional basis. The rotas confirm that the usual staffing levels are for there to be one senior staff and four carers on duty during the morning and for there to be one senior staff and three carers on duty during the afternoon/evenings. There is currently one senior staff and one carer on duty at night. The Manager said that the organisation is changing the staff rotas so that staff will work 12 hours shifts rather than the more usual 7 or 8 hour shifts. They are also going to increase the number of care staff on duty at night by one additional carer which will be an improvement. However, once the new shift system is introduced the afternoon staff will finish work at 8pm which will mean that there will be one less member of staff on between 8pm and 10pm than there currently is. The Manager is aware of the need to monitor this to ensure that the needs of the residents are still able to be met. Staff told us that they enjoy working at the Home and that there have been many improvements over the last few months which have been positive for both residents and staff. Staff said that they receive good training and support which assists them in carrying out their roles. The responses within the staff surveys are positive with all stating that they receive appropriate training which is up to date. There were additional comments such as: “it’s a happy place” “Its lovely and enjoyable to come to work” “its easy to talk to each other” The training matrix shows that staff receive induction and ongoing mandatory training. The Manager said that some training is provided by himself and the deputy manager and the rest is provided by the organisations training department. He confirmed that the organisations induction complies with national standards for the provision of induction to care staff. A selection of recruitment records were seen and these show that the necessary checks are carried out prior to staff being employed at the Home. Melton House DS0000065210.V370680.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, 36 & 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home is well managed in a way which promotes the best interests of the residents living there. The health and safety needs of residents and staff are met through regular maintenance and training. EVIDENCE: Staff, residents and relatives told us that there have been great improvements at the Home since the current Manager was appointed. This was also the information that we gathered from relatives, staff and residents surveys which we received. We were also told that the Manager takes time to explain decisions to people if their request is not able to be met. Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 21 Some of the comments include the following: “ I feel very supported” “managers door is always open” “…has improved greatly over the last few months” “…the manager has done a good job of turning the home into a more pleasant place to be”. The Home has a full time Manager and deputy Manager. The Manager works during the week and is not counted as part of the staffing rota. However, he said that he does occasionally work at weekends to provide staff support. The deputy manager has one day where she has time solely to do management tasks and the rest of the time she works with the staff as part of the staffing rota. Staff told us that they feel able to raise any issues with the Manager or deputy manager and that they feel that they are listened to. Whilst they said that they feel supported they do not receive formal supervision on a regular basis. The Manager is aware of this and has already put plans in place, including a timetable, to ensure that staff receive formal supervision on a more regular basis. The Manager receives support from the area manager, who also carries out the required monthly visits on behalf of the organisation. We looked at the arrangements in place for looking after the residents money. The administrator is responsible for looking after this system but the Manager also has access. Small amounts of money can be looked after on behalf of residents and records are kept of expenditure. There have been some recent changes to the system for looking after residents money and it means that residents do not have access to their money at weekends as the Manager and administrator do not work at these times. The organisation needs to ensure that the residents have access to their money at all times. The organisation has systems in place for auditing the service provided. Regular monthly audits take place and records of these were seen. Residents questionnaires were distributed in April this year and the results collated and provided in a feedback letter which also included an update about action that has been taken to address any issues. The views of residents and relatives are also sought at residents/relatives meetings. We saw a selection of records which show that regular maintenance and servicing of equipment takes place. The training matrix shows that staff receive regular Fire training as well as training about infection control, moving and handling and first aid. Melton House DS0000065210.V370680.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 2 8 3 9 3 10 2 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 2 X 3 Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 Requirement The registered person must ensure that the care plans contain detailed guidance about the residents needs to enable staff to be able to meet their needs consistently Timescale for action 30/09/08 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 4 5 Refer to Standard OP10 OP15 OP19 OP35 OP36 Good Practice Recommendations It is recommended that alternative locks are fitted to the bedroom doors so that residents are able to lock them from the outside as well as the inside It is recommended that drinks are available in the lounges as well as the entrance area It is recommended that the bathrooms are made more homely It is recommended that a system is implemented that ensures that residents have access to their money at all times It is recommended that the staff receive formal supervision six times per year Melton House DS0000065210.V370680.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Melton House DS0000065210.V370680.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. 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!