Care Home: Rearsby Home

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What the care home does well The admission process provides sufficient assurances that clients needs, can be fully met. A statement of purpose or service user guide is available, together with a colour brochure. These documents are important sources of information for prospective clients and their representatives in helping them to choose a home. There is sufficient planning and organisation to meet client`s health and personal care needs. Clients told us, "The staff are good and they help me." Clients have opportunities to engage in leisure and social activities and are given support in maintaining links with family and friends and enjoy good nutritious food. The cook prepares and cooks fresh meals for clients and caters for cultural diets and diabetic diets. A menu picture board of the chosen meal and bold text is displayed each day and can help clients make their meal choice.Clients` concerns are listened to and acted upon and good systems are in place to protect them. A formal complaints procedure is displayed on the notice board in the foyer and in the statement of purpose. Clients are effectively supported and protected by well trained staff, and through recruitment practices. A range of training is provided to staff throughout the year. All staff have had moving and handling training and the registered manager is looking to become qualified to teach moving and handling techniques to her staff team. The home was found to be light and airy. The bedrooms sampled were clean, comfortable and fresh smelling. Communal areas were clean and well maintained. The registered manager has 20 years experience in the care sector, and she holds a National Vocational Qualification (NVQ) Assessor qualification. Also she is a trainer in delivering training in dementia, health & safety, moving & handling, food hygiene and infection control. This knowledge helps her to train her own staff team and able to identify any risks and take steps to minimise risks to clients. What has improved since the last inspection? There were no poor odours present upon our visit. Care records reflected clients needs including their cultural/religious and spiritual needs. This assists staff in meeting client`s needs. A fire risk assessment is now in place and can minimise risk to clients. The registered manager is still working towards a quality assurance programme in order to monitor the quality of care provided. What the care home could do better: The registered manager must ensure financial procedures are improved to ensure client`s interests are safeguarded. Review the use of large material bibs for clients at mealtimes and explore other options that are more appropriate to people`s dignity and abilities.To update the complaints procedure including the summary in the statement of purpose. In line with the latest procedure, the complaints procedure needs to be altered to give the complainant the choice of the initial stage to go to the investigating body, the local social services department, which is the lead agency for investigating complaints, as well as the home. Each client to be risk assessed using a window with a restrictor in their bedroom, based on their vulnerability. This would ensure the client`s safety is promoted and protected. Practices around infection control and disposable gloves should be reviewed in order to prevent the spread of infection to clients. CARE HOMES FOR OLDER PEOPLE Rearsby Home 34-36 Station Road Rearsby Leicestershire LE7 4YY Lead Inspector Helen Abel Unannounced Inspection 17th June 2008 09:20 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 Rearsby Home DS0000001820.V366619.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. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rearsby Home Address 34-36 Station Road Rearsby Leicestershire LE7 4YY 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) 01664 424519 F/P 01664 424519 saira.dhinam@googlemail.com Rearsby Home Limited Mrs Sairendri Jawahar Care Home 27 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Mental disorder, excluding learning of places disability or dementia (24), Mental Disorder, excluding learning disability or dementia - over 65 years of age (24), Physical disability over 65 years of age (3) Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one under 55 years of age falling within categories MD or DE may be admitted into Rearsby Residential Home No person to be admitted into Rearsby Residential Home in categories MD or DE when 24 persons in total of these categories/combined categories are already accommodated within the home No person to be admitted into Rearsby Residential Home in categories MD(E) or DE(E) when there are 24 persons in total of these categories/combined categories already accommodated within the home. No one falling within category PD(E) may be admitted into Rearsby Residential Home where there are 3 persons of category PD(E) already accommodated within the home No persons to be admitted to Rearsby Residential Home in categories MD, MD(E), DE, DE(E) or PD(E) when there are 27 persons in total of these categories/combined categories already accommodated within the home 30th August 2006 4. 5. Date of last inspection Brief Description of the Service: Rearsby Residential home is a purpose built property in a quiet residential area of Rearsby village. The home has space for 27 frail elderly residents, and specialises in caring for residents suffering with Mental Health issues and Dementia. The home has a range of accommodation over 2 floors, which can be accessed by a passenger lift. The home has a secluded garden that offers a level access from the home. The home is not situated near shops, though is well placed to access a local bus route to both Melton Mowbray and Leicester. At the time of this inspection the fees ranged from £303 per week to £420 per week. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three people and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. People who live at Rearsby Residential Home prefer to be called “clients.” Planning for this visit included: Assessing the service history of the home including the reporting of significant events, and the Annual Quality Assurance Assessment (AQAA). This was an unannounced visit. The visit started around 9.20 in the morning and lasted around five hours. The registered manager was present throughout the visit and assisted with the inspection process. The visit included a selected tour of the building, inspection of records and indirect observation of care practices, and the serving food at a mealtime. The Inspector spoke with four clients, three members of staff and the registered manager. The quality rating for this service is 2 star. This means the clients who use this service experience good quality outcomes. What the service does well: The admission process provides sufficient assurances that clients needs, can be fully met. A statement of purpose or service user guide is available, together with a colour brochure. These documents are important sources of information for prospective clients and their representatives in helping them to choose a home. There is sufficient planning and organisation to meet client’s health and personal care needs. Clients told us, “The staff are good and they help me.” Clients have opportunities to engage in leisure and social activities and are given support in maintaining links with family and friends and enjoy good nutritious food. The cook prepares and cooks fresh meals for clients and caters for cultural diets and diabetic diets. A menu picture board of the chosen meal and bold text is displayed each day and can help clients make their meal choice. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 6 Clients’ concerns are listened to and acted upon and good systems are in place to protect them. A formal complaints procedure is displayed on the notice board in the foyer and in the statement of purpose. Clients are effectively supported and protected by well trained staff, and through recruitment practices. A range of training is provided to staff throughout the year. All staff have had moving and handling training and the registered manager is looking to become qualified to teach moving and handling techniques to her staff team. The home was found to be light and airy. The bedrooms sampled were clean, comfortable and fresh smelling. Communal areas were clean and well maintained. The registered manager has 20 years experience in the care sector, and she holds a National Vocational Qualification (NVQ) Assessor qualification. Also she is a trainer in delivering training in dementia, health & safety, moving & handling, food hygiene and infection control. This knowledge helps her to train her own staff team and able to identify any risks and take steps to minimise risks to clients. What has improved since the last inspection? What they could do better: The registered manager must ensure financial procedures are improved to ensure client’s interests are safeguarded. Review the use of large material bibs for clients at mealtimes and explore other options that are more appropriate to people’s dignity and abilities. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 7 To update the complaints procedure including the summary in the statement of purpose. In line with the latest procedure, the complaints procedure needs to be altered to give the complainant the choice of the initial stage to go to the investigating body, the local social services department, which is the lead agency for investigating complaints, as well as the home. Each client to be risk assessed using a window with a restrictor in their bedroom, based on their vulnerability. This would ensure the client’s safety is promoted and protected. Practices around infection control and disposable gloves should be reviewed in order to prevent the spread of infection to clients. 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. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process provides sufficient assurances that clients needs, can be fully met. EVIDENCE: A statement of purpose or service user guide is available, together with a colour brochure. These documents are considered to be important sources of information for prospective clients and their representatives in helping them to choose a home. A new client’s relative told the Inspector due to the circumstances of the admission they had not seen the homes written information. The registered Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 10 manager agreed a copy would be given to them. The most current inspection report is held in the office and available to view. A sample check of clients care records identified that an assessment is carried out prior to admission to establish a prospective clients care needs. A prospective client is encouraged to visit the home at least once prior to admission, and then to stay for a trail period of up to four 4 weeks /one month, before reaching a final decision to stay. This information is clearly presented in the statement of purpose. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient planning and organisation to meet client’s health and personal care needs. EVIDENCE: Samples of clients care files were viewed. They included sets of assessment and care planning documents with regular reviews. These documents are designed to guide staff in identifying and meeting the assessed needs of clients. The registered manager confirmed a new client’s care plan is in the process of being typed up. It was noted care plans were generally well presented but the exterior of some of the client care files were in need of replacement. Review of the documents highlighted risk assessments and those relating to personal care needs, contained relevant information, which included consideration of what clients are able to do for themselves. This is considered Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 12 important in helping clients to maintain as much independence as possible. For example one client was observed in the lounge with their own small flask and was able to pour a cup of tea and have biscuits with some independence. The care plan for a client with challenging behaviour provided staff with full information about the behaviour or guidance as to how to manage the behaviour. This was also repeated again with additional guidance given to staff at staff meetings and reflected in the notes taken. Clients are weighed regularly and nutritional risk assessments have been carried out to identify those clients at risk of weight loss. Clients told us, “The staff are good and they help me.” A review of the management of client’s medication confirmed that there is an audit trial with records kept of the medication received and administered to residents. The medication trolley is kept in a locked the treatment room and there is an identified controlled drugs storage facility, and dedicated fridge for keeping medicines cold. All staff with responsibilities for administering medicines have received accredited training, ensuring clients are protected by the homes policies and procedures for dealing with medicines. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients have opportunities to engage in leisure and social activities and are given support in maintaining links with family and friends and enjoy good nutritious food. EVIDENCE: Client’s preferences and choices in relation to times for getting up and going to bed are respected and met by staff. Upon the Inspector arriving at the home early morning clients were seen getting up and spending time in the lounge and walking around the back garden. One client had been supported in maintaining their past interests in gardening and had been helping out in the garden and given some tomato plants to look after. A client had watched another client knitting and asked to take up knitting too. Dominoes and other board games were also popular with clients. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 14 There had recently been a sponsored walk to raise money for charity which clients and their family, friends and staff took part in. One client completed the 5-mile walk in total. In recognition for the benefit to the individual client, the registered manager later received a commendation for good practice from the local authority. A boat trip is planned late July for all the clients and trips to the local garden centre. A relative told the Inspector he would ring the home at different times and they would be given good feedback about their relative. It was observed at mid morning drinks time clients were given a biscuit by staff by hand. The Inspector suggested offering biscuits on a plate and allowing clients to make some choices. Observations of lunchtime identified that there were sufficient staff to ensure that clients had all the assistance that they needed. A roast chicken meal was being served with fresh vegetables and two clients told the Inspector. “The food is lovely and the cook is excellent.” The cook prepares and cooks fresh meals for clients and caters for cultural diets and diabetic diets. A menu picture board of the chosen meal and bold text is displayed each day and can help clients make their meal choice. The Inspector suggested that the use of large material bibs for clients is reviewed and other options are explored that are more appropriate to people’s dignity and abilities. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Client’s concerns are listened to and acted upon and good systems are in place to protect them. EVIDENCE: A complaints record is held in the home with only one complaint in 2007 that was investigated and dealt with on the same day received. A formal complaints procedure is displayed on the notice board in the foyer and in the statement of purpose. This procedure needs to be updated to ensure there are good systems in place to protect residents. In line with the latest procedure, the complaints procedure the document needs to be altered to give the complainant the choice of the initial stage to go to the investigating body, the local social services department, now the lead agency for investigating complaints, as well as the home. All staff receive training in adult protection and training materials and discussion with staff showed that there was knowledge and awareness appropriate to the needs of the resident group. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 16 At staff Induction staff are made aware of all key policies relating to protection including whistle-blowing policy. Good recruitment practices including obtaining Criminal Records Bureau checks before staff start work, also contribute to good outcomes for residents in terms of protection. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 17 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. Clients live in a clean, comfortable and homely environment, which meets client’s needs. EVIDENCE: The home is in keeping the style of property in the local community and has a car parking area to the front, side and rear of the building. There is a large mature garden at the back of with garden furniture for clients use. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 18 The home was found to be light and airy. The bedrooms that were seen were clean, comfortable and fresh smelling. Communal areas were clean and well maintained. Signs were evident as prompts for washing hands and staff reported undertaking training in infection control. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 19 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- 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients are effectively supported and protected by well trained staff, and through recruitment practices. EVIDENCE: All staff receive a comprehensive induction when joining the home. Training recently undertaken by staff has included adult protection training, aggression management (including the cook), understanding visual impairment, first aid, and administration of medicines. All staff have had moving and handling training and the registered manager is looking to become qualified to teach moving and handling techniques to her staff team. New courses coming up for care staff include; first steps into management and the Mental Capacity Act. There are several staff with nursing qualification from overseas. They are also studying for National Vocational Qulaification level 2 & 3. Such training ensures clients are supported by well-trained staff. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 20 Staff recruitment records were sampled with Criminal Record Bureau (CRB) reference numbers checked. These were all in order with all the required documents. The Inspector suggested two identified staff recruitment records should be removed from the large envelopes and filed appropriately. Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good health and safety practices ensure client’s welfare in these areas is promoted. EVIDENCE: The registered manager has 20 years experience in the care sector, and she holds a National Vocational Qualification (NVQ) Assessor qualification. Also she is a trainer in delivering training in dementia, health & safety, moving & handling, food hygiene and infection control. This knowledge helps her to train her own staff team and able to identify any risks and take steps to minimise Rearsby Home DS0000001820.V366619.R01.S.doc Version 5.2 Page 22 the risk swiftly. The Inspector observed a staff member undertaking caring duties with a hole in the protective gloves. Practices around infection control and disposable gloves should be reviewed in order to prevent the spread of infection to clients. All equipments are maintained and serviced regularly as per regulations. All portable appliances are checked annually for their safe use, water is checked for legionnaire disease and also other areas such as lift, hoists, fire equipments, gas boilers, water temperature -all are maintained and serviced as per regulation. On the day of our visit the fire alarm system was being mended due to a fault. Some bedroom windows were propped open with window restrictors for fresh air. The Inspector recommended each client with a window restrictor is risk assessed based on the vulnerability of the client. Client’s personal needs allowance was sampled for the 3 clients case tracked. There were errors for all the amounts held and the amounts recorded. The registered manager explained she was due to undertake a check of client’s pocket money and would have noted the inaccuracies and amended this. She confirmed client’s monies are always handled carefully with a clear account held. The registered manager must ensure improved financial procedures to ensure client’s interests are safeguarded. The registered manager confirmed surveys for clients their families and friends are due to be circulated this year. Surveys are carried out each year and are used as part of the homes quality assurance system. The registered manager is reminded to ensure the results of surveys are published and made available to current and prospective clients, their representatives and other interested parties. Staff meetings are held regularly and frequently give good practice guidance to staff around infection control and behaviour management. The same aspect was recorded in staff supervision notes. There are no clients meetings instead client’s views and suggestions are captured and acted upon, as and when they are communicated to staff. Rearsby Home DS0000001820.V366619.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 x 3 x x x 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 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 x 3 x 2 x x 3 Rearsby Home DS0000001820.V366619.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. 1 Standard OP35 Regulation 8 Requirement The registered manager must ensure improved financial procedures are maintained to ensure clients interests are safeguarded Timescale for action 18/06/08 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 Refer to Standard OP15 OP16 Good Practice Recommendations The use of large material bibs for clients at mealtimes should be reviewed and other options are explored that are more appropriate to people’s dignity and abilities. To update the homes complaints procedure including the summary in the statement of purpose to give the complainant the choice of the initial stage to the local social services department as well as the home. Risk assess the use of window restrictors in bedrooms, based on their vulnerability. This would ensure client’s safety is promoted and protected. Practices around infection control and disposable gloves should be reviewed in order to prevent the spread of infection to clients. DS0000001820.V366619.R01.S.doc Version 5.2 Page 25 3. 4. OP38 OP38 Rearsby Home 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 Rearsby Home DS0000001820.V366619.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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