Care Home: Redwood House Residential Home

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What the care home does well Redwood House provides a safe, homely and friendly place for people to live. There is an informal and relaxed atmosphere. The home provides information to help people decide whether they wish to move into Redwood House. The manager encourages people to visit the home before making up their minds. Assessments of people`s needs are carried out before they move in, so that staff can provide the care that is needed. The home provides personal care to a good standard, and care plans address peoples` individual needs. The home manages medication safely. There are a variety of opportunities for people to take part in social activities. The home provides people who use the service with a varied and balanced diet of appealing and nutritious food. The home has a thorough complaints procedure, which is readily available. People who use the service can be confident that complaints and concerns will be taken seriously, and that the manager will do her best to resolve them.The staff team is one of the strengths of Redwood House. The staff are professional and caring, and will go out of their way to help the people who live at the home. The manager runs the home in the interests of the people who live there. The health and safety of the people who use the service are protected by the policies and procedures in the home. What has improved since the last inspection? The home regularly reviews and updates the assessments of people`s needs, and care plans are sufficiently detailed for staff to know what care is needed. Medication is being managed in a way which protects the people who use the service. All aspects of medication management are recorded in detail. Staff training is being given a high priority, and new staff are receiving a structured induction programme. CARE HOMES FOR OLDER PEOPLE Redwood House Residential Home 11 Cherry Hill Road Barnt Green Worcestershire B45 8LL Lead Inspector Sarah Blake Key Unannounced Inspection 27th August 2008 09:30 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 DS0000018478.V370530.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. DS0000018478.V370530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redwood House Residential Home Address 11 Cherry Hill Road Barnt Green Worcestershire B45 8LL 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) 0121 447 7447 0121 447 9700 admin@redwoodcare.co.uk Redwood Care Homes Ltd Mrs Nicola Jayne Hill Care Home 28 Category(ies) of Dementia (28), Old age, not falling within any registration, with number other category (28), Physical disability (28) of places DS0000018478.V370530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 28 Dementia (DE) 28 Physical disability (PD) 28 The maximum number of service users who can be accommodated is: 28 6th September 2007 2. Date of last inspection Brief Description of the Service: Redwood House is a large detached house, set in extensive grounds consisting of mature gardens and lawned areas. Ramps and pathways enable easy access for residents. The home has a passenger lift to enable ease of access to the upper floors. Redwood House is registered to provide residential care for up to 28 older people who are frail, who may have physical disabilities or who may have experienced a mental health need. The home chooses to care for up to a maximum of 27 people. At the time of this inspection 26 residents were accommodated. Accommodation is provided in 24 single bedrooms, 11 of which have en-suite facilities and two double bedrooms with wash facilities but without en suite. Respite care can be provided if there are vacancies. The stated aim of Redwood House is to provide quality care in a safe and comfortable environment, where residents have the freedom of choice in the management of their own lives and where they are treated with dignity and respect. Redwood Homes Ltd acquired Redwood House in March 1998. There are several homes within the group. DS0000018478.V370530.R01.S.doc Version 5.2 Page 5 The registered manager, Mrs Nicola Hill, is responsible for the day-to-day management of the home. The Service User Guide states that fees at Redwood House currently range from £360.00 to £450.00 per week. Additional charges are made for personal items such as hairdressing, newspapers and toiletries and private chiropody. The fee information included in this report applied at the time of inspection and the reader may wish to obtain more up to date information from the care service. A copy of this inspection report can be viewed at the home. DS0000018478.V370530.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good outcomes. We spent a day at the home, talking to the people who use the service and the staff, and looking at the records, which must be kept by the home to show that it is being run properly. These include records relating to the care of people who use the service. The service had previously completed an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Some of the manager’s comments have been included within this inspection report. The information from these sources helps us understand how well the home is meeting the needs of the people using the service. What the service does well: Redwood House provides a safe, homely and friendly place for people to live. There is an informal and relaxed atmosphere. The home provides information to help people decide whether they wish to move into Redwood House. The manager encourages people to visit the home before making up their minds. Assessments of people’s needs are carried out before they move in, so that staff can provide the care that is needed. The home provides personal care to a good standard, and care plans address peoples’ individual needs. The home manages medication safely. There are a variety of opportunities for people to take part in social activities. The home provides people who use the service with a varied and balanced diet of appealing and nutritious food. The home has a thorough complaints procedure, which is readily available. People who use the service can be confident that complaints and concerns will be taken seriously, and that the manager will do her best to resolve them. DS0000018478.V370530.R01.S.doc Version 5.2 Page 7 The staff team is one of the strengths of Redwood House. The staff are professional and caring, and will go out of their way to help the people who live at the home. The manager runs the home in the interests of the people who live there. The health and safety of the people who use the service are protected by the policies and procedures in the home. 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. DS0000018478.V370530.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 DS0000018478.V370530.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, 5 The home does not provide intermediate care, so we have not inspected Standard 6. Quality in this outcome area is good. There is sufficient information available for people to decide whether Redwood House is right for them. There are opportunities for people to visit the home before making up their minds. The home carries out assessments of people’s needs before they move in, so that staff can provide the care that is needed. This judgement has been made using available evidence including a visit to this service. DS0000018478.V370530.R01.S.doc Version 5.2 Page 10 EVIDENCE: The home provides a Service User Guide, to give people the information they need about Redwood House. People are encouraged to visit the home for a day before they decide whether or not they wish to move into Redwood House. We saw records for two people who use the service, which showed that they had visited and had lunch at the home, and had subsequently stayed for a trial period of one month. One person’s daughter told us that she had visited several homes before deciding that Redwood House would meet her parent’s needs. She mentioned that she found the home to be “more like a cosy home than a care home”. The records showed that a brief assessment is carried out at this first visit. This assessment covers all areas of daily living, and gives staff the information they need so that they can provide the support and care that people need, as soon as they move into the home for the trial period. During the one month trial period, a senior member of staff carries out a full assessment of each person’s needs. DS0000018478.V370530.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. The home provides a good standard of care based on the individual needs of the residents. The home has good procedures for managing medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at the records for two people who use the service, and these showed that each person had an individual plan of care. The home had carried out thorough assessments of each person’s needs and had used the information to draw up a care plan, so that staff could easily see what care needed to be provided. DS0000018478.V370530.R01.S.doc Version 5.2 Page 12 The care plans were detailed and included people’s likes and dislikes as well as information about their health and personal care needs. For example, we saw that the care plan for night time included information about pillows and positioning, night snacks and type of sleep pattern. The manager told us that people who use the service can be involved in planning and reviewing their own care, and we saw in the records for one resident that her daughter had signed to say that she agreed with the care plan. Following the previous inspection a year ago, the home was required to make improvements to the way in which care is assessed and planned. The home has made these improvements, and has therefore met this requirement. We spoke to a relative, who told us that the home always seeks medical advice when necessary, and we saw in the records that GPs and District Nurses had been contacted whenever someone’s health had given cause for concern. One relative told us that she had been contacted when her parent had fallen. When she arrived at the home, she found a member of staff lying beside her parent on the floor, holding her hand and comforting her until the ambulance arrived. The home has good procedures in place for the management of medication. Following the previous inspection a year ago, the home was required to make improvements to the way in which medication was being managed. The home has made these improvements, and has therefore met this requirement. Medication is stored safely, and accurate record keeping enables the home to know exactly which medications have been given and at what times. We saw in the records that people who use the service sign consent forms to allow the home to take responsibility for their medication. Throughout the inspection, we saw that staff treated people who use the service with respect, and upheld their privacy and dignity at all times. We spoke to relatives and to people who use the service, and they all told us that staff are respectful and always knock before they enter bedrooms. DS0000018478.V370530.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. The home provides a range of opportunities for people to take part in activities. These take into account people’s individual preferences. The food provided by the home is nutritious and of high quality. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As soon as we arrived at Redwood House, we saw that a varied range of social activities is offered by the home – there was a poster on the door advertising a Fun Day and Barbecue, and the reception area contained a beautifully displayed collection of crafts done by some of the people who use the service. This included hand knitted items, collages and paper flowers. There was also a photo montage of the residents, and photos of an outing to a garden centre. The whole impression was of a busy and active lifestyle. DS0000018478.V370530.R01.S.doc Version 5.2 Page 14 Some of the people who use the service told us that they were looking forward to the upcoming visit to the Botanical Gardens, with a fish and chip supper on the way back. They were especially pleased that families had been invited to join the outing. The home recognises that activities do not necessarily have to be based around leisure pursuits, but that some people who use the service might enjoy carrying out some of the tasks which they used to do when in their own homes, such as ironing and washing up. We saw two risk assessments, which showed that the home had made it possible for people to do these activities safely. The manager told us that, on Christmas Eve, the staff and some of the residents prepared the vegetables for Christmas lunch together, and that this had been something which everyone had greatly enjoyed. It is clear from the above, that the home tries hard to make Redwood House as homely and informal as possible, and also tries to meet each person’s individual needs and wishes. We saw visitors arriving during the day, and they were made welcome by the staff. The day’s lunch menu was written on a blackboard in the dining room. The cook told us that people who use the service are always given a choice of main meal, and we saw a list of suggested alternative meals. These included salad, beans, sandwiches, omelettes, jacket potatoes with various fillings, and soup. One relative told us that her mother does not always want to eat much, and that “they let her have a jam sandwich, as this is something she enjoys”. We saw lunch being served in the very pleasant dining area, and it appeared appetising and was obviously being enjoyed by the people who use the service. Lunch on the day of the inspection was lamb leg steaks, new potatoes, peas, parsnips and mint gravy, followed by chocolate sponge pudding and chocolate custard. We received many positive comments about the food, including “the food is lovely and there’s always fresh vegetables” and “my father seems to be wellnourished and has put on a lot of weight”. People can choose to eat in their bedrooms if they wish. We saw that hot drinks were served throughout the day, and there is a drinks dispenser of squash in the dining room for people to help themselves. DS0000018478.V370530.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. People who use the service have access to a thorough complaints procedure, and are confident that any concerns will be resolved. Staff have good knowledge and understanding of how to protect vulnerable people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who use the service told us that they were confident that they could approach the manager with any concerns and that these would be dealt with. One person said “Nicky (the manager) is very kind and always tries to sort things out for me”. The manager told us that she has an open door policy, and throughout the day we saw people who use the service, their relatives and staff approaching her with minor issues. She dealt with everyone kindly and cheerfully. The Service User Guide clearly explains how to make a complaint, and we saw a copy of the complaints procedure in the reception area. DS0000018478.V370530.R01.S.doc Version 5.2 Page 16 The home’s staff recruitment procedures help to protect the people who use the service. We looked at two staff files, and these showed that the home carries out all the necessary checks on new members of staff. These include a Criminal Records Bureau (CRB) check and two written references, one of which should be the most recent employer. These checks help to ensure that unsuitable staff are not employed at the home. We saw training records, which showed that all staff have received training in the protection of vulnerable people. We spoke to a member of staff, who demonstrated good knowledge of how people can be protected from abuse. DS0000018478.V370530.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, 20, 23, 24, 25, 26 Quality in this outcome area is good. Redwood House provides a safe and comfortable environment for people to live in. There is a friendly and relaxed atmosphere. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has been adapted to meet the needs of the people who use the service without losing its character. It has the atmosphere of a large family home, and the furnishings are modern and well maintained. There are homely touches, such as pictures and mirrors on the walls. There is a large sitting room with comfortable armchairs, and an attractively laid out dining area. DS0000018478.V370530.R01.S.doc Version 5.2 Page 18 The home has large gardens to the front and back of the house, which are generally well-maintained. The manager told us that people who use the service are involved in planting hanging baskets and patio tubs. Throughout the day of the inspection, it was apparent that people who live at Redwood House regard it as their home, and the informal and friendly atmosphere adds to the sense of homeliness. One resident told us “it’s the kind of place that you say ‘this is nice’”. The manager described the home as “warm, clean, safe and jovial”, and we would agree with this view. There is a shaft platform lift to the upper floors of the home. The upstairs windows have restrictors so that they cannot be opened too far. However, we saw that the window in the unlocked staff room on the upper floor was wide open. The home must make sure that this window is assessed for the risk it presents to the people living within the home, and action taken so that there is no possibility of anyone falling from it. We saw that bedrooms were clean and tidy, and that people who use the service had personalised their bedrooms with items of their own furniture and ornaments. One person told us “I really like my room – it’s a home from home”. We saw in the records that people had been asked if they would like a key to their bedroom, and a lockable cupboard. Several people who use the service had mentioned in the home’s satisfaction surveys that items of clothing had gone missing in the laundry. The manager assured us that she has resolved this issue, and one resident told us that her clothes were always “beautifully washed”, and that none had ever gone missing. The kitchen was seen to be very clean and tidy. The home has achieved a 4 star rating from Environmental Health this year. All bathrooms and lavatories were seen to have hand washing facilities, including liquid soap dispensers and paper hand towels. These help to minimise the risk of infection. Infection control is well managed. We saw that staff were wearing gloves and aprons when providing personal care. The home is kept very clean and tidy throughout. DS0000018478.V370530.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, 28, 29, 30 Quality in this outcome area is excellent. Staff are well-trained and competent to provide the care that people need. There are sufficient staff on duty to meet the needs of the people who use the service. Staff are well supported by the manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the day of the inspection, we saw that staff had an excellent rapport with the people who use the service. As the staff went about their work, they always had time for a quick chat or a friendly word. The Redwood Care Homes group has recently achieved the Investors in People award. The Investors in People Standard is a business improvement tool designed to advance an organisations performance through its people. The assessor spent time at Redwood House, talking to staff and the people who use the service, and these are some of his comments: “there is a true team spirit where the manager is one of the team”, “unique family feel through staff involvement and making Redwood a loving place for residents”, “close knit and strong team ethos which drives the values of caring to high levels” and “clear DS0000018478.V370530.R01.S.doc Version 5.2 Page 20 focus on learning and development for all staff, both mandatory and individual”. We looked at training records, which showed that all staff have received up to date mandatory training this year. The home has also provided training in areas such as continence, care of the dying, diabetes, strokes and challenging behaviour. At the previous inspection last year, the home was required to provide structured induction training for new staff. We saw records for a new member of staff, which showed that she had undertaken the Skills for Care induction. Skills for Care induction provides a structured start for new care workers, and gives them the skills they need to give high quality care and support. Staffing rotas showed that there are sufficient staff on duty at all times to meet the needs of the people who use the service. There are clear lines of responsibility within the staffing structure, and the home uses a key worker system, whereby each resident has an allocated key worker, who is involved in care planning and in supporting the resident on a day to day basis. The comments we received from people who use the service and their relatives about the staff at Redwood House were all positive. They included “they’re super – there isn’t one that you could say anything unkind about”, “they really are lovely people” and “I can’t praise them enough”. DS0000018478.V370530.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, 32, 33, 38 Quality in this outcome area is good. The home is well managed by an experienced and knowledgeable manager. Residents can be confident that the home is run in their best interests. The health and safety of the people who use the service are protected by the policies and procedures in the home. This judgement has been made using available evidence including a visit to this service. DS0000018478.V370530.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager works hard to make sure that the home meets the needs and wishes of the people who use the service. During the day of the inspection, we saw that she had an excellent rapport with the staff and the people who use the service. People spoke highly of the manager’s skills and praised her kindness. One person told us “Nicky (the manager) has been so kind to me and has always listened and tried to help”. The manager has an informal, hands-on approach to management, and she clearly has the support of her staff. The Investors in People assessor commented “praise and appreciation from the manager makes staff feel valued”. The manager told us that she sometimes works weekends, so that she can keep up her skills in providing personal care. People who use the service benefit from the caring and friendly ethos of the home. We saw that relatives had commented in a satisfaction survey carried out by the home: “my mother feels extremely secure and content at the home. This must be a reflection of the care given” and “the care my mother received was outstanding”. The home does not take responsibility for peoples’ money, but provides a lockable cupboard for each resident in their bedroom. We looked at maintenance and safety records which must be kept by the home, and these were satisfactorily completed. The manager carries out a monthly audit of accidents, and we saw that there had been a high incidence of falls by one resident during one month. The manager told us that she had used this information to request a review of the person’s medication. DS0000018478.V370530.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 2 X 3 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 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 DS0000018478.V370530.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 OP19 Regulation 13 (4) (a) Requirement The window in the upstairs staff room must be assessed for the risk it presents to the people living within the home, and action taken to minimise identified risks. Timescale for action 27/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000018478.V370530.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 DS0000018478.V370530.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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