Care Home: St Germans House

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Germans House 14 Lynn Road St Germans Kings Lynn Norfolk PE34 3EU The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lella Hudson Date: 0 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home Name of care home: Address: St Germans House 14 Lynn Road St Germans Kings Lynn Norfolk PE34 3EU 01553617491 01553617194 stgermans@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Exceler Healthcare Services Limited Name of registered manager (if applicable) Mrs Catherine Caroline OSullivan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 9 0 care home 9 learning disability Additional conditions: Up to nine (9) Service Users who have a learning disability may be accommodated. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home St Germans is a care home providing residential care for nine people who have a learning disability. It is owned by Exceler Healthcare Services Limited. The home is located in the village of St Germans approximately five miles from Kings Lynn. The home is close to the village shop, post office, church and village pub. The home, previously a pub, was converted into a residential home and opened in 1984. The home comprises of the ground floor Care Homes for Adults (18-65 years) Page 5 of 34 accommodation of two reception rooms, dining room, kitchen, office and two single bedrooms. The first floor has two shared rooms and two further single rooms. St Germans shares its garden area with Abbotsford another small home for people with learning difficulties, owned by the same proprietors. Staff and service users from both homes mix freely. The fees are agreed on an individual basis and at present range from £341.00 to £598.00 per week. Please contact the Home for further information about fees. Care Homes for Adults (18-65 years) Page 6 of 34 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 34 How we did our inspection: This is what the inspector did when they were at the care home This report contains information gathered about the service since the last Inspection (April 2007). It includes the information provided by the Manager in the completed Annual Quality Assurance Assessment (AQAA) and the completed surveys returned by staff and residents. It also contains information Page 8 of 34 Care Homes for Adults (18-65 years) gathered during an unannounced visit to the service that we carried out on the 8th April 2009. During the visit we spoke to the Manager, staff and residents, looked around the accommodation and inspected a variety of documents. What the care home does well The staff know the residents well and have a good understanding of how to meet their needs. The staff are positive about working at the Home and were seen to support Care Homes for Adults (18-65 years) Page 9 of 34 the residents in a kind and respectful way. The Home provides comfortable accommodation for the residents and they are encouraged to personalise areas with their own possessions. The residents dietary needs are met and they enjoy their meals. They are involved in planning menus, shopping and cooking. The staff receive appropriate training and supervision to enable them to carry out their Care Homes for Adults (18-65 years) Page 10 of 34 roles effectively. What has got better from the last inspection The staffing levels are more consistent and as there are less residents living at the Home now the staffing levels meet the needs of the residents. The residents are encouraged to make more decisions for themselves and to be involved in making choices about as many areas of their lives as Care Homes for Adults (18-65 years) Page 11 of 34 they are able to. Residents are supported to take part in a wider range of meaningful activities. Some residents have made a choice to make changes in how they spend their time and they have been supported to do so. The care plans contain more information about how to meet the residents needs. Care Homes for Adults (18-65 years) Page 12 of 34 What the care home could do better The residents need a financial care plan so that the arrangements in place for looking after their money is clear and open to scrutiny. There are areas of the Home in need of additional handrails due to the increasing frailty of the residents. The bathrooms are in need of upgrading and making more homely. Care Homes for Adults (18-65 years) Page 13 of 34 The arrangements for the management of the Home need to be clarified and a new manager appointed as soon as is reasonably possible. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Lella Hudson CQC CPC1 Capital Park Fulbourn Cambridge CB21 5XE 01223 771300 Care Homes for Adults (18-65 years) Page 14 of 34 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 34 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 34 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The Home has an appropriate admissions procedure. The information about the Home needs to be available in alternative formats to enable residents with communication difficulties to have clear information about the Home prior to moving there. Evidence: There are currently two vacancies at the Home. The Home has an admissions procedure which includes gathering information about the prospective residents needs prior to them being offered a place. The Statement of Purpose is now available in a version including symbols. This is a large, detailed document and some of the symbols are not easy to understand. The Manager said that there are plans to produce the Service User Guide in an easy to read format to enable prospective residents with communication difficulties to have an idea about the services provided at the Home. Care Homes for Adults (18-65 years) Page 17 of 34 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The care plans contain detailed guidance for staff about how to meet the residents needs. Risks are assessed with plans in place for managing risks. Residents are supported to make their own decisions as far as possible. Evidence: We looked at one of the care plans and could see that the quality of the information within this has improved since the last Inspection. The care plan contains a lot of information about the residents needs and how these should be met. The Manager is aware of one area of need for the resident whose care plan we looked at that needs further detail following recent changes in care. The care plans show that regular reviews take place and that changes are made after these as needed and following advice from health/social care professionals. Risks are identified and clear guidance is provided with regard to managing risks. There are some areas within the care plans where information is duplicated. There is evidence in the care plans that the resident has been involved in the process Care Homes for Adults (18-65 years) Page 18 of 34 Evidence: and had actually signed the care plan that we looked at. We spoke to the resident and they told us that they know what is in the care plan and that the staff talk to them about it. We received three completed staff surveys and they all state that they get enough information about how to meet the residents needs. Discussions with staff show that they have a good knowledge of how to meet the residents needs. Discussions with the Manager and staff show that improvements have been made to ensuring that the residents are involved in decision making about issues that affect them. Regular resident meetings take place and the residents meet with their keyworkers. Some of the residents have communication difficulties and staff have received training about the use of signing. This work needs to be developed further as it is not being used on a regular basis. One of the residents told us that they go to the meetings and that staff ask their opinion about things. We received five completed surveys from residents, mostly completed with staffs help, and these all state that they are involved in making decisions. We looked at the records relating to the arrangements in place for looking after the residents finances for one of the residents. This has improved since the last Inspection and we could see that clear records are kept of money received and of expenditure. Receipts are now kept for expenditure. The Manager said that the records are audited by the organisations financial department. There is a need for a financial care plan for each of the residents. Care Homes for Adults (18-65 years) Page 19 of 34 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The residents are supported to take part in a range of meaningful activities and their views are sought about how they spend their time. The dietary needs of the residents are met and they enjoy their meals. Evidence: There are photographs around the Home and albums showing the range of activities that the residents are supported to take part in. The majority of the residents living at the Home are becoming frail due to age or disability and so the type of activities that they now enjoy may be different to those that they enjoyed a short while ago. The staff are aware of the need to continually monitor the activities provided to ensure that they are meeting the residents needs and that the residents enjoy them. For example, one resident expressed a choice about reducing the days they spend at a day service and so now spends more time at home during the day. Due to ill health one of the residents has reduced the time spent doing voluntary work but there are Care Homes for Adults (18-65 years) Page 20 of 34 Evidence: plans for this to continue once they feel well again. Staff and residents told us that residents like to go out more in the summer and so in the winter they try to arrange different activities within the Home such as cooking, arts and crafts and excercise groups. There was an Extend group (exercise) taking place with an Extend trainer on the day of our visit. The Home has a minibus but there has been problems with it recently. One of the residents has a mobility car and this is used by other residents as well. The Manager said that the resident is asked before anyone else uses the car and that financial contributions are made to this. There is a need to review this situation to ensure that the resident is not being taken advantage of financially and to clearly record the decision. The Home is situated in a small village and residents regularly use the local shop and public house. Staff said that there is a good bus service but that not all of the residents find it easy to use public transport. The Home has a patio area as well as a large garden to the rear of the property. The residents are involved in planning menus, shopping and cooking. One of the residents told us that they really like cooking and that they often help prepare the meal or make cakes. The Home has a large kitchen which is accesible to the residents if they wish to be involved in cooking. The menus for the forthcoming week are discussed at residents meetings and are on display in the dining room. Residents told us that they are able to have a choice and this was seen by us during our visit to the Home as one of the residents did not want what was on the menu and was offered several different alternatives. One of the residents writes the menu and displays it on the wall. Care Homes for Adults (18-65 years) Page 21 of 34 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The residents personal and healthcare needs are met at the Home. Medication is safely managed. Evidence: The residents surveys state that the residents feel well cared for and that their privacy is respected. The resident who spoke to us said that they like living at the Home and that she likes the staff. She said that it is her choice about what time she gets up and goes to bed and about how she spends her time. Two of the bedrooms are shared rooms and the Manager said that these residents had been given the choice to move to a single room but had declined to do so. One of the residents told us that she had requested to move from a single room into a shared room as she did not like having a single room. There are screens available in each shared room to provide some privacy. Alterations have taken place to provide two large single bedrooms on the ground floor as two of the residents are not able to manage the stairs any longer and the Home does not have a lift. The Manager is aware that if residents become more frail then the accommodation may no longer meet their needs. She monitors the situation and liases Care Homes for Adults (18-65 years) Page 22 of 34 Evidence: with the relevant social workers about this. Staff who spoke to us were clear about the care needed by the residents and gave consistent answers to questions about this. They clearly have a good understanding of the needs of the residents and how to meet them. The care plan that we looked at contained clear information about the residents needs and had been updated to reflect changes in physical and mental health care needs. One of the residents has been very unwell recently and the Manager had involved healthcare professionals appropriately. She had also notified the Commission of events surrounding hospital admissions as required to do. As already mentioned, the majority of the residents are becoming more frail and therefore there is more need for some assistance with mobility. Staff said that they have received the appropriate moving and handling training and that they have the right equipment. The Manager has requested that additional grab rails are provided in the bathrooms to assist one of the residents. There is a situation regarding clothing for one of the residents and the Manager said that she has spoken to the relevant person about the implications of the Mental Capacity Act with regard to this. We did not look at the care records for this person during our visit. We looked at the medication system in place. Records show that staff receive appropriate training and staff told us that they are required to undertake observed assessments prior to being able to administer medication alone. The medication administration record is being completed appropriately. The team meeting minutes show that the Home had achieved 100 following a recent medication audit carried out by the organisation. Care Homes for Adults (18-65 years) Page 23 of 34 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Procedures and training are in place to protect the residents from abuse. There is an appropriate procedure for dealing with complaints. Evidence: The Commission has not received any complaints abou the Home and the Manager confirmed that they have not received any either. The complaints procedure is on display around the Home in a pictorial format. The residents are encouraged to raise any concerns they may have in the residents meetings or with their keyworkers. Due to the communication difficulties that some residents have it may be difficult for them to make a formal complaint. However, staff gave examples of how they recognise if someone is not happy about something. The Home has a Safeguarding procedure which clearly states that the local procedure for Safeguarding Adults must be adhered to. Records show that all staff have attended Safeguarding training and this was confirmed through discussions with staff and in the responses within the staff surveys. Care Homes for Adults (18-65 years) Page 24 of 34 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The Home provides adequate accommodation for the residents. There are systems in place to continually monitor whether the accommodation meets the needs of the residents who are becoming more frail. Evidence: We looked around the Home and discussed the accommodation with the Manager, one of the residents and members of staff. We could see that the bedrooms have been decorated and the resident said that they had been involved in choosing colours and new duvet covers. Two bedrooms have been created downstairs as two residents are no longer able to manage the stairs. These rooms are very large single bedrooms and there is plenty of room for any mobility equipment that may be required. Some of the communal areas are in need of redecorating and refurbishment. There are lots of pictures and photographs around the House to make it attractive and homely although the presence of staff notices in the corridor reduce this effect somewhat. The bathrooms are in need of upgrading. New grab rails are needed in all bathrooms as they are either not present or are very rusty. The bath in the bathroom on the first floor is in need of replacement as it is chipped and stained. There is also a need for Care Homes for Adults (18-65 years) Page 25 of 34 Evidence: new flooring in one of the bathrooms. The Manager said that the hot water is regulated to prevent scalds and we saw that the radiators are all covered. Door guards have been put onto some of the heavy fire doors which used to bang shut very loudly. This means that the resident is able to have their door open if they wish to. Care Homes for Adults (18-65 years) Page 26 of 34 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs of the residents are met by an effective staff team. Staff receive appropriate training and supervision to carry out their roles effectively. Appropriate recruitment checks are carried out prior to staff starting work at the Home. Evidence: There are always two staff on duty at the Home during the day and evening. There is a waking member of staff on duty over night. At the Home next door which is owned by the same organisation there is a member of staff sleeping in overnight which provides additional staff support if needed. There is always a senior member of staff on duty and there is also an on call system for additional support. The staff who spoke to us confirmed these staffing levels and said that they feel that they are satisfactory to meet the needs of the residents now that there are only six residents. They said that additional staff are on duty if there is a particular activity needing additional support. Some of the residents attend formal day services and so are not at home during the day. Discussions with the Manager and staff provided examples of how a residents ill health was managed effectively with the assistance of additional support provided by the mental health team. This team provided 1:1 support for the resident at times and also provided training for the staff team about how best to support the resident at that Care Homes for Adults (18-65 years) Page 27 of 34 Evidence: time. One of the residents told us that the staff are kind and that they are always helpful. We observed staff supporting residents in a kind and respectful manner. Staff who talked to us have a good understanding of the residents needs. All staff have attended mandatory training such as moving and handling, food hygiene, safeguarding and fire safety. They have also attended training about equality and diversity. Additional training about specific needs of the residents has been provided recently by the speech and language therapist and mental health team. Staff told us that they feel that they receive good training which enables them to carry out their roles effectively. They also said that they have regular supervision with the Manager and feel well supported. The Manager and some of the senior staff have attend training about the Mental Capacity Act and the Deprivation of Liberty. They are starting to look at how this may impact on the care that is being provided in the Home. We looked at a selection of staff files and could see that appropriate checks have been carried out prior to staff starting work. However, the record confirming the Criminal Records Bureau check should indicate what level the disclosure was and whether there were any issues identified on it. The organisation has carried out an audit of the staff files recently. Staff follow a formal induction programme which they told us provided them with a good introduction to their roles and included shadowing more experienced staff. The staff surveys state that staff have regular meetings with the Manager and that they receive good training. Care Homes for Adults (18-65 years) Page 28 of 34 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The Home has been well managed by an enthusiastic manager who puts the needs of the residents first. The health and safety needs of the residents and staff are protected. The quality of the service is reviewed on a regular basis. Evidence: It was the Managers last working day at the Home on the day of our visit. She is leaving to work at another Home. The Commission had not been notified that the Manager was leaving and staff told us that they had not been told what the arrangements would be with regard to temporary management of the Home. The Manager has worked at the Home for a year and has recently completed registration with the Commission. Staff told us that she has been a good manager and that she puts the needs of the residents first. They said that she provides good support to the staff team and that she is always available for discussions. The Manager also manages the three bedded Home next door to this Home. The views of the residents are sought on a regular basis, either at residents meetings or during chats with keyworkers as well as in more informal ways on a daily basis. The Care Homes for Adults (18-65 years) Page 29 of 34 Evidence: Manager said that questionnaires had recently been sent out to relatives to seek their views about the service provided. The Manager had completed the Annual Quality Assurance Assessment which we had asked for and this provided a review of the service provided. The area manager carries out monthly visits to the Home and a report is provided as per Regulation 26. We looked at a selection of health and safety records and these show that regular maintenance and servicing of equipment takes place. The Manager said that the fire risk asessment had been carried out in 2008 and that there were no outstanding issues. There is a double handle on one of the doors leading to the front door. The Manager said that this was to prevent one of the residents going out of the front door as she has no road safety skills. There is a need for a risk assessment for this. Care Homes for Adults (18-65 years) Page 30 of 34 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 31 of 34 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 7 17 It is required that each resident has a financial care plan 29/05/2009 To ensure that the arrangements are clear about how the residents money is managed 2 7 17 It is required that the use of the residents mobility car is reviewed and that clear records are kept of the outcome 29/05/2009 To ensure that the resident is not subject to financial abuse 3 27 23 It is required that the bath is 31/05/2009 replaced To ensure that risks to the residents are reduced Care Homes for Adults (18-65 years) Page 32 of 34 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 24 It is recommended that the communal areas of the Home are decorated and that furniture is replaced as neccessary. It is also recommended that the bathrooms are made more homely. It is recommended that a risk assessment is carried out for the use of the double handles on the front door. 2 42 Care Homes for Adults (18-65 years) Page 33 of 34 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 34 of 34 - 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!