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Inspection on 23/07/09 for The Elms Rest Home

Also see our care home review for The Elms Rest Home for more information

This is the latest available inspection report for this service, carried out on 23rd July 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People planning to use the service can be sure that the service can support them because their needs are fully assessed before they move in. Appropriate arrangements are made so that people can have regular contact with their friends and families. People can be sure that their complaints and concerns are listened to because there is a complaints procedure that that they can understand. The building is well maintained so that people can live in a clean, comfortable, homely and safe environment. People can be sure that their needs are met and wishes are taken into consideration because the service is well managed. People can be sure that hey are protected from harm because good health and safety arrangements are in place. One person who uses the service told us that they enjoyed the food and it was always on time. They told us that the service gets a 10 out of 10 and this was the happiest they had ever been. Another person told us I have nothing to complain about and the staff are very good. A member of staff told us that they had worked at the service for seven years and the registered provider was very suportive. They told us that they enjoyed working there because it was a small home with a relaxed atmosphere. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2

What has improved since the last inspection?

All of the requirements set at the last key inspection have been met.

What the care home could do better:

The service could develop care plans that identify how the service will support people in meeting their health, personal and social care needs. The service could do more to make sure that people are offered a programme of activities that reflects their individual interests. All staff should attend training or refresher on safeguarding adults. Recruitment checks must be carried out on staff before they start work at the service. All staff should receive supervision and important training that would enable them to support people in a safe and competent manner. We would like to thank the people who use the service, staff and the registered provider for their comments and support during the inspection process.

Key inspection report CARE HOMES FOR OLDER PEOPLE The Elms Rest Home 142 Elm Walk Raynes Park London SW20 9EG Lead Inspector James O’Hara Key Unannounced Inspection 23rd July 2009 09:45 DS0000027222.V376724.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Elms Rest Home Address 142 Elm Walk Raynes Park London SW20 9EG 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) 020 8542 4181 F/P 020 8542 4181 Mrs Teresa Scully Manager post vacant Care Home 10 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (10) of places The Elms Rest Home DS0000027222.V376724.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 (CRH - 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 - Code OP 2. Dementia - Code DE The maximum number of service users who can be accommodated is: 10 20th September 2007 Date of last inspection Brief Description of the Service: The Elms is registered to provide care and support for up to ten older people who may be living with dementia. The Elms is situated in a residential area of Raynes Park. The property consists of two houses that have been joined together to form the home. Communal rooms are situated on the ground floor with people’s bedrooms on the ground and first floor. The Elms does not have a passenger lift. Parking is available at the front of the house with unrestricted parking in the street. Public transport and a small group of shops are close by. The current fees for a placement at this service range between £459 and £475 per week. Additional charges are made for hairdressing, toiletries, newspapers and magazines. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We spent three and a half hours at the service and talked with six residents, one member of staff and the registered provider/manager. Records and documents examined during the inspection included the assessments, care plans, activities, medication, staff recruitment and training, quality assurance, and health and safety records. The registered provider completed an Annual Quality Assurance Assessment to tell us about the service provided, how it makes sure of good outcomes for the people using it and any planned developments. What the service does well: People planning to use the service can be sure that the service can support them because their needs are fully assessed before they move in. Appropriate arrangements are made so that people can have regular contact with their friends and families. People can be sure that their complaints and concerns are listened to because there is a complaints procedure that that they can understand. The building is well maintained so that people can live in a clean, comfortable, homely and safe environment. People can be sure that their needs are met and wishes are taken into consideration because the service is well managed. People can be sure that hey are protected from harm because good health and safety arrangements are in place. One person who uses the service told us that they enjoyed the food and it was always on time. They told us that the service gets a 10 out of 10 and this was the happiest they had ever been. Another person told us I have nothing to complain about and the staff are very good. A member of staff told us that they had worked at the service for seven years and the registered provider was very suportive. They told us that they enjoyed working there because it was a small home with a relaxed atmosphere. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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 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. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People planning to use the service can be sure that the service can support them because their needs are fully assessed before they move in. EVIDENCE: The registered provider told us that before anyone is admitted to the service an assessment of their needs is carried out. Once an individual comes to live there an initial care plan is written based on the assessment. Where social services are not involved with the admission the registered provider will carry out the assessment. Otherwise the assessment is carried out by staff from social services and the service is supplied with a copy of the document. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 9 People who use the service have a written contract that includes what they have to pay and the terms and conditions. The registered provider also produced a service user’s guide and statement of purpose that included further details of what people should expect from the service. The registered provider told us that the service does not provide intermediate care. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although peoples needs have been fully assessed there are no appropriate care plans in place that identify how the service will support people in meeting their health, personal and social care needs. EVIDENCE: A requirement was set at the last key inspection that to ensure that evidence is available to show that care plans are compiled and reviewed on a regular basis in consultation with people who use the service and or their representatives, staff must ensure that plans and reviews are signed and dated. We looked at two peoples files. The registered provider was asked to produce care plans. The registered provider produced a document that assessed the The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 11 persons needs and detailed their likes and dislikes. One document indicated that the person liked having baths, have their hair done and wearing nice clothes however the document did not indicate when the person had their bath, what support they needed, if any, when having a bath, when they had their hair done or who supported them to do this. Another person has diabetes however the care plan produced by the registered provider made very little reference to how this condition is managed. These documents had been reviewed on a regular basis in consultation with people who use the service and or their representatives signed and dated. It was very evident when discussing peoples health, personal and social care needs with the registered provider and the member of staff on shift that they had a great deal of knowledge about the needs and personal preferences of people who use the service and how their needs are met and managed however this was not recorded on care plans. The registered provider must make sure that all of the people who use the service have care plans that details how their health, personal and social care needs are to be met. The registered provider told us that they had obtained some leaflets from the General Practitioners surgery on diabetes and discussed these with staff. It is recommended that the registered provider contacts the diabetic specialist nurse to request that they attend a team meeting to offer advice on diabetes to staff. People who use the service are registered with local General Practitioners. Arrangements are in place for regular dental, optical and chiropody services. Staff ensure that each person is provided with a health care check at least once a year. If needed community nursing services provide general and psychiatric nursing support. Some of the people who use the service have been diagnosed as having dementia. The registered provider told us that staff had attended courses on dementia. The registered provider told us that none of the people who use the service administer their own medication. Medication is safely stored in a locked cabinet. Medication administration records examined were up to date and accurate. Records are kept of any medication coming into the service and returned to the pharmacy. A number of surveys were returned to the Commission prior to the annual service review in September 2008. One survey was received from the relative of a person who until recently had lived at the service for some years. This person stated that their relative was ‘treated with great dignity, kindness and The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 12 care’. They went on to say they felt most fortunate to have found The Elms to care for their relative. The Elms Rest Home DS0000027222.V376724.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported with various activities however the service could do more to make sure that people are offered a programme of activities that reflects their individual interests. Appropriate arrangements are made so that people can have regular contact with their friends and families. EVIDENCE: When we arrived all of the people who use the service were sitting in the lounge. Everyone appeared well dressed and groomed. People were chatting to each other, watching television, reading newspapers and magazines, knitting and playing card games. People told us that everything they want to do they can do. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 14 The registered provider produced a weekly activities programme. The programme included activities that people who use the service generally engaged in. Peoples care plans indicated their preferred social activities however the care plans did not indicate how these were met. The registered provider told us that staff recorded the activities individuals engaged in on a daily basis however there were no individual plan of activities for people who use the service. See requirement set in individual needs and choices. People who use the service told us they could have visitors at any time. One person told us that they enjoyed the food and it was always on time. They told us that the service gets a 10 out of 10 and this was the happiest they had ever been. Another person told us I have nothing to complain about and the staff are very good. A number of surveys were returned to the Commission prior to the annual service review in September 2008. Comments included ‘the owner and staff are very helpful’. A relative of one person helped them fill in their survey and they commented, ‘we are very happy with The Elms’. All of the people who returned surveys said that they ‘always’ received the care and support they needed, they ‘always’ liked the meals provided and all stated they knew how to make a complaint. A requirement was set at the last key inspection that in order to make sure that people who use the service are provided with a varied and nutritious diet a review of the menu must be carried out. The registered provider told us that menu had been discussed and reviewed with the people who use the service. The Elms Rest Home DS0000027222.V376724.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their complaints and concerns are listened to because there is a complaints procedure that that they can understand. There are policies in place for safeguarding adults however all staff should attend training on safeguarding adults. EVIDENCE: There are suitable procedures in place for dealing with complaints. The complaints policy and procedure is part of the guide for the people living there. It was recommended at the last key inspection that key procedures including the complaints procedure should be provided in easily accessible formats. The registered provider told us that they had updated the complaints procedure and produced it in larger print for the benefit of the people who live there. The registered provider told us in the Annual Quality Assurance Assessment that no complaints had been received by the service in the last twelve months. The Commission has not received any complaints about the service. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 16 Some staff has attended training on safeguarding adults. This ensures that they can recognise abuse and are aware of their responsibilities to report any allegation or suspicion of abuse. The registered provider told us that two staff is employed to cover mainly sleepover shifts, these staff have not attended training on safeguarding adults. See staffing standards. The Elms Rest Home DS0000027222.V376724.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People using the 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 building is well maintained so that people can live in a clean, comfortable, homely and safe environment. EVIDENCE: We saw that the home generally provides a pleasant and well maintained place for people to live. There is a large lounge/dining area which is partially divided into two. People who use the service were seen to make their own choices about where they spent their time either in the lounge or in their own room. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 18 The registered provider has a programme for the regular redecoration of all areas. We found all areas of the home to be clean and fresh. People who use the service told us that the home is “always” clean and tidy. There is no lift and so people who have rooms on the first floor need to be able to climb the stairs. A large enclosed garden with a raised patio area is available. Individuals can help with the gardening if they choose. People who use the service told us they enjoyed sitting out on the patio in the warmer weather. Others liked to sit in the lounge and look out on the garden. The Elms Rest Home DS0000027222.V376724.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People using the 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 current recruitment practice does not ensure that checks are carried out on staff, to make sure that they are suitable to care for the people, before they start work. Not all of the staff working at the service is receiving appropriate supervision or important training that would enable them to support people in a safe and competent manner. EVIDENCE: The registered provider told us that besides them selves there was six staff working at the service. The registered provider told us that there was a minimum of two care staff available at all times. Two staff had started working at the service since the last key inspection. We asked the registered provider to produce these staffs personnel files. These files included copies of passports, a recent photograph, two written references, health assessments and employment contracts. Both of these staff had criminal record bureau checks from their previous employers. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 20 The registered provider told us that they believed that they could employ staff using these checks because they at the time they were recruited the checks had only recently been obtained by the members of staff for their previous employers. An immediate requirement was set that the registered provider must obtain criminal record bureau checks for these two members of staff and that these two members of staff did not work at the home until protection of vulnerable adults clearance checks are obtained. The registered provider must make sure that criminal record bureau checks are obtained for any new staff prior to them starting work at the service. Following the inspection the registered provider contacted the Commission to inform us that they had applied for new criminal record bureau checks for these two members of staff and obtained protection of vulnerable adult’s clearance checks. The registered provider told us that another member of staff employed at the service many years ago did not have a criminal records bureau check but had a police check when they were initially employed. The registered provider told us that they had also applied for a criminal record bureau check for this member of staff. Staff training records indicated that most staff had completed an induction and attended training on safeguarding adults, moving and handling, health and safety, fire safety and food hygiene. Two staff had completed an NVQ at level 2 and one staff had completed an NVQ level at level 3. The registered provider told us that two staff is employed to cover mainly sleepover shifts, these staff have not attended mandatory training, have not been receiving formal recorded supervision and do not attend team meetings. These staff had not attended training on fire safety. The registered provider must make sure that all staff including sleepover staff attends training or refresher training on safeguarding adults, infection control, moving and handling, health and safety, fire safety, food hygiene and first aid. It is recommended that sleepover staff receive regular formal recorded supervision and attend team meetings at least three times a year. One member of staff was interviewed. They told us that they had worked there for seven years and the registered provider was very suportive. They told us that they enjoyed working there because it was a small home with a relaxed atmosphere. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 21 The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, and 38. Standard 35 not assessed at this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their needs are met and wishes are taken into consideration because the service is well managed. People can be sure that hey are protected from harm because good health and safety arrangements are in place. EVIDENCE: The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 23 The registered provider also manages the service; they have considerable knowledge and experience of running care services for older people. There are some areas that require attention from the registered provider specifically relating to recruitment checks, staff training and care planning however we were assured that they would and have already taken steps to address these areas. The registered provider told us that they carry out quality monitoring and assessments by seeking the views of people who use the service, their relatives, visitors and health care professionals. The registered provider produced feedback from a district nurse and a General Practitioner. The district nurse commented that the service is very well run, friendly and the residents are very well cared for. When answering the question, what is your overall opinion of the quality of care provided, the General Practitioner commented “very good”. The registered provider also produced thank you cards and compliments from the relatives of people who had previously used the service. A requirement was set at the last inspection that to ensure the health and safety of people who use the service the registered provider must ensure that any food opened and kept in the fridge is marked with the date of opening and the use by date. We looked at food stored in the fridge. All of the food opened was marked with the date of opening and the use by date. A fire officer from the London Fire Emergency Planning Authority visited the service in July 2008. The registered provider produced a report from the visit. The fire officer had made two recommendations, both of which had been met. The registered provider produced a fire risk assessment and evidenced that the fire alarm system was being checked on a regular weekly basis. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement The registered provider must make sure that all of the people who use the service have care plans that details how their health, personal and social care needs are to be met. The registered provider must make sure that all staff including sleepover staff attends training or refresher training on safeguarding adults, infection control, moving and handling, health and safety, fire safety, food hygiene and first aid. The registered provider must make sure that criminal record bureau checks are obtained for any new staff prior to them starting work at the service. Timescale for action 31/10/09 2. OP28 18 31/10/09 3. OP30 19 31/10/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 26 No. 1 2. Refer to Standard OP8 OP30 Good Practice Recommendations It is recommended that the registered provider contacts the diabetic specialist nurse to request that they attend a team meeting to offer advice on diabetes to staff. It is recommended that sleepover staff receive regular formal recorded supervision and attend team meetings at least three times a year. The Elms Rest Home DS0000027222.V376724.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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