CARE HOME ADULTS 18-65
1 Butler`s Drive Carterton Oxon OX18 3HA Lead Inspector
Delia Styles Unannounced Inspection 25th May 2006 10:40 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 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 1 Butler`s Drive DS0000048045.V296223.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 Adults 18-65. 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. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service 1 Butler`s Drive Address Carterton Oxon OX18 3HA 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) 01993 844923 linda@robert-and-doris-watts.co.uk Harry Watts Linda Eastwood Care Home 4 Category(ies) of Past or present alcohol dependence (2), registration, with number Learning disability (1), Mental disorder, of places excluding learning disability or dementia (1) 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The total number of service users that may be accommodated at any one time must not exceed 4. The above categories relate to four named individuals and the Commission will need to review any changes to the above. 8th December 2005 Date of last inspection Brief Description of the Service: The home is situated close to Carterton town centre and its facilities. Three doctors surgeries provide medical services and chiropody, and dentists and opticians are available locally. Residents accommodation is in a detached house, linked by a covered walkway to the Robert & Doris Watts Care Home for older people next door. The home was converted from private domestic use to a care home for adults in 2003. Because of the domestic nature of the house, it is only suitable for residents who are physically independent and who do not need continuous help and supervision from staff. There are three spacious ground floor rooms, two with en-suite washbasins and toilets and one with separate facilities. There is a shower on the ground floor. A conservatory provides a communal room, overlooking a small patio and garden at the rear of the house. The first floor has a sitting room, bedroom and bathroom with an over-bath shower. Residents do not have their own kitchen facility, but meals are provided from the Robert & Doris Watts Home. Residents of Butlers Drive can join the residents in the adjacent home for their meals and social events as much or as little as they wish. Access to the home is via the Robert & Doris Watts building. The laundry for both homes is housed in the former double garage, off the linked walkway. The current range of fees is from £510 to £610 per week. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10.40am and was in the service for 6 hours. The inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector received comment cards (questionnaires) from three of the four residents, and one from a doctor who provides medical care for two of the current residents. A tour of the home was undertaken, and residents’ care plans and medicine administration records and a sample of staff records were looked at. During the day the inspector spoke to all the residents, and the manager and deputy manager for the home. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. 1 Butler’s Drive is managed effectively as an annexe of the registered care home for older people next door - the Robert & Doris Watts Home. Service users come and go independently between the two houses, and join in the social and recreational life of the Robert & Doris Watts Home as much or as little as they wish. As the kitchen and laundry service, medication administration and some of the other standards inspected are common to both homes, requirements and recommendations made following the inspection may appear in both homes’ inspection reports. What the service does well:
Residents are very satisfied with the home and their care. Residents’ written comments were, ‘I am looked after very well. I feel wanted within the home and I feel part of a family’, ‘Mrs Eastwood (the registered manager) runs a clean, neat, tidy and an extremely happy home, and I think this comment applies to all the other residents’, ‘This is a friendly home and well run’. Residents are helped to live as independently as possible and to join in with the social life of the adjacent home as much or as little as they wish. Residents are kept informed about changes in the home and are asked their
1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 6 opinions about ways in which the home can improve or develop the facilities and services. The home manager and staff support and encourage residents to maintain and improve their individual abilities and respect their preferences about their care and how they spend their day. The rooms are of a good size and give residents room to set out their furniture and possessions as they like, so that they have homely, comfortable and private space. Residents are involved in decisions about the running of the home and choices that affect them, such as room colour schemes and activities. What has improved since the last inspection? What they could do better:
The new drug fridge should be locked, or kept in a more secure place to reduce the risk of medicines being taken and misused by people not authorised to handle medicines prescribed for residents. Staff should check that the fridge thermometer used is accurate and that the medicines that need cool storage are kept at the recommended temperature. The requirement made at the last inspection about the home’s procedure for the recruitment of staff has not been fully met and is still not satisfactory - the home’s checks are not thorough enough to make sure that, as far as possible, residents are protected from people who may be unsuitable to look after them. Two interviewers should conduct the interviews for people who apply to work in the care home. A record should be kept of the interviews and whether the home manager and other interviewer were satisfied that the person(s) interviewed were suitable to be employed. Residents’ room doors must not be wedged or propped open - closed room doors slow the spread of smoke and flames should there be a fire in the house and so protect residents and their property for longer. The advice of the fire safety officer should be taken and, if agreed, automatic door closer equipment should be fitted to residents’ room doors, so that the doors automatically shut when the fire alarm sounds. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 7 The homeowner, Mr Watts, is planning to replace the current buildings with a new purpose-built care home on this site. Meanwhile, the care of the existing home and surroundings should be improved to give a better outlook and more attractive outdoor area for residents to use. The proprietor should arrange for the prompt removal of building materials and old, unused equipment from the link pathway area between the homes and outside the garage used as a store. The gardens should be weeded and replanted. Inside the house there are some furnishings and equipment that should be repaired or replaced. The home should improve the system for keeping records of staff training and supervision so that it can show that all staff have received training in health and safety and care of residents. All care staff should have individual regular meetings with their managers to discuss their work, training and careers; this is an important part of the home managers being able to show that the staff they employ are valued and are able to carry out their work competently for the safety and well-being of the residents. 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. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is evidence that the home undertook detailed assessments of the residents who live here prior to their admission and that staff have a good understanding of their individual support needs. EVIDENCE: All four residents have lived in the home for more than a year and the staff work continually to make sure that their individual needs are met. This is evident from talking to individual residents, from their written comments in the residents’ survey undertaken by the home last year and in their comment cards completed and returned to the CSCI before this inspection. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is offered to residents in a way that promotes their independence and allows them to take informed decisions about their lives. EVIDENCE: Residents’ care plans showed that they have regular reviews with care managers and other social and health care professionals and that staff have a good awareness of their individual needs, likes and dislikes and personal goals. Individual risk assessments, for example about diet, sun exposure and self-medication had been drawn up, with input from care managers and the home’s staff in relation to specific care needs of residents, and had been signed by the residents concerned. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good rapport between residents and staff and evidence that the staff encourage residents’ opportunities for social and personal development. EVIDENCE: Three of the four residents were happy with the activities and social life available in the home and local community. Family and community carers continue to visit and maintain their contact and support to residents. One complained of boredom, but was aware that the manager and staff continue to look at different outlets to help meet his needs for more physical and handicraft activities. The front door to 1 Butler’s Drive is operated on a key-code locking device and access to the rear grounds and outside is via the Robert & Doris Watts Home. During the inspection one resident pointed out to the inspector that he did not have the facility to lock his room, and would like to do so. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 12 All residents said that they enjoy the meals; most join residents in the neighbouring home for their main meals, but can stay in their own rooms if they prefer. From the evidence seen by the inspector and comments received, the inspector considers that this home would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices and decisions about the way in which they are supported and cared for by the home’s staff. The system for the administration and control of residents’ medication is satisfactory. EVIDENCE: Residents’ care plans, conversation with three residents and the deputy manager, and residents’ written comment cards showed that residents are able to make choices about how they spend their days and that they are helped to be as independent as possible. Residents’ medication is securely stored in the Robert & Doris Care Home next door. They use the Nomad monitored dosage system for medication. The pharmacist sets out each resident’s prescribed tablets in a cassette box with separate compartments for each time of the day when the tablets are to be taken. The Medicine Administration Record (MAR) sheets are printed by the pharmacist and then initialled by the member of staff giving the medicines to the resident. The records were correctly completed. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 14 Two residents are partly responsible for storing and/or administering certain items of their own medication. Staff make regular checks to ensure that the residents are confident and able to do this and that the dosages taken are correct. The home has a new fridge for storing medicines that need cool storage. The fridge did not have a lock on it, and is situated in a busy part of the Robert & Doris Watts Home. The fridge should be locked, or kept in a more secure part of the home, to lessen the risk of unauthorised people accessing it. On the inspector’s temperature probe the temperature measured 8.7°C, which is above the maximum temperature recommended for the storage of medicines needing cool storage (between 2-8°C). Staff are checking and recording the temperature daily, but it was not clear from the readings whether the thermometer is being accurately read or the thermostat adjusted if necessary. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system and there is evidence that residents feel that their views are listened to and acted upon. EVIDENCE: Information about how to make complaints is clearly displayed in the entrance to the adjoining care home. Residents all stated that they were clear about whom to go to with any concerns. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. There is evidence that the home has acted appropriately in following up and resolving instances of verbal aggression from a resident towards another resident. The home holds regular meetings with residents to listen to their opinions about the way in which the home is run. Staff receive training about identifying and reporting any suspected abuse and adult protection issues. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 16 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises are clean and provide residents with homely and comfortable rooms that satisfactorily meet their individual needs. EVIDENCE: A partial tour of the home was done – one of the residents were not available to ask permission to visit their rooms. The home was very clean throughout. Residents liked their rooms and the fact that they can have their own furniture and possessions around them. One resident’s carpet is showing signs of wear and should be replaced; the wall behind his recliner chair is damaged from contact and should be properly repaired and redecorated. The first floor over-bath shower is broken and should be repaired. The wall-mounted liquid soap dispensers in two residents’ en-suite rooms were partially empty and growing mould. These should be replaced because the contents could cause infection if used by residents.
1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 17 The former kitchen area of the home has a freezer and a resident’s disused fridge in it. Arrangements should be made to have the fridge disposed of at the local licensed recycling centre as it takes up space in the residents’ home. The proprietor says that there is no alternative room for the freezer in the kitchen in Robert & Doris Watts Home. One resident had a door wedge in place holding his door open. Room doors must not be wedged or held open as, in the event of a fire, the open door would allow the rapid spread of smoke, fumes and flames, putting residents and staff at additional risk. The fire safety officer should be consulted and, if acceptable, an automatic door closer device that shuts the door when the fire alarm sounds, could be fitted. Outside, the link pathway between the laundry, 1 Butler’s Drive and the home had a bed-frame (awaiting disposal) and various pieces of laundry vent piping, old decorating materials and equipment stored behind the covered section of the path. A broken plastic panel in the covered corridor should be replaced. These are unsightly and potentially a hazard to residents and staff using the pathway to and from the home, garden and laundry and the adjacent care home. The ground at the back of the home is overgrown with weeds, and has building materials and garden waste left in it. Though somewhat tidier than on previous inspections, the outlook over the waste ground from the shared garden used by residents of both homes gives a poor impression and should be better maintained. The proprietor has submitted plans to build a new purpose-built care home on the site and expects to be able to start work on this in 2006. However, the standard of maintenance and tidiness of the existing home environment should be maintained for the benefit of the people living there now. The laundry facilities are located in a converted garage between 1 Butler’s Drive and the Robert & Doris Watts Home, and serves both establishments. The laundry is neat and tidy and staff are provided with protective clothing and alcohol-based hand gel to protect them from possible cross-infection. New laundry equipment has been installed since the last inspection. The proprietor is planning to ramp the doorsill into the laundry so that staff do not have to manoeuvre heavy laundry trolleys over it. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Since the last inspection the home manager is revising the system for vetting and recruitment of staff. There was evidence that experienced and competent staff members support residents. EVIDENCE: The home manager is revising the system for vetting and recruitment of staff. The manager and deputy manager are in the process of checking all staff recruitment and training files to update them but, due to several senior staff changes, this work has not been completed. There was evidence that appropriate checks have still not been completed retrospectively for staff already employed in the home, despite the requirement made at the last inspection, potentially leaving residents at risk. The inspector looked at a sample of three staff members’ files and found them to be unsatisfactory. For example, one employee who has worked in the home unsupervised since August 2005 had no Criminal Record Bureau (CRB) clearance until April 2006. The inspector is aware that the sample of staff records seen were those known to have missing information, and action is being taken to obtain missing references and checks of existing staff. The staff checks and records must be completed within the new timescale given, so that the home can demonstrate adequate safeguarding of residents.
1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 19 There was no record of the supervision arrangements or induction training for one person employed as a domestic worker, or the other two care staff whose files were looked at. The manager maintains lists of planned training and supervision sessions, but said that written records of supervision meetings are not kept. There should be a record kept of all training attended by care staff, so that the home can demonstrate that staff have completed the induction and ongoing training in health and safety and personal care of residents, and have regular opportunities to discuss their work and training needs individually with the manager and other senior staff in the home. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good supportive ‘family atmosphere’ in this home that is the result of the commitment and support given by the managers and staff towards the residents and each other. EVIDENCE: From the comment card responses, conversation with staff and residents and observation of staff interacting with residents, it was clear that residents felt confident that the manager and staff listened to, and acted upon, their views about the home and any individual worries. Residents looked confident and comfortable, both in their own rooms and when in the adjacent home at mealtimes, in the garden or sharing in activities. Residents are consulted with daily about their preferences and to what extent they want to join in planned activities or social events with the residents in the Robert & Doris Watts Home. 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 21 From the evidence seen by the inspector and comments received, the inspector considers that this home would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 YA34 Regulation 19, Schedule 2 Requirement The home must not employ workers unless they have obtained satisfactory information and documentary evidence of ‘fitness’ for prospective employees. Room doors must not be wedged or held open. Timescale for action 30/06/06 2. YA24 23 (4) 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA16 Good Practice Recommendations Fit a suitable lock to the room door of the resident who requested this during the inspection (and for any other resident who wants this facility). The drug fridge should be locked or kept in a more secure area and maintained so that the temperature is consistently within the recommended range for storage of medicines requiring cool conditions. 2. YA20 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 24 3. YA24 • • • • • Clear the waste ground area of rubbish and unwanted equipment to improve the environment for residents and neighbours of the home. Re-carpet, and repair the damaged wall in the resident’s room, as indicated during the inspection. Repair or replace the over-bath shower in the first floor bathroom. Replace, or thoroughly clean and refill the wall-mounted liquid soap dispensers. Remove the disused fridge from the kitchen/corridor area of the home. Maintain a checklist for staff files to ensure that the required checks and references have been received and are satisfactory in relation to prospective employees and that records are held of offers of appointment, terms and conditions and job descriptions. Two people should interview new staff and a record should be kept of the interview schedule and outcome. 4. YA34 • • 5. YA35 Ensure that accurate records of a staff training and development programme are maintained and that the development programme meets Sector Skills Council workforce training targets. Implement the programme of formal supervision sessions for staff so that they have at least six sessions in any 12- month period. Records of supervision meetings should be maintained. 6. YA36 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: 0845 015 0120 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 1 Butler`s Drive DS0000048045.V296223.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
