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Inspection on 28/02/06 for Abbots Grange Residential Home

Also see our care home review for Abbots Grange Residential Home for more information

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

The home is welcoming and there is a pleasant friendly atmosphere. Staff are relaxed and good humoured with residents and visitors to the home. The home has a stable staff team who want to provide a quality service. Residents appeared well cared for with attention to hair, nails and clothing coordination.

What has improved since the last inspection?

Almost every area of service has been substantially improved since the last inspection and since the purchase of the home at the end of October 2005. Requirements made previously in relation to fire safety issues have been addressed. The home environment has been cleaned and redecorated. New furnishings such as easy chairs, carpets, bed linen and curtains have been purchased and a large new window replaced in the kitchen. Some environmental areas do need to be addressed and the first floor of the home has not been refurbished yet. A new manager had been recruited and commenced employment at the beginning of 2006. The manager has provided leadership, support and guidance to the staff and she has reviewed a significant proportion of the home`s records.Information guides about the home, care plan records and employment records have been updated, health and safety risk assessments developed and policies and procedures reviewed and made available.

What the care home could do better:

The manager acknowledged that there was still a fair way to go to develop the home and service further and she prioritised the areas she had control over. The home does need specialist equipment such as sit on scale and moving and handling hoist to ensure residents health care needs can be met and monitored. Some care assessments needs developing further to ensure that they are meaningful so the appropriate level of care is provided and medication-recording practices need reviewing. Some further improvements in the home environment are required but refurbishment work in the home was ongoing. Staff training is an area that needs to be prioritised, as the care staff team have not had any training in basic health safety, abuse, medication, specialist care needs such as dementia and NVQ assessment. The manager also needs to undertake training for a management qualification. Other areas requiring development include quality assurance systems and the safe keeping and recording of resident`s personal monies. Recommendations were made in relation to pre-admission assessments, person centred care planning, the environment and employment practices and the provision of an internet connection in the home to promote easy access to information.

CARE HOMES FOR OLDER PEOPLE Abbots Grange Residential Home Newport Street Werneth Oldham OL8 1RE Lead Inspector Tracey Rasmussen Unannounced Inspection 28th February 2006 08:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abbots Grange Residential Home Address Newport Street Werneth Oldham OL8 1RE 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) 0161 624 3752 0161 624 3752 Westholme Care Home Limited Care Home 40 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (10) Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: Up to 15 service users in the category of DE(E) (Dementia over 65 years of age). Up to 30 service users in the category of OP (Old age, not falling within any other category). Up to 10 service users in the category of PD(E) (Physical disability over 65 years of age). The registered person must employ a suitably qualified and competent manager by 1st February 2006. The registered person must comply with any outstanding requirements made by Greater Manchester Fire Service in respect of fire safety within the home by 1st March 2006. The registered person must ensure that a minimum of twenty bedrooms are upgraded to meet the National Minimum Standards by 1st April 2006. The registered person must ensure that a minimum of thirty bedrooms are upgraded to meet National Minimum Standards by 1st July 2006. The registered person must ensure that all bedrooms and communal areas are upgraded to meet National Minimum Standards by 1st November 2006. Not Applicable 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Abbots Grange is a residential home providing 24-hour personal care and accommodation up to 40 service users over the age of 65 years. Abbots Grange has recently been bought and is now owned by Westholme Care Home Limited. At the time of this inspection, 4 residents were accommodated and the home had undergone a programme of redecoration and refurbishment. The home is situated on a quiet residential street in Werneth, approximately one mile from Oldham town centre. Local shops and a doctor’s surgery are about a ten minute walk away. Buses are available to Oldham and Manchester from Manchester Road, which is a ten-minute walk away. A small drive leads to the home, which was once a large Victorian house. To the side of the property is a small garden area. A car park is available to the front of the home. The home has been extended to the rear to provide accommodation for up to 40 service users. Bedroom accommodation is provided on both the ground and first floors. The home also has a mezzanine Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 5 level but access to these bedrooms is restrictive, due to steps. There are 32 single and 4 shared bedrooms. En-suite toilets are provided in all the bedrooms, except 5 rooms. There are two lounges and one dining room on the ground floor. The home has one assisted bath, one unassisted bath and one shower room. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately six hours on the 28th February 2006 by one inspector. Since the last inspection the home has been purchased and a new manager and responsible person were in post. The transition has been smooth and the new owner and new manager have made significant impact in improving the quality of the home environment and service provision. A brief tour of the home took place on the ground floor and care records and staff employment records were seen. Three of the four residents were spoken to but communication difficulties did restrict the conversation. Four relative comment cards and four resident comment cards were left at the home. Verbal feedback of the findings from the inspection was given to the manager at the end of the visit. What the service does well: What has improved since the last inspection? Almost every area of service has been substantially improved since the last inspection and since the purchase of the home at the end of October 2005. Requirements made previously in relation to fire safety issues have been addressed. The home environment has been cleaned and redecorated. New furnishings such as easy chairs, carpets, bed linen and curtains have been purchased and a large new window replaced in the kitchen. Some environmental areas do need to be addressed and the first floor of the home has not been refurbished yet. A new manager had been recruited and commenced employment at the beginning of 2006. The manager has provided leadership, support and guidance to the staff and she has reviewed a significant proportion of the home’s records. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 7 Information guides about the home, care plan records and employment records have been updated, health and safety risk assessments developed and policies and procedures reviewed and made available. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4 Sufficient information is provided to make an informed choice about the home’s suitability to meet individual needs. Resident’s needs are assessed before admission and confirmation of suitability is provided. EVIDENCE: Significant development and improvement was noted at Abbots Grange since the last inspection in achieving compliance with the national minimum standards. The home manager was new in post but she had developed a service user guide. The information in the service user guide provided practical information about the services the home offers. The company Statement of Purpose was also available in the home and this had been personalised to Abbot’s Grange. Copies of the Statement of Purpose and Service User Guide had been provided to the residents living in the home and copies given to all visitors in the home. The home’s new registration certificate, insurance liability certificate and complaints procedure were displayed at the main entrance to the home. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 10 The home has had one new admission since the manager came into post. The new resident did have a pre-admission assessment that was available in a separate file to the resident’s care plan. A community care assessment was not available as the resident was privately funded. It is recommended that all pre-admission assessments be kept with the resident’s main care plan to provide a background and baseline picture of the resident at the point of admission to the home. Care needs identified in the assessment were reflected in the resident’s plan of care. Intermediate Care (standard six) is not provided at the home. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Residents were treated with respect and dignity. Care planning was not consistently detailed to meet personal and health care needs of residents. Medication practices were not fully safe. EVIDENCE: The home environment had undergone a significant transformation since the last inspection. It was clean, welcoming and warm. The four residents appeared well cared for and staff undertook their duties quietly and efficiently. Residents were assisted with their needs in a quiet manner and personal preferences in relation to privacy was respected. The home’s information guides refer to the promotion of privacy and dignity in the home and staffing levels at this visit enabled staff to provide a care service to each resident in an unhurried manner. Conversation with the residents did indicate that they were satisfied with the home and their care although this was not clearly stated by any of the residents due to their individual health problems. The manager had recently updated resident’s care assessments and care plans on the company’s documentation. Care plans were recorded following assessments of daily living needs. These were recorded clearly and did detail Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 12 the individual needs of the residents, however some of the assessment documentation for nutrition and falls used a scoring system to measure actual risks to the resident but explanation and action to be taken in response to each identified score was not available therefore the assessment was invalid. Further the home was still without a sit on weigh scale and residents had not been weighed since last October therefore nutritional monitoring in the home was inadequate. Reviews and evaluations of the care plans had not been undertaken as these were newly recorded but the manager was aware of her role and responsibility in relation to this. Medication practices were much improved however some areas do still need developing. The medication trolley was clean and tidy and there was no overstocking of medication. The medication administration record had handwritten additions but these were not signed or dated and pharmacy printed sticky labels had been used on the medication record sheets. One bottle of eye drops was not dated on the day of opening and staff had not had training in the safe management of medication. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Resident’s social needs are not consistently met but life style choices are available and visitors welcome at any time. The quality and choice of food provided to residents is good. EVIDENCE: The manager has ensured that social information about residents’ lives before living in the home was recorded and social activity records were maintained. The manager acknowledged that this was an area that did need more development and planned to develop this further. Residents who could respond said they were satisfied with what was available. One resident said he played dominoes a lot and liked to walk outside. Staff were polite and supportive to residents and residents responded positively to staff. Routines in the home enabled residents to make some choices such as rest and retirement times. Staff also felt that the staffing levels in the home enabled them to offer choices to residents without having to rush. Given the current low occupancy in the home a separate cook or chef is not employed in the home and the manager and staff prepare the meals. Residents are offered a cooked breakfast in the morning, a main lunchtime meal and lighter tea. Lunch was braised steak and onions, gravy with fresh Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 14 boiled carrots and potatoes. Two residents said the meal was ‘excellent’ and ‘very enjoyable’. The home’s information guides detail clearly that visiting was in accordance with the resident’s preference. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents can be confident that complaints are responded to appropriately but Residents are not fully protected from abuse. EVIDENCE: The complaints procedure was readily available in the home to residents, visitors and staff. The manager had not received any complaints since she had been in post but demonstrated a good understanding in relation to her role and responsibilities in accordance with the home’s policy. Staff said they would pass on all complaints to the manager. The manager demonstrated a detailed understanding around protecting vulnerable adults from abuse and explained that staff in the home had little knowledge and understanding of this. The manager had sought out training for staff in protecting people from abuse from Oldham’s training partnership and she was waiting for allocation of places. Policies and procedures for the protection of vulnerable adults were available and these referred to ‘No Secrets’ Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20,22,24 and 26 Residents live in a clean and tidy home that has benefited from a programme of maintenance, redecoration and refurbishment. Specialist equipment is not available. EVIDENCE: A significant amount of maintenance work has been undertaken since the new owner has taken over the home. Externally the home had been painted and the drive way repaired. Gardens had been tended to and a very large kitchen window had been replaced. Inside all bedrooms on the ground floor had been redecorated and had had new curtains and bedding. Refurbishment on the first floor had not been commenced and it was reported that this would be undertaken when the home’s occupancy increases. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 17 The home’s communal areas have also benefited from re-carpeting, and redecoration and new easy chairs have been purchased. The home was much cleaner and the home’s original features of glass ceilings and partitioning have been cleaned and emphasised with lighting. There are areas that do still need up grading –the toilets of the main lounge would benefit from a new floor. Previous plumbing fixtures in the toilets and in one en-suite toilet facility also need addressing. One area the home must address is in the provision of equipment. The home does not have a hoist to move and transfer residents should the need arise and this will also restrict the type of residents who may be admitted to the home. Other moving and handling equipment was not available. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Staff are employed in sufficient numbers to meet resident’s needs. Recruitment practices have been reviewed to ensure resident safety. Staff have not benefited from training. EVIDENCE: The staffing levels in the home are sufficient to meet the needs of the residents living in the home. There is always a minimum of two care staff on duty over 24 hours to care for the 4 residents accommodated. The previous owner of the home took all employment records and as a result the manager has had to set up new personnel files for each staff member. The manager has also sent for new CRB checks for all the staff and sought employment references. The manager has also reviewed the number of staff hours worked by each employee to ensure the number of hours worked is not excessive and the needs of the residents are not compromised by tired staff. This is considered good practice. Staff training in the home is an area of that requires significant investment and development and this should be a priority for the owner and manager. The manager has sought out training for staff by joining the local training consortium, however places are limited. Staff need training in all areas including mandatory training of health and safety, moving and handling, infection control, food hygiene, medication, abuse and NVQ. Specialist training for example dementia care is also required to ensure residents needs can be met appropriately. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 19 None of the care staff have NVQ training. The manager was seeking out training providers to undertake NVQ training with the staff. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35 and 38 The management of the home promotes the wellbeing of the residents but some health and safety practices do not promote the welfare of residents. Accounting and financial procedures are not consistently safe. EVIDENCE: The manager of the home has been in post just under two months and during this time she has made significant impact on the quality of service delivery. The new owner has also supported the improvements in the home by investing in the fabric of the building. Discussion with the manager identified that she had a vision regarding the type of service she wanted to provide and she was trying to network with local community to access to information about the social care needs in the area. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 21 The manager has a nursing background and previous experience of working in a care home but she does still need to undertake training for a NVQ 4 in management. The owner has provided the manager with a desktop computer, an internet connection has not been provided but would be beneficial in enabling the manager to keep up to date with all the changes in the social care sector. The manager acknowledged that quality assurance systems had not been implemented in the home as she was still undertaking her own review and assessment of the home. Copies of monitoring visits undertaken by the registered person in accordance with regulation 26 had not been provided to the CSCI The manager did state that she was available for residents, staff and relatives to discuss any concerns. Both residents and staff spoken with were complimentary about the home and said the atmosphere was calm and relaxed. Resident’s personal monies were held securely and records were available, however these were not recorded consistently accurately and the manager acknowledged that auditing of this aspect of service had not yet been undertaken. Health and safety records were available. The home employs a part time maintenance person to undertake health and safety tasks such as fire safety testing and monitoring. The manager had recorded comprehensive work place risk assessments, had obtained the appropriate data sheets in accordance with COSHH regulations and had policies and procedures available. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 2 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 x 18 2 2 3 x 2 x 3 x 3 STAFFING Standard No Score 27 3 28 1 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 2 x x 3 Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP8 Regulation 12,14,15 Requirement The registered person must ensure that the nutritional and falls assessments used are comprehensible The registered person must ensure that residents are weighed on a minimum of once a month and this is reflected in the nutritional assessment. The registered person must ensure adequate equipment including a sit on scale or similar and a moving and handling hoist are available in the home. The registered person must ensure that all handwritten additions to the MAR sheet are signed and dated by the person making the addition and sticky labels must not be used. The registered person must ensure that are staff receive training which is accredited in the safe management of medication. The registered person must ensure that the social care needs of residents are recorded in their plan of care. DS0000065269.V285310.R01.S.doc Timescale for action 30/03/06 2 OP8 12,14,15 30/03/06 3 OP8OP22 14,15,16, 23 30/03/06 4 OP9 13 30/03/06 5 OP9 12,18 30/04/06 6 OP12 12,14,15 30/04/06 Abbots Grange Residential Home Version 5.1 Page 24 7 OP18 13,18 8 OP19 16,23 9 10 OP19 OP28 16,23 18 11 OP30 18,13,12. 15 12 OP31 10 13 OP33 24,26 14 OP35 13,16,17 The registered person must ensure that all staff receive training in the protection of vulnerable adults and abuse. The registered person must ensure that the hole in the floor in the communal toilet is covered and the exposed plumbing pipes removed. The registered person must ensure that pipe work in en-suite facilities is boxed in. The registered person must ensure that at least 50 of care staff employed in the home have NVQ 2 qualification. The registered person must ensure staff receive adequate and timely training in all aspects of the service they provide and this includes, all aspects of health and safety, specialist training and task specific training. The registered person must enable the manager to undertake a NVQ 4 in management or equivalent. The registered person must ensure quality assurance monitoring systems are implemented in the home and a copy of the regulation 26 monitoring visit record is supplied to the CSCI. The registered person must ensure that all staff who have access to resident’s personal monies records all transactions in detail and provides receipts for any expenditure. 30/04/06 30/05/06 30/05/06 30/09/06 30/09/06 30/09/06 30/05/06 30/03/06 Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 Refer to Standard OP3 OP7 OP19 OP27 OP29 OP38 Good Practice Recommendations The registered person should ensure that pre-admission assessments are held with the resident’s main care plan. The registered person should ensure that care plans are personalised with specific person centred preferences and evaluations are meaningful. The registered person should ensure that flooring in bathrooms and toilets that is heavily stained is changed. The registered person should continue to ensure that staff do not work excessive hours to promote resident safety and wellbeing. The registered person should continue to ensure that all employment records are maintained in accordance with the Care Home regulations 2001. The registered person should provide an internet connection in the home to facilitate the provision of up to date information promoting the health, safety and welfare of people living and working in the home. Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Abbots Grange Residential Home DS0000065269.V285310.R01.S.doc Version 5.1 Page 27 - 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!