Inspection on 04/12/07 for Aberry House

This inspection was carried out on 4th December 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Aberry House 22/04/08

Aberry House 20/06/07

Aberry House 25/07/06

Aberry House 19/09/05

Aberry House 07/06/05

Aberry House 17/02/05

Aberry House 23/08/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Aberry House 6 Monsell Drive Leicester Leicestershire LE2 8PN Lead Inspector Diane Butler Unannounced Inspection 10:00 4 December 2007 th 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 Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aberry House Address 6 Monsell Drive Leicester Leicestershire LE2 8PN 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) 0116 2915602 0116 2915603 Mrs Margaret Madden Mrs Debra Ann Robinson Care Home 38 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (38), Old age, not falling within any other category (38), Physical disability over 65 years of age (38), Sensory Impairment over 65 years of age (38) Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only:Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE(E) Mential Disorder, excluding learning disability or dementia - Code MD(E) Physical Disability - Code PD(E) Sensory Impairment - Code SI(E) The maximum number of service users who can be accommodated is 38. 20th June 2007 2. Date of last inspection Brief Description of the Service: Aberry House is a care home for older persons, providing accommodation and personal care for up to thirty eight older people some of who have mental health needs and/or dementia. The home is situated on a quiet street off the main Lutterworth road in the city of Leicester. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are four lounges and two dining rooms on the ground floor. The home offers thirty six single bedrooms and one shared bedroom, all but one of these rooms offer ensuite facilities. The room without ensuite facilities has a toilet close by. A well-maintained secure garden is situated to the rear of the home. Current charges range from £380.00 per week to £580.00 per week. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the homes Statement of Purpose (a document which provides relevant information about the home), which is given to all prospective and current residents. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 5 A copy of the latest Inspection report is available at the home, or it can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the registered provider. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a six and three quarter hour period on Tuesday 4th December 2007. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting four residents and tracking the care they received through looking at their records, speaking with them when possible and discussion with staff on duty at the time of the visit. Where communication was difficult observation was used to evidence whether care needs were being met. A further two residents and two relatives were also spoken with during the site visit. Further planning for this visit included checking the service history of the home and last Inspection report and looking through the AQAA document (Annual Quality Assurance Assessment), which was submitted to the Commission for Social Care Inspection prior to the visit. The AQAA document is the main way that providers inform us of how well their service is delivering good outcomes for the people using it. What the service does well: The registered provider visits all prospective residents before they move into the home and an initial assessment is completed to ensure that their needs can be met. Residents are enabled to make choices on a daily basis, these include what time to get up, what time to go to bed, what to eat, where to spend their time during the day and whether to join in the activities that are offered. Privacy and dignity is maintained at all times and all residents spoken with confirmed that they were well cared for and their care and support needs were met. The registered provider is both supportive and approachable and families and friends are encouraged to visit the residents living in the home. The home is well maintained and the decoration and furnishings are of a good standard and are presented in a comfortable and homely way. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Ensure that recruitment procedures are adhered to. Residents need to be protected by the recruitment procedures that are in place. Provide formal induction training when care workers are first employed. Care workers need to have the knowledge to carry out their role within the home and need to know what is expected of them as a care worker. Ensure that new care workers are provided with the training they need to enable them to carry out their role effectively. Residents need to know that their care is being provided by competent and well trained staff. Ensure that all new care workers are provided with training in the protection of vulnerable adults. This will enable them to further protect the residents in their care. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 8 Review the risk assessment documentation. This will ensure that all current risks to residents and staff are identified and appropriately assessed. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 9 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 Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents needs are fully assessed prior to them moving into the home. EVIDENCE: A Statement of Purpose document and a Service User Guide are available to all prospective and current residents. Details included in these documents, which are currently being reviewed, include the aims and objectives of the home, what services can be provided and the terms and conditions of residency. The registered provider explained that all prospective residents are assessed prior to moving into the home to ensure that their care and support needs can be met. A needs assessment is completed and this document forms the basis of the residents care plan once they have moved into the home. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 11 Prospective residents and/or their relatives are also invited to look around the home to see what it has to offer and whether it is the right place for them. All residents and relatives spoken with during the visit stated that someone from the home had visited them before they moved in and that someone had been able to visit to make sure it was the right place for them. Comments received included: “The home was recommended to us so we came and had a look around”. “My daughter came and had a look for me”. “Someone came and assessed her”. “They went to the home she was in to see what she needed”. Four residents files were checked and all were found to include a needs assessment completed by the registered provider and an assessment completed by the residents social worker. Intermediate care is not currently provided at Aberry House. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are currently looked after well in respect of their health and personal care needs. EVIDENCE: Care plans were in place for all four residents case tracked. It was noted that these were thorough in content and covered all the identified needs as highlighted in their initial assessments. Risk assessments were also in place in the four files checked. These covered the risks presented to each individual resident and the actions to be carried out by the care workers to minimise those risks. It was noted that for one resident who suffers with epilepsy, although this was recorded in their care plan, including the actions to be taken by the staff if the resident suffers an epileptic seizure, this was not included in their risk assessment. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 13 The registered provider explained that the care plans and risk assessments are reviewed on a monthly basis or sooner if required. If any changes in the resident’s health are identified the care plans and risk assessments are updated to reflect these and all carers are required to sign to say that they have read and understood the new documents. Care plans seen on this occasion had been reviewed and evidence was seen to confirm that care workers had read these documents. All care workers spoken with were well aware of the individual care and support needs of the residents in their care. On checking the daily records it was evident that the residents have access to appropriate healthcare professionals including community nurses, the local GP, Opticians and the community psychiatric nurse. Medication records were checked, medication had been appropriately signed into the home and on the whole had been appropriately signed for when administered however, it was noted that on one occasion two tablets had been signed for as given though on checking the blister pack the tablets were still in their blister. All residents and/or their relatives spoken with stated that their current care needs were being met and that they were treated with respect and cared for in a dignified manner. Comments received included: “I am satisfied with the care my mum is receiving, we wouldn’t move her now”. “They look after me very well”. “They go out of their way to do things for you”. “Its fine the girls do a fantastic job”. “The staff let me do as much as I can and they are there when you need them”. Interaction between residents, care workers and relatives was positive on the day of the visit with staff members speaking to residents and relatives in a respectful, friendly and supportive manner. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to make choices on a daily basis. EVIDENCE: Choices are offered on a daily basis including whether to stay in bed or get up, what to eat and where to eat it, and whether or not to join in the activities provided. One resident explained, “You can get up when you want, ive never been told ive got to get up at a certain time”. An activities leader is employed to provide regular activties for the residents living in the home, however, this staff member is currently covering a senior position at Aberry House’s sister home Alston House and therefore not available as regularly as the registered provider would like. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 15 One reisident explained, “There are activities going on but im not an active participent, you can join in if you want, if you don’t, that’s fine”. A second resident stated, “we don’t normally have activities if xxxx [the activities leader] isn’t here”. On the day of the visit activities were offered morning and afternoon with care workers offering ball games and games of dominoes in the morning and the activities leader providing a session of music and movement in the afternoon. Specific religious and cultural needs are met. Communion is offered on a regular basis and one resident is enabled to attend the local polish centre on a weekly basis. All residents spoken with stated that the food served in the home was good, and they were offered a choice at all times. During the visit one of the care workers was seen finding out residents preferences for lunch and tea that day. Choices offered were chicken pie or cheese and broccoli flan for lunch and pork pie salad or chicken bites and beans for tea. A number of staff, including the registered provider, are currently in the process of completing a training course in food and nutrition. Family and friends are encouraged to visit. Relatives and visitors spoken with during the visit confirmed that they were made most welcome and were able to visit at any time. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to and acted upon. EVIDENCE: A complaints procedure is in place and all residents and/or their relatives spoken with were aware of who to talk to if they werent happy about something. Comments received included: “I would go straight to the staff if I had a problem”. “Margaret [registered provider] is very approachable, any issues that arise get sorted”. “I would talk to the senior carer”. Information included in the AQAA document received prior to the visit stated that six complaints had been received in the last 12 months. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 17 On checking the complaints book held at the home it was noted that four complaints had been received since the last inspection in June 2007. These complaints, which included a relative not being happy with the foot care of their relative, the ruining of a residents underwear and a relative not being informed when a GP had been called for one of the residents, had been looked into and the complainants had been contacted. Where the complaints were upheld actions had been taken to prevent such incidences happening again. All residents and/or their relatives spoken with were confident that any issues raised would be dealt with appropriately. The registered provider stated that five staff including herself have recently undertaken training in the protection of vulnerable adults, though it was noted that three of the four care workers spoken with during the visit had yet to receive this training. The registered provider explained that it was her intention to provide further training in this subject in the new future. At the last inspection it was noted that procedures for the safeguarding of adults and the notification of incidents to the CSCI (Commission for Social Care Inspection) had not always been followed. The registered provider is now aware of her responsibility within the safeguarding protocol and is now informing the CSCI of any untoward incidents that affect the well being of the residents in her care. All care workers spoken with were aware of the actions to take should they suspect an act of abuse had occurred. All residents and/or their relatives spoken with stated that they felt safe living at the home and they were well looked after. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the accommodation within the home is good, providing residents with a pleasant and homely place to live. EVIDENCE: The areas of the home seen on this occasion were well maintained and suited to the residents needs. Decoration is of a good standard and furnishings in the communal areas are domestic in character and in good condition. A number of areas within the home have been decorated since the last inspection including the upstairs corridor and part of the downstairs corridor. A number of resident’s rooms have also been decorated and a recent loft conversion has provided the home with more office space. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 19 A new floor covering has been fitted in the main lounge/dining area and new carpeting has been laid in the back lounge. A number of bathrooms are provided throughout the home and a new disabled shower room is available on the first floor. The rooms belonging to two of the resident’s spoken with were seen. These were clean, furnished they way they preferred and included their personal belongings. All residents and/or their relatives spoken with were satisfied with the accommodation provided. One resident explained, “You get your own room and you get your privacy”. A second resident stated “They let me bring in my own things to make it more homely”. There is an attractive secure garden area to the rear of the home. This is accessible to all residents, with ramps and handrails in place to assist those who are less mobile. All areas of the home seen on this occasion were clean and fresh. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Current recruitment practices continue to put residents at risk. EVIDENCE: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the residents. Residents and/or their relatives spoken with felt that on the whole there were enough staff on duty to meet their individual needs and the care workers spoken with felt that there were normally enough staff on each shift to care properly for the residents. All residents and/or their relatives spoken with confirmed that their current care needs were being met and on speaking with care workers on duty during the visit it was evident that they were aware of the individual needs of the residents in their care. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 21 Four staff files were checked during the visit. It was noted that only one had the required checks in place including a CRB check and relevant references. For one care worker who started work at the home in July this year it was noted that a POVA 1st check had not been requested until 27th November, it was also noted that the letters of reference included in their file dated back to 2006. For another carer who had started work at the home on 7th September this year it was noted that again a POVA hadn’t been requested until 27th November 2007 and no references were in place. For the third carer who started working at the home on 1st November this year their POVA 1st check was requested on 27th November and on checking their references these were dated the 9th and 21st November, showing that all three carers had commenced working at the home before the required checks were in place. A discussion took place with the registered provider who acknowledged that there had been a lack of checks for these care workers. We were told that during the summer nine care workers had left their employment within days of each other due to issues around work permits. This had put an enormous strain on the remaining care workers and to ensure that the care of the residents was not affected they had taken on new carers before the required checks were in place. It was noted that only one of the care workers had completed a formal induction. The registered provider stated that it was her intention to commence the remaining three on their induction the week following this visit. A number of training courses have been provided since the last inspection in June this year including moving and handling and protection of vulnerable adults and a number of care workers are currently completing training in Dementia awareness, medication training, infection control and health and safety. Sixteen care workers have either completed or are currently completing their NVQ level 2 (National Vocational Qualification) and two senior care workers have completed their NVQ level 3. Aberry House DS0000006356.V354325.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37,38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Records required by regulation for the protection of the residents must be maintained. Residents would be further protected by ensuring that all staff receive the appropriate training within health and safety. EVIDENCE: On the day of the visit the registered provider was in charge of the day to day running of the home due to the long term absence of the registered manager. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 23 All residents and/or their relatives spoken with during the visit stated that the registered provider was approachable and would have no hesitation to talk to her should they need to. One resident stated, “Margaret is a lovely lady”. Care workers spoken with felt supported by the management team and all spoken with stated that there was always someone available to talk to. Comments received included: “You can talk to her at any time” “ Even when there not here, you can talk to them, its good to know you can pick up the phone any time”. A quality assurance and monitoring system is in place. The registered provider explained that although parts of this had been completed, this had not been reviewed of late due to the registered managers long term absence. The registered provider stated that staff meetings take place on a regular basis and this was confirmed on speaking with three care workers, one of which explained that they had had a staff meeting the Wednesday prior to this visit taking place. Records seen on this occasion were found to be up to date and accurate though serious shortfalls were identified within the recruitment records. The improvement plan (A plan informing us of how the registered provider intends to meet the short falls identified at an inspection) which was requested following the last inspection in June 2007 had not been returned within the timescale given, however, the registered provider was able to complete this during the visit and details of actions taken to address previous shortfalls were included. The registered provider explained that no money is kept on behalf of the residents. If residents wish to purchase anything the registered provider will pay and then invoice them or their relative at the end of the month. The registered provider explained that all care workers are provided with moving and handling training. This was confirmed on discussion with the care workers on duty during the visit. Evidence of other training including health and safety, infection control, fire safety and dealing with Challenging Behaviour was seen though it was noted that the newer care workers had yet to have the opportunity to receive this. Aberry House DS0000006356.V354325.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 1 Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 25 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 OP29 Regulation 19 (1) (b) Requirement The registered person shall not employ a person to work at the care home unless-he has obtained in respect of that person the information and documents specified in Schedule 2. 1.The registered person must obtain an up to date CRB on recruitment of all care workers. 2. The registered person must ensure that appropriate references are obtained. Residents need to be protected by the recruitment procedures that are in place. Previous timescale of 21/06/07 has not been met. The commission is considering taking more formal action in relation to non-compliance. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and DS0000006356.V354325.R01.S.doc Timescale for action 05/12/07 2 OP30 18(1)(c) (i) 21/12/07 Aberry House Version 5.2 Page 26 needs of the service users – Ensure that persons employed by the registered person to work at the care home receive – Training appropriate to the work they are to perform. 1) The registered provider must ensure that all new care workers are provided with induction training on employment at the home. 2) The registered provider should ensure that all new care workers receive appropriate training including health and safety training as soon as is reasonably practicable following employment. Residents need to be confident that their care is being provided by competent and well trained staff. 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 Refer to Standard OP7 OP18 Good Practice Recommendations The registered provider should review all risk assessments to ensure all risks to residents are identified and assessed. The registered provider should ensure that all new care workers receive training in the protection of vulnerable adults during their induction period. Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Aberry House DS0000006356.V354325.R01.S.doc Version 5.2 Page 28 - 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!