Inspection on 29/11/05 for Abiden Rest Home

This inspection was carried out on 29th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Abiden Rest Home 21/05/08

Abiden Rest Home 04/07/07

Abiden Rest Home 09/05/06

Abiden Rest Home 08/06/05

Abiden Rest Home 28/04/04

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

CARE HOMES FOR OLDER PEOPLE Abiden Rest Home 22/24 Rosehill Road Burnley Lancashire BB11 2JT Lead Inspector Mrs Julie Playfer Unannounced Inspection 29th November 2005 09:30 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 Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 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. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abiden Rest Home Address 22/24 Rosehill Road Burnley Lancashire BB11 2JT 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) 01282 428603 Mr John Alexander Pinder Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: Abiden is registered with the Commission for Social Care Inspection to provide accommodation and personal care for 22 Older People. The home is well-maintained and situated within easy access of the town centre. The gardens are attractive and have patio areas, which are readily accessed by the residents. Accommodation comprises of 18 single rooms, 8 of which are ensuite and 2 double rooms both ensuite. There is a chair lift to the first floor. Communal space is provided in 3 lounges, 2 of which have a television and the other is used as a quiet room. The home also has two assisted baths and one shower room. Abiden operates a no smoking policy. Activities are encouraged and there are no restrictions placed on visiting. The registered person has achieved the Registered Managers Award and is in day to day control of the home. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over seven hours on 29th November 2005. The previous inspection was carried out on 8th June 2005. No additional visits have been made to the home since the last inspection. On the day of inspection there were 22 residents accommodated at the home. Information was obtained from staff records, care records and policies and procedures. The inspector also spoke to the residents, the staff on duty and the registered person. A partial tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: There had been little progress made to meet the legal requirements highlighted at the previous inspection and there were additional legal requirements identified at this inspection. In addition the registered person Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 6 was issued with an immediate requirement to reduce the temperature of the water at the bath outlet on the ground floor. Written information provided for residents must be updated to ensure the details are up to date and accurate. The process of admission could be further enhanced by ensuring that, the assessment format covers all aspects of need and prospective residents are provided with written assurances their needs can be met by the home. All residents must have a plan of care, which details their needs and includes guidance to staff on how to meet these needs. To ensure all needs are met information gained during the assessment process must be transferred to the plans. Improvements must be made to the management of medication to safeguard the health and welfare of the residents. Staff designated to administer medication should attend an accredited training course and all medication must be administered in line with the prescriber’s instructions. Staff must also receive specialist training from a suitably qualified person in order to carry out any health related task. To ensure the protection of residents the adult protection procedure must be amended to align with local procedures and a record must be made of all complaints. The registered person must maintain the staffing levels at all times and improve the recruitment and selection procedures. Appropriate checks must be carried out before a member of staff is employed in the home and all appropriate records must be collated and maintained in line with legal requirements. In addition, staff must be formally supervised in order to identify any training needs or deficiencies in work performance. Formal consultation should be improved and regular Resident’s Meetings should be held so that residents can express their views and opinions of life in the home and have some input in any future planning. The registered person must also develop a meaningful quality assurance system, which is based on outcomes for 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. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4 Further attention must be given to the admission procedure to ensure the needs of prospective residents are fully assessed and they receive written assurances that their needs can be met by the home. EVIDENCE: Written information in the form of a statement of purpose and service users guide was supplied to all residents and contained useful details about the services and facilities provided in the home. However, the statement of purpose required amending to meet regulatory requirements. It was evident from two case files seen as part of the “tracking process” that an assessment of needs had been carried out prior to admission. However, the registered person should ensure that the assessment document used by the home covers the criteria listed in the National Minimum Standards. It was also noted that following the assessment the registered person had not confirmed in writing to the resident that the home was suitable for meeting their needs. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 9 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 and 9 The systems in place for planning care must be improved to ensure staff are given information on all aspects of need and clear guidance on how these needs are to be met. The management of medication was poor and in order to safeguard the residents some practices must be improved. EVIDENCE: From the case files seen it was apparent that residents who had lived in the home for some time had a plan of care. However, a care plan had not been developed for three residents who had been admitted to the home since August 2005. Hence apart from assessment information there was no guidance for staff on how to meet the needs of these residents. It was also noted that not all assessment information provided by social workers had been transferred to the care plan for established residents. The residents who had a care plan had participated in the care planning process and had signed their plans following each review. Risk assessments were incorporated into the care plans and had been reviewed at regular intervals. The care plans were supported by records of personal care, however, these records were kept collectively. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 10 All residents were registered with a local General Practitioner. A record of weights was maintained as part of the care plan documentation along with assessments on the risks associated with pressure sores, nutrition and falls. Not all assessment information relating to the residents’ healthcare needs had been transferred to the care plan. Since the last inspection clear protocols had been devised for the administration of medication prescribed “as necessary” and individual folders had been introduced to contain the residents’ medication records, which included a recent photograph of each resident. Some progress had been made to update the policies and procedures relating to medication, but not all had been completed. Appropriate recording systems were maintained for the receipt, administration and disposal of medication. However, a record of receipt had not been maintained for all medication entering the home and some medication had not been administered in line with the prescription label. Instructions for applying creams were not included in the medication administration record and some medication had not been available for one resident for four days. The staff designated to administer medication had not received accredited training and there was no record of specific training for carrying out a healthcare task. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 11 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, 14 and 15 The routines were primarily designed around the needs and wishes of the residents and as such the residents were able to exercise choice and control over their lives in respect to daily living. The meals offered at the home were varied and nutritious and to the liking of the residents. EVIDENCE: Residents had a range of opportunities to pursue activities both inside and outside the home. Activities inside the home included professional entertainment, hairdressing, music and movement, tabletop games, and ‘active minds’ (conversation about past times). Residents were also involved in activities outside the home and these included going to local restaurants, attending a nearby church, short walks in the surrounding area and visiting family and friends. The home also arranged themed parties, which the residents said were very enjoyable. Residents were asked on admission about their interests and hobbies. The routines in the home were well established and residents had a choice in the times they went to bed and got up in the morning. One resident said “I get up when I’m ready”. Hence breakfast was served throughout the morning to suit the wishes of the residents. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 12 Residents spoken to described the meals as “very nice” and “lovely”. They also said there was always plenty to eat and the food was a good quality. The registered person explained that there was a choice of food at every mealtime and residents were asked at lunchtime when the meal was served what choice they wished to make. The registered person had carried out a satisfaction survey earlier in the year in respect to food served in the home and had discussed comments with individual residents. Drinks and snacks were served at set times throughout the day and other times on request. It was noted that a menu was displayed in the dining room and residents were aware of the forthcoming meal. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 13 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 Systems were in place to ensure any complaints would be listened to and investigated, however arrangements must be established to record all complaints received in the home. In order to safeguard the welfare of the residents the adult protection procedures must be updated to reflect local protocols set out in “No Secrets in Lancashire”. EVIDENCE: The complaints procedure was incorporated in the statement of purpose/ service users guide. The procedure contained the necessary information should a resident wish to raise a concern and included the address and contact number of the Commission. The residents said they could talk to any of the staff or the registered person in the event they had a complaint. Since the last inspection, the registered person had received one complaint, which was sent direct to the Commission. However, the complaint had not been recorded at the home. The registered person had an adult protection procedure, which set out the expected response in the event of evidence or an allegation of abuse. However, the procedure did not include contact numbers of the local agencies and did not fully align with local procedure set out in “No Secrets in Lancashire”. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 14 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): The residents were provided with a clean, comfortable and well- maintained environment. However, risk assessments must be carried out in respect to two unguarded radiators to minimise any potential risks to residents and a means must be found of reducing the water temperature of the bath outlet. EVIDENCE: Abiden is a mature property with its own garden. The home is located within easy access of the town centre. Accommodation is provided in 18 single rooms, 8 of which have an ensuite and 2 double rooms both of which have an ensuite. The home also provides two assisted baths and one shower room. Communal space is provided in three lounges and one dining room. It was evident from a partial tour of the home that residents had personalised their rooms with their own belongings and decoration was good throughout. The residents said their rooms were comfortable and warm. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 15 Residents had been provided with aids and adaptations to assist their independence skills, these included grab rails, handrails, raised toilets and ramps for wheelchairs. The chair lift accessed the main stairs to the first floor accommodation. The provision of specialist equipment was determined by the needs of the residents. There was a call facility in every room. The doors to residents’ bedrooms had been fitted with appropriate locks and residents were observed to be using keys. Exposed pipe work and radiators had been fitted with appropriate guards, with the exception of two radiators in the lounges. Whilst the unguarded radiators had been protected by furniture, the registered person had not carried out a risk assessment in respect to the risks to residents. The registered person reported there was a central valve fitted to the water system to control water temperature within the home. However, there were no records to monitor water temperature and on testing, it was a significant concern to note that the temperature of the water at the bath outlet on the ground floor was 58°C. An immediate requirement notice was issued requiring the registered person to find an urgent means of reducing the temperature to 43°C plus or minus 2°C. The standard of cleanliness was good in all areas seen. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 16 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 The health and safety of residents was placed at risk on the occasions when the home was operating below the minimum number of staff on duty. The procedures for the recruitment of staff were not robust and must be improved to ensure protection for the people living in the home. EVIDENCE: The registered person maintained a staff roster, which was completed in advance. From inspection of the roster it was noted that there were occasions when the home was operating with below minimum number of staff carrying out care duties. The files of three members of staff, who had commenced work in the home since the last inspection, were examined. There were significant shortfalls noted in the recruitment procedure, which included one reference received after the person commenced working in the home, police checks not received prior to employment and one person had not completed an application form. Arrangements were in place to ensure staff received appropriate induction training and other training such as moving and handling in line with the needs of the residents. At the time of inspection the registered person reported 6 members of staff had completed NVQ level 2 or above, this equated to 42 of the care staff were qualified. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 17 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): 32, 33, 34, 36, 37 and 38 The staff and residents enjoyed positive relationships, which promoted an open and friendly atmosphere. The absence of formal consultation systems both with staff and residents means that it is not possible for the service to fully demonstrate the home is meeting the needs of the residents. Arrangements were in place to ensure staff received appropriate health and safety training, however the registered person must ensure risk assessments are undertaken to ensure the safety of residents. EVIDENCE: Relationships within the home were good and staff spoke about the residents with respect. The residents valued the help and support they received from the staff, who they described as “very nice ” and “friendly”. The staff received supervision but this was mostly informal. In addition there had been no staff meeting arranged since the last inspection. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 18 Whilst the home achieved a post recognition Investors in People Award in September 2004, there had been no progress made since the last inspection to develop a quality assurance system to monitor outcomes for residents. Hence apart from specific questionnaires on food, satisfaction questionnaires had not been distributed to residents, their representatives or professional staff involved with the home. In addition residents’ meetings had not been arranged for some time. Consultation in the home was therefore based on informal systems. Not all records had been collated and maintained in accordance with the Care Homes Regulations 2001, for instance records relating to the recruitment of new staff. The registered person had also not informed the Commission of events in the home detailed under Regulation 37. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Staff had also recently completed an infection control training course. Documentation was seen during the previous inspection which, confirmed gas and electrical systems were serviced at regular intervals. To minimise the risk of scalding, a preset valve had been fitted to the central water system, however as previously stated the water temperature at the bath outlet was 58°C and an immediate requirement notice was issued to require the registered person to make immediate arrangements to reduce this temperature. It was noted the registered person had not maintained a record of the water temperature on both bath outlets or carried out a risk assessment to assess the risk of hot water should the central valve fail to function appropriately. Whilst risk assessments had been completed in regard to the handling and storage of hazardous substances, general risk assessments relating to safe working practice topics were outstanding. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 19 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 2 X 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 3 3 3 3 1 3 STAFFING Standard No Score 27 1 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 2 1 X X 1 1 1 Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 20 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 OP1 Regulation 4,5 Requirement The statement of purpose/ service users guide must be amended to include correct information about the registration criteria details about the room sizes. Residents must be informed in writing that having regard to their assessment the home is suitable for meeting their needs. (Previous timescale of 8th June 2005 - not met). All residents must have a care plan, based on their assessment of needs. The care plans must provide consistent information about the needs of residents and provide staff with clear guidance on how these needs are to be met. (Previous time scale of 8th June 2005 – not met). The care plans must cover all aspects of the residents’ health care needs. All medication must be administered in line with the prescribers instructions. (Previous timescale of 8th June DS0000009469.V261126.R01.S.doc Timescale for action 15/01/06 2 OP4 14 (1) (d) 29/11/05 3 4. OP7 OP7 15 (1) 15 (1) 31/12/05 31/12/05 5. 6. OP8 OP9 15 (1) 13 (2) 31/12/05 29/11/05 Abiden Rest Home Version 5.0 Page 21 7. OP9 8 9 OP9 OP9 10 OP9 11 12 OP16 OP18 13 OP25 14 OP25 2005). The instructions for the application of prescribed creams must be included in the medication administration record. 13 (2) A record of receipt must be maintained for all medication entering the home. 13 (2) Arrangements must be put into place to ensure all prescribed medication is available in the home at all times. 13 (2) All staff that are designated to carry out a specific healthcare task must receive training from a suitably trained person. The training should incorporate an assessment of competence on a service user specific basis. 17 Sch 4 The registered person must (11) maintain a record of all complaints. 13 (6) The registered person must ensure the procedures for responding to suspicion or evidence of abuse or neglect includes contact details of local agencies and closely aligns with “No Secrets in Lancashire”. 13, (3) (c) Risk assessments must be carried out in respect to two unguarded radiators. Work must be carried out as necessary to safeguard the safety of the residents. (Previous timescale of 22nd October 2004 - not met). 13 (3) (c) The registered person must take immediate action to reduce the water temperature on the bath outlet on the ground floor to 43°C plus or minus 2°C. A written response detailing the actions taken must be submitted to the Commission by 7th December 2005 in line with the immediate requirement notice. 13 (2) DS0000009469.V261126.R01.S.doc 29/11/05 29/11/05 29/11/05 15/01/06 29/11/05 31/12/05 15/01/06 07/12/05 Abiden Rest Home Version 5.0 Page 22 15 OP27 18 (1) (a) 16 OP29 17, 19 17 OP33 24 18 OP33 24 The registered person must ensure the staffing levels are maintained at all times. Therefore one senior care staff and two care staff must be on duty to carry out care duties throughout the waking day as a minimum. The registered person must ensure he operates a thorough recruitment procedure ensuring the protection of residents. As such, all records and documentation relating to the recruitment of new staff must be collated and maintained in line with the requirements of the Regulations. Appropriate Police checks must be carried out and received before a person commences work in the home or has any access to the residents. (Previous timescale of immediate - not met). An annual development plan must be devised based on a systematic cycle of planning, action and review, reflecting the aims reflecting the aims and outcomes for service users. There must also be continuous monitoring, using an objective, consistently obtained and reviewed and verifiable method (preferably a professionally recognised quality assurance system) and involves the service users and an internal audit takes place at least annually. (Previous timescale – 1st September 2005 – not met). Feedback must be sought from service users about the services provided in the home, through for example the use of anonymous user satisfaction questionnaires and individual 29/11/05 29/11/05 01/03/06 31/01/06 Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 23 19 OP36 18 (2) 20 OP37 4, 17, 18, 19 13 (4) (c) 21 OP38 and group discussion. (Previous timescale of 1st September 2005 – not met). Staff must be appropriately supervised and receive formal supervision at least six times a year. All records listed in the regulations must be kept complete and up to date all times. The water temperature must be monitored and recorded on both baths. A risk assessment must also be carried out to assess the risk of hot water should the central valve fail to function appropriately. (Previous timescale of 10th July 2005 – not met). 08/06/05 08/06/05 29/11/05 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 OP9 OP9 OP28 OP32 Good Practice Recommendations The assessment format should cover the elements listed under standard 3. It was recommended the records of daily care are kept on a separate and individual basis, to enable all residents to view information about them should they so wish. Staff designated to administer medication should attend an accredited medication course. All policies and procedures relating to medication should be reviewed and updated in line with the Royal Pharmaceutical Society Guidelines. A minimum of 50 of care staff should be trained to NVQ level 2 or equivalent by 2005. Residents meetings should be held on a regular basis. The minutes should be recorded and made available for residents and their representatives. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 24 7 7 8 OP32 OP33 OP38 Staff meetings should be held on a regular basis. The minutes should be recorded. The results of residents surveys should be collated and made available to residents and their representatives and other interested parties. The registered person should develop risk assessments in relation to all safe working practice topics. Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Abiden Rest Home DS0000009469.V261126.R01.S.doc Version 5.0 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. 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