Inspection on 08/06/05 for Abiden Rest Home

This inspection was carried out on 8th June 2005.

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

Abiden Rest Home 21/05/08

Abiden Rest Home 04/07/07

Abiden Rest Home 09/05/06

Abiden Rest Home 29/11/05

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 Abiden Rest Home 22/24 Rosehill Road Burnley BB11 2JT Lead Inspector Julie Playfer Announced 8 June 2005 9.30 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 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 F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abiden Rest Home Address 22/24 Rosehill Road Burnley Lancs BB11 2JT 01282 428603 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Alexander Pinder Care Home 22 OP 22 Category(ies) of Old Age registration, with number of places Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 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 F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over one day and a total of 8 hours were spent on the premises. During the visit the inspector looked at written information including records, policies and procedures and spoke with the people who live in the home. The inspector also talked to the owner/manager and the staff on duty. In addition a partial tour of the building was carried out. At the time of inspection a total of 20 people were living in the home. What the service does well: What has improved since the last inspection? What they could do better: The admission procedure must be improved to ensure residents are only admitted to the home following a full assessment of their needs and residents are informed in writing that the home is suitable for meeting their needs. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 6 The systems in place to plan care must be improved to ensure staff have consistent information on changing needs and clear guidance on how these needs are to be met. In addition the residents must be fully involved in the care planning process and the care plans must be reviewed once a month. 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. To ensure the protection of residents a vulnerable adults procedure must be produced to set out the response in the event of any allegation or suspicion of abuse. Recruitment procedures must be improved and all appropriate checks must be carried out before a member of staff commences employment with home. 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. 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 F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 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 standard(s) 1 - 6 The written information provided for residents was useful and informative. The admission procedure must be improved. Without access to a proper assessment prior to admission; it is not possible to determine whether the home is suitable for meeting a particular resident’s needs. EVIDENCE: Written information in the form of a combined 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, there was no information on room sizes. All residents were issued with a statement of terms and conditions of residence at the point of moving into the home or contract, if they were purchasing their care privately. Three case files were seen as part of the ‘tracking process’. Whilst it was evident an assessment of needs had been carried out for two people, one person had not had a formal assessment of their needs prior to admission. The registered manager stated that an informal assessment had been undertaken, Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 9 but he had not recorded the findings. None of the residents had received written confirmation that the home was suitable for meeting their needs. The opportunity to visit the home prior to admission was part of usual practice and one resident described her visit to the home, which included partaking in a meal. The resident said she had enjoyed her visit and everyone made her feel welcome. Abiden does not provide intermediate care. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 - 10 The systems in place for planning care and assessing risks must be improved to ensure staff are given consistent information on changing needs and clear guidance on how these needs are to be met. The management of medication was poor and in order to safeguard the residents welfare some practices must be improved. EVIDENCE: From the case files seen, it was evident each resident had a plan of care, based on an assessment of needs. However, apart from one resident who had signed his care plan following a review, there was little written evidence to demonstrate the residents had been involved in the care planning process. Reviews of the care plans were not always at monthly intervals. Risk assessments had been incorporated into the care plans. However, the assessments had not always been updated in line with changing needs and were in some cases contrary to the care plan. For instance the care records and plan for one person indicated she had lost weight, this contradicted with the resident’s nutritional assessment, which stated “no loss – usual weight”. However, it was also noted that personal preferences and some aspects of past life experience had been included in the care plans. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 11 Some progress had been made to update the policies and procedures relating to medication, but not all had been completed. The home operated a monitored dosage system for the administration of medication, which was dispensed into cassette trays. Appropriate records were maintained of the receipt, administration and disposal of medication. However, not all medication was administered in line with the prescriber’s instructions, for example some prescribed medication had not been administered to one resident for several months. It was also noted one pack of medication had no prescription label consequently, there was no indication on the packaging whom the medication had been prescribed for or what dose should be administered. There were no protocols detailing the circumstances when medication prescribed ‘as necessary’ should be administered to the residents. The registered person confirmed none of the staff had undertaken accredited medication training. Advice had been sought as necessary from the Pharmacist, who visited the home once a month. Residents spoken to felt their right to privacy was respected by the staff and personal care was carried out with respect to their dignity. All residents were referred to by their preferred mode of address, which was documented on the care plan. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12 - 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. Residents were encouraged to engage in past times and activities of their choice, which they found stimulating and interesting. To ensure residents are able to exercise choice at the main mealtime, a choice menu should be introduced and the options available explained prior to each mealtime. EVIDENCE: Residents had a wide 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 the local club, attending a local church, visiting a luncheon club, short walks in the surrounding area and visiting family and friends. 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. Hence breakfast was served to suit the wishes of the residents. Staff were observed to consult residents on their choice of activities. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 13 There were no restrictions placed on visiting and the residents were able to entertain their guests in private. All relatives/visitors, who had completed a comment card expressed satisfaction with the standard of care provided by the home and all felt welcome in the home at any time. Residents were encouraged to exercise choice and control over their lives. As such residents were supported to manage their own finances. Residents were also able to bring in personal belongings and arrange their rooms how they wished. Residents were satisfied about the quantity and quality of food. However, one resident pointed out there was no choice at lunchtime and the menu was not displayed. This meant the residents were not usually aware of the forthcoming meal and therefore did not know whether to order an alternative or not. There were choices available at breakfast and teatime. The registered person had recently carried out a satisfaction survey 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. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16 - 18 Systems were in place to ensure any complaints would be listened to, recorded and investigated. The residents’ legal and personal rights were protected. There had been no progress on producing a vulnerable adults procedure to ensure a proper response to any suspicion or allegation of abuse. 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. The home had received no complaints since the previous inspection. The residents’ were able to freely participate in civic processes such as voting. One resident mentioned he attended the nearby polling station to cast his vote. The statement of purpose/ service users guide also included a resident’s charter of rights. There was a copy of “No Secrets in Lancashire”, however, the registered person had not devised an adult protection procedure despite this being made a requirement following the last two inspection visits. The owner/manager needs to take immediate steps to rectify this shortfall. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19 - 26 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. 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. New chairs had recently been purchased for the lounges. 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. 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 Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 16 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 standard of cleanliness was good in all areas seen. Arrangements had been made since the last inspection to carry soiled laundry in ‘red bags’ to minimise the risk of infection. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 - 30 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 files of two members of staff, who had commenced work in the home since the last inspection, were examined. The staff had completed an application form and attended for interview with the registered person. However, there were shortfalls in the recruitment procedure, these included gaps in employment history and the necessary police checks i.e. POVA (Protection of Vulnerable Adults List) and CRB (Criminal Records Bureau) had been received after the staff commenced work in the home. The registered person had devised a performance and development programme in respect to staff training needs and suitable arrangements were in place for the induction of new staff. At the time of the inspection 3 members of staff had completed NVQ level 2 and a further 7 members of staff were working towards this qualification. The registered person confirmed all staff received at least three paid days training a year. A staff rota was maintained, which indicated the required staffing levels were maintained at all times. Suitable arrangements were in place to ensure staff received appropriate training in line with the needs of the residents. Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 - 38 The staff and residents enjoyed positive relationships, which promoted an open and friendly atmosphere. The absence of formal consultation systems both with the staff and residents means 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: The registered person had the overall responsibility for the management of the home and had completed an NVQ level 4 in Management and the Registered Manager’s Award, Mr Pinder had also undertaken periodic training to update his knowledge and skills. 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 Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 19 staff, who they described as “kind, caring and helpful”. The staff received supervision but this was mostly informal. In addition staff meetings were not arranged on a regular basis, from the minutes seen it was evident one staff meeting had been arranged during the last twelve months. Whilst the home achieved a post recognition Investors in People Award in September 2004, there had been limited progress made on developing 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. The registered person had devised a business and financial plan for 2001 to 2005, the aims and objectives identified in the plan had been met and the registered person was aware the plan would need updating to reflect the current aims and objectives. The records of charges to residents and payments made by or on behalf of residents were inspected and found to be up to date. At the time of the inspection the home was not managing the money for any resident. Some records had not been collated and maintained in accordance with the Care Homes Regulations 2001, for instance records relating to the recruitment of new staff. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Documentation was seen during the 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, there were no individual valves fitted to baths or showers. A chlorination certificate was seen in respect to the storage of water. Window restrictors had been fitted to all windows. The fire log demonstrated staff and residents had participated in regular fire drills. 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 F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 1 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 1 2 2 2 3 3 2 2 2 Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 21 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 1 3 Regulation 4,5 14 Requirement The statement of purpose/ service users guide must include details about the room sizes. Residents must not be admitted into the home without a copy of the assessment of needs. Timescale for action 15th July 2005 Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate and Page 22 3. 4 14 4. 7 15 5. 8 15 Residents must be informed in writing that having regard to their assessment the home is suitable for meeting their needs. (Previous timescale of 5th November 2004 - not met). 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. The residents must be involved throughout the care planning process. Risk assessments which form part of the care plan must be kept under review in line the residents changing needs. All medication must be administered in line with the F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc 6. 9 13 Abiden Rest Home Version 1.30 prescribers instructions. 7. 9 13 All prescribed medication must be properly labelled. Medication without a label must be returned to pharmacy. The registered person must ensure there are robust procedures for responding to suspicion or evidence of abuse or neglect (including whistleblowing) that ensure the safety of residents. The procedures must include contact details of local agencies and the Commission. (Previous timescales of 1st June 2004 and 22nd October 2004 - not met) 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). 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, 8. 18 12 ongoing from the date of inspection. Immediate and ongoing from the date of inspection. 1st July 2005 9. 25 13 15th July 2005 10. 29 17, 19 Immediate and ongoing from the date of inspection. 11. 33 24 1st September 2005 Page 23 Abiden Rest Home F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 12. 33 24 13. 36 18 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. 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 and group discussion. 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. 1st September 2005 14. 37 4, 17, 18, 19 15. 38 13 Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. 10th July 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 24 Abiden Rest Home 1. 2. 3. 4. 5. 6. 7. 8. 9. 9 9 9 15 28 32 32 33 38 Staff designated to administer should attend an accredited medication course. Protocols should be devised detailing the circumstances when medication prescribed as necessary should be administered to residents. All policies and procedures relating to medication should be reviewed and updated in line with the Royal Pharmeceutical Society Guidelines. A choice of meals should be offered at the main mealtime and the menu should be displayed. 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. 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 F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors 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 F57 F07 S9469 Abiden V225101 8.6.05 Stage 4.doc Version 1.30 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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