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Inspection on 27/11/07 for Adeline House Nursing Home

Also see our care home review for Adeline House Nursing Home for more information

This inspection was carried out on 27th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There was a stable staff group who had worked at the home for a good length of time. They spoke positively about their positions at the home. Staff have shown commitment to their own learning and should be commended for their efforts to obtaining NVQ qualifications, although some refresher training is required. People who had recently moved into the home said they had settled well and the staff was kind and friendly. People said they were confident that the manager would deal with any problems they had, as he was easy to talk to and always listened to any concerns.

What has improved since the last inspection?

Medication was securely stored in a newly created clinical room, although staff said the volume of medication means that the trolley was unable to store all medication required by people at breakfast time. Quality assurance surveys are sent out annually to people who use the service, although the inspector was unable to examine the data as the information was not available at the home.

What the care home could do better:

Care plans were not always developed immediately after admission into the home. This means people may not receive the care they need. Medication procedures were not always followed as not all medication administered was signed for. Changes to peoples medication, needs to be managed better to ensure unused medication is stored safely. Meals could have been better organised during the refurbishment of the kitchen. It caused considerable disruption to people for the three days to complete the work. A two ring electric hob was insufficient to meet the catering arrangements for 36 people. Work continues to improve the environments and there is plans to use grant money to refurbish one of the bathrooms. Bathrooms were generally untidy with surplus equipment being stored in the room. Lounge chairs were in poor condition and some areas on the corridors were uneven and could cause potential hazards to people who move around independently. The care call system was dated and staff informed the inspector that multiple calls could be cancelled at the same time. This means that people may not receive help when required, or in order priority. Staffing levels was sufficient, although the deployment of staff needs to be reviewed to ensure they are clear what is required of them. People said they often had to wait to go to the toilet and to go to bed. Staff were observed rushing around and they seemed to be constantly asking where colleagues were to gain assistance with tasks. Most interaction with people who use the service was task orientated, with little quality contact. Training records show some refresher training is required, although a good number had achieved an NVQ qualification.

CARE HOMES FOR OLDER PEOPLE Adeline House Nursing Home Queen Street Thorne Doncaster South Yorkshire DN8 5AQ Lead Inspector Valerie Hoyle Key Unannounced Inspection 27th November 2007 09:00 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 Adeline House Nursing Home DS0000015848.V350111.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. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adeline House Nursing Home Address Queen Street Thorne Doncaster South Yorkshire DN8 5AQ 01405 815512 01405 813594 NONE None provided County Healthcare Ltd, a wholly owned subsidiary of Four Seasons Health Care Ltd Post Vacant Care Home 40 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) Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age of places (40) Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To enable up to five service users to reside at the home under the age of 65 years. 22nd June 2006 Date of last inspection Brief Description of the Service: Adeline is situated in the heart of Thorne village, and is in easy reach of local shops and amenities. Grounds are well maintained usually by the handyman and a gardener and the drive leading to the entrance is block paved leading to the conservatory entrance. A quadrangle in the centre of the home is easily accessed by a sloping ramp and is a popular location for service users, and visitors. The home has three lounge areas; one is designated as the smoking area. The main entrance is a conservatory area with domestic type seating including sofas and coffee tables. All lounges have comfortable chairs with a television and domestic type lighting in all communal areas. There is a reception leading to the main areas of the home. The home provides both nursing and residential care. Qualified nurses provide the necessary care to those with nursing needs, and trained care staff provides care to the residential service users. Information gained on the 27th November 2007 indicated the current fees range from £412 for residential care and up to £466 ( nursing care top ups) for nursing care. Additional charges include hairdressing, newspapers and outings. The home provides information to service users and their relatives prior to admission into the home. Service Users Guides are available on request from the manager. The last published inspection report is available on request and a copy is available for visitors to read. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over 6 hours, this included a partial inspection of the home. Seven people who use the service, two relatives and six staff were spoken to during the visit; their views are included throughout the report. Occupancy at the home remains high with 36 of the 40 beds occupied. Five CSCI service users and relative questionnaires were sent to the home, one service user survey, and three relatives surveys were returned. The information has been collated and their views are contained within this report. Three peoples care plans were examined and policies relating to medication, complaints, protection of vulnerable adults and handling of people’s monies were looked at. Five staff recruitment and training records were examined to ensure people were protected. Siegfred Laguio, the manager was present throughout this visit and assisted with the inspection process. He had completed and returned the Annual Quality Assurance Assessment dated September 2007, and the information gained is included in this report. An annual quality assurance assessment (AQAA) is a self assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. What the service does well: There was a stable staff group who had worked at the home for a good length of time. They spoke positively about their positions at the home. Staff have shown commitment to their own learning and should be commended for their efforts to obtaining NVQ qualifications, although some refresher training is required. People who had recently moved into the home said they had settled well and the staff was kind and friendly. People said they were confident that the manager would deal with any problems they had, as he was easy to talk to and always listened to any concerns. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 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 Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were assessed before moving into the home to ensure their needs could be met. EVIDENCE: All new people received a full comprehensive needs assessment before admission, this was carried out by manager or responsible person who had the required skills and competencies. The service was efficient in obtaining a summary of any assessment undertaken by the placing authority, and insists on receiving a copy of the care plan before admission. Staff confirmed that information contained in the assessment was essential to understand what they needed to do to ensure people’s needs were met. Three assessments were examined and they focused on achieving positive outcomes for people who use the service. Before agreeing admission the Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 9 manager and staff carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. CSCI ‘Have your say..’ surveys received from relatives and people who use the service said they did not always receive sufficient information about the home before they moved into the home. One relative said family members had visited a number of homes before selecting Adeline House as the best home to meet his mothers care needs. However he said that his mother had not settled very well, but felt the reason had nothing to do with the home. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans do not always provide sufficient information to protect people who use the service. Medication policies and procedures were generally well managed ensuring the safe administration of medication. EVIDENCE: The care plans of three new people were examined, and information contained did not explain how staff was to deliver the care needed. Staff interviewed said the people were highly dependant in all aspects of care, although they had not read the information to deliver the care. The lack of information could pose significant risk to people who use the service. Risk assessments and moving and handling assessments had not been completed, although it was clear from discussion with the people that they required significant intervention from staff. This means people may not been moved safely, which may result in injuries to both the person and staff. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 11 It is clear that procedures were not always followed when compiling information about people who move into the home. This means vulnerable adults may not receive the appropriate care. CSCI surveys received said usually care needs were met, although two surveys said they sometimes had to wait to go to the toilet. One person said they often had to wait to go to bed, especially after ten o’clock at night. People said on a number of occasions there did not appear to be sufficient staff, as they always seemed to be rushing around. Records examined and discussion with the staff confirmed people’s healthcare needs were met. An audit of medication stocks and records found some gaps in the MAR (Medication Administration Record), where medication had been administered but not signed for. One person’s medication had been reduced, although the monitored dosage system had not been changed to reflect the new dosage. This means that the medication was unsafe and could pose significant risk to people, who may not receive medication as prescribed. The local pharmacist is contracted to undertake periodic checks to ensure the stock levels were maintained and procedures were followed. Medication was stored securely; there was a separate, locked room for storing medication that contained a medication fridge, although it was not locked. There was a controlled drugs cabinet and medication was appropriately store and recorded. Observations during this inspection confirmed people were treated with respect. People were addressed and spoken to in an appropriate manner. However comments from the surveys received indicated that people were unhappy about the staffing levels, as they did not seem to have time to speak to them. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to socialise with family and friends and mealtimes are well managed. EVIDENCE: Staff were observed interacting with people, although the contact was mainly task orientated. Staff did not appear to have quality time with people, although this may have been due to the disruption caused by refurbishment of the kitchen. Surveys received confirmed that opportunities to join in activities were infrequent, although the notice board provided information about forthcoming events. Clothing and Christmas parties were planned for December and there was a newsletter that described an outing to the coast. Visitors to the home said they were always made welcome and they could visit their relative in the main communal areas or in their relative’s bedroom. People said they were able to exercise their choice of where to spend their time. Although choice was restricted during this inspection as one of the lounges was being used as a dining area. This was due to the refurbishment of the kitchen. People said they had been informed about the planned work in the Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 13 kitchen and they did not mind the disruption. A number of people had chosen to spend time in their bedrooms and provision was made for them to have their meals in their rooms. Meals had been disrupted due to the refurbishment of the kitchen which was due to last for 3 days. The organisation had arranged for a small electric hob and additional microwave to be set up at the home, although this was not sufficient to cater for the 36 people living at the home. Alternative catering arrangements could have made the situation better. The cook was commended for her endeavour to provide a balanced diet under difficult circumstances. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service could access the complaints procedures and the manager ensures any concerns were recorded and investigated appropriately. Adult protection policies, procedures and training of staff promote the protection of people from abuse. EVIDENCE: There was a complaints procedure that was available to people who use the service and visitors. The procedure was also referred to in the service users guide, identifying the stages to follow; this included the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection was included in the procedure. Examination of the complaints records showed that there were no complaints recorded since the last visit to the home. People who use the service said that they were confident that the manager or the responsible person would deal with any concerns they may have. Commission for Social Care Inspection surveys received confirmed that people know what to do if they had any concerns, and relatives said although they had never had to make a complaint and were confident that the manager would deal with any issues. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 15 There was a comprehensive Safeguarding Adults and Whistleblowing policy and staff follow the procedures to those standards. The registered manager would investigate fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The registered manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider continues their refurbishment of the home to ensure it is fit for purpose and is safe and suitable for people to spend their time. EVIDENCE: The registered provider continues their refurbishment of the home to ensure the environment was comfortable and suitable for people to spend their time. A government grant had been obtained and will be used to refurbish a bathroom, which was currently out of use. A partial inspection of the building found bedrooms to be homely and personalised to individual taste; a number of people were in their rooms and were either in their bed or sat in an easy chair. People said they were happy to spend time in their bedroom, although one person said she was looking Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 17 forward to being able to get up and go down into the lounge to meet new people. Some of the furniture in bedrooms was quite dated and some rooms still have fitted headboards limiting peoples choice with regard to where the bed can be placed. The corridor floors around the home were uneven in places, which potentially poses a hazard to people who move around the home independently. Bathrooms were generally untidy with equipment poorly stored. Chairs in communal areas were torn and in need of replacing. The call system was old and raised concerns as staff were able to cancel all calls at once and it was unclear what order to answer calls. People who sit in the conservatory said it was difficult to raise the alarm due to where it was sited. This which means people may be at risk if staff are unable to respond to any emergencies. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff had the skills and knowledge to fulfil their roles within the home, and there was a stable staff group. Recruitment policies are generally followed ensuring the safety and protection of people who live at the home. EVIDENCE: Staff rotas examined showed that there was sufficient care staff on duty, however the inspector observed staff rushing around looking for colleagues. There seemed no organisation about how staff were deployed to work in the various areas of the home. Surveys received confirmed that staff were often too busy to spend time with people. They also said that on occasions levels were not sufficient. There was a good induction programme and the inspector was able to examine a completed induction workbook. Staff are commended for meeting the requirement of 50 NVQ level two qualified staff. A number of staff are progressing with NVQ level two. The training plan indicated that some refresher training was required, in areas of infection control and health and safety. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 19 Five staff recruitment files were examined, they were unorganised making it difficult to audit. All files examined had two references and POVA first check although three files did not include a Criminal Record Bureau Check (CRB). It was also difficult to determine the date staff commenced employment. The manager should check the date on the CRB as good practise suggests that a new CRB check should be carried out every three years, to ensure the information is up to date. The registered manager said the nurses continue to develop their own knowledge, by attending relevant training courses. PIN numbers for the registered nurses were examined and were current. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were protected by sound management practises, and their views were actively sought to improve the service. The financial interests of people were safeguarded, and good health and safety procedures ensured they are protected. EVIDENCE: The manager has been in post since June 2007, although he had not submitted an application to CSCI to become the registered manager. He holds a relevant nursing qualification, and has also attended training arranged by the organisation. He is respected by staff and liked by relatives and people who Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 21 use the service. People said “he is very kind and always treats us with respect”. Residents/relatives meetings were used to gain the views of people who use the service. This included suggestions for menus and activity programme. People who use the service are given the opportunity to complete a quality survey to gain their views. The manager said the surveys had been sent out to relatives and residents’, although they had not been returned or analysed. The data would be collated at the head office and then fed back to the home. The registered provider undertakes a monthly quality audit at the home and the reports were available for inspection. Accident reports were analysed by the manager to ensure risk assessments were developed where required, to minimise risks to people at the home. Maintenance and service records examined were up to date and current to the services provided. The manager had the required health and safety policies and procedures relevant notices were displayed People were able to manage their own finances, although most prefer the manager to assist with dealing with their personal allowances. The administrator told the inspector how bank accounts were held on behalf of service users; one is an interest bearing account, although other accounts were pooled but had individual records to determine balances. Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Peoples care plans must be developed as soon as practicable after admission into the home, and must be sufficiently detailed to enable staff to deliver care to people safely. Risk assessments must be developed as soon as practicable to ensure people are moved safely. The administration of all medicines must be recorded on the MAR chart. This makes sure that there is an accurate record of the medication administered and that it demonstrates it is being administered as prescribed. Where changes occur to the dosage of medication a new monitored dosage-dispensing card must be obtained to ensure the medication can be administered safely. Furnishings in the home must be fit for purpose, including lounge chairs and bedroom furniture. People must be able to access a call system to ensure their safety DS0000015848.V350111.R01.S.doc Timescale for action 01/01/08 2. OP7 15 01/01/08 3. OP9 13 01/01/08 4. OP9 13 01/01/08 5. 6. OP19 OP22 23 23 01/03/08 01/03/08 Adeline House Nursing Home Version 5.2 Page 24 7. 8. OP29 OP30 18 18 9. OP31 8 and protection. Staff must have a CRB (Criminal Records Bureau) check. Each member of staff must be assessed and a specific training programme implemented. All staff must be suitably qualified, competent and experienced to meet the health, safety and welfare needs of the people at the home. The manager must submit an application for registration with the Commission for Social Care Inspection. 01/01/08 01/03/08 01/01/08 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 OP9 OP29 Good Practice Recommendations Fridge temperatures should be checked and recorded daily. This makes sure that medication is stored as recommended by the manufacturer and safe to use. Staff files should be organised for auditing purposes. CRB checks should be renewed after 3 years to ensure the information is up to date Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Adeline House Nursing Home DS0000015848.V350111.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!