Inspection on 25/07/05 for Albert House

This inspection was carried out on 25th July 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

Albert House 28/06/07

Albert House 06/06/06

Albert House 24/01/06

Albert House 09/03/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Albert House 22 Albert Road Colne Lancs BB8 0AA Lead Inspector Keren Nicholls Unannounced 25 July 2005 10.30 am th 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. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Albert House Address 22 Albert House Colne Lancs BB8 0AA 01282 862053 01282 862053 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) Albert House Residential Home Ltd Peter Alan Perris Care Home 17 OP DE(E) 15 2 Category(ies) of Old Age registration, with number Dementia of places Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2. Within the overall total of 17, a maximum 15 service users may be accommodated requiring personal care who fall into the category of OP (either sex) 3. Within the overall total of 17, a maximum of 2 (named) service users may be accommodated requiring personal care who falls into the category of DE(E) Date of last inspection 9th March 2005 Brief Description of the Service: Albert House is a residential care home providing 24-hour accommodation and personal care to 15 older persons and two (named) older persons who have a dementia. The registered provider Mr Perris, is also the manager. The home is an extended detached house located on the main road in Colne town centre, within easy reach of shops, library, market and other amenities. There is on-street parking at the side of the home and across the main road. A public car park is a short walk away. The home has limited parking in the garden courtyard at the rear of the home. There are steps (with handrails) to the main front door. There are steps (with handrails) to the back door (accessed through the enclosed courtyard. Outside is a lawned front garden and a private garden at the rear of the home. The home has two ground floor lounges (one with adjoining dining room accessed by two steps) and a separate dining room (adjoining the kitchen), which is the designated smoking area. There is one double and 15 single bedrooms on the ground and first floors. There is a passenger lift. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. A total of 8 hours were spent on the premises. During this time the inspector spoke with the people who live at the home and some of their relatives, and looked at written information, including records. The inspector talked to the owner/manager of the home and the staff on duty, looked at communal rooms and with the permission of residents, some bedrooms. At the time of inspection 17 people were living in the home. Additionally, 7 comments cards were received from residents and 2 from relatives. Since the last inspection, one additional visit had been made to Albert House, to follow up progress in achieving requirements. The home had also varied the registration, to accommodate two older persons who have a dementia. What the service does well: What has improved since the last inspection? The risks to residents had been minimised and their welfare promoted by staff having attended safe medication, NVQ and care of people who have dementia training. The manager had continued to improve the premises and ensure the privacy, safety and security of residents by fitting a front door keypad (linked to the fire alarm), bedroom door locks and providing paper towels and alcohol hand rub by all the wash hand basins. The wellbeing of residents had been improved by making the front garden a nice place for sitting out. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 6 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. Albert House F57 F07 S61635 Albert Hs V227800 250705 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 Albert House F57 F07 S61635 Albert Hs V227800 250705 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, 3, 4, 5 and 6 Residents and their representatives had been consulted about needs and wishes prior to admission. They had visited and been given written information about the home, which had enabled them to make an informed decision about whether Albert House was the right place for them to live. Trained people had assessed needs, to ensure that they could be met by the home. Albert House does not offer intermediate (rehabilitation) care. EVIDENCE: Residents had been given their own copy of the ‘service user’s guide’, which explained the aims and objectives of the home and relevant information about complaints, the premises and staff team. Prospective residents and their families had been encouraged to visit the home prior to moving in and people knew that initially this was on a ‘trial’ basis, so they had time to change their mind (although in practice residents said that alternative residential accommodation in the area was limited). Residents had assessments of their needs prior to going to live at Albert House. The assessments had been done by social workers. The manager also visited prospective residents at home or in hospital and conducted a written Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 9 pre-admission assessment of needs. Needs assessments were kept in residents’ files, so that staff knew what care each person needed. Staff had attended a training day, so that they could meet the special needs of residents who had a dementia. However, not all residents had a care plan, based on the needs assessment, which was in sufficient detail to ensure that staff knew how needs were to be met and by whom (see also next section). Albert House offers short term and respite care, but not intermediate (rehabilitation) care. Albert House F57 F07 S61635 Albert Hs V227800 250705 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, 8, 9 and 10 Care planning should be improved to ensure the plans fully address the needs of the residents and provide clear guidance to staff on how these needs are to be met. Medication practices had improved, but insecure storage had the potential to place residents at risk. Staff respected residents’ privacy and dignity. EVIDENCE: Several residents said that generally their needs for health, accommodation and social care were met and they felt well cared for. However, some people thought that staff could meet their emotional needs better and one was unsure about how a physical problem was being addressed. Recording in care plans was poor and did not adequately address risk. For example, there were no risk assessments for residents who were using wheelchairs without footrests. To ensure the safety of residents and to make sure that residents are properly consulted about their care, the care plans should be agreed and signed by service users whenever possible and should include proper monitoring and recording of risk of and prevention of pressure sores; falls; nutritional screening; and monitoring of weight. The plans need to be specific regarding Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 11 how outcomes for service users are to be met, and who is responsible. These should include outcomes for emotional, sensory and mental health needs. Several entries in the daily care records were contradictory. The daily diary care records should reflect the care that has been given, as identified in the agreed care plan. Medication practices had improved since the last inspection and staff who administered medicines had received training. The manager said that he had ordered a new medicines information book to replace the out of date one. In order to provide a safe system that minimises risk to residents, each person should have an up to date reference of current medications, which includes the reason for taking the drug, the contra-indications and side effects. The practice of keeping the keys next to the trolley is not safe and must stop. Staff should ensure that all practice meets the guidance issued by the Royal Pharmaceutical Society (for example – Section 9.4 - keeping a record of controlled medicines in a hard bound, numbered page book). It was noted that the staff respected privacy when assisting people with personal care, and the staff treated and spoke to residents with courtesy and respect. All those who returned comments cards thought privacy was respected. Albert House F57 F07 S61635 Albert Hs V227800 250705 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, 13 and 15 Social activities within and outside the home provided daily variety and interest. Staff positively enabled residents’ contact with family and the local community. Meals were of good nutritious quality, offered choice and were enjoyed by service users. EVIDENCE: Residents said that there were many visitors to the home and that they could see visitors at any time and in private in their rooms if they so desired. Visitors commented that were made very welcome and offered refreshment. Residents explained that the home was conveniently located in Colne, where it was easy for people to visit or ‘pop in’ and several people said that they had chosen to live at the home because of its location. There was a sense that Albert House was part of the local community. One person said it was near to the blind club (which he visited each week) and others commented that it was convenient for the shops, bank etc. Several residents were pleased that staff helped them to go out and that staff were willing to pop out for them, for example recently to buy ice-creams. Residents were also keen to say that they enjoyed the trips out organised by the home. They had recently been on a barge trip and often went out to a local Heritage centre for morning coffee. Transport was provided in the manager’s car. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 13 Entertainments were also arranged in the home. Two people said that they liked doing their ‘exercises’ to music and several enjoyed the singer, who visited regularly. A visitor explained that she played bingo with some residents. Other people said they liked reading, listening to the radio, watching TV and going out with family. A few people commented that the home did not provide activities that were suitable for them. This should be discussed with individuals as part of their care plan. Everyone remarked that they liked the food. The meals observed were nicely presented and well cooked. Residents said that they were offered choices for breakfast and tea-meals, could have an alternative at lunchtime and had choices of hot and cold drinks. The cook was qualified and experienced, but was soon to leave. The manager explained that care staff would be cooking until a new cook was appointed. Albert House F57 F07 S61635 Albert Hs V227800 250705 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 Complaints were taken seriously and Albert House had a good complaints procedure, which was followed. This ensured that complaints were acted upon within reasonable timescales and service users can be confident that their concerns will be properly investigated. EVIDENCE: Residents and their representatives had access to the complaints procedure (in the Service User’s Guide), which specified to whom complaints should be made and how these would be dealt with. The majority of residents said they knew who to speak to if they had any problems and thought that any concerns raised were dealt with swiftly. There had been no complaints in the last twelve months and no one had any current complaints. A record was kept of formal complaints. Residents said that they discussed more minor concerns with the staff and normally problems were sorted out fairly quickly. Some residents had problems concerning care needs, which improving the care planning system should help (see previous section), and would give residents another forum for discussing individual worries. Albert House F57 F07 S61635 Albert Hs V227800 250705 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 to 26 The home had an excellent standard of cleanliness and was nicely decorated and furnished. There were no obvious hazards to safety. The building and outside areas were maintained in good order, providing a safe, comfortable and ‘homely’ environment, which was appropriate for the current residents. EVIDENCE: The front garden had been tidied and residents said they enjoyed sitting out and chatting to passers-by. One person preferred the private garden at the back, where there was more shade. The manager explained that he was considering how to provide a ramp to the front entrance and had plans for improving access in the back garden. The communal rooms had sufficient lighting and were decorated and furnished in a domestic style. There was a designated smoking room (the rear dining room). One lounge carpet was worn and the manager explained that new carpets were to be fitted the week following the inspection. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 16 Albert House does not accommodate wheelchair users (as defined in the National Minimum Standards), but provided mobility aids around the home, such as a passenger lift and handrails. There were sufficient toilets and bathrooms, with a choice of ‘medic-bath’ shower or bath with lift. Night commodes were provided in bedrooms. Private bedroom accommodation was inspected with the permission of the occupant. Some bedrooms were under 10 sq metres, but comfortably furnished, nicely decorated and carpeted, and personalised with service user’s possessions. Each bedroom reflected the occupant’s interests and personality and service users said they were very happy with and comfortable in their bedrooms, which they used at any time they wished. Bedroom windows were a little high for residents to open themselves. To enhance the privacy and dignity of residents, all the bedrooms had been provided with appropriate door locks and residents said they had call bells to summon staff when needed. Since the last inspection, a keypad exit (linked to the fire alarm) had been provided to the front door. This provided security whilst giving residents freedom to go out, but protecting the safety of those who needed accompanying outside. Residents were pleased with the standard of cleanliness and commented that the home was kept ‘spotless’. Albert House F57 F07 S61635 Albert Hs V227800 250705 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, 28, 29 and 30 A staff team, who were actively pursuing NVQ qualification and in-service training maintained good relationships with residents. The recruitment and selection procedure was not robust in all cases and in order to safeguard the welfare of the residents must be improved. EVIDENCE: Sufficient numbers of staff were on duty to meet the needs of the residents. Several residents said that they liked and got on well with the staff. One person said that “all the staff are alright” and another that the staff were “good”. Others singled out staff for particular praise, saying they were “patient”, “helpful” and “kind”. Several people commented that the staff seemed busy. They never had to wait for attention, (which was given promptly and courteously) but said that sometimes staff were too busy just to sit and talk or to really listen and take notice of what they had to say. The majority of the staff team were undertaking level 3 NVQ training. Two people had completed level 3 and one person was going on to level 4. Since the last inspection, staff had attended day courses in medicines management and in the care of people with dementia. This training had helped staff to understand the specific needs of residents and to meet their general needs. Training in health and safety matters was planned. A new member of staff had not received infection control training appropriate to her job, and this should Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 18 be given as soon as possible. The manager should also ensure that a competent first aider is on duty on every shift. The home had a good recruitment procedure, but this was not always followed. Several staff files had incomplete information. References, identity checks and evidence of qualifications were missing from some files and one new person had been employed without a Criminal Records Bureau or Protection of Vulnerable Adults (POVA first) check. The procedure is designed to ensure that residents are cared for properly and safely; and protected from risk of abuse and must be followed. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 19 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, 32, 33, 36, 37 and 38 The manager was experienced, but to ensure he has the knowledge and skills to improve his management in all areas, he needs to complete NVQ level 4 training in care and management. Appropriate policies and procedures underpinned good care practice, although these were not always followed. The consultation and quality monitoring systems could be improved, to enable residents to voice their opinions in a formal way and effect change. The health and safety of residents should be promoted by ensuring that all staff have appropriate training. EVIDENCE: Several recommendations relating to this section have been outstanding from the previous two inspections and the manager should try to make progress: The manager explained that he had enrolled on an NVQ level 4 care and management course, but was having difficulty in accessing the training and Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 20 was considering changing his training provider. The manager should ensure he is able to complete level 4 by the end of 2005. The homes had policies and procedures to cover all areas of health and safety, training and care practices, but some were not always followed. For example, the manager needs to ensure that the medication practices, recruitment and supervision follow procedure. Limited progress had been made with developing a quality assurance system to monitor outcomes for residents. Although available, satisfaction questionnaires had not been distributed to residents, their representatives or professional staff involved with the home for some time. Consultation with residents was informal, through the manager and staff chatting to individuals. Residents reported that whilst they found the manager and staff approachable, some minor concerns were not formally noted and therefore “forgotten”, or changes were not made to ensure that situations did not happen again. It may be helpful for the manger to consider formal consultation strategies, including keeping minutes of meetings held with staff and residents; reviewing the aims of the home with residents and staff; publishing the results of satisfaction surveys and making sure that each person (and their representative if appropriate) is consulted about and has input to their care plan. The manager should also make sure that as well as the annual appraisal, every member of staff has formal supervision at least 6 times a year. This should cover all aspects of practice, the philosophy of care at Albert House and career development needs. This is to ensure that residents have care and support from a staff team who know what the care values are, are competent to do their job and that residents can be sure that care work is overseen by the manager. Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 21 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 3 x 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 2 3 3 3 3 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 Standard No 16 17 18 Score 3 x x 2 2 2 x x 2 2 2 Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 22 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. Standard 21 Regulation 23 (2) (j) Requirement This requirement carried forward from the last inspection: a) The registered persons must consult appropriately with the environmental health department with respect to the change of use of the bathroom and store on the first floor. b) The manager must provide the Commission with documentary evidence that the alterations comply with the requirements of the relevant authorities. This requirement carried forward from the last two inspections: The registered persons must ensure that thorough recruitment procedures are followed to establish the fitness of persons working at the care home, which include checking the authenticity of references, obtaining criminal records bureau checks (CRB) at an appropriate level and POVA checks. This requirement carried forward from the last inspectionThe registered persons must ensure that all records that are specified Timescale for action Revised timescale: 31/8/05 2. 29 19 (1) (2) (3) (4) (5) (6) and (7) and Schedule 2, Prior to employing any new staff. 3. 37 17 (1) (2) (3) Revised timescale: 31/8/05 Page 23 Albert House F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 in Schedule 2 of the Care Homes Regulations 2001 (information and documents in respect of persons working at a care home) are maintained and kept up to date. 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. Refer to Standard 3 Good Practice Recommendations Recommendation carried forward from the last two inspections: That the needs assessments and the care plans are fully completed with all service users (3.4). Recommendation carried forward from last two inspections: That service user’s care plans should set out in detail the action that needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the service user are met (7.2). Plans should be agreed and signed by service users whenever capable and/or their representative (if appropriate and with the agreement of the service user) and recorded in a style accessible to the service user (7.6). Recommendation carried forward from last inspection: That the registered provider ensures that needs assessments and care plans for every service user include risk and prevention of pressure sores (8.3; 8.5), risk of falls (8.8) nutritional screening and monitoring of weight (8.9)). That the registered provider/manager ensures that the registered persons and staff are knowledgeable about entitlements to NHS services, including the standards for older people in the NHS National Service Framework, (to ensure that service users have information about entitlements and access to advice). (8.13) That medicines in the custody of the home are handled according to guidance from the Royal Pharmaceutical Society (2003) and other legal requirements. i.e. that keys are kept securely, that every service user has a medication profile and that controlled drugs records are kept according to guidancemed recording (9.4) That induction training specific to role is carried out within F57 F07 S61635 Albert Hs V227800 250705 Stage 4.doc Version 1.30 Page 24 2. 7 3. 8 4. 9 5. 30 Albert House 6. 31 7. 32 8. 33 9. 36 10. 38 the first 6 weeks of employment (30.1) This recommendation has been brought forward from previous inspections: That the registered provider/manager completes his NVQ level 4 course in care and management by the end of 2005 (31.2) Recommendation carried forward from last two inspections: That the registered provider/manager evidences how management planning and practice encourages innovation, creativity and development (32.5). This recommendation has been brought forward from previous inspections: That the arrangements for reviewing the quality of care at the home are maintained, by for example, publishing the results of the service user’s questionnaires (33.4); using feedback from service users to inform planning decisions (33.6); seeking the views of family, friends and stakeholders about how the home is achieving goals for service users (33.7); and progressing action to implement the requirements identified in inspection reports (33.10) Recommendation carried forward from the last inspection: That the registered persons implement a programme of staff supervision sessions, at least 6 times a year, which covers all aspects of practice, the philosophy of care at Albert House and career development needs (36.2 and 36.3). This recommendation has been brought forward from previous inspections: a) All care staff should receive accredited moving and handling training, fire safety training, first aid and training in infection control. In addition, all persons who handle food should have at least basic food hygiene training (38.2). There should be a qualified first aider on every shift. The cleaner should have training in infection control. b) That regular recorded tests are undertaken to ensure pre-set valves to regulate hot water are working correctly (38.3) c) Carry out COSHH risk assessments (38.4) d) Ensure that all staff receive induction and foundation training and updates to meet TOPSS specification on all safe working practices (38.9) Albert House F57 F07 S61635 Albert Hs V227800 250705 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 Albert House F57 F07 S61635 Albert Hs V227800 250705 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. 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!