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Inspection on 05/02/07 for Allendale House

Also see our care home review for Allendale House for more information

This inspection was carried out on 5th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Positive comments made by residents included "I feel comfortable in my own room and in the general areas with other residents". "I enjoy my meals and I am able to choose something else if I don`t like what is on the menu". "I feel well cared for, safe and secure". "Everything is fine". The inspection indicated the provider is committed to continually improving the home, and it is evident residents have been provided with an environment in which they feel safe and relaxed. The home is very good at trying to involve relatives and friends in activities taking place e.g., trips out, in-house events and resident/relative meetings. Although these efforts meet with little success, it was evident that relatives are kept informed. Relatives and friends are able to visit the home at any reasonable time and staff make them very welcome. New staff go through a thirteen week induction and probationary period; individual training needs are identified to ensure staff are competent to do their jobs. Most staff are qualified to NVQ level II. Arrangements for support from health service professionals is good.

What has improved since the last inspection?

Ongoing improvements have been made to the environment and a new extension is nearing completion which will enhance the facilities already provided by the home. A shower room which was not used by residents has been converted to house a tumble dryer which has eased some of the difficulties of the very small laundry. Two bedrooms have been redecorated and new carpet laid, four new armchairs, table and six chairs and the kitchen has had some major refurbishment. The majority of staff who administer medications have now received training from the supplying pharmacist and medication practice has improved. No requirements were made at the last inspection but two recommendations were made and these have been actioned. The home has achieved Part I of the local authority quality development scheme and is applying for Part II during April 2007.

What the care home could do better:

Despite the very comprehensive care plans being used, there was no evidence the resident has signed indicating their agreement and monthly evaluations of the care plan were not up to date. It would be good practice to have signed approval from residents, and/or their relatives, who like to get up early in the morning, that this is their choice. The home has a complaints procedure but there is no evidence that concerns, which are dealt with before becoming a complaint, are being recorded and it would be good practice to do so to enable management to monitor whether any patterns emerge. The Commission for Social Care Inspection had previously been informed that the new extension would provide for a new laundry as the existing facilities are barely adequate for their purpose; it is now apparent this is not taking place. Staff recruitment procedures need to improve to ensure residents are protected.

CARE HOMES FOR OLDER PEOPLE Allendale House 21 George Street Hedon Hull East Riding Of Yorks HU12 8JH Lead Inspector Pam Dimishky Key Unannounced Inspection 5th February 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Allendale House DS0000019642.V328689.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. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allendale House Address 21 George Street Hedon Hull East Riding Of Yorks HU12 8JH 01482 898379 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) Mr Eustace Nanayakkara Ms Shirley Ann Williams Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (19) of places Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: Allendale House is located close to the centre of the market town of Hedon and within reasonable walking distance of shops, leisure and health services. It is a relatively short walk to access local public transport. The home is registered for 19 service users in the categories of older people and older people with dementia. The home does not provide specialist or nursing care. Should such care be required on a short-term basis then it would be provided by the community healthcare services. The accommodation comprises of 11 single rooms and 4 shared bedrooms. Two of the shared rooms presently have single occupancy. One of the single rooms has an en suite toilet. The home has two floors with access by a chair lift to the upper floor. There is a lounge, which extends to a conservatory dining area. There is a separate sitting area, which is also used for service users who smoke. There is a garden area to the rear, which is accessible to service users via ramps. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection which took place over a period of 6 hours and all the key standards were assessed. The inspector looked around all of the building and a number of records were examined. Two staff on duty, the deputy manager, some of the residents and one relative were spoken to; all residents and staff were also indirectly observed during the course of the inspection. All residents and their relatives, all staff and residents’ general practitioners and care managers were sent surveys. A good response was received from relatives, moderate response from residents, general practitioners and care managers, but a poor response from staff; all the surveys generally gave a positive feed-back. The current scale of charges for the home range from £286.80 to £410.00 with additional charges for hairdressing (£8.00 for a wash and set and £21.00 for a perm), chiropody (£9.00). Newspapers are provided by the home, but residents can pay for their own if they wish. What the service does well: What has improved since the last inspection? Ongoing improvements have been made to the environment and a new extension is nearing completion which will enhance the facilities already provided by the home. A shower room which was not used by residents has been converted to house a tumble dryer which has eased some of the difficulties of the very small laundry. Two bedrooms have been redecorated and new carpet laid, four new armchairs, table and six chairs and the kitchen Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 6 has had some major refurbishment. The majority of staff who administer medications have now received training from the supplying pharmacist and medication practice has improved. No requirements were made at the last inspection but two recommendations were made and these have been actioned. The home has achieved Part I of the local authority quality development scheme and is applying for Part II during April 2007. 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. Allendale House DS0000019642.V328689.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 Allendale House DS0000019642.V328689.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission assessment procedure ensures individual needs can be met before residents move into the home. The home is not registered for intermediate care. EVIDENCE: Prospective residents are sent a copy of the service user guide and are invited to have a chat and look round the home. The deputy manager stated individual needs are then assessed either in their own home or in hospital to ensure the home can meet their needs; information is also gathered from relatives and other involved parties. Signed contracts were seen for two residents recently moved into the home and a third contract is being returned by relatives. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given support and care in accordance with the care plan which has been developed with the resident, and their representatives, ensuring individual needs are being met. EVIDENCE: Two case records of recent admissions to the home were examined and found to be very comprehensive. Care plans have been developed from the initial assessment and there was some evidence these are being evaluated monthly, although not currently up to date. Information was seen that regular checks are being made through the night and in one case, the resident was recorded as being dressed at 6.00 am. However, there was evidence that this time is the resident’s chosen time for getting up. The deputy manager was advised that if resident’s choose to get up as early as this, then a signature should be obtained from the resident, and/or their representative, indicating their agreement and the time should be regularly reviewed. There is evidence that residents’ health care needs are fully met and that arrangements are in place for health service support and advice. Two district nurses were seen visiting during the course of the inspection and other professionals include, consultant Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 10 psychiatrist, community psychiatric nurse, incontinence nurse, chiropodist and diabetic centre. Almost all staff have received medication training following a recommendation made at the last inspection and three residents medication was checked at this inspection including administration records and storage. One resident’s medication was noted to have been signed as given, but the tablets remained in the blister pack. The deputy manager agreed to discuss this with the member of staff concerned. The home’s practice of two members of staff signing the medication administration record when issuing controlled drugs does not meet the Royal Pharmaceutical Society’s guidelines and the deputy manager stated she would obtain advice from the supplying pharmacist. The last pharmacy inspection was 20th June 2005, which indicates the pharmacy is not meeting their contractual obligations. The deputy manager stated that any home remedies are only given in conjunction with the approval of the general practitioner or pharmacist. The home has a medication policy. It was evident from all the residents spoken to, from observation and from comments made in the survey that residents feel they are treated with dignity and respect. However, although staff spoken to were able to demonstrate that residents privacy and dignity is maintained, one resident was observed to be having dressings changed by the district nurse in the lounge area which was not private. The deputy manager explained this was due to the fact the staff were busy with the inspector and permission had been obtained from the resident; this was not in accordance with usual practice of taking residents to their room. Locks in place on bedroom doors ensure residents privacy. However, the locks have a deadlock which could present a hazard in case of needing emergency access. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in choosing and taking part in activities of daily living and range of social activities both in and outside the home. EVIDENCE: The home realises the benefits of involving residents in social activities and encourage and support them in their choices of taking part. A programme of daily activities is displayed and staff confirmed they endeavour to spend time with the residents each day; a manicure was scheduled for the day of the inspection and one resident was clearly looking forward to having her nail polish changed and choosing a new colour. Arts and crafts take place every week and this is also an activity enjoyed by the residents; evidence of some of their work was seen displayed in the home. Visitors to the home are welcome at any reasonable time and telephones are available throughout the home for maintaining contact; some residents have had their own telephone installed in their room. Trips outside the home take place every month and there is also involvement with local community activities e.g. Holderness Lions, British Legion, Bilton village hall for old time music, local museums and lunch at a local pub. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 12 Lunch on the day of the inspection was fish fingers, fishcakes, chips and beans followed by chocolate sponge and custard. Two weeks menus were included with the pre-inspection questionnaire completed by the home and this indicates there is a variety of food being offered. Residents spoke highly of the food provided and although the menu does not display a choice, one resident said if she did not like what was on the menu she could always choose something else; another resident was noted to be having sausage rather then the fish. Residents were seen dining in their own room, dining room and lounge and it is evident choices are being made as to where they eat. The deputy manager stated support and advice is obtained from the Brocklehurst Centre for anyone who is diabetic. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure available to residents and their families; staff demonstrated a knowledge of the procedures for the protection of vulnerable adults. EVIDENCE: The home has a complaints policy and procedure, a copy of which is given to all residents and also displayed in the entrance hall. No complaints have been recorded since the last inspection although it was apparent concerns have been raised and satisfactorily resolved before becoming a formal complaint. The deputy manager was advised it would be good practice to record all concerns, no matter how trivial, so the manager can monitor whether any patterns emerge. Staff spoken to said they refer any concerns raised by residents to the manager. The deputy manager stated protection of vulnerable adults is discussed with staff as part of their six weekly supervision; this was also confirmed by staff. The manager is currently arranging for all staff to attend a local college for protection of vulnerable adults awareness training. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home presents as a homely, clean and comfortable environment for residents to live. However the laundry facilities are barely adequate. EVIDENCE: The location and layout of the home is mainly suitable for its stated purpose. A four bedroom extension to the home is nearing completion and the deputy manager stated the beds are intended to replace those lost by rooms previously used for double occupancy which did not meet the minimum size requirements and are now used as single. There was some confusion regarding this as the two rooms currently used for double occupancy, the twelve single rooms in the existing home plus the four new rooms in the extension will raise the number of beds in the home to twenty; the home is currently registered for nineteen beds. The provider is to provide written notification to the Commission of his intentions. As part of the extension work, one bedroom in the existing home is being reduced in size by the creation of a Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 15 new corridor linking the home to the extension. This room will need to meet the minimum standards of at least 12 square metres of usable floor space excluding the en suite facilities. The laundry facilities in the home are barely adequate and the Commission was previously informed these were to be reprovided in the new extension; this no longer appears to be the case and the provider is being asked to re-consider this. The attempts to improve the situation by changing a shower room to accommodate a tumble dryer are recognised but the situation remains barely adequate. The laundry door was propped open with a door wedge and the deputy manager stated this is used when taking laundry in and out of the area. If this is regular practice then a door closer fitted to the fire alarm should be installed and the use of a doorstop to wedge the door open must cease. The manager’s office arrangements are not currently appropriate as the office is incorporated into the dining room and provides no privacy for maintaining confidential discussions or telephone conversations. The inspector was informed by the deputy manager work is to commence shortly on providing a self-contained office. Hot water temperatures were tested in all bathrooms and in one, the downstairs bathroom, the temperature was in excess of 52 degrees C; the manager immediately arranged for a plumber to call and the temperature was adjusted to 40 degrees C before the inspector finished the inspection. Thermometers are in all but one bathroom and the deputy manager stated it is the home’s practice to ensure water temperatures are tested before immersing a resident; a thermometer was not available in one of the upstairs bathrooms. Bedrooms are fitted with locks which can be deadlocked from the inside therefore putting the resident at risk by preventing access in emergency situations. Following the last visit from the environmental health officer, the kitchen has had new worktops, units and tiling. The dry food store has an air vent which is damaged and needs repair or replacement to prevent infestation from flies, insects etc. There is evidence that the home has a programme for continual maintenance, refurbishment and redecoration. Since the last inspection four new armchairs, a table and six chairs, tumble drier, two vacuum cleaners and carpet cleaner have been purchased; redecoration has taken place in the hallway, landing, toilets and bathrooms and two bedrooms have been redecorated and carpets replaced. At the time of this inspection the home was clean and had no unpleasant odours. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are provided with good standards of support by dedicated and competent staff. However, until recruitment practice improves the home cannot be sure residents are in safe hands at all times. EVIDENCE: Sixteen residents were living in the home at the time of this inspection and staff rosters indicated they are supported by two members of care staff at all times; one of these being a senior carer. A third carer covers the busy periods 7.00 – 9.00 am and 5.00 – 7.00 pm each day of the week. In addition to the manager, the home also employs an administrator, cook and domestic. Three of the most recently recruited care staff records were examined and it was found that some of the required information was missing. All three had CRB (Criminal Records Bureau) applications applied for but the results had not been returned. (Two days following the inspection the deputy manager informed the inspector the results had been received and were in order). All three had commenced work in the home having had a POVA (protection of vulnerable adults) first check, but one had no references and two had only one reference which does not meet the legal requirements for employing people in the care home. New employees undergo shadow training for their first week and remain supervised until the CRB check is returned. The staff then go on to Skills for Care induction training. Employment application forms were noted to Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 17 request the last three years employment history but the deputy manager was advised a ten year history would be more appropriate. Individual training needs are identified during supervision which takes place every six weeks. Future training has been planned for moving and handling, first aid, continence training, basic food hygiene and protection of vulnerable adults. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 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 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being managed properly and leadership, guidance and direction is being given to staff to ensure residents receive consistent quality care and their health safety and welfare is protected. EVIDENCE: The manager has a qualification in Advanced management of care and since the last inspection has qualified at NVQ level IV in care. Although copies of the monthly visits made by the provider, as required by regulation, were not available, the deputy manager confirmed the provider is in regular contact with the home but recent visits are outstanding due to personal reasons; she agreed to send copies of the reports for the most recent visits to the inspector. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 19 The home has part 1 of the local authority quality development scheme and is applying for part II during April this year. Despite the home’s best efforts to encourage relatives to attend the quarterly resident meetings, these are poorly attended with no relatives attending at all the most recent meetings. Relatives and staff complete an annual survey and the home has also developed a quality assurance monitoring scheme which takes place annually with the results being sent to relatives. Several letters and cards were seen expressing thanks from grateful relatives. Accident records were examined and seen to be well recorded. However, the pre-inspection questionnaire indicated two accidents had not been notified to the Commission and the deputy manager is to check whether this is correct with the manager on her return from leave. Records are being kept of monies held by the home on behalf of residents and these were all checked and reconciled with the monies. Maintenance records detailed in the pre-inspection questionnaire indicate they are up to date. Records checked included the bath hoist and Standard service reports both dated 7/11/06, PAT testing dated 23/7/05 (the home is awaiting the inspection record for 2006 from the contractor), gas safety certificate dated 17/7/06 and the stairlift dated 11/5/06. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 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 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 N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? no 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 OP7 OP19 Regulation 15 39 Requirement The service users plan must be kept under review. The registered person must give notice to the Commission regarding any changes to the registration as a result of the extension to the home. The registered person should consult with the fire authority and fit an automatic door closer, linked to the fire alarm, to the laundry door. Ensure all hot water outlets in areas used by residents are thermostatically controlled to deliver water close to a temperature of 43 degrees C. Repair or replace the damaged air vent in the dry food store. Before employing anyone to work in the care home a CRB application must be made, and a POVA first check and two satisfactory references obtained. The member of staff must then only work under supervision until the results of the CRB check are received. DS0000019642.V328689.R01.S.doc Timescale for action 05/02/07 05/03/07 3 OP19 23 30/03/07 4 OP19 13 05/02/07 5 6 OP19 OP29 23 19,Sch 2 30/03/07 05/02/07 Allendale House Version 5.2 Page 22 7 OP33 26 The registered person must make monthly unannounced visits to the home and prepare a report on the conduct of the home. 05/02/07 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 OP10 Good Practice Recommendations It would be good practice to obtain the resident and/or their representatives signature agreeing to preferred getting up and going to bed times and the times regularly reviewed. One member of staff has not had medication training to an accredited or equivalent standard and this should be arranged as soon as possible. Written advice should be sought from the supplying pharmacist regarding the recording of administration of controlled drugs as current practice does not meet the Royal Pharmaceutical guidelines for using a bound book with numbered pages. More effort should be made in persuading the supplying pharmacy to meet their contractual obligations to inspect medications, the records and storage. The policy and procedure of using home remedies should be reviewed and agreed with the pharmacist or general practitioner. It would be good practice to record all concerns received by the home, no matter how trivial, so the manager can monitor any patterns which may emerge. The deadlocks on resident’s bedroom doors should be removed to enable easy access in cases of emergency. The registered person should reconsider the reprovision of more suitable laundry facilities. The proposed new office for the manager should be progressed as quickly as possible. It would be good practice for employment application forms to request details of previous employment for the last ten years and for actual dates to be given, not just years, so gaps can be explored. DS0000019642.V328689.R01.S.doc Version 5.2 Page 23 2 3 OP9 OP9 4 5 6 7 8 9 10 OP9 OP9 OP16 OP19 OP19 OP19 OP29 Allendale House 11 OP38 The registered person should check with the home’s insurance company that the stairlift is being inspected at the required frequency. Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Allendale House DS0000019642.V328689.R01.S.doc Version 5.2 Page 25 - 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!